[Surveillance of healthcare associated infections, bacterial resistance and antibiotic consumption in high-complexity hospitals in Colombia, 2011].

• DOI: 10.1590/s0120-41572014000500009
• Publication Date: 2014-04-01
• Authors: Andrea Patricia V...; Liliana I. Barrero; Sandra Milena Rivera; María Victoria Ov...; Danik Valera

Preventing healthcare associated infections, especially for resistant microorganisms, is a priority. In Colombia, the surveillance of such events was started through national pilot study.To describe epidemiology device-associated bacterial resistance and antibiotic consumption patterns in institutions with intensive care units (ICU), 2011.Descriptive observational study 10 health from three Colombian provinces: Antioquia, Valle del Cauca, Bogotá. Surveillance protocols were designed implemented by trained professionals each hospital. A web tool data reporting analysis. Infection rates, device-use percentages antibiotics defined daily dose (DDD) calculated. Bacterial phenotypes profiles reported analyzed using Whonet 5.6.The most common event bloodstream infection (rate > 4.8/1000 catheter-days) followed ventilator-associated pneumonia (VAP) catheter-related urinary tract infection, showing wide variability among institutions. high meropenem ICU (DDD 22.5/100 beds-day) observed, as well carbapenem (> 11.6%) frequency third generation cephalosporins 25.6%) Enterobacteriaceae ICUs hospitalization wards. The percentage methicillin-resistant Staphylococcus aureus higher wards (34.3%).This first experience measuring these Colombia. It necessary to implement system aimed at guiding governmental institutional actions oriented prevention control, management promotion rational use, along follow-up monitoring process.