[Systematic review of antimicrobial resistance among Gram positive cocci in hospitals in Colombia]

Biomedica. 2011 Mar;31(1):27-34. doi: 10.1590/S0120-41572011000100005.
[Article in Spanish]

Abstract

Introduction: Bacterial resistance is a public health problem worldwide whose proper management requires knowledge of its presence and its behavior in each region and country.

Objectives: A survey of the medical literature was conducted to identify levels of resistance to antibiotic markers in Gram positive bacterial isolates from Colombian hospitals.

Materials and methods: A systematic review of the literature included articles indexed in MEDLINE and LILACS. A manual search was made of Colombian scientific journals and other infectious disease literature not available electronically.

Results: A total of 34 observational studies were located, including a series of consecutive reports initiated in 2001. Most of the reports came from the city of Bogota. The rate of methicillin resistance for Staphylococcus aureus and coagulase-negative staphylococci in non intensive care unit isolates ranged between 35%-50% and 72%-76%, respectively. Resistance in intensive care unit isolates had a range between 35%-71% and 74%-83%, respectively. The rate of vancomycin-resistant Enterococcus faecium averaged less than 20% over the years but with large annual variation .

Conclusions: Resistance markers appeared in high frequency among Gram positive isolates identified in hospitals in major Colombian cities.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review
  • Systematic Review

MeSH terms

  • Anti-Bacterial Agents / pharmacology*
  • Anti-Bacterial Agents / therapeutic use
  • Colombia
  • Databases, Factual
  • Drug Resistance, Bacterial*
  • Gram-Positive Bacterial Infections / drug therapy
  • Gram-Positive Bacterial Infections / microbiology*
  • Gram-Positive Cocci / drug effects*
  • Gram-Positive Cocci / isolation & purification
  • Gram-Positive Cocci / physiology*
  • Hospitals
  • Humans
  • Intensive Care Units
  • Microbial Sensitivity Tests
  • Public Health

Substances

  • Anti-Bacterial Agents