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