Brasil | Otro
dc.contributorUniversidade Estadual Paulista (UNESP)
dc.creatorFortaleza, Carlos Magno Castelo Branco
dc.creatorFigueiredo, Ligia Castellon
dc.creatorBeraldo, Carolina Contador
dc.creatorde Melo, Edson Carvalho
dc.creatorSales Pola, Patricia Maria
dc.creatorNagem Aragao, Valeria Drummond
dc.date2014-05-20T13:34:27Z
dc.date2014-05-20T13:34:27Z
dc.date2009-06-01
dc.date.accessioned2017-04-05T20:26:13Z
dc.date.available2017-04-05T20:26:13Z
dc.identifierBrazilian Journal of Infectious Diseases. Salvador: Contexto, v. 13, n. 3, p. 173-176, 2009.
dc.identifier1413-8670
dc.identifierhttp://hdl.handle.net/11449/11809
dc.identifierS1413-86702009000300004
dc.identifierWOS:000275105600004
dc.identifierS1413-86702009000300004-en.pdf
dc.identifierhttp://dx.doi.org/10.1590/S1413-86702009000300004
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/859517
dc.descriptionOropharyngeal carriage of Pseudomonas aeruginosa is associated with increased risk of infection and may provide a source for spread of drug-resistant strains. In order to assess the incidence and risk factors of oropharyngeal carriage, we conducted a retrospective cohort study based on results of surveillance cultures (oropharyngeal swabs) from a medical-surgical intensive care unit, collected from March 2005 through May 2006. Variables investigated included demographic characteristics, comorbid conditions, invasive procedures, use of devices and use of antimicrobials. Thirty case patients with P. aeruginosa carriage were identified. Other 84 patients with surveillance cultures negative to P. aeruginosa were enrolled as control subjects. Case patients were more likely to have a solid malignancy (Odds Ratio [OR] = 12.04, 95% Confidence Interval [CI] = 1.93-75.09, p=0.008), Acquired Immunodeficiency Syndrome (AIDS, OR = 7.09, 95% CI=1.11-45.39, p = 0.04), central nervous system disease (OR = 4.51, 95% CI = 1.52-13.39, p = 0.007), or to have a central venous catheter placed (OR = 7.76, 95% CI = 1.68-35.79, p=0.009). The use of quinolones was a protective factor (OR = 0.13, 95% CI = 0.03-0.47, p = 0.002). The predominance of comorbidities as risk factors points out a group of patients to whom preventive measures should be directed.
dc.languageeng
dc.publisherContexto
dc.relationBrazilian Journal of Infectious Diseases
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectPseudomonas aeruginosa
dc.subjectcolonization
dc.subjectoropharyngeal carriage
dc.subjectsurveillance cultures
dc.subjectintensive care unit
dc.titleRisk factors of oropharyngeal carriage of Pseudomonas aeruginosa among patients from a Medical-Surgical Intensive Care Unit
dc.typeOtro


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