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Descripción de la micobiota de los tubos endotraqueales de pacientes de unidades de cuidados intensivos en Bogotá, Colombia.

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Title: Descripción de la micobiota de los tubos endotraqueales de pacientes de unidades de cuidados intensivos en Bogotá, Colombia.
Alternate Title: Description of the colonizing mycobiota of endotracheal tubes from patients admitted to two intensive care units in Bogotá, Colombia.
Authors: Gabriela Huertas, Mónica1,2 mogahuertas@gmail.com, Rodríguez, Miguel3, Castro, Patricia3, Danilo Cruz, Sergio3, Alejandra Cifuentes, Érika1, Felipe Yepes, Andrés3, Mercedes Zambrano, María1, Margarita Baldión, Ana3
Source: Biomédica: Revista del Instituto Nacional de Salud. 2023 Supplement, Vol. 43, p181-193. 13p.
Subjects: INTENSIVE care patients, ENDOTRACHEAL tubes, IDENTIFICATION of fungi, FUNGAL colonies, ARTIFICIAL respiration, CANDIDA, CANDIDEMIA
Geographic Terms: COLOMBIA
Abstract (English): Introduction. Medical device colonization by pathogenic microorganisms is a risk factor for increasing infections associated with health care and, consequently, the morbidity and mortality of intubated patients. In Colombia, fungal colonization of endotracheal tubes has not been described, and this information could lead to new therapeutic options for the benefit of patients. Objective. To describe the colonizing fungi of the endotracheal tubes from patients in the intensive care unit, along with its antifungal sensitivity profile. Materials and methods. We conducted a descriptive, observational study in two health centers for 12 months. Endotracheal tubes were collected from patients in intensive care units. Samples were processed for culture, fungi identification, and antifungal sensitivity profile assessment. Results. A total of 121 endotracheal tubes, obtained from 113 patients, were analyzed: 41.32 % of the tubes were colonized by Candida albicans (64.62%), C. non-albicans (30.77%), Cryptococcus spp. (3.08%) or molds (1.54%). All fungi evaluated showed a high sensitivity to antifungals, with a mean of 91%. Conclusion. Fungal colonization was found in the endotracheal tubes of patients under invasive mechanical ventilation. The antifungal sensitivity profile in these patients was favorable. A clinical study is required to find possible correlations between the colonizing microorganisms and infectivity. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Introducción. La colonización por microorganismos patógenos de los dispositivos médicos usados en las unidades de cuidados intensivos es un factor de riesgo para el aumento de infecciones asociadas con la atención en salud y, por lo tanto, al de la morbilidad y la mortalidad de los pacientes intubados. En Colombia, no se ha descrito la colonización por hongos de los tubos endotraqueales, con lo cual se podrían considerar nuevas opciones terapéuticas para el beneficio de los pacientes. Objetivo. Describir los hongos que colonizan los tubos endotraqueales de los pacientes en unidades de cuidados intensivos, junto con su perfil de sensibilidad a los antifúngicos. Materiales y métodos. Se realizó un estudio observacional, descriptivo, en dos centros hospitalarios durante 12 meses. Se recolectaron tubos endotraqueales de pacientes de las unidades de cuidados intensivos. Estos fueron procesados para cultivar e identificar hongos, y para establecer su perfil de sensibilidad a los antifúngicos. Resultados. Se analizaron 121 tubos endotraqueales obtenidos de 113 pacientes. De estos, el 41,32 % se encontró colonizado por los hongos Candida albicans (64,61 %), C. no-albicans (30,77 %), Cryptococcus spp. (3,08 %) o mohos (1,54 %). Todos los hongos evaluados presentaron una gran sensibilidad a los antifúngicos, con un promedio del 91 %. Conclusión. Se encontró colonización fúngica en los tubos endotraqueales de pacientes con asistencia respiratoria mecánica. El perfil de sensibilidad en estos pacientes fue favorable. Se requiere un estudio clínico para correlacionar los microorganismos colonizadores y su capacidad de generar infección. [ABSTRACT FROM AUTHOR]
Copyright of Biomédica: Revista del Instituto Nacional de Salud is the property of Instituto Nacional de Salud of Colombia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: MedicLatina
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  Data: Descripción de la micobiota de los tubos endotraqueales de pacientes de unidades de cuidados intensivos en Bogotá, Colombia.
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  Data: Description of the colonizing mycobiota of endotracheal tubes from patients admitted to two intensive care units in Bogotá, Colombia.
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  Data: <searchLink fieldCode="AR" term="%22Gabriela+Huertas%2C+Mónica%22">Gabriela Huertas, Mónica</searchLink><relatesTo>1,2</relatesTo><i> mogahuertas@gmail.com</i><br /><searchLink fieldCode="AR" term="%22Rodríguez%2C+Miguel%22">Rodríguez, Miguel</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Castro%2C+Patricia%22">Castro, Patricia</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Danilo+Cruz%2C+Sergio%22">Danilo Cruz, Sergio</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Alejandra+Cifuentes%2C+Érika%22">Alejandra Cifuentes, Érika</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Felipe+Yepes%2C+Andrés%22">Felipe Yepes, Andrés</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Mercedes+Zambrano%2C+María%22">Mercedes Zambrano, María</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Margarita+Baldión%2C+Ana%22">Margarita Baldión, Ana</searchLink><relatesTo>3</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22Biomédica%3A+Revista+del+Instituto+Nacional+de+Salud%22">Biomédica: Revista del Instituto Nacional de Salud</searchLink>. 2023 Supplement, Vol. 43, p181-193. 13p.
