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2010, Number 4

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Med Crit 2010; 24 (4)

Colistin in the treatment of infection by Pseudomonas aeruginosa multidrogorresistant

Salinas MC, Hernández LA, Oropeza R, Olvera GC, Poblano MM, Juvenal Franco GJ
Full text How to cite this article

Language: Spanish
References: 17
Page: 173-177
PDF size: 185.20 Kb.


Key words:

Colistin (polimixin E), multidrug resistant Pseudomonas aeruginosa.

ABSTRACT

Introduction: The prevalence of infection by multidrug resistant Pseudomonas aeruginosa (MDRP) increases mortality in critically ill patients. This is why antibiotics as colistin have been developed.
Objective: To evaluate the efficacy of colistin in the treatment of MDRP. Observational retrospective study.
Results: We included 15 patients with MDRP: 54% female with mean age of 57 years, APACHE II score 18, and SOFA 11. Site of infection was the lung in first place (53%). There was clinical improvement in 80% of the patients with 53% of negative cultures (previously positive) 48 hours later. The number of days of treatment was 16.6, with renal detriment in 12% and mortality in 27%. Mean length of stay before treatment was 45 and after treatment 16.
Conclusions: Colistin was efficient as treatment for MDRP as demonstrated by clinical and bacteriologic improvement.


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Med Crit. 2010;24