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Enlace permanente de la investigaciónCaracterización de los procedimientos para la realización de hemocultivos en pacientes adultos, en instituciones hospitalarias del área Metropolitana del Valle de Aburrá / María Isabel Múnera Jaramillo
Título : Caracterización de los procedimientos para la realización de hemocultivos en pacientes adultos, en instituciones hospitalarias del área Metropolitana del Valle de Aburrá Otros títulos : Characterization of procedures for performing blood cultures in adult patients, in hospitals of the Metropolitan Area of Aburrá Valley Tipo de documento : documento electrónico Autores : María Isabel Múnera Jaramillo, Fecha de publicación : 2018 Títulos uniformes : Infectio Idioma : Español (spa) Palabras clave : Hemocultivos contaminación Medellin Manejo de Especímenes Bacteriemia Resumen : Objetivo: Caracterizar procedimientos para la toma, análisis, reporte y aseguramiento de la calidad en hemocultivos en pacientes adultos, en instituciones hospitalarias. Material y método: Estudio descriptivo en 15 hospitales de Medellín y alrededores. Se empleó un formulario semiestructurado para recolectar la información, se utilizó SPSS® para el análisis. Resultados: Todas las instituciones tienen protocolos basados en fuentes de autoridad reconocida; con diferencias importantes en procesos pre-analíticos y postanalíticos. Los productos más empleados para la antisepsia fueron gluconato de clorhexidina al 2-4% (66,7%) y alcohol isopropílico o etílico al 70% (20,0%), con discrepancias en los tiempos de acción. El 73,3% emplea guantes estériles y la misma proporción usa sistema abierto (jeringa) para la venopunción. En el 46,6% se toman dos botellas aerobias y una anaerobia por episodio y en 33,3% dos botellas aerobias. El 66,6% lleva un indicador de contaminación, 53,3% de positividad y 26,6% de volumen de sangre. La tasa promedio de hemocultivos contaminados durante el semestre de seguimiento fue 1,61%. Conclusión: Se observa heterogeneidad en los procedimientos, especialmente en fases pre-analítica y post-analítica. En la búsqueda de la excelencia y la seguridad del paciente son necesarios protocolos estandarizados e indicadores para medir y controlar el desempeño de los hemocultivos. Mención de responsabilidad : Natalia Maldonado, Carlos Robledo, Maria Isabel Munera, Cesar Capataz-Tafur, Gustavo Roncancio, Liliana Franco, Jorge Nagles, Joana Gil, Paola Arenas, Marcela Gaviria, Mónica Figueroa-Echeverri, Jaime Robledo Referencia : Infectio ; 22(1): 19-25, ene.-mar. 2018. DOI (Digital Object Identifier) : 10.22354/in.v0i0.700 En línea : http://www.revistainfectio.org/index.php/infectio/article/view/700 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=4719 Caracterización de los procedimientos para la realización de hemocultivos en pacientes adultos, en instituciones hospitalarias del área Metropolitana del Valle de Aburrá = Characterization of procedures for performing blood cultures in adult patients, in hospitals of the Metropolitan Area of Aburrá Valley [documento electrónico] / María Isabel Múnera Jaramillo, . - 2018.
