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dc.contributor.CRUESPUniversidade Estadual de Campinaspt_BR
dc.typeArtigo de periódicopt_BR
dc.titleNosocomial infections among HIV-positive and HIV-negative patients in a Brazilian infectious diseases unitpt_BR
dc.contributor.authorPadoveze, MCpt_BR
dc.contributor.authorTrabasso, Ppt_BR
dc.contributor.authorBranchini, MLMpt_BR
unicamp.authorUniv Estadual Campinas, UNICAMP, Hosp Infect Control Comm, BR-13081970 Campinas, SP, Brazil Univ Estadual Campinas, UNICAMP, Div Infect Dis, BR-13081970 Campinas, SP, Brazil Univ Estadual Campinas, UNICAMP, Hosp Clin, BR-13081970 Campinas, SP, Brazil Univ Estadual Campinas, UNICAMP, Fac Ciencias Med, BR-13081970 Campinas, SP, Brazilpt_BR
dc.subject.wosHuman-immunodeficiency-viruspt_BR
dc.subject.wosAids-related Complexpt_BR
dc.subject.wosStaphylococcus-aureuspt_BR
dc.subject.wosNasal Carriagept_BR
dc.subject.wosColonizationpt_BR
dc.subject.wosEpidemiologypt_BR
dc.subject.wosMethicillinpt_BR
dc.subject.wosResistantpt_BR
dc.description.abstractBackground: Some researchers observed that HIV-infected patients have a higher risk of acquiring nosocomial infections (NI). This study compared the incidence of NI among HIV-positive and HIV-negative inpatients. Methods: Patients from an infectious diseases ward who were classified as positive and negative regarding their HIV status were followed-up for 21 months in a prospective cohort study. Daily surveillance was made with use of Centers for Disease Prevention and Control criteria for NI. Results: NI per 1000 patients-day were 8.16 for HIV-positive patients and 3.94 for HIV-negative patients (P = .01). Central venous catheter (CVC) and urinary catheter utilization was significantly higher among HIV-positive patients than among HIV-negative patients (P < .001). Bloodstream infections (BSI) caused most of the NI, followed by urinary tract infections, vascular infections, and pneumonia. Overall, HIV-positive patients were more likely to have a BSI than were HIV-negative patients (P = .005). When only BSI was analyzed in patients with a CVC, there was no difference in the incidence of BSI between the 2 groups of patients (P = .24). HIV-positive patients were more likely to have an NI caused by Staphylococcus aureus than were HIV-negative patients (P = .04). Other important NI agents in both groups were Acinetobacter baumanii, Klebsiella pneumoniae, Pseudomonas aeruginosa, and coagulase-negative Staphylococcus. Conclusions: in this study the HIV-positive patients were more likely to have NI than were the HIV-negative patients. Overall, HIV-positive patients are at increased risk for an NI caused either by S aureus or a BSI. Although HIV-positive patients had more CVC-days, there was no difference in the number of BSI among both groups, suggesting that the BSI incidence in the HIV-positive group is not exclusively related to the CVC.pt
dc.relation.ispartofAmerican Journal Of Infection Controlpt_BR
dc.relation.ispartofabbreviationAm. J. Infect. Controlpt_BR
dc.publisher.citySt Louispt_BR
dc.publisher.countryEUApt_BR
dc.publisherMosby, Incpt_BR
dc.date.issued2002pt_BR
dc.date.monthofcirculationOCTpt_BR
dc.identifier.citationAmerican Journal Of Infection Control. Mosby, Inc, v. 30, n. 6, n. 346, n. 350, 2002.pt_BR
dc.language.isoenpt_BR
dc.description.volume30pt_BR
dc.description.issuenumber6pt_BR
dc.description.firstpage346pt_BR
dc.description.lastpage350pt_BR
dc.rightsfechadopt_BR
dc.sourceWeb of Sciencept_BR
dc.identifier.issn0196-6553pt_BR
dc.identifier.wosidWOS:000178819800004pt_BR
dc.identifier.doi10.1067/mic.2002.125220pt_BR
dc.date.available2014-11-15T02:08:46Z
dc.date.available2015-11-26T16:30:18Z-
dc.date.accessioned2014-11-15T02:08:46Z
dc.date.accessioned2015-11-26T16:30:18Z-
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dc.description.provenanceMade available in DSpace on 2015-11-26T16:30:18Z (GMT). No. of bitstreams: 2 WOS000178819800004.pdf: 101825 bytes, checksum: 8c827ecf973e1fc3a0c4ff7bdf4fd2f8 (MD5) WOS000178819800004.pdf.txt: 21211 bytes, checksum: 936a872e5dded8cdb670713b54f6cd6f (MD5) Previous issue date: 2002en
dc.identifier.urihttp://www.repositorio.unicamp.br/jspui/handle/REPOSIP/62122pt_BR
dc.identifier.urihttp://www.repositorio.unicamp.br/handle/REPOSIP/62122
dc.identifier.urihttp://repositorio.unicamp.br/jspui/handle/REPOSIP/62122-
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