Enterobacteriaceae isolates from the oral cavity of workers in a Brazilian oncology hospital.

Abstract:

:The evaluation of workers as potential reservoirs and disseminators of pathogenic bacteria has been described as a strategy for the prevention and control of healthcare-associated infections (HAIs). The aim of this study was to evaluate the presence of Enterobacteriaceae in the oral cavity of workers at an oncology hospital in the Midwest region of Brazil, as well as to characterize the phenotypic profile of the isolates. Saliva samples of 294 workers from the hospital's healthcare and support teams were collected. Microbiological procedures were performed according to standard techniques. Among the participants, 55 (18.7%) were colonized by Enterobacteriaceae in the oral cavity. A total of 64 bacteria were isolated, including potentially pathogenic species. The most prevalent species was Enterobacter gergoviae (17.2%). The highest rates of resistance were observed for β-lactams, and 48.4% of the isolates were considered multiresistant. Regarding the enterobacteria isolated, the production of ESBL and KPC was negative. Nevertheless, among the 43 isolates of the CESP group, 51.2% were considered AmpC β-lactamase producers by induction, and 48.8% were hyper-producing mutants. The significant prevalence of carriers of Enterobacteriaceae and the phenotypic profile of the isolates represents a concern, especially due to the multiresistance and production of AmpC β-lactamases.

authors

Leão-Vasconcelos LS,Lima AB,Costa Dde M,Rocha-Vilefort LO,Oliveira AC,Gonçalves NF,Vieira JD,Prado-Palos MA

doi

10.1590/S0036-46652015000200004

subject

Has Abstract

pub_date

2015-03-01 00:00:00

pages

121-7

issue

2

eissn

0036-4665

issn

1678-9946

pii

S0036-46652015000200121

journal_volume

57

pub_type

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