Bacteriemia por Chryseobacterium indologenes em diabético em hemodiálise ambulatorial

Souza, Marcus Machado Ramos Souza de; Silva, Cassiano Augusto Braga; Paschoalin, Edson Luiz; Júnior, José Andrade Moura; Paschoalin, Raphael; Oliveira, Ernesto P. de

doi:10.1590/s1676-24442012000100006

Cited by 3 publications

(2 citation statements)

References 6 publications

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“…Due to that few microorganisms were isolated. Among them prevailed gram negative bacteria confirming previous studies (Souza et al, 2012;Sesso et al, 2011). Non-fermentative bacteria such as Gram-negative bacteria cause concern as they may cause outbreaks of hospital infection linked to increased mortality rates (Storti, Pizzolitto, & Stein, 2007;Trelha et al, 2013).…”

Section: Discussionsupporting

confidence: 88%

<b>Prevalence of infection in patients with temporary catheter for hemodialysis in a teaching hospital

Borges¹,

Bedendo

2017

Acta Sci. Health Sci.

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ABSTRACT. This study aimed to determine the prevalence of infection related to the provisional catheter for hemodialysis in a teaching hospital and evaluate the risk factors associated with these infections. A cross-sectional study analyzed by descriptive statistics and parametric tests. It was found that out of 129 patients, 48.8 % had catheter-related infection in hemodialysis, 65 % were male, 33.3 % were 60 years old and over, and 88 % of patients were admitted to intensive care unit. The prevalence of infection in this group was high, and the vast majority of diagnoses of infection were empirical. Given this, it is suggested to establish the routine culture of the catheter tip in all cases of suspected catheter infection to improve the quality of patient care, and the relentless pursuit of the causes that trigger the infection process in line with good practice from across the healthcare team.Keywords: kidney failure, renal dialysis, central venous catheterization.Título Prevalência de infecção em pacientes com cateter provisório para hemodiálise em um hospital ensino RESUMO. Este estudo objetivou determinar a prevalência de infecção relacionada ao cateter provisório para hemodiálise em um hospital ensino e avaliar os fatores de risco inerentes a estas infecções. Realizou-se um estudo epidemiológico transversal, analisados por estatística descritiva e testes paramétricos. Constatouse que dos 129 pacientes avaliados, 48,8% apresentaram infecção relacionada ao cateter de hemodiálise, 65% eram do sexo masculino, 33,3% possuíam idade igual ou superior a 60 anos e 88% dos pacientes estavam internados em unidade de terapia intensiva. A prevalência de infecção neste grupo mostrou-se elevada, e a grande maioria dos diagnósticos de infecção foram feitos de forma empírica. Frente a isso, sugere-se estabelecer como rotina a cultura da ponta de cateter para todos os casos de suspeita de infecção de cateter para melhoria da qualidade do cuidado prestado ao paciente, além da incessante busca das causas que desencadeiam o processo infeccioso em consonância com as boas práticas de toda a equipe de saúde.Palavras-chave: insuficiência renal, diálise renal, cateterismo venoso central.

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Section: Discussionsupporting

confidence: 88%

<b>Prevalence of infection in patients with temporary catheter for hemodialysis in a teaching hospital

Borges¹,

Bedendo

2017

Acta Sci. Health Sci.

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“…The infections caused by non-fermenting Gram-negative bacilli, such as Acinetobacter baumannii, Pseudomonas aeruginosa, Chryseobacterium indologenes, and Stenotrophomonas maltophilia, are difficult to treat because they are highly resistant, can cause outbreaks of nosocomial infection, and are often associated with high mortality rates 28,29 .…”

Section: Discussionmentioning

confidence: 99%

Bloodstream infection in patients with end-stage renal disease in a teaching hospital in central-western Brazil

Gauna

Oshiro

Luzio

et al. 2013

Rev. Soc. Bras. Med. Trop.

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Community‐acquired Chryseobacterium indologenes in an immunocompetent patient

et al. 2014

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Introduction: Chryseobacterium indologenes is a rare pathogen in the human microflora. Nearly half of the published cases refer to nosocomial infections, and the vast majority of patients had underlying immunocompromising conditions. The clinical evolution is usually conducive to antibiotic treatment, but despite being low-virulent bacteria, infections have often been associated with a high mortality rate as a result of the increased resistance to antibiotics, and the absence of a gold standard for management. Case presentation: A 60-year-old male immunocompetent patient was admitted for acute onset of fever, abdominal pain and dysuria. Blood and urine cultures were positive for multiresistant C. indologenes, susceptible only to ciprofloxacin. Clinical improvement was observed on ciprofloxacin antibiotic therapy. Conclusion: This is, to the best of our knowledge, the first Portuguese report of communityacquired C. indologenes bacteraemia in an immunocompetent patient, a rare disease agent with low pathogenicity but capable of causing severe illness.

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Bacteriemia por Chryseobacterium indologenes em diabético em hemodiálise ambulatorial

Cited by 3 publications

References 6 publications

<b>Prevalence of infection in patients with temporary catheter for hemodialysis in a teaching hospital

<b>Prevalence of infection in patients with temporary catheter for hemodialysis in a teaching hospital

Bloodstream infection in patients with end-stage renal disease in a teaching hospital in central-western Brazil

Community‐acquired Chryseobacterium indologenes in an immunocompetent patient

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