Factores de riesgo para infección por Pseudomonas aeruginosa multi-resistente en un hospital de alta complejidad

Introduction: Multi-resistant Pseudomonas aeruginosa (MR) is frequently associated with healthcare infections. Its epidemiology is complex and few studies help to understand it. A study about risk factors associated with this type of bacteria is needed. Objective: To determine risk factors associate...

Full description

Autores:
Ossa Giraldo, Ana claudia
Echeverri-Toro L.M.
Santos Z.M.
García M.G.
Agudelo Y.
Ramírez F.
Ospina S.
Tipo de recurso:
Article of journal
Fecha de publicación:
2023
Institución:
Universidad Cooperativa de Colombia
Repositorio:
Repositorio UCC
Idioma:
OAI Identifier:
oai:repository.ucc.edu.co:20.500.12494/49701
Acceso en línea:
https://doi.org/10.4067/S0716-10182014000400003
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84923352689&doi=10.4067%2fS0716-10182014000400003&partnerID=40&md5=246a89809950dcc598c1f9e6a1a2c750
https://hdl.handle.net/20.500.12494/49701
Palabra clave:
ADULT
AGED
CASE CONTROL STUDY
CASE-CONTROL STUDIES
COLOMBIA
CROSS INFECTION
DRUG RESISTANCE, MULTIPLE, BACTERIAL
FEMALE
HUMAN
HUMANS
LENGTH OF STAY
MALE
MICROBIOLOGY
MIDDLE AGED
MULTIDRUG RESISTANCE
PSEUDOMONAS AERUGINOSA
PSEUDOMONAS INFECTIONS
RISK FACTOR
RISK FACTORS
TERTIARY CARE CENTER
TERTIARY CARE CENTERS
Rights
openAccess
License
http://purl.org/coar/access_right/c_abf2
Description
Summary:Introduction: Multi-resistant Pseudomonas aeruginosa (MR) is frequently associated with healthcare infections. Its epidemiology is complex and few studies help to understand it. A study about risk factors associated with this type of bacteria is needed. Objective: To determine risk factors associated with MR P. aeruginosa infection in hospitalized patients from the Hospital Universitario San Vicente Foundation-Medellin. Materials and Methods: case-control study to identify risk factors associated with infection by MR P. aeruginosa. Results: 140 patients were included, 70 in each group. Bivariate analysis found association with previous use of carbapenems (OR 3.12 - IC 1.21 to 8.03, p = 0.02), aminoglycosides (OR 5.09 - CI: 1.38 to 18, 77, p = 0.01) and days of stay prior to isolation of the organism (OR 1.03 - CI: 1.01-1.05, p = 0.01). In multivariate analysis MR P. aeruginosa infection was associated with hospital stay (OR 1.03 - IC 1.01 to 1.05), use of aminoglycosides (OR 1.30 to 19.28) and treatment with two or more antimicrobials in the last 30 days (OR 3.09 - CI: 1.26 to 7.58). The risk of developing infection was 3% per day of hospital stay prior to isolation of the agent. Conclusion: Developing MR P. aeruginosa infection was associated with prior use of antimicrobials and prior hospital stay. © 2014, Sociedad Chilena de Infectologia. All rights reserved.