SciELO - Scientific Electronic Library Online

 
vol.82 número3Adherencia e impacto de la dieta sin gluten en niños con enfermedad celíacaConsentimiento informado: Percepción de médicos, enfermeras y padres sobre el proceso comunicativo índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Revista

Articulo

Indicadores

Links relacionados

Compartir


Revista chilena de pediatría

versión impresa ISSN 0370-4106

Resumen

ACUNA A, MIRTA; BENADOF F, DONA; RODRIGUEZ G, PILAR  y  HERRERA L, PATRICIO. Use of antibiotics and expression of extended spectrum betalactamases (ESBL) in bacteremic agents. Rev. chil. pediatr. [online]. 2011, vol.82, n.3, pp.198-203. ISSN 0370-4106.  http://dx.doi.org/10.4067/S0370-41062011000300004.

Objective: To evaluate the association between Escherischia Coli (E. Coli) and Klebsiella spp bacteremia, both of which produce Extended Spectrum beta-lactamases (ESBL), and the use of third generation cephalos-porines (TGC) during 30 days prior to the development of the infection. Patients and Methods: Case study of all patients hospitalized between 2004 and 2007 at Hospital de Niños Roberto del Río, who presented E. coli y Klebsiella spp bacteremia. Results: 212 episodes of E. coli o Klebsiella spp bacteremias were found; 205 contained all necessary data, 47 of which were cases and 158 were controls. The use of TGC showed a statistically significant correlation with the finding of ESBL in those patients' bacteremias (OR 2,5; IC95% 1,26-5). In addition, an independent statistically significant association was found with hospital acquired infections (OR 8,2; IC95% 2,7-27,1), and the use of Central Venous Catheter (OR 38,9; IC95% 14,3-106,0) became close to statistical significance. Conclusions: This study shows a statistically significant association between ESBL bacteremias and use of TGC within 30 days prior to the infection, confirming other literature reports.

Palabras clave : Bacteremia; Escherischia Coli; Klebsiella spp; antibiotics; beta-lactamases; ESBL.

        · resumen en Español     · texto en Español     · Español ( pdf )

 

Creative Commons License Todo el contenido de esta revista, excepto dónde está identificado, está bajo una Licencia Creative Commons