Impacto de la implementación de paquetes preventivos en la incidencia de infecciones asociadas a la atención en salud. Unidad de Cuidados Intensivos Hospital General los Ceibos, julio a diciembre 2021.

Abstract

The goal of the research was to know the impact generated by the implementation of preventive packages on the incidence of Infections Associated with Healthcare (IAH) in the Intensive Care Unit of the General Hospital Los Ceibos. The quasi-experimental design with which the research was structured, worked with two groups previously formed according to bed availability at the time of patient admission, the scope was exploratory, prospective, and longitudinal developed from July to December 2021. The preventive package of pneumonia was applied to the selected group (ICU Room A) in 1205 patients exposed to Mechanical Ventilation and the preventive package of sepsis in 1297 patients exposed to the Central Venous Catheter, obtaining an overall incidence of 1.43 cases of IAH per 100 discharges with a decrease of 45.0% in relation to patients admitted to room B in the same period of time and a decrease of 35.4% of IAH cases in relation to patients admitted to the same ward in the first half of the year. Pearson's coefficient was applied with a very high negative correlation, and the student’s t-test was also applied to compare the mean incidence of IAHs in Ward A and Ward B. There was a difference of 2.25 additional cases in the ward that did not implement the preventive packages, obtaining a p-value of 0.000050, so the null hypothesis was rejected.