[Nosocomial XXXX in an intensive care unit: a microbiological study].

@entity1244 @entity1 @entity295 @entity796 @entity55 @entity795 @entity693 @entity1180 @entity3064
Nosocomial @entity1244 is a common complication of @entity1 in ICUs. Its diagnosis is important, and early treatment is required to avoid serious complications such as @entity55 , @entity295 , @entity693 , and intracranial abscesses. AIM: To identify the germs causing @entity1244 in ICUs by nasal swabs and maxillary sinus puncture, and to correlate these results. METHODS: ICU @entity1 with a diagnosis (CT confirmed) of @entity1180 underwent nasal swab and puncture of the sinus to collect material for culture and antibiogram. RESULTS: This study evaluated 22 @entity1 . The microbial agent isolated in the swab correlated with the agent in the puncture in 14 of 22 cases (63%). Gram-negative bacteria were the most frequent, as follows: @entity796 (29% of punctures), following by @entity795 (26%) and @entity3064 (14%). The resistance index in the antibiogram was high to antibiotics. CONCLUSION: Maxillary sinus puncture of ICU @entity1 with @entity1244 appears to be the best method for identifying bacteria; antibiograms demonstrate resistance to therapy. The swab has little diagnostic value; the correlation was 63%. It may be used when sinus puncture is contraindicated.
