Revista da Sociedade Brasileira de Medicina Tropical (Dec 2019)

Pseudomonas aeruginosa in the ICU: prevalence, resistance profile, and antimicrobial consumption

  • Ághata Cardoso da Silva Ribeiro,
  • Márcia Terezinha Lonardoni Crozatti,
  • Adilson Aderito da Silva,
  • Rodrigo Spineli Macedo,
  • Antonia Maria de Oliveira Machado,
  • Antonio Távora de Albuquerque Silva

DOI
https://doi.org/10.1590/0037-8682-0498-2018
Journal volume & issue
Vol. 53

Abstract

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Abstract INTRODUCTION: Pseudomonas aeruginosa is one of the main pathogens causing infection in intensive care units (ICUs) and usually presents antimicrobial resistance. METHODS: Data were obtained from ICUs between 2010 and 2013. RESULTS: P. aeruginosa had a prevalence of 14.5% of which 48.7% were multidrug resistant. We observed increasing resistance to carbapenems and polymyxin B and growing consumption of aminoglycosides, meropenem, ceftazidime, and polymyxin B. The regression impact between resistance and consumption was significant with respect to amikacin, imipenem, meropenem, and polymyxin B. CONCLUSIONS: Monitoring antimicrobial consumption and resistant microorganisms should be reinforced to combat antimicrobial- and multi-drug resistance.

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