Prevalencia y tasa de letalidad de infecciones por microorganismos multirresistentes en los pacientes sépticos en la Unidad de Cuidados Intensivos del Hospital General IESS Quevedo en el periodo del 2017-2018.

Abstract

Resistance to antibiotics is the ability of a microorganism to resist the effects of antimicrobials, which constitutes, according to the world health organization, one of the greatest public health problems in the world since it impedes our ability to control infectious diseases, thus increasing the morbi-mortality, which reduces the effectiveness of antibiotics in the treatment of infections. For the following study, all patients admitted for multiresistant germs in the ICU of IESS DE QUEVEDO HOSPITAL are taken as samples, which include patients with a clinical history, necessary data, and cultures. Therefore, of 1532 patients treated in the Quevedo Critical Care Unit, 100 patients completed the inclusion criteria for this study, of which the following germs were found: E coli with 36% followed by Staphylococcus Aureus 16%, pseudomonas aeruginosa with 13% and klebsiella pneumoniae 12%, in addition it was demonstrated that the strain with the most multiresistance in these patients was E. coli due to its high percentage of appearance compared to the other strains studied, thus concluding its high multiresistance being the most common to Ampicillin + Sulbactam and Ceftriaxone, followed by Amikacin and Gentamicin, for which the lethality index was 20%.Finally, we know that given the magnitude of the problem worldwide, this study has been conducted in order to raise awareness of the high rate of morbidity and mortality and its impact on our environment.