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Mortalidad por Acinetobacter baumannii en unidades de cuidados intensivos en Colombia

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Date
2011
Author
Lemos, Elkin V
De la Hoz Restrepo, Fernando
Alvis, Nelson
Quevedo, Elkin
Cañon, Oscar
León, Yazmin
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Abstract
OBJETIVO: Comparar la mortalidad en pacientes infectados por Acinetobacter baumannii multisensibles con pacientes infectados por A. baumannii multirresistentes hospitalizados en unidades de cuidados intensivos (UCI) de Colombia. MÉTODOS: Estudio prospectivo, observacional y multicéntrico. Se incluyó a 165 pacientes ingresados en las UCIs participantes entre abril de 2006 y abril de 2010. Se comparó la mortalidad de los pacientes con aislamientos clínicos de A. baumannii multirresistentes frente a aquellos multisensibles al día 14 y 30 de hospitalización. RESULTADOS: De los 165 pacientes adultos que presentaron infecciones asociadas al cuidado en salud (IACS) por A. baumannii, en 62 se encontraron bacterias multisensibles y en 103, multirresistentes. No se hallaron diferencias estadísticamente significativas en la mortalidad al día 14 de hospitalización en UCI. Sí se observaron en cambio diferencias significativas (P 0,05) para mortalidad al día 30 de hospitalización entre los pacientes con aislamientos multirresistentes y multisensibles, y esta diferencia se mantuvo al controlar los factores de riesgo de los pacientes con análisis multivariado. CONCLUSIONES: La presencia de multirresistencia es el principal factor de riesgo para la mortalidad entre los pacientes con IACS por A. baumannii en las UCI de Colombia.(AU)
 
OBJECTIVE: Compare mortality in multidrug-susceptible Acinetobacter baumannii infected patients and multidrug-resistant A. baumannii-infected patients hospitalized in intensive care units (ICUs) in Colombia. METHODS: A prospective, observational, and multicenter study. A total of 165 patients admitted to the participating ICUs from April 2006 to April 2010 were included. On day 14 and day 30 of hospitalization, mortality in multidrug-resistant patients with clinical isolates of A. baumannii was compared with that in multidrug-susceptible patients. RESULTS: Of the 165 adult patients who had health care-associated infections (HAI) caused by A. baumannii, multidrug-susceptible bacteria were found in 62 patients and multidrug-resistant bacteria in 103. Statistically significant differences in mortality on day 14 of hospitalization in the ICU were not found. On the other hand, significant differences (P 0.05) in mortality on day 30 of hospitalization were observed between patients with multidrug-resistant isolates and those with multidrug-susceptible isolates. This difference was maintained when the patients' risk factors were evaluated by multivariate analysis. CONCLUSIONS: The presence of multidrug resistance is the primary risk factor for mortality in patients with HAI caused by A. baumannii in Colombian ICUs.(AU)
 
Series
Rev Panam Salud Publica;30(4),oct. 2011
Subject
Acinetobacter Baumannii; Agentes Antibacterianos; Resistencia microbiana a medicamentos; Unidades de terapia intensiva; Mortalidad hospitalaria; Colombia; Acinetobacter Baumannii; Anti-Bacterial Agents; Drug Resistance, Microbial; Intensive care units; Hospital Mortality; Colombia; Infecções por Acinetobacter; Acinetobacter Baumannii; Antibacterianos; Infecção Hospitalar; Farmacorresistência Bacteriana Múltipla; Unidades de Terapia Intensiva; Infecções por Acinetobacter; Infecções por Acinetobacter; Acinetobacter Baumannii; Antibacterianos; Colômbia; Infecção Hospitalar; Pacientes Internados; Modelos Logísticos; Mortalidade; Análise Multivariada; Estudos Prospectivos; Estatística como Assunto
URI
http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892011001000001
https://iris.paho.org/handle/10665.2/9521
Citation
Lemos, Elkin V,De la Hoz Restrepo, Fernando,Alvis, Nelson,Quevedo, Elkin,Cañon, Oscar,León, Yazmin (2011) Mortalidad por Acinetobacter baumannii en unidades de cuidados intensivos en Colombia. Rev Panam Salud Publica;30(4) 287-294,oct. 2011. Retrieved from http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892011001000001
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  • Pan American Journal of Public Health

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