Carbapenem-resistant Acinetobacter spp. and Pseudomonas aeruginosa at the University Hospital of Santa Maria, Rio Grande do Sul state, Brazil
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Scientia Medica (Porto Alegre. Online) |
Texto Completo: | https://revistaseletronicas.pucrs.br/scientiamedica/article/view/15809 |
Resumo: | AIMS: To evaluate the characteristics of antimicrobial susceptibility of carbapenem-resistant Acinetobacter spp. and Pseudomonas aeruginosa isolated from August 2011 to January 2012 from inpatients at the University Hospital of Santa Maria, Santa Maria, Rio Grande do Sul, Brazil. METHODS: A retrospective study was conducted by consulting the database of the Microbiology Laboratory, which included all isolates of Acinetobacter spp. and P. aeruginosa from different clinical specimens collected from hospitalized patients who had resistant or intermediate profile to carbapenemic antimicrobials used in this hospital (imipenem, meropenem and ertapenem) verified through conventional methodology by disc diffusion (Kirby-Bauer) or automated method (MicroScan ® - Siemens) according to the standards recommended by the Clinical and Laboratory Standards Institute. RESULTS: In the studied period 58 samples of nonfermenters Gram-negative bacilli resistant to carbapenems were found, 32 of the genus Acinetobacter and 26 of P. aeruginosa. Acinetobacter spp. was more isolated in the intensive care unit, while P. aeruginosa prevailed in the emergency and outpatient departments. Both microorganisms came mainly from respiratory secretions. CONCLUSIONS: In this study, Acinetobacter spp. and P. aeruginosa showed high antimicrobial resistance. Polymyxin B was a good antimicrobial for the treatment of infections caused by microorganisms resistant to carbapenems in this hospital. |
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Carbapenem-resistant Acinetobacter spp. and Pseudomonas aeruginosa at the University Hospital of Santa Maria, Rio Grande do Sul state, BrazilAcinetobacter spp. e Pseudomonas aeruginosa resistentes aos carbapenêmicos no Hospital Universitário de Santa MariaACINETOBACTER SPP.PSEUDOMONAS AERUGINOSACARBAPENEMSANTIBIOTIC RESISTANCEBACTERIALMULTIDRUG RESISTANCENOSOCOMIAL INFECTIONSGRAM-NEGATIVE BACTERIAL INFECTIONSAIMS: To evaluate the characteristics of antimicrobial susceptibility of carbapenem-resistant Acinetobacter spp. and Pseudomonas aeruginosa isolated from August 2011 to January 2012 from inpatients at the University Hospital of Santa Maria, Santa Maria, Rio Grande do Sul, Brazil. METHODS: A retrospective study was conducted by consulting the database of the Microbiology Laboratory, which included all isolates of Acinetobacter spp. and P. aeruginosa from different clinical specimens collected from hospitalized patients who had resistant or intermediate profile to carbapenemic antimicrobials used in this hospital (imipenem, meropenem and ertapenem) verified through conventional methodology by disc diffusion (Kirby-Bauer) or automated method (MicroScan ® - Siemens) according to the standards recommended by the Clinical and Laboratory Standards Institute. RESULTS: In the studied period 58 samples of nonfermenters Gram-negative bacilli resistant to carbapenems were found, 32 of the genus Acinetobacter and 26 of P. aeruginosa. Acinetobacter spp. was more isolated in the intensive care unit, while P. aeruginosa prevailed in the emergency and outpatient departments. Both microorganisms came mainly from respiratory secretions. CONCLUSIONS: In this study, Acinetobacter spp. and P. aeruginosa showed high antimicrobial resistance. Polymyxin B was a good antimicrobial for the treatment of infections caused by microorganisms resistant to carbapenems in this hospital.OBJETIVOS: Avaliar Acinetobacter spp. e P. aeruginosa resistentes aos carbapenêmicos, isolados entre agosto de 2011 a janeiro de 2012 de pacientes internados no Hospital Universitário de Santa Maria, Santa Maria, Rio Grande do Sul, Brasil. MÉTODOS: Os testes de sensibilidade aos antimicrobianos foram realizados pelo método de difusão do disco e/ou através da metodologia automatizada (MicroScan® – Siemens), seguindo recomendações do Clinical and Laboratory Standards Institut (CLSI). RESULTADOS: Neste estudo, todos os isolados de Acinetobacter spp. e P. aeruginosa foram sensíveis à polimixina B. CONCLUSÕES: Neste nosocômio, sugere-se polimixina B como terapia empírica para bacilos gram negativos não fermentadores de glicose resistentes aos carbapenêmicos.Editora da PUCRS - ediPUCRS2014-05-17info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionretrospectivapplication/pdfhttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/1580910.15448/1980-6108.2014.2.15809Scientia Medica; Vol. 24 No. 2 (2014); 150-155Scientia Medica; v. 24 n. 2 (2014); 150-1551980-61081806-556210.15448/1980-6108.2014.2reponame:Scientia Medica (Porto Alegre. Online)instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)instacron:PUC_RSporhttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/15809/11484Santos, Silvana Oliveira dosBrezolin, DaianeHörner, Rosmariinfo:eu-repo/semantics/openAccess2017-08-28T14:51:15Zoai:ojs.revistaseletronicas.pucrs.br:article/15809Revistahttps://revistaseletronicas.pucrs.br/scientiamedica/PUBhttps://revistaseletronicas.pucrs.br/scientiamedica/oaiscientiamedica@pucrs.br || editora.periodicos@pucrs.br1980-61081806-5562opendoar:2017-08-28T14:51:15Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)false |
