Our hospital in Salvador registers infectious diseases with super-resistant bacteria

Between January and March of this year, super-resistant cases of the virus were recorded at our hospital in Salvador. In April, the Department of Health of the State of Bahia (Sesab), issued a warning about the risk of spreading enterococcus (pictured below), resistant to the antibiotic vancomycin, in hospitals. The secretary did not say how many people were infected at all or at any hospital. There are also no data on patients with enterococcus resistant strains outside the capital.

The well-known warning given by most doctors to humans not to take antibiotics is inappropriate because it can help improve the disease super is the truth that explains the disease. vancomycin-resistant enterococcus. Bacteria can avoid the effectiveness of antibiotics, which means reducing the choice of drugs to treat serious infections.

In 2019, four hospitals were registered as infected in Salvador. Sesab, however, did not indicate how many patients arrived at what time or clinic. Infections of this type usually do not affect healthy people, but those who have already been hospitalized, according to epidemiologist Fábio Amorim.

This type of disease can be reported in clinics because it is resistant to drugs that treat infections caused by microbes in general, as explained by infectious disease doctor Antônio Bandeira. “This vaccine indicates that most bacteria are resistant to many antibiotics and this [vancomicina] is an important use in medicine. In addition, the genes can spread to other pathogens quickly, which can lead to nosocomial infections, ”the doctor said.

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The risk is higher for inpatients and outpatients [como cateteres para colocação de soro ou medicamento intravenoso] or intubated. “All the patients in the hospital are exhausted. If the disease continues to lead to nosocomial disease, as it usually does, it could lead to people who are already weak, ”says Antônio Bandeira.

Enterococcus can be responsible for the spread of disease in many parts of the body, such as endocarditis (which affects the heart normally), the bladder and the stomach. Therefore, they are considered ‘opportunistic’ diseases. “Usually, the disease is associated with colonization of catheters by bacteria, so there may be a disease in the blood vessels or they can colonize the urinary catheter and the person has a urinary tract infections, “said Bandeira.

If the infection is caused by blood, the infection can cause sepsis. This means that the virus enters many parts of the body, transported through the arteries. Epidemiologist Fábio Amorim pointed out that because the virus was resistant to his type of treatment, the antibiotic vancomycin, the options were reduced.

“The risk is due to the fact that the patient is infected with a virus that can cause infections in many areas, including the skin, lungs, heart, kidneys and bones, and also there are restrictions on medical choices, “explains the physician.

Other antibiotic options that can be used in cases of vancomycin resistance are daptomycin and linezolid. The latter box, with 28 tablets, can cost R $ 6,700, according to the Farmaindex platform. A website researching and comparing different types of drugs was launched in March 2020.

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Enterococcus-type multidrug-resistant microorganisms were considered the most important for testing by the World Health Organization (WHO) in 2017. Therefore, warning of these diseases is important for hospitals and health centers to measure infection prevention.

Among the measures set out by Sesab are: isolating the patient in a private room, following procedures for cleaning and disinfection, maintaining specialized equipment for patients diagnosis and follow-up cultural observations to determine the outcome. Surface disinfection is important because enterococci can survive in these areas for a long time.

For healthy people visiting the hospital, specialist Antônio Bandeira says there are no preventative procedures. “For individuals, there is not much consensus. In fact, it has to do with hospital management,” he said.

However, Sesab recommends that you wash your hands properly at all times.

Epidemic infections can lead to increased immunity

Prolonged hospitalization caused by covid-19 during a major outbreak may have implications for the development of immune responses to antibiotics, explained describes the writings of Sesab. Many patients infected with this new disease need to go to Intensive Care Units (ICU) and use equipment such as intubation, ventilators and catheters.

“All of these processes lead to infection and the use of severe antibiotics, which can have a significant impact on the outcome of this type of disease,” explains physician Antônio Bandeira. In addition, Sesab pointed out that “the difficulty of implementing measures to prevent and control the spread of disease” in public health facilities in the state could lead to the occurrence of emergencies. set.

“The global epidemic has created conditions that favor the spread of anti-retroviral agents in health services: increasing the number and duration of bed rests. In the hospital of patients Covid-19; Severe patients with long-term use of interventions and intensive care; reduce the number of health professionals and increase in the works “, set the notes.

* With the guidance of Executive Vice President Monique Lôbo.

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