Panorama de resistencia antimicrobiana de los aislamientos urinarios de pacientes adultos en los servicios de urgencias de Manizales, Caldas, durante el 2018
Introduction: patient management in emergency rooms require swift and effective clinical decisions; this includes choosing antibiotics correctly. Antimicrobial resistance impairs the adequate choice of empirical therapy, making the surveillance of utmost importance for antimicrobial stewardship pro...
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| Format: | Article |
| Language: | English |
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Asociación Colombiana de Infectología
2020-04-01
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| Series: | Infectio |
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| Online Access: | https://www.revistainfectio.org/index.php/infectio/article/view/859 |
| _version_ | 1811295993157648384 |
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| author | Juan Pablo Ibañez-Dosman |
| author_facet | Juan Pablo Ibañez-Dosman |
| author_sort | Juan Pablo Ibañez-Dosman |
| collection | DOAJ |
| description | Introduction: patient management in emergency rooms require swift and effective clinical decisions; this includes choosing antibiotics correctly. Antimicrobial
resistance impairs the adequate choice of empirical therapy, making the surveillance of utmost importance for antimicrobial stewardship programs.
Objective: we aimed to describe the microbiological and antimicrobial resistance profile of urinary isolates obtained from adult patients of the emergency services
of seven tertiary institutions in the city of Manizales, during the year 2018.
Results: from a total of 1991 urinary tract isolates, 62% corresponded to Escherichia coli, the most common bacteria cultured from the emergency room. Susceptibility analysis revealed high resistance levels to cefazolin, trimethoprim-sulfamethoxazole, and ciprofloxacin. Resistance to nitrofurantoin, fosfomycin, and carbapenems was low for Escherichia coli isolates. Pseudomonas aeruginosa showed antimicrobial resistance levels above national averages.
Conclusions: empirical antibiotic therapy must be tailored on a patient by patient basis, taking into account the severity of the disease, risk factors for multi-drug
resistance bacteria, the institutional and local epidemiology depicted in this work. By using these results, the adjustment of empirical antimicrobial regimens for urinary tract infections could improve clinical outcomes and reduce health care costs. |
| first_indexed | 2024-04-13T05:41:47Z |
| format | Article |
| id | doaj.art-fc779cd6b30942b0828c88ba28390240 |
| institution | Directory Open Access Journal |
| issn | 0123-9392 |
| language | English |
| last_indexed | 2024-04-13T05:41:47Z |
| publishDate | 2020-04-01 |
| publisher | Asociación Colombiana de Infectología |
| record_format | Article |
| series | Infectio |
| spelling | doaj.art-fc779cd6b30942b0828c88ba283902402022-12-22T03:00:05ZengAsociación Colombiana de InfectologíaInfectio0123-93922020-04-0124314915410.22354/in.v24i3.859Panorama de resistencia antimicrobiana de los aislamientos urinarios de pacientes adultos en los servicios de urgencias de Manizales, Caldas, durante el 2018Juan Pablo Ibañez-Dosman0Universidad de CaldasIntroduction: patient management in emergency rooms require swift and effective clinical decisions; this includes choosing antibiotics correctly. Antimicrobial resistance impairs the adequate choice of empirical therapy, making the surveillance of utmost importance for antimicrobial stewardship programs. Objective: we aimed to describe the microbiological and antimicrobial resistance profile of urinary isolates obtained from adult patients of the emergency services of seven tertiary institutions in the city of Manizales, during the year 2018. Results: from a total of 1991 urinary tract isolates, 62% corresponded to Escherichia coli, the most common bacteria cultured from the emergency room. Susceptibility analysis revealed high resistance levels to cefazolin, trimethoprim-sulfamethoxazole, and ciprofloxacin. Resistance to nitrofurantoin, fosfomycin, and carbapenems was low for Escherichia coli isolates. Pseudomonas aeruginosa showed antimicrobial resistance levels above national averages. Conclusions: empirical antibiotic therapy must be tailored on a patient by patient basis, taking into account the severity of the disease, risk factors for multi-drug resistance bacteria, the institutional and local epidemiology depicted in this work. By using these results, the adjustment of empirical antimicrobial regimens for urinary tract infections could improve clinical outcomes and reduce health care costs.https://www.revistainfectio.org/index.php/infectio/article/view/859emergenciesdrug resistancemicrobialepidemiologypublic health surveillanceanti-bacterial agentsantimicrobial stewardship |
| spellingShingle | Juan Pablo Ibañez-Dosman Panorama de resistencia antimicrobiana de los aislamientos urinarios de pacientes adultos en los servicios de urgencias de Manizales, Caldas, durante el 2018 Infectio emergencies drug resistance microbial epidemiology public health surveillance anti-bacterial agents antimicrobial stewardship |
| title | Panorama de resistencia antimicrobiana de los aislamientos urinarios de pacientes adultos en los servicios de urgencias de Manizales, Caldas, durante el 2018 |
| title_full | Panorama de resistencia antimicrobiana de los aislamientos urinarios de pacientes adultos en los servicios de urgencias de Manizales, Caldas, durante el 2018 |
| title_fullStr | Panorama de resistencia antimicrobiana de los aislamientos urinarios de pacientes adultos en los servicios de urgencias de Manizales, Caldas, durante el 2018 |
| title_full_unstemmed | Panorama de resistencia antimicrobiana de los aislamientos urinarios de pacientes adultos en los servicios de urgencias de Manizales, Caldas, durante el 2018 |
| title_short | Panorama de resistencia antimicrobiana de los aislamientos urinarios de pacientes adultos en los servicios de urgencias de Manizales, Caldas, durante el 2018 |
| title_sort | panorama de resistencia antimicrobiana de los aislamientos urinarios de pacientes adultos en los servicios de urgencias de manizales caldas durante el 2018 |
| topic | emergencies drug resistance microbial epidemiology public health surveillance anti-bacterial agents antimicrobial stewardship |
| url | https://www.revistainfectio.org/index.php/infectio/article/view/859 |
| work_keys_str_mv | AT juanpabloibanezdosman panoramaderesistenciaantimicrobianadelosaislamientosurinariosdepacientesadultosenlosserviciosdeurgenciasdemanizalescaldasduranteel2018 |