Analysis of epidemiological surveillance of infections associated with IAAS Health care 2017. In Ecuador



The purpose of this report is to present information on epidemiological surveillance of Infections Associated with Health Care, raised by the 35 sentinel hospitals in Ecuador during 2017, to establish and evaluate prevention and control measures of IASS.

Descriptive, observational, cross-sectional study conducted in 35 hospitals of the National Health System, in which the epidemiological surveillance of IAAS has been implemented, information was collected, consolidated and analyzed, obtaining a total of 1567 infections notified during 2017 , 57% correspond to the events of the adult and pediatric Intensive Care Unit (ICU) component, 37% to the neonatology component and 6% to the gynecology and obstetrics component.

The event with the highest incidence density is pneumonia associated with mechanical ventilation (NAV) in adult ICUs with 8.65 cases per 1000 days of exposure and in neonatology with 4.58 cases per 1000 days of exposure to the invasive medical device (DMI).

According to data from the Panamerican Health Organization (OPS) it mentions that, in the Americas region, Canada reports that some 220,000 hospital infections are contracted annually, resulting in 8,000 deaths related to that cause.


In the US, one in 136 hospitalized patients become seriously ill due to an infection contracted in the hospital, this amounts to 2 million cases and approximately 80,000 deaths per year; The IAAS global direct medical costs range between $ 28.5 billion and $ 33.8 billion. In Mexico it is estimated that 450,000 cases of infection related to health care cause 32 deaths per 100,000 inhabitants per year


Complications by IASS and its implications

Consider the complications of IASS and its implications, Without neglecting that monetary costs do not measure the effect of these infections on patients, their family and social environment, which are not quantifiable


The incidence density rates obtained in the research are high compared to other countries in our region, although they do not exceed the OMS estimates, it is necessary and very important to strengthen the IAAS surveillance subsystem, in order to provide information validated, real and reliable, for decision-making in the prevention and control of IAAS in the National health system.

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