dc.creator | Gomes, Marisa Zenaide Ribeiro | |
dc.creator | Machado, Carolina Romero | |
dc.creator | Conceição, Magda de Souza da | |
dc.creator | Ortega, Jois Alves | |
dc.creator | Neves, Sonia Maria Ferraz M. | |
dc.creator | Lourenço, Maria Cristina da Silva | |
dc.creator | Asensi, Marise Dutra | |
dc.date | 2018-11-26T19:54:31Z | |
dc.date | 2018-11-26T19:54:31Z | |
dc.date | 2011 | |
dc.date.accessioned | 2023-09-26T20:42:10Z | |
dc.date.available | 2023-09-26T20:42:10Z | |
dc.identifier | GOMES, Marisa Zenaide Ribeiro et al. Outbreaks, persistence, and high mortality rates of multiresistant Pseudomonas aeruginosa infections in a hospital with AIDS-predominant admissions. Brazilian Journal of Infectious Diseases, v. 15, n. 4, p. 312-322, July/Aug. 2011. | |
dc.identifier | 1413-8670 | |
dc.identifier | https://www.arca.fiocruz.br/handle/icict/30212 | |
dc.identifier | 10.1016/s1413-8670(11)70198-2 | |
dc.identifier | 1678-4391 | |
dc.identifier.uri | https://repositorioslatinoamericanos.uchile.cl/handle/2250/8862312 | |
dc.description | Introduction: Authors have reported increased incidence of multiresistant Pseudomonas aeruginosa (MR-PA) infections worldwide over the last decade. Researchers have proposed multifaceted approaches to control MR-PA infections, but none have been reported in the acquired immunodeficiency syndrome (AIDS) setting. Objective and Methods: Herein we report the impact of a multifaceted intervention for controlling MR-PA over five years in a hospital with AIDS-predominant admissions and describe the clinical characteristics of MR-PA infection in our patient population. The clinical outcomes of infected patients and molecular characteristics of the isolated strains were used as tools for controlling MR-PA infection rates. Results: Significant temporary decrease of new infections was achieved after intervention, although a high level of diagnostic suspicion of nosocomial infection was maintained. We obtained 35 P. aeruginosa isolates with multiresistant profiles from 13 infected and 3 colonized patients and 2 environmental samples. Most of the patients (94%) were immunocompromised with AIDS (n = 10) or HTLV-1 infections (n = 5). Of the followed patients, 67% had persistent and/or recurrent infections, and 92% died. We observed differences in the antibiotic-resistance pattern of MR-PA infection/colonization during two outbreaks, although the genetic profiles of the tested strains were identical. Conclusions: Therefore, we concluded that early multidisciplinary interventions are essential for reducing the burden caused by this microorganism in patients with AIDS. Prolonged or suppressive antibiotic-based therapy should be considered for MR-PA infections in patients with AIDS because of the persistence characteristic of MR-PA in these patients. | |
dc.format | application/pdf | |
dc.language | eng | |
dc.publisher | Elsevier | |
dc.rights | open access | |
dc.subject | Pseudomonas aeruginosa | |
dc.subject | Surtos de doenças | |
dc.subject | Controle de infecção | |
dc.subject | Epidemiologia molecular | |
dc.subject | Síndrome da Imunodeficiência Adquirida | |
dc.subject | Pseudomonas aeruginosa | |
dc.subject | Disease outbreaks | |
dc.subject | Infection control | |
dc.subject | Molecular epidemiology | |
dc.subject | Acquired immunodeficiency syndrome | |
dc.title | Outbreaks, persistence, and high mortality rates of multiresistant Pseudomonas aeruginosa infections in a hospital with AIDS-predominant admissions | |
dc.type | Article | |