Patterns of sensitivity-resistance of endemic pathogens in the intensive care unit

Authors

  • Luis Alberto Santos Pérez Hospital Clínico Quirúrgico “Arnaldo Milián Castro”, Santa Clara, Villa Clara, Cuba
  • Cándida G. Milián Hernández Hospital Clínico Quirúrgico “Arnaldo Milián Castro”, Santa Clara, Villa Clara, Cuba

Keywords:

cross infection, drug resistance, microbial, intensive care units

Abstract

Infections in critically ill patients admitted to Intensive Care Services have special characteristics that justify the use of antibiotics in a different way from other hospitalized patients. Therefore, a set of rules and strategies and the continuous updating of microbial resistance patterns are necessary to optimize the use of antimicrobials in order to achieve maximum effectiveness and minimal morbidity. A prospective study, of one year, was conducted in patients admitted to the Intensive Care Unit of the Arnaldo Milian Castro Provincial University Hospital for over 24 hours with nosocomial infections related to invasive procedures such as endotracheal intubation and mechanical ventilation. The objective was to determine the prevalence, identify the sensitivity-resistance patterns of the endemic pathogens isolated, and introduce recommendations for the choice of empiric antimicrobial therapy. The most important ones were the Staphylococcus aureus, the Acinetobacter and the Enterobacteriaceae in catheter-related bacteremias, as well as Pseudomonas aeruginosa in urinary tract infections related to the urethral catheter. This study provides information that will favorably influence the selection of antimicrobial therapy in nosocomial infections related to these interventions.

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Author Biographies

Luis Alberto Santos Pérez, Hospital Clínico Quirúrgico “Arnaldo Milián Castro”, Santa Clara, Villa Clara, Cuba

Especialista de I y II Grado en Medicina Intensiva y Emergencias. Máster en Medicina Intensiva y Emergencias. Máster en Enfermedades Infecciosas. Profesor Consultante de la Universidad de Ciencias Médicas de Villa Clara “Dr. Serafín Ruiz de Zárate Ruiz”.

Cándida G. Milián Hernández, Hospital Clínico Quirúrgico “Arnaldo Milián Castro”, Santa Clara, Villa Clara, Cuba

Licenciada en Tecnología de la Salud. Profesora Instructora de la Universidad de Ciencias Médicas de Villa Clara “Dr. Serafín Ruiz de Zárate Ruiz”.

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How to Cite

1.
Santos Pérez LA, Milián Hernández CG. Patterns of sensitivity-resistance of endemic pathogens in the intensive care unit. Acta Méd Centro [Internet]. 2011 Jul. 1 [cited 2025 Jul. 17];5(3):13. Available from: https://revactamedicacentro.sld.cu/index.php/amc/article/view/580

Issue

Vol. 5 No. 3 (2011): July-Septembre. Special Issue of Hospital Scientifics Event

Section

Abstracts

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