dc.title.none.fl_str_mv |
Carbapenem-resistant Acinetobacter spp. and Pseudomonas aeruginosa at the University Hospital of Santa Maria, Rio Grande do Sul state, Brazil Acinetobacter spp. e Pseudomonas aeruginosa resistentes aos carbapenêmicos no Hospital Universitário de Santa Maria |
title |
Carbapenem-resistant Acinetobacter spp. and Pseudomonas aeruginosa at the University Hospital of Santa Maria, Rio Grande do Sul state, Brazil |
spellingShingle |
Carbapenem-resistant Acinetobacter spp. and Pseudomonas aeruginosa at the University Hospital of Santa Maria, Rio Grande do Sul state, Brazil Santos, Silvana Oliveira dos ACINETOBACTER SPP. PSEUDOMONAS AERUGINOSA CARBAPENEMS ANTIBIOTIC RESISTANCE BACTERIAL MULTIDRUG RESISTANCE NOSOCOMIAL INFECTIONS GRAM-NEGATIVE BACTERIAL INFECTIONS |
title_short |
Carbapenem-resistant Acinetobacter spp. and Pseudomonas aeruginosa at the University Hospital of Santa Maria, Rio Grande do Sul state, Brazil |
title_full |
Carbapenem-resistant Acinetobacter spp. and Pseudomonas aeruginosa at the University Hospital of Santa Maria, Rio Grande do Sul state, Brazil |
title_fullStr |
Carbapenem-resistant Acinetobacter spp. and Pseudomonas aeruginosa at the University Hospital of Santa Maria, Rio Grande do Sul state, Brazil |
title_full_unstemmed |
Carbapenem-resistant Acinetobacter spp. and Pseudomonas aeruginosa at the University Hospital of Santa Maria, Rio Grande do Sul state, Brazil |
title_sort |
Carbapenem-resistant Acinetobacter spp. and Pseudomonas aeruginosa at the University Hospital of Santa Maria, Rio Grande do Sul state, Brazil |
author |
Santos, Silvana Oliveira dos |
author_facet |
Santos, Silvana Oliveira dos Brezolin, Daiane Hörner, Rosmari |
author_role |
author |
author2 |
Brezolin, Daiane Hörner, Rosmari |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Santos, Silvana Oliveira dos Brezolin, Daiane Hörner, Rosmari |
dc.subject.por.fl_str_mv |
ACINETOBACTER SPP. PSEUDOMONAS AERUGINOSA CARBAPENEMS ANTIBIOTIC RESISTANCE BACTERIAL MULTIDRUG RESISTANCE NOSOCOMIAL INFECTIONS GRAM-NEGATIVE BACTERIAL INFECTIONS |
topic |
ACINETOBACTER SPP. PSEUDOMONAS AERUGINOSA CARBAPENEMS ANTIBIOTIC RESISTANCE BACTERIAL MULTIDRUG RESISTANCE NOSOCOMIAL INFECTIONS GRAM-NEGATIVE BACTERIAL INFECTIONS |
description |
AIMS: To evaluate the characteristics of antimicrobial susceptibility of carbapenem-resistant Acinetobacter spp. and Pseudomonas aeruginosa isolated from August 2011 to January 2012 from inpatients at the University Hospital of Santa Maria, Santa Maria, Rio Grande do Sul, Brazil. METHODS: A retrospective study was conducted by consulting the database of the Microbiology Laboratory, which included all isolates of Acinetobacter spp. and P. aeruginosa from different clinical specimens collected from hospitalized patients who had resistant or intermediate profile to carbapenemic antimicrobials used in this hospital (imipenem, meropenem and ertapenem) verified through conventional methodology by disc diffusion (Kirby-Bauer) or automated method (MicroScan ® - Siemens) according to the standards recommended by the Clinical and Laboratory Standards Institute. RESULTS: In the studied period 58 samples of nonfermenters Gram-negative bacilli resistant to carbapenems were found, 32 of the genus Acinetobacter and 26 of P. aeruginosa. Acinetobacter spp. was more isolated in the intensive care unit, while P. aeruginosa prevailed in the emergency and outpatient departments. Both microorganisms came mainly from respiratory secretions. CONCLUSIONS: In this study, Acinetobacter spp. and P. aeruginosa showed high antimicrobial resistance. Polymyxin B was a good antimicrobial for the treatment of infections caused by microorganisms resistant to carbapenems in this hospital. |
publishDate |
2014 |
dc.date.none.fl_str_mv |
2014-05-17 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion retrospectiv |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://revistaseletronicas.pucrs.br/scientiamedica/article/view/15809 10.15448/1980-6108.2014.2.15809 |
url |
https://revistaseletronicas.pucrs.br/scientiamedica/article/view/15809 |
identifier_str_mv |
10.15448/1980-6108.2014.2.15809 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://revistaseletronicas.pucrs.br/scientiamedica/article/view/15809/11484 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Editora da PUCRS - ediPUCRS |
publisher.none.fl_str_mv |
Editora da PUCRS - ediPUCRS |
dc.source.none.fl_str_mv |
Scientia Medica; Vol. 24 No. 2 (2014); 150-155 Scientia Medica; v. 24 n. 2 (2014); 150-155 1980-6108 1806-5562 10.15448/1980-6108.2014.2 reponame:Scientia Medica (Porto Alegre. Online) instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) instacron:PUC_RS |
instname_str |
Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) |
instacron_str |
PUC_RS |
institution |
PUC_RS |
reponame_str |
Scientia Medica (Porto Alegre. Online) |
collection |
Scientia Medica (Porto Alegre. Online) |
repository.name.fl_str_mv |
Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) |
repository.mail.fl_str_mv |
scientiamedica@pucrs.br || editora.periodicos@pucrs.br |
_version_ |
1809101750159802368 |