Infections and antimicrobial resistance in an adult intensive care unit in a Brazilian hospital and the influence of drug resistance on the thirty-day mortality among patients with bloodstream infections

INTRODUCTIONThe present study aimed to determine the incidence of health care-associated infections (HCAIs) and identify the main resistant microorganisms in intensive care unit (ICU) patients in a Brazilian university hospital. METHODSA retrospective cohort study was conducted in a Brazilian teachi...

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Published in:Revista da Sociedade Brasileira de Medicina Tropical 2020, Vol.53, p.e20190106-e20190106
Main Authors: Sabino, Sebastiana Silva, Lima, Caio Augusto de, Machado, Luiz Gustavo, Campos, Paola Amaral de, Fontes, Astrídia Marília de Souza, Gontijo-Filho, Paulo Pinto, Ribas, Rosineide Marques
Format: Article
Language:English
Subjects:
Bloodstream infections
Infections associated with health care
Intensive care unit
Multidrug-resistant organism
Short Communication
TROPICAL MEDICINE
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Summary:INTRODUCTIONThe present study aimed to determine the incidence of health care-associated infections (HCAIs) and identify the main resistant microorganisms in intensive care unit (ICU) patients in a Brazilian university hospital. METHODSA retrospective cohort study was conducted in a Brazilian teaching hospital between 2012 and 2014. RESULTSOverall, 81.2% of the infections were acquired in the ICU. The most common resistant pathogenic phenotypes in all-site and bloodstream infections were oxacillin-resistant coagulase-negative staphylococci and carbapenem-resistant Acinetobacter spp. (89.9% and 87.4%; 80.6% and 70.0%), respectively. CONCLUSIONSThere is an urgent need to focus on HCAIs in ICUs in Brazil.
ISSN:0037-8682
1678-9849
1678-9849
DOI:10.1590/0037-8682-0106-2019