Healthcare-associated infections in facilities of the Junín Ministry of Health, January 2013 - December 2017

Abstract

In recent years, hospital-acquired infections have reached epidemic proportions in hospitals around the world. Objective: The incidence of healthcare-associated infections (HAI) was determined in facilities of the Junín Ministry of Health from January 2013 to December 2017. Material and Methods: A descriptive, cross-sectional and prospective study was conducted in health facilities by categories and focused services. Results: From January 2013 to December 2017, 334 infections were reported, of which 192 (57.4%) corresponded to surgical wounds, 46 (13.8%) to HAIs due to pneumonia and 21 (6.3%) to HAIs due to bloodstream infections. The services with the highest number of reported cases were (a) obstetrics and gynecology, (b) ICU and (c) surgery. In the Juín region, the cumulative incidence rate were for in-hospital pneumonias associated with mechanical ventilation in the adult ICU (2.71 per 1000 days of exposure to mechanical ventilation), likewise there were 0.67 bloodstream infections per 1000 days of exposure to peripheral venous catheter in neonatology and in surgery there were 0.51 x 1000 days of exposure to indwelling urinary catheter. Conclusions: Focused services and categories of care in health facilities, show high rates of HCAI in Gynecology-Obstetrics with categories III-E, II–2, II–1; ICU for adults and pediatrics in categories III-E and II–2.