000			02913na a2200301 4500
999			_c8895 _d8895
003			PC8895
005			20191030131341.0
008			130622s2014 xxx||||| |||| 00| 0 eng d
040			_cH12O
041			_aeng
100			_aArrébola Pajares, Ana _92204 _eUrología
100			_aBenítez Sala, Raúl _92264 _eUrología
100			_aDíaz González, Rafael _9946 _eUrología
100			_aGarcía González, Lucía _92594 _eUrología
100			_aGuerrero Ramos, Félix _92375 _eUrología
100			_aJIménez Alcaide, Estíbaliz _92445 _eUrología
100			_aMedina Polo, José _91794 _eUrología
100			_aPérez Cadavid, Santiago _92205 _eUrología
100			_aSopeña Sutil, Raquel _92595 _eUrología
100			_aTejido Sánchez, Ángel _9484 _eUrología
245	0	0	_aHealthcare-associated infections in a department of urology: Incidence and patterns of antibiotic resistance. _h[artículo]
260			_bScandinavian journal of urology, _c2013
300			_a48(2):203-9.
500			_aFormato Vancouver: Medina-Polo J, Jiménez-Alcaide E, García-González L, Guerrero-Ramos F, Pérez-Cadavid S, Arrébola-Pajares A et al. Healthcare-associated infections in a department of urology: incidence and patterns of antibiotic resistance. Scand J Urol. 2014 Apr;48(2):203-9.
501			_aPMID: 24344974
504			_aContiene 23 referencias
520			_aHealthcare-associated infections (HAIs) constitute a potentially severe complication which implies higher costs. A full knowledge of their microbiological characteristics and risk factors is of paramount importance for adequate management. The purpose of this study was to carry out an analysis of HAIs in patients admitted to a department of urology. Material and methods. Between November 2011 and October 2012, a prospective observational study was carried out analysing HAIs in patients admitted to the urology department of a tertiary care university hospital in Spain, reviewing the incidence and types of HAIs, the microorganisms isolated and patterns of resistance to antibiotics. Risk factors for HAIs were also evaluated. Results. HAIs were seen in 110 (6.5%) out of 1701 patients. Hypertension, a higher American Society of Anesthesiologists (ASA) score and surgery showed a statistical association with a higher risk of HAIs, and patients who underwent radical cystectomy had a high incidence of HAIs (10 out of 14). The most common HAIs were urinary tract infections (66.1%), followed by surgical site infections (16.5%), intra-abdominal abscesses (10.4%) and venous catheter-associated bacteraemia (6.1%). The most frequently isolated microorganisms were Escherichia coli (31.8%), then Enterococcus (17.6%) and Pseudomonas (12.9%). Escherichia coli showed resistance rates of 48.1% for ampicillin/amoxicillin plus beta-lactamase inhibitor, 51.9% for fluoroquinolones, and 33.3% were extended-spectrum beta-lactamase-producing E. coli. Pseudomonas aeruginosa showed a resistance rate of 36.4% for fluoroquinolones and carbapenems. Conclusions. HAIs usually occur in patients with risk factors. Radical cystectomy is associated with a high incidence of HAIs. Microorganisms associated with HAIs show high rates of resistance, which must be taken into account when selecting appropriate antibiotic therapy.
710			_9220 _aServicio de Urología
856			_uhttp://pc-h12o-es.m-hdoct.a17.csinet.es/pdf/pc/8/pc8895.pdf _ySolicitar documento
942			_n0 _2ddc _cART