<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0375-0760</journal-id>
<journal-title><![CDATA[Revista Cubana de Medicina Tropical]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Med Trop]]></abbrev-journal-title>
<issn>0375-0760</issn>
<publisher>
<publisher-name><![CDATA[Centro Nacional de Información de Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0375-07602022000200008</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Caracterización de especies de Acinetobacter causantes de infecciones en hospitales cubanos]]></article-title>
<article-title xml:lang="en"><![CDATA[Characterization of Acinetobacter species, contributors to infections in Cuban hospitals]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez Farias]]></surname>
<given-names><![CDATA[Yoima de la Caridad]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Quiñones Pérez]]></surname>
<given-names><![CDATA[Dianelys]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Carmona Cartaya]]></surname>
<given-names><![CDATA[Yenisel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto de Medicina Tropical Pedro Kourí (IPK)  ]]></institution>
<addr-line><![CDATA[ La Habana]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2022</year>
</pub-date>
<volume>74</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0375-07602022000200008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0375-07602022000200008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0375-07602022000200008&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: Acinetobacter spp. constituye un patógeno relevante en Cuba. El complejo Acinetobacter baumannii-calcoaceticus es la principal especie causante de infecciones graves. Se aísla frecuentemente en las unidades de cuidados intensivos (UCI) y exhibe una elevada resistencia a la mayoría de los antibióticos disponibles, incluidos los carbapenémicos.  Objetivo: Caracterizar los aislados de Acinetobacter obtenidos de pacientes ingresados en hospitales cubanos.  Métodos: Se realizó un estudio retrospectivo en el Laboratorio de Infecciones Asociadas a la Asistencia Sanitaria del Instituto de Medicina Tropical Pedro Kourí, que incluyó 278 aislados conservados durante junio de 2011 a julio de 2012, pertenecientes a la colección de cultivos del laboratorio y procedentes de 21 hospitales, distribuidos en nueve provincias. Las especies se identificaron mediante pruebas bioquímicas y se determinó la susceptibilidad a 18 antibióticos por el método de Bauer-Kirby, excepto la colistina, cuya determinación se realizó por el E-test (método epsilométrico). Las variables analizadas fueron: especie de Acinetobacter, tipo de muestra, tipo de servicio hospitalario, susceptibilidad a los antimicrobianos y categorización de la multirresistencia a los antimicrobianos.  Resultados: Predominó el complejo Acinetobacter baumannii-calcoaceticus, fundamentalmente en muestras de secreción endotraqueal y sangre. Las UCI y unidades de quemados fueron los servicios hospitalarios más afectados. Se detectaron porcentajes elevados de resistencia para los betalactámicos (76-94 %), aminoglucósidos (66-80 %) y fluoroquinolonas (60-89 %). La tetraciclina, doxiciclina y colistina resultaron los antimicrobianos más activos. El 73,5 % de los aislados fueron multidrogorresistentes, el 26,1 % extremodrogorresistentes y un aislado resultó pandrogorresistente (0,4 %).  Conclusiones: Las infecciones provocadas por Acinetobacter spp. constituyen un grave problema de salud en los hospitales cubanos. Los aislados se caracterizaron por una elevada resistencia a los antibióticos disponibles y revelan la necesidad del monitoreo continuo de la susceptibilidad a los antimicrobianos, además del reforzamiento de las medidas de control, principalmente en las UCI.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: Acinetobacter spp. is a relevant pathogen in Cuba. The Acinetobacter baumannii-calcoaceticus complex is the main cause of severe infections. It is frequently isolated in intensive care units (ICU) and exhibits high resistance to most available antibiotics, including carbapenems.  Objective:  To characterize the Acinetobacter isolates collected from patients admitted to Cuban hospitals.  Methods:  A retrospective study was conducted at the Healthcare-Associated Infections Laboratory of &#8220;Pedro Kourí&#8221; Tropical Medicine Institute. The study included 278 isolates from 21 hospitals located in 9 provinces, stored from June 2011 to July 2012 in the culture collection of the laboratory. Species identification was based on biochemical tests and the susceptibility to 18 antibiotics was determined by the Bauer-Kirby method, except for colistin, for which the E-test (epsilometric method) was used. The variables under analysis were: Acinetobacter species, type of sample, type of healthcare service, antimicrobial susceptibility, and antimicrobial multi-resistance categorization.  Results: Acinetobacter baumannii-calcoaceticus complex prevailed, mainly in endotracheal fluid and blood samples. The ICU and the burn unit were the most affected healthcare services. High resistance percentages were observed to beta-lactams (76-94%), aminoglycosides (66-80%), and fluoroquinolones (60-89%). Tetracycline, doxycycline, and colistin were the most active antimicrobials. Multi-drug-resistance was observed in 73.5% of isolates, extensively-drug-resistance in 26.1%, and pan-drug-resistance in one isolate (0.4%).  Conclusions:  Infections by Acinetobacter spp. constitute a serious health problem in the Cuban hospitals. High resistance to available antibiotics characterizes the isolates, which evidences the need to constantly monitor antimicrobial susceptibility and to reinforce the control measures, mainly in the ICUs.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[complejo Acinetobacter baumannii-calcoaceticus]]></kwd>
<kwd lng="es"><![CDATA[resistencia antimicrobiana]]></kwd>
<kwd lng="es"><![CDATA[unidades de cuidados intensivos]]></kwd>
<kwd lng="es"><![CDATA[UCI]]></kwd>
<kwd lng="es"><![CDATA[infecciones asociadas a la asistencia sanitaria]]></kwd>
<kwd lng="en"><![CDATA[Acinetobacter baumannii-calcoaceticus complex]]></kwd>
<kwd lng="en"><![CDATA[antimicrobial resistance]]></kwd>
<kwd lng="en"><![CDATA[intensive care units]]></kwd>
<kwd lng="en"><![CDATA[ICU]]></kwd>
<kwd lng="en"><![CDATA[healthcare-associated infections]]></kwd>
</kwd-group>
</article-meta>
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