Pseudomonas aeruginosa in the ICU: prevalence, resistance profile, and antimicrobial consumption

被引:19
作者
da Silva Ribeiro, Aghata Cardoso [1 ]
Lonardoni Crozatti, Marcia Terezinha [1 ]
da Silva, Adilson Aderito [2 ]
Macedo, Rodrigo Spineli [3 ]
de Oliveira Machado, Antonia Maria [4 ]
de Albuquerque Silva, Antonio Tavora [1 ]
机构
[1] Univ Fed Sao Paulo, Inst Ciencias Ambientais Quim & Farmaceut, Diadema, SP, Brazil
[2] Univ Presbiteriana Mackenzie, Ctr Ciencias Sociais & Aplicadas, Sao Paulo, SP, Brazil
[3] Univ Fed Sao Paulo, Hosp Univ UNIFESP, Hosp Sao Paulo, Sao Paulo, SP, Brazil
[4] Univ Fed Sao Paulo, Dept Med, Lab Cent, Hosp Sao Paulo, Sao Paulo, SP, Brazil
关键词
Pseudomonas aeruginosa; Antimicrobial agents; Drug resistance; INTENSIVE-CARE-UNIT;
D O I
10.1590/0037-8682-0498-2018
中图分类号
R38 [医学寄生虫学]; Q [生物科学];
学科分类号
07 ; 0710 ; 09 ; 100103 ;
摘要
Introduction: Pseudomonas aeruginosa is one of the main pathogens causing infection in intensive care units (ICUs) and usually presents antimicrobial resistance. Methods: Data were obtained from ICUs between 2010 and 2013. Results: P. aeruginosa had a prevalence of 14.5% of which 48.7% were multidrug resistant. We observed increasing resistance to carbapenems and polymyxin B and growing consumption of aminoglycosides, meropenem, ceftazidime, and polymyxin B. The regression impact between resistance and consumption was significant with respect to amikacin, imipenem. meropenem, and polymyxin B. Conclusions: Monitoring antimicrobial consumption and resistant microorganisms should be reinforced to combat antimicrobial- and multidrug resistance.
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页数:6
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