Epidemiological profi le of hospital infections by multidrug-resistant bacteria in a hospital of northern Minas Gerais (Brazil)
Autor(a) principal: | |
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Data de Publicação: | 2013 |
Outros Autores: | , , , |
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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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 |
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://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 |
identifier_str_mv |
10.17058/reci.v3i2.3235 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://online.unisc.br/seer/index.php/epidemiologia/article/view/3235/2792 |
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 |
Unisc |
publisher.none.fl_str_mv |
Unisc |
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 instname:Universidade de Santa Cruz do Sul (UNISC) instacron:UNISC |
instname_str |
Universidade de Santa Cruz do Sul (UNISC) |
instacron_str |
UNISC |
institution |
UNISC |
reponame_str |
Revista de Epidemiologia e Controle de Infecção |
collection |
Revista de Epidemiologia e Controle de Infecção |
repository.name.fl_str_mv |
Revista de Epidemiologia e Controle de Infecção - Universidade de Santa Cruz do Sul (UNISC) |
repository.mail.fl_str_mv |
||liapossuelo@unisc.br|| julia.kern@hotmail.com||reci.unisc@gmail.com |
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1800218809597952000 |