The emergence of multidrug-resistant acinetobacter baumannii in colombia: a time-series analysis, 2001-2007

Objective This study was aimed at analyzing the phenotypical behavior of Acinetobacter baumannii resistance to antibiotics currently available in Colombia for its treatment. Methods An ecological time-series study was conducted based on information regarding A. baumannii resistance to available anti...

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Autores:
Leal Castro, Aura Lucia
Buitrago Gutierrez, Giancarlo
Sanchez Pedraza, Ricardo
Castillo Londoño, Juan Sebastian
Cortés Luna, Jorge Alberto
Álvarez Moreno, Carlos Arturo
Escobar-Villalba, Nubia
Tipo de recurso:
Article of journal
Fecha de publicación:
2011
Institución:
Universidad Nacional de Colombia
Repositorio:
Universidad Nacional de Colombia
Idioma:
spa
OAI Identifier:
oai:repositorio.unal.edu.co:unal/29400
Acceso en línea:
https://repositorio.unal.edu.co/handle/unal/29400
http://bdigital.unal.edu.co/19448/
http://bdigital.unal.edu.co/19448/2/
Palabra clave:
Acinetobacter baumannii
method
anti-bacterial agent
drug resistance
multiple
Rights
openAccess
License
Atribución-NoComercial 4.0 Internacional
Description
Summary:Objective This study was aimed at analyzing the phenotypical behavior of Acinetobacter baumannii resistance to antibiotics currently available in Colombia for its treatment. Methods An ecological time-series study was conducted based on information regarding A. baumannii resistance to available antibiotics gathered through a Colombian surveillance system involving 33 reference hospitals. Descriptive analysis and modeling forecasting were also carried out. Results The sample included 5.415 A. baumannii isolates collected from 33 hospitals throughout Colombia. This microorganism was the eighth most frequently isolated pathogen in hospital settings, having 3.8 % isolation frequency in intensive care units (ICUs).The study recorded the presence of multidrug-resistant A. baumannii strains since 2001, as well as a dramatic increase in A. baumannii strains having decreased susceptibility to the antibiotics currently available on the market (30 % to 70 %). Conclusion A. baumannii has shown a clear transition to a multidrug resistance profile in Colombia during recent years which includes resistance to important secondline antibiotics, such as carbapenems.