Epidemiological profi le of hospital infections by multidrug-resistant bacteria in a hospital of northern Minas Gerais (Brazil)

Detalhes bibliográficos
Autor(a) principal: Garcia, Lúcia Maria
Data de Publicação: 2013
Outros Autores: César, Isabella do Carmo Oliveira, Braga, Cristyane Antunes, Souza, Geziella Aurea Aparecida Damasceno, Mota, Écila Campos
Tipo de documento: Artigo
Idioma: por
Título da fonte: Revista de Epidemiologia e Controle de Infecção
Texto Completo: https://online.unisc.br/seer/index.php/epidemiologia/article/view/3235
Resumo: Backgound and Objectives: Nosocomial infection (IH) is an increasingly common problem and the presence of resistant microorganisms causes clinical and economic impact. This study aims to determine the epidemiology of nosocomial infections caused by Multidrug- Resistant bacteria in a hospital in northern Minas Gerais. Methods: Notifi cation forms obtained from the Infection Control Service (SCIH) of a hospital of Northern Minas Gerais were analyzed, for the period April 2011 to April 2012. Were included in the study all cases of Hospital Infection (IH) caused by multidrug- resistant bacteria (MDR). Results: There were 44 cases of MDR caused by IH, 19 females and 25 males. The most frequent infection sites were: Urinary Tract Infection (40,9%) and Bloodstream Infection (25%). The highest frequency of cases occurred in the age group 60 to 69 years and in the period 0-15 days of hospitalization. The bacteria found were Klebsiella pneumoniae (27.7%), Escherichia coli (23.4%), Acinetobacter baumannii (21.3%), Staphylococcus aureus (14.9%), Pseudomonas aeruginosa (6.4%), Enterobacter sp (2.1%), Morganella morganii (2.1%) and Burkholderia cepacia (2.1%). The resistance mechanism most frequent was ESBL production. IH by MDR has more invasive procedures that occur in bacteria IH not MDR, OR: 3.7 (95% CI: 2:02-4:03). Conclusion: The prevalence of MDR infection during the study period was 11.6%. It is important to detect and control the spread of MDR microorganisms because of their impact on morbidity and survival of patients. KEYWORDS: Hospital-Acquired Infection. Drug Resistance. Bacteria.
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spelling Epidemiological profi le of hospital infections by multidrug-resistant bacteria in a hospital of northern Minas Gerais (Brazil)Perfil epidemiológico das infecções hospitalares por bactérias multidrogarresistentes em um hospital do norte de Minas GeraisBackgound and Objectives: Nosocomial infection (IH) is an increasingly common problem and the presence of resistant microorganisms causes clinical and economic impact. This study aims to determine the epidemiology of nosocomial infections caused by Multidrug- Resistant bacteria in a hospital in northern Minas Gerais. Methods: Notifi cation forms obtained from the Infection Control Service (SCIH) of a hospital of Northern Minas Gerais were analyzed, for the period April 2011 to April 2012. Were included in the study all cases of Hospital Infection (IH) caused by multidrug- resistant bacteria (MDR). Results: There were 44 cases of MDR caused by IH, 19 females and 25 males. The most frequent infection sites were: Urinary Tract Infection (40,9%) and Bloodstream Infection (25%). The highest frequency of cases occurred in the age group 60 to 69 years and in the period 0-15 days of hospitalization. The bacteria found were Klebsiella pneumoniae (27.7%), Escherichia coli (23.4%), Acinetobacter baumannii (21.3%), Staphylococcus aureus (14.9%), Pseudomonas aeruginosa (6.4%), Enterobacter sp (2.1%), Morganella morganii (2.1%) and Burkholderia cepacia (2.1%). The resistance mechanism most frequent was ESBL production. IH by MDR has more invasive procedures that occur in bacteria IH not MDR, OR: 