Perfil de sensibilidad y resistencia bacteriana en pacientes con bacteriemia en el hospital teofilo davila, periodo 2018

Abstract

Intrahospital infections is a challenge faced by the medical community, which leads to increased nosocomial morbidity and mortality. The knowledge of the sensitivity profile and antimicrobial resistance will allow the adequate use of antibiotics and avoid empirical treatment.. Objectives: To determine the sensitivity and bacterial resistance profile in patients with bacteremia at the Teófilo Dávila hospital during the 2018 period; through a source of indirect information that serves as a basis for decision making. Materials and methods: An observational cross-sectional descriptive study was carried out, through the analysis of the database of 200 patients admitted to the hospitalization service with a request for blood culture, during the months of June and July of 2018. Results and Conclusions: In the present study of the 200 blood cultures obtained from the database, 12 positive blood cultures were detected, equivalent to a 6% percentage, and 188 negative blood cultures, equivalent to a percentage of 94%. The isolated microorganism was klebsiella pneumoniae, with a percentage of 33.3% of the patients, followed by Staphylococcus haemolyticus, 25% and in a lower percentage Staphylococcus aureus as well as Echerichia coli, 16.6%; Acinetobacter baumannii, 8.3% .It has also been shown to be more sensitive to amikacin and resistance to benzylpenicillin. In addition to the early detection of the causative organism, it is appropriate to know the sensitivity and bacterial resistance, to opt for the appropriate treatment, improve prognosis, and in this way prevent multidrug resistance.