Persistencia de microorganismos en el ambiente hospitalario
DOI:
https://doi.org/10.29105/cienciauanl26.119-1Keywords:
microorganismos, ambiente hospitalario, patógenos, infecciones, hospitalesAbstract
Los microorganismos nos rodean en todo momento, incluso interactuamos con muchos de ellos en armonía y obtenemos beneficios de este proceso (Peterson et al., 2009). Sin embargo, pueden comportarse como patógenos, es decir, como causantes de infecciones en circunstancias especiales (Pendleton et al., 2013). Hay algunas características que favorecen su persistencia en superficies de alto contacto, a pesar de realizar desinfección y limpieza. Esta cuestión es de particular relevancia en hospitales, donde pueden persistir durante lapsos prolongados y son difíciles de eliminar del ambiente, lo que puede contribuir a su propagación entre pacientes (Jung et al., 2019).
Downloads
References
Cheon, S., Kim, M.J., Yun, S.J., et al. (2016). Controlling endemic multidrug-resistant Acinetobacter baumannii in Intensive Care Units using antimicrobial stewardship and infection control. Korean J Intern Med. 31:367-74. DOI: https://doi.org/10.3904/kjim.2015.178
Cruz-López, F., Villarreal-Treviño, L., Morfin-Otero, R., et al. (2021). Microbial diversity and colonization patterns of two step-down care units from a tertiary care hospital. J Res Med Sci. 26:126. DOI: https://doi.org/10.4103/jrms.JRMS_1074_20
Cruz-López, F., Villarreal-Treviño, L., Morfin-Otero, R., et al. (2020). Dynamics of colonization in patients with health care-associated infections at step-down care units from a tertiary care hospital in México. American Journal of Infection Control. 48(11):1329-1335. Doi: 10.1016/j.ajic.2020.04.016 DOI: https://doi.org/10.1016/j.ajic.2020.04.016
Facciolà, A., Pellicanò, G.F., Visalli, G., et al. (2019). The role of the hospital environment in the healthcare-associated infections: a general review of the literature. Eur Rev Med Pharmacol Sci. 23:1266-1278.
Fan, C.Y., Lee, W.T., Hsu, T.C., et al. (2019). Effect of chlorhexidine bathing on colonization or infection with Acinetobacter baumannii: a systematic review and meta-analysis. J Hosp Infect. 103 : 284-292 . DOI: https://doi.org/10.1016/j.jhin.2019.08.004
Hall, G.S. (2013). Bailey & Scott’s Diagnostic Microbiology, 13th Edn. Laboratory Medicine. 4 4:e138-e139. DOI: https://doi.org/10.1309/LM5JC0PH0OGGBSZZ
Jung, S.H., Ryu, C.M., y Kim, J.S. (2019). Bacterial persistence: Fundamentals and clinical importance. J Microbiol. 57:829-835. DOI: https://doi.org/10.1007/s12275-019-9218-0
Klevens, R.M., Edwards, J.R., y Gaynes, R.P. (2008). The impact of antimicrobial-resistant, health care-associated infections on mortality in the United States. Clin Infect Dis. 47:9273-0. DOI: https://doi.org/10.1086/591698
Lerner, A.O., Abu-Hanna, J., Carmeli, Y., et al. (2020). Environmental contamination by carbapenem-resistant Acinetobacter baumannii: The effects of room type and cleaning methods. Infect Control Hosp Epidemiol. 41:166-171. DOI: https://doi.org/10.1017/ice.2019.307
Li, X.-Z., y Nikaido, H. (2009). Efflux-mediated drug resistance in bacteria: an update. Drugs. 69:1555-1623. DOI: https://doi.org/10.2165/11317030-000000000-00000
Litwin, A., Rojek, S., Gozdzik, W., et al. (2021). Pseudomonas aeruginosa device associated – healthcare associated infections and its multidrug resistance at intensive care unit of University Hospital: polish, 8.5-year, prospective, single-centre study. BMC Infect Dis. 21:180. DOI: https://doi.org/10.1186/s12879-021-05883-5
Magill, S.S., Edwards, J.R., Bamberg, W., et al. (2014). Multistate point-prevalence survey of health care-associated infections. N Engl J Med. 370:1198-208. DOI: https://doi.org/10.1056/NEJMoa1306801
Martínez-Reséndez, M.F., Cruz-López, F., Gaona-Chávez, N., et al. (2022). The effect of chlorhexidine on Acinetobacter baumannii in intensive care units. Iran J Microbiol. 14:15-23. DOI: https://doi.org/10.18502/ijm.v14i1.8796
Muscarella, L.F. (2014). Risk of transmission of carbapenem-resistant Enterobacteriaceae and related “superbugs” during gastrointestinal endoscopy. World J Gastrointest Endosc. 6:457-74. DOI: https://doi.org/10.4253/wjge.v6.i10.457
Omololu, J. (2017). Staphylococcus aureus Surface Colonization of Medical Equipment and Environment, Implication in Hospital-Community Epidemiology. J Hosp Med Manage. 3.
Otter, J.A., Vickery, K., Walker, J.T., et al. (2015). Surface-attached cells, biofilms and biocide susceptibility: implications for hospital cleaning and disinfection. J Hosp Infect. 89:16-27. DOI: https://doi.org/10.1016/j.jhin.2014.09.008
Pendleton, J.N., Gorman, S.P., y Gilmore, B.F. (2013). Clinical relevance of the ESKAPE pathogens. Expert Rev Anti Infect Ther. 11:2973-08. DOI: https://doi.org/10.1586/eri.13.12
Perencevich, E.N., Fisman, D.N., Lipsitch, M., et al. (2004). Projected benefits of active surveillance for vancomycin-resistant enterococci in intensive care units. Clin Infect Dis. 38:1108-15. DOI: https://doi.org/10.1086/382886
Peterson, J., Garges, S., Giovanni, M., et al. 2009. The NIH Human Microbiome Project. Genome Res. 19:2317-23. DOI: https://doi.org/10.1101/gr.096651.109
Rendueles, O., García-Garcerà, M., Néron, B., et al. (2017). Abundance and co-occurrence of extracellular capsules increase environmental breadth: Implications for the emergence of pathogens. PLoS Pathog. 13:e1006525. DOI: https://doi.org/10.1371/journal.ppat.1006525
Shobo, C.O., Essack, S.Y., y Bester, L.A. (2022). Enterococcal contamination of hospital environments in KwaZulu-Natal, South Africa. J Appl Microbiol. 132:654-664. DOI: https://doi.org/10.1111/jam.15224
Thatrimontrichai, A., y Apisarnthanarak, A. (2020). Active surveillance culture program in asymptomatic patients as a strategy to control multidrug-resistant gram-negative organisms: What should be considered? J Formos Med Assoc. 119:1581-1585. DOI: https://doi.org/10.1016/j.jfma.2019.08.015
Vila, J., Soriano, A., y Mensa, J. (2008). Molecular basis of microbial adherence to prosthetic materials. Role of biofilms in prosthesis-associated infection. Enferm Infecc Microbiol Clin. 26:485-4; quiz 55.
