scholarly journals THE USE OF MEROPENEM IN AN INTENSIVE CARE CENTER IN A HOSPITAL UNIT IN CAMPOS DOS GOYTACAZES-RJ

2021 ◽  
Vol 1 (4) ◽  
pp. 2-10
Author(s):  
Ronald de Oliveira ◽  
André Luiz Vargas ◽  
Shalline Hermes Sampaio ◽  
Paulo Roberto Hernandes Júnior ◽  
Juliana de Souza Rosa ◽  
...  
Keyword(s):  
Intensive Care ◽  
Care Center ◽  
Hospital Unit

scholarly journals COVID-19 in-hospital mortality of a secondary care center of Mexico City in a marginated area during the first months of the Mexican epidemic

2021 ◽  
Author(s):  
José Martín Alanís-Naranjo ◽  
Víctor Manuel Anguiano-Álvarez ◽  
Eduardo Federico Hammeken-Larrondo
Keyword(s):  
Intensive Care ◽  
Hospital Mortality ◽  
Mexico City ◽  
Secondary Care ◽  
Care Center ◽  
Severe Pneumonia ◽  
P Value ◽  
Intravenous Antibiotics ◽  
Tertiary Hospitals ◽  
Hospital Acquired

Abstract Introduction: Low socioeconomic conditions and hospital saturation have been associated with higher mortality rates in hospitalized patients with COVID-19. Mexico City has become the country’s highest death toll. Iztapalapa is the district with the highest population density and marginalization in Mexico City. Most of the information on COVID-19 in-hospital mortality in Mexico comes from intensive care units or tertiary hospitals without considering the level of income. Data regarding hospital mortality in care centers with low availability of intensive care beds has not been explored.Material and methods: A retrospective cohort study in consecutive patients with COVID-19 hospitalized managed outside the intensive care unit in a secondary care center in Mexico City from April 1st, 2020, to May 31st, 2020. Analysis was performed between subgroups with a p-value <0.05 considered statistically significant.Results: A total of 164 patients were recruited; the median age was 52.5 years (IQR 44 - 64.5), 68% were males, 48.7% were obese, and 59.7% had comorbidities. Among those patients, 67% required mechanical ventilation and 32.3% vasopressor support. In this population, 52 recovered (31.7%) and 112 died (68.3%). The main risk factors associated with death were male sex, age > 50 years, diabetes, severe pneumonia on admission, PORT / PSI > 91, SMART-COP > 5, SCAP score > 10, dyspnea on admission, fever during hospitalization [p <0.05] and the administration of intravenous antibiotics [RR 3.45, 95% CI 1.69-7.06, p <0.001].Conclusion: In this study, we found higher in-hospital mortality compared to previous reports. We suggest that the administration of intravenous antibiotics could impact patient survival for the risk of developing hospital-acquired infections.

Epidemiology of Nosocomial Outbreaks: 14-Year Experience at a Tertiary-Care Center

2000 ◽  
Vol 21 (8) ◽  
pp. 527-529 ◽  
Author(s):  
Luis Ostrosky-Zeichner ◽  
Rosa Baez-Martinez ◽  
M. Sigfrido Rangel-Frausto ◽  
Samuel Ponce-de-León
Keyword(s):  
Intensive Care Unit ◽  
Pseudomonas Aeruginosa ◽  
Intensive Care ◽  
Nosocomial Infections ◽  
Care Center ◽  
Tertiary Care ◽  
Tertiary Care Center ◽  
Common Organism ◽  
Overall Mortality

Twelve nosocomial outbreaks over 14 years at a tertiary-care center in Mexico are described. Overall mortality was 25.8%, one half due to pneumonia. The most common organism was Pseudomonas aeruginosa. Incidence was three outbreaks per 10,000 discharges; outbreak-related infections comprised 1.56% of all nosocomial infections. Incidence in the intensive care unit was 10-fold higher.

