Data/hora: 10/06/2024 15:01:39

Provedor de dados: | 55
País: | Brazil
Título: | Enterobacteriaceae resistant to third generation cephalosporins upon hospital admission: risk factors and clinical outcomes
Autores: | Oliveira,Mirian Cristina; Oliveira,Clara Rodrigues Alves; Gonçalves,Karine Valéria; Santos,Marciléa Silva; Tardelli,Amanda Cristina Silva; Nobre Jr.,Vandack Alencar.
Data: | 2015-06-01
Ano: | 2015
Palavras-chave: | Enterobacteriaceae; Third generation cephalosporins; Risk factors; Antibiotic resistance.
Resumo: | Objectives: Evaluate risk factors and clinical outcomes of infections caused by Enterobacteriaceae resistant to third-generation cephalosporins present in samples collected upon hospital admission.Methods: Risk factors were evaluated using a 1:2 ratio case-control study. Influence of resistance on the appropriateness of antibiotic therapy, length of stay, and hospital mortality were prospectively evaluated. Characteristics independently associated with the presence of resistant enterobacteria were assessed by logistic regression.Results: Enterobacteria resistant to third-generation cephalosporins were quite common (26.0%). Male gender (OR: 2.66; 95% CI, 1.17-5.06; p= 0.019), invasive prosthesis (OR: 3.79; 95% CI, 1.29-11.08; p= 0.015), previous use of cephalosporins (OR: 2.77; 95% CI, 1.10-6.97; p= 0.029) and hospitalization in the last 6 months (OR: 5.33; 95% CI, 2.29-12.44; p&lt; 0.001) were independently associated with the presence of these microorganisms. These bacteria were associated with higher frequency of inappropriate antimicrobial therapy, worse clinical response, and longer length of stay. Finally, older age, admission to the ICU, and site of infection other than urinary tract were independently associated to higher hospital mortality.Conclusions: Risk factors identified in this study may help in the choice of empirical antibiotic therapy for infected patients suspected of harboring these bacteria and in the early implementation of measures to avoid the spread of these bacteria in the hospital environment.
Tipo: | Info:eu-repo/semantics/article
Idioma: | Inglês
Identificador: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702015000300239
Editor: | Brazilian Society of Infectious Diseases
Relação: | 10.1016/j.bjid.2015.01.006
Formato: | text/html
Fonte: | Brazilian Journal of Infectious Diseases  v.19 n.3 2015
Fonte: | info:eu-repo/semantics/openAccess