Evaluation of colonization by multiresistant bacteria in patients admitted via central regulation of the state in a philanthropic hospital in Salvador, Bahia
Autor(a) principal: | |
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Data de Publicação: | 2019 |
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/11595 |
Resumo: | Background and objectives: Health Care Related Infections (IRAS) are considered a public health problem whose control can minimize patients' morbidity and mortality. The early institution of contact isolation for patients possibly colonized by multiresistant (MR) microorganisms can reduce their spread in cases of IRAS and hospital costs. This study aimed to evaluate the frequency and impact of positive surveillance cultures with multiresistant (MR) microorganisms following an outbreak of vancomycin resistant Enterococcus spp. (VRE). Methods: Surveillance cultures collection routines were implemented since April / 14 for patients referred from other health to a philanthropic hospital in Salvador – Bahia via state and municipal referral center. Results: A total of 663 patients were evaluated in the period from December / 14 to December / 15, and 42 of them had a positive surveillance culture for gram positive and negative MR microorganisms. After the routine implementation of surveillance cultures, no outbreaks were detected in our unit. Conclusion: Despite the high cost, the study showed that routine surveillance cultures are an important tool in preventing MR dissemination. |
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Evaluation of colonization by multiresistant bacteria in patients admitted via central regulation of the state in a philanthropic hospital in Salvador, BahiaEvaluación de la colonización por bacterias multirresistentes en pacientes admitidos vía central de regulación del estado en un hospital filantrópico en Salvador, BahiaAvaliação da colonização por bactérias multirresistentes em pacientes admitidos via central de regulação do estado em um hospital filantrópico em Salvador, BahiaBackground and objectives: Health Care Related Infections (IRAS) are considered a public health problem whose control can minimize patients' morbidity and mortality. The early institution of contact isolation for patients possibly colonized by multiresistant (MR) microorganisms can reduce their spread in cases of IRAS and hospital costs. This study aimed to evaluate the frequency and impact of positive surveillance cultures with multiresistant (MR) microorganisms following an outbreak of vancomycin resistant Enterococcus spp. (VRE). Methods: Surveillance cultures collection routines were implemented since April / 14 for patients referred from other health to a philanthropic hospital in Salvador – Bahia via state and municipal referral center. Results: A total of 663 patients were evaluated in the period from December / 14 to December / 15, and 42 of them had a positive surveillance culture for gram positive and negative MR microorganisms. After the routine implementation of surveillance cultures, no outbreaks were detected in our unit. Conclusion: Despite the high cost, the study showed that routine surveillance cultures are an important tool in preventing MR dissemination.Justificación y objetivos: Infecciones Relacionadas a la Asistencia sanitaria (IRAS) se consideran un problema de salud pública cuyo control puede minimizar la morbimortalidad de los pacientes. La institución precoz de aislamiento de contacto para pacientes posiblemente colonizados por microrganismos multirresistentes (MR), puede reducir su diseminación de los casos de IRAS y costos hospitalarios. El objetivo del estudio fue evaluar la frecuencia e impacto de cultivos de vigilancia positivos con microrganismos multirresistentes (MR) después de un brote de Enterococcus spp. resistentes a la vancomicina (VRE). Métodos: Se implementaron rutinas de recolección de cultivos de vigilancia a partir de abril / 14 para pacientes procedentes de otras unidades de salud vía Central de Regulación del Estado y Municipio en un hospital filantrópico en Salvador - BA. Resultados: Se evaluaron 663 pacientes en el período de diciembre / 14 a diciembre / 15, siendo que 42 de ellos presentaron un cultivo de vigilancia positiva para microrganismos gram positivos y negativos MR. Después de la implementación de la rutina de realización de cultivos de vigilancia, ya no se detectaron brotes en nuestra unidad. Conclusiones: La rutina de cultivos de vigilancia puede ser un importante instrumento en la prevención de la diseminación de MR.Justificativa e objetivos: Infecções Relacionadas à Assistência à Saúde (IRAS) são consideradas um problema de saúde pública cujo controle pode minimizar a morbimortalidade dos pacientes. A instituição precoce de isolamento de contato para pacientes possivelmente colonizados por microrganismos multirresistentes (MR), pode reduzir sua disseminação os casos de IRAS e custos hospitalares. O objetivo deste estudo foi avaliar a frequência e impacto de culturas de vigilância positivas com microrganismos multirresistentes (MR) após um surto de Enterococcus spp. resistentes à vancomicina (VRE). Métodos: Foram implementadas rotinas de coleta de culturas de vigilância a partir de abril de 2014 para pacientes procedentes de outras unidades de saúde via Central de Regulação do Estado e Município em um hospital filantrópico em Salvador – BA. Resultados: Foram avaliados 663 pacientes no período