Infections and antimicrobial resistance in an adult intensive care unit in a Brazilian hospital and the influence of drug resistance on the thirty-day mortality among patients with bloodstream infections

Autor: Sebastiana Silva Sabino, Rosineide Marques Ribas, Caio Augusto de Lima, Luiz Gustavo Machado, Astrídia Marília de Souza Fontes, Paulo Pinto Gontijo-Filho, Paola Amaral de Campos
Rok vydání: 2019
Předmět:
0301 basic medicine
Microbiology (medical)
Adult
Male
medicine.medical_specialty
Time Factors
Short Communication
030231 tropical medicine
030106 microbiology
RC955-962
Bacteremia
Drug resistance
Microbial Sensitivity Tests
Gram-Positive Bacteria
Infections associated with health care
law.invention
03 medical and health sciences
0302 clinical medicine
Antibiotic resistance
law
THIRTY-DAY
Arctic medicine. Tropical medicine
Drug Resistance
Bacterial
Gram-Negative Bacteria
medicine
Humans
Intensive care unit
Hospital Mortality
Retrospective Studies
biology
business.industry
Multidrug-resistant organism
Incidence (epidemiology)
Incidence
Retrospective cohort study
Acinetobacter
Middle Aged
biology.organism_classification
Anti-Bacterial Agents
Intensive Care Units
Infectious Diseases
Adult intensive care unit
Emergency medicine
Parasitology
Female
Bloodstream infections
business
Zdroj: Revista da Sociedade Brasileira de Medicina Tropical
Revista da Sociedade Brasileira de Medicina Tropical, Vol 53 (2020)
ISSN: 1678-9849
Popis: INTRODUCTION: The present study aimed to determine the incidence of health care-associated infections (HCAIs) and identify the main resistant microorganisms in intensive care unit (ICU) patients in a Brazilian university hospital. METHODS: A retrospective cohort study was conducted in a Brazilian teaching hospital between 2012 and 2014. RESULTS: Overall, 81.2% of the infections were acquired in the ICU. The most common resistant pathogenic phenotypes in all-site and bloodstream infections were oxacillin-resistant coagulase-negative staphylococci and carbapenem-resistant Acinetobacter spp. (89.9% and 87.4%; 80.6% and 70.0%), respectively. CONCLUSIONS: There is an urgent need to focus on HCAIs in ICUs in Brazil.
Databáze: OpenAIRE
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