Outbreak of KPC-2 producing Serratia marcescens MDR in a tertiary hospital in the Midwest region, Brazil
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/18078 |
Resumo: | About 700,000 deaths per year worldwide are caused of Healthcare-related infections (HAI). Result in significant patient morbidity and mortality, being is ranked the fourth leading cause of death in Brazil. Usually, HAI are caused by multidrug-resistance microorganisms (MDR), as well as Serratia marcescens, that is associated with healthcare-related infections causing high patient mortality and morbidity. This paper describes an outbreak of S. marcescens MDR carrier gene blaKPC-2 in a university hospital, with the need to broadly combat horizontal transmission of this bacterium between patients, as well as the need to optimize treatment with other antimicrobial classes due to resistance of this microorganism to polymyxins. Ten isolates were analyzed for the presence of carbapenemic resistance gene blaKPC-2. This gene was detected in all isolates, with a corresponding high patient mortality rate, highlighting the importance of its molecular detection, which corroborates the resistance of S. marcescens to carbapenem antibiotics. The detection of this gene is necessary due to the importance to broadly combat horizontal transmission of this bacterium between patients, as well as the need to optimize treatment with other antimicrobial agents due to its resistance to polymyxins. |
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Outbreak of KPC-2 producing Serratia marcescens MDR in a tertiary hospital in the Midwest region, BrazilBrote de Serratia marcescens MDR productora de KPC-2 en hospital terciario de la región Centro Oeste, BrasilSurto de Serratia marcescens MDR produtora de KPC-2 em hospital terciário da região Centro-Oeste, BrasilS. marcescensInfección asociadas a atención de saludBroteBlaKPC.Serratia marcescensSurtoInfecção relacionada à saúdeBlaKPC.S. marcescensHealth-related infectionOutbreakBlaKPC.About 700,000 deaths per year worldwide are caused of Healthcare-related infections (HAI). Result in significant patient morbidity and mortality, being is ranked the fourth leading cause of death in Brazil. Usually, HAI are caused by multidrug-resistance microorganisms (MDR), as well as Serratia marcescens, that is associated with healthcare-related infections causing high patient mortality and morbidity. This paper describes an outbreak of S. marcescens MDR carrier gene blaKPC-2 in a university hospital, with the need to broadly combat horizontal transmission of this bacterium between patients, as well as the need to optimize treatment with other antimicrobial classes due to resistance of this microorganism to polymyxins. Ten isolates were analyzed for the presence of carbapenemic resistance gene blaKPC-2. This gene was detected in all isolates, with a corresponding high patient mortality rate, highlighting the importance of its molecular detection, which corroborates the resistance of S. marcescens to carbapenem antibiotics. The detection of this gene is necessary due to the importance to broadly combat horizontal transmission of this bacterium between patients, as well as the need to optimize treatment with other antimicrobial agents due to its resistance to polymyxins.Aproximadamente 700.000 muertes por año en todo el mundo son causadas por infecciones asociadas a atención de salud (IAAS) las cuales resultan en significativa morbimortalidad de pacientes. Como consecuencia estas infecciones son clasificadas como la cuarta mayor causa de muertes en Brasil. Generalmente, las IAAS, son causadas por microorganismos multirresistentes a los antimicrobianos (MDR, del inglés multidrug-resistance), así como el Serratia marcescens, que está asociado a infecciones relacionadas a la atención intrahospitalar. Este trabajo describe un brote causado por S. marcescens multirresistente portadora del gen blaKPC-2 en un hospital universitário. Delante de la necesidad de combatir eficazmente la transmisión horizontal de esta bactéria entre los pacientes y también la necesidad de optimizar el tratamiento con otras clases de antimicrobianos debido a la resistencia de este microrganismo a las polimixinas, fueron analizadas diez muestras en relación a la presencia del gen de resistencia carbapenêmico blaKPC-2. Este gen fué detectado en todas las muestras con tasa de mortalidad alta, evidenciando la importancia de su detección molecular, además de corroborarse la resistência de S. marcescens a los antibióticos carbapenêmicos. Este estúdio se hace necesário debido a la importancia de combatir la transmisión horizontal de la bactéria entre los pacientes, como tambien es importante mejorar el tratamento con otros antimicrobianos delante de la resistencia a las polimixinas.Cerca de 700.000 mortes por ano em todo o mundo são causadas por infecções relacionadas à saúde (IRA). Resultam em significativa morbimortalidade de pacientes, sendo classificada como a quarta maior causa de óbito no Brasil. Geralmente, as IRAS são causadas por microrganismos multirresistentes a antimicrobianos (MDR), assim como Serratia marcescens, que está associada a infecções relacionadas à saúde, causando alta mortalidade e morbidade dos pacientes. Este trabalho descreve um surto causado por S. marcescens MDR portadora do gene blaKPC-2 em um hospital universitário, com a necessidade de combater amplamente a transmissão horizontal dessa bactéria entre os pacientes, bem como a necessidade de otimizar o tratamento com outras classes de antimicrobianos devido à resistência deste microrganismo às polimixinas. Dez isolados foram analisados quanto à presença do gene de resistência carbapenêmico blaKPC-2. Este gene foi detectado em todos os isolados, com correspondente taxa de mortalidade alta dos pacientes, evidenciando a importância de sua detecção molecular, que corrobora com a resistência de S. marcescens aos antibióticos carbapenêmicos. A detecção deste gene faz-se necessária devido à importância de