Esquema terapéutico antibacteriano en la neumonía intrahospitalaria en un hospital de nivel III, comparado a las Guías de Práctica Clínica, 2018
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Date
2021
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Universidad Nacional de Trujillo
Abstract
El objetivo del presente informe fue la comparación del tratamiento antibiótico de neumonía intrahospitalaria en un Hospital de nivel III con guías de práctica clínica de otros países. Para ello se realizó la búsqueda de información a través de Pubmed, donde se evaluó la evidencia publicada. Se utilizaron los tratamientos de neumonía intrahospitalaria presentados por las Guías de Práctica Clínica: Argentina, Canadá, Estados Unidos, España, en comparación con el Hospital Víctor Lazarte Echegaray- Trujillo, 2018. Se observó una similitud en las Guías de Práctica Clínica tratamiento de neumonía intrahospitalaria en el uso de cefalosporinas de tercera generación (ceftriaxona, ceftazidima), cuarta generación (cefepime) y fluoroquinolonas (ciprofloxacino, levofloxacino) en pacientes con bajo riesgo de infección por gérmenes resistentes, así como también en el uso de carbapenems (Imipnem, meropenem), betalactámicos antipseudomonas (piperacilina/tazobactam), Glicopéptido (vancomicina) y Oxazolidinona (linezolid) en pacientes con riesgo alto de infección por gérmenes multirresistentes. Se concluyó que el Hospital Víctor Lazarte Echegaray Essalud- Trujillo, 2018, evidencia cierta similitud con la Guía de Práctica Clínica de Argentina, Canadá, España y Estados Unidos.
ABSTRACT The objective of this report was to compare the antibiotic treatment of in-hospital pneumonia in a level III Hospital with clinical practice guidelines from other countries. For this, the information search was carried out through Pubmed, where the published evidence was evaluated. The in-hospital pneumonia treatments presented by the Clinical Practice Guidelines were used: Argentina, Canada, United States, Spain, compared with the Víctor Lazarte Echegaray-Trujillo Hospital, 2018. A similarity was observed in the Clinical Practice Guidelines for the treatment of pneumonia In-hospital use of third generation cephalosporins (ceftriaxone, ceftazidime), fourth generation (cefepime) and fluoroquinolones (ciprofloxacin, levofloxacin) in patients with low risk of infection by resistant germs, as well as in the use of carbapenems (Imipnem, meropenem ), antipseudomonas beta-lactams (piperacillin / tazobactam), Glycopeptide (vancomycin) and Oxazolidinone (linezolid) in patients at high risk of infection by multidrug-resistant germs. It was concluded that the Hospital Víctor Lazarte Echegaray Essalud-Trujillo, 2018, shows some similarity with the Clinical Practice Guidelines of Argentina, Canada, Spain and the United States.
ABSTRACT The objective of this report was to compare the antibiotic treatment of in-hospital pneumonia in a level III Hospital with clinical practice guidelines from other countries. For this, the information search was carried out through Pubmed, where the published evidence was evaluated. The in-hospital pneumonia treatments presented by the Clinical Practice Guidelines were used: Argentina, Canada, United States, Spain, compared with the Víctor Lazarte Echegaray-Trujillo Hospital, 2018. A similarity was observed in the Clinical Practice Guidelines for the treatment of pneumonia In-hospital use of third generation cephalosporins (ceftriaxone, ceftazidime), fourth generation (cefepime) and fluoroquinolones (ciprofloxacin, levofloxacin) in patients with low risk of infection by resistant germs, as well as in the use of carbapenems (Imipnem, meropenem ), antipseudomonas beta-lactams (piperacillin / tazobactam), Glycopeptide (vancomycin) and Oxazolidinone (linezolid) in patients at high risk of infection by multidrug-resistant germs. It was concluded that the Hospital Víctor Lazarte Echegaray Essalud-Trujillo, 2018, shows some similarity with the Clinical Practice Guidelines of Argentina, Canada, Spain and the United States.
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Keywords
Neumonía intrahospitalaria, antibióticos, Servicio de Unidad de Cuidados
Intensivos.