CULTURAS DE VIGILÂNCIA DE RESISTÊNCIA DE PACIENTES INTERNOS EM UNIDADE DE TERAPIA INTENSIVA DO HOSPITAL REFERÊNCIA EM DOENÇAS INFECCIOSAS DO RIO GRANDE DO NORTE
INFECÇÕES RELACIONADAS A ASSISTÊNCIA À SAÚDE, CULTURAS DE VIGILÂNCIA, RESISTÊNCIA AOS ANTIMICROBIANOS, UNIDADES DE TERAPIA INTENSIVA
Resumo
Introdução: As Infecções Relacionadas à Assistência à Saúde (IRAS) são infeções adquiridas no curso de uma internação em uma unidade hospitalar. As Unidades de Terapia Intensiva (UTI) são os locais onde frequentemente ocorrem surtos por bactérias multirresistentes, visto a pressão seletiva e a disseminação de genes de resistência nestes ambientes. As culturas de vigilância de resistência são um conjunto de técnicas de isolamento e identificação de microrganismos resistentes aos antimicrobianos em indivíduos colonizados com a finalidade de prevenir as IRAS. Objetivos: Este trabalho teve como meta traçar a frequência fenotípica e genotípica de bactérias multirresistentes dos pacientes internados na UTI do hospital estadual referência em doenças infectocontagiosas. Materiais e Métodos: A coleta das amostras foi feita nos sítios axilar, nasal e retal e processadas no LABMIC/UFRN. Os swabs de cada sítio foram semeados em caldo BHI para enriquecimento, e foi procedido o isolamento primário (IP) nos ágares sangue e MacConkey. Transcorridas 24 horas do IP, determinou-se as características morfotintoriais e as provas bioquímicas para a identificação dos espécimes. Identificada a bactéria, foi procedido o teste de sensibilidade aos antimicrobianos, através da técnica de ágar disco-difusão, e testes fenotípicos para determinação do perfil de resistência das bactérias encontradas. Os espécimes com perfil de resistência aos carbapenêmicos passaram por PCR convencional para a determinação da presença dos genes blaIMP-1, blaIMP-2, blaVIM-1, blaVIM-2, blaOXA-23, blaOXA-48 e blaKPC e mcr-1. Resultados: Dezenove amostras apresentaram resistência aos carbapenêmicos e a CIM destes para o Imipenem e Polimixina B demonstrou 94,7% e 31,6% de resistência, respectivamente. Quanto aos genes testados, o gene blaNDM-1 foi expresso por 21% das amostras e o gene blaKPC por 42,1% das amostras. Os demais não foram expressos. As cepas encontradas neste estudo são responsáveis por falhas terapêuticas severas e demonstram a complexidade da problemática da resistência bacteriana. Conclusão: Este trabalho denota a necessidade de medidas de contenção dos microrganismos que causam as IRAS e visa contribuir para o aprimoramento das condutas de vigilância em UTIs, auxiliando na prevenção e controle de transmissão de bactérias multirresistentes e no estabelecimento de ações de controle de surtos nestas unidades.
Publicado
2021-06-12
Como Citar
Bomfim, I. M. F. N., Carvalho, Y. N. T. D., Lins, J. H. J. ., Barros, A. V. ., & Motta Neto, R. . (2021). CULTURAS DE VIGILÂNCIA DE RESISTÊNCIA DE PACIENTES INTERNOS EM UNIDADE DE TERAPIA INTENSIVA DO HOSPITAL REFERÊNCIA EM DOENÇAS INFECCIOSAS DO RIO GRANDE DO NORTE. Revista Multidisciplinar Em Saúde, 2(2), 45. https://doi.org/10.51161/rems/1202
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SubmissionSearch._getMergedKeywordResults(Object:Journal, Array[3], null, null, null, 500, 1) % line 132, file: SubmissionSearch.inc.php
SubmissionSearch._getMergedArray(Object:Journal, Array[1], null, null) % line 263, file: SubmissionSearch.inc.php
SubmissionSearch.retrieveResults(Object:Request, Object:Journal, Array[1], null, null, null, Object:DBResultRange, Array[1]) % line 92, file: RecommendBySimilarityPlugin.inc.php
RecommendBySimilarityPlugin.callbackTemplateArticlePageFooter(Templates::Article::Footer::PageFooter, Array[3]) % line 107, file: HookRegistry.inc.php
HookRegistry.call(Templates::Article::Footer::PageFooter, Array[3]) % line 1267, file: PKPTemplateManager.inc.php
PKPTemplateManager.smartyCallHook(Array[1], Object:Smarty_Internal_Template) % line 43, file: 42362804174f266c598cdb32c3208fc745b92101^1c372c95cd85572e0fbc9a53d0323a0b229cfc78_0.app.frontendpagesarticle.tpl.php
content_6781613650b432_13896783(Object:Smarty_Internal_Template) % line 123, file: smarty_template_resource_base.php
Smarty_Template_Resource_Base.getRenderedTemplateCode(Object:Smarty_Internal_Template) % line 114, file: smarty_template_compiled.php
Smarty_Template_Compiled.render(Object:Smarty_Internal_Template) % line 216, file: smarty_internal_template.php
Smarty_Internal_Template.render(false, 1) % line 232, file: smarty_internal_templatebase.php