Installing Needle Disposal Boxes Closer to the Bedside Reduces Needle-Recapping Rates in Hospital Units

1993 ◽  
Vol 14 (3) ◽  
pp. 140-144 ◽  
Author(s):  
David Makofsky ◽  
James E. Cone
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Environmental Changes ◽  
Effective Means ◽  
Standard Errors ◽  
Hospital Unit ◽  
Hospital Units ◽  
Before And After ◽  
Previous Round ◽  
Surgical Unit

AbstractObjective:To compare the proportion of recapped needles, an injury surrogate measure, in disposal boxes on two different types of hospital units, both before and after an intervention.Design:Prospective nonrandomized intervention trial.Setting:A major public teaching hospital.Participants:Specific hospital units. We selected two types of hospital units for study: the first type of hospital unit (medical-surgical ward) had existing mounted in-bathroom needle disposal boxes, and the second type of hospital unit (intensive care unit) had unmounted needle disposal boxes in the room but not necessarily near the patient's bedside.Intervention:The installation, in the medical-surgical wards only, of mounted needle disposal boxes on the wall near the patient's bed. The box location in the intensive care units remained the same. In both types of unit, a new mailbox-slot disposal box (SAGE) also was substituted for the previous round-top container.Results:The baseline proportion of recapped needles in the first medical-surgical unit was 32.6% (±3.8%) and in the second medical-surgical unit it was 27.4% (± 4.0%) in the bathroom needle disposal boxes, which was similar to the observed proportion (34.7 ± 6.4%) in the intensive care unit boxes. Following the intervention, the proportion of recapped needles was significantly reduced in the disposal containers adjacent to the bedside in medical-surgical units, to 27% (a difference of 2.9 standard errors of the baseline distribution) in the first unit and 18.2% (a difference of 4.6 standard errors) in the second. In the intensive care unit, where boxes were not moved but new mailbox-types were simply substituted, no significant change was noted (36.6%, a difference of 0.59 standard errors). A statistically significant reduction was observed in the proportion of needles recapped in both wards combined following the intervention (30.2% to 26.2%, a difference of 2.9 standard errors).Conclusion:Environmental changes alone are an effective means of altering the risk to healthcare workers from sharp instruments. The use of needle-box counts provides a sensitive and stable instrument to measure injury surrogates and, indirectly, behavioral change in hospital workers.

scholarly journals The epidemiological profile of Pediatric Intensive Care Center at Hospital Israelita Albert Einstein

2012 ◽  
Vol 10 (1) ◽  
pp. 16-21 ◽  
Author(s):  
Camila Sanches Lanetzki ◽  
Carlos Augusto Cardim de Oliveira ◽  
Lital Moro Bass ◽  
Sulim Abramovici ◽  
Eduardo Juan Troster
Keyword(s):  
Intensive Care ◽  
Respiratory Diseases ◽  
Average Length ◽  
Care Center ◽  
Pediatric Intensive Care ◽  
Albert Einstein ◽  
Average Length Of Stay ◽  
Patient Gender ◽  
Common Ailment ◽  
Epidemiological Profile

OBJECTIVE: This study outlined the epidemiological profiles of patients who were admitted to the Pediatric Intensive Care Center at Albert Einstein Israelite Hospital during 2009. METHODS: Data were retrospectively collected for all patients admitted to the PICC during 2009. A total of 433 medical charts were reviewed, and these data were extracted using the DATAMARTS System and analyzed using the statistical software package STATA, version 11.0. RESULTS: There were no statistically significant differences in regards to patient gender, and the predominant age group consisted of patients between the ages of 1 to 4 years. The average occupancy rate was 69.3% per year, and there was a greater number of admissions during April, August, and October. The average length of stay at the hospital ranged from 9.7 to 19.1 days. Respiratory diseases were the main cause for admission to the Pediatric Intensive Care Center, and the mortality rate of the patients admitted was 1.85%. CONCLUSIONS: Respiratory diseases were the most common ailment among patients admitted to the Pediatric Intensive Care Center, and the highest mortality rates were associated with neoplastic diseases.

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