Evaluation of contamination by Acinetobacter spp. in an intensive care unit
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/12510 |
Resumo: | Background and Objectives: The clinical relevance of Healthcare Associated Infections caused by Acinetobacter spp. and the confirmation of the existence of strains with multi-resistance in the hospital environment show the need to know better the epidemiology of these infections, in order to help the implantation of more effective measures of prevention and control of this pathogen. The objective of this study was to evaluate the phenotypic diversity and the sensitivity profile of Acinetobacter spp. isolated from inpatients, hands of professionals and inanimate surfaces in an Intensive Care Unit of a public hospital in the southeast region of the state of Pará. Methods: The professionals’ hands and surfaces were collected using swabs moistened in sterile saline and rubbed by rolling. Data analysis was performed using descriptive statistics techniques using absolute and percentage distributions. Results: Of the 163 samples collected, 87 (53.4%) came from the surfaces, 47 (28.8%) from the patients and 29 (17.8%) from the hands of professionals. Growth of Gram-negative bacteria was observed in 28%, being Acinetobacter baumannii the most prevalent strain, present in the clinical isolates of patients and on the surfaces after the cleaning process. A. baumannii was resistant to all antimicrobials tested. Conclusion: A. baumannii was the only species of the genus Acinetobacter to be found, being such strains resistant to all antibiotics tested. |
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Evaluation of contamination by Acinetobacter spp. in an intensive care unitContaminación. Control de Infecciones. Acinetobacter. Acinetobacter baumannii. Unidades de Cuidados IntensivosAvaliação da contaminação cruzada por Acinetobacter spp. em uma unidade de terapia intensivaContaminação. Controle de Infecções. Acinetobacter. Acinetobacter baumannii. Unidade de Terapia Intensiva.Contamination. Infection Control. Acinetobacter. Acinetobacter baumannii. Intensive Care Units.Evaluación de la contaminación por Acinetobacter spp. en una unidad de cuidados intensivosBackground and Objectives: The clinical relevance of Healthcare Associated Infections caused by Acinetobacter spp. and the confirmation of the existence of strains with multi-resistance in the hospital environment show the need to know better the epidemiology of these infections, in order to help the implantation of more effective measures of prevention and control of this pathogen. The objective of this study was to evaluate the phenotypic diversity and the sensitivity profile of Acinetobacter spp. isolated from inpatients, hands of professionals and inanimate surfaces in an Intensive Care Unit of a public hospital in the southeast region of the state of Pará. Methods: The professionals’ hands and surfaces were collected using swabs moistened in sterile saline and rubbed by rolling. Data analysis was performed using descriptive statistics techniques using absolute and percentage distributions. Results: Of the 163 samples collected, 87 (53.4%) came from the surfaces, 47 (28.8%) from the patients and 29 (17.8%) from the hands of professionals. Growth of Gram-negative bacteria was observed in 28%, being Acinetobacter baumannii the most prevalent strain, present in the clinical isolates of patients and on the surfaces after the cleaning process. A. baumannii was resistant to all antimicrobials tested. Conclusion: A. baumannii was the only species of the genus Acinetobacter to be found, being such strains resistant to all antibiotics tested.Justificación y Objetivos: La relevancia clínica de las infecciones relacionadas con el cuidado de la salud ocasionadas por el Acinetobacter spp. y la confirmación de la existencia de cepas con multirresistencia en el medio hospitalario implican la necesidad de conocer mejor la epidemiología de esas infecciones, a fin de auxiliar en la implantación de medidas más efectivas de prevención y control de este patógeno. El objetivo de este estudio fue evaluar la diversidad fenotípica y el perfil de sensibilidad de Acinetobacter spp. aislados