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Registros recuperados: 26
Primeira ... 12 ... Última
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An outbreak of conjunctivitis caused by multiresistant Pseudomonas aeruginosa in a Brazilian Newborn Intensive Care Unit BJID
Brito,D. V. D.; Oliveira,E. J.; Matos,C.; Abdallah,V. O.S.; Gontijo Filho,P.P..
We report an outbreak of conjunctivitis due to Pseudomonas aeruginosa involving seven infants admitted in the Neonatal Intensive Care Unit (NICU) of the Uberlândial Federal University Hospital between March and September 2001. Three infants developed systemic complications (01 sepsis and 02 pneumonias). Ten isolates were obtained from conjunctival cultures and all were resistant to ceftazidime and aminoglycosides. Fast identification of the organism and treatment with imipenem were important in containing the outbreak of P. aeruginosa.
Tipo: Info:eu-repo/semantics/other Palavras-chave: Pseudomonas aeruginosa; Nosocomial infection; Neonatal unit.
Ano: 2003 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702003000400001
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An outbreak of Streptococcus dysgalactiae subsp equisimilis in a hospital in the south of Brazil BJM
Torres,Rosângela Stadnick Lauth de Almeida; Paula,Cristiane Coimbra de; Pilonetto,Marcelo; Fontana,Christine Krawiec; Minozzo,João Carlos; Torres,Rafael de Almeida.
The beta-hemolytic group C streptococci (Lancefield's group) has been considered an emergent human pathogen, showing an important role as an opportunist agent, being responsible for nosocomial infections and outbreaks. This study is reporting the first outbreak of nosocomial infection caused by Streptococcus dysgalactiae subsp. equisimilis in Brazil. From January, 2002, to December, 2004, S. equisimilis was isolated in 67/207 (32.37%) samples from secretions of patients' infected wounds, interned at the Hospital of Sanitary Dermatology in the State of Paraná (HDSPR). The prevalence of this microorganism increased from 11/42 (26.19%) in 2002, 14/65 (21.54%) in 2003 to 42/100 (42.00%) in 2004. This increase was statistically significant (p=0.024), and this...
Tipo: Info:eu-repo/semantics/article Palavras-chave: Nosocomial infection; Group C streptococci; Streptococcus dysgalactiae subsp; Equisimilis; Outbreak.
Ano: 2007 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1517-83822007000300006
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Ants as carriers of antibiotic-resistant bacteria in hospitals Neotropical Entomology
Moreira,Denise D.O.; Morais,Verônica de; Vieira-da-Motta,Olney; Campos-Farinha,Ana E. de C.; Tonhasca Jr.,Athayde.
The presence of antimicrobial-resistant bacteria and carried by ants isolated from hospitals was investigated in Campos dos Goytacazes, RJ, Brazil. Three health institutions were visited from 2001 to 2002 and samples were collected within critical areas of medical care based on criteria of greater risk of patient hospital acquired-infection. Four ant species were identified, Tapinoma melanocephalum (Fabricius)(63.1%), Paratrechina longicornis (Latreille)(21.1%), Monomorium pharaonis (L.)(10.5%), and Solenopsis saevissima (S. Smith)(5.3%) carrying 21 species of bacteria. The tests for bacteria species identification and antimicrobial-resistance profile were carried out by using standardized kits and evaluated by automated equipment. Among the bacteria...
Tipo: Info:eu-repo/semantics/article Palavras-chave: Nosocomial infection; Antimicrobial; Control; Urban ant.
Ano: 2005 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1519-566X2005000600017
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Carbapenem-resistant Acinetobacter baumannii outbreak at university hospital BJM
Takagi,E.H.; Lincopan,N.; Cassettari,V.C.; Passadore,L.F.; Mamizuka,E.M.; Martinez,M.B..
Nineteen clonally related imipenem-resistant Acinetobacter baumannii isolates were recovered from eight intensive care unit patients. All isolates harboured blaOXA-51-like β-lactamase genes and showed the absence of 22 kDa fraction in outer membrane porin profile analysis. It suggests a combination of two mechanisms as responsible for carbapenemresistant phenotypes.
Tipo: Info:eu-repo/semantics/article Palavras-chave: Acinetobacter; BlaOXA-type genes; Carbapenemases; Nosocomial infection; Brazil.
Ano: 2009 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1517-83822009000200024
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Changes in antimicrobial susceptibility of commonly clinically significant isolates before and after the interventions on surgical prophylactic antibiotics (SPAs) in Shanghai BJM
Wang,Su; Han,Li-Zhong; Ni,Yu-Xing; Zhang,Yi-Bo; Wang,Qun; Shi,Da-Ke; Li,Wen-Hui; Wang,Yi-Chen; Mi,Chen-Rong.
