Prevalence of New Delhi Metallo-β-Lactamase (NDM) in patients of a public service
DOI:
https://doi.org/10.33448/rsd-v13i12.47890Keywords:
Science, Technology and Society; Education, Professional; Bacteria; Teaching.Abstract
Introduction: New Delhi Metallo-β-lactamase (NDM) producing bacteria are resistant to carbapenem antibiotics, making them significant in the field of healthcare. Objective: To investigate the prevalence of NDM-producing bacteria in colonization/infections among patients in a public health service and to develop educational material aimed at enhancing healthcare professionals’ knowledge on prevention measures. Method: An observational prevalence epidemiological study was conducted, with data collected cross-sectionally using the TASY system. Descriptive analysis identified the epidemiological profile and some frequencies. In the statistical analysis, dependent variables were the species of microorganism and the focus of infection; independent variables included length of hospitalization, ventilator use, catheter-associated infections, and patient outcomes. After processing the data, educational material was produced for healthcare staff. Results: A total of 24 cases of NDM-producing bacteria infections were identified in the service. The most affected profile was men under 60 years with comorbidities. Infections among women, elderly individuals (>60 years), and patients with comorbidities were more likely to result in death. Klebsiella pneumoniae was the most frequently isolated NDM producer in the service, and the most prevalent infection focus was the urinary tract. Ventilator use and previous infections were significant predictors of the development of these bacteria. Conclusion: The epidemiological profile found in the study aligns with the literature on the subject. These microorganisms are spreading, requiring preventive actions to control their dissemination.
References
Adler, A., Ghosh, H., Gross, A., Rechavi, A., Lasnoy, M., Assous, M. V., Geffen, Y., Darawsha, B., Wiener-Well, Y., Alony, A., Grundmann, H., & Reuter, S. (2023). Clinical and molecular features of NDM-producing Acinetobacter baumannii in a multicenter study in Israel. Annals of Clinical Microbiology and Antimicrobials, 22(52). https://doi.org/10.1186/s12941-023-00607-w
American Association of Critical-Care Nurses (2016). Prevention of Catheter-Associated Urinary Tract Infections in Adults. Critical Care Nurse, 36(4). https://doi.org/10.4037/ccn2016208
Azevedo, I. C., Silva, G. W. S., Vale, L. D., Santos, Q. C., Cassiano, A. N., Morais, I. F., & Valença, C. N (2015). Educação continuada em Enfermagem no âmbito da Educação Permanente em Saúde: revisão integrativa de literatura. Revista Saúde e Pesquisa, 8(1), 131-140. http://doi.org/10.17765/1983-1870.2015v8n1p131-140
Barbosa, L. R., Mota, E. C., & Oliveira, A. C. (2019). Infecção do trato urinário associada ao cateter vesical em uma unidade de terapia intensiva. Revista de Epidemiologia e Controle de Infecção, 9(2), 103-108, 2019. https://doi.org/10.17058/reci.v9i1.11579
Blot, S., Antonelli, M., Arvaniti, K., Blot, K., Creagh-Brown, B., Lange, D., Waele, J. D., Deschepper, M., Dikmen, Y., Dimopoulos, G., Eckmann, C., Francois, G., Girardis, M., Koulenti, D., Labeau, S., Lipman, J., Lipovetsky, F., Maseda, E., Montravers, P., …, grupo de estudo AbSeS em nome do Grupo de Ensaios da Sociedade Europeia de Medicina Intensiva (2019). Epidemiology of intra-abdominal infection and sepsis in critically ill patients: “AbSeS”, a multinational observational cohort study and ESICM Trials Group Project. Intensive Care Medicine, 45, 1703–1717. https://doi.org/10.1007/s00134-019-05819-3
Brasil. Ministério da Saúde. Gabinete do Ministro. (2007). Portaria nº 1.996, de 20 de agosto de 2007. Diário Oficial da República Federativa do Brasil, Seção 1, 34–38.
Brasil. Ministério da Saúde. Gabinete do Ministro. (1998). Portaria nº 2616, de 12 de maio de 1998. Diário Oficial da República Federativa do Brasil, Seção 1, 133–135.
Brasil. Ministério da Saúde. Secretaria de Vigilância em Saúde. (2022). Nota Técnica nº 74/2022. Brasília, DF. https://brcast.org.br/wp-content/uploads/2022/09/SEI_MS-0028220258-Nota-Tecnica-NDM-e-coproducao-carbapenemase.pdf
Brasil. Presidência da República. Subchefia para Assuntos Jurídicos. (1990). Lei nº 8080, de 19 de setembro de 1990. Diário Oficial da República Federativa do Brasil, Seção 1, 18055.
