Microbiological profile of bloodstream infections and antimicrobial resistance patterns at a tertiary referral hospital in Amazon, Brazil
BACKGROUNDBloodstream infections (BSI) are a global health issue, leading to high mortality and morbidity among hospitalized patients.METHODSA retrospective, observational and descriptive study was conducted by reviewing blood culture records collected from patients with suspected BSI, between Janua...
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| Published in | Revista da Sociedade Brasileira de Medicina Tropical Vol. 56; p. e03822023 |
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| Main Authors | , , , , , , , , , |
| Format | Journal Article |
| Language | English |
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Sociedade Brasileira de Medicina Tropical - SBMT
01.01.2023
Sociedade Brasileira de Medicina Tropical (SBMT) |
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| Abstract | BACKGROUNDBloodstream infections (BSI) are a global health issue, leading to high mortality and morbidity among hospitalized patients.METHODSA retrospective, observational and descriptive study was conducted by reviewing blood culture records collected from patients with suspected BSI, between January 2017 and December 2019.RESULTSThe most frequent antimicrobial resistant (AMR) pathogens were methicillin-resistantStaphylococcus aureus(MRSA) (40%), methicillin-resistantS. epidermidis (MRSE) (9.5%), and extended-spectrum beta-lactamase (ESBL)-producing Enterobacteriaceae (35.3%).CONCLUSIONSOur findings underscore the importance of continued vigilance and advocate for the rational use of antimicrobial agents. |
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| AbstractList | ABSTRACT Background: Bloodstream infections (BSI) are a global health issue, leading to high mortality and morbidity among hospitalized patients. Methods: A retrospective, observational and descriptive study was conducted by reviewing blood culture records collected from patients with suspected BSI, between January 2017 and December 2019. Results: The most frequent antimicrobial resistant (AMR) pathogens were methicillin-resistantStaphylococcus aureus(MRSA) (40%), methicillin-resistantS. epidermidis (MRSE) (9.5%), and extended-spectrum beta-lactamase (ESBL)-producing Enterobacteriaceae (35.3%). Conclusions: Our findings underscore the importance of continued vigilance and advocate for the rational use of antimicrobial agents. BACKGROUNDBloodstream infections (BSI) are a global health issue, leading to high mortality and morbidity among hospitalized patients.METHODSA retrospective, observational and descriptive study was conducted by reviewing blood culture records collected from patients with suspected BSI, between January 2017 and December 2019.RESULTSThe most frequent antimicrobial resistant (AMR) pathogens were methicillin-resistantStaphylococcus aureus(MRSA) (40%), methicillin-resistantS. epidermidis (MRSE) (9.5%), and extended-spectrum beta-lactamase (ESBL)-producing Enterobacteriaceae (35.3%).CONCLUSIONSOur findings underscore the importance of continued vigilance and advocate for the rational use of antimicrobial agents. |
| Author | Melo, Sabrina Araújo de Gómez, Aline Stephanie Pérez Frank, Carlos Henrique Michiles Almeida, Taynná Vernalha Rocha Marinho, Eveny Perlize Melo Pinto, Sergio Damasceno Bastos, Michele de Souza Feitoza, Pablo Vinicius Silveira Ferreira, Ewerton da Silva Monte, Rossicleia Lins |
| AuthorAffiliation | 3 Universidade Federal do Amazonas, Programa de Pós-graduação em Ciências da Saúde, Manaus, AM, Brasil 2 Universidade Federal do Amazonas, Programa de Pós-graduação em Biotecnologia, Manaus, AM, Brasil 1 Fundação de Medicina Tropical Doutor Heitor Vieira Dourado, Laboratório de Bacteriologia, Manaus, AM, Brasil |
