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Revista Virtual de la Sociedad Paraguaya de Medicina Interna
On-line version ISSN 2312-3893
Abstract
OCAMPOS UGARTE, Juan Gabriel and TAKAHASI ALVAREZ, Vivian Estela. Carbapenemase producing enterobacteriaceae in patients of the Medical Clinic Service of the National Hospital of Itauguá. Rev. Virtual Soc. Parag. Med. Int. [online]. 2015, vol.2, n.2, pp.33-42. ISSN 2312-3893. https://doi.org/10.18004/rvspmi/2312-3893/2015.02(02)33-042.
Introduction: Carbapenemase producing bacteria (KPC) have great capacity of spreading, are causative agents of nosocomial outbreaks and are associated to higher mortality and longer hospital stay. Objectives: To determine the frequency of KPC in the Medical Clinic Service of the National Hospital and associated risk factors. Materials and method: This was a prospective descriptive cross-sectional study that performed rectal swab to 63 patients admitted into the Medical Clinic Service of the National Hospital between October and November, 2014. Results: Mean age of the sample was 51±15 years, and 50% was men. In 13% of the patients, a positive result for KPC was found and the mean time of hospitalization of these patients was 30±33 days vs 27±26 days of KPC negative patients. The only significant risk factor was daily contact with other KPC patients. Conclusions: The frequency of KPC in the Medical Clinic Service of the National Hospital of Itauguá was 13%. The main risk factor to acquire KPC was daily contact with a patient colonized by the same germ.
Keywords : carbapenemase producing bacteria; nosocomial outbreaks; frequency; risk factors.