Microbial resistance at the “Ernesto Che Guevara” Cardiology Hospital. A five year study
Keywords:
microbial sensitivity tests, microbial colony count, microbial drug resistanceAbstract
Introduction and Objectives: The appearance of nosocomial bacterial resistance represents a problem of growing concern because it largely affects the evolution of patients and the health resources devoted to it. The objective of this work was to determine the most common germs and their microbial resistance. Methods: A descriptive retrospective study was carried out analyzing the result of the isolation of germs from all type of secretions and from the blood cultures of a group of patients hospitalized at the Ernesto Che Guevara Cardiology Hospital in a five year period. Results: A total of 397 strains were isolated, 77 Staphylococcus aureus and 320 Enterobacteriaceae. The former presented 100% resistance to penicillin. The Staphylococcus sensitive to methicillin presented 4.9 % resistance to cotrimoxazole and gentamicin. The strains resistant to methicillin or oxacillin had a high resistance to gentamicin (87.5 %) and ciprofloxacin (81.2 %), a medium resistance to cefazolin and oxacilline (20.5 %), and just 12.5 percent resistance to cotrimoxazole. Conclusions: the Staphylococcusaureus and the Enterobacteriaceae were the most common germs. The preoperative prophylaxis in these patients must not be done with cefazolin as a routine because the staphylococci resistant to methicillin or oxacillin have influence on other antimicrobials.
Downloads
References
1. Bagó [sitio web en Internet]. Argentina: Organización Bagó; ©1997-2008 [actualizado 25 Mayo 2009; citado 3 Abr 2009]. Disponible en: http://www.bago.com/BagoArg/Biblio/infectoweb274.htm
2. Morales R. Terapia de bacterias productoras de b-lactamasas de espectro extendido. Rev Chil Infect. 2003;20(Supl 1):S24-7.
3. El Comprimido [página web en Internet]. Islas Baleares: Servicio de Salud [actualizado 12 Mayo 2009; citado 24 Mayo 2009]. Servicio de salud de las Islas Baleares; [aprox. 8 p.]. Disponible en: http://www.elcomprimido.com/FARHSD/CursoAntimicrobianos2008/Blanco_TratamientoBLEE_INfecGraves_11_03_2008.ppt#297,18,AMINOGLUCÓSIDOS
4. Sociedad Española de Medicina [página web en Internet]. España: SEMI [citado 24 Mar 2009]. Disponible en:
http://www.fesemi.org/grupos/e_infecciosas/noticias/ponencias_iv_reunion_ei/Dr.%20Peralta.pdf
5. Sánchez Artola B. Betalactamasas de espectro extendido (BLEE). REMI [serie en Internet]. 2004 Ago [citado 3 Abr 2009];4(8):[aprox. 7 p.]. Disponible en:
http://remi.uninet.edu/2004/08/REMIC06.htm
6. Salso S, Culebras E, Andrade R, Picazo JJ. Outbreak of TEM-24-producing Enterobacter aerogenes in a Spanish hospital. Microb Drug Resist. 2003;9:299-305.
7. Hernández JR, Pascual A, Cantón R, Martínez-Martínez L, Grupo de estudio de infección hospitalaria GEIH. Escherichia coli y Klebsiella pneumoniae productores de ß-lactamasas de espectro extendido en hospitales españoles (Proyecto GEIH-BLEE 2000). Enferm Infecc Microbiol Clin. 2003;21:77-82.
8. Máttar S, Alvis N, Puerta H, Castillo C, Consuegra CP, Coronel W. Capacidad de los laboratorios de microbiología de Cartagena para detectar microorganismos productores de bectalactamasas de expectro extendido. Infectio. 2005;9(3):123-30.
9. Sánchez L, Ríos R, Máttar S. Detección de beta-lactamasas de espectro extendido de Escherichia coli y Klebsiella neumoniae aislados en una clínica de Villavicencio, Colombia. Infect [serie en Internet]. 2008 Jul-Sep [citado 21 Mayo 2009];12(3):[aprox. 9 p.]. Disponible en: http://www.scielo.org.co/scielo.php?pid=S0123-93922008000300004&script=sci_arttext
10. Paterson D, Bonomo R. Extended spectrum ß-lactamases: a clinical update. Clin Microbiol Rev. 2005;18:657-86.
11. Máttar S, Martínez P. Emergencia de la resistencia antibiótica debida a las ß-lactamasas de espectro extendido (BLEE): detección, impacto clínico y epidemiología. Infectio. 2007;11:23-35.
12. Owens R, Rice L. Hospital-based strategies for combating resistance. Clin Infect Dis. 2006;42:S173-81.
13. Hipertextos del área de la biología [página web en Internet.]. Argentina: Universidad Nacional del Nordeste; ©1998-2005 [actualizado el 17 Ago 1998; citado 21 Jun 2009]. Universidad Nacional del Nordeste; [aprox. 6 p]. Disponible en: http://fai.unne.edu.ar/biologia/microgeneral/micro-ianez/21_micro.htm
Downloads
Published
How to Cite
Issue
Section
Categories
License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Authors who publish with this journal agree to the following terms:- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.