| AuthorAffiliation_xml | – name: 2 Universidade Federal do Amazonas, Programa de Pós-graduação em Biotecnologia, Manaus, AM, Brasil – name: 3 Universidade Federal do Amazonas, Programa de Pós-graduação em Ciências da Saúde, Manaus, AM, Brasil – name: 1 Fundação de Medicina Tropical Doutor Heitor Vieira Dourado, Laboratório de Bacteriologia, Manaus, AM, Brasil – name: Fundação de Medicina Tropical Doutor Heitor Vieira Dourado – name: Universidade Federal do Amazonas |
| Author_xml | – sequence: 1 givenname: Ewerton da Silva orcidid: 0000-0003-3731-388X surname: Ferreira fullname: Ferreira, Ewerton da Silva organization: Fundação de Medicina Tropical Doutor Heitor Vieira Dourado, Brasil; Universidade Federal do Amazonas, Brasil – sequence: 2 givenname: Aline Stephanie Pérez orcidid: 0000-0003-2997-0628 surname: Gómez fullname: Gómez, Aline Stephanie Pérez organization: Fundação de Medicina Tropical Doutor Heitor Vieira Dourado, Brasil – sequence: 3 givenname: Taynná Vernalha Rocha orcidid: 0000-0001-9872-2420 surname: Almeida fullname: Almeida, Taynná Vernalha Rocha organization: Fundação de Medicina Tropical Doutor Heitor Vieira Dourado, Brasil; Universidade Federal do Amazonas, Brasil – sequence: 4 givenname: Carlos Henrique Michiles orcidid: 0000-0002-4202-2799 surname: Frank fullname: Frank, Carlos Henrique Michiles organization: Fundação de Medicina Tropical Doutor Heitor Vieira Dourado, Brasil – sequence: 5 givenname: Sabrina Araújo de orcidid: 0000-0001-8344-7753 surname: Melo fullname: Melo, Sabrina Araújo de organization: Universidade Federal do Amazonas, Brasil – sequence: 6 givenname: Eveny Perlize Melo orcidid: 0000-0002-6829-7088 surname: Marinho fullname: Marinho, Eveny Perlize Melo organization: Universidade Federal do Amazonas, Brasil – sequence: 7 givenname: Sergio Damasceno orcidid: 0000-0001-7034-4245 surname: Pinto fullname: Pinto, Sergio Damasceno organization: Fundação de Medicina Tropical Doutor Heitor Vieira Dourado, Brasil; Universidade Federal do Amazonas, Brasil – sequence: 8 givenname: Pablo Vinicius Silveira orcidid: 0000-0003-2840-451X surname: Feitoza fullname: Feitoza, Pablo Vinicius Silveira organization: Fundação de Medicina Tropical Doutor Heitor Vieira Dourado, Brasil – sequence: 9 givenname: Rossicleia Lins orcidid: 0000-0002-2881-8205 surname: Monte fullname: Monte, Rossicleia Lins organization: Fundação de Medicina Tropical Doutor Heitor Vieira Dourado, Brasil – sequence: 10 givenname: Michele de Souza orcidid: 0000-0003-3450-666X surname: Bastos fullname: Bastos, Michele de Souza organization: Fundação de Medicina Tropical Doutor Heitor Vieira Dourado, Brasil; Universidade Federal do Amazonas, Brasil |
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| Keywords | Bloodstream infections ESBL Sepsis Antimicrobial resistance MRSA |
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| References_xml | – year: 2023 ident: ref4 – volume: 63 issue: 7 year: 2019 ident: ref9 article-title: The microbiology of bloodstream infection: 20-year trends from the SENTRY antimicrobial surveillance program publication-title: Antimicrob Agents Chemother doi: 10.1128/AAC.00355-19 contributor: fullname: Diekema DJ – volume: 17 start-page: 70 issue: 1 year: 2019 ident: ref6 article-title: Microbiology Investigation Criteria for Reporting Objectively (MICRO): A framework for the reporting and interpretation of clinical microbiology data publication-title: BMC Med doi: 10.1186/s12916-019-1301-1 contributor: fullname: Turner P – volume: 33 issue: 3 year: 2020 ident: ref8 article-title: Antimicrobial Resistance in ESKAPE Pathogens publication-title: Clin Microbiol Rev contributor: fullname: De Oliveira DMP – volume: 36 start-page: 403 issue: 7 year: 2018 ident: ref10 article-title: Phenotypic and genetic characteristics of fluoroquinolone- and methicillin-resistant Staphylococcus aureus publication-title: Enferm Infecc Microbiol Clin doi: 10.1016/j.eimc.2017.06.006 contributor: fullname: Moreno-Flores A – volume: 69 start-page: 41 issue: 1 year: 2020 ident: ref13 article-title: