A5035351970- Nosocomial Infections in ICU
- Infection Control in Healthcare
- Pneumonia and Respiratory Infections
- Antibiotic Use and Resistance
- Antibiotic Resistance in Bacteria
- Patient Satisfaction in Healthcare
- Food Safety and Hygiene
- Dental Research and COVID-19
- Central Venous Catheters and Hemodialysis
- Healthcare Decision-Making and Restraints
- Urinary Tract Infections Management
- Inhalation and Respiratory Drug Delivery
- Pediatric health and respiratory diseases
- Tracheal and airway disorders
- Infection Control and Ventilation
- Neutropenia and Cancer Infections
- Bacterial Identification and Susceptibility Testing
- Antibiotics Pharmacokinetics and Efficacy
- Emergency and Acute Care Studies
- Health Systems, Economic Evaluations, Quality of Life
- Antifungal resistance and susceptibility
- Sepsis Diagnosis and Treatment
- Patient Safety and Medication Errors
- Occupational Health and Safety Research
- Bacterial biofilms and quorum sensing
Hospital Israelita Albert Einstein
2008-2024
Hospital Alemão Oswaldo Cruz
2023
Hospital São Paulo
2022
Biology of Infection
2011
Healthcare-associated infections caused by Klebsiella pneumoniae isolates are increasing and few effective antibiotics currently available to treat patients. We observed decreased carbapenem susceptibility among K. isolated from patients at a tertiary private hospital that showed phenotype compatible with carbapenemase production although this group of enzymes was not detected in any sample. The aim study describe the epidemiology clinical outcomes associated carbapenem-resistant determine...
Ventilator-associated pneumonia (VAP) is a common infection in the intensive care unit (ICU) and associated with high mortality.A quasi-experimental study was conducted medical-surgical ICU. Multiple interventions to optimize VAP prevention were performed from October 2008 December 2010. All of these processes, including Institute for Healthcare Improvement's (IHI) ventilator bundle plus oral decontamination chlorhexidine continuous aspiration subglottic secretions (CASS), adopted patients...
Although there are simple and low-cost measures to prevent healthcare-associated infections (HAIs), they remain a major public health problem. Quality issues lack of knowledge about HAI control among healthcare professionals may contribute this scenario. In study, our aim is present the implementation project HAIs in intensive care units (ICUs) using quality improvement (QI) collaborative model Breakthrough Series (BTS).A QI report was conducted assess results national Brazil between January...
To evaluate hand hygiene compliance in 2 adult step-down units (SDUs).A 6-month (from March to September 2007), controlled trial comparing SDUs, one with a feedback intervention program (ie, the unit) and without control unit).Two 20-bed SDUs at tertiary care private hospital.Hand episodes were measured by electronic recording devices periodic observational surveys. In unit, was provided SDU nurse manager, who explained twice week healthcare workers goals targets for process measures.A total...
Although the introduction of alcohol based products have increased compliance with hand hygiene in intensive care units (ICU), no comparative studies other same unit and period been conducted. We performed a two-month-observational prospective study comparing three an adult ICU, according to practices (chlorhexidine alone-unit A, both chlorhexidine gel-unit B, gel C, respectively). Opportunities for were considered institutional guideline. Patients randomly allocated 3 data on was collected...
Introduction Infections acquired during healthcare setting stay pose significant public health threats. These infections are known as Healthcare-Associated (HAI), mostly caused by pathogenic bacteria, which exhibit a wide range of antimicrobial resistance. Currently, there is no knowledge about the global cleaning process hospitals and bacterial diversity found in ICUs Brazilian contributing to HAI. Objective Characterize microbiome common resistance genes present high-touch Intensive Care...
Abstract Introduction Infections acquired during healthcare setting stay pose significant public health threats. These infections are known as Healthcare-Associated (HAI), mostly caused by pathogenic bacteria, which exhibit a wide range of antimicrobial resistance. Objective Characterize the microbiome and resistance genes present in high-touch Intensive Care Unit (ICU) surfaces, to identify potential contamination sanitizers/processes used clean hospital surfaces. Methods In this national,...
ABSTRACT Objective To describe the microbiological characteristics and to assess risk factors for mortality of ventilator-associated tracheobronchitis in a case-control study intensive care patients. Methods This was conducted over 6-year period 40-bed medical-surgical unit tertiary care, private hospital São Paulo, Brazil. Case patients were identified using Nosocomial Infection Control Committee database. For analysis factors, matched control subjects selected from same institution at...