Healthcare-associated infections and their relationship with insects as transmission vectors in surgical areas
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Healthcare-associated infections (HAIs) are adverse events. Insects, their potential vectors of microorganisms, are a risk factor for HAIs. Surgical site infections are a type of HAIs that will produce the presence of insect vectors in this area. A literature review was carried out to characterize this phenomenon in surgical areas. Eighteen published scientific papers were selected that show the detection and identification of insects as carriers of potential microorganisms that cause HAI in different hospital areas that do not include surgery. Detection and identification methods include microbiological and/or molecular methods that include non-testing of cleaning, disinfection, and sterilization solutions. Only one had carried out the three processes before the publication of potential agents in insects. There are no studies that characterize HAI in surgical areas related to the presence of insects, although there are reports of these adverse events. Therefore, it should be considered as a risk factor for the development of surgical site infections. Studies should be carried out to show the relationship between the development of an SSI such as an HAI and these vectors, in order to prevent its appearance by improving the processes of asepsis and antisepsis in surgical areas.
Acosta-Gnass, S. I. (2011). Manual de control de infecciones y epidemiología hospitalaria. Organización Panamericana de la Salud. Washington.
Alfarawi, F., A Alshamardl, K., Almutairi, M., Alyamani, A., Aldhali, S., Alassaf, F., Alfadhel, A., Aldakheel, M., Almuhesseny, A., Aljohani, S., Mahmoud, E., & Alothman, A. (2019). Can identification badges be vectors of infection: Experience from a tertiary care center in Riyadh, Saudi Arabia. Journal of Family Medicine and Primary Care, 8(5), 1599-1601. https://doi.org/10.4103/jfmpc.jfmpc_173_19 DOI: https://doi.org/10.4103/jfmpc.jfmpc_173_19
Avendaño, E. V., Márquez, N., Amador, M., & Cataño, A. (2013). Insectos como posibles factores de riesgo de infecciones intrahospitalarias en las áreas quirúrgicas de tres instituciones prestadoras de servicios de salud en el distrito de Barranquilla. Biociencias, 8(1), 61-67. https://revistas.unilibre.edu.co/index.php/biociencias/article/view/2828
Bai, Z., Chen, M., Lin, Q., Ye, Y., Fan, H., Wen, K., Zeng, J., Huang, D., Mo, W., Lei, Y., & Liao, Z. (2021). Identification of Methicillin-resistant Staphylococcus aureus from Methicillin-sensitive Staphylococcus aureus and molecular characterization in Quanzhou, China. Frontiers in Cell and Developmental Biology, 9, 629-681. https://doi.org/10.3389/fcell.2021.629681 DOI: https://doi.org/10.3389/fcell.2021.629681
Beatson, S. H. (1972). Pharaoh’s ants as pathogen vectors in hospitals. Lancet, 1(7747), 425-427. https://doi.org/10.1016/S0140-6736(72)90869-0 DOI: https://doi.org/10.1016/S0140-6736(72)90869-0
Blake, K. S., Choi, J., & Dantas, G. (2021). Approaches for characterizing and tracking hospital-associated multidrug-resistant bacteria. Cellular and Molecular Life Sciences, 78(6), 2585-2606. https://doi.org/10.1007/s00018-020-03717-2 DOI: https://doi.org/10.1007/s00018-020-03717-2
Boyer, P. H., Koetsveld, J., Zilliox, L., Sprong, H., Talagrand-Reboul, É., Hansmann, Y., De Martino, S. J., Boulanger, N., Hovius, J. W., & Jaulhac, B. (2020). Assessment of Borrelia miyamotoi in febrile patients and ticks in Alsace, an endemic area for Lyme borreliosis in France. Parasites & Vectors, 13(1), 199. https://doi.org/10.1186/s13071-020-04071-9 DOI: https://doi.org/10.1186/s13071-020-04071-9
Brinkmann, A., Hekimoğlu, O., Dinçer, E., Hagedorn, P., Nitsche, A., & Ergünay, K. (2019). A cross-sectional screening by next-generation sequencing reveals Rickettsia, Coxiella, Francisella, Borrelia, Babesia, Theileria and Hemolivia species in ticks from Anatolia. Parasites & Vectors, 12(1), 26. https://doi.org/10.1186/s13071-018-3277-7 DOI: https://doi.org/10.1186/s13071-018-3277-7
Cabral, J., & Rodrigues, AG. (2019). Blue Light Disinfection in Hospital Infection Control: Advantages, Drawbacks, and Pitfalls. Antibiotics, 8(58). https://doi.org/10.3390/antibiotics8020058 DOI: https://doi.org/10.3390/antibiotics8020058
Cadena-Zamudio, J. D., Martínez-Peña, M. D., Guzmán-Rodríguez, L. F., & Artega-Garibay, R. I. (2016). Aplicación de Secuenciación Masiva para el estudio y exploración de Diversidad Microbiana y su aprovechamiento biotecnológico. Agro Productividad, 9(2), 70-83. https://revista-agroproductividad.org/index.php/agroproductividad/article/view/723
Castillo, M., & Martínez, C. (2011). Hormigas urbanas (Hymenoptera: Formicidae) como vectores mecánicos de hongos patógenos en el Hospital E.S.E Cari de Alta Complejidad de la ciudad de Barranquilla (Colombia) [Pregrado]. Universidad del Atlántico.