Abstract Surveillances and interventions on antibiotics use have been suggested to improve serious drug-resistance worldwide. Since 2007, our hospital have proposed many measures for regulating surgical prophylactic antibiotics (carbapenems, third gen. cephalosporins, vancomycin, etc.) prescribing practices, like formulary restriction or replacement for surgical prophylactic antibiotics and timely feedback. To assess the impacts on drug-resistance after interventions, we enrolled infected patients in 2006 (pre-intervention period) and 2014 (post-intervention period) in a tertiary hospital in Shanghai. Proportions of targeted pathogens were analyzed: methicillin-resistant Staphylococcus aureus (MRSA), vancomycin-resistant Enterococcus spp. (VRE),...
Tipo: Info:eu-repo/semantics/article Palavras-chave: Surgical prophylactic antibiotics; Intervention; Resistance; Nosocomial infection.
Ano: 2018 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1517-83822018000300552
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Composição, abundância e índice de infestação de espécies de formigas em um hospital materno-infantil de Palmas, TO Neotropical Entomology
Bragança,Marcos A L; Lima,Jefferson D.
This first survey of the ant fauna in a children's hospital in the city of Palmas, state of Tocantins, compares species composition, abundance and infestation rate of ants between rainy and dry seasons, day and night periods, and among 15 hospital sectors. Forty-eight collections, being 12 diurnal and 12 nocturnal in each season using five attractive baits distributed per sector, maintained for 3h per sampling. A total of 34,309 ants were collected, distributed in 12 species: Acromyrmex sp., Brachymyrmex sp., Camponotus spp. (four morphospecies), Dorymyrmex sp., Tetramorium sp., Solenopsis globularia (Creighton), Solenopsis saevissima Smith, Tapinoma melanocephalum (Fabricius) and Paratrechina longicornis (Latreille). The hospital presented an average...
Tipo: Info:eu-repo/semantics/article Palavras-chave: Nosocomial infection; Diurnal activity; Nocturnal activity; Seasonality; Hospital sector.
Ano: 2010 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1519-566X2010000100017
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Disseminação de bactérias patogênicas por formigas (Hymenoptera: Formicidae) em dois hospitais do nordeste do Brasil Neotropical Entomology
Fontana,Renato; Wetler,Rita M da C; Aquino,Renata S S; Andrioli,João L; Queiroz,Guilherme R G; Ferreira,Sônia L; Nascimento,Ivan C do; Delabie,Jacques H C.
Nosocomial infections bring a high risk to the health of hospital patients and employees. Ants are common organisms in Brazilian hospitals, where they can act as dispersers of opportunistic microorganisms in places they forage. The occurrence of multi-resistant bacteria carried by ants was analyzed in two public hospitals (HA and HB) in southeastern Bahia, Brazil. In these two hospitals 132 workers belonging to three ant species were collected. The bacteria associated to these ants were identified and their susceptibility to antibiotics was evaluated. More than half (57.3%) of ants collected in HA were associated with some kind of bacteria, with 26.7% of them being opportunist bacteria, while 84,2% of the ants from HB presented associated bacteria growth,...
Tipo: Info:eu-repo/semantics/article Palavras-chave: Nosocomial infection; Public health; Urban ant.
Ano: 2010 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1519-566X2010000400029
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Effect of heat and moisture exchangers on the prevention of ventilator-associated pneumonia in critically ill patients BJMBR
Auxiliadora-Martins,M.; Menegueti,M.G.; Nicolini,E.A.; Alkmim-Teixeira,G.C.; Bellissimo-Rodrigues,F.; Martins-Filho,O.A.; Basile-Filho,A..
Ventilator-associated pneumonia (VAP) remains one of the major causes of infection in the intensive care unit (ICU) and is associated with the length of hospital stay, duration of mechanical ventilation, and use of broad-spectrum antibiotics. We compared the frequency of VAP 10 months prior to (pre-intervention group) and 13 months after (post-intervention group) initiation of the use of a heat and moisture exchanger (HME) filter. This is a study with prospective before-and-after design performed in the ICU in a tertiary university hospital. Three hundred and fourteen patients were admitted to the ICU under mechanical ventilation, 168 of whom were included in group HH (heated humidifier) and 146 in group HME. The frequency of VAP per 1000 ventilator-days...
Tipo: Info:eu-repo/semantics/article Palavras-chave: Heat and moisture exchanger; Ventilator-associated pneumonia; Quality improvement; Nosocomial infection; Critically ill patients.
