Prevalence of infections associated with health care in the Guayaquil cancer hospital

Authors

Keywords:

Health care-associated infections, prevalence, cancer

Abstract

Introduction: According to the Pan American Health Organization, about 15 % of patients admitted to hospitals and 34% of patients in intensive care units in developing countries experience healthcare-associated infections.

Objective: Determine the prevalence of infections associated with health care in an oncology hospital.

Methods: A descriptive, cross-sectional study was carried out in the period from 2013 to 2022, in an oncology hospital. A total of 833 participants who met the inclusion criteria were selected. Data were extracted from medical records and hospital databases.

Results: 833 people between 2 and 100 years old participated in this research. The medical service that predominated with the highest detection of infections associated with health care was pediatric hospitalization with 208 cases for 24.9%. The most frequent microorganism in BACT-CVC is Staphylococcus aureus with 83 cases for 22.31 %. In relation to infections associated with health care, the most frequent with 379 cases are bacteremia associated with vascular catheters for 45.5 %.

Conclusions: Bacteremia associated with vascular catheters is the most frequent infection associated with health care at the Guayaquil oncological hospital.

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References

1. Santos S.L.V, Sousab T.K, Costa D.M, Lopes L.K.O, Pelejad E.B, Sousa D.M. et al. Infecciones asociadas a la atención de salud en un Hospital de Oncología Brasileño: análisis de cinco años. Enferm. glob. [Internet]. 2012 Ene [citado 2023 Oct 31]; 11(25): 8-17. Disponible en: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1695-61412012000100002&lng=es

https://dx.doi.org/10.4321/S1695-61412012000100002

2. Bonilla-Marciales AP, Chávez-Cañas WO, Hernández-Mogollón RA, Ramón-Jaimes NA. Estrategias de prevención y control de las infecciones en pacientes oncológicos. MedUNAB [Internet]. 29 de noviembre de 2019 [citado 31 de octubre de 2023];22(3):356-68. Disponible en: https://revistas.unab.edu.co/index.php/medunab/article/view/3376

3. Denkel LA, Schwab F, Clausmeyer J, Behnke M, Golembus J, Wolke S, Gastmeier P, Geffers C; CLIP-ID study group. Central-line associated bloodstream infections in intensive care units before and after implementation of daily antiseptic bathing with chlorhexidine or octenidine: a post-hoc analysis of a cluster-randomised controlled trial. Antimicrob Resist Infect Control. 2023 Jun 3;12(1):55. doi: 10.1186/s13756-023-01260-w. PMID: 37270604; PMCID: PMC10239202. Disponible en: https://pubmed.ncbi.nlm.nih.gov/37270604/

4. Fontana NS, Ibrahim KY, Bonazzi PR, Rossi F, Almeida SCG, Tengan FM, Brandileone MCC, Abdala E. Fluoroquinolone treatment as a protective factor for 10-day mortality in Streptococcus pneumoniae bacteremia in cancer patients. Sci Rep. 2021 Feb 12;11(1):3699. doi: 10.1038/s41598-021-81415-0. Erratum in: Sci Rep. 2021 Aug 16;11(1):16938. doi: 10.1038/s41598-021-96034-y. PMID: 33580101; PMCID: PMC7881156. Disponible en: https://pubmed.ncbi.nlm.nih.gov/33580101/

5. Luján Hernández Marta. Tendencias y pronósticos de las infecciones nosocomiales en la provincia de Cienfuegos. Rev Cubana Hig Epidemiol [Internet]. 2002 Abr [citado 2023 Oct 31]; 40 (1): 20-25. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1561-30032002000100004&lng=es

6. Ferlay J, Ervik M, Lam F, Colombet M, Mery L, Piñeros M, et al. Global Cancer Observatory: Cancer Today. Lyon: International Agency for Research on Cancer; 2020. Disponible en: Ferlay J, Ervik M, Lam F, Colombet M, Mery L, Piñeros M, et al. Global Cancer Observatory: Cancer Today. Lyon: International Agency for Research on Cancer; 2020. Disponible en: https://gco.iarc.fr/today/accessed February 2021

7. Cabrera-Ku Ivan Ulises, Domínguez-May Claudia Estefanía, Sansores-Juárez Mario Alexander, Padrón-Aké Lizbeth Paulina, Pacheco-Catzím Guadalupe Concepción. Dotación del personal de enfermería para disminuir infecciones asociadas a atención en salud: revisión sistemática. Sanus [revista en la Internet]. 2024;9: e397. Disponible en: http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S2448-60942024000100205&lng=es. Epub 09-Mayo-2024. https://doi.org/10.36789/revsanus.vi1.397.

