this health care not free event related to the clinical process itself. It is common to be admitted to the intensive care unit for any reason and become exacerbated by multidrug-resistant bacteria associated with mechanical ventilation.they are calling Nosocomial infection or related to healthcare and constitutes one of The huge failings of the health system. They are divided into bacteremia, mechanical ventilation-associated pneumonia, transmission of multidrug-resistant bacteria, and urinary tract infection.
Therefore, despite the various protocols and hygiene measures to avoid them, in Andalusia it is estimated that approx. 8% Last year, 7.74% of patients hospitalized in ICUs became infected while providing care, almost one percentage point higher than the national average. 6.86%. In round numbers, this means that of the 4,912 patients analyzed, 30 were infected.
Their data comes from A national surveillance study of nosocomial infections in critical care medicine services (Envin Registry, powered by Spanish Society of Intensive Care Medicine, Intensive Care and Coronary DiseasesSemicyuc) and represents The third worst housing prices in Spainonly after Canary Islandsleading by 12%, and cantabria, accounting for 11.1%. On the other hand, the ICU of Navarra Hospital has the lowest rate of such infections, at 3.94%.
In the Andalusian community, they are involved in 30 Critical care medicine services According to sources, 4,912 patients were analyzed, which showed that the average age of patients admitted to ICU was 61.85 years old Living in that unit is 6.96 days. For its part, the same study showed that the incidence of pneumonia infections due to the use of mechanical ventilation was higher than otherwise.
arrive national level, Infections occurring in intensive care units Fall across the board In 2023, these protocols were properly applied due to the inability to do so during the pandemic due to lack of professional training, high patient volumes, and the expansion of ICUs into unprepared areas.
Therefore, by 2023 die In Spain, the mortality rate due to invasive ICU equipment-related infections is 9.63%, 5 percentage points lower than the mortality rate reached in the middle of the pandemic: the mortality rate in 2020 was 14.34%, consistent with the 2019 result of 9.69%.return Number of patients with mechanical ventilation-associated pneumonia reduced In 2023, the proportion was 6.88%, while in 2020 it was 14.6%.
An intensive care physician at Hebron Valley Hospital (Barcelona) said, Xavier NouvelsThe data makes us optimistic, although it has not yet returned to pre-pandemic levels, when it was about 4%.
also decreased Catheter-related bacteremia It is 2.79% in 2023, down 4 percentage points from 2020 and very similar to 2.5% in 2019. Last year, the rate of urinary tract infections related to catheter use was 3%, compared with 4.2% at the beginning of the outbreak. However, in this case, the pre-COVID level of 2.3% has not yet been reached.
They report from SeMicyuc that, Pandemic infection level three times Due to the inability to adapt the protocol to the unique circumstances of the pandemic and the involvement of untrained personnel, by 2023 the data suggests that pre-pandemic levels have been reached. In fact, improvements in incidence occurred across all monitored infections and were independent of hospital size or type.
For their part, SeMicyuc emphasized Spanish the only country An environment where records of nosocomial infections (infections acquired during hospitalization) can be analyzed is a sample of “intensive care professionals involved in the fight against infection”.
The data analyzed the following cases 27,558 patients from 223 intensive care units The project will be rolled out across Spain in 2023, said Semicyuc, who “reinforced once again the importance of Project Zero to promote safe practices in intensive care”, a social initiative that has been able to Reduce nosocomial infections. Year 2009.