Multidrug-Resistant Microorganisms Colonizing Lower Extremity Wounds in Patients in a Tertiary Care Hospital, Lima, Peru

Zervos, Marcus J.; Jacobs, Jan; Bardossy, Ana C.; García Apac, Coralith Marlinda; Prentiss, Tyler; Alejos, Saul; Jasso, Luis; Mendo-Lopez, Rafael; Astocondor, Aurora Lizeth; Guevara, Ximena

dc.contributor.author	Mendo-Lopez, Rafael
dc.contributor.author	Jasso, Luis
dc.contributor.author	Guevara, Ximena
dc.contributor.author	Astocondor, Aurora Lizeth
dc.contributor.author	Alejos, Saul
dc.contributor.author	Bardossy, Ana C.
dc.contributor.author	Prentiss, Tyler
dc.contributor.author	Zervos, Marcus J.
dc.contributor.author	Jacobs, Jan
dc.contributor.author	García Apac, Coralith Marlinda
dc.date.accessioned	2019-01-25T15:28:06Z
dc.date.available	2019-01-25T15:28:06Z
dc.date.issued	2017
dc.identifier.uri	https://hdl.handle.net/20.500.12866/4707
dc.description.abstract	Multidrug-resistant organism (MDRO) infections cause high morbidity and mortality, and high costs to patients and hospitals. The study aims were to determine the frequency of MDRO colonization and associated factors in patients with lower-extremity wounds with colonization. A cross-sectional study was designed during November 2015 to July 2016 in a tertiary care hospital in Lima, Peru. A wound swab was obtained for culture and susceptibility testing. MDRO colonization was defined if the culture grew with methicillin-resistant Staphylococcus aureus, vancomycin-resistant enterococci, and/or extended spectrum beta-lactamase (ESBL) microorganisms. The frequency of MDRO wound colonization was 26.8% among the 97 patients enrolled. The most frequent MDRO obtained was ESBL-producing Escherichia coli, which was significantly more frequent in chronic wounds versus acute wounds (17.2% versus 0%, P < 0.05). Infection control measures should be implemented when patients with chronic lower-extremity wounds are admitted.	en_US
dc.language.iso	eng
dc.publisher	American Society of Tropical Medicine and Hygiene
dc.relation.ispartofseries	American Journal of Tropical Medicine and Hygiene (ASTMH Journal)
dc.rights	info:eu-repo/semantics/restrictedAccess
dc.subject	Adult	en_US
dc.subject	Aged	en_US
dc.subject	Aged, 80 and over	en_US
dc.subject	Cross-Sectional Studies	en_US
dc.subject	Drug Resistance, Multiple, Bacterial/drug effects	en_US
dc.subject	Female	en_US
dc.subject	Humans	en_US
dc.subject	Lower Extremity/microbiology/physiopathology	en_US
dc.subject	Male	en_US
dc.subject	Middle Aged	en_US
dc.subject	Peru/epidemiology	en_US
dc.subject	Prevalence	en_US
dc.subject	Staphylococcal Infections/drug therapy/epidemiology	en_US
dc.subject	Tertiary Care Centers/statistics & numerical data	en_US
dc.subject	Wounds and Injuries/drug therapy/microbiology	en_US
dc.title	Multidrug-Resistant Microorganisms Colonizing Lower Extremity Wounds in Patients in a Tertiary Care Hospital, Lima, Peru	en_US
dc.type	info:eu-repo/semantics/article
dc.identifier.doi	https://doi.org/10.4269/ajtmh.17-0235
dc.subject.ocde	https://purl.org/pe-repo/ocde/ford#3.03.06
dc.relation.issn	1476-1645