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

Abstract 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...

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Main Authors: Sebastiana Silva Sabino, Caio Augusto de Lima, Luiz Gustavo Machado, Paola Amaral de Campos, Astrídia Marília de Souza Fontes, Paulo Pinto Gontijo-Filho, Rosineide Marques Ribas
Format: Article
Language:English
Published: Sociedade Brasileira de Medicina Tropical (SBMT) 2020-06-01
Series:Revista da Sociedade Brasileira de Medicina Tropical
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822020000100644&tlng=en
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author Sebastiana Silva Sabino
Caio Augusto de Lima
Luiz Gustavo Machado
Paola Amaral de Campos
Astrídia Marília de Souza Fontes
Paulo Pinto Gontijo-Filho
Rosineide Marques Ribas
author_facet Sebastiana Silva Sabino
Caio Augusto de Lima
Luiz Gustavo Machado
Paola Amaral de Campos
Astrídia Marília de Souza Fontes
Paulo Pinto Gontijo-Filho
Rosineide Marques Ribas
author_sort Sebastiana Silva Sabino
collection DOAJ
description Abstract 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.
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spelling doaj.art-ce8e6b5eb69a463f9f62d71d9c612b0a2022-12-22T00:31:22ZengSociedade Brasileira de Medicina Tropical (SBMT)Revista da Sociedade Brasileira de Medicina Tropical1678-98492020-06-015310.1590/0037-8682-0106-2019Infections 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 infectionsSebastiana Silva SabinoCaio Augusto de LimaLuiz Gustavo MachadoPaola Amaral de CamposAstrídia Marília de Souza FontesPaulo Pinto Gontijo-FilhoRosineide Marques Ribashttps://orcid.org/0000-0001-9295-6832Abstract 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822020000100644&tlng=enIntensive care unitInfections associated with health careMultidrug-resistant organismBloodstream infections
spellingShingle Sebastiana Silva Sabino
Caio Augusto de Lima
Luiz Gustavo Machado
Paola Amaral de Campos
Astrídia Marília de Souza Fontes
Paulo Pinto Gontijo-Filho
Rosineide Marques Ribas
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
Revista da Sociedade Brasileira de Medicina Tropical
Intensive care unit
Infections associated with health care
Multidrug-resistant organism
Bloodstream infections
title 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
title_full 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
title_fullStr 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
title_full_unstemmed 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
title_short 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
title_sort 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
topic Intensive care unit
Infections associated with health care
Multidrug-resistant organism
Bloodstream infections
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822020000100644&tlng=en
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