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Revista Cubana de Medicina Militar
On-line version ISSN 1561-3046
Abstract
AGUILERA CALZADILLA, Yaumara et al. Isolation of Acinetobacter spp. in infections associated with health care. Rev Cub Med Mil [online]. 2019, vol.48, n.3 Epub Sep 01, 2019. ISSN 1561-3046.
Introduction:
Acinetobacter spp. has become a germ of great clinical relevance, it is a true paradigm of multiresistant nosocomial infections.
Objective:
To characterize the microbiological isolates of Acinetobacter spp. in infections associated with health care.
Methods:
Descriptive study that included 280 isolates of Acinetobacter spp. from the samples of hospitalized patients, in the period of three years (from 2016 to 2018) in the Hospital Comandante "Manuel Fajardo Rivero". The variables of the study were: wards of origin of the isolation, type of sample, predictive factor, infectious diagnosis, antimicrobial susceptibility in vitro and multidrug resistance.
Results:
The highest number of isolates of Acinetobacter spp. was obtained in the intensive care unit (78.9%), the respiratory secretions were the samples with the most isolations (58.9%), mechanical ventilation was the most frequent predictor (67.9%) and as an infectious diagnosis, ventilator-associated pneumonia (66.8%). A high percentage of strains with multidrug resistance (73.6%) was found.
Conclusions:
Acinetobacter spp. is linked to infections associated with health services, mainly in intensive care. The antimicrobials tested showed high percentages of resistance, with a predominance of multidrug resistant strains.
Keywords : Acinetobacter; Acinetobacter infection; drug resistance, microbial; drug resistance, multiple; drug resistance, bacterial; drug resistance, multiple, bacterial; cross infection.