Emergence of colistin resistance in the largest university hospital complex of São Paulo, Brazil, over five years
Abstract Colistin resistance involving Gram-negative bacilli infections is a challenge for health institutions around of the world. Carbapenem-resistance among these isolates makes colistin the last therapeutic option for this treatment. Colistin resistance among Enterobacteriaceae, Acinetobacter spp., and Pseudomonas spp. was evaluated between 2010 and 2014 years, at Hospital das Clínicas, São Paulo, Brazil. Over five years 1346 (4.0%) colistin resistant Gram-negative bacilli were evaluated. Enterobacteriaceae was the most frequent (86.1%) pathogen isolated, followed by Acinetobacter spp. (7.6%), and Pseudomonas spp. (6.3%). By temporal analysis there was a trend for an increase of colistin resistance among Enterobacteriaceae, but not among non-fermentative isolates. Among 1346 colistin resistant isolates, carbapenem susceptibility was observed in 21.5%. Colistin resistance in our hospital has been alarmingly increased among Klebsiella pneumoniae isolates in both KPC positive and negative, thus becoming a therapeutic problem.
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Brazilian Society of Infectious Diseases
2017
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oai:scielo:S1413-867020170001000982017-03-06Emergence of colistin resistance in the largest university hospital complex of São Paulo, Brazil, over five yearsRossi,FláviaGirardello,RaquelCury,Ana PaulaDi Gioia,Thais Sabato RomanoAlmeida Jr,João Nóbrega deDuarte,Alberto José da Silva Colistin-resistant Polymyxin B-resistant Enterobacteriaceae Brazil Abstract Colistin resistance involving Gram-negative bacilli infections is a challenge for health institutions around of the world. Carbapenem-resistance among these isolates makes colistin the last therapeutic option for this treatment. Colistin resistance among Enterobacteriaceae, Acinetobacter spp., and Pseudomonas spp. was evaluated between 2010 and 2014 years, at Hospital das Clínicas, São Paulo, Brazil. Over five years 1346 (4.0%) colistin resistant Gram-negative bacilli were evaluated. Enterobacteriaceae was the most frequent (86.1%) pathogen isolated, followed by Acinetobacter spp. (7.6%), and Pseudomonas spp. (6.3%). By temporal analysis there was a trend for an increase of colistin resistance among Enterobacteriaceae, but not among non-fermentative isolates. Among 1346 colistin resistant isolates, carbapenem susceptibility was observed in 21.5%. Colistin resistance in our hospital has been alarmingly increased among Klebsiella pneumoniae isolates in both KPC positive and negative, thus becoming a therapeutic problem.info:eu-repo/semantics/openAccessBrazilian Society of Infectious DiseasesBrazilian Journal of Infectious Diseases v.21 n.1 20172017-02-01info:eu-repo/semantics/othertext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702017000100098en10.1016/j.bjid.2016.09.011 |
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Rossi,Flávia Girardello,Raquel Cury,Ana Paula Di Gioia,Thais Sabato Romano Almeida Jr,João Nóbrega de Duarte,Alberto José da Silva |
| spellingShingle |
Rossi,Flávia Girardello,Raquel Cury,Ana Paula Di Gioia,Thais Sabato Romano Almeida Jr,João Nóbrega de Duarte,Alberto José da Silva Emergence of colistin resistance in the largest university hospital complex of São Paulo, Brazil, over five years |
| author_facet |
Rossi,Flávia Girardello,Raquel Cury,Ana Paula Di Gioia,Thais Sabato Romano Almeida Jr,João Nóbrega de Duarte,Alberto José da Silva |
| author_sort |
Rossi,Flávia |
| title |
Emergence of colistin resistance in the largest university hospital complex of São Paulo, Brazil, over five years |
| title_short |
Emergence of colistin resistance in the largest university hospital complex of São Paulo, Brazil, over five years |
| title_full |
Emergence of colistin resistance in the largest university hospital complex of São Paulo, Brazil, over five years |
| title_fullStr |
Emergence of colistin resistance in the largest university hospital complex of São Paulo, Brazil, over five years |
| title_full_unstemmed |
Emergence of colistin resistance in the largest university hospital complex of São Paulo, Brazil, over five years |
| title_sort |
emergence of colistin resistance in the largest university hospital complex of são paulo, brazil, over five years |
| description |
Abstract Colistin resistance involving Gram-negative bacilli infections is a challenge for health institutions around of the world. Carbapenem-resistance among these isolates makes colistin the last therapeutic option for this treatment. Colistin resistance among Enterobacteriaceae, Acinetobacter spp., and Pseudomonas spp. was evaluated between 2010 and 2014 years, at Hospital das Clínicas, São Paulo, Brazil. Over five years 1346 (4.0%) colistin resistant Gram-negative bacilli were evaluated. Enterobacteriaceae was the most frequent (86.1%) pathogen isolated, followed by Acinetobacter spp. (7.6%), and Pseudomonas spp. (6.3%). By temporal analysis there was a trend for an increase of colistin resistance among Enterobacteriaceae, but not among non-fermentative isolates. Among 1346 colistin resistant isolates, carbapenem susceptibility was observed in 21.5%. Colistin resistance in our hospital has been alarmingly increased among Klebsiella pneumoniae isolates in both KPC positive and negative, thus becoming a therapeutic problem. |
| publisher |
Brazilian Society of Infectious Diseases |
| publishDate |
2017 |
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http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702017000100098 |
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