de pacientes hospitalizados, de las manos de profesionales y de superficies inanimadas en una Unidad de Cuidados Intensivos de un hospital público en la región sureste del estado de Pará. Métodos: Las colectas de las superficies y de las manos de los profesionales se realizaron utilizando hisopos humedecidos en suero fisiológico estéril y frotados por medio de rodamiento. El análisis de los datos se realizó mediante técnicas de estadística descriptiva utilizando distribuciones absolutas y porcentuales. Resultados: De las 163 muestras recogidas, 87 (53,4%) fueron de las superficies, 47 (28,8%) de los pacientes y 29 (17,8%) de las manos de los profesionales. El crecimiento de bacterias Gram-negativas se observó en el 28,0%, siendo Acinetobacter baumannii la cepa más prevalente en los aislados clínicos de los pacientes y en las superficies después del proceso de limpieza. A. baumannii fue resistente a todos los antimicrobianos probados. Conclusiones: El A. baumannii fue la única especie del género Acinetobacter encontrada, siendo tales cepas resistentes a todos los antibióticos probados.Justificativa e objetivo: A relevância clínica das IRAS ocasionadas pelo Acinetobacter spp. e a confirmação da existência de cepas com multirresistência no meio hospitalar, mostram a necessidade de se conhecer melhor a epidemiologia dessas infecções, a fim de auxiliar a implantação de medidas mais efetivas de prevenção e controle deste patógeno. Objetivou-se avaliar a diversidade fenotípica e o perfil de sensibilidade de Acinetobacter spp. isolados de pacientes internados, mãos de profissionais e superfícies inanimadas em uma Unidade de Terapia Intensiva de um hospital público da região sudeste do Estado do Pará. Métodos: Para análise dos dados, foram utilizadas técnicas de estatística descritiva por meio de distribuições absolutas e percentuais. Resultados: Das 163 amostras coletadas, 87 (53,4%) foram das superfícies, 47 (28,8%) dos pacientes e 29 (17,8%) das mãos dos profissionais. Em 28,0% observou-se o crescimento de bactérias Gram-negativo, sendo o Acinetobacter baumannii a cepa mais prevalente, estando presente nos isolados clínicos de pacientes e nas superfícies após o processo de limpeza. O A. baumannii apresentou-se resistente a todos os antimicrobianos testados. Conclusão: Faz-se necessária a reavaliação de alguns processos utilizados dentro da unidade, principalmente os relacionados à técnica exercida para higienização do ambiente e o conhecimento dos profissionais. Acredita-se que diversos fatores contribuem para a disseminação de microrganismos nos ambientes assistenciais, porém, o conhecimento dos mecanismos de transmissão que ocasionam infecções, aliados à ampliação dos recursos diagnósticos laboratoriais, definem medidas objetivas para o seu controle.Unisc2019-10-11info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://online.unisc.br/seer/index.php/epidemiologia/article/view/1251010.17058/reci.v9i3.12510Revista de Epidemiologia e Controle de Infecção; Vol. 9 No. 3 (2019)Revista de Epidemiologia e Controle de Infecção; v. 9 n. 3 (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/12510/8425Copyright (c) 2019 Liwcy Keller Limainfo:eu-repo/semantics/openAccessLima, Liwcy Keller Oliveira LopesPinto, Juliane Christine GamaMisael, Luciana SantosCastro, Rayane BezerraCoelho, Danilo DiasBenevides, Douglas Vieira LeiteSousa, Edlyn Rosanne Miranda2020-08-25T17:23:29Zoai:ojs.online.unisc.br:article/12510Revistahttps://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:2020-08-25T17:23:29Revista de Epidemiologia e Controle de Infecção - Universidade de Santa Cruz do Sul (UNISC)false |
dc.title.none.fl_str_mv |
Evaluation of contamination by Acinetobacter spp. in an intensive care unit Contaminación. Control de Infecciones. Acinetobacter. Acinetobacter baumannii. Unidades de Cuidados Intensivos Avaliação da contaminação cruzada por Acinetobacter spp. em uma unidade de terapia intensiva |
title |
Evaluation of contamination by Acinetobacter spp. in an intensive care unit |
spellingShingle |