Obra : Infectio
Idioma : Español (spa)
Palabras clave : Hemocultivos contaminación Medellin Manejo de Especímenes Bacteriemia Resumen : Objetivo: Caracterizar procedimientos para la toma, análisis, reporte y aseguramiento de la calidad en hemocultivos en pacientes adultos, en instituciones hospitalarias. Material y método: Estudio descriptivo en 15 hospitales de Medellín y alrededores. Se empleó un formulario semiestructurado para recolectar la información, se utilizó SPSS® para el análisis. Resultados: Todas las instituciones tienen protocolos basados en fuentes de autoridad reconocida; con diferencias importantes en procesos pre-analíticos y postanalíticos. Los productos más empleados para la antisepsia fueron gluconato de clorhexidina al 2-4% (66,7%) y alcohol isopropílico o etílico al 70% (20,0%), con discrepancias en los tiempos de acción. El 73,3% emplea guantes estériles y la misma proporción usa sistema abierto (jeringa) para la venopunción. En el 46,6% se toman dos botellas aerobias y una anaerobia por episodio y en 33,3% dos botellas aerobias. El 66,6% lleva un indicador de contaminación, 53,3% de positividad y 26,6% de volumen de sangre. La tasa promedio de hemocultivos contaminados durante el semestre de seguimiento fue 1,61%. Conclusión: Se observa heterogeneidad en los procedimientos, especialmente en fases pre-analítica y post-analítica. En la búsqueda de la excelencia y la seguridad del paciente son necesarios protocolos estandarizados e indicadores para medir y controlar el desempeño de los hemocultivos. Mención de responsabilidad : Natalia Maldonado, Carlos Robledo, Maria Isabel Munera, Cesar Capataz-Tafur, Gustavo Roncancio, Liliana Franco, Jorge Nagles, Joana Gil, Paola Arenas, Marcela Gaviria, Mónica Figueroa-Echeverri, Jaime Robledo Referencia : Infectio ; 22(1): 19-25, ene.-mar. 2018. DOI (Digital Object Identifier) : 10.22354/in.v0i0.700 En línea : http://www.revistainfectio.org/index.php/infectio/article/view/700 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=4719 Reserva
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Código de barras Número de Ubicación Tipo de medio Ubicación Sección Estado DD001193 AC-2018-137 Archivo digital Producción Científica Artículos científicos Disponible
Título : Clinical Characteristics of Carbapenem-resistant Klebsiella pneumoniae Infections in Ill and Colonized Children in Colombia Tipo de documento : documento electrónico Autores : Mónica Rosa Trujillo Honeysberg, Fecha de publicación : 2016 Títulos uniformes : Pediatric Infectious Disease Journal Idioma : Inglés (eng) Palabras clave : Klebsiella pneumoniae beta-lactamases children carbapenem resistance Medellin Colombia Resumen : Background: Multidrug-resistant Gram-negative infections represent a growing problem and a serious global threat. Data in children are scarce. Klebsiella pneumoniae carbapenemases (KPC) are the most common mechanism of resistance this organism has developed. We report the clinical characteristics and outcomes from a cohort of children infected or colonized with carbapenem-resistant K. pneumoniae (CRKp) at a tertiary care center in Medellín, Colombia. Methods: We performed a retrospective chart review of all pediatric cases from whom CRKp isolates were obtained from 2008 to 2013. Clinical characteristics and outcomes were recorded. Results: A total of 34 infected children (median age, 22.8 months) with 43 episodes and 55 colonized patients (median age, 33 months) were identified. All patients had at least 1 risk factor previously related with multidrug-resistant Gram-negative infections (premorbid conditions, previous exposure to antibiotics, prolonged length of stay and use of indwelling devices). Urinary tract infections, abdominal infections and bacteremia were the most common clinical presentations. Overall mortality was 38%, and it was lower when a meropenem-containing regimen was used. Colistin was the most used antibiotic either alone or in combination and was associated with 8.8% of nephrotoxicity. Conclusion: CRKp infections have high mortality in children and usually occur in children with comorbidities, prolonged hospital stay and prior antibiotic exposure. Combined therapy with meropenem-containing regimens seems to be the best option in severely ill children. Mención de responsabilidad : Alejandro Díaz, Diana Cristina Ortiz, Mónica Trujillo, Carlos Garcés, Fabian Jaimes, Andrea Victoria Restrepo Referencia : Pediatr Infect Dis J. 2016 Mar;35(3):237-41. DOI (Digital Object Identifier) : 10.1097/INF.0000000000000987 PMID : 26569194 En línea : https://journals.lww.com/pidj/Abstract/2016/03000/Clinical_Characteristics_of_Ca [...] Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=3994 Clinical Characteristics of Carbapenem-resistant Klebsiella pneumoniae Infections in Ill and Colonized Children in Colombia [documento electrónico] / Mónica Rosa Trujillo Honeysberg, . - 2016.
