Risk factors and outcome associated with the acquisition of linezolid-resistant Enterococcus faecalis

Objectives: Linezolid is a synthetic oxazolidinone antibiotic frequently used to treat vancomycin-resistant enterococcal infections. Vancomycin-susceptible Enterococcus faecalis can develop resistance to linezolid in environments with excessive linezolid use. The aim of this study was to define ri...

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Autores principales: Rodríguez Noriega, Eduardo, Hernández Morfin, Natalia, Garza González, Elvira, Bocanegra Ibarias, Paola, Flores Treviño, Samantha Maribel, Esparza Ahumada, Sergio, Gonzalez Diaz, Esteban E., Pérez Gómez, Héctor Raúl, Mendoza Mujica, Christian, León Garnica, Gerardo, Morfín Otero, Rayo
Formato: Artículo
Lenguaje:inglés
Publicado: 2020
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Acceso en línea:http://eprints.uanl.mx/20099/1/1-s2.0-S2213716520300114-main.pdf
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author Rodríguez Noriega, Eduardo
Hernández Morfin, Natalia
Garza González, Elvira
Bocanegra Ibarias, Paola
Flores Treviño, Samantha Maribel
Esparza Ahumada, Sergio
Gonzalez Diaz, Esteban E.
Pérez Gómez, Héctor Raúl
Mendoza Mujica, Christian
León Garnica, Gerardo
Morfín Otero, Rayo
author_facet Rodríguez Noriega, Eduardo
Hernández Morfin, Natalia
Garza González, Elvira
Bocanegra Ibarias, Paola
Flores Treviño, Samantha Maribel
Esparza Ahumada, Sergio
Gonzalez Diaz, Esteban E.
Pérez Gómez, Héctor Raúl
Mendoza Mujica, Christian
León Garnica, Gerardo
Morfín Otero, Rayo
author_sort Rodríguez Noriega, Eduardo
collection Repositorio Institucional
description Objectives: Linezolid is a synthetic oxazolidinone antibiotic frequently used to treat vancomycin-resistant enterococcal infections. Vancomycin-susceptible Enterococcus faecalis can develop resistance to linezolid in environments with excessive linezolid use. The aim of this study was to define risk factors and outcome associated with the acquisition of linezolid-resistant E. faecalis (LREfs). Methods: A retrospective case–control study was designed including patients hospitalised from January 2014 to October 2017 at Hospital Civil de Guadalajara ‘Fray Antonio Alcalde’ in Guadalajara, Mexico. A total of 50 patients culture-positive for LREfs and 100 control patients hospitalised in the same room and time as the cases were included. Clinical and demographic data were collected and analysed. Results: Risk factors for the presence of LREfs included prior linezolid use [odds ratio (OR) = 6.74], prior clindamycin use (OR = 6.72) and previous surgery (OR = 5.79). The mortality rate was 18% for LREfs cases versus 9% for controls. Conclusion: LREfs has emerged and spread in our hospital, an environment in which linezolid use is considerable. Risk factors for LREfs are prior antibiotic use, including linezolid, and previous surgery.
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spelling eprints-200992020-10-15T12:33:44Z http://eprints.uanl.mx/20099/ Risk factors and outcome associated with the acquisition of linezolid-resistant Enterococcus faecalis Rodríguez Noriega, Eduardo Hernández Morfin, Natalia Garza González, Elvira Bocanegra Ibarias, Paola Flores Treviño, Samantha Maribel Esparza Ahumada, Sergio Gonzalez Diaz, Esteban E. Pérez Gómez, Héctor Raúl Mendoza Mujica, Christian León Garnica, Gerardo Morfín Otero, Rayo QR Microbiología Objectives: Linezolid is a synthetic oxazolidinone antibiotic frequently used to treat vancomycin-resistant enterococcal infections. Vancomycin-susceptible Enterococcus faecalis can develop resistance to linezolid in environments with excessive linezolid use. The aim of this study was to define risk factors and outcome associated with the acquisition of linezolid-resistant E. faecalis (LREfs). Methods: A retrospective case–control study was designed including patients hospitalised from January 2014 to October 2017 at Hospital Civil de Guadalajara ‘Fray Antonio Alcalde’ in Guadalajara, Mexico. A total of 50 patients culture-positive for LREfs and 100 control patients hospitalised in the same room and time as the cases were included. Clinical and demographic data were collected and analysed. Results: Risk factors for the presence of LREfs included prior linezolid use [odds ratio (OR) = 6.74], prior clindamycin use (OR = 6.72) and previous surgery (OR = 5.79). The mortality rate was 18% for LREfs cases versus 9% for controls. Conclusion: LREfs has emerged and spread in our hospital, an environment in which linezolid use is considerable. Risk factors for LREfs are prior antibiotic use, including linezolid, and previous surgery. 2020 Article PeerReviewed text en cc_by_nc_nd http://eprints.uanl.mx/20099/1/1-s2.0-S2213716520300114-main.pdf http://eprints.uanl.mx/20099/1.haspreviewThumbnailVersion/1-s2.0-S2213716520300114-main.pdf Rodríguez Noriega, Eduardo y Hernández Morfin, Natalia y Garza González, Elvira y Bocanegra Ibarias, Paola y Flores Treviño, Samantha Maribel y Esparza Ahumada, Sergio y Gonzalez Diaz, Esteban E. y Pérez Gómez, Héctor Raúl y Mendoza Mujica, Christian y León Garnica, Gerardo y Morfín Otero, Rayo (2020) Risk factors and outcome associated with the acquisition of linezolid-resistant Enterococcus faecalis. Journal of Global Antimicrobial Resistance, 21. pp. 405-409. ISSN 2213-7165 http://doi.org/10.1016/J.JGAR.2020.01.010 doi:10.1016/J.JGAR.2020.01.010
spellingShingle QR Microbiología
Rodríguez Noriega, Eduardo
Hernández Morfin, Natalia
Garza González, Elvira
Bocanegra Ibarias, Paola
Flores Treviño, Samantha Maribel
Esparza Ahumada, Sergio
Gonzalez Diaz, Esteban E.
Pérez Gómez, Héctor Raúl
Mendoza Mujica, Christian
León Garnica, Gerardo
Morfín Otero, Rayo
Risk factors and outcome associated with the acquisition of linezolid-resistant Enterococcus faecalis
thumbnail https://rediab.uanl.mx/themes/sandal5/images/online.png
title Risk factors and outcome associated with the acquisition of linezolid-resistant Enterococcus faecalis
title_full Risk factors and outcome associated with the acquisition of linezolid-resistant Enterococcus faecalis
title_fullStr Risk factors and outcome associated with the acquisition of linezolid-resistant Enterococcus faecalis
title_full_unstemmed Risk factors and outcome associated with the acquisition of linezolid-resistant Enterococcus faecalis
title_short Risk factors and outcome associated with the acquisition of linezolid-resistant Enterococcus faecalis
title_sort risk factors and outcome associated with the acquisition of linezolid resistant enterococcus faecalis
topic QR Microbiología
url http://eprints.uanl.mx/20099/1/1-s2.0-S2213716520300114-main.pdf
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