Impact of hospital-wide infection rate, invasive procedures use and antimicrobial consumption on bacterial resistance inside an intensive care unit

Jacoby, Thalita Silva; Kuchenbecker, Ricardo; Santos, Rodrigo Pires dos; Magedanz, Lucas; Guzatto, Paula; Moreira, Leila Beltrami

doi:10.1016/j.jhin.2009.11.021

Cited by 53 publications

(40 citation statements)

References 28 publications

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“…In comparison, a review by the CDC in 2004 showed that the mean carbapenem use in 36 surveyed medical ICUs in the United States was much lower, at 3.75 DDD/100 bed-days, and that the mean antipseudomonal penicillin use was 7.08 DDD/100 bed-days (137). Results from other countries show that the utilization of meropenem and piperacillin-tazobactam in the ICU setting of a tertiary care hospital in Czech Republic in 2008 was only 3.57 and 3.17 DDD/100 bed-days, respectively (138), and in Brazil, the consumption of piperacillin-tazobactam in an adult ICU setting was between 1.9 and 2.3 DDD/100 bed-days (139). It is apparent that antibiotic stewardship in Gulf hospitals needs to be a priority.…”

Section: Gram-negative Bacilli In the Arabian Peninsulamentioning

confidence: 99%

β-Lactamase Production in Key Gram-Negative Pathogen Isolates from the Arabian Peninsula

et al. 2013

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SUMMARY Infections due to Gram-negative bacilli (GNB) are a leading cause of morbidity and mortality worldwide. The extent of antibiotic resistance in GNB in countries of the Gulf Cooperation Council (GCC), namely, Saudi Arabia, United Arab Emirates, Kuwait, Qatar, Oman, and Bahrain, has not been previously reviewed. These countries share a high prevalence of extended-spectrum-β-lactamase (ESBL)- and carbapenemase-producing GNB, most of which are associated with nosocomial infections. Well-known and widespread β-lactamases genes (such as those for CTX-M-15, OXA-48, and NDM-1) have found their way into isolates from the GCC states. However, less common and unique enzymes have also been identified. These include PER-7, GES-11, and PME-1. Several potential risk factors unique to the GCC states may have contributed to the emergence and spread of β-lactamases, including the unnecessary use of antibiotics and the large population of migrant workers, particularly from the Indian subcontinent. It is clear that active surveillance of antimicrobial resistance in the GCC states is urgently needed to address regional interventions that can contain the antimicrobial resistance issue.

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Section: Gram-negative Bacilli In the Arabian Peninsulamentioning

confidence: 99%

β-Lactamase Production in Key Gram-Negative Pathogen Isolates from the Arabian Peninsula

et al. 2013

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“…En esta bacteria no fermentadora, mecanismos de panresistencia como la producción de metalo-carbapenemasas (VIM-2, VIM-8) y serin-carbapenemasas (KPC-2) ya han sido descritos en los hospitales de este país [14][15][16] , limitando el tratamiento de los pacientes a antibacterianos tóxicos y que muestran bajas tasas de curación como son las polimixinas 17 . Las medidas enfocadas a intervenir los factores de riesgo asociados a la presencia de multi-resistencia han demostrado ser las más costo efectivas [18][19][20] . El panorama mundial de resistencia bacteriana ha llevado a que se realicen mayores esfuerzos encaminados a la instauración de programas estrictos de control y vigilancia de infecciones, enfocados en disminuir la diseminación de estos microorganismos e impactar de forma positiva los desenlaces como morbilidad, mortalidad y estancia hospitalaria prolongada.…”

Section: Artículo Originalunclassified

Factores de riesgo para infección por Pseudomonas aeruginosa multi-resistente en un hospital de alta complejidad

Ossa-Giraldo

Echeverri-Toro

Santos

et al. 2014

Rev. chil. infectol.

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“…Beside acute pain, venipuncture may also be associated with other complications such as bruising, hematoma, infection; vasovagal reaction and even peripheral nerve damage (6)(7)(8)(9). Consequently, studies have been conducted to develop and employ less-invasive sampling procedures for minimizing such complications (10)(11)(12).…”

Section: Introductionmentioning

confidence: 99%

Comparing Blood Values Sampled From Venipuncture and Continuous Infusion Catheter

Aliasgharpour¹,

Jafari²,

Jalalinia³

et al. 2016

Crit Care Nurs J

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Background: Most patients hospitalized at intensive care units have a continuous infusion catheter in place for receiving drugs and solutions; nonetheless, blood sampling in these units is still performed through an invasive and painful venipuncture. However, it is possible to take blood from a peripheral venous catheter to obtain accurate laboratory test results and alleviate the suffering of patients. Objectives: The aim of this study was to compare hematology, chemistry, and blood gas values sampled from venipuncture and continuous infusion intravenous catheter. Methods: In this cross-sectional comparative study, a convenient sample of 61 adult patients was drawn according to the inclusion and exclusion criteria, from the intensive care unit. Two blood samples, one from a continuous infusion catheter, which was already in place and one from venipuncture at the other extremity, were obtained from each patient. The two sets of samples were compared in terms of hematology, biochemistry and blood gas values by using the paired-samples t-test. Results: The two sets of samples differed significantly in terms of blood sugar values. Other differences between the two sets were not statistically significant. Conclusions: Except for blood sugar, blood sampling from a continuous 24-hour infusion catheter produces reliable hematology, biochemistry and blood gas results as that of venipuncture blood sampling method. Moreover, compared with the routine venipuncture method, sampling from a continuous infusion catheter is simpler, easier and safer.

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Impact of hospital-wide infection rate, invasive procedures use and antimicrobial consumption on bacterial resistance inside an intensive care unit

Cited by 53 publications

References 28 publications

β-Lactamase Production in Key Gram-Negative Pathogen Isolates from the Arabian Peninsula

β-Lactamase Production in Key Gram-Negative Pathogen Isolates from the Arabian Peninsula

Factores de riesgo para infección por Pseudomonas aeruginosa multi-resistente en un hospital de alta complejidad

Comparing Blood Values Sampled From Venipuncture and Continuous Infusion Catheter

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