Multidrug-resistant microorganisms colonizing lower extremity wounds in patients in a tertiary care hospital, Lima, Peru

Rafael Mendo-Lopez, Luis Jasso, Ximena Guevara, Aurora Lizeth Astocondor, Saul Alejos, Ana C. Bardossy, Tyler Prentiss, Marcus J. Zervos, Jan Jacobs, Coralith Garcia

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Multidrug-resistant organism (MDRO) infections cause high morbidity and mortality, and high costs to patients and hospitals. The study aims were to determine the frequency of MDRO colonization and associated factors in patients with lower-extremity wounds with colonization. A cross-sectional study was designed during November 2015 to July 2016 in a tertiary care hospital in Lima, Peru.Awound swab was obtained for culture and susceptibility testing.MDRO colonization was defined if the culture grew with methicillin-resistant Staphylococcus aureus, vancomycin-resistant enterococci, and/or extended spectrum beta-lactamase (ESBL) microorganisms. The frequency of MDRO wound colonization was 26.8% among the 97 patients enrolled. The most frequent MDRO obtained was ESBL-producing Escherichia coli, which was significantly more frequent in chronic wounds versus acute wounds (17.2% versus 0%, P < 0.05). Infection control measures should be implemented when patients with chronic lower-extremity wounds are admitted.

Original languageEnglish (US)
Pages (from-to)1045-1048
Number of pages4
JournalAmerican Journal of Tropical Medicine and Hygiene
Volume97
Issue number4
DOIs
StatePublished - Jan 1 2017

ASJC Scopus subject areas

  • Parasitology
  • Virology
  • Infectious Diseases

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    Mendo-Lopez, R., Jasso, L., Guevara, X., Lizeth Astocondor, A., Alejos, S., Bardossy, A. C., Prentiss, T., Zervos, M. J., Jacobs, J., & Garcia, C. (2017). Multidrug-resistant microorganisms colonizing lower extremity wounds in patients in a tertiary care hospital, Lima, Peru. American Journal of Tropical Medicine and Hygiene, 97(4), 1045-1048. https://doi.org/10.4269/ajtmh.17-0235