Smarty_Internal_TemplateBase._execute(Object:Smarty_Internal_Template, null, 42362804174f266c598cdb32c3208fc745b92101, null, 1) % line 134, file: smarty_internal_templatebase.php
Smarty_Internal_TemplateBase.display(frontend/pages/article.tpl, null, 42362804174f266c598cdb32c3208fc745b92101, null) % line 924, file: PKPTemplateManager.inc.php
PKPTemplateManager.display(frontend/pages/article.tpl) % line 292, file: ArticleHandler.inc.php
ArticleHandler.view(Array[1], Object:Request) % line 391, file: PKPRouter.inc.php
PKPRouter._authorizeInitializeAndCallRequest(Array[2], Object:Request, Array[1], false) % line 231, file: PKPPageRouter.inc.php
PKPPageRouter.route(Object:Request) % line 143, file: Dispatcher.inc.php
Dispatcher.dispatch(Object:Request) % line 281, file: PKPApplication.inc.php
PKPApplication.execute() % line 68, file: index.php
ADOConnection.CacheExecute(3600, SELECT o.submission_id, MAX(s.context_id) AS journal_id, MAX(i.date_published) AS i_pub, MAX(p.date_published) A..., Array[2]) % line 132, file: DAO.inc.php
DAO.retrieveCached(SELECT o.submission_id, MAX(s.context_id) AS journal_id, MAX(i.date_published) AS i_pub, MAX(p.date_published) A..., Array[2], 3600) % line 91, file: ArticleSearchDAO.inc.php
ArticleSearchDAO.getPhraseResults(Object:Journal, Array[1], null, null, , 500, 1) % line 201, file: SubmissionSearch.inc.php
SubmissionSearch._getMergedPhraseResults(Object:Journal, Array[1], , null, null, 500, 1) % line 146, file: SubmissionSearch.inc.php
SubmissionSearch._getMergedKeywordResults(Object:Journal, Array[4], , null, null, 500, 1) % line 194, file: SubmissionSearch.inc.php
SubmissionSearch._getMergedPhraseResults(Object:Journal, Array[4], null, null, null, 500, 1) % line 146, file: SubmissionSearch.inc.php
SubmissionSearch._getMergedKeywordResults(Object:Journal, Array[3], null, null, null, 500, 1) % line 132, file: SubmissionSearch.inc.php
SubmissionSearch._getMergedArray(Object:Journal, Array[1], null, null) % line 263, file: SubmissionSearch.inc.php
SubmissionSearch.retrieveResults(Object:Request, Object:Journal, Array[1], null, null, null, Object:DBResultRange, Array[1]) % line 92, file: RecommendBySimilarityPlugin.inc.php
RecommendBySimilarityPlugin.callbackTemplateArticlePageFooter(Templates::Article::Footer::PageFooter, Array[3]) % line 107, file: HookRegistry.inc.php
HookRegistry.call(Templates::Article::Footer::PageFooter, Array[3]) % line 1267, file: PKPTemplateManager.inc.php
PKPTemplateManager.smartyCallHook(Array[1], Object:Smarty_Internal_Template) % line 43, file: 42362804174f266c598cdb32c3208fc745b92101^1c372c95cd85572e0fbc9a53d0323a0b229cfc78_0.app.frontendpagesarticle.tpl.php
content_6781613650b432_13896783(Object:Smarty_Internal_Template) % line 123, file: smarty_template_resource_base.php
Smarty_Template_Resource_Base.getRenderedTemplateCode(Object:Smarty_Internal_Template) % line 114, file: smarty_template_compiled.php
Smarty_Template_Compiled.render(Object:Smarty_Internal_Template) % line 216, file: smarty_internal_template.php
Smarty_Internal_Template.render(false, 1) % line 232, file: smarty_internal_templatebase.php
Smarty_Internal_TemplateBase._execute(Object:Smarty_Internal_Template, null, 42362804174f266c598cdb32c3208fc745b92101, null, 1) % line 134, file: smarty_internal_templatebase.php
Smarty_Internal_TemplateBase.display(frontend/pages/article.tpl, null, 42362804174f266c598cdb32c3208fc745b92101, null) % line 924, file: PKPTemplateManager.inc.php
PKPTemplateManager.display(frontend/pages/article.tpl) % line 292, file: ArticleHandler.inc.php
ArticleHandler.view(Array[1], Object:Request) % line 391, file: PKPRouter.inc.php
PKPRouter._authorizeInitializeAndCallRequest(Array[2], Object:Request, Array[1], false) % line 231, file: PKPPageRouter.inc.php
PKPPageRouter.route(Object:Request) % line 143, file: Dispatcher.inc.php
Dispatcher.dispatch(Object:Request) % line 281, file: PKPApplication.inc.php
PKPApplication.execute() % line 68, file: index.php
Notice: Deprecated call to Smarty2 function get_template_vars in /home/editoraime/public_html/revistas/lib/pkp/classes/template/PKPTemplateManager.inc.php on line 1930
Notice: Deprecated call to Smarty2 function get_template_vars in /home/editoraime/public_html/revistas/lib/pkp/classes/template/PKPTemplateManager.inc.php on line 1930
Notice: Deprecated call to Smarty2 function get_template_vars in /home/editoraime/public_html/revistas/lib/pkp/classes/template/PKPTemplateManager.inc.php on line 1930
Este é um conteúdo de acesso aberto distribuído sob os termos da Creative Commons Attribution License.