Global and health pneumonia
Introduction
Infections associated with health care can show in underdeveloped countries as well as in countries that every day approximately 1.4 million patients are infected with an IAAS. In the US. UU. The centers for disease control and prevention state that 1.7 million IAAS causing the death of 99.000 people per year.
The cases in hospitalized patients in intensive care units are very high giving rise to patients suffering from infections of the bloodstream in pneumonia, the evidence is clear in certain statistics donates the highest rate were recorded in the intensive care units of 1.000 deaths of patients per day in a row the high -risk neonatology units.
Developing
In France, the infection of IAAS in internships is 5% in 2006. The most frequent IAas was the infection of the urinary tract with a percentage of 30.3%, pneumonia of 14.7%, the infections of the surgical site 14.2%, infections of the mucous membranes and of the skin 10.2%causing in the death of a patient of 9.000 in total per year.
In Italy, patient developed an IAAS about 6.7% equivalent to 450.000 and 700.000, dying approximately between 4.500 to 7.000 individuals with the IAAS. In the United Kingdom, the incidence rates of the IAAS in the same period were 8.2% in Switzerland, a national study was carried out as a 7.2% infection rate in 2004, in Finland, it is identified that a8.5% of patients acquire an IAAS in 2005.
Since January 2003 and December 2008, the International Consortium for Nosocomial Infections control. Giving as all cases of 155.359 hospitalized patients. The incidence of aggregate rate of infection of the blood torrent associated with the use of venous Center catheter was 7.6 ITS-CVC by 1.000 to every day of central venous catheter.
The rate that can be analyzed greater than that registered in intensive care units. UU.
The pneumonia rate associated with mechanical ventilation was 13.6 versus per day /fan. The incidence of urinary tract infection associated with the use of catheter was 6.3 versus 3.3 per 1.000 catheter days. The surplus has not yet adjusted mortality due to infections associated with the use of devices I locked a range of 23.6 % to 29.3 %.
In 2006, Ministry of Public Health of Ecuador the IAAS have a higher cost in medical care, becoming its expense more than a treatment of different diseases costs, for this reason it is evidenced at a high level of morbidity and mortality from theCause mentioned, giving as a objective to the fulfillment of the strict obligations of the Ministry, planning comprehensive programs, since in 2001 the Integrated Epidemiological Surveillance System began.
The main objective of this system is to have statistical data allowing to intervene in the face of events that are also considered emergency also provided the necessary information to all institutions to implement some control activity. These actions have put objectified by the Ministry of Public Health of Ecuador:
- Implement morbidity and mortality rates of infections.
- Determine risk factors and statistical records.
- Get in a period of time delimited epidemiological outbreaks that create infections.
- Provide useful data for epidemiological study.
- Implement the incidence of control and prevention measures.
- Obtain possible statistics to be able to buy with other hospital institutions.
conclusion
In 2013 a modification was made in surveillance systems, in order to obtain information and indicators information. Despite the efforts for the decrease in infections, it was not effective until 2009, accrediting 40 hospital institutions, where only 13 emitted IAAS repostes.
It is registered in the month of January and February of 2017, 2.5 cases of pneumonia patients associated with IAAS per 1000 patients, while all bacteremia were 1.33 cases and 1.05 cases of infection of the infection of the infection of the infection of the infection of the infection of the infection of the infection of the infection of the infection of the infection of the infection of the infection of the infection of the infection of the infection of the infection of the infection of the infection of the infection of the infection of the infection of the infection of the infection of the infection of the infection of the infection of the infectionurinary treatment. Causing a mortality index of approximately 11% and 29%. Taking into account the wide variety of cases of IAAS, more strategies must be presented and implemented to file that problem that has been giving every year.
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