Ano: 2012 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2012001200027
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Effects of hydrogen peroxide mouthwash on preventing ventilator-associated pneumonia in patients admitted to the intensive care unit BJID
Nobahar,Monir; Razavi,Mohammad Reza; Malek,Farhad; Ghorbani,Raheb.
Abstract Aims The aim of the study was to determine the effect of hydrogen peroxide (HP) mouthwash on the incidence of ventilator associated pneumonia (VAP) in patients admitted to the intensive care unit (ICU). Methods This was a randomized clinical trial conducted on 68 patients. The intervention group used 3% HP as mouthwash and the control group used mouthwashes with 0.9% normal saline (NS) twice a day. Data were collected using a questionnaire and the Modified Clinical Pulmonary Infection Score (MCPIS). MCPIS includes five items, body temperature: white blood cell count, pulmonary secretions, the ratio of pressure of arterial oxygen (PaO2) to fraction of inspired oxygen (FiO2), and the chest X-ray. Each of these items scored 0–2. Scores ≥6 were...
Tipo: Info:eu-repo/semantics/article Palavras-chave: Nosocomial infection; Ventilator associated pneumonia; Hydrogen peroxide; Intensive care unit.
Ano: 2016 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702016000500444
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Epidemiologically relevant antimicrobial resistance phenotypes in pathogens isolated from critically ill patients in a Brazilian Universitary Hospital BJM
Carvalho,Rodolfo Henriques de; Gontijo Filho,Paulo P..
Antimicrobial resistance is a threat to public health worldwide and is associated with higher mortality and morbidity. Despite the extensive knowledge about this problem, drug resistance has continued to emerge, especially in intensive care units (ICUs). The objective of this study was to evaluate the frequencies of epidemiologically relevant resistance phenotypes in pathogens isolated from ventilator-associated pneumonia (VAP), bloodstream infections (BSI) and urinary tract infections (UTI) in patients admitted in the adult intensive care unit (AICU) of the Clinical Hospital of Federal University of Uberlândia, during an one year period. Additionally, at the period of the study, the antibiotic consumption in AICU was verified. Coagulase-negative...
Tipo: Info:eu-repo/semantics/article Palavras-chave: Nosocomial infection; Epidemiology; Multiresistant microorganisms.
Ano: 2008 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1517-83822008000400005
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Etiology and pathogenesis of bloodstream infections associated with the use of long-term central vascular catheter (CVC) in patients who undergone gastrointestinal surgery BJID
Brito,Cristiane Silveira; Gondim,Bruna Amâncio; Diogo Filho,Augusto; Gontijo Filho,Paulo P..
CVC is the main factor of risk of bloodstream infections. This study purpose was determining both etiology and pathogenesis of these infections in 80 patients who undergone gastrointestinal surgery and who worn long lasting CVC, in the institution HC-UFU. Cultures were made in nostril, skin of the insertion site, tip and catheter hub, in addition to hemoculture in those suspects of sepsis. The colonization incidence rate of the catheter tip was 12.5/ 1,000 catheter days and the CVC associate infection rate was 3.1/1,000 catheter days. Frequencies of skin, hub and catheter tip colonization were 13.8%, 8.9% and 13.3%, respectively. Coagulase-negative Staphylococci were the most found microorganisms in nostril (74%), skin (45.4%) and hub (75%) and...
Tipo: Info:eu-repo/semantics/article Palavras-chave: Nosocomial infection; Central vascular catheter; Bloodstream infections.
Ano: 2007 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702007000100021
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Extended-spectrum beta-lactamase-producing bacteria isolated from hematologic patients in Manaus, State of Amazonas, Brazil BJM
Ferreira,Cristina Motta; Ferreira,William Antunes; Almeida,Nayanne Cristina Oliveira da Silva; Naveca,Felipe Gomes; Barbosa,Maria das Graças Vale.
Antibiotic therapy in hematologic patients, often weak and susceptible to a wide range of infections, particularly nosocomial infections derived from long hospitalization periods, is a challenging issue. This paper presents ESBL-producing strains isolated from such hematologic patients treated at the Amazon Hematology and Hemotherapy Foundation (HEMOAM) in the Brazilian Amazon Region to identify the ESBL genes carried by them as well as the susceptibility to 11 antimicrobial agents using the E-test method. A total of 146 clinical samples were obtained from July 2007 to August 2008, when 17 gram-negative strains were isolated in our institution. The most frequent isolates confirmed by biochemical tests and 16S rRNA sequencing were E. coli (8/17), Serratia...
