masterThesis
Perfil de resistencia microbiológico en ciudados intensivos adultos en la fundación Santa Fe de Bogotá año 2014
Fecha
2015Autor
Beltran Gomez, Edwin
Acevedo Bedoya, Camilo
Leal, lucia
Guevara Pulido, Fredy Orlando
Rodríguez Lima, David
Institución
Resumen
The incidence of bacteremia was 39%, the diagnosis of sepsis, severe sepsis and septic shock was overall from 50%, the most frequently isolated microorganisms were gram negative bacteria (44, 5%), followed by Candida species (37.5%) and gram negative (18%). 91% of patients received antibiotic therapy empirically, and this management strategy was adjusted with culture results in 57% of cases, most of these received combination therapy (63%). The empirical use of carbapenems was 36%, while that of cephalosporins third and fourth generation was 14.8%. Different resistance patterns usual were found in 31% of the isolates, mainly AmpC (17.6%) and ESBL (12%). ICU mortality was 30%.