Chadee, D. D., & Le Maitre, A. (1990). Ants: potential mechanical vectors of hospital infections in Trinidad. Transactions of the Royal Society of Tropical Medicine and Hygiene, 84(2), 297. https://doi.org/10.1016/0035-9203(90)90294-O DOI: https://doi.org/10.1016/0035-9203(90)90294-O
Chauveaux D. (2015). Preventing surgical-site infections: measures other than antibiotics. Orthopaedics & Traumatology: Surgery & Research, 101(1 Suppl), S77-83. https://doi.org/10.1016/j.otsr.2014.07.028 DOI: https://doi.org/10.1016/j.otsr.2014.07.028
da Costa, S. B., Pelli, A., Pereira De Carvalho, G., Gonçalves Oliveira, A., D. A. Silva, P. R., Martins Teixeira, M., Martins, E., Sarreta Terra, A. P., Montovani Resende, E., Hueb Barata De Oliveira, C. da C., & De Morais C. A. (2006). Formigas como vetores mecânicos de microorganismos no Hospital Escola da Universidade Federal do Triângulo Mineiro. Revista da Sociedade Brasileira de Medicina Tropical, 39(6), 527-529. https://doi.org/10.1590/S0037-86822006000600003 DOI: https://doi.org/10.1590/S0037-86822006000600003
Daniel, M., Srámová, H., Absolonová, V., Dĕdicová, D., Lhotová, H., Masková, L., & Petrás, P. (1992). Arthropods in a hospital and their potential significance in the epidemiology of hospital infections. Folia Parasitologica, 39(2), 159-170. https://pubmed.ncbi.nlm.nih.gov/1644363/
Faulde, M., SobE, D., Burghardt, H., & Wermter, R. (2001). Hospital infestation by the cluster fly, Pollenia rudis sensu stricto Fabricius 1794 (Diptera: Calliphoridae), and its possible role in transmission of bacterial pathogens in Germany. International Journal of Hygiene and Environmental Health, 203(3), 201-204. https://doi.org/10.1078/S1438-4639(04)70029-2 Fernández-Crehuet Navajas, J., Gestal Otero, J. J., Delgado Rodríguez, M., Bolúmar Montrull, F., Herruzo Cabrera, R., Sierra & Majem, Ll. (Eds.). (2016). Piédrola Gil. Medicina Preventiva y Salud Pública. 12a Edición. Vol. 1. España: Elsevier Masson; 2016. 1151 pp. DOI: https://doi.org/10.1078/S1438-4639(04)70029-2
Fonseca, A. R., Batista, D. R., Do Amaral, D. P., Campos, R. B. F., & Silva, C. G. (2010). Formigas (Hymenoptera: Formicidae) urbanas em um hospital no município de Luz Estado de Minas Gerais. Acta Scientiarum,32, 29-34. https://doi.org/10.4025/actascihealthsci.v32i1.5805 DOI: https://doi.org/10.4025/actascihealthsci.v32i1.5805
Fotedar, R., Banerjee, U., Samantray, J. C., & Shriniwas. (1992a). Vector potential of hospital houseflies with special reference to Klebsiella species. Epidemiology & Infection, 109(1), 143-147. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2272229/
Fotedar, R., Banerjee, U., Singh, S., Shriniwas, & Verma, A. K. (1992b). The housefly (Musca domestica) as a carrier of pathogenic microorganisms in a hospital environment. Journal of Hospital Infection, 20(3), 209-215. https://doi.org/10.1016/0195-6701(92)90089-5 DOI: https://doi.org/10.1016/0195-6701(92)90089-5
Fotedar, R., Shriniwas U. B., & Verma, A. (1991a). Cockroaches (Blattella germanica) as carriers of microorganisms of medical importance in hospitals. Epidemiology & Infection, 107(1), 181-187. https://doi.org/10.1017/S0950268800048809 DOI: https://doi.org/10.1017/S0950268800048809
Fotedar, R., Banerjee, U., Samantray, J. C., Nayar, E., Verma, A. (1991b). Nosocomial infections: cockroaches as possible vectors of drug-resistant Klebsiella. Journal of Hospital Infection, 18(2), 155-159. https://doi.org/10.1016/0195-6701(91)90161-Z DOI: https://doi.org/10.1016/0195-6701(91)90161-Z
Fotedar, R., Nayar, E., Samantray, J. C., Shriniwas, Banerjee, U., Dogra, V., & Kumar, A. (1989). Cockroaches as vectors of pathogenic bacteria. Journal of Communicable Diseases, 21(4), 318-322. https://pubmed.ncbi.nlm.nih.gov/2638379/