Tipo: Info:eu-repo/semantics/article Palavras-chave: ESBL; Beta-lactams; Nosocomial infection; TEM; SHV; OXA; CTX-M.
Ano: 2011 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1517-83822011000300028
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Farnesol in combination with N-acetylcysteine against Staphylococcus epidermidis planktonic and biofilm cells BJM
Gomes,Fernanda; Leite,Bruna; Teixeira,Pilar; Azeredo,Joana; Oliveira,Rosário.
Staphylococcus epidermidis is the most frequent cause of nosocomial sepsis and catheter-related infections, in which biofilm formation is considered to be the main virulence mechanism. In biofilm environment, microbes exhibit enhanced resistance to antimicrobial agents. This fact boosted the search of possible alternatives to antibiotics. Farnesol and N-acetylcysteine (NAC) are non-antibiotic drugs that have demonstrated antibacterial properties. In this study, the effect of farnesol and NAC isolated or in combination (farnesol+NAC) was evaluated. NAC at 10 × MIC caused a total cell death in planktonic cells. On the other hand, S. epidermidis biofilms exhibited 4 log reduction in viable cell number after a 24h treatment with NAC at the former...
Tipo: Info:eu-repo/semantics/article Palavras-chave: Nosocomial infection; Biofilm; Staphylococci; Farnesol; N- acetylcysteine.
Ano: 2012 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1517-83822012000100026
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Hepatitis C risk factor for patients submitted to dialysis BJID
Baldessar,Maria Zélia; Bettiol,Jane; Foppa,Fabrício; Oliveira,Lúcia Helena das Chagas.
This article reports the results of the research which has evaluated the prevalence and factors associated to the presence of Hepatitis C in patients submitted to dialysis at the Clinica de Doenças Renais (Clinic of Renal Diseases) in Tubarao city (CRDT), Santa Catarina State, Brazil, in the period between January 1st, 2004 to December 31st in the same year. The prevalence of 16.8% of Hepatitis C in the studied population and the time-length of dialysis as significative risk factor have become evident. The non-correlation of seropositivity of the followings factors is also indicated: age, gender, base diseases, infrastructures, the type of clinic machines, the type of dialyser, used membranes, the machine sterilisation and substances for this process as...
Tipo: Info:eu-repo/semantics/article Palavras-chave: Dialysis; Hepatitis C; Nosocomial infection.
Ano: 2007 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702007000100005
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In vitro antimicrobial activity of linezolid tested against vancomycin-resistant enterococci isolated in Brazilian hospitals BJID
Reis,Adriana O.; Cordeiro,Julio C. R.; Machado,Antonia M.O.; Sader,Helio S..
The emergence of vancomycin-resistant enterococci (VRE) has been described recently in Brazil. This is in contrast to the USA and Europe, where the VRE appeared in the late 1980s. The progressive increase in VRE isolation poses important problems in the antimicrobial therapy of nosocomial infections. Treatment options and effective antimicrobial agents for VRE are often limited and the possibility of transfer of vancomycin genes to other Gram-positive microorganisms continues. In the search for antimicrobial agents for multiresistant Gram-positive cocci, compounds such as linezolid and quinupristin/dalfopristin have been evaluated. The present study was conducted to evaluate the in vitro activity of the oxazolidinone linezolid and 10 other antimicrobial...
Tipo: Info:eu-repo/semantics/article Palavras-chave: Linezolid; Vancomycin-resistant enterococci; Quinupristin/dalfopristin-resistant Enterococcus faecium; Clonal dissemination; Nosocomial infection.
Ano: 2001 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702001000500002
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Klebsiella pneumoniae outbreak in a cancer unit of a general hospital: predisposing factors and evaluation of the impact of intervention measures BJID
Silva,Cristiane Pavanello Rodrigues; Amarante,Jorge Manoel Buchdid; Lacerda,Rúbia Aparecida; Biancalana,Maria Lúcia das Neves.
We made a retrospective cohort study of a primary bloodstream infection outbreak in patients of a cancer unit in a general hospital, evaluated the impact of intervention measures and investigated the predisposing factors. The targeted predisposing factors were selected based on the medical literature. The data were treated with univariate analysis to calculate the relative risk, and statistical significance was set at p<0.05. The presence of a long-term totally-implanted central venous catheter appears to be a predisposing factor, while a peripheral venous catheter appears to have offered protection from infection. This is reinforced by fact that intervention measures controlled the outbreak, suggesting cross-contamination from a common source. These...
Tipo: Info:eu-repo/semantics/article Palavras-chave: Nosocomial infection; Hospital-acquired infection.