Methicillin-resistant Staphylococcus epidermidis isolates with reduced vancomycin susceptibility from bloodstream infections in a neonatal intensive care unit publication-title: J Med Microbiol doi: 10.1099/jmm.0.001117 contributor: fullname: Peixoto PB – volume: 24 start-page: 841 issue: 5 year: 2018 ident: ref15 article-title: Antimicrobial resistance in invasive bacterial infections in hospitalized children, Cambodia, 2007-2016 publication-title: Emerg Infect Dis doi: 10.3201/eid2405.171830 contributor: fullname: Fox-Lewis A – volume: 141 start-page: 2140 issue: 10 year: 2013 ident: ref12 article-title: A comparison of clinical outcomes between healthcare-associated infections due to community-associated methicillin-resistant Staphylococcus aureus strains and healthcare-associated methicillin-resistant S. aureus strains publication-title: Epidemiol Infect doi: 10.1017/S0950268812002634 contributor: fullname: Eells SJ – volume: 5 start-page: 100675 issue: 31 year: 2021 ident: ref11 article-title: Longitudinal evaluation of risk factors and outcomes of blood stream infections due to Staphylococcus species in persons with HIV: An observational cohort study publication-title: EClinicalMedicine doi: 10.1016/j.eclinm.2020.100675 contributor: fullname: Lang R – volume: 8 start-page: 32 issue: 1 year: 2008 ident: ref2 article-title: Host-pathogen interactions in sepsis publication-title: Lancet Infect Dis doi: 10.1016/S1473-3099(07)70265-7 contributor: fullname: Van Der Poll T – volume: 7 start-page: 320 issue: 3 year: 2016 ident: ref3 article-title: Bloodstream infections in HIV-infected patients publication-title: Virulence doi: 10.1080/21505594.2016.1158359 contributor: fullname: Taramasso L – volume: 33 start-page: 2400 issue: 9 year: 1995 ident: ref7 article-title: Geographic Spread of Epidemic Multiresistant Staphylococcus aureus Clone in Brazil publication-title: J Clin Microbiol doi: 10.1128/jcm.33.9.2400-2404.1995 contributor: fullname: Teixeira LA – volume: 395 start-page: 200 issue: 10219 year: 2020 ident: ref1 article-title: Global, regional, and national sepsis incidence and mortality, 1990-2017: analysis for the Global Burden of Disease Study publication-title: The Lancet doi: 10.1016/S0140-6736(19)32989-7 contributor: fullname: Rudd KE – volume: 63 start-page: 310 issue: 3 year: 2016 ident: ref14 article-title: Fecal Colonization with Extended-spectrum Beta-lactamase-Producing Enterobacteriaceae and Risk Factors among Healthy Individuals: A Systematic Review and Metaanalysis publication-title: Clinical Infectious Diseases doi: 10.1093/cid/ciw283 contributor: fullname: Karanika S – volume: 18 start-page: 268 issue: 3 year: 2012 ident: ref5 article-title: Multidrug-resistant, extensively drug-resistant and pandrug-resistant bacteria: An international expert proposal for interim standard definitions for acquired resistance publication-title: Clinical Microbiology and Infection doi: 10.1111/j.1469-0691.2011.03570.x contributor: fullname: Magiorakos AP – volume: 5 start-page: 100675 issue: 31 year: 2021 end-page: 100675 article-title: Longitudinal evaluation of risk factors and outcomes of blood stream infections due to Staphylococcus species in persons with HIV: An observational cohort study publication-title: EClinicalMedicine contributor: fullname: Lang, R; Gill, MJ; Vu, Q; Viczko, J; Naugler, C; Church, D – volume: 141 start-page: 2140 issue: 10 year: 2013 end-page: 2148 article-title: A comparison of clinical outcomes between healthcare-associated infections due to community-associated methicillin-resistant Staphylococcus aureus strains and healthcare-associated methicillin-resistant S. aureus strains publication-title: Epidemiol Infect contributor: fullname: Eells, SJ; Mckinnell, JA; Wang, AA; Green, NL; Whang, D; O’Hara, P – volume: 24 start-page: 841 issue: 5 year: 2018 end-page: 851 article-title: Antimicrobial resistance in invasive bacterial infections in hospitalized