ABSTRACT
The objective of this study was to evaluate the sensibility and resistance profiles to antibiotics of pathogens isolated in a hospital unit of food and nutrition. It was evaluated as sample spots, with repetitions, environmental samples, utensils, equipment, manipulators' hands and usually diet that would be served to the hospitalized patients. In the evaluated samples, coagulase positive Staphylococcus (CPS) and Gram negative bacillus were enumerated, and also, it was possible to isolate Klebsiella spp and Escherichia coli. The antimicrobial of less efficiency for CPS was oxacillin and penicillin-G, and for Klebsiella spp ampicillin e cephalothin. It should be emphasized that it was found strains multiresistants of CPS, Klebsiella spp and E. coli. The hospital unit of food and nutrition was evaluated as microbiological inadequate in several points, and it was verified resistance profiles to antibiotics of pathogens isolated in this unit.
O objetivo deste estudo foi avaliar os perfis de sensibilidade e resistência a antibióticos de patógenos isolados em uma unidade de alimentação e nutrição hospitalar. Foram analisados como pontos de amostragem, com repetições, de ambientes, de utensílios, de equipamentos, de mãos de manipuladores e de dieta normal a qual seria servida a pacientes hospitalizados. Nas amostras analisadas, Estafilococos coagulase positiva (ECP) e bacilos Gram negativos no ágar Mac Conkey foram enumerados, e Klebsiella spp e Escherichia coli foram isoladas. Os antimicrobianos de menor eficiência para ECP foram oxacilina e penicilina-G e para Klebsiella spp ampicilina e cefalotina. Cabe ressaltar que foram encontradas cepas multirresistentes de ECP, Klebsiella spp e E. coli. A unidade de alimentação e nutrição hospitalar foi avaliada como inadequada do ponto de vista microbiológico em diversos pontos e verificou-se a presença de perfis de resistência a antibióticos de patógenos isolados nesta unidade.
Subject(s)
Staphylococcus , Drug Resistance, Bacterial , Escherichia coli , Food Service, Hospital , Klebsiella , Anti-Bacterial AgentsABSTRACT
Listeriosis is an under-diagnosed and under-reported infection; however, listeriosis is not a compulsorily notifiable disease in Brazil. We provide an overview of the rates of listeriosis in the United States of America (USA), Europe, Latin America, and Brazil during the past decade. We also report a case of miscarriage caused by listeriosis in which there was no suspicion of this infection. This overview and the case we report serve as reminders of the often-neglected threat of listeriosis and its potential to cause miscarriage while highlighting the necessity of recognizing listeriosis as a compulsorily notifiable disease in Brazil.