Multidrug resistance and its association with Enterobacteriales and age among pregnant Peruvian women with- bacteremia
Introduction: This study aimed to assess the prevalence of multidrug resistance (MDR) and its associated factors among pregnant Peruvian women with bacteremia. Methodology: In an 18-month cross-sectional study, all pregnant women were routinely tested with a presumptive diagnosis of sepsis admit...
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The Journal of Infection in Developing Countries
2020-12-01
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| Series: | Journal of Infection in Developing Countries |
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| Online Access: | https://jidc.org/index.php/journal/article/view/12569 |
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| author | Antonio M Quispe Gabriela Soza Maria J Pons |
| author_facet | Antonio M Quispe Gabriela Soza Maria J Pons |
| author_sort | Antonio M Quispe |
| collection | DOAJ |
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Introduction: This study aimed to assess the prevalence of multidrug resistance (MDR) and its associated factors among pregnant Peruvian women with bacteremia.
Methodology: In an 18-month cross-sectional study, all pregnant women were routinely tested with a presumptive diagnosis of sepsis admitted to the largest reference maternity hospital (Instituto Nacional Materno Perinatal) in Lima, Peru for bacteremia. Every isolate was tested for antimicrobial susceptibility as defined by the Institute of Clinical and Laboratory Standards (CLSI). Additionally, associated factors were assessed with MDR and the number of resistant antimicrobial categories using robust Poisson regression models with link log, especially focused on its association with age and bacterial families or species.
Results: A total of 236 blood cultures of pregnant women (33.4 ± 11.4 years old) was analyzed. The prevalence of MDR was 70% (95% confidence interval [CI]: 64%–76%). The main etiological agent was Escherichia coli (65%), showing an MDR rate of 74% (68%–81%). Overall, we observed that the MDR rate was associated with Enterobacteriales (adjusted prevalence rate, (aPR) = 1.29; 95% CI: 1.03–1.61) and age 35 or older (PR = 1.18; 95% CI: 1.01–1.39). However, the number of resistant antimicrobial categories was associated with Enterobacteriales (aPR = 1.44; 95% CI: 1.25–1.67) and hospital-acquired infections (PR = 0.81; 95% CI: 1.01–1.39).
Conclusions: The prevalence of MDR among pregnant women with sepsis was alarmingly high, being even higher among women age 35 or older and among those with hospital-acquired infections.
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| format | Article |
| id | doaj-art-5f23c4455d56444e8eaef4b8f971bce0 |
| institution | DOAJ |
| issn | 1972-2680 |
| language | English |
| publishDate | 2020-12-01 |
| publisher | The Journal of Infection in Developing Countries |
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| series | Journal of Infection in Developing Countries |
| spelling | doaj-art-5f23c4455d56444e8eaef4b8f971bce02025-08-20T02:57:13ZengThe Journal of Infection in Developing CountriesJournal of Infection in Developing Countries1972-26802020-12-01141210.3855/jidc.12569Multidrug resistance and its association with Enterobacteriales and age among pregnant Peruvian women with- bacteremiaAntonio M Quispe0Gabriela Soza1Maria J Pons2Universidad Continental, Huancayo, PeruInstituto Nacional Materno Perinatal, Lima, PeruUniversidad Científica del Sur, Lima, Peru Introduction: This study aimed to assess the prevalence of multidrug resistance (MDR) and its associated factors among pregnant Peruvian women with bacteremia. Methodology: In an 18-month cross-sectional study, all pregnant women were routinely tested with a presumptive diagnosis of sepsis admitted to the largest reference maternity hospital (Instituto Nacional Materno Perinatal) in Lima, Peru for bacteremia. Every isolate was tested for antimicrobial susceptibility as defined by the Institute of Clinical and Laboratory Standards (CLSI). Additionally, associated factors were assessed with MDR and the number of resistant antimicrobial categories using robust Poisson regression models with link log, especially focused on its association with age and bacterial families or species. Results: A total of 236 blood cultures of pregnant women (33.4 ± 11.4 years old) was analyzed. The prevalence of MDR was 70% (95% confidence interval [CI]: 64%–76%). The main etiological agent was Escherichia coli (65%), showing an MDR rate of 74% (68%–81%). Overall, we observed that the MDR rate was associated with Enterobacteriales (adjusted prevalence rate, (aPR) = 1.29; 95% CI: 1.03–1.61) and age 35 or older (PR = 1.18; 95% CI: 1.01–1.39). However, the number of resistant antimicrobial categories was associated with Enterobacteriales (aPR = 1.44; 95% CI: 1.25–1.67) and hospital-acquired infections (PR = 0.81; 95% CI: 1.01–1.39). Conclusions: The prevalence of MDR among pregnant women with sepsis was alarmingly high, being even higher among women age 35 or older and among those with hospital-acquired infections. https://jidc.org/index.php/journal/article/view/12569Pregnant womenDrug ResistanceAnti-Bacterial AgentsBacteremia |
| spellingShingle | Antonio M Quispe Gabriela Soza Maria J Pons Multidrug resistance and its association with Enterobacteriales and age among pregnant Peruvian women with- bacteremia Journal of Infection in Developing Countries Pregnant women Drug Resistance Anti-Bacterial Agents Bacteremia |
| title | Multidrug resistance and its association with Enterobacteriales and age among pregnant Peruvian women with- bacteremia |
| title_full | Multidrug resistance and its association with Enterobacteriales and age among pregnant Peruvian women with- bacteremia |
| title_fullStr | Multidrug resistance and its association with Enterobacteriales and age among pregnant Peruvian women with- bacteremia |
| title_full_unstemmed | Multidrug resistance and its association with Enterobacteriales and age among pregnant Peruvian women with- bacteremia |
| title_short | Multidrug resistance and its association with Enterobacteriales and age among pregnant Peruvian women with- bacteremia |
| title_sort | multidrug resistance and its association with enterobacteriales and age among pregnant peruvian women with bacteremia |
| topic | Pregnant women Drug Resistance Anti-Bacterial Agents Bacteremia |
| url | https://jidc.org/index.php/journal/article/view/12569 |
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