[Antibiotic multiresistance in critical care units].
نویسندگان
چکیده
The presence of microorganisms with acquired resistance to multiple antibiotics complicates the management and outcome of critically ill patients. The intensivist, in his/her daily activity, is responsible for the prevention and control of the multiresistance and the challenge of prescribing the appropriate treatment in case of an infection by these microorganisms. We have reviewed the literature regarding the definition, important concepts related to transmission, recommendations on general measures of control in the units and treatment options. We also present data on the situation in our country known primarily through the ENVIN-UCI register. Addressing the multiresistance not only requires training but also teamwork with other specialists and adaptation to the local environment.
منابع مشابه
Multiresistance and endemic status of acinetobacter baumannii associated with nosocomial infections in a tunisian hospital: a critical situation in the intensive care units
Acinetobacter baumannii is often implicated in hospital outbreaks in Tunisia. It's a significant opportunistic pathogen associated with serious underlying diseases such as pneumoniae, meningitis and urinary tract infections. The aim of our study was to evaluate its degree of endemicity and its antibiotic resistance evolution essentially in the unit care where its isolation was predominant (57%)...
متن کاملCarbapenem restriction and its Effect on Bacterial Resistance in an Intensive Care unit of a Teaching Hospital
Development of antibiotic resistance in Intensive Care Units (ICUs) is a worldwide problem. The purpose of this study was to evaluate the effect of an antibiotic stewardship program (ASP) by carbapenems restriction on gram-negative antimicrobial resistance in ICU. The study was designed in a 21 bedded general ICU of a teaching hospital with two wings (one and two) in Tehran, Iran. Carbapenem pr...
متن کاملCarbapenem restriction and its Effect on Bacterial Resistance in an Intensive Care unit of a Teaching Hospital
Development of antibiotic resistance in Intensive Care Units (ICUs) is a worldwide problem. The purpose of this study was to evaluate the effect of an antibiotic stewardship program (ASP) by carbapenems restriction on gram-negative antimicrobial resistance in ICU. The study was designed in a 21 bedded general ICU of a teaching hospital with two wings (one and two) in Tehran, Iran. Carbapenem pr...
متن کاملExplaining the Context of Patient-Centered Care in Critical Care Units
Introduction: Patient-centered care refers to care with respect for and responsiveness to patients’ preferences, needs, and values; in this type of care, it is ensured that a patient's values are valued in clinical decision-making. Achieving Patient-centered care is not simple and needs a proper context to be provided. Objectives: The purpose of this study is to explain the context of Pa...
متن کاملThe dimensions of clinical competence of nurses working in critical care units and their relation with the underlying factors
Introduction: Clinical competency is the use of skillful, technical and communication skills, knowledge, clinical reasoning, emotions and values in clinical settings. Developing the professional competence of investment nurses to ensure the safety and quality of patient care. The factors influencing the clinical competence of experience, environment, and the use of opportunities, motivation, th...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Medicina intensiva
دوره 35 1 شماره
صفحات -
تاریخ انتشار 2011