Epidemiologic features in patients diagnosed of leprosy in the health area 3 of Madrid

Infections (CAIM) to multiresistant microorganisms isolated in hospitalized patients in 2012.Methods: Retrospective and descriptive study. Files from patients with NI and CAIMwere analyzed, age, gender, mean delay, risk factors and the infections (site, isolated micoorganisms (IM) and anti-bacterial drugs). Results: In 2012, 2826 patients were treated. 1463 in Internal Medicine (IM), 838 in General Surgery and 525 in Orthopedics. Of the infected patients, 66 hadmicrobiological results (43 NI, 23 CAIM). 57.6% weremen and 42.4% were women. The mean delay was of 26 days. The main risk factors where pressure ulcers (32.5%), urinary tube (25.5%), Diabetes Mellitus (DM) (20.9%). 59% of all infections were diagnosed in IM. Of the 43 patients with NI, 44.1% had Staphylococcus aureus methicillin resistant (MRSA), 13.9%, Escherichia coli broad-spectrum betalactamase (E. coli BLEA). Disease site was mainly skin and soft tissues (41.8%). In 44.1% of all cases, Ciprofloxacine was the empirical antibiotic of choice. 23 patients had CAIM infections, MSRA being the most frequent bacteria (47.8%), followed by Acinetobacter baumannii (26%). 75.8% of patients were discharged and 22.7% died. Conclusion:Most of NI and CAIM were diagnosed in the IM department. The risk factors were mainly associated to the health care services. MSRA was the main isolated bacteria both in NI and in CAIM. In comparison to previous results, in 2012 MRSA in NI reduced from 57% to 44.1%. Anyhow, an investigation should be made in the prevention and in the infection control so that these results can be improved.