Infection or colonization with resistant microorganisms: identification of predictors

被引:7
作者
de Moraes, Graciana Maria [1 ]
Cohrs, Frederico Molina [2 ]
Assayag Batista, Ruth Ester [2 ]
Grinbaum, Renato Satovschi [1 ]
机构
[1] Inst Assistencia Med Servidor Publ Estadual, Sao Paulo, Brazil
[2] Univ Fed Sao Paulo, Sao Paulo, Brazil
关键词
Nursing assessment; Nursing research; Infection/nursing; Risk factors; Forecasting; PSEUDOMONAS-AERUGINOSA BACTEREMIA; STAPHYLOCOCCUS-AUREUS; RISK-FACTORS; ACINETOBACTER-BAUMANNII; HEALTH; SURVEILLANCE; ACQUISITION; ENTEROCOCCI; ADULTS;
D O I
10.1590/S0103-21002013000200013
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Objective: Identifying predictors of infection or colonization with resistant microorganisms. Methods: A quantitative study of prospective cohort was carried out. A descriptive analysis was performed in order to know the population of the study and a discriminant analysis was performed to identify the predictors. Results: In this study were included 85 patients with infections caused by resistant microorganisms: carbapenem-resistant Pseudomonas aeruginosas (24.7%); carbapenem-resistant Acinetobacter (21.2%); methicillin-resistant Staphylococcus aureus (25.9%), vancomycin-resistant Enterococcus spp (17.6%) and carbapenem-resistant Klebsiella pneumonia (10.6%). The discriminant analysis identified transfers from other hospitals and hospitalization in intensive care unit as predictors for the occurrence of infections by the following groups: S. aureus resistant to methicillin, Acinetobacter resistant to carbapenems and K. pneumoniae resistant to carbapenems. None of the studied variables was discriminant for vancomycin-resistant Enterococcus spp. and carbapenem-resistant P. aeruginosas. Conclusion: The predictors found were: ICU hospitalization and transfers from other hospitals.
引用
收藏
页码:185 / 191
页数:7
相关论文
共 26 条
[1]  
Amin Alpesh N, 2007, Cleve Clin J Med, V74 Suppl 4, pS2
[2]   Infection control - A problem for patient safety [J].
Burke, JP .
NEW ENGLAND JOURNAL OF MEDICINE, 2003, 348 (07) :651-656
[3]  
Cano ME, 2008, ENFERM INFEC MICR CL, V26, P220, DOI 10.1016/S0213-005X(08)72694-6
[4]   Health and economic outcomes of antibiotic resistance in Pseudomonas aeruginosa [J].
Carmeli, Y ;
Troillet, N ;
Karchmer, AW ;
Samore, MH .
ARCHIVES OF INTERNAL MEDICINE, 1999, 159 (10) :1127-1132
[5]   An effective intervention to limit the spread of an epidemic carbapenem-resistant Klebsiella pneumoniae strain in an acute care setting: From theory to practice [J].
Ciobotaro, Pnina ;
Oved, Maly ;
Nadir, Eyal ;
Bardenstein, Rita ;
Zimhony, Oren .
AMERICAN JOURNAL OF INFECTION CONTROL, 2011, 39 (08) :671-677
[6]  
European Centre for Disease Prevention and Control, HEALTHC ASS INF
[7]  
Ferrareze Maria Verônica Guilherme, 2007, Acta paul. enferm., V20, P7, DOI 10.1590/S0103-21002007000100002
[8]   Prediction rules to identify patients with methicillin-resistant Staphylococcus aureus and vancomycin-resistant enterococci upon hospital admission [J].
Furuno, JP ;
Harris, AD ;
Wright, MO ;
McGregor, JC ;
Venezia, RA ;
Zhu, JK ;
Perencevich, EN .
AMERICAN JOURNAL OF INFECTION CONTROL, 2004, 32 (08) :436-440
[9]   Targeted Surveillance of Methicillin-Resistant Staphylococcus aureus and Its Potential Use To Guide Empiric Antibiotic Therapy [J].
Harris, Anthony D. ;
Furuno, Jon P. ;
Roghmann, Mary-Claire ;
Johnson, Jennifer K. ;
Conway, Laurie J. ;
Venezia, Richard A. ;
Standiford, Harold C. ;
Schweizer, Marin L. ;
Hebden, Joan N. ;
Moore, Anita C. ;
Perencevich, Eli N. .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 2010, 54 (08) :3143-3148
[10]  
Horan TC, 2004, HOSP EPIDEMIOLOGY IN, V3, P1659