8. D'Souza PC, Kumar S, Kakaria A, Al-Sukaiti R, Al-Baimani K, Hamid RS, Mittal AK, Al-Balushi M, Burney IA, Al-Moundhri MS. Complications and Management of Totally Implantable Central Venous Access Ports in Cancer Patients at a University Hospital in Oman. Sultan Qaboos Univ Med J. 2021 Feb;21(1):e103-e109. doi: 10.18295/squmj.2021.21.01.014. Epub 2021 Mar 15. PMID: 33777430; PMCID: PMC7968907. Disponible en: https://pubmed.ncbi.nlm.nih.gov/33777430/

9. Haineala B, Zgura A, Badiu DC, Iliescu L, Anghel RM, Bacinschi XE. Lung Cancer, Covid-19 Infections and Chemotherapy. In Vivo. 2021 May-Jun;35(3):1877-1880. doi: 10.21873/invivo.12450. PMID: 33910875; PMCID: PMC8193347. Disponible en: https://pubmed.ncbi.nlm.nih.gov/33910875/

10. Ministerio de Salud Pública (MSP). Boletín Epidemiológico Infecciones Asociadas a Atención de Salud (IAAS). Quito, Ecuador; 2018. [citado el 17 de octubre de 2023]. Disponible en: https://www.salud.gob.ec/boletin-epidemiologico-de-las-infecciones-asociadas-a-la-atencion-en-salud-iaas-2018-2021/

11. Jensen KH, Vogelius I, Moser CE, Andersen E, Eriksen JG, Johansen J, Farhadi M, Andersen M, Overgaard J, Friborg J. Bloodstream infections in head and neck cancer patients after curative-intent radiotherapy: a population-based study from the Danish Head and Neck Cancer Group database. Br J Cancer. 2021 Aug;125(3):458-464. doi: 10.1038/s41416-021-01430-w. Epub 2021 May 20. PMID: 34017084; PMCID: PMC8329195. Disponible en: https://pubmed.ncbi.nlm.nih.gov/34017084/

12. Shrestha G, Wei X, Hann K, Soe KT, Satyanarayana S, Siwakoti B, Bastakoti S, Mulmi R, Rana K, Lamichhane N. Bacterial Profile and Antibiotic Resistance among Cancer Patients with Urinary Tract Infection in a National Tertiary Cancer Hospital of Nepal. Trop Med Infect Dis. 2021 Apr 13;6(2):49. doi: 10.3390/tropicalmed6020049. PMID: 33924726; PMCID: PMC8167765. Disponible en: https://pubmed.ncbi.nlm.nih.gov/33924726/

13. Ministerio de Salud garantiza acceso a la salud de pacientes con cáncer – Ministerio de Salud Pública [Internet]. Gob.ec. [citado 17 de octubre de 2023]. Disponible en: http://www.salud.gob.ec/ministerio-de-salud-garantiza-acceso-a-la-salud-de-pacientes-con-cancer-2/

14. Liang J, Jin G, Liu T, Wen J, Li G, Chen L, Wang W, Wang Y, Liao W, Song J, Ding Z, Chen XP, Zhang B. Clinical characteristics and risk factors for mortality in cancer patients with COVID-19. Front Med. 2021 Apr;15(2):264-274. doi: 10.1007/s11684-021-0845-6. Epub 2021 Mar 23. PMID: 33754280; PMCID: PMC7985225. Disponible en: https://pubmed.ncbi.nlm.nih.gov/33754280/

15. Ruales J, Checa F. La atención del cáncer en el Ecuador: pasado, presente y futuro. Rev Fac Cien Med (Quito) [Internet]. 18 de diciembre de 2018 [citado 31 de octubre de 2023]; 43(1):46-59. Disponible en: https://revistadigital.uce.edu.ec/index.php/CIENCIAS_MEDICAS/article/view/1456

16. Rodriguez M, Guayaquil W. Informe Técnico de las Infecciones Hospitalarias en Pacientes Oncológicos. Guayaquil, Ecuador: SOLCA; 2023 [citado el 17 de octubre de 2023].

