Carriers of multiresistant bacteria of clinical importance in critical areas (ICU - INCU)

Objective: To determine the frequency of multiresistant bacteria Carriers (BM) and its profile of resistance in critical areas (ICU-INCU) in a public hospital in northern Peru (HRL). Material and methods: A cross-sectional observational study was conducted during February to May 2015, in 48 patien...

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Main Authors: Aguilar Gamboa, Franklin Rómulo, Aguilar Martinez, Sergio Luis, Cubas Alarcón, Deniss Manuel, Coaguila Cusicanqui, Luis Ángel, Fernández Valverde, Darwin Almanzor, Moreno Mantilla Mario Cecilio, Román Campos Neftali, Génesis Guevara -Vásquez, RobertoSegundo Díaz Sipión
Format: Article
Language:Spanish
Published: Universidad de San Martín de Porres 2016-03-01
Series:Horizonte Médico
Subjects:
Online Access:http://usmp.edu.pe/medicina/medicina/horizonte/2016_3/Art7_Vol16_N3.pdf
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author Aguilar Gamboa, Franklin Rómulo
Aguilar Martinez, Sergio Luis
Cubas Alarcón, Deniss Manuel
Coaguila Cusicanqui, Luis Ángel
Fernández Valverde, Darwin Almanzor
Moreno Mantilla Mario Cecilio
Román Campos Neftali
Génesis Guevara -Vásquez
RobertoSegundo Díaz Sipión
author_facet Aguilar Gamboa, Franklin Rómulo
Aguilar Martinez, Sergio Luis
Cubas Alarcón, Deniss Manuel
Coaguila Cusicanqui, Luis Ángel
Fernández Valverde, Darwin Almanzor
Moreno Mantilla Mario Cecilio
Román Campos Neftali
Génesis Guevara -Vásquez
RobertoSegundo Díaz Sipión
author_sort Aguilar Gamboa, Franklin Rómulo
collection DOAJ
description Objective: To determine the frequency of multiresistant bacteria Carriers (BM) and its profile of resistance in critical areas (ICU-INCU) in a public hospital in northern Peru (HRL). Material and methods: A cross-sectional observational study was conducted during February to May 2015, in 48 patients and 32 healthcare staff. 4 anatomical regions for sampling were considered and supplemented instruments with antibiotics were used for primary isolation of BM. The resistance phenotype was confirmed by Jailer's test, Modified Hodge and susceptibility to cefoxitin. Results: The frequencies of BM in patients and healthcare staff were 79.1% and 3.1% respectively; also 89.5% of patients were already carriers at the time of admission mainly from Emergency Service, being anorectal region the principal source of isolates with 75.0%. It also was determined that production of extended spectrum beta-lactamase (ESBL) was the principal resistance phenotype with 77.65%, followed by the production of carbapenemases and methicillin resistance with 14.2% and 8.24% respectively. Conclusions: This study reveals the high frequency of multiresistant bacteria carriers in patients in critical areas of HRL and that most of these already were colonized in the anorectal region.
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spelling doaj.art-9081958d16684f859897b59aff8ccd972022-12-21T19:56:15ZspaUniversidad de San Martín de PorresHorizonte Médico1727-558X2227-35302016-03-011635057Carriers of multiresistant bacteria of clinical importance in critical areas (ICU - INCU)Aguilar Gamboa, Franklin Rómulo0Aguilar Martinez, Sergio Luis1Cubas Alarcón, Deniss Manuel2Coaguila Cusicanqui, Luis Ángel3Fernández Valverde, Darwin Almanzor4Moreno Mantilla Mario Cecilio5Román Campos Neftali6Génesis Guevara -Vásquez7RobertoSegundo Díaz Sipión8Laboratorio de Microbiología, Dirección de Investigación, Hospital Regional Lambayeque, Lambayeque - PerúLaboratorio de Microbiología, Facultad de Ciencias Biológicas, Universidad Nacional Pedro Ruiz Gallo, Lambayeque - PerúLaboratorio de Microbiología, Facultad de Ciencias Biológicas, Universidad Nacional Pedro Ruiz Gallo, Lambayeque - PerúServicio de Unidades Críticas UCI-UCIN, Hospital Regional Lambayeque, Lambayeque - PerúLaboratorio de Microbiología, Dirección de Investigación, Hospital Regional Lambayeque, Lambayeque - PerúLaboratorio de Microbiología, Facultad de Ciencias Biológicas, Universidad Nacional Pedro Ruiz Gallo, Lambayeque - PerúServicio de Unidades Críticas UCI-UCIN, Hospital Regional Lambayeque, Lambayeque – PerúDirección de Investigación, Hospital Regional Lambayeque, Lambayeque - PerúLaboratorio de Microbiología, Dirección de Investigación, Hospital Regional Lambayeque, Lambayeque - PerúObjective: To determine the frequency of multiresistant bacteria Carriers (BM) and its profile of resistance in critical areas (ICU-INCU) in a public hospital in northern Peru (HRL). Material and methods: A cross-sectional observational study was conducted during February to May 2015, in 48 patients and 32 healthcare staff. 4 anatomical regions for sampling were considered and supplemented instruments with antibiotics were used for primary isolation of BM. The resistance phenotype was confirmed by Jailer's test, Modified Hodge and susceptibility to cefoxitin. Results: The frequencies of BM in patients and healthcare staff were 79.1% and 3.1% respectively; also 89.5% of patients were already carriers at the time of admission mainly from Emergency Service, being anorectal region the principal source of isolates with 75.0%. It also was determined that production of extended spectrum beta-lactamase (ESBL) was the principal resistance phenotype with 77.65%, followed by the production of carbapenemases and methicillin resistance with 14.2% and 8.24% respectively. Conclusions: This study reveals the high frequency of multiresistant bacteria carriers in patients in critical areas of HRL and that most of these already were colonized in the anorectal region.http://usmp.edu.pe/medicina/medicina/horizonte/2016_3/Art7_Vol16_N3.pdfdrug resistancebacterialcarrier statehealthcare personnel
spellingShingle Aguilar Gamboa, Franklin Rómulo
Aguilar Martinez, Sergio Luis
Cubas Alarcón, Deniss Manuel
Coaguila Cusicanqui, Luis Ángel
Fernández Valverde, Darwin Almanzor
Moreno Mantilla Mario Cecilio
Román Campos Neftali
Génesis Guevara -Vásquez
RobertoSegundo Díaz Sipión
Carriers of multiresistant bacteria of clinical importance in critical areas (ICU - INCU)
Horizonte Médico
drug resistance
bacterial
carrier state
healthcare personnel
title Carriers of multiresistant bacteria of clinical importance in critical areas (ICU - INCU)
title_full Carriers of multiresistant bacteria of clinical importance in critical areas (ICU - INCU)
title_fullStr Carriers of multiresistant bacteria of clinical importance in critical areas (ICU - INCU)
title_full_unstemmed Carriers of multiresistant bacteria of clinical importance in critical areas (ICU - INCU)
title_short Carriers of multiresistant bacteria of clinical importance in critical areas (ICU - INCU)
title_sort carriers of multiresistant bacteria of clinical importance in critical areas icu incu
topic drug resistance
bacterial
carrier state
healthcare personnel
url http://usmp.edu.pe/medicina/medicina/horizonte/2016_3/Art7_Vol16_N3.pdf
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