Ano: 2005 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702005000300005
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Nosocomial infections in brazilian pediatric patients: using a decision tree to identify high mortality groups BJID
Lopes,Julia M.M.; Goulart,Eugenio M.A.; Siqueira,Arminda L.; Fonseca,Inara K.; Brito,Marcus V.S. de; Starling,Carlos E.F..
Nosocomial infections (NI) are frequent events with potentially lethal outcomes. We identified predictive factors for mortality related to NI and developed an algorithm for predicting that risk in order to improve hospital epidemiology and healthcare quality programs. We made a prospective cohort NI surveillance of all acute-care patients according to the National Nosocomial Infections Surveillance System guidelines since 1992, applying the Centers for Disease Control and Prevention 1988 definitions adapted to a Brazilian pediatric hospital. Thirty-eight deaths considered to be related to NI were analyzed as the outcome variable for 754 patients with NI, whose survival time was taken into consideration. The predictive factors for mortality related to NI (p...
Tipo: Info:eu-repo/semantics/article Palavras-chave: Epidemiology; Healthcare quality; Mortality; Nosocomial infection; Pediatric hospital.
Ano: 2009 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702009000200008
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Pathogen frequency and resistance patterns in Brazilian hospitals: summary of results from three years of the SENTRY antimicrobial surveillance program BJID
Sader,Helio S.; Gales,Ana C.; Pfaller,Michael A.; Mendes,Rodrigo E.; Zoccoli,Cássia; Barth,Afonso; Jones,Ronald N..
BACKGROUND: Pathogen frequency and resistance patterns may vary significantly from country to country and also in different hospitals within a country. Thus, regional surveillance programs are essential to guide empirical therapy and infection control measures. METHODS: Rank order of occurrence and antimicrobial susceptibility of pathogenic species causing bloodstream infections (BSI), lower respiratory tract infections (LRTI), wound or skin and soft tissue infections (WSSTI), and urinary tract infections (UTI) in hospitalized patients were determined by collecting consecutive isolates over a specified period of time, as part of the SENTRY Antimicrobial Resistance Surveillance Program (SENTRY). All isolates were tested by reference broth microdilution....
Tipo: Info:eu-repo/semantics/article Palavras-chave: SENTRY; Antimicrobial resistance; Nosocomial infection; Surveillance program.
Ano: 2001 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702001000400006
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Pediatric mortality due to nosocomial infection: a critical approach BJID
Lopes,Julia Marcia Maluf; Goulart,Eugenio Marcos Andrade; Starling,Carlos Ernesto Ferreira.
Nosocomial infection is a frequent event with potentially lethal consequences. We reviewed the literature on the predictive factors for mortality related to nosocomial infection in pediatric medicine. Electronic searches in English, Spanish and Portuguese of the PubMed/MEDLINE, LILACS and Cochrane Collaboration Databases was performed, focusing on studies that had been published from 1996 to 2006. The key words were: nosocomial infection and mortality and pediatrics/neonate/ newborn/child/infant/adolescent. The risk factors found to be associated with mortality were: nosocomial infection itself, leukemia, lymphopenia, neutropenia, corticosteroid therapy, multiple organ failure, previous antimicrobial therapy, catheter use duration, candidemia, cancer,...
Tipo: Info:eu-repo/semantics/article Palavras-chave: Nosocomial infection; Mortality; Prognosis; Healthcare quality; Pediatric hospital.
Ano: 2007 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702007000500013
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Phenotyping and genotyping methods applied to investigate the relatedness of Brazilian isolates of Enterobacter cloacae BJMBR
Darini,A.L.C.; Magalhães,V.D.; Levy,C.L.; Barth,A.L.; Coscina,A.L..
In order to evaluate the resolving power of several typing methods to identify relatedness among Brazilian strains of Enterobacter cloacae, we selected twenty isolates from different patients on three wards of a University Hospital (Orthopedics, Nephrology, and Hematology). Traditional phenotyping methods applied to isolates included biotyping, antibiotic sensitivity, phage-typing, and O-serotyping. Plasmid profile analysis, ribotyping, and macrorestriction analysis by pulsed-field gel electrophoresis (PFGE) were used as genotyping methods. Sero- and phage-typing were not useful since the majority of isolates could not be subtyped by these methods. Biotyping, antibiogram and plasmid profile permitted us to classify the samples into different groups...
Tipo: Info:eu-repo/semantics/other Palavras-chave: Enterobacter cloacae; Phage-typing; Serotyping; Ribotyping; Pulsed-field gel electrophoresis; Nosocomial infection.
Ano: 1999 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X1999000900004
Registros recuperados: 26
Primeira ... 12 ... Última
 

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