Preval那ncia de bacilos Gram-negativos nˋo fermentadores de pacientes internados em Porto Alegre-RS

作者:Deliberali; Bruno; Myiamoto; Kendi Nishino; Winckler Neto; Carlos Hugo Del Priore; Pulcinelli; Rafael Silvio Remus; Aquino; Alzira Resende do Carmo; Vizzotto; Bruno Stefanello; Santos; Roberto Christ Vianna
来源:Jornal Brasileiro de Patologia e Medicina Laboratorial, 2011, 47(5): 529-534.
DOI:10.1590/S1676-24442011000500006

摘要

introduction: the non-fermenting gram-negative bacilli (nfgnb) have been widely associated with nosocomial infections. not only are these microorganisms highly prevalent but they are also highly resistant to nfgnb. objective: to assess the prevalence and resistance profile of non-fermenting gram-negative bacilli. methods: 14.971 patient reports from a private hospital in porto alegre, rio grande do sul, from may/2006 to march/2008 were analyzed. results and conclusion: three hundred twenty-six samples of non-fermenting gram-negative bacilli were isolated. the most prevalent species were pseudomonas aeruginosa (65.03%), acinetobacter baumannii (16.56%), and stenotrophomonas maltophilia (9.5%). other species showed rates lower than 5%. the microorganisms were isolated from several infectious sites and the biological materials that showed higher positivity were the following: tracheal aspirate (38.34%), spittle (18.71%) and urine (15.95%). bacterial resistance was higher with tetracyclines (89.57%) and sulfamethoxazole/trimethoprim (79.75%). the most active antimicrobials were polymyxin b and piperacillin/tazobactam with 100% and 75.2% sensibility, respectively.

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