Obra : Pediatric Infectious Disease Journal
Idioma : Inglés (eng)
Palabras clave : Klebsiella pneumoniae beta-lactamases children carbapenem resistance Medellin Colombia Resumen : Background: Multidrug-resistant Gram-negative infections represent a growing problem and a serious global threat. Data in children are scarce. Klebsiella pneumoniae carbapenemases (KPC) are the most common mechanism of resistance this organism has developed. We report the clinical characteristics and outcomes from a cohort of children infected or colonized with carbapenem-resistant K. pneumoniae (CRKp) at a tertiary care center in Medellín, Colombia. Methods: We performed a retrospective chart review of all pediatric cases from whom CRKp isolates were obtained from 2008 to 2013. Clinical characteristics and outcomes were recorded. Results: A total of 34 infected children (median age, 22.8 months) with 43 episodes and 55 colonized patients (median age, 33 months) were identified. All patients had at least 1 risk factor previously related with multidrug-resistant Gram-negative infections (premorbid conditions, previous exposure to antibiotics, prolonged length of stay and use of indwelling devices). Urinary tract infections, abdominal infections and bacteremia were the most common clinical presentations. Overall mortality was 38%, and it was lower when a meropenem-containing regimen was used. Colistin was the most used antibiotic either alone or in combination and was associated with 8.8% of nephrotoxicity. Conclusion: CRKp infections have high mortality in children and usually occur in children with comorbidities, prolonged hospital stay and prior antibiotic exposure. Combined therapy with meropenem-containing regimens seems to be the best option in severely ill children. Mención de responsabilidad : Alejandro Díaz, Diana Cristina Ortiz, Mónica Trujillo, Carlos Garcés, Fabian Jaimes, Andrea Victoria Restrepo Referencia : Pediatr Infect Dis J. 2016 Mar;35(3):237-41. DOI (Digital Object Identifier) : 10.1097/INF.0000000000000987 PMID : 26569194 En línea : https://journals.lww.com/pidj/Abstract/2016/03000/Clinical_Characteristics_of_Ca [...] Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=3994 Reserva
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Código de barras Número de Ubicación Tipo de medio Ubicación Sección Estado DD000587 AC-2016-062 Archivo digital Producción Científica Artículos científicos Disponible 
Título : Influenza like illness sentinel surveillance in one hospital in Medellin, Colombia. 2007–2012 Tipo de documento : documento electrónico Autores : Sergio Jaramillo Velásquez, ; David Andrés Espinal Botero, ; Jorge Hernando Donado Gómez, Fecha de publicación : 2015 Títulos uniformes : Influenza and Other Respiratory Viruses Idioma : Inglés (eng) Palabras clave : Influenza Medellin respiratory viruses surveillance Resumen : Background: The city of Medellin in Colombia has almost no documentation of the causes of acute respiratory infections (ARIs). As part of an ongoing collaboration, we conducted an epidemiologic surveillance for influenza and other respiratory viruses. It described the influenza strains that were circulating in the region along with their distribution over time, and performing molecular characterization to some of those strains. This will contribute to the knowledge of local and national epidemiology. Objectives: To analyze viral etiologic agents associated with influenza like illness (ILI) in participants reporting to one General hospital in Medelllin, Colombia. Results: From January 2007 to December 2012, a total of 2039 participants were enrolled. Among them, 1120 (54·9%) were male and 1364 (69%) were under the age of five. Only 124 (6%) were older than the age of 15. From all 2039 participants, 1040 samples were diagnosed by either isolation or RT‐PCR. One or more respiratory viruses were found in 737 (36%) participants. Of those, 426 (57·8%) got influenza A or B. Adenoviral and parainfluenza infections represented 19·1% and 14·9% of viral infections, respectively. Influenza A was detected almost throughout the whole year except for the first quarter of 2010, right after the 2009 influenza A pandemic. Influenza