children, Cambodia, 2007-2016 publication-title: Emerg Infect Dis contributor: fullname: Fox-Lewis, A; Takata, J; Miliya, T; Lubell, Y; Soeng, S; Sar, P – volume: 69 start-page: 41 issue: 1 year: 2020 end-page: 45 article-title: Methicillin-resistant Staphylococcus epidermidis isolates with reduced vancomycin susceptibility from bloodstream infections in a neonatal intensive care unit publication-title: J Med Microbiol contributor: fullname: Peixoto, PB; Massinhani, FH; dos Santos, KRN; Chamon, RC; Silva, RB; Correa, FEL – volume: 7 start-page: 320 issue: 3 year: 2016 end-page: 328 article-title: Bloodstream infections in HIV-infected patients publication-title: Virulence contributor: fullname: Taramasso, L; Tatarelli, P; Di Biagio, A – volume: 63 issue: 7 year: 2019 article-title: The microbiology of bloodstream infection: 20-year trends from the SENTRY antimicrobial surveillance program publication-title: Antimicrob Agents Chemother contributor: fullname: Diekema, DJ; Hsueh, PR; Mendes, RE; Pfaller, MA; Rolston K, V; Sader, HS – volume: 63 start-page: 310 issue: 3 year: 2016 end-page: 318 article-title: Fecal Colonization with Extended-spectrum Beta-lactamase-Producing Enterobacteriaceae and Risk Factors among Healthy Individuals: A Systematic Review and Metaanalysis publication-title: Clinical Infectious Diseases contributor: fullname: Karanika, S; Karantanos, T; Arvanitis, M; Grigoras, C; Mylonakis, E – volume: 18 start-page: 268 issue: 3 year: 2012 end-page: 281 article-title: Multidrug-resistant, extensively drug-resistant and pandrug-resistant bacteria: An international expert proposal for interim standard definitions for acquired resistance publication-title: Clinical Microbiology and Infection contributor: fullname: Magiorakos, AP; Srinivasan, A; Carey, RB; Carmeli, Y; Falagas, ME; Giske, CG – volume: 33 issue: 3 year: 2020 article-title: Antimicrobial Resistance in ESKAPE Pathogens publication-title: Clin Microbiol Rev contributor: fullname: De Oliveira, DMP; Forde, BM; Kidd, TJ; Harris, PNA; Schembri, MA; Beatson, SA – volume: 8 start-page: 32 issue: 1 year: 2008 end-page: 43 article-title: Host-pathogen interactions in sepsis publication-title: Lancet Infect Dis contributor: fullname: Van Der Poll, T; Opal, SM – volume: 17 start-page: 70 issue: 1 year: 2019 end-page: 70 article-title: Microbiology Investigation Criteria for Reporting Objectively (MICRO): A framework for the reporting and interpretation of clinical microbiology data publication-title: BMC Med contributor: fullname: Turner, P; Fox-Lewis, A; Shrestha, P; Dance, DAB; Wangrangsimakul, T; Cusack, TP – volume: 33 start-page: 2400 issue: 9 year: 1995 end-page: 2404 article-title: Geographic Spread of Epidemic Multiresistant Staphylococcus aureus Clone in Brazil publication-title: J Clin Microbiol contributor: fullname: Teixeira, LA; Resende, CA; Ormonde, LR; Rosenbaum, R; Figueiredo, AMS; De Lencastre, H – volume: 395 start-page: 200 issue: 10219 year: 2020 end-page: 211 article-title: Global, regional, and national sepsis incidence and mortality, 1990-2017: analysis for the Global Burden of Disease Study publication-title: The Lancet contributor: fullname: Rudd, KE; Johnson, SC; Agesa, KM; Shackelford, KA; Tsoi, D; Kievlan, DR – year: 2023 publication-title: Performance Standards for Antimicrobial Susceptibility Testing – volume: 36 start-page: 403 issue: 7 year: 2018 end-page: 408 article-title: Phenotypic and genetic characteristics of fluoroquinolone- and methicillin-resistant Staphylococcus aureus publication-title: Enferm Infecc Microbiol Clin contributor: fullname: Moreno-Flores, A; Potel-Alvarellos, C; Otero-Fernández, S; Álvarez-Fernández, M |
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| Title | Microbiological profile of bloodstream infections and antimicrobial resistance patterns at a tertiary referral hospital in Amazon, Brazil |
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