Nosocomial Infections Among Hiv-positive And Hiv-negative Patients In A Brazilian Infectious Diseases Unit.

dc.creatorPadoveze, Maria Clara
dc.creatorTrabasso, Plínio
dc.creatorBranchini, Maria Luiza Moretti
dc.date2002-Oct
dc.date2015-11-27T12:49:18Z
dc.date2015-11-27T12:49:18Z
dc.date.accessioned2018-03-29T00:56:34Z
dc.date.available2018-03-29T00:56:34Z
dc.identifierAmerican Journal Of Infection Control. v. 30, n. 6, p. 346-50, 2002-Oct.
dc.identifier0196-6553
dc.identifier
dc.identifierhttp://www.ncbi.nlm.nih.gov/pubmed/12360143
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/195157
dc.identifier12360143
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1295390
dc.descriptionSome researchers observed that HIV-infected patients have a higher risk of acquiring nosocomial infections (NI). This study compared the incidence of NI among HIV-positive and HIV-negative inpatients. Patients from an infectious diseases ward who were classified as positive and negative regarding their HIV status were followed-up for 21 months in a prospective cohort study. Daily surveillance was made with use of Centers for Disease Prevention and Control criteria for NI. NI per 1000 patients-day were 8.16 for HIV-positive patients and 3.94 for HIV-negative patients (P =.01). Central venous catheter (CVC) and urinary catheter utilization was significantly higher among HIV-positive patients than among HIV-negative patients (P <.001). Bloodstream infections (BSI) caused most of the NI, followed by urinary tract infections, vascular infections, and pneumonia. Overall, HIV-positive patients were more likely to have a BSI than were HIV-negative patients (P =.005). When only BSI was analyzed in patients with a CVC, there was no difference in the incidence of BSI between the 2 groups of patients (P =.24). HIV-positive patients were more likely to have an NI caused by Staphylococcus aureus than were HIV-negative patients (P =.04). Other important NI agents in both groups were Acinetobacter baumanii, Klebsiella pneumoniae, Pseudomonas aeruginosa, and coagulase-negative Staphylococcus. In this study the HIV-positive patients were more likely to have NI than were the HIV-negative patients. Overall, HIV-positive patients are at increased risk for an NI caused either by S aureus or a BSI. Although HIV-positive patients had more CVC-days, there was no difference in the number of BSI among both groups, suggesting that the BSI incidence in the HIV-positive group is not exclusively related to the CVC.
dc.description30
dc.description346-50
dc.languageeng
dc.relationAmerican Journal Of Infection Control
dc.relationAm J Infect Control
dc.rightsfechado
dc.rights
dc.sourcePubMed
dc.subjectAids-related Opportunistic Infections
dc.subjectBacterial Infections
dc.subjectBrazil
dc.subjectCatheters, Indwelling
dc.subjectCommunicable Diseases
dc.subjectCross Infection
dc.subjectHiv Infections
dc.subjectHospital Units
dc.subjectHumans
dc.subjectIncidence
dc.subjectProspective Studies
dc.subjectRisk Factors
dc.subjectUrinary Catheterization
dc.titleNosocomial Infections Among Hiv-positive And Hiv-negative Patients In A Brazilian Infectious Diseases Unit.
dc.typeArtículos de revistas


Este ítem pertenece a la siguiente institución