Microorganismos asociados con infección de accesos vasculares en hemodiálisis y su sensibilidad antimicrobiana.
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| Title: | Microorganismos asociados con infección de accesos vasculares en hemodiálisis y su sensibilidad antimicrobiana. |
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| Alternate Title: | Microorganisms associated with vascular access infections in hemodialysis and their antimicrobial susceptibility. |
| Authors: | Díaz Jácome, Jacqueline1, Miranda Aguilar, Andrea2, Ramos Nuño, J. Carlos3, Serrano Osuna, Ricardo, Lugo Machado, Juan Antonio otorrinox@gmail.com |
| Source: | Medicina Interna de México. ago2025, Vol. 41 Issue 8, p457-464. 8p. |
| Subjects: | MICROBIAL sensitivity tests, ARTERIAL catheterization, ENTEROBACTER cloacae, DISEASE susceptibility, STAPHYLOCOCCUS epidermidis |
| Abstract (English): | OBJECTIVE: To evaluate the prevalence of infectious agents and antimicrobial susceptibility in patients with vascular access-related infections. MATERIALS AND METHODS: This was a clinical, epidemiological, observational, retrospective, and cross-sectional study. We reviewed the clinical records and laboratory data of patients who underwent hemodialysis at the IMSS Hospital de Especialidades 2 in Ciudad Obregón, Sonora, between September 1, 2021, and August 31, 2024. Positive blood cultures and their sensitivity profiles were analyzed using Pearson chi-square test. RESULTS: Of the 225 positive blood cultures, 52% corresponded to Gram-positive microorganisms, and 48% corresponded to Gram-negative microorganisms. The most frequent microorganisms were Staphylococcus epidermidis (31.1%), Enterobacter cloacae (15.6%), and Staphylococcus aureus (9.3%). Gentamicin (55.1%) and ciprofloxacin (49.3%) were the most effective antibiotics. The non-tunneled venous catheter was the most common access route (71.4%). In the inferential analysis, no association was found between the type of venous access and the type of infectious agent. CONCLUSION: There was no significant association between the type of vascular access and the infectious agent. The main microorganisms causing infections were S. epidermidis and E. cloacae, and antimicrobial sensitivity testing showed good results with gentamicin and ciprofloxacin. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | OBJETIVO: Evaluar la prevalencia de los agentes infecciosos y la sensibilidad antimicrobiana en pacientes con infecciones asociadas con accesos vasculares. MATERIALES Y MÉTODOS: Estudio clínico, epidemiológico, observacional, retrospectivo y transversal. Se revisaron los expedientes clínicos y los datos de laboratorio de pacientes que recibieron hemodiálisis entre el 1 de septiembre del 2021 y el 31 agosto del 2024 en el Hospital de Especialidades 2 del IMSS, Ciudad Obregón, Sonora. Se analizaron los hemocultivos positivos y sus perfiles de sensibilidad mediante estadística descriptiva y c2 de Pearson. RESULTADOS: De los 225 hemocultivos positivos, el 52% correspondieron a microorganismos grampositivos y el 48% a gramnegativos. Los agentes más frecuentes fueron Staphylococcus epidermidis (31.1%), Enterobacter cloacae (15.6%) y Staphylococcus aureus (9.3%). Los antibióticos más efectivos fueron gentamicina (55.1%) y ciprofloxacina (49.3%). El catéter venoso no tunelizado fue el acceso más común (71.4%). En el análisis inferencial no se encontró asociación entre el tipo de acceso venoso y el tipo de agente infeccioso. CONCLUSIÓN: No se encontró una asociación significativa entre el tipo de acceso vascular y el agente infeccioso. Los principales microorganismos causantes de infecciones fueron Staphylococcus epidermidis y Enterobacter cloacae, y la sensibilidad antimicrobiana mostró buenos resultados con gentamicina y ciprofloxacina. [ABSTRACT FROM AUTHOR] |
| Copyright of Medicina Interna de México is the property of Colegio de Medicina Interna de Mexico 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.) | |
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| Items | – Name: Title Label: Title Group: Ti Data: Microorganismos asociados con infección de accesos vasculares en hemodiálisis y su sensibilidad antimicrobiana. – Name: TitleAlt Label: Alternate Title Group: TiAlt Data: Microorganisms associated with vascular access infections in hemodialysis and their antimicrobial susceptibility. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Díaz+Jácome%2C+Jacqueline%22">Díaz Jácome, Jacqueline</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Miranda+Aguilar%2C+Andrea%22">Miranda Aguilar, Andrea</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Ramos+Nuño%2C+J%2E+Carlos%22">Ramos Nuño, J. Carlos</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Serrano+Osuna%2C+Ricardo%22">Serrano Osuna, Ricardo</searchLink><br /><searchLink fieldCode="AR" term="%22Lugo+Machado%2C+Juan+Antonio%22">Lugo Machado, Juan Antonio</searchLink><i> otorrinox@gmail.com</i> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Medicina+Interna+de+México%22">Medicina Interna de México</searchLink>. ago2025, Vol. 41 Issue 8, p457-464. 