The health facility as a risk factor for multidrug-resistant gram-negative bacteria in critically ill patients with COVID-19

Macedo, Viviane de; Santos, Gabriela de Souza dos; Silva, Rodolff Nunes da; Couto, Caio Nogara de Menezes; Bastos, Camila; Viecelli, E.; Mateus, Marina do Nascimento; Graf, Maria; Gonçalves, Raquel Bernardelli; Silva, Márcia Aparecida da; Bernardini, P; Boaventura, Viviane Pavanelo; Pereira, Helki Simone Rodrigues; Levin, Anna S.

doi:10.1016/j.clinsp.2022.100130

Cited by 4 publications

(3 citation statements)

References 37 publications

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“…Another case-control study conducted in Curitiba, southern Brazil, aimed to identify risk factors associated with the acquisition MDR-GNB in patients with COVID-19. Male gender, desaturation, mechanical ventilation and hospital admission were identified as independent risk factors for MDR-GNB in patients with COVID-19 [38] . In contrast, our study covered a broader range of patients with MDR-GNB infections, allowing for a more comprehensive analysis of the results, including mortality in each group.…”

Section: Discussionmentioning

confidence: 97%

Multidrug-resistant gram-negative bacteria in patients with COVID-19: An epidemiological and clinical study

Souza

Oliveira

Barbosa

et al. 2023

Journal of Infection and Public Health

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Section: Discussionmentioning

confidence: 97%

Multidrug-resistant gram-negative bacteria in patients with COVID-19: An epidemiological and clinical study

Souza

Oliveira

Barbosa

et al. 2023

Journal of Infection and Public Health

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“…Atualmente, os profissionais estão atentos e preocupados com o padrão mínimo de medidas de precaução no atendimento ao paciente. Vários exemplos dessa preocupação enfatizada foram observados: as técnicas de paramentação e desparamentação, os questionamentos sobre o tempo de uso de máscaras, troca de capotes e luvas durante os procedimentos, consumo de sanitizantes e desinfetantes de superfície, reprocessamento de dispositivos médicos e reprocessamento de produtos descartáveis (Giroti et al, 2018;Oliveira et al, 2020;Macedo et al, 2022).…”

Section: Osunclassified

Unidade de terapia intensiva e o controle de infecção hospitalar: um estudo de revisão

Silva,

Da Silva,

Batista

et al. 2024

CLCS

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As infecções hospitalares são um dos maiores desafios da humanidade quando se trata de prestação de cuidados de saúde e segurança do paciente. analisar as evidências científicas disponíveis na literatura acerca do controle de infecção hospitalar na unidade de terapia intensiva. Trata-se de uma revisão integrativa. Realizou-se a busca por artigos com delimitação nos últimos 5 anos (2017-2021), nos idiomas português, inglês e espanhol; disponíveis na íntegra. Nas seguintes plataformas de dados: BDENF, DOAJ, LILACS, MEDLINE, SciELO, SCOPUS e Web of Science. Os dados foram organizados e apresentados em figuras e quadros. Dos 18.991 estudos encontrados, 95 estavam disponíveis na BDENF, 385 na DOAJ, 394 na LILACS, 8018 na MEDLINE, 0 na SciELO, 9899 na SCOPUS e 200 na Web of Science. Contudo, após a leitura permaneceram apenas os que atendiam aos critérios para inclusão e exclusão descritos na metodologia, 7 estudos. Este estudo mostrou que os serviços de saúde requerem PCIH, principalmente aqueles que prestam cuidados de alta complexidade, como a UTI, ambiente onde os pacientes permanecem por longos períodos.

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“…de Macedo et al investigated the healthcare facility as an independent risk factor for MDR organisms in critically ill patients with COVID-19 and found a significant link between admission to a newly opened hospital and the acquisition of MDR VAP in Brazil (OR 3.24; 95% CI 1.39–7.57; p = 0.006). Other non-modifiable risk factors were also identified for MDR superinfections in COVID-19 cases which included male gender and hypoxemia at presentation [ 129 ]. It should be noted that noninvasive sampling was used most often in the literature documenting VAP in patients with COVID-19 to prevent the pathogen from being aerosolized.…”

Section: Vap and Covid-19mentioning

confidence: 99%

Antimicrobial Resistance in Ventilator-Associated Pneumonia: Predictive Microbiology and Evidence-Based Therapy

Alnimr

2023

Infect Dis Ther

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Ventilator-associated pneumonia (VAP) is a serious intensive care unit (ICU)-related infection in mechanically ventilated patients that is frequent, as more than half of antibiotics prescriptions in ICU are due to VAP. Various risk factors and diagnostic criteria for VAP have been referred to in different settings. The estimated attributable mortality of VAP can go up to 50%, which is higher in cases of antimicrobial-resistant VAP. When the diagnosis of pneumonia in a mechanically ventilated patient is made, initiation of effective antimicrobial therapy must be prompt. Microbiological diagnosis of VAP is required to optimize timely therapy since effective early treatment is fundamental for better outcomes, with controversy continuing regarding optimal sampling and testing. Understanding the role of antimicrobial resistance in the context of VAP is crucial in the era of continuously evolving antimicrobial-resistant clones that represent an urgent threat to global health. This review is focused on the risk factors for antimicrobial resistance in adult VAP and its novel microbiological tools. It aims to summarize the current evidence-based knowledge about the mechanisms of resistance in VAP caused by multidrug-resistant bacteria in clinical settings with focus on Gram-negative pathogens. It highlights the evidence-based antimicrobial management and prevention of drug-resistant VAP. It also addresses emerging concepts related to predictive microbiology in VAP and sheds lights on VAP in the context of coronavirus disease 2019 (COVID-19).

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The health facility as a risk factor for multidrug-resistant gram-negative bacteria in critically ill patients with COVID-19

Cited by 4 publications

References 37 publications

Multidrug-resistant gram-negative bacteria in patients with COVID-19: An epidemiological and clinical study

Multidrug-resistant gram-negative bacteria in patients with COVID-19: An epidemiological and clinical study

Unidade de terapia intensiva e o controle de infecção hospitalar: um estudo de revisão

Antimicrobial Resistance in Ventilator-Associated Pneumonia: Predictive Microbiology and Evidence-Based Therapy

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