Aída Monterisi - Academia.edu (original) (raw)
Papers by Aída Monterisi
![Research paper thumbnail of [Community acquired urinary tract infections in older adults]](https://attachments.academia-assets.com/115161667/thumbnails/1.jpg)
](PubMed, 2017
Background Community acquired urinary tract infections (caUTI) in adults are common ailments. Old... more Background Community acquired urinary tract infections (caUTI) in adults are common ailments. Older adults are prone to infectious diseases, diagnosis can be difficult, their etiologic and antimicrobial resistance are poorly known. Objectives To evaluate the incidence discriminated by sex, symptoms, and to determine pathogens and their antimicrobial resistance rate. Methods A retrospective, descriptive and comparative study. We analyze uricultures among 2013 in the Hospital Nacional de Clinicas (Córdoba-Argentina). Patients over 65 years old, admitted with a caUTI diagnose were included; we exclude those with urinary catheter. Variables used: Sex, symptoms, pathogen isolation, antimicrobial resistance. For symptom variable was performed a comparative test. Descriptive statistics were used to analyze remaining variables. Results Were analyzed 349 patients: 1) Positive uricultures 191 (case), negative 158 (control). 2) Average age 77 (76% women, 24% men). 3) Symptoms: fever (45%), sepsis criteria (17%), altered mental status (14%), heart failure (11%). 4) Uriculture: monomicrobial 95.29%. 5) Isolation and resistance rate: Escherichia coli (67,7%): ampicillin/sulbactam 52.7%, ciprofloxacin 51.9%, trimethoprim/sulfamethoxazole 45.7%, cefotaxime: 12,9 %, amikacin: 3,9 %, Klebsiella pneumoniae (11,97%): ciprofloxacin 60.8%, trimethoprim/ sulfamethoxazole 50%, cefotaxime 47.8%, amikacin 4.7%. Enterococcus spp. (9,89%): ampicillin 0%, vancomycin 0%. Also isolated: Cándida spp. (3.66%), Proteus mirabilis (2,6%), Staphylococcus aureus (2,6%), Enterobacter cloacae (1,56%), Pseudomonas aeruginosa (1,56%). There were no imipenem resistances among gram negatives. Conclusions Isolations were mostly monomicrobial and at female gender. E. coli was the main uropathogen. The elevated resistance rate to ciprofloxacin, ampicillin/sulbactam and trimethoprim/sulfamethoxazole is remarkable. We suggest to avoid their empiric use in this population.
Revista Argentina de microbiología
Bacteremia continues to be one of the main causes of morbidity and mortality in adult patients de... more Bacteremia continues to be one of the main causes of morbidity and mortality in adult patients despite the existence of numerous antimicrobial agents and an increase in support measures. The aim of this study was to analyze the cases of community and hospital-acquired bacteremia, by evaluating the prevalence of species, risk factors, source of infection and antimicrobial susceptibility of the microorganisms involved. From January 2000 to December 2004, 129 cases of bacteremia due to enterobacteria were detected in 45 outpatients (35%) and 84 inpatients (65%). The most common risk factors were neoplasia (33.3%) and diabetes (12.4%); being urinary (29.5%) and abdominal (13.9%) the most frequently found sources of infection. E. coli was the most common enterobacteria isolated in both populations, followed by Klebsiella spp. (21.7%), and Enterobacter spp. (12.4%). Klebsiella spp. bacteremia was most common in ICU patients and, together with Enterobacter spp., constituted the most antibi...
Revista de la Facultad de Ciencias Médicas (Córdoba, Argentina), 1997
The purpose of this work was to evaluate the efficacy and safety of a single dose of 400 mg of fl... more The purpose of this work was to evaluate the efficacy and safety of a single dose of 400 mg of fleroxacin for the empiric antibiotic treatment of acute diarrhea in adult patients. A prospective, double-blind, placebo-controlled, randomized trial was designed. All the adult patients who consulted in our hospital for acute diarrhea from December 1994 to April 1995 were included. 72 patients were randomized to receive a single dose of fleroxacin 400 mg and 73 were placebo. Thirty-eight patients in each group were evaluable for efficacy. Between both groups there were not statistically significant differences in age, sex, number of loose stools per day at inclusion, days since the onset of symptoms up to inclusion, other symptoms than diarrhea at inclusion, percentages of bacterial pathogens and parasites isolated and symptomatic treatment indicated. At the third day since inclusion, clinical cure occurred in 72.2% of the patients receiving fleroxacin, compared with 36.4% of those recei...
