Seasonality and weather dependance of Acinetobacter baumannii complex bloodstream infections in different climates in Brazil
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1371/journal.pone.0255593 http://hdl.handle.net/11449/229391 |
Resumo: | Recent studies report seasonality in healthcare-associated infections, especially those caused by Acinetobacter baumannii complex. We conducted an ecologic study aimed at analyzing the impact of seasons, weather parameters and climate control on the incidence and carbapenem-resistance in A. baumannii complex bloodstream infections (ABBSI) in hospitals from regions with different climates in Brazil. We studied monthly incidence rates (years 2006-2015) of ABBSI from hospitals in cities from different macro-regions in Brazil: Fortaleza (Ceará State, Northeast region), Goiânia (Goiás State, Middle-west) and Botucatu (São Paulo State, Southeast). Box-Jenkins models were fitted to assess seasonality, and the impact of weather parameters was analyzed in Poisson Regression models. Separate analyses were performed for carbapenem-resistant versus carbapenem-susceptible isolates, as well as for infections occurring in climate-controlled intensive care units (ICUs) versus non-climate-controlled wards. Seasonality was identified for ABSSI ICUs in the Hospitals from Botucatu and Goiânia. In the Botucatu hospital, where there was overall seasonality for both resistance groups, as well as for wards without climate control. In that hospital, the overall incidence was associated with higher temperature (incidence rate ratio for each Celsius degree, 1.05; 95% Confidence Interval, 1.01-1.09; P = 0.006). Weather parameters were not associated with ABBSI in the hospitals from Goiânia and Fortaleza. In conclusion, seasonality was found in the hospitals with higher ABBSI incidence and located in regions with greater thermal amplitude. Strict temperature control may be a tool for prevention of A. baumanii infections in healthcare settings. |
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Seasonality and weather dependance of Acinetobacter baumannii complex bloodstream infections in different climates in BrazilRecent studies report seasonality in healthcare-associated infections, especially those caused by Acinetobacter baumannii complex. We conducted an ecologic study aimed at analyzing the impact of seasons, weather parameters and climate control on the incidence and carbapenem-resistance in A. baumannii complex bloodstream infections (ABBSI) in hospitals from regions with different climates in Brazil. We studied monthly incidence rates (years 2006-2015) of ABBSI from hospitals in cities from different macro-regions in Brazil: Fortaleza (Ceará State, Northeast region), Goiânia (Goiás State, Middle-west) and Botucatu (São Paulo State, Southeast). Box-Jenkins models were fitted to assess seasonality, and the impact of weather parameters was analyzed in Poisson Regression models. Separate analyses were performed for carbapenem-resistant versus carbapenem-susceptible isolates, as well as for infections occurring in climate-controlled intensive care units (ICUs) versus non-climate-controlled wards. Seasonality was identified for ABSSI ICUs in the Hospitals from Botucatu and Goiânia. In the Botucatu hospital, where there was overall seasonality for both resistance groups, as well as for wards without climate control. In that hospital, the overall incidence was associated with higher temperature (incidence rate ratio for each Celsius degree, 1.05; 95% Confidence Interval, 1.01-1.09; P = 0.006). Weather parameters were not associated with ABBSI in the hospitals from Goiânia and Fortaleza. In conclusion, seasonality was found in the hospitals with higher ABBSI incidence and located in regions with greater thermal amplitude. Strict temperature control may be a tool for prevention of A. baumanii infections in healthcare settings.Community Broadcasting FoundationDepartment of Infectious Diseases Botucatu School of Medicine São Paulo State University (UNESP), São Paulo StateDepartment of Nursing Pontifical Catholic University of Goiás (PUCG), Goiás StateCenter of Health Sciences Federal University of Ceará (UFC), Ceará StateFaculty of Sciences and Technology Department of Geography São Paulo State University (UNESP), São Paulo StateFaculty of Agronomical Sciences Department of Soil and Environmental Resources São Paulo State University (UNESP), São Paulo StateDepartment of Biostatistics Botucatu Institute of Biosciences São Paulo State University (UNESP), São Paulo StateDepartment of Medicine São Paulo Federal University (UNIFESP), São Paulo StateDepartment of Infectious Diseases Botucatu School of Medicine São Paulo State University (UNESP), São Paulo StateFaculty of Sciences and Technology Department of Geography São Paulo State University (UNESP), São Paulo StateFaculty of Agronomical Sciences Department of Soil and Environmental Resources São Paulo State University (UNESP), São Paulo StateDepartment of Biostatistics Botucatu Institute of Biosciences São Paulo State University (UNESP), São Paulo StateUniversidade Estadual Paulista (UNESP)Pontifical Catholic University of Goiás (PUCG)Federal University of Ceará (UFC)Universidade Federal de São Paulo (UNIFESP)Filho, Sebastião Pires Ferreira [UNESP]Pereira, Milca SeverinoRodrigues, Jorge Luiz NobreGuimarães, Raul Borges [UNESP]da Cunha, Antônio Ribeiro [UNESP]Corrente, José Eduardo [UNESP]Pignatari, Antônio Carlos CamposFortaleza, Carlos Magno Castelo Branco [UNESP]2022-04-29T08:32:14Z2022-04-29T08:32:14Z2021-08-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://dx.doi.org/10.1371/journal.pone.0255593PLoS ONE, v. 16, n. 8 August, 2021.1932-6203http://hdl.handle.net/11449/22939110.1371/journal.pone.02555932-s2.0-85113348592Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengPLoS ONEinfo:eu-repo/semantics/openAccess2022-04-29T08:32:14Zoai:repositorio.unesp.br:11449/229391Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-05T17:30:47.955585Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Seasonality and weather dependance of Acinetobacter baumannii complex bloodstream infections in different climates in Brazil |
