Nosocomial Bloodstream Infections in Brazilian Hospitals: Analysis of 2,563 Cases from a Prospective Nationwide Surveillance Study

Abstract

Of the Klebsiella sp. isolates, 54.9% were resistant to third-generation cephalosporins. Of the Acinetobacter spp. and Pseudomonas aeruginosa isolates, 55.9% and 36.8%, respectively, were resistant to imipenem. In our multicenter study, we found high crude mortality and a high proportion of nBSIs due to antibiotic-resistant organisms.

Prevalência e desfechos das infecções nas UTIs brasileiras: mais uma peça no quebra-cabeça...

“…(5) Although the ICU (37.6%) and in-hospital (44.2%) mortality rates of patients with infection are lower than those in previously published reports, they are still high compared to the international data, especially the data from developed areas such as Western Europe, North America, and Australia. In addition, there is a patent correlation between infection and mortality, resulting in a higher lethality than with other clinical conditions whose severity and correlation with unfavorable outcomes are widely acknowledged (e.g., acute myocardial infarction and stroke).…”

“…For instance, the mortality rate of patients in Brazil with septic shock is greater than 50%. (3)(4)(5) The reasons underlying such unfavorable outcomes are unclear; however, organizational issues and early detection are certainly important features in such an assessment.…”

“…For instance, the mortality rate of patients in Brazil with septic shock is greater than 50%. (3)(4)(5) The reasons underlying such unfavorable outcomes are unclear; however, organizational issues and early detection are certainly important features in such an assessment.This issue of the Brazilian Journal of Intensive Care (Revista Brasileira de Terapia Intensiva -RBTI) includes an article that is crucial for a better understanding of the current status of sepsis and infections in critically ill patients. (6) This study performed a sub-analysis of EPIC II (Extended Prevalence of Infection in Intensive Care), which is a cross-sectional study that included 13,796 patients, more than 9,000 patients who received antimicrobial agents and approximately 7,000 patients who were diagnosed as infected.…”

Evaluación de la contaminación microbiológica en los equipos radiográficos de una clínica dental privada

“…Sin embargo, algunas especies se asocian con frecuencia a una gran variedad de infecciones de carácter oportunista. Las especies de Staphylococcus coagulasa negativos son consideradas en la actualidad como causa importante de infección, principalmente en pacientes inmunosuprimidos del medio hospitalario, como lo demuestra Marra y col. (13).…”

Detecção fenotípica e genotípica de carbapenemases em isolados de hemoculturas de Pseudomonas aeruginosa e Acinetobacter spp

“…Foi evidenciada também, a transmissão de isolados de A. baumannii resistentes aos carbapenêmicos caracterizados por tipagem molecular entre hospitais na cidade de São Paulo . (Marra, et al 2011).…”