3.7 (95% CI: 2:02-4:03). Conclusion: The prevalence of MDR infection during the study period was 11.6%. It is important to detect and control the spread of MDR microorganisms because of their impact on morbidity and survival of patients. KEYWORDS: Hospital-Acquired Infection. Drug Resistance. Bacteria.Justificativa e Objetivos: Infecção hospitalar (IH) é um problema cada vez mais frequente e a presença de microrganismos resistentes gera impacto clínico e econômico. Este estudo objetiva determinar o perfi l epidemiológico das infecções hospitalares ocasionadas por bactérias multidrogarresistentes em um hospital do norte de Minas Gerais. Métodos: Foram analisadas fichas de notifi cação obtidas no Serviço de Controle de Infecção Hospitalar (SCIH) de um hospital do norte de Minas, referentes ao período de Abril de 2011 a Abril de 2012. Incluíram-se no estudo todos os casos de IH por bactérias multidrogaresistentes (MDR). Resultados: Ocorreram 44 casos de IH por MDR, sendo 19 (56,8%) em pacientes do sexo feminino. Os sítios de infecção por MDR mais frequentes foram: Infecção do Trato Urinário (40,9%) e infecção da corrente sanguínea (25%). A maior frequência dos casos ocorreu na faixa etária de 60 a 69 anos e no período de 0 a 15 dias de internação. As bactérias encontradas foram: Klebsiella pneumoniae (27,7%), Escherichia coli (23,4%), Acinetobacter baumannii (21,3%), Staphylococcus aureus (14,9%), Pseudomonas aeruginosa (6,4%), Enterobacter sp (2,1%), Morganella morganii (2,1%) e Burkholderia cepacia (2,1%). O mecanismo de resistência mais frequente foi a produção de betalactamase de espectro estendido. Nas IH por MDR houve maior ocorrência de procedimentos invasivos que nas IH por bactérias não MDR [OR 3.7 (IC 95%: 2.02–4.03)]. Conclusão: A prevalência de infecção por MDR no período estudado foi de 11.6%. É importante a detecção e o controle da disseminação de microrganismos MDR por seu impacto na morbidade e sobrevida dos pacientes.Unisc2013-04-05info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://online.unisc.br/seer/index.php/epidemiologia/article/view/323510.17058/reci.v3i2.3235Revista de Epidemiologia e Controle de Infecção; Vol. 3 No. 2 (2013); 45-49Revista de Epidemiologia e Controle de Infecção; v. 3 n. 2 (2013); 45-492238-3360reponame:Revista de Epidemiologia e Controle de Infecçãoinstname:Universidade de Santa Cruz do Sul (UNISC)instacron:UNISCporhttps://online.unisc.br/seer/index.php/epidemiologia/article/view/3235/2792Garcia, Lúcia MariaCésar, Isabella do Carmo OliveiraBraga, Cristyane AntunesSouza, Geziella Aurea Aparecida DamascenoMota, Écila Camposinfo:eu-repo/semantics/openAccess2019-01-21T12:58:13Zoai:ojs.online.unisc.br:article/3235Revistahttps://online.unisc.br/seer/index.php/epidemiologia/indexONGhttp://online.unisc.br/seer/index.php/epidemiologia/oai||liapossuelo@unisc.br|| julia.kern@hotmail.com||reci.unisc@gmail.com2238-33602238-3360opendoar:2019-01-21T12:58:13Revista de Epidemiologia e Controle de Infecção - Universidade de Santa Cruz do Sul (UNISC)false
dc.title.none.fl_str_mv Epidemiological profi le of hospital infections by multidrug-resistant bacteria in a hospital of northern Minas Gerais (Brazil)
Perfil epidemiológico das infecções hospitalares por bactérias multidrogarresistentes em um hospital do norte de Minas Gerais
title Epidemiological profi le of hospital infections by multidrug-resistant bacteria in a hospital of northern Minas Gerais (Brazil)
spellingShingle Epidemiological profi le of hospital infections by multidrug-resistant bacteria in a hospital of northern Minas Gerais (Brazil)
Garcia, Lúcia Maria
title_short Epidemiological profi le of hospital infections by multidrug-resistant bacteria in a hospital of northern Minas Gerais (Brazil)