Evaluation of contamination by Acinetobacter spp. in an intensive care unit Lima, Liwcy Keller Oliveira Lopes Contaminação. Controle de Infecções. Acinetobacter. Acinetobacter baumannii. Unidade de Terapia Intensiva. Contamination. Infection Control. Acinetobacter. Acinetobacter baumannii. Intensive Care Units. Evaluación de la contaminación por Acinetobacter spp. en una unidad de cuidados intensivos |
title_short |
Evaluation of contamination by Acinetobacter spp. in an intensive care unit |
title_full |
Evaluation of contamination by Acinetobacter spp. in an intensive care unit |
title_fullStr |
Evaluation of contamination by Acinetobacter spp. in an intensive care unit |
title_full_unstemmed |
Evaluation of contamination by Acinetobacter spp. in an intensive care unit |
title_sort |
Evaluation of contamination by Acinetobacter spp. in an intensive care unit |
author |
Lima, Liwcy Keller Oliveira Lopes |
author_facet |
Lima, Liwcy Keller Oliveira Lopes Pinto, Juliane Christine Gama Misael, Luciana Santos Castro, Rayane Bezerra Coelho, Danilo Dias Benevides, Douglas Vieira Leite Sousa, Edlyn Rosanne Miranda |
author_role |
author |
author2 |
Pinto, Juliane Christine Gama Misael, Luciana Santos Castro, Rayane Bezerra Coelho, Danilo Dias Benevides, Douglas Vieira Leite Sousa, Edlyn Rosanne Miranda |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Lima, Liwcy Keller Oliveira Lopes Pinto, Juliane Christine Gama Misael, Luciana Santos Castro, Rayane Bezerra Coelho, Danilo Dias Benevides, Douglas Vieira Leite Sousa, Edlyn Rosanne Miranda |
dc.subject.por.fl_str_mv |
Contaminação. Controle de Infecções. Acinetobacter. Acinetobacter baumannii. Unidade de Terapia Intensiva. Contamination. Infection Control. Acinetobacter. Acinetobacter baumannii. Intensive Care Units. Evaluación de la contaminación por Acinetobacter spp. en una unidad de cuidados intensivos |
topic |
Contaminação. Controle de Infecções. Acinetobacter. Acinetobacter baumannii. Unidade de Terapia Intensiva. Contamination. Infection Control. Acinetobacter. Acinetobacter baumannii. Intensive Care Units. Evaluación de la contaminación por Acinetobacter spp. en una unidad de cuidados intensivos |
description |
Background and Objectives: The clinical relevance of Healthcare Associated Infections caused by Acinetobacter spp. and the confirmation of the existence of strains with multi-resistance in the hospital environment show the need to know better the epidemiology of these infections, in order to help the implantation of more effective measures of prevention and control of this pathogen. The objective of this study was to evaluate the phenotypic diversity and the sensitivity profile of Acinetobacter spp. isolated from inpatients, hands of professionals and inanimate surfaces in an Intensive Care Unit of a public hospital in the southeast region of the state of Pará. Methods: The professionals’ hands and surfaces were collected using swabs moistened in sterile saline and rubbed by rolling. Data analysis was performed using descriptive statistics techniques using absolute and percentage distributions. Results: Of the 163 samples collected, 87 (53.4%) came from the surfaces, 47 (28.8%) from the patients and 29 (17.8%) from the hands of professionals. Growth of Gram-negative bacteria was observed in 28%, being Acinetobacter baumannii the most prevalent strain, present in the clinical isolates of patients and on the surfaces after the cleaning process. A. baumannii was resistant to all antimicrobials tested. Conclusion: A. baumannii was the only species of the genus Acinetobacter to be found, being such strains resistant to all antibiotics tested. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-10-11 |
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/12510 10.17058/reci.v9i3.12510 |
url |
https://online.unisc.br/seer/index.php/epidemiologia/article/view/12510 |
identifier_str_mv |
10.17058/reci.v9i3.12510 |
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/12510/8425 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2019 Liwcy Keller Lima info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2019 Liwcy Keller Lima |
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. 3 (2019) Revista de Epidemiologia e Controle de Infecção; v. 9 n. 3 (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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1800218811295596544 |