[Microbiological and resistance profiles of community acquired and nosocomial intra abdominal infections in surgery of National Hospital Guillermo Almenara, Lima, Peru].

Autor: Revoredo Rego F; Servicio de Cirugía de Páncreas, Bazo y Retroperitoneo, Departamento De Cirugía General, Hospital Nacional Guillermo Almenara Irigoyen. Lima, Perú., Huamán Egoávil E; Servicio de Cirugía de Emergencia y Cuidados Críticos Quirúrgicos, Departamento de Cirugía General, Hospital Nacional Guillermo Almenara Irigoyen. Lima, Perú., Zegarra Cavani S; Servicio de Cirugía de Emergencia y Cuidados Críticos Quirúrgicos, Departamento de Cirugía General, Hospital Nacional Guillermo Almenara Irigoyen. Lima, Perú., Auris Mora H; Servicio de Cirugía de Emergencia y Cuidados Críticos Quirúrgicos, Departamento de Cirugía General, Hospital Nacional Guillermo Almenara Irigoyen. Lima, Perú., Valderrama Barrientos R; Servicio de Cirugía de Emergencia y Cuidados Críticos Quirúrgicos, Departamento de Cirugía General, Hospital Nacional Guillermo Almenara Irigoyen. Lima, Perú.
Jazyk: Spanish; Castilian
Zdroj: Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru [Rev Gastroenterol Peru] 2016 Apr-Jun; Vol. 36 (2), pp. 115-22.
Abstrakt: Objective: To determine the microbiological and resistance profiles of community acquired and nosocomial intra abdominal infections (IAIs) at the Surgery Service of Emergency and surgery critical care units from the Hospital Nacional Guillermo Almenara Irigoyen.
Material and Methods: From August 1st, 2013 till July 31st, 2014, patients undergoing surgery/interventional drainage for IAIs were included.
Results: The suitable cultures for the analysis were 169 (74 bile and 95 no bile cultures; 142 community acquired and 27 nosocomials). The microorganims more frequently isolated were E. coli (63.3%), K. pneumoniae (12%) and Enterococcus spp. (10%). The 43.5% of E. coli and the 21.23% of Klebsiella were ESBL producers. The carbapenems were the most active agents in vitro (100%), while the quinolones showed high resistance (>50%).
Conclusions: E. coli was the most common microorganism in the IAIs. Because of the quinolone’s high “in vitro” resistance, they should not be recommended as initial empirical therapy.
Databáze: MEDLINE
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