de dezembro de 2014 a dezembro de 2015, sendo que 42 destes apresentaram cultura de vigilância positiva para microrganismos gram positivos e negativos MR. Após a implementação da rotina de realização de culturas de vigilância, não foram mais detectados surtos na nossa unidade. Conclusão: A rotina de culturas de vigilância pode funcionar como um importante instrumento na prevenção da disseminação de MR. Descritores: Isolamento de Pacientes. Resistência Microbiana a Medicamentos; Monitoramento Epidemiológico.Unisc2019-01-03info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://online.unisc.br/seer/index.php/epidemiologia/article/view/1159510.17058/reci.v9i1.11595Revista de Epidemiologia e Controle de Infecção; Vol. 9 No. 1 (2019)Revista de Epidemiologia e Controle de Infecção; v. 9 n. 1 (2019)2238-3360reponame: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/11595/7907Copyright (c) 2019 Monique Lírio, Tuanny Andrade, Ana Verena Mendes, Maria Goreth Barberinoinfo:eu-repo/semantics/openAccessLírio, MoniqueAndrade, TuannyMendes, Ana VerenaBarberino, Maria Goreth2019-05-09T19:24:26Zoai:ojs.online.unisc.br:article/11595Revistahttps://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:2019-05-09T19:24:26Revista de Epidemiologia e Controle de Infecção - Universidade de Santa Cruz do Sul (UNISC)false |
dc.title.none.fl_str_mv |
Evaluation of colonization by multiresistant bacteria in patients admitted via central regulation of the state in a philanthropic hospital in Salvador, Bahia Evaluación de la colonización por bacterias multirresistentes en pacientes admitidos vía central de regulación del estado en un hospital filantrópico en Salvador, Bahia Avaliação da colonização por bactérias multirresistentes em pacientes admitidos via central de regulação do estado em um hospital filantrópico em Salvador, Bahia |
title |
Evaluation of colonization by multiresistant bacteria in patients admitted via central regulation of the state in a philanthropic hospital in Salvador, Bahia |
spellingShingle |
Evaluation of colonization by multiresistant bacteria in patients admitted via central regulation of the state in a philanthropic hospital in Salvador, Bahia Lírio, Monique |
title_short |
Evaluation of colonization by multiresistant bacteria in patients admitted via central regulation of the state in a philanthropic hospital in Salvador, Bahia |
title_full |
Evaluation of colonization by multiresistant bacteria in patients admitted via central regulation of the state in a philanthropic hospital in Salvador, Bahia |
title_fullStr |
Evaluation of colonization by multiresistant bacteria in patients admitted via central regulation of the state in a philanthropic hospital in Salvador, Bahia |
title_full_unstemmed |
Evaluation of colonization by multiresistant bacteria in patients admitted via central regulation of the state in a philanthropic hospital in Salvador, Bahia |
title_sort |
Evaluation of colonization by multiresistant bacteria in patients admitted via central regulation of the state in a philanthropic hospital in Salvador, Bahia |
author |
Lírio, Monique |
author_facet |
Lírio, Monique Andrade, Tuanny Mendes, Ana Verena Barberino, Maria Goreth |
author_role |
author |
author2 |
Andrade, Tuanny Mendes, Ana Verena Barberino, Maria Goreth |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Lírio, Monique Andrade, Tuanny Mendes, Ana Verena Barberino, Maria Goreth |
description |
Background and objectives: Health Care Related Infections (IRAS) are considered a public health problem whose control can minimize patients' morbidity and mortality. The early institution of contact isolation for patients possibly colonized by multiresistant (MR) microorganisms can reduce their spread in cases of IRAS and hospital costs. This study aimed to evaluate the frequency and impact of positive surveillance cultures with multiresistant (MR) microorganisms following an outbreak of vancomycin resistant Enterococcus spp. (VRE). Methods: Surveillance cultures collection routines were implemented since April / 14 for patients referred from other health to a philanthropic hospital in Salvador – Bahia via state and municipal referral center. Results: A total of 663 patients were evaluated in the period from December / 14 to December / 15, and 42 of them had a positive surveillance culture for gram positive and negative MR microorganisms. After the routine implementation of surveillance cultures, no outbreaks were detected in our unit. Conclusion: Despite the high cost, the study showed that routine surveillance cultures are an important tool in preventing MR dissemination. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-01-03 |
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/11595 10.17058/reci.v9i1.11595 |
url |
https://online.unisc.br/seer/index.php/epidemiologia/article/view/11595 |
identifier_str_mv |
10.17058/reci.v9i1.11595 |
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/11595/7907 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2019 Monique Lírio, Tuanny Andrade, Ana Verena Mendes, Maria Goreth Barberino info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2019 Monique Lírio, Tuanny Andrade, Ana Verena Mendes, Maria Goreth Barberino |
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. 9 No. 1 (2019) Revista de Epidemiologia e Controle de Infecção; v. 9 n. 1 (2019) 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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