title_full Epidemiological profi le of hospital infections by multidrug-resistant bacteria in a hospital of northern Minas Gerais (Brazil)
title_fullStr Epidemiological profi le of hospital infections by multidrug-resistant bacteria in a hospital of northern Minas Gerais (Brazil)
title_full_unstemmed Epidemiological profi le of hospital infections by multidrug-resistant bacteria in a hospital of northern Minas Gerais (Brazil)
title_sort Epidemiological profi le of hospital infections by multidrug-resistant bacteria in a hospital of northern Minas Gerais (Brazil)
author Garcia, Lúcia Maria
author_facet Garcia, Lúcia Maria
César, Isabella do Carmo Oliveira
Braga, Cristyane Antunes
Souza, Geziella Aurea Aparecida Damasceno
Mota, Écila Campos
author_role author
author2 César, Isabella do Carmo Oliveira
Braga, Cristyane Antunes
Souza, Geziella Aurea Aparecida Damasceno
Mota, Écila Campos
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Garcia, Lúcia Maria
César, Isabella do Carmo Oliveira
Braga, Cristyane Antunes
Souza, Geziella Aurea Aparecida Damasceno
Mota, Écila Campos
description Backgound and Objectives: Nosocomial infection (IH) is an increasingly common problem and the presence of resistant microorganisms causes clinical and economic impact. This study aims to determine the epidemiology of nosocomial infections caused by Multidrug- Resistant bacteria in a hospital in northern Minas Gerais. Methods: Notifi cation forms obtained from the Infection Control Service (SCIH) of a hospital of Northern Minas Gerais were analyzed, for the period April 2011 to April 2012. Were included in the study all cases of Hospital Infection (IH) caused by multidrug- resistant bacteria (MDR). Results: There were 44 cases of MDR caused by IH, 19 females and 25 males. The most frequent infection sites were: Urinary Tract Infection (40,9%) and Bloodstream Infection (25%). The highest frequency of cases occurred in the age group 60 to 69 years and in the period 0-15 days of hospitalization. The bacteria found were Klebsiella pneumoniae (27.7%), Escherichia coli (23.4%), Acinetobacter baumannii (21.3%), Staphylococcus aureus (14.9%), Pseudomonas aeruginosa (6.4%), Enterobacter sp (2.1%), Morganella morganii (2.1%) and Burkholderia cepacia (2.1%). The resistance mechanism most frequent was ESBL production. IH by MDR has more invasive procedures that occur in bacteria IH not MDR, OR: 3.7 (95% CI: 2:02-4:03). Conclusion: The prevalence of MDR infection during the study period was 11.6%. It is important to detect and control the spread of MDR microorganisms because of their impact on morbidity and survival of patients. KEYWORDS: Hospital-Acquired Infection. Drug Resistance. Bacteria.
publishDate 2013
dc.date.none.fl_str_mv 2013-04-05
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dc.identifier.uri.fl_str_mv https://online.unisc.br/seer/index.php/epidemiologia/article/view/3235
10.17058/reci.v3i2.3235
url https://online.unisc.br/seer/index.php/epidemiologia/article/view/3235
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dc.relation.none.fl_str_mv https://online.unisc.br/seer/index.php/epidemiologia/article/view/3235/2792
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dc.source.none.fl_str_mv Revista de Epidemiologia e Controle de Infecção; Vol. 3 No. 2 (2013); 45-49
Revista de Epidemiologia e Controle de Infecção; v. 3 n. 2 (2013); 45-49
2238-3360
reponame:Revista de Epidemiologia e Controle de Infecção
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reponame_str Revista de Epidemiologia e Controle de Infecção
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repository.name.fl_str_mv Revista de Epidemiologia e Controle de Infecção - Universidade de Santa Cruz do Sul (UNISC)
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