Browne, K., White, N., Tehan, P., Russo, P. L., Amin, M., Stewardson, A. J., Cheng, A. C., Graham, K., O’Kane, G., King, J., Kiernan, M., Brain, D., & Mitchell, B. G. (2023). A randomised controlled trial investigating the effect of improving the cleaning and disinfection of shared medical equipment on healthcare-associated infections: the CLEaning and Enhanced disiNfection (CLEEN) study. Trials, 24(133). https://doi.org/10.1186/s13063-023-07144-z
Caneiras, C., Lito, L., Melo-Cristino, J., & Duarte, A. (2019). Community- and Hospital-Acquired Klebsiella pneumoniae Urinary Tract Infections in Portugal: Virulence and Antibiotic Resistance. Microorganisms, 7(5). https://doi.org/10.3390/microorganisms7050138
Catho, G., Fortchantre, L., Teixeira, D., Galas-Haddad, M., Boroli, F., Chraïti, M., Abbas, M., Harbarth, S., Buetti, N., & grupo Swissnoso (2024). Surveillance of catheter-associated bloodstream infections: development and validation of a fully automated algorithm. Antimicrobial Resistance & Infection Control, 13(38). https://doi.org/10.1186/s13756-024-01395-4
Classen, D. C., Rhee, C., Dantes, R. B., & Benin, A. L. (2024). Healthcare-associated infections and conditions in the era of digital measurement. Infection Control & Hospital Epidemiology, 45(1), 3-8. https://doi.org/10.1017/ice.2023.139
Deglmann, R. C., Kobs, V. C., Oliveira, D., Burgardt, P., França, P. H. C., & Pillonetto, M. (2019). Earliest identification of new delhi metallo-β-lactamase 1 (NDM-1) in Acinetobacter pittii in Brazil. Revista da Sociedade Brasileira de Medicina Tropical, 52. https://doi.org/10.1590/0037-8682-0348-2018
Esme, M., Topeli, A., Yavuz, B. B., & Akova, M. (2019). Infections in the Elderly Critically-Ill Patients. Frontiers in Medicine, 6. https://doi.org/10.3389/fmed.2019.00118
Euzébio, D. M., Santos, W. M. V., Mendonça, S. C. R., Silva, C. E. P., Ribeiro, L. C., Amarante, R. S., Ramalho, K. M., Souza, M. G. I., Conceição, D. B., & Silva, A. M. (2021). Epidemiological profile of the healthcare-associated infections in an Intensive Care Unit from 2019 to 2020. Research, Society And Development, 10(17). https://doi.org/10.33448/rsd-v10i17.24926
Findlay, J., Poirel, L., Kessler, J., Kronenberg, A., & Nordmann, P. (2021). New Delhi Metallo-β-Lactamase–Producing Enterobacterales Bacteria, Switzerland, 2019–2020. Emerging Infectious Diseases, 27(10), 2628-2637. https://doi.org/10.3201/eid2710.211265
Gavi, F., Fiori, B., Gandi, C., Campetella, M., Bientinesi, R., Marino, F., Fettuciari, D., Rossi, F., Moretto, S., Murri, R., Pierconti, F., Racioppi, M., & Sacco, E. (2023). Prevalence and Antimicrobial Resistance Patterns of Hospital Acquired Infections through the COVID-19 Pandemic: Real-Word Data from a Tertiary Urological Centre. Journal of Clinical Medicine, 12(23). https://doi.org/10.3390/jcm12237278
Ghashghaee, A., Benis, M. R., Aryankhesal, A., Tanha, K., Hosseinifard, H., Janani, L., Raoofi, S., Lahimchi, A., Alihosseini, S., Gharagozlou, D., Javanbakht, M., Kiaee, Z. M., & Shabaninejad, H. (2019). The Prevalence of Hospital-Acquired Infections in the EMRO: A Systematic Review and Meta-Analysis from 2000 to 2018. SSRN. http://dx.doi.org/10.2139/ssrn.3339500
Idigo, A. J., Wells, J. M., Brown, M. L., Wiener, H. W., Griffin, R. L., Cutter, G., Shrestha, S. & Lee, R. A. (2022). Clinical risk factors for admission with Pseudomonas and multidrug-resistant Pseudomonas community-acquired pneumonia. Antimicrobial Resistance & Infection Control, 11(95). https://doi.org/10.1186/s13756-022-01137-4
Junior, C. E. E., Spencer, M., Gunja, N. J., Holy, C. E., Ruppenkamp, J. W., & Leaper, D. J. (2023). Longitudinal rates, risk factors, and costs of superficial and deep incisional surgical-site infection (SSI) after primary and revision total knee arthroplasty: A US retrospective claims database analysis. Infection Control & Hospital Epidemiology, 44(10), 1587-1595. https://doi.org/10.1017/ice.2023.10
Kreitmann, L., Helms, J., Martin-Loeches, I., Salluh, J., Polakou, G., Pène, F., & Nseir, S. (2024). ICU-acquired infections in immunocompromised patients. Intensive Care Medicine, 50, 332–349. https://doi.org/10.1007/s00134-023-07295-2
Lazaretti, A., Canto, C. G. L., Luna, D. O., & Trindade, F. T. T. (2022). Resistência da bactéria Pseudomonas aeruginosa aos antibióticos carbapenêmicos. Revista Multidisciplinar em Saúde, 3(4), 10-19. https://doi.org/10.51161/rems/3441
Murray, C. J., Ikuta, K. S., Sharara, F., Swetschinski, L., Aguilar, G. R., Gray, A., Han, C., Bisignano, C., Rao, P., Wool, E., Johnson, S. C., Browne, A. J., Chipeta, M. G., Fell, F., Hackett, S., Haines-Woodhouse, G., Hamadani, B. H. K., Kuraman, E. A. P., McManigal, B., …, Naghavi, M. (2022). Global burden of bacterial antimicrobial resistance in 2019: a systematic analysis. The Lancet, 399(10325), 629-655. https://doi.org/10.1016/S0140-6736(21)02724-0
Organização Pan-Americana da Saúde (2021). Alerta Epidemiológico: surgimento e aumento de novas combinações de carbapenemases em Enterobacterales na América Latina e no Caribe. https://iris.paho.org/handle/10665.2/55318
Pereira, A. S., Shitsuka, D. M., Parreira, F. J., & Shitsuka, R. (2018). Metodologia da pesquisa científica [free e-book]. UAB/NTE/UFSM.