B was detected in 2008, 2010, and 2012 with no pattern detected. During 2008 and 2010, both types circulated in about the same proportion. Unusually, in many months of 2012, the proportion of influenza B infections was higher than influenza A (ranging between 30% and 42%). The higher proportion of adenovirus was mainly detected in the last quarter of years 2007 and 2010. Adenoviral cases are more frequent in participants under the age of four. Conclusions: The phylogenetic analysis of influenza viruses shows that only in the case of influenza A/H1N1, the circulating strains totally coincide with the vaccine strains each year. Mención de responsabilidad : Ana Eugenia Arango, Sergio Jaramillo, Juan Perez, Julia S Ampuero, David Espinal, Jorge Donado, Vidal Felices, Josefina Garcia, Alberto Laguna-Torres Referencia : Influenza Other Respir Viruses. 2015 Jan;9(1):1-13. DOI (Digital Object Identifier) : 10.1111/irv.12271 PMID : 25100179 Derechos de uso : CC BY En línea : https://onlinelibrary.wiley.com/doi/full/10.1111/irv.12271 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=3868 Influenza like illness sentinel surveillance in one hospital in Medellin, Colombia. 2007–2012 [documento electrónico] / Sergio Jaramillo Velásquez, ; David Andrés Espinal Botero, ; Jorge Hernando Donado Gómez, . - 2015.
Obra : Influenza and Other Respiratory Viruses
Idioma : Inglés (eng)
Palabras clave : Influenza Medellin respiratory viruses surveillance Resumen : Background: The city of Medellin in Colombia has almost no documentation of the causes of acute respiratory infections (ARIs). As part of an ongoing collaboration, we conducted an epidemiologic surveillance for influenza and other respiratory viruses. It described the influenza strains that were circulating in the region along with their distribution over time, and performing molecular characterization to some of those strains. This will contribute to the knowledge of local and national epidemiology. Objectives: To analyze viral etiologic agents associated with influenza like illness (ILI) in participants reporting to one General hospital in Medelllin, Colombia. Results: From January 2007 to December 2012, a total of 2039 participants were enrolled. Among them, 1120 (54·9%) were male and 1364 (69%) were under the age of five. Only 124 (6%) were older than the age of 15. From all 2039 participants, 1040 samples were diagnosed by either isolation or RT‐PCR. One or more respiratory viruses were found in 737 (36%) participants. Of those, 426 (57·8%) got influenza A or B. Adenoviral and parainfluenza infections represented 19·1% and 14·9% of viral infections, respectively. Influenza A was detected almost throughout the whole year except for the first quarter of 2010, right after the 2009 influenza A pandemic. Influenza B was detected in 2008, 2010, and 2012 with no pattern detected. During 2008 and 2010, both types circulated in about the same proportion. Unusually, in many months of 2012, the proportion of influenza B infections was higher than influenza A (ranging between 30% and 42%). The higher proportion of adenovirus was mainly detected in the last quarter of years 2007 and 2010. Adenoviral cases are more frequent in participants under the age of four. Conclusions: The phylogenetic analysis of influenza viruses shows that only in the case of influenza A/H1N1, the circulating strains totally coincide with the vaccine strains each year. Mención de responsabilidad : Ana Eugenia Arango, Sergio Jaramillo, Juan Perez, Julia S Ampuero, David Espinal, Jorge Donado, Vidal Felices, Josefina Garcia, Alberto Laguna-Torres Referencia : Influenza Other Respir Viruses. 2015 Jan;9(1):1-13. DOI (Digital Object Identifier) : 10.1111/irv.12271 PMID : 25100179 Derechos de uso : CC BY En línea : https://onlinelibrary.wiley.com/doi/full/10.1111/irv.12271 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=3868 Reserva
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Código de barras Número de Ubicación Tipo de medio Ubicación Sección Estado DD000448 AC-2015-001 Archivo digital Producción Científica Artículos científicos Disponible Documentos electrónicos
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