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    Karydakis Technique for the Treatment of Pilonidal Disease
    (2023)
    Ernesto Melkonian
    ;
    Eduardo Mordojovich
    ;
    Pablo Baeza
    Scopus© Citations 2
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    Antimicrobial stewardship programs in adult intensive care units in Latin America: Implementation, assessments, and impact on outcomes
    (2021)
    Rodolfo E. Quirós
    ;
    Ana C. Bardossy
    ;
    Patricia Angeleri
    ;
    Jeannete Zurita
    ;
    Washington R. Aleman Espinoza
    <jats:title>Abstract</jats:title><jats:sec id="S0899823X21000805_as1"><jats:title>Objective:</jats:title><jats:p>To assess the impact of antimicrobial stewardship programs (ASPs) in adult medical–surgical intensive care units (MS-ICUs) in Latin America.</jats:p></jats:sec><jats:sec id="S0899823X21000805_as2"><jats:title>Design:</jats:title><jats:p>Quasi-experimental prospective with continuous time series.</jats:p></jats:sec><jats:sec id="S0899823X21000805_as3"><jats:title>Setting:</jats:title><jats:p>The study included 77 MS-ICUs in 9 Latin American countries.</jats:p></jats:sec><jats:sec id="S0899823X21000805_as4"><jats:title>Patients:</jats:title><jats:p>Adult patients admitted to an MS-ICU for at least 24 hours were included in the study.</jats:p></jats:sec><jats:sec id="S0899823X21000805_as5"><jats:title>Methods:</jats:title><jats:p>This multicenter study was conducted over 12 months. To evaluate the ASPs, representatives from all MS-ICUs performed a self-assessment survey (0–100 scale) at the beginning and end of the study. The impact of each ASP was evaluated monthly using the following measures: antimicrobial consumption, appropriateness of antimicrobial treatments, crude mortality, and multidrug-resistant microorganisms in healthcare-associated infections (MDRO-HAIs). Using final stewardship program quality self-assessment scores, MS-ICUs were stratified and compared among 3 groups: ≤25th percentile, &gt;25th to &lt;75th percentile, and ≥75th percentile.</jats:p></jats:sec><jats:sec id="S0899823X21000805_as6"><jats:title>Results:</jats:title><jats:p>In total, 77 MS-ICU from 9 Latin American countries completed the study. Twenty MS-ICUs reached at least the 75th percentile at the end of the study in comparison with the same number who remain within the 25th percentile (score, 76.1 ± 7.5 vs 28.0 ± 7.3; <jats:italic>P</jats:italic> &lt; .0001). Several indicators performed better in the MS-ICUs in the 75th versus 25th percentiles: antimicrobial consumption (143.4 vs 159.4 DDD per 100 patient days; <jats:italic>P</jats:italic> &lt; .0001), adherence to clinical guidelines (92.5% vs 59.3%; <jats:italic>P</jats:italic> &lt; .0001), validation of prescription by pharmacist (72.0% vs 58.0%; <jats:italic>P</jats:italic> &lt; .0001), crude mortality (15.9% vs 17.7%; <jats:italic>P</jats:italic> &lt; .0001), and MDRO-HAIs (9.45 vs 10.96 cases per 1,000 patient days; <jats:italic>P</jats:italic> = .004).</jats:p></jats:sec><jats:sec id="S0899823X21000805_as7"><jats:title>Conclusion:</jats:title><jats:p>MS-ICUs with more comprehensive ASPs showed significant improvement in antimicrobial utilization.</jats:p></jats:sec>
    Scopus© Citations 25  1
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      1Scopus© Citations 3
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    Latin American consensus on uncomplicated recurrent urinary tract infection—2018
    (2019)
    Jorge Milhem Haddad
    ;
    Enrique Ubertazzi
    ;
    OSCAR ALFONSO STORME CABRERA
    ;
    Martha Medina
    ;
    Jorge Garcia
    Scopus© Citations 12  1
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    Failing to Make Ends Meet: The Broad Clinical Spectrum of DNA Ligase IV Deficiency. Case Series and Review of the Literature
    (2019)
    Aidé Tamara Staines Boone
    ;
    Ivan K. Chinn
    ;
    Carmen Alaez-Versón
    ;
    Marco A. Yamazaki-Nakashimada
    ;
    Karol Carrillo-Sánchez
      2Scopus© Citations 32
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      4Scopus© Citations 29
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    Clinical Predictive Model of Multidrug Resistance in Neutropenic Cancer Patients with Bloodstream Infection Due to Pseudomonas aeruginosa
    (2020)
    C. Gudiol
    ;
    A. Albasanz-Puig
    ;
    J. Laporte-Amargós
    ;
    N. Pallarès
    ;
    A. Mussetti
    <jats:p> We aimed to assess the rate and predictive factors of bloodstream infection (BSI) due to multidrug-resistant (MDR) <jats:named-content content-type="genus-species">Pseudomonas aeruginosa</jats:named-content> in neutropenic cancer patients. We performed a multicenter, retrospective cohort study including oncohematological neutropenic patients with BSI due to <jats:named-content content-type="genus-species">P. aeruginosa</jats:named-content> conducted across 34 centers in 12 countries from January 2006 to May 2018. A mixed logistic regression model was used to estimate a model to predict the multidrug resistance of the causative pathogens. </jats:p>
      4  1Scopus© Citations 60