Clinical Nephrology, 2009
In this study, we compared the distribution and antibiotic susceptibility patterns of bacterial s... more In this study, we compared the distribution and antibiotic susceptibility patterns of bacterial strains isolated from patients with community-acquired urinary tract infections in Southern Turkey, Hatay, during 2004 and 2005. The majority (82.3%) of the isolates were from women while the remaining (17.7%) were from men. Of all samples tested, 49% were culture-positive with a bacterial pathogen. The most frequently isolated bacterial species were Escherichia coli (45.1%), coagulase-negative Staphylococcus (CNS) (15.5%) and Klebsiella spp. (10.9%). E. coli was more prevalent in women (p < 0.05) while Klebsiella spp., Proteus spp. and Pseudomonas spp. were found more prevalent in men (p < 0.05). Increasing resistance to gentamicin, amikacin and cefazolin, and decreased resistance to ciprofloxacin, ofloxacin, levofloxacin and cotrimoxazole were observed in E. coli isolates over the 2 years. While the lowest resistance rates for E. coli occurred in 2004 (26.0%) and 2005 (20.5%) for cefuroxime, the highest resistance rates occurred in 2004 (81.3 and 47.9%) and 2005 (61.3 and 49.6%) for ampicillin and amoxicillin-clavulanate, respectively. The results of this study stress that antibiotic usage policies, especially empirical therapies, should be based on antimicrobial resistance surveillance studies.
PubMed, 1996
Lactobacillus endocarditis is a rare infection. In fact, only 42 cases have been described in the... more Lactobacillus endocarditis is a rare infection. In fact, only 42 cases have been described in the literature from 1938 up to date. In only 17 previously reported cases have patients been cured with medical therapy alone. Although infections produced by Lactobacillus spp, have been described in our country, none of them included endocarditis. We report herein a case of endocarditis due to a vancomycin-resistant strain of Lactobacillus casei sub. rhamnosus in a 29-year-old man with prolapse of the mitral valve. He required surgical replacement of his valve because of the poor response to antimicrobial therapy with penicillin and gentamicin. The patient displayed a successful clinical outcome, with no evidence of recurrence along the subsequent 2 years. We point out the need to accurately identify Lactobacillus spp. in isolates from blood cultures of patients with endocarditis, since these bacteria may often be mistaken for other species more frequently associated to this infection, which usually respond to conventional antimicrobial therapy. Furthermore, we suggest that early surgical replacement should be considered when lactobacillus endocarditis is diagnosed.
Revista Argentina de microbiología
Between April 1, 1999 and June 30, 2000, 144 isolates of enterococci (one per patient) from cultu... more Between April 1, 1999 and June 30, 2000, 144 isolates of enterococci (one per patient) from cultures of several anatomic sites were collected. One hundred and nineteen (82.6%) E. faecalis, 11 (7.6%) E. faecium and 14 (9.7%) of other species (5 E. raffinosus, 4 E. avium, 3 E. casseliflavus, 1 E. pseudoavium, and 1 E. dispar) were associated with clinical infections. The most common sites of isolation were: the urinary tract 54.9%, abdominal cavity 12.5%, surgical wounds 12.5%, abscesses 6.9% and diabetic foot 6.2%. High-level resistance to gentamicin or streptomycin or both was detected in 48.6% of the isolates. E. faecium and E. raffinosus were significantly more resistant than E. faecalis to ampicilin and imipenem. None of the strains exhibited beta-lactamase activity. One strain of E. faecium (0.7%) was resistant to vancomicin and teicoplanin (Van A phenotype) and two strains of E. casseliflavus (1.4%) showed low level of resistance to vancomicin (Van C phenotype). Because of thes...