8p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22MICROBIAL+sensitivity+tests%22">MICROBIAL sensitivity tests</searchLink><br /><searchLink fieldCode="DE" term="%22ARTERIAL+catheterization%22">ARTERIAL catheterization</searchLink><br /><searchLink fieldCode="DE" term="%22ENTEROBACTER+cloacae%22">ENTEROBACTER cloacae</searchLink><br /><searchLink fieldCode="DE" term="%22DISEASE+susceptibility%22">DISEASE susceptibility</searchLink><br /><searchLink fieldCode="DE" term="%22STAPHYLOCOCCUS+epidermidis%22">STAPHYLOCOCCUS epidermidis</searchLink> – Name: Abstract Label: Abstract (English) Group: Ab Data: OBJECTIVE: To evaluate the prevalence of infectious agents and antimicrobial susceptibility in patients with vascular access-related infections. MATERIALS AND METHODS: This was a clinical, epidemiological, observational, retrospective, and cross-sectional study. We reviewed the clinical records and laboratory data of patients who underwent hemodialysis at the IMSS Hospital de Especialidades 2 in Ciudad Obregón, Sonora, between September 1, 2021, and August 31, 2024. Positive blood cultures and their sensitivity profiles were analyzed using Pearson chi-square test. RESULTS: Of the 225 positive blood cultures, 52% corresponded to Gram-positive microorganisms, and 48% corresponded to Gram-negative microorganisms. The most frequent microorganisms were Staphylococcus epidermidis (31.1%), Enterobacter cloacae (15.6%), and Staphylococcus aureus (9.3%). Gentamicin (55.1%) and ciprofloxacin (49.3%) were the most effective antibiotics. The non-tunneled venous catheter was the most common access route (71.4%). In the inferential analysis, no association was found between the type of venous access and the type of infectious agent. CONCLUSION: There was no significant association between the type of vascular access and the infectious agent. The main microorganisms causing infections were S. epidermidis and E. cloacae, and antimicrobial sensitivity testing showed good results with gentamicin and ciprofloxacin. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Abstract (Spanish) Group: Ab Data: OBJETIVO: Evaluar la prevalencia de los agentes infecciosos y la sensibilidad antimicrobiana en pacientes con infecciones asociadas con accesos vasculares. MATERIALES Y MÉTODOS: Estudio clínico, epidemiológico, observacional, retrospectivo y transversal. Se revisaron los expedientes clínicos y los datos de laboratorio de pacientes que recibieron hemodiálisis entre el 1 de septiembre del 2021 y el 31 agosto del 2024 en el Hospital de Especialidades 2 del IMSS, Ciudad Obregón, Sonora. Se analizaron los hemocultivos positivos y sus perfiles de sensibilidad mediante estadística descriptiva y c2 de Pearson. RESULTADOS: De los 225 hemocultivos positivos, el 52% correspondieron a microorganismos grampositivos y el 48% a gramnegativos. Los agentes más frecuentes fueron Staphylococcus epidermidis (31.1%), Enterobacter cloacae (15.6%) y Staphylococcus aureus (9.3%). Los antibióticos más efectivos fueron gentamicina (55.1%) y ciprofloxacina (49.3%). El catéter venoso no tunelizado fue el acceso más común (71.4%). En el análisis inferencial no se encontró asociación entre el tipo de acceso venoso y el tipo de agente infeccioso. CONCLUSIÓN: No se encontró una asociación significativa entre el tipo de acceso vascular y el agente infeccioso. Los principales microorganismos causantes de infecciones fueron Staphylococcus epidermidis y Enterobacter cloacae, y la sensibilidad antimicrobiana mostró buenos resultados con gentamicina y ciprofloxacina. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Medicina Interna de México is the property of Colegio de Medicina Interna de Mexico 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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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.24245/mim.v41i8.10339 Languages: – Code: spa Text: Spanish PhysicalDescription: Pagination: PageCount: 8 StartPage: 457 Subjects: – SubjectFull: MICROBIAL sensitivity tests Type: general – SubjectFull: ARTERIAL catheterization Type: general – SubjectFull: ENTEROBACTER cloacae Type: general – SubjectFull: DISEASE susceptibility Type: general – SubjectFull: STAPHYLOCOCCUS epidermidis Type: general Titles: – TitleFull: Microorganismos asociados con infección de accesos vasculares en hemodiálisis y su sensibilidad antimicrobiana. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Díaz Jácome, Jacqueline – PersonEntity: Name: NameFull: Miranda Aguilar, Andrea – PersonEntity: Name: NameFull: Ramos Nuño, J. Carlos – PersonEntity: Name: NameFull: Serrano Osuna, Ricardo – PersonEntity: Name: NameFull: Lugo Machado, Juan Antonio IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 08 Text: ago2025 Type: published Y: 2025 Identifiers: – Type: issn-print Value: 01864866 Numbering: – Type: volume Value: 41 – Type: issue Value: 8 Titles: – TitleFull: Medicina Interna de México Type: main |
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