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Factors associated with epidemic multiresistant Pseudomonas aeruginosa infections in a hospital with AIDS-predominant admissions
Gomes, Marisa Zenaide Ribeiro; Oliveira, Raquel Vasconcellos C. de; Machado, Carolina Romero; Conceição, Magda de Souza da; Souza, Cristina Vieira de; Lourenço, Maria Cristina da Silva; Asensi, Marise Dutra.
  • Gomes, Marisa Zenaide Ribeiro; Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Nosocomial Infection Research Laboratory. BR
  • Oliveira, Raquel Vasconcellos C. de; FIOCRUZ. Instituto de Pesquisa Clínica Evandro Chagas. Infection Control Committee. BR
  • Machado, Carolina Romero; FIOCRUZ. Instituto de Pesquisa Clínica Evandro Chagas. Infection Control Committee. BR
  • Conceição, Magda de Souza da; FIOCRUZ. Instituto de Pesquisa Clínica Evandro Chagas. Infection Control Committee. BR
  • Souza, Cristina Vieira de; FIOCRUZ. Instituto de Pesquisa Clínica Evandro Chagas. Infection Control Committee. BR
  • Lourenço, Maria Cristina da Silva; FIOCRUZ. Instituto de Pesquisa Clínica Evandro Chagas. Infection Control Committee. BR
  • Asensi, Marise Dutra; Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Nosocomial Infection Research Laboratory. BR
Braz. j. infect. dis ; 16(3): 219-225, May-June 2012. tab
Artículo en Inglés | LILACS | ID: lil-638553
ABSTRACT

INTRODUCTION:

Infections caused by multiresistant Pseudomonas aeruginosa (MR-PA) have been associated with persistent infections and high mortality in acquired immunodeficiency syndrome (AIDS) patients. Therefore, understanding the predisposing factors for infection/colonization by this agent is critical for controlling outbreaks caused by MR-PA in settings with AIDS patients. OBJECTIVEAND

METHODS:

To analyze the presence of factors associated with the acquisition of an epidemic MR-PA strain in a hospital with AIDS-predominant admission. A case-control study was carried out in which cases and controls were gathered from a prospective cohort of all hospitalized patients in an infectious disease hospital during a five-year study period.

RESULTS:

Multivariate logistic regression analysis demonstrated that enteral nutrition OR = 14.9), parenteral nutrition (OR = 10.7), and use of ciprofloxacin (OR = 8.9) were associated with a significant and independent risk for MR-PA acquisition.

CONCLUSIONS:

Although cross-colonization was likely responsible for the outbreaks, the use of ciprofloxacin was also an important factor associated with the acquisition of an epidemic MR-PA strain. More studies are necessary to determine whether different types of nutrition could lead to modification of gastrointestinal flora, thereby increasing the risk for infection/colonization by MR-PA in this population.
Asunto(s)


Texto completo: Disponible Índice: LILACS (Américas) Asunto principal: Pseudomonas aeruginosa / Infecciones por Pseudomonas / Infecciones Oportunistas Relacionadas con el SIDA / Farmacorresistencia Bacteriana Múltiple Tipo de estudio: Estudio observacional / Factores de riesgo Límite: Adulto / Femenino / Humanos / Masculino País/Región como asunto: America del Sur / Brasil Idioma: Inglés Revista: Braz. j. infect. dis Asunto de la revista: Enfermedades Transmisibles Año: 2012 Tipo del documento: Artículo País de afiliación: Brasil Institución/País de afiliación: FIOCRUZ/BR / Fundação Oswaldo Cruz/BR

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Texto completo: Disponible Índice: LILACS (Américas) Asunto principal: Pseudomonas aeruginosa / Infecciones por Pseudomonas / Infecciones Oportunistas Relacionadas con el SIDA / Farmacorresistencia Bacteriana Múltiple Tipo de estudio: Estudio observacional / Factores de riesgo Límite: Adulto / Femenino / Humanos / Masculino País/Región como asunto: America del Sur / Brasil Idioma: Inglés Revista: Braz. j. infect. dis Asunto de la revista: Enfermedades Transmisibles Año: 2012 Tipo del documento: Artículo País de afiliación: Brasil Institución/País de afiliación: FIOCRUZ/BR / Fundação Oswaldo Cruz/BR