Emilio Maseda, José Mensa, Juan-Carlos Valía, José-Ignacio Gomez-Herreras, Fernando Ramasco, Enric Samso, Miguel-Angel Chiveli, Jorge Pereira, Rafael González, Gerardo Aguilar, Gonzalo Tamayo, Nazario Ojeda, Jesús Rico, María-José Giménez, Lorenzo Aguilar
ICUs are areas where resistance problems are the largest, and these constitute a major problem for the intensivist's clinical practice. Main resistance phenotypes among nosocomial microbiota are (i) vancomycin-resistance/heteroresistance and tolerance in grampositives (MRSA, enterococci) and (ii) efflux pumps/enzymatic resistance mechanisms (ESBLs, AmpC, metallo-betalactamases) in gramnegatives. These phenotypes are found at different rates in pathogens causing respiratory (nosocomial pneumonia/ventilator-associated pneumonia), bloodstream (primary bacteremia/catheter-associated bacteremia), urinary, intraabdominal and surgical wound infections and endocarditis in the ICU...
March 2014: Revista Española de Anestesiología y Reanimación