Antimicrobial use and incidence of multidrug-resistant pseudomonas aeruginosa in a teaching hospital: An ecological approach

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MetadadosDescriçãoIdioma
Autor(es): dc.contributorUniversidade Estadual Paulista (UNESP)-
Autor(es): dc.creatordas Neves, Mariana Tresoldi-
Autor(es): dc.creatorde Lorenzo, Mariana Eliza Pinto-
Autor(es): dc.creatorAlmeida, Ricardo Augusto Monteiro Barros-
Autor(es): dc.creatorFortaleza, Carlos Magno Castelo Branco-
Data de aceite: dc.date.accessioned2025-08-21T17:33:07Z-
Data de disponibilização: dc.date.available2025-08-21T17:33:07Z-
Data de envio: dc.date.issued2022-04-28-
Data de envio: dc.date.issued2022-04-28-
Data de envio: dc.date.issued2010-01-01-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.1590/s0037-86822010000600005-
Fonte completa do material: dc.identifierhttp://hdl.handle.net/11449/226188-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/226188-
Descrição: dc.descriptionIntroduction: Multidrug-resistant Pseudomonas aeruginosa is a major threat in healthcare settings. The use of antimicrobials can influence the incidence of resistant strains by direct and indirect mechanisms. The latter can be addressed by ecological studies. Methods: Our group attempted to analyze the relation between the use of antipseudomonal drugs and the incidence of MDR-PA among 18 units from a 400-bed teaching hospital. The study had a retrospective, ecological design, comprising data from 2004 and 2005. Data on the use of four antimicrobials (amikacin, ciprofloxacin, ceftazidime and imipenem) were tested for correlation with the incidence of MDR-PA (defined as isolates resistant to the four antimicrobials of interest) in clinical cultures. Univariate and multivariate linear regression analyses were performed. Results: Significant correlations were determined between use and resistance for all antimicrobials in the univariate analysis: amikacin (standardized correlation coefficient = 0.73, p = 0.001); ciprofloxacin (0.71, p = 0.001); ceftazidime (0.61, p = 0.007) and imipenem (0.87, p < 0.001). In multivariate analysis, only imipenem (0.67, p = 0.01) was independently related to the incidence of multidrug-resistant strains. Conclusions: These findings share similarities with those reported in individual-based observational studies, with possible implications for infection control.-
Descrição: dc.descriptionDepartment of Tropical Diseases Botucatu School of Medicine São Paulo State University, Botucatu, SP-
Descrição: dc.descriptionBauru State Hospital Botucatu School of Medicine São Paulo State University, Bauru, SP-
Descrição: dc.descriptionDepartment of Tropical Diseases Botucatu School of Medicine São Paulo State University, Botucatu, SP-
Descrição: dc.descriptionBauru State Hospital Botucatu School of Medicine São Paulo State University, Bauru, SP-
Formato: dc.format629-632-
Idioma: dc.languagept_BR-
Relação: dc.relationRevista da Sociedade Brasileira de Medicina Tropical-
???dc.source???: dc.sourceScopus-
Palavras-chave: dc.subjectAntimicrobial resistance-
Palavras-chave: dc.subjectEcological study-
Palavras-chave: dc.subjectPseudomonas aeruginosa-
Título: dc.titleAntimicrobial use and incidence of multidrug-resistant pseudomonas aeruginosa in a teaching hospital: An ecological approach-
Título: dc.titleUso de antimicrobianos e incidência de pseudomonas aeruginosa multidroga-resistente em um hospital de ensino: Uma abordagem ecológica-
Tipo de arquivo: dc.typelivro digital-
Aparece nas coleções:Repositório Institucional - Unesp

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