Risk Factors for Oropharyngeal Colonization with Multidrug‐Resistant Bacteria in a Brazilian Hospital
Keywords:
risk factors, pathogens, multidrug-resistant, healthcare-associated infections (HAI).
Abstract
The objective of this study was to describe the risk factors and ethiology (pathogen species and their antimicrobial susceptibility, and identifying of multidrug-resistant microorganisms-MDR) for the oropharyngeal colonization in a Brazilian hospital. A total of 39 patients were analysed, and presented media age of the 57,7 years and media of the duration of hospitalization the 9,2 days. Streptococcus sp. (39,1%) and Staphylococcus aureus (18,9%) were the mains pathogens of clinical significance detected. This study showed high rates of isolated MDR bacteria, which included methicillin-resistant Staphylococcus aureus (MRSA) (71,4%). The use of the antibiotics, the advanced age and the previous hospitalization were the significant risk factors for the oropharyngeal colonization with MDR bacteria in the statistical analysis. These results reinforce the need for a revised protocol for regulation of antibiotic dispensing, and attention for this population profile, that can develop healthcare-associated infections (HAI) from oropharyngeal colonization with MDR bacteria.
Downloads
How to Cite
References
J Siegel, E Rhinehart, M Jackson, L Chiarello (2006) Management of multidrug-resistant organisms in healthy care settings. United States. 35(10 Suppl 2), 165-193.
A-P Magiorakos, A Srinivasan, R Carey, Y Carmeli, M Falagas, C Giske, S Harbarth, J Hindler, G Kahlmeter, B Olsson-Liljequist, D Paterson, L Rice, J Stelling, M Struelens, A Vatopoulos, J Weber, D Monnet (2012) Multidrug-resistant, extensively drug-resistant and pandrug-resistant bacteria: an international expert proposal for interim standard definitions for acquired resistance. 18(3), 268-281.
E Koneman (2010) Cancer do Pulmão. By Jesse P. Teisceira, Rio de Janeiro. 8½ × 6 in. Pp. 197 + xiv. Illustrated. 1971. Rio de Janeiro: Editora Guanabara Koogan S.A. No price given. 60(1), 82-82.
A Combes, C Luyt, J Fagon (2007) Early predictors for infection recurrence and death in patients with ventilator-associated pneumonia. 35, 146154.
Paul Marik (2010) Aspiration Syndromes: Aspiration Pneumonia and Pneumonitis. 38(1), 35-42.
Michel Moreira, Paulo Gontijo Filho (2012) Relationship between antibiotic consumption, oropharyngeal colonization, and ventilator-associated pneumonia by Staphylococcus aureus in an intensive care unit of a Brazilian teaching hospital. 45(1), 106-111.
Noyal Joseph, Sujatha Sistla, Tarun Dutta, Ashok Badhe, Subhash Parija (2010) Ventilator-associated pneumonia: role of colonizers and value of routine endotracheal aspirate cultures. 14(8), e723-e729.
Lindsey Weiner, Amy Webb, Brandi Limbago, Margaret Dudeck, Jean Patel, Alexander Kallen, Jonathan Edwards, Dawn Sievert (2016) Antimicrobial-Resistant Pathogens Associated With Healthcare-Associated Infections: Summary of Data Reported to the National Healthcare Safety Network at the Centers for Disease Control and Prevention, 2011-2014. 37(11), 1288-1301.
(2014) An Overview of the Clinical and Laboratory Standards Institute (CLSI) and Its Impact on Antimicrobial Susceptibility Tests. 15-20.
Alicia Hidron, Jonathan Edwards, Jean Patel, Teresa Horan, Dawn Sievert, Daniel Pollock, Scott Fridkin (2008) Antimicrobial-Resistant Pathogens Associated With Healthcare-Associated Infections: Annual Summary of Data Reported to the National Healthcare Safety Network at the Centers for Disease Control and Prevention, 2006-2007. 29(11), 996-1011.
A Moraes, R Santos (2003) Infecções em UTI Geral de um Hospital Universitário. 15(4), 135-141.
F Rossi (2011) The challenges of antimicrobial resistance in Brazil. 52(9), 1138-1143.
Marc Mendelson, Malebona Matsoso (2015) The World Health Organization Global Action Plan for antimicrobial resistance. 105(5), 325.
Nasia Safdar, Dennis Maki (2002) The Commonality of Risk Factors for Nosocomial Colonization and Infection with Antimicrobial-Resistant Staphylococcus aureus, Enterococcus, Gram-Negative Bacilli, Clostridium difficile, and Candida. 136(11), 834-844.
Adriana Oliveira, Quésia Damasceno (2010) Superfícies do ambiente hospitalar como possíveis reservatórios de bactérias resistentes: uma revisão. 44(4), 1118-1123.
Carlos Alvarez, Jaime Labarca, Mauro Salles (2010) Prevention strategies for methicillin-resistant Staphylococcus aureus (MRSA) in Latin America. 14(2), 107-108.
Dror Marchaim, Teena Chopra, Ashish Bhargava, Christopher Bogan, Sorabh Dhar, Kayoko Hayakawa, Jason Pogue, Suchitha Bheemreddy, Christopher Blunden, Maryann Shango, Jessie Swan, Paul Lephart, Federico Perez, Robert Bonomo, Keith Kaye (2012) Recent Exposure to Antimicrobials and Carbapenem-Resistant Enterobacteriaceae: The Role of Antimicrobial Stewardship. 33(8), 817-830.
J Trouillet, A Vuagnat, A Combes, N Kassis, J Chastre, C Gibert (2002) Pseudomonas aeruginosaVentilator‐Associated Pneumonia: Comparison of Episodes Due to Piperacillin‐Resistant versus Piperacillin‐Susceptible Organisms. 34(8), 1047-1054.
Rosineide Ribas, Marques (2009) Fatores de risco para colonização por bactérias hospitalares multiresistentes em pacientes críticos, cirúrgicos e clínicos em um hospital universitário brasileiro. 19(3), 193-197.
Fernando Baquero, Maria‐cristina Negri, Maria‐isabel Morosini, Jesús Blázquez (1998) Antibiotic‐Selective Environments. 27(s1), S5-S11.
Mehrdad Askarian, Rahim Afkhamzadeh, Ahmad Monabbati, Florian Daxboeck, Ojan Assadian (2008) Risk factors for rectal colonization with vancomycin-resistant enterococci in Shiraz, Iran. 12(2), 171-175.
Published
2020-08-26
Issue
Section
License
Copyright (c) 2020 Authors and Global Journals Private Limited

This work is licensed under a Creative Commons Attribution 4.0 International License.