Rosa, T. J., Biegelmeyer, S., Lange, T. S., Bittencourt, S. E. B., & Picoli, S. U. (2017). New Delhi metalobetalactamase (NDM): uma revisão. Revista Brasileira de Análises Clínicas, 49(1), 36-40. https://doi.org/10.21877/2448-3877.201600268
Santos, M. S., Santos, W. S., Santana, T. S., & Santana, V. D. (2024). Risk factors for ventilator-associated pneumonia: Scope review. Research, Society And Development, 11(5). https://doi.org/10.33448/rsd-v11i5.28126
Sartelli, M., Barie, P., Agnoletti, V., Al-Hasan, M. N., Ansaloni, L., Biffl, W., Buonomo, L., Blot, S., Cheadle, W. G., Coimbra, R., Simone, B. D., Duane, T. M., Fugazzola, P., Giamarellou, H., Hardcastle, T. C., Hecker, A., Inaba, K., Kirkpatrick, A. W., Labricciosa, F. W., …, Coccolini, F. (2024). Intra-abdominal infections survival guide: a position statement by the Global Alliance For Infections In Surgery. World Journal of Emergency Surgery, 19(22). https://doi.org/10.1186/s13017-024-00552-9
Sekyere, J. O., Mmatli, M., Bosch, A., Ntsoane, R. V., Naidoo, H., Doyisa, S., Maningi, N. E., Mbelle, N. M., & Said, M. (2024). Molecular epidemiology of multidrug-resistant Klebsiella pneumoniae, Enterobacter cloacae, and Escherichia coli outbreak among neonates in Tembisa hospital, South Africa. Frontiers in Cellular and Infection Microbiology, 14. https://doi.org/10.3389/fcimb.2024.1328123
Shaaban, M. T., Abdel-Raouf, M., Zayed, M., & Emara, M. A. (2024). Microbiological and molecular studies on a multidrug-resistant Pseudomonas aeruginosa from a liver transplant patient with urinary tract infection in Egypt. BMC Microbiology, 24. https://doi.org/10.1186/s12866-024-03318-0
Shitsuka, R., Shitsuka, R. I. C. M., Shitsuka, D. M., & Shitsuka, C. D. W. M. (2014). Matemática fundamental para tecnologia. Erica.
Tamma, P. D., Heil, E. L., Justo, J. A., Mathers, A. J., Satlin, M. J., & Bonomo, R. A. (2023). Infectious Diseases Society of America Antimicrobial-Resistant Treatment Guidance: Gram-Negative Bacterial Infections. Infectious Diseases Society of America. https://www.idsociety.org/practice-guideline/amr-guidance/
Vieira, S. (2021). Introdução à bioestatística. GEN/Guanabara Koogan.
Yong, D., Toleman, M. A., Giske, C. G., Cho, H. S., Sundman, K., Lee, K., & Walsh, T. R. (2009). Characterization of a new metallo-beta-lactamase gene, bla(NDM-1), and a novel erythromycin esterase gene carried on a unique genetic structure in Klebsiella pneumoniae sequence type 14 from India. Antimicrobial agents and chemotherapy, 53(12), 5046-5054. https://doi.org/10.1128/aac.00774-09
Zhai, R., Fu, B., Shi, X., Sun, C., Liu, Z., Wang, S., Shen, Z., Walsh, T. R., Cai, C., Wang, Y., & Wu, C. (2020). Contaminated in-house environment contributes to the persistence and transmission of NDM-producing bacteria in a Chinese poultry farm. Environment International, 139. https://doi.org/10.1016/j.envint.2020.105715
Zhao, M., He, J., Zhang, R., Feng, J., Deng, Y., & Zhang, J. (2023). Epidemiological characteristics of New Delhi Metallo-β-Lactamase-producing Enterobacteriaceae in the Fourth hospital of Hebei Medical University. BMC Infectious Diseases, 23(298). https://doi.org/10.1186/s12879-023-08242-8
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Soraya Abegail de Lima; Carla Luiza da Silva; Péricles Martim Reche; Larissa Bail; Carmen Sanches Ito; Bruna Pereira Madruga; Maria Dagmar da Rocha Gaspar
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.