Community Origin and Previous Use of Antimicrobials Increase the Risk of Nosocomial Multidrug-resistant Bacteria Colonisation in the Intensive Care Unit in a Brazilian Hospital

Vandresen, Débora Fiorentin; Werlang, Maria Helena Brandeleiro; Silva, Mirian Carla B.; Link, Juliana S.; Fortes, Paulo Cezar Nunes

doi:10.2174/1874944501912010449

Cited by 2 publications

(1 citation statement)

References 29 publications

(11 reference statements)

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“…34,35,31 . This variation depends on other associated risk factors, such as the presence of invasive devices, such as hemodialysis catheters., 35,36,32 Venoarterial Extracorporeal Membrane Oxygenation (ECMO -Extracorporeal Membrane Oxygenation) 37 ; central venous catheter 17,35,25,31,32 and arterial catheter. 31,32 .…”

Section: Risk Factors For Primary Bloodstream Infections (Ipcs)mentioning

confidence: 99%

Preventive Nurse Actions and Risk Factors Associated With Health Care Related Infections: A Narrative Review

Manica-Cattani,

Lunelli

2024

JHS

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In Brazil, it is estimated that 3% to 15% of hospitalized patients develop some kind of Healthcare-Associated Infection (HAI). The vast majority of HAIs are caused by an imbalance in the relationship between the normal human microbiota and the host's defense mechanisms and can affect both patients and healthcare professionals. Therefore, in this narrative review we sought to identify the main infection risk factors related to healthcare and list the main preventive actions taken by nurses within the hospital environment to avoid HAIs. The different risk factors related to healthcare in hospitalized adult patients found in the selected studies were described according to the sites of infection: urinary tract, primary bloodstream infection, surgical site and respiratory tract. And we list four practices that meet a consensus regarding some basic elements necessary for the prevention of HAIs. We can conclude that nurses' actions are essential for both the detection and prevention and control of HAIs.

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Section: Risk Factors For Primary Bloodstream Infections (Ipcs)mentioning

confidence: 99%

Preventive Nurse Actions and Risk Factors Associated With Health Care Related Infections: A Narrative Review

Manica-Cattani,

Lunelli

2024

JHS

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Challenges Facing PICUs in Low- and Middle-Income Countries in the Treatment of Emerging Multidrug-Resistant Organisms: a Review and Perspective from a South African PICU

Saggers,

Mothibi,

Irwin

et al. 2023

Curr Infect Dis Rep

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Purpose of Review Antimicrobial resistance continues to increase throughout the world, with the impact on critically ill children in low- and middle-income paediatric intensive care units largely unknown. Recent Findings There has been a global shift indicating a predominance of Gram-negative bacilli among multidrug-resistant isolates. A 4-year review (2019 to 2022) found a progressive and substantial increase in the incidence of carbapenem-resistant Klebsiella pneumoniae (29% to 51%) alongside high levels of carbapenem-resistant Acinetobacter baumannii (93%) within the paediatric intensive care unit at the Chris Hani Baragwanath Academic Hospital in South Africa. The pharmacological treatment of these infections relies heavily on the continued use of carbapenems, often in combination with colistin. Summary The burden of antimicrobial resistance is disproportionately borne, particularly within sub-Saharan Africa and South Asia. The resource-constrained South African public healthcare system, already significantly burdened by both HIV and TB, continues to face several challenges in combating the growth in antimicrobial resistance. Limited access, largely driven by prohibitive costs, to sophisticated laboratory techniques and newer pharmacological agents, leaves the implementation of effective infection prevention and control and antimicrobial stewardship programmes as the most pragmatic options to address the problem.

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Community Origin and Previous Use of Antimicrobials Increase the Risk of Nosocomial Multidrug-resistant Bacteria Colonisation in the Intensive Care Unit in a Brazilian Hospital

Cited by 2 publications

References 29 publications

Preventive Nurse Actions and Risk Factors Associated With Health Care Related Infections: A Narrative Review

Preventive Nurse Actions and Risk Factors Associated With Health Care Related Infections: A Narrative Review

Challenges Facing PICUs in Low- and Middle-Income Countries in the Treatment of Emerging Multidrug-Resistant Organisms: a Review and Perspective from a South African PICU

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