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  Data: <searchLink fieldCode="DE" term="%22INTENSIVE+care+patients%22">INTENSIVE care patients</searchLink><br /><searchLink fieldCode="DE" term="%22ENDOTRACHEAL+tubes%22">ENDOTRACHEAL tubes</searchLink><br /><searchLink fieldCode="DE" term="%22IDENTIFICATION+of+fungi%22">IDENTIFICATION of fungi</searchLink><br /><searchLink fieldCode="DE" term="%22FUNGAL+colonies%22">FUNGAL colonies</searchLink><br /><searchLink fieldCode="DE" term="%22ARTIFICIAL+respiration%22">ARTIFICIAL respiration</searchLink><br /><searchLink fieldCode="DE" term="%22CANDIDA%22">CANDIDA</searchLink><br /><searchLink fieldCode="DE" term="%22CANDIDEMIA%22">CANDIDEMIA</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22COLOMBIA%22">COLOMBIA</searchLink>
– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: Introduction. Medical device colonization by pathogenic microorganisms is a risk factor for increasing infections associated with health care and, consequently, the morbidity and mortality of intubated patients. In Colombia, fungal colonization of endotracheal tubes has not been described, and this information could lead to new therapeutic options for the benefit of patients. Objective. To describe the colonizing fungi of the endotracheal tubes from patients in the intensive care unit, along with its antifungal sensitivity profile. Materials and methods. We conducted a descriptive, observational study in two health centers for 12 months. Endotracheal tubes were collected from patients in intensive care units. Samples were processed for culture, fungi identification, and antifungal sensitivity profile assessment. Results. A total of 121 endotracheal tubes, obtained from 113 patients, were analyzed: 41.32 % of the tubes were colonized by Candida albicans (64.62%), C. non-albicans (30.77%), Cryptococcus spp. (3.08%) or molds (1.54%). All fungi evaluated showed a high sensitivity to antifungals, with a mean of 91%. Conclusion. Fungal colonization was found in the endotracheal tubes of patients under invasive mechanical ventilation. The antifungal sensitivity profile in these patients was favorable. A clinical study is required to find possible correlations between the colonizing microorganisms and infectivity. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: Introducción. La colonización por microorganismos patógenos de los dispositivos médicos usados en las unidades de cuidados intensivos es un factor de riesgo para el aumento de infecciones asociadas con la atención en salud y, por lo tanto, al de la morbilidad y la mortalidad de los pacientes intubados. En Colombia, no se ha descrito la colonización por hongos de los tubos endotraqueales, con lo cual se podrían considerar nuevas opciones terapéuticas para el beneficio de los pacientes. Objetivo. Describir los hongos que colonizan los tubos endotraqueales de los pacientes en unidades de cuidados intensivos, junto con su perfil de sensibilidad a los antifúngicos. Materiales y métodos. Se realizó un estudio observacional, descriptivo, en dos centros hospitalarios durante 12 meses. Se recolectaron tubos endotraqueales de pacientes de las unidades de cuidados intensivos. Estos fueron procesados para cultivar e identificar hongos, y para establecer su perfil de sensibilidad a los antifúngicos. Resultados. Se analizaron 121 tubos endotraqueales obtenidos de 113 pacientes. De estos, el 41,32 % se encontró colonizado por los hongos Candida albicans (64,61 %), C. no-albicans (30,77 %), Cryptococcus spp. (3,08 %) o mohos (1,54 %). Todos los hongos evaluados presentaron una gran sensibilidad a los antifúngicos, con un promedio del 91 %. Conclusión. Se encontró colonización fúngica en los tubos endotraqueales de pacientes con asistencia respiratoria mecánica. El perfil de sensibilidad en estos pacientes fue favorable. Se requiere un estudio clínico para correlacionar los microorganismos colonizadores y su capacidad de generar infección. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
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  Data: <i>Copyright of Biomédica: Revista del Instituto Nacional de Salud is the property of Instituto Nacional de Salud of Colombia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.7705/biomedica.6884
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        Text: Spanish
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        PageCount: 13
        StartPage: 181
    Subjects:
      – SubjectFull: INTENSIVE care patients
        Type: general
      – SubjectFull: ENDOTRACHEAL tubes
        Type: general
      – SubjectFull: IDENTIFICATION of fungi
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      – SubjectFull: FUNGAL colonies
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      – SubjectFull: ARTIFICIAL respiration
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      – SubjectFull: CANDIDA
        Type: general
      – SubjectFull: CANDIDEMIA
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      – SubjectFull: COLOMBIA
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              Text: 2023 Supplement
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