combater amplamente a transmissão horizontal dessa bactéria entre os pacientes, bem como a necessidade de otimizar o tratamento com outros antimicrobianos devido à sua resistência às polimixinas.Research, Society and Development2021-07-30info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/1807810.33448/rsd-v10i9.18078Research, Society and Development; Vol. 10 No. 9; e45110918078Research, Society and Development; Vol. 10 Núm. 9; e45110918078Research, Society and Development; v. 10 n. 9; e451109180782525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIenghttps://rsdjournal.org/index.php/rsd/article/view/18078/16347Copyright (c) 2021 Thalita Priscila Peres Seabra da Cruz; Francisco Kennedy Scofoni Faleiros de Azevedo ; Marco Andrey Pepato ; Alessandra Tammy Hayakawa Ito de Sousa ; Paula Sossai Rizzo; Francisco José Dutra Souto; Luciano Nakazato; Valéria Dutrahttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessCruz, Thalita Priscila Peres Seabra daAzevedo , Francisco Kennedy Scofoni Faleiros de Pepato , Marco Andrey Sousa , Alessandra Tammy Hayakawa Ito deRizzo, Paula Sossai Souto, Francisco José Dutra Nakazato, LucianoDutra, Valéria2021-09-12T14:28:06Zoai:ojs.pkp.sfu.ca:article/18078Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:38:17.264777Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Outbreak of KPC-2 producing Serratia marcescens MDR in a tertiary hospital in the Midwest region, Brazil Brote de Serratia marcescens MDR productora de KPC-2 en hospital terciario de la región Centro Oeste, Brasil Surto de Serratia marcescens MDR produtora de KPC-2 em hospital terciário da região Centro-Oeste, Brasil |
title |
Outbreak of KPC-2 producing Serratia marcescens MDR in a tertiary hospital in the Midwest region, Brazil |
spellingShingle |
Outbreak of KPC-2 producing Serratia marcescens MDR in a tertiary hospital in the Midwest region, Brazil Cruz, Thalita Priscila Peres Seabra da S. marcescens Infección asociadas a atención de salud Brote BlaKPC. Serratia marcescens Surto Infecção relacionada à saúde BlaKPC. S. marcescens Health-related infection Outbreak BlaKPC. |
title_short |
Outbreak of KPC-2 producing Serratia marcescens MDR in a tertiary hospital in the Midwest region, Brazil |
title_full |
Outbreak of KPC-2 producing Serratia marcescens MDR in a tertiary hospital in the Midwest region, Brazil |
title_fullStr |
Outbreak of KPC-2 producing Serratia marcescens MDR in a tertiary hospital in the Midwest region, Brazil |
title_full_unstemmed |
Outbreak of KPC-2 producing Serratia marcescens MDR in a tertiary hospital in the Midwest region, Brazil |
title_sort |
Outbreak of KPC-2 producing Serratia marcescens MDR in a tertiary hospital in the Midwest region, Brazil |
author |
Cruz, Thalita Priscila Peres Seabra da |
author_facet |
Cruz, Thalita Priscila Peres Seabra da Azevedo , Francisco Kennedy Scofoni Faleiros de Pepato , Marco Andrey Sousa , Alessandra Tammy Hayakawa Ito de Rizzo, Paula Sossai Souto, Francisco José Dutra Nakazato, Luciano Dutra, Valéria |
author_role |
author |
author2 |
Azevedo , Francisco Kennedy Scofoni Faleiros de Pepato , Marco Andrey Sousa , Alessandra Tammy Hayakawa Ito de Rizzo, Paula Sossai Souto, Francisco José Dutra Nakazato, Luciano Dutra, Valéria |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Cruz, Thalita Priscila Peres Seabra da Azevedo , Francisco Kennedy Scofoni Faleiros de Pepato , Marco Andrey Sousa , Alessandra Tammy Hayakawa Ito de Rizzo, Paula Sossai Souto, Francisco José Dutra Nakazato, Luciano Dutra, Valéria |
dc.subject.por.fl_str_mv |
S. marcescens Infección asociadas a atención de salud Brote BlaKPC. Serratia marcescens Surto Infecção relacionada à saúde BlaKPC. S. marcescens Health-related infection Outbreak BlaKPC. |
topic |
S. marcescens Infección asociadas a atención de salud Brote BlaKPC. Serratia marcescens Surto Infecção relacionada à saúde BlaKPC. S. marcescens Health-related infection Outbreak BlaKPC. |
description |
About 700,000 deaths per year worldwide are caused of Healthcare-related infections (HAI). Result in significant patient morbidity and mortality, being is ranked the fourth leading cause of death in Brazil. Usually, HAI are caused by multidrug-resistance microorganisms (MDR), as well as Serratia marcescens, that is associated with healthcare-related infections causing high patient mortality and morbidity. This paper describes an outbreak of S. marcescens MDR carrier gene blaKPC-2 in a university hospital, with the need to broadly combat horizontal transmission of this bacterium between patients, as well as the need to optimize treatment with other antimicrobial classes due to resistance of this microorganism to polymyxins. Ten isolates were analyzed for the presence of carbapenemic resistance gene blaKPC-2. This gene was detected in all isolates, with a corresponding high patient mortality rate, highlighting the importance of its molecular detection, which corroborates the resistance of S. marcescens to carbapenem antibiotics. The detection of this gene is necessary due to the importance to broadly combat horizontal transmission of this bacterium between patients, as well as the need to optimize treatment with other antimicrobial agents due to its resistance to polymyxins. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-07-30 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/18078 10.33448/rsd-v10i9.18078 |
url |
https://rsdjournal.org/index.php/rsd/article/view/18078 |
identifier_str_mv |
10.33448/rsd-v10i9.18078 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/18078/16347 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 10 No. 9; e45110918078 Research, Society and Development; Vol. 10 Núm. 9; e45110918078 Research, Society and Development; v. 10 n. 9; e45110918078 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
reponame_str |
Research, Society and Development |
collection |
Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
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1797052833239924736 |