Healthcare-associated infections in hospitalized cirrhotic patients

Abstract

Introduction: liver cirrhosis has been confirmed as one of the most common diseases in Cuba. Infection and decompensated cirrhosis constitute the cause of hospitalization. Objective: to identify the most frequent health care-associated diseases in hospitalized cirrhotic patients. Method: a cohort study involving 90 hospitalized patients with cirrhosis was conducted at the Hospital General Provincial “Carlos Manuel de Céspedes” in Granma, from January 2017 through September 2020. The total patients underwent study were over 18 years old and both sex. Data were collected from patients´ hospitalization history. Chi-square test was utilized for statistical analysis and to measure its power (the relative risk), a P-value less than 0.05 was used. Results: most patients were male, decompensated with Child-Pugh class B. All hospitalized patients who underwent health care such as bladder catheter placement, central and peripheral venous approach, as well as endotracheal intubation, alcohol was considered the major etiological factor cause of cirrhosis. The main healthcare-associated infections observed in these patients were phlebitis, bacteremia, urinary tract infection and pneumonia. Conclusions: the healthcare-associated infections in order of frequency were phlebitis, bacteremia, pyelonephritis, pneumonia and cystitis.

Keywords

• cirrosis hepática
• infecciones
• infecciones asociadas al cuidado sanitario