Infecciones nosocomiales de piel y tejidos blandos de pacientes quemados. Unidad de Cuidados Intensivos - Quemados. Hospital Luis Vernaza 2017.

Abstract

Background: the pathophysiology of burns brings together the environment conducive to the development of infections. Objective: To estimate the frequency of nosocomial infections in skin and soft tissues in patients hospitalized in the ICU - Burns of the Luis Vernaza hospital, during 2017. Materials and Methods: Study observational, retrospective, transversal, descriptive, includes patients hospitalized in the ICU - Burns of the Luis Vernaza Hospital of Guayaquil, 2017. The frequency of infections was investigated and we performed analysis and crossing of variables using the p-value test equal to or less than 0.05. Results: Population: 103 patients, 63 met inclusion criteria, infection prevalence of 41.3%. Average age 37.41, 77.8% men, and 22.2% women, electric burns were the most frequent 48.4%. The total burned body surface area (SCTQ)> 30% showed infection 1.6 times more p: 0.046, the most frequent type AB-B burns 54% and type B had more infection 53.6% p: 0.06. Klebsiella pneumoniae 44.4% Acinetobacter baumannii 11.1% S. Aureus 11.1%, Pseudomona aeruginosa 7.4% were isolated. The average stay was 30 days, the stay longer than 30 days predisposes to 4.8 times more infection p: 0.001 the presence of comorbidities and mortality due to infection had no statistical significance. Conclusions: 41.3% were infected, type B and electrical burns were the most susceptible, the most frequent germs: Klebsiella pneumoniae, Acinetobacter baumannii, S. Aureus. Pseudomona aeruginosa. The higher the SCTQ, the greater the risk of infection, the greater the hospital stay, the greater the risk of infection. Mortality rate due to skin infection 23.07%.