17. Johnson J, Akinboyo IC, Schaffzin JK. Infection Prevention in the Neonatal Intensive Care Unit. Clin Perinatol. 2021 Jun;48(2):413-429. doi: 10.1016/j.clp.2021.03.011. PMID: 34030822; PMCID: PMC8162277. Disponible en: https://pubmed.ncbi.nlm.nih.gov/34030822/

18. Silvestris N, Di Maio M, Russo A, Chiari R, De Giorgi U, Del Mastro L, Giuffrida D, La Verde N, Perrone F, Tucci M, Beretta GD, Cinieri S. COVID-19 infection in cancer patients: what has been the contribution of Associazione Italiana Oncologia Medica (AIOM) to oncological care since the beginning of the first pandemic wave? ESMO Open. 2021 Apr;6(2):100100. doi: 10.1016/j.esmoop.2021.100100. Epub 2021 Mar 19. PMID: 33819751; PMCID: PMC7973080. Disponible en: https://pubmed.ncbi.nlm.nih.gov/33819751/

19. Bedimo RJ, Park LS, Shebl FM, Sigel K, Rentsch CT, Crothers K, Rodriguez-Barradas MC, Goetz MB, Butt AA, Brown ST, Gibert C, Justice AC, Tate JP. Statin exposure and risk of cancer in people with and without HIV infection. AIDS. 2021 Feb 2;35(2):325-334. doi: 10.1097/QAD.0000000000002748. Erratum in: AIDS. 2021 Nov 15;35(14):2411. doi: 10.1097/01.aids.0000798352.68824.dd. PMID: 33181533; PMCID: PMC7775280. Disponible en: https://pubmed.ncbi.nlm.nih.gov/33181533/

20. Thom KA, Rock C, Robinson GL, Reisinger HRS, Baloh J, Chasco E, Liang Y, Li S, Diekema DJ, Herwaldt LA, Johnson JK, Harris AD, Perencevich EN. Alcohol-based decontamination of gloved hands: A randomized controlled trial. Infect Control Hosp Epidemiol. 2024 Apr;45(4):467-473. doi: 10.1017/ice.2023.243. Epub 2023 Nov 23. PMID: 37994538; PMCID: PMC11007359. Disponible en: https://pubmed.ncbi.nlm.nih.gov/37994538/

21. Vilar Compte D, Rosales S, Hernandez-Mello N, Maafs E, Volkow P. Surveillance, control, and prevention of surgical site infections in breast cancer surgery: a 5-year experience. Am J Infect Control. 2009 Oct;37(8):674-9. doi: 10.1016/j.ajic.2009.02.010. Epub 2009 Jun 24. PMID: 19556033

22. Issa M, Dunne SS, Dunne CP. Hand hygiene practices for prevention of health care-associated infections associated with admitted infectious patients in the emergency department: a systematic review. Ir J Med Sci. 2023 Apr;192(2):871-899. doi: 10.1007/s11845-022-03004-y. Epub 2022 Apr 18. PMID: 35435564; PMCID: PMC10066077. Disponible en: https://pubmed.ncbi.nlm.nih.gov/35435564/

23. Milenković B, ? uljagić V, Perić A, Dragojević-Simić V, Tarabar O, Milanović M, Putić V, Tomić D, Miljković B, Vezmar Kovačević S. Outcomes of Clostridioides difficile infection in adult cancer and non-cancer patients hospitalised in a tertiary hospital: a prospective cohort study. Eur J Hosp Pharm. 2022 Mar;29(e1):e15-e22. doi: 10.1136/ejhpharm-2020-002574. Epub 2021 Feb 12. PMID: 33579720; PMCID: PMC8899674. Disponible en: https://pubmed.ncbi.nlm.nih.gov/33579720/

Disponible en: https://pubmed.ncbi.nlm.nih.gov/19556033/

Published

2024-10-03

How to Cite

1.
Aveiga Ligua FL, Redrovan Vivanco JM, Gruezo Realpe PM, Rodríguez Alarcón CA, Rodríguez Giler MM. Prevalence of infections associated with health care in the Guayaquil cancer hospital. Rev Cubana Inv Bioméd [Internet]. 2024 Oct. 3 [cited 2025 Jul. 21];43. Available from: https://revibiomedica.sld.cu/index.php/ibi/article/view/3174

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ARTÍCULOS ORIGINALES