Isolated germens in admitted patient in the intensive care unit of the Joaquin Albarran Hospital, 2015-2018

Background: Associated infections with sanitary care are related with patient mortality and high cost in the Intensive Care Unit. Objective: Identify the more frequently germs in culture anddrug resistance. Methods: A prospective and descriptive epidemiological research was developed in the Joaquin Albarran ICU from January of 2015 to December of 2018. In the1847 cultures made only in 654 the germen was isolated. For statistical analysis, an information database was created using the 22th version of SPPS program, the X² test, Value of the p< 0.05 were considered significant. Results: Klebsiella sppwas the most frequently germen in 31, 0%, following byStaphylococcus spp ( 24, 5%), and E. coli in 9, 8 %.in the respiratory secretion , Klebsiella spp was isoled in 45,1 %.Staphylococcus spp was present in 53,6% in blood culture and in the urine culture Candida spp was present in 41,1% following by E.coli in 27,0 %.Colistine was the most useful drug for treatment patient with Klebsiella spp ,E.coli,Acinetobacter and Pseudomona spp .In the cases of Staphylococcus spp, Vancomicine was the best choice. Conclusions: Klebsiella sppwas the most frequently germen in intensive care unit and in the respiratory secretion, Staphylococcus spp was present in the majority of blood culture. In the urine culture analyzed, Candida spp was the principal germs. Colistine was the successful drug for gram negative germ and vancomicine for gram positive germs.