Universidad Peruana Cayetano Heredia

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

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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.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
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


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