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Registros recuperados: 3
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Carbapenem stewardship: positive impact on hospital ecology BJID
Lima,Ana Lucia Lei Munhoz; Oliveira,Priscila Rosalba Domingos de; Paula,Adriana Pereira de; Dal-Paz,Karine; Almeida Jr,João Nóbrega de; Félix,Cássia da Silva; Rossi,Flávia.
INTRODUCTION: Excessive group 2 carbapenem use may result in decreased bacterial susceptibility. OBJECTIVE: We evaluated the impact of a carbapenem stewardship program, restricting imipenem and meropenem use. METHODS: Ertapenem was mandated for ESBL-producing Enterobacteriaceae infections in the absence of non-fermenting Gram-negative bacilli (GNB) from April 2006 to March 2008. Group 2 carbapenems were restricted for use against GNB infections susceptible only to carbapenems and suspected GNB infections in unstable patients. Cumulative susceptibility tests were done for nosocomial pathogens before and after restriction using Clinical and Laboratory Standards Institute (CLSI) guide-lines.Vitek System or conventional identification methods were performed...
Tipo: Info:eu-repo/semantics/article Palavras-chave: Carbapenems; Drug resistance; Bacterial ecology.
Ano: 2011 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702011000100001
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Economic impact of treatment for surgical site infections in cases of total knee arthroplasty in a tertiary public hospital in Brazil BJID
Dal-Paz,Karine; Oliveira,Priscila RD; Paula,Adriana P de; Emerick,Maria Cristina da S; Pécora,José Ricardo; Lima,Ana Lucia LM.
The aim of this study was to estimate the additional cost of treatment of a group of nosocomial infections in a tertiary public hospital. A retrospective observational cohort study was conducted by means of analyzing the medical records of 34 patients with infection after total knee arthroplasty, diagnosed in 2006 and 2007, who met the criteria for nosocomial infection according to the Centers for Disease Control and Prevention. To estimate the direct costs of treatment for these patients, the following data were gathered: length of hospital stay, laboratory tests, imaging examinations, and surgical procedures performed. Their costs were estimated from the minimum values according to the Brazilian Medical Association. The estimated cost of the antibiotics...
Tipo: Info:eu-repo/semantics/article Palavras-chave: Hospital acquired infection; Surgery; Costs.
Ano: 2010 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702010000400008
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Gram-negative osteomyelitis: clinical and microbiological profile BJID
Carvalho,Vladimir Cordeiro de; Oliveira,Priscila Rosalba Domingos de; Dal-Paz,Karine; Paula,Adriana Pereira de; Félix,Cássia da Silva; Lima,Ana Lúcia Lei Munhoz.
INTRODUCTION: Despite the growing interest in the study of Gram-negative bacilli (GNB) infections, very little information on osteomyelitis caused by GNB is available in the medical literature. OBJECTIVES AND METHODS: To assess clinical and microbiological features of 101 cases of osteomyelitis caused by GNB alone, between January 2007 and January 2009, in a reference center for the treatment of high complexity traumas in the city of São Paulo. RESULTS: Most patients were men (63%), with median age of 42 years, affected by chronic osteomyelitis (43%) or acute osteomyelitis associated to open fractures (32%), the majority on the lower limbs (71%). The patients were treated with antibiotics as inpatients for 40 days (median) and for 99 days (median) in...
Tipo: Info:eu-repo/semantics/article Palavras-chave: Osteomyelitis Fractures; Open Gram-negative bacterial infections Accidents; Traffic.
Ano: 2012 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702012000100011
Registros recuperados: 3
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