Risk of vancomycin-resistant enterococci bloodstream infection among patients colonized with vancomycin-resistant enterococci

Kara, Ahu; Devrim, İlker; Bayram, Nuri; Katipoğlu, Nagehan; Kıran, Ezgi; Oruç, Yeliz; Demiray, Nevbahar; Apa, Hurşit; Gülfidan, Gamze

doi:10.1016/j.bjid.2014.09.010

Cited by 33 publications

(23 citation statements)

References 34 publications

(52 reference statements)

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“…14 Previous studies have evaluated the predictive value of VRE screening swabs in forecasting the prevalence of VRE among all causes of bacterial infection. [15][16][17][18][19] In this study, we sought to investigate the utility of results obtained with VRE screening swabs in predicting vancomycin resistance among subsequent sterile-site infections with Enterococcus. We hypothesized that among patients with sterile-site Enterococcus infections, prior positive results with VRE screening swabs would reliably predict vancomycin resistance, but prior negative results would not reliably rule out vancomycin resistance.…”

mentioning

confidence: 99%

Predictive utility of swab screening for vancomycin-resistant Enterococcus in selection of empiric antibiotics for Enterococcus sterile-site infections: a retrospective cohort study

et al. 2017

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mentioning

confidence: 99%

Predictive utility of swab screening for vancomycin-resistant Enterococcus in selection of empiric antibiotics for Enterococcus sterile-site infections: a retrospective cohort study

et al. 2017

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“…E, quando se refere ao óbito ocorrido em pacientes que desenvolveram IRAS, essa taxa poderá chegar a 70%. 13 Em uma pesquisa realizada na UTI do Complexo Hospitalar Mangabeira Governador Tarcísio Burity, localizado no município de João Pessoa-PB, dos pacientes analisados 51,6% eram do sexo masculino; em relação ao tipo de internação 57,4% foram indicações clínicas; quanto a procedência 38,9% foram procedentes de outras unidades do hospital; o tempo médio de permanência na UTI foi de 9,18 dias, o que diverge com os dados encontrados no presente estudo; e no que se refere à faixa etária, 52% estavam acima de 65 anos. Este dado corrobora com esta pesquisa.…”

Section: Resultsunclassified

Infecções relacionadas à assistência à saúde ocorridas em uma Unidade de Terapia Intensiva

Rodrigues

Pereira

2016

RIB

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Resumo: As infecções hospitalares são as mais importantes complicações ocorridas em pacientes hospitalizados. Objetivou-se descrever as infecções relacionadas à assistência à saúde ocorridas em uma UTI de um hospital público em São Luís-MA. Trata-se de um estudo descritivo, analítico e transversal realizado com 1048 pacientes que foram admitidos na UTI no período de janeiro de 2012 a dezembro de 2013. Para análise estatística foi utilizado o Programa Bioestat 5.0, sendo usado o Teste do Qui-quadrado estimando a Odds Ratio (OR), intervalo de confiança de 95% e valor p<0,001, e o Teste Kruskal-Wallis. Dos pacientes analisados, 50,38% eram do sexo feminino; 37,11% tinham mais de 65 anos; 43% foram internados para realizar cirurgia eletiva; 48,5% foram oriundos do centro cirúrgico; a duração média das internações foi de 7,41 dias e 31,25% evoluíram ao óbito. Em relação aos eventos infecciosos ocorridos, 47,03 % apresentaram PAVM, 15,14% pneumonia nosocomial, 14,05% ITU associada ao cateter e 9,73% tiveram IPCS. Em se tratando dos óbitos ocorridos, os pacientes com PAVM têm uma chance 4 vezes maior de evoluírem a óbito do que os pacientes que não apresentaram nenhum tipo de infecção (p<0,0001); e, para finalizar, os pacientes com PAVM apresentam uma maior probabilidade de desenvolver os quadros de sepse e choque séptico do que os pacientes que apresentaram ITU (p=0,008). Constatou-se que a infecção mais incidente foi a PAVM, o que sugere uma reavaliação nos protocolos e educação permanente dos profissionais de saúde. Palavras-chaves:Infecções. Assistência. Unidade Terapia Intensiva. Abstract:The hospital infections are the most important complications occurred among hospitalized patients. It is aimed at describing infections related to the health assistance occurred at an UTI of a public hospital in São Luís-MA (Brazil). It dealt with a descriptive, analytical and transversal study performed among 1048 patients who were admitted in the UTI in the period from January 2012 to December 2013. To the statistical analysis it was used the Bioestat Software 5.0, being used the QuiSquare Test. It is believed that the Odds Ratio (OR) in an interval of confidence 95% and as to its value P < 0,0001, and the Kruskal-Wallis Test. From the analysed patients 50,38% were female ones; 37,11% were more than 65 years old; 43% were admitted to have elective surgery; 48,5% came from the chirurgical centre; the leught of hospitalization was of 7,41 days and 31,25% died. As to the infections occurrences 47,03% presented PAVM, 15,14% got nosocomial pneumonia, 14,05% ITU associated to catheter and 9,73% got IPCS. As to the occurred deaths the PAVM pacients had a 4 time chance major to face death than the patients who didn't expressed any type of infection (p<0,0001); and to finish the PAVM patients expressed a major probability of developing the septic process and septic shock than the patients who expressed ITU (p=0,008). It was observed that the most frequent infection was the PAVM, that suggests a reassessment of the protocols and a contin...

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“…In a study performed by Ostrowski et al, prevalence of VRE colonization in surgical intensive care unit was found as 12% and organ transplantation was defined as a risk factor 18 . When reasons of the hospitalization were analyzed in our patient groups; number of the patients who were admitted to the intensive care unit with internal reasons was found to be higher than the other causes.…”

Section: Discussionmentioning

confidence: 99%

Importance Of The Rısk Factors For Vancomycın Resıstant Enterococcus Infectıon/Colonızatıon Development In Tertıary Intensıve Care Unıts

Erdem¹,

Kanyılmaz²,

Akan³

et al. 2016

Kafkas J Med Sci

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Risk of vancomycin-resistant enterococci bloodstream infection among patients colonized with vancomycin-resistant enterococci

Cited by 33 publications

References 34 publications

Predictive utility of swab screening for vancomycin-resistant Enterococcus in selection of empiric antibiotics for Enterococcus sterile-site infections: a retrospective cohort study

Predictive utility of swab screening for vancomycin-resistant Enterococcus in selection of empiric antibiotics for Enterococcus sterile-site infections: a retrospective cohort study

Infecções relacionadas à assistência à saúde ocorridas em uma Unidade de Terapia Intensiva

Importance Of The Rısk Factors For Vancomycın Resıstant Enterococcus Infectıon/Colonızatıon Development In Tertıary Intensıve Care Unıts

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