Dinâmica da circulação de bactérias multirresistentes em unidades de terapia intensiva pediátrica do Rio de Janeiro

Abstract

Background and Objectives:The circulation of multiresistant bacteria between pediatric intensive care units is a reality and it is necessary to know the profi le of the most prevalent microorganisms to establish effective control measures. The aim of this study is to describe the profi le of imported multiresistant bacteria (MRB) in a pediatric intensive care unit in Rio de Janeiro, according to the geographic region the hospitals. Methods: Nasal and rectal swabs were collected from all patients who remained for more than 12 hours in other units, and were admitted at the four pediatric intensive care units of Prontobaby.

Research contributions for the Nursing care in pediatric transplantation of hematopoietic stem cells / Contribuições da pesquisa para os cuidados de Enfermagem em transplante pediátrico de células-tronco hematopoiéticas

“…The colonization by multiresistant microorganisms was detected in the mentioned research (26.1%), then being a risk factor for infections, 15 characterizing the nursing diagnosis of infection risk. The action between the multidisciplinary team and the infection control commission is necessary for measures to control the spread of microorganisms, such as the isolation of colonized patients and hand hygiene.…”

Antimicrobial Resistance and Formation of Biofilm in Clinics Isolates Causers of Infections Related to Health Care

“…In addition, according to Table 1, the hospital sectors with the highest incidence of XDR microorganisms were the adult and pediatric ICUs, which are aggravating factors for the establishment of an effective therapy, since the patient is already in a situation of clinical weakness. Resistant microorganisms represent a challenge for the control of HAIs in hospitals, mainly in ICUs 14 Teicoplatin, Tigecycline and Vancomycin tested for Gram positive. Gram negative microorganisms demonstrate greater susceptibility to Cefoxitin.…”

Incidência e perfil de susceptibilidade de bactérias isoladas do trato respiratório de pacientes em unidade de terapia intensiva

“…Otimizar a prescrição de antimicrobianos no âmbito hospitalar representa um desafio constante, que envolve uma ação multiprofissional, com vistas a redução da utilização inapropriada destes antibióticos, e consequentemente diminuição da pressão seletiva, que conduz ao aparecimento de resistência. Estima-se que, 25 a 50% da prescrição desses fármacos seja feita erroneamente, o que também contribui para aumento dos gastos na saúde (SOUZA et al, 2008).…”