Evaluation of the sensitivity and specificity of criteria for isolation of patients admitted to a specialized cancer hospital

Cataneo, Caroline; Canini, Sílvia Rita Marin da Silva; Castro, Paulo de Tarso Oliveira e; Hayashida, Miyeko; Gir, Elucir

doi:10.1590/s0104-11692011000500003

Cited by 4 publications

(5 citation statements)

References 18 publications

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“…The bacteria that commonly cause disease in immunocompromised patients are the same ones that affect immunocompetent individuals; gram-positive patients account for 60% to 70% of infections episodes, documented microbiologically in neutropenic patients, and the most common microorganisms are coagulase negative staphylococci and enterococci Resistant to vancomycin [18].…”

Section: Resultsmentioning

confidence: 99%

“…According to the Guideline Management of multidrug-resistant organisms in healthcare settings [7], the recommended interventions for the control of multiresistant microorganisms in the health services are grouped into seven categories: administrative support, careful use of antimicrobials, surveillance the use of standard and contact precautions, environmental and educational measures and decolonization [18].…”

Section: Resultsmentioning

confidence: 99%

“…In cancer patients, risk factors may overlap, since, in addition to the immunocompromising caused by the pathology itself, they are submitted to surgical, chemotherapeutic and/or radiotherapeutic treatment, and neutropenia, induced by chemotherapy, is one of the greatest risks for infection in this population [18].…”

Section: Susceptibility In Oncologic Patientsmentioning

confidence: 99%

“…Some studies recommend its performance in all patients admitted to the hospital, independently of the evaluation of the risk criteria. However, the time spent to perform the microbiological tests and the high cost of the procedure have made it difficult to implement this routine in most hospitals, and the clinical criteria are the most promising and cost-effective option when compared to the surveillance culture [18].…”

Section: Susceptibility In Oncologic Patientsmentioning

confidence: 99%

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Main Microbial Genres and Its Profile of Resistance and Sensitivity to Antimicrobials Used in the Treatment of Oncological Patients with Febril Neutropenia

Póvoa¹,

Vieira²,

Sathler³

et al. 2018

JBM

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Objective: To determine the main microbial genotypes and their antimicrobial resistance and susceptibility profile commonly used in the treatment of oncologic patients with febrile neutropenia, carried out through the review of the clinical histories of the patients' medical records at the Hospital do Câncer de Muriaé-Fundação Cristiano Varella. Methods: Quantitative research, determined the susceptibility profile of microorganisms in patients with febrile neutropenia from April 2007 to April 2008 by reviewing clinical histories of patients' medical records at the referred hospital. Results: Of the total of 8 patients evaluated with Gram-negative microorganisms, 50% of the patients were female and 50% were male. Of the 18 patients evaluated with Gram-positive microorganisms 66% were female and 34% male. Gram-positive bacteria are prevalent and cause around 60% of documented bacteremias, although Gram-negative bacteria are more common in febrile neutropenic patientes. Conclusion: Exaggerated use of antimicrobials in hospitalized patients leads to the suppression of drug-sensitive microorganisms from the intestinal flora and promotes the persistence and growth of resistant bacteria. The antibiotic should be used in a curative manner with other therapeutic measures with the determined bacterial infection.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Susceptibility In Oncologic Patientsmentioning

confidence: 99%

Section: Susceptibility In Oncologic Patientsmentioning

confidence: 99%

See 2 more Smart Citations

Main Microbial Genres and Its Profile of Resistance and Sensitivity to Antimicrobials Used in the Treatment of Oncological Patients with Febril Neutropenia

Póvoa¹,

Vieira²,

Sathler³

et al. 2018

JBM

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“…O paciente que desenvolver infecção hospitalar, independentemente da fonte ou motivo, elevará seu tempo de permanência internado, o que acarretará maiores custos ao serviço hospitalar e a propensão de desenvolver resistência ao uso de antibióticos para combater microrganismos multirresistentes (CATANEO et al, 2011). Assim, justifica-se este estudo no sentido de suscitar reflexões entre os profissionais da saúde a respeito de manter uma higienização adequada das mãos, no intuito de prevenir infecções hospitalares.…”

Section: Introductionunclassified

Infecção hospitalar: controle e disseminação nas mãos dos profissionais de saúde de uma Unidade de Terapia Intensiva

Almeida¹,

Machado²,

Rodrigues³

et al. 2018

Acervo Saúde

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Objetivo: Identificar os microrganismos presentes nas mãos dos profissionais de saúde de uma unidade de terapia intensiva e verificar as causas da baixa adesão à higienização das mãos. Método: Estudo quali-quantitativo, exploratório, do tipo transversal. A coleta de dados qualitativos foi por meio de entrevista semiestruturada e os quantitativos por meio da análise de cultura coletada das mãos dos profissionais da saúde da unidade de terapia intensiva. Participaram do estudo enfermeiros, técnicos em enfermagem e médicos. Utilizou-se a análise de conteúdo para os dados qualitativos e os quantitativos por meio da observação do crescimento de microrganismos nas placas de cultura e posterior identificação destes, sendo disponibilizados no Microsoft Office Word 2007, para análise estatística. Resultados: O estudo evidenciou um percentual de contaminação de 33,3% na categoria profissional de enfermeiro, 46,7% de técnicos em enfermagem e 100% no profissional médico. No entanto, a maioria dos participantes afirmam que o ambiente de trabalho proporciona a adesão à higienização das mãos, paradoxalmente observa-se que 50% da amostra total obtiveram contaminação. A justificativa para a não adesão a lavagem de mãos foi à sobrecarga de trabalho. Conclusão: Observou-se um índice elevado de contaminação, bem como um perfil profissional de resistência para a não adesão à higienização das mãos.

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The History of Methicillin-Resistant Staphylococcus aureus in Brazil

Andrade

Luiz

Souza

et al. 2020

Canadian Journal of Infectious Diseases and Medical Microbiolog

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Since the emergence of MRSA in the 1960s, a gradual increase in infections by resistant bacteria has been observed. Clinical manifestations may vary from brand to critical condition due to host risk factors, as well as pathogen virulence and resistance. The high adaptability and pathogenic profile of MRSA clones contributed to its spread in hospital and community settings. In Brazil, the first MRSA isolates were reported in the late 1980s, and since then different genetic profiles, such as the Brazilian epidemic clone (BEC) and other clones considered a pandemic, became endemic in the Brazilian population. Additionally, Brazil’s MRSA clones were shown to be able to transfer genes involved in multidrug resistance and enhanced pathogenic properties. These events contributed to the rise of highly resistant and pathogenic MRSA. In this review, we present the main events which compose the history of MRSA in Brazil, including numbers and locations of isolation, as well as types of staphylococcal cassette chromosome mec (SCCmec) found in the Brazilian territory.

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Evaluation of the sensitivity and specificity of criteria for isolation of patients admitted to a specialized cancer hospital

Cited by 4 publications

References 18 publications

Main Microbial Genres and Its Profile of Resistance and Sensitivity to Antimicrobials Used in the Treatment of Oncological Patients with Febril Neutropenia

Main Microbial Genres and Its Profile of Resistance and Sensitivity to Antimicrobials Used in the Treatment of Oncological Patients with Febril Neutropenia

Infecção hospitalar: controle e disseminação nas mãos dos profissionais de saúde de uma Unidade de Terapia Intensiva

The History of Methicillin-Resistant Staphylococcus aureus in Brazil

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