title |
Seasonality and weather dependance of Acinetobacter baumannii complex bloodstream infections in different climates in Brazil |
spellingShingle |
Seasonality and weather dependance of Acinetobacter baumannii complex bloodstream infections in different climates in Brazil Filho, Sebastião Pires Ferreira [UNESP] |
title_short |
Seasonality and weather dependance of Acinetobacter baumannii complex bloodstream infections in different climates in Brazil |
title_full |
Seasonality and weather dependance of Acinetobacter baumannii complex bloodstream infections in different climates in Brazil |
title_fullStr |
Seasonality and weather dependance of Acinetobacter baumannii complex bloodstream infections in different climates in Brazil |
title_full_unstemmed |
Seasonality and weather dependance of Acinetobacter baumannii complex bloodstream infections in different climates in Brazil |
title_sort |
Seasonality and weather dependance of Acinetobacter baumannii complex bloodstream infections in different climates in Brazil |
author |
Filho, Sebastião Pires Ferreira [UNESP] |
author_facet |
Filho, Sebastião Pires Ferreira [UNESP] Pereira, Milca Severino Rodrigues, Jorge Luiz Nobre Guimarães, Raul Borges [UNESP] da Cunha, Antônio Ribeiro [UNESP] Corrente, José Eduardo [UNESP] Pignatari, Antônio Carlos Campos Fortaleza, Carlos Magno Castelo Branco [UNESP] |
author_role |
author |
author2 |
Pereira, Milca Severino Rodrigues, Jorge Luiz Nobre Guimarães, Raul Borges [UNESP] da Cunha, Antônio Ribeiro [UNESP] Corrente, José Eduardo [UNESP] Pignatari, Antônio Carlos Campos Fortaleza, Carlos Magno Castelo Branco [UNESP] |
author2_role |
author author author author author author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual Paulista (UNESP) Pontifical Catholic University of Goiás (PUCG) Federal University of Ceará (UFC) Universidade Federal de São Paulo (UNIFESP) |
dc.contributor.author.fl_str_mv |
Filho, Sebastião Pires Ferreira [UNESP] Pereira, Milca Severino Rodrigues, Jorge Luiz Nobre Guimarães, Raul Borges [UNESP] da Cunha, Antônio Ribeiro [UNESP] Corrente, José Eduardo [UNESP] Pignatari, Antônio Carlos Campos Fortaleza, Carlos Magno Castelo Branco [UNESP] |
description |
Recent studies report seasonality in healthcare-associated infections, especially those caused by Acinetobacter baumannii complex. We conducted an ecologic study aimed at analyzing the impact of seasons, weather parameters and climate control on the incidence and carbapenem-resistance in A. baumannii complex bloodstream infections (ABBSI) in hospitals from regions with different climates in Brazil. We studied monthly incidence rates (years 2006-2015) of ABBSI from hospitals in cities from different macro-regions in Brazil: Fortaleza (Ceará State, Northeast region), Goiânia (Goiás State, Middle-west) and Botucatu (São Paulo State, Southeast). Box-Jenkins models were fitted to assess seasonality, and the impact of weather parameters was analyzed in Poisson Regression models. Separate analyses were performed for carbapenem-resistant versus carbapenem-susceptible isolates, as well as for infections occurring in climate-controlled intensive care units (ICUs) versus non-climate-controlled wards. Seasonality was identified for ABSSI ICUs in the Hospitals from Botucatu and Goiânia. In the Botucatu hospital, where there was overall seasonality for both resistance groups, as well as for wards without climate control. In that hospital, the overall incidence was associated with higher temperature (incidence rate ratio for each Celsius degree, 1.05; 95% Confidence Interval, 1.01-1.09; P = 0.006). Weather parameters were not associated with ABBSI in the hospitals from Goiânia and Fortaleza. In conclusion, seasonality was found in the hospitals with higher ABBSI incidence and located in regions with greater thermal amplitude. Strict temperature control may be a tool for prevention of A. baumanii infections in healthcare settings. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-08-01 2022-04-29T08:32:14Z 2022-04-29T08:32:14Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1371/journal.pone.0255593 PLoS ONE, v. 16, n. 8 August, 2021. 1932-6203 http://hdl.handle.net/11449/229391 10.1371/journal.pone.0255593 2-s2.0-85113348592 |
url |
http://dx.doi.org/10.1371/journal.pone.0255593 http://hdl.handle.net/11449/229391 |
identifier_str_mv |
PLoS ONE, v. 16, n. 8 August, 2021. 1932-6203 10.1371/journal.pone.0255593 2-s2.0-85113348592 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
PLoS ONE |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
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1808128820440465408 |