Medicina Crítica Pub Date : 1900-01-01 DOI:10.35366/88515
Luis Ricardo Loza Gallardo,  Víctor Roberto  Ortiz Juárez, Nancy Berenice  Sánchez Tomay, Gerardo Iván  Ramírez Martínez
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摘要

93%的病例。应用最多的手术是主动脉瓣改变(40.82%)。R在微生物分离方面,76.87%的患者为阴性或未进行;表皮葡萄球菌(staphylococcus epidermidis)以4.76%的比例居多。在分离阳性的患者中,对呋喃妥因敏感的占26.47%,对甲氧苄氨苄联合磺胺甲恶唑敏感的占11.76%,对氟康唑和左氧氟沙星敏感的占8.82%。从患者的演变来看,90.50%的患者预后良好;64.63%的患者未出现并发症。结论:心血管手术后患者出现下呼吸道感染,并伴有抗生素耐药性,这是一个全球性问题,由于重症监护区治疗失败,严重影响了医疗护理的效率。
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Determinación de la incidencia de infección de vías respiratorias inferiores e identificación de microorganismos en pacientes postquirúrgicos de cirugía cardiovascular
93% of the cases. The surgery that was most performed was the aortic valve change (40.82%). r egarding the isolation of microorganisms, 76.87% of the patients were negative or not performed; however, staphylococcus epidermidis stood out with 4.76%. Of the patients who were positive for isolation, 26.47% were sensitive to nitrofurantoin, 11.76% to trimethoprim with sulfamethoxazole, and 8.82% to fluconazole and levofloxacin, respectively. Regarding the evolution of patients, 90.50% had a good prognosis; in the case of complications, 64.63% did not present any. Conclusion: The presence of lower respiratory infections in patients postoperated by cardiovascular surgery, combined with resistance by administered antibiotics, represents a global problem, and that significantly affects the efficient medical attention due to the failure of treatments in the Intensive c are Areas.
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