Franck, M., Ghozzi, R., Pajaud, J., Lawson-Hogban, N. E., Mas, M., Lacout, A., & Perronne, C. (2020). Borrelia miyamotoi: 43 cases diagnosed in France by real-time PCR in patients with persistent polymorphic signs and symptoms. Frontiers in Medicine, 7(55). https://doi.org/10.3389/fmed.2020.00055 DOI: https://doi.org/10.3389/fmed.2020.00055
Goldblatt, J. G., Krief, I., Klonsky, T., Haller, D., Milloul, V., Sixsmith, D. M., Srugo, I., & Potasman, I. (2007). Use of cellular telephones and transmission of pathogens by medical staff in New York and Israel. Infection Control & Hospital Epidemiology, 28(4), 500-503. https://doi.org/10.1086/513446 DOI: https://doi.org/10.1086/513446
Heras C. A., & Sierra Moros, M. J. (2016). Enfermedades transmitidas por vectores. Un nuevo reto para los sistemas de vigilancia y la salud pública. Gaceta Sanitaria, 30(3), 167-9. https://doi.org/10.1016/j.gaceta.2016.03.001 DOI: https://doi.org/10.1016/j.gaceta.2016.03.001
Kappel, H. B., Oliveira, A. G., Silva, P. R., & Pelli, A. (2013). Non-biting flying insects as carriers of pathogenic bacteria in a Brazilian hospital. Revista da Sociedade Brasileira de Medicina Tropical, 46(2), 234-236. https://doi.org/10.1590/0037-8682-1173-2013 DOI: https://doi.org/10.1590/0037-8682-1173-2013
Kärki, T., Plachouras, D., Cassini, A., & Suetens C. (2019). Burden of healthcare-associated infections in European acute care hospitals. Wiener Medizinische Wochenschrift, 169(Suppl 1), 3-5. https://doi.org/10.1007/s10354-018-0679-2 DOI: https://doi.org/10.1007/s10354-018-0679-2
Kotb, S., Lyman, M., Ismail, G. Abd El Fatah, M, Girgis, S., Etman, A., Hafez, S., El-Kholy, J., El-Zayed Zaki, M., Rashed, H. G., Khalil, G. M., Sayyouh, O., & Talaat, M. (2020). Epidemiology of Carbapenem-resistant Enterobacteriaceae in Egyptian intensive care units using National Healthcare–associated Infections Surveillance Data, 2011-2017. Antimicrobial Resistance & Infection Control, 9(2). https://doi.org/10.1186/s13756-019-0639-7 DOI: https://doi.org/10.1186/s13756-019-0639-7
Lemos, A. A., Lemos, J. A., Prado, M. A., Pimenta, F. C., Gir, E., Silva, H. M., & Silva, R. R. (2006). Cockroaches as carriers of fungi of medical importance. Mycoses, 49(1), 23-25. https://doi.org/10.1111/j.1439-0507.2005.01179.x DOI: https://doi.org/10.1111/j.1439-0507.2005.01179.x
Lima, W. R., Marques, S. G., Rodrigues, F. S., & Rebêlo, J. M. (2013). Ants in a hospital environment and their potential as mechanical bacterial vectors. Revista da Sociedade Brasileira de Medicina Tropical, 46(5), 637-640. https://doi.org/10.1590/0037-8682-1607-2013 DOI: https://doi.org/10.1590/0037-8682-1607-2013
López-Cerero, L. (2014). Papel del ambiente hospitalario y los equipamientos en la transmisión de las infecciones nosocomiales. Enfermedades infecciosas y Microbiología Clínica, 32(7), 459-464. https://doi.org/10.1016/j.eimc.2013.10.004 DOI: https://doi.org/10.1016/j.eimc.2013.10.004
Maia, Z. P. G., Gusmão, A. B., & Barros, T. F. (2009). Formiga como fator de risco para infecções nosocomiais. SABIOS Revista de Saúde e Biología, 4, 47-51. https://revista2.grupointegrado.br/revista/index.php/sabios/article/view/151
Martínez, V., Perdomo, M., Luigi, T., & Ibarra, B. (2014). Agentes etiológicos en infecciones postquirúrgicas en servicios del hospital “Luis Blanco Gásperi” Carabobo, Venezuela. Salus. Revista de la Facultad de Ciencias de la Salud, 18(3), 7-14. https://www.redalyc.org/pdf/3759/375939028003.pdf
Máximo, H. J., Felizatti, H. L., Ceccato, M., Cintra-Socolowski, P., & Zeni Beretta, A. L. R. (2014). Ants as vectors of pathogenic microorganisms in