Revista de la Facultad de Ciencias Médicas de Córdoba
Introducción: Streptococcus pneumoniae (Spn) ocasionalmente causa infección intraabdominal (IIASp... more Introducción: Streptococcus pneumoniae (Spn) ocasionalmente causa infección intraabdominal (IIASpn) que puede ser: 1) peritonitis bacteriana espontánea (PBE) en paciente añosos con enfermedad peritoneal previa, asociada con cirrosis, en la mayoría de los casos; 2) asociada o adyacente a un órgano intraabdominal o postquirúrgica (IIAbq); 3) peritonitis en mujeres jóvenes previamente sanas (MJPS). Nuestro objetivo es reportar 18 casos de IIASpn describiendo: presentación clínica, comorbilidades, necesidad de cirugía, microbiología y sensibilidad a los antimicrobianos, conducta terapéutica y evolución. Métodos: estudio de 18 pacientes adultos con IIASpn en un período de 23 años. Análisis de las características clínicas, microbiología y evolución de los pacientes. Resultados: las IIASpn ocurrieron en 9 MJPS, 6 varones y una mujer con PBE, y 2 varones con apendicitis. Las MJPS fueron intervenidas quirúrgicamente (4 pelviperitonitis, 3 salpingitis y 2 abscesos tubo ovárico) y evolucionaro...
Introduccion La infeccion del tracto urinario de la comunidad (ITUco) es frecuente. Los ancianos ... more Introduccion La infeccion del tracto urinario de la comunidad (ITUco) es frecuente. Los ancianos poseen mayor susceptibilidad, presentando dificultades diagnosticas. La etiologia y sensibilidad antimicrobiana es poco conocida en nuestro medio. Objetivos Evaluar en ancianos la incidencia segun sexo, signosintomatologia, microorganismo recuperado, patron de resistencia. Material y Metodos Estudio retrospectivo, descriptivo y comparativo. Se analizaron registros de urocultivos del ano 2013 del Hospital Nacional de Clinicas (Cordoba- Argentina). Se incluyeron pacientes mayores de 65 anos, internados con diagnostico de ITUco, excluyendose cateterizados. Variables analizadas: Sexo, signosintomatologia, etiologia y sensibilidad a antimicrobianos. Estudio comparativo mediante test de Chi Cuadrado para variable signosintomatologia. Se determino frecuencias en demas variables categoricas. Resultados Se analizaron 349 pacientes: 1) Urocultivo positivo 191 (caso), negativo 158 (control), 2) Eda...
Revista de la Facultad de Ciencias Médicas de Córdoba, 1997
Revista argentina de …, 2012
RESUMEN La bacteriemia es causa importante de morbimortalidad. Nuestro objetivo es describir una ... more RESUMEN La bacteriemia es causa importante de morbimortalidad. Nuestro objetivo es describir una serie de episodios de bacteriemia de origen comunitario en adultos, registrados en el hospital de Clínicas de Córdoba. Entre enero de 2005 y diciembre de ...
Resumen es: La bacteriemia sigue siendo una de las causas mas importantes de morbilidad y mortali... more Resumen es: La bacteriemia sigue siendo una de las causas mas importantes de morbilidad y mortalidad en pacientes adultos, a pesar de los numerosos antimicrobianos h...
La bacteriemia es causa importante de morbimortalidad. Nuestro objetivo es describir una serie de... more La bacteriemia es causa importante de morbimortalidad. Nuestro objetivo es describir una serie de episodios de bacteriemia de origen comunitario en adultos, registrados en el Hospital Nacional de Clinicas de Cordoba, Argentina. Entre enero de 2005 y diciembre de 2013, se estudiaron 645 episodios. El 51% de los pacientes eran varones y el 49% mujeres, la edad promedio fue de 67 anos. Las comorbilidades prevalentes fueron diabetes (18%), neoplasia (15%), cardiopatia (10%), e infeccion por VIH (6%). Los focos que se pudieron establecer fueron urinario (22%), respiratorio (18%), cutaneo (15%), abdominal (13%) y otros (4%). Predominaron las bacterias gramnegativas (51,88%). Los microorganismos mas frecuentes fueron Escherichia coli (30,29%), Streptococcus pneumoniae (15,51%), y Staphylococcus aureus (14,06%). La bacteriemia fue polimicrobiana en el 7,14% de los casos. El 40% de los aislamientos de E. coli presento resistencia a ciprofloxacina y el 9% a ceftazidima. El 15% de los aislamie...
Revista de la Facultad de Ciencias Médicas de Córdoba
Introducción: Aeromonas es una causa habitual de gastroenteritis pero ocasionalmente puede produc... more Introducción: Aeromonas es una causa habitual de gastroenteritis pero ocasionalmente puede producir infecciones extraintestinales. La incidencia de bacteriemia por este género es muy baja y en general los pacientes presentan enfermedades de base asociadas. Materiales y métodos: Análisis retrospectivo de los episodios de bacteriemias por Aeromonas spp. durante un período de ocho años en el Hospital Nacional de Clínicas de la ciudad de Córdoba, haciendo hincapié en edad, sexo, comorbilidades asociadas, presentación clínica, foco, origen de la infección, evolución clínica, prevalencia de especies y sensibilidad antimicrobiana de las mismas. Resultados: Se registraron 10 episodios de bacteriemias por Aeromonas spp. El 60% correspondieron a mujeres y el 40% a hombres. La edad promedio fue 65 años. En siete pacientes el origen de la infección fue comunitario y en tres nosocomial. El 70% de los pacientes presentaron patologías de base predisponentes. El foco de la bacteriemia fue abdominal...
Revista de la Facultad de Ciencias Médicas de Córdoba
Revista Argentina de Microbiología, 2016
Revista Argentina de microbiología
Bacteremia is an important cause of morbimortality. This study describes the episodes of communit... more Bacteremia is an important cause of morbimortality. This study describes the episodes of community-acquired bacteremia in adult patients registered at our hospital. Between January 2005, and December 2009, 271 episodes were studied. The diagnostic yield of blood cultures was 13.5 %. A total of 52 % of patients were male and 48 % female. The mean age was 60. The most frequent comorbidities were: diabetes (21 %), neoplasia (18 %), cardiopathy (11 %), and HIV infection (8 %). The focus was- respiratory (21 %), urinary (15 %), cutaneous (9 %), and others (13 %). Gram-positive bacteria prevailed (51.4%). The most frequent microorganisms were Escherichia coli (25 %), Streptococcus pneumoniae (22.9 %), and Staphylococcus aureus (12.3 %). Bacteremia was polymicrobial in 7 % of the cases. Thirty three percent of E. coli isolates were resistant to ciprofloxacin and 6 % to ceftazidime. Fourteen percent of S. aureus strains were resistant to oxacillin whereas only 7 % of S. pneumoniae expressed...
Revista Argentina de Microbiología, 2016
PubMed, 2017
Background Community acquired urinary tract infections (caUTI) in adults are common ailments. Old... more Background Community acquired urinary tract infections (caUTI) in adults are common ailments. Older adults are prone to infectious diseases, diagnosis can be difficult, their etiologic and antimicrobial resistance are poorly known. Objectives To evaluate the incidence discriminated by sex, symptoms, and to determine pathogens and their antimicrobial resistance rate. Methods A retrospective, descriptive and comparative study. We analyze uricultures among 2013 in the Hospital Nacional de Clinicas (Córdoba-Argentina). Patients over 65 years old, admitted with a caUTI diagnose were included; we exclude those with urinary catheter. Variables used: Sex, symptoms, pathogen isolation, antimicrobial resistance. For symptom variable was performed a comparative test. Descriptive statistics were used to analyze remaining variables. Results Were analyzed 349 patients: 1) Positive uricultures 191 (case), negative 158 (control). 2) Average age 77 (76% women, 24% men). 3) Symptoms: fever (45%), sepsis criteria (17%), altered mental status (14%), heart failure (11%). 4) Uriculture: monomicrobial 95.29%. 5) Isolation and resistance rate: Escherichia coli (67,7%): ampicillin/sulbactam 52.7%, ciprofloxacin 51.9%, trimethoprim/sulfamethoxazole 45.7%, cefotaxime: 12,9 %, amikacin: 3,9 %, Klebsiella pneumoniae (11,97%): ciprofloxacin 60.8%, trimethoprim/ sulfamethoxazole 50%, cefotaxime 47.8%, amikacin 4.7%. Enterococcus spp. (9,89%): ampicillin 0%, vancomycin 0%. Also isolated: Cándida spp. (3.66%), Proteus mirabilis (2,6%), Staphylococcus aureus (2,6%), Enterobacter cloacae (1,56%), Pseudomonas aeruginosa (1,56%). There were no imipenem resistances among gram negatives. Conclusions Isolations were mostly monomicrobial and at female gender. E. coli was the main uropathogen. The elevated resistance rate to ciprofloxacin, ampicillin/sulbactam and trimethoprim/sulfamethoxazole is remarkable. We suggest to avoid their empiric use in this population.
Revista Argentina de microbiología
Bacteremia continues to be one of the main causes of morbidity and mortality in adult patients de... more Bacteremia continues to be one of the main causes of morbidity and mortality in adult patients despite the existence of numerous antimicrobial agents and an increase in support measures. The aim of this study was to analyze the cases of community and hospital-acquired bacteremia, by evaluating the prevalence of species, risk factors, source of infection and antimicrobial susceptibility of the microorganisms involved. From January 2000 to December 2004, 129 cases of bacteremia due to enterobacteria were detected in 45 outpatients (35%) and 84 inpatients (65%). The most common risk factors were neoplasia (33.3%) and diabetes (12.4%); being urinary (29.5%) and abdominal (13.9%) the most frequently found sources of infection. E. coli was the most common enterobacteria isolated in both populations, followed by Klebsiella spp. (21.7%), and Enterobacter spp. (12.4%). Klebsiella spp. bacteremia was most common in ICU patients and, together with Enterobacter spp., constituted the most antibi...
Revista de la Facultad de Ciencias Médicas (Córdoba, Argentina), 1997
The purpose of this work was to evaluate the efficacy and safety of a single dose of 400 mg of fl... more The purpose of this work was to evaluate the efficacy and safety of a single dose of 400 mg of fleroxacin for the empiric antibiotic treatment of acute diarrhea in adult patients. A prospective, double-blind, placebo-controlled, randomized trial was designed. All the adult patients who consulted in our hospital for acute diarrhea from December 1994 to April 1995 were included. 72 patients were randomized to receive a single dose of fleroxacin 400 mg and 73 were placebo. Thirty-eight patients in each group were evaluable for efficacy. Between both groups there were not statistically significant differences in age, sex, number of loose stools per day at inclusion, days since the onset of symptoms up to inclusion, other symptoms than diarrhea at inclusion, percentages of bacterial pathogens and parasites isolated and symptomatic treatment indicated. At the third day since inclusion, clinical cure occurred in 72.2% of the patients receiving fleroxacin, compared with 36.4% of those recei...
Clinical Nephrology, 2009
In this study, we compared the distribution and antibiotic susceptibility patterns of bacterial s... more In this study, we compared the distribution and antibiotic susceptibility patterns of bacterial strains isolated from patients with community-acquired urinary tract infections in Southern Turkey, Hatay, during 2004 and 2005. The majority (82.3%) of the isolates were from women while the remaining (17.7%) were from men. Of all samples tested, 49% were culture-positive with a bacterial pathogen. The most frequently isolated bacterial species were Escherichia coli (45.1%), coagulase-negative Staphylococcus (CNS) (15.5%) and Klebsiella spp. (10.9%). E. coli was more prevalent in women (p < 0.05) while Klebsiella spp., Proteus spp. and Pseudomonas spp. were found more prevalent in men (p < 0.05). Increasing resistance to gentamicin, amikacin and cefazolin, and decreased resistance to ciprofloxacin, ofloxacin, levofloxacin and cotrimoxazole were observed in E. coli isolates over the 2 years. While the lowest resistance rates for E. coli occurred in 2004 (26.0%) and 2005 (20.5%) for cefuroxime, the highest resistance rates occurred in 2004 (81.3 and 47.9%) and 2005 (61.3 and 49.6%) for ampicillin and amoxicillin-clavulanate, respectively. The results of this study stress that antibiotic usage policies, especially empirical therapies, should be based on antimicrobial resistance surveillance studies.
PubMed, 1996
Lactobacillus endocarditis is a rare infection. In fact, only 42 cases have been described in the... more Lactobacillus endocarditis is a rare infection. In fact, only 42 cases have been described in the literature from 1938 up to date. In only 17 previously reported cases have patients been cured with medical therapy alone. Although infections produced by Lactobacillus spp, have been described in our country, none of them included endocarditis. We report herein a case of endocarditis due to a vancomycin-resistant strain of Lactobacillus casei sub. rhamnosus in a 29-year-old man with prolapse of the mitral valve. He required surgical replacement of his valve because of the poor response to antimicrobial therapy with penicillin and gentamicin. The patient displayed a successful clinical outcome, with no evidence of recurrence along the subsequent 2 years. We point out the need to accurately identify Lactobacillus spp. in isolates from blood cultures of patients with endocarditis, since these bacteria may often be mistaken for other species more frequently associated to this infection, which usually respond to conventional antimicrobial therapy. Furthermore, we suggest that early surgical replacement should be considered when lactobacillus endocarditis is diagnosed.
Revista Argentina de microbiología
Between April 1, 1999 and June 30, 2000, 144 isolates of enterococci (one per patient) from cultu... more Between April 1, 1999 and June 30, 2000, 144 isolates of enterococci (one per patient) from cultures of several anatomic sites were collected. One hundred and nineteen (82.6%) E. faecalis, 11 (7.6%) E. faecium and 14 (9.7%) of other species (5 E. raffinosus, 4 E. avium, 3 E. casseliflavus, 1 E. pseudoavium, and 1 E. dispar) were associated with clinical infections. The most common sites of isolation were: the urinary tract 54.9%, abdominal cavity 12.5%, surgical wounds 12.5%, abscesses 6.9% and diabetic foot 6.2%. High-level resistance to gentamicin or streptomycin or both was detected in 48.6% of the isolates. E. faecium and E. raffinosus were significantly more resistant than E. faecalis to ampicilin and imipenem. None of the strains exhibited beta-lactamase activity. One strain of E. faecium (0.7%) was resistant to vancomicin and teicoplanin (Van A phenotype) and two strains of E. casseliflavus (1.4%) showed low level of resistance to vancomicin (Van C phenotype). Because of thes...
Revista de la Facultad de Ciencias Médicas de Córdoba
Introducción: Streptococcus pneumoniae (Spn) ocasionalmente causa infección intraabdominal (IIASp... more Introducción: Streptococcus pneumoniae (Spn) ocasionalmente causa infección intraabdominal (IIASpn) que puede ser: 1) peritonitis bacteriana espontánea (PBE) en paciente añosos con enfermedad peritoneal previa, asociada con cirrosis, en la mayoría de los casos; 2) asociada o adyacente a un órgano intraabdominal o postquirúrgica (IIAbq); 3) peritonitis en mujeres jóvenes previamente sanas (MJPS). Nuestro objetivo es reportar 18 casos de IIASpn describiendo: presentación clínica, comorbilidades, necesidad de cirugía, microbiología y sensibilidad a los antimicrobianos, conducta terapéutica y evolución. Métodos: estudio de 18 pacientes adultos con IIASpn en un período de 23 años. Análisis de las características clínicas, microbiología y evolución de los pacientes. Resultados: las IIASpn ocurrieron en 9 MJPS, 6 varones y una mujer con PBE, y 2 varones con apendicitis. Las MJPS fueron intervenidas quirúrgicamente (4 pelviperitonitis, 3 salpingitis y 2 abscesos tubo ovárico) y evolucionaro...
Introduccion La infeccion del tracto urinario de la comunidad (ITUco) es frecuente. Los ancianos ... more Introduccion La infeccion del tracto urinario de la comunidad (ITUco) es frecuente. Los ancianos poseen mayor susceptibilidad, presentando dificultades diagnosticas. La etiologia y sensibilidad antimicrobiana es poco conocida en nuestro medio. Objetivos Evaluar en ancianos la incidencia segun sexo, signosintomatologia, microorganismo recuperado, patron de resistencia. Material y Metodos Estudio retrospectivo, descriptivo y comparativo. Se analizaron registros de urocultivos del ano 2013 del Hospital Nacional de Clinicas (Cordoba- Argentina). Se incluyeron pacientes mayores de 65 anos, internados con diagnostico de ITUco, excluyendose cateterizados. Variables analizadas: Sexo, signosintomatologia, etiologia y sensibilidad a antimicrobianos. Estudio comparativo mediante test de Chi Cuadrado para variable signosintomatologia. Se determino frecuencias en demas variables categoricas. Resultados Se analizaron 349 pacientes: 1) Urocultivo positivo 191 (caso), negativo 158 (control), 2) Eda...
Revista de la Facultad de Ciencias Médicas de Córdoba, 1997
Revista argentina de …, 2012
RESUMEN La bacteriemia es causa importante de morbimortalidad. Nuestro objetivo es describir una ... more RESUMEN La bacteriemia es causa importante de morbimortalidad. Nuestro objetivo es describir una serie de episodios de bacteriemia de origen comunitario en adultos, registrados en el hospital de Clínicas de Córdoba. Entre enero de 2005 y diciembre de ...
Resumen es: La bacteriemia sigue siendo una de las causas mas importantes de morbilidad y mortali... more Resumen es: La bacteriemia sigue siendo una de las causas mas importantes de morbilidad y mortalidad en pacientes adultos, a pesar de los numerosos antimicrobianos h...
La bacteriemia es causa importante de morbimortalidad. Nuestro objetivo es describir una serie de... more La bacteriemia es causa importante de morbimortalidad. Nuestro objetivo es describir una serie de episodios de bacteriemia de origen comunitario en adultos, registrados en el Hospital Nacional de Clinicas de Cordoba, Argentina. Entre enero de 2005 y diciembre de 2013, se estudiaron 645 episodios. El 51% de los pacientes eran varones y el 49% mujeres, la edad promedio fue de 67 anos. Las comorbilidades prevalentes fueron diabetes (18%), neoplasia (15%), cardiopatia (10%), e infeccion por VIH (6%). Los focos que se pudieron establecer fueron urinario (22%), respiratorio (18%), cutaneo (15%), abdominal (13%) y otros (4%). Predominaron las bacterias gramnegativas (51,88%). Los microorganismos mas frecuentes fueron Escherichia coli (30,29%), Streptococcus pneumoniae (15,51%), y Staphylococcus aureus (14,06%). La bacteriemia fue polimicrobiana en el 7,14% de los casos. El 40% de los aislamientos de E. coli presento resistencia a ciprofloxacina y el 9% a ceftazidima. El 15% de los aislamie...
Revista de la Facultad de Ciencias Médicas de Córdoba
Introducción: Aeromonas es una causa habitual de gastroenteritis pero ocasionalmente puede produc... more Introducción: Aeromonas es una causa habitual de gastroenteritis pero ocasionalmente puede producir infecciones extraintestinales. La incidencia de bacteriemia por este género es muy baja y en general los pacientes presentan enfermedades de base asociadas. Materiales y métodos: Análisis retrospectivo de los episodios de bacteriemias por Aeromonas spp. durante un período de ocho años en el Hospital Nacional de Clínicas de la ciudad de Córdoba, haciendo hincapié en edad, sexo, comorbilidades asociadas, presentación clínica, foco, origen de la infección, evolución clínica, prevalencia de especies y sensibilidad antimicrobiana de las mismas. Resultados: Se registraron 10 episodios de bacteriemias por Aeromonas spp. El 60% correspondieron a mujeres y el 40% a hombres. La edad promedio fue 65 años. En siete pacientes el origen de la infección fue comunitario y en tres nosocomial. El 70% de los pacientes presentaron patologías de base predisponentes. El foco de la bacteriemia fue abdominal...
Revista de la Facultad de Ciencias Médicas de Córdoba
Revista Argentina de Microbiología, 2016
Revista Argentina de microbiología
Bacteremia is an important cause of morbimortality. This study describes the episodes of communit... more Bacteremia is an important cause of morbimortality. This study describes the episodes of community-acquired bacteremia in adult patients registered at our hospital. Between January 2005, and December 2009, 271 episodes were studied. The diagnostic yield of blood cultures was 13.5 %. A total of 52 % of patients were male and 48 % female. The mean age was 60. The most frequent comorbidities were: diabetes (21 %), neoplasia (18 %), cardiopathy (11 %), and HIV infection (8 %). The focus was- respiratory (21 %), urinary (15 %), cutaneous (9 %), and others (13 %). Gram-positive bacteria prevailed (51.4%). The most frequent microorganisms were Escherichia coli (25 %), Streptococcus pneumoniae (22.9 %), and Staphylococcus aureus (12.3 %). Bacteremia was polymicrobial in 7 % of the cases. Thirty three percent of E. coli isolates were resistant to ciprofloxacin and 6 % to ceftazidime. Fourteen percent of S. aureus strains were resistant to oxacillin whereas only 7 % of S. pneumoniae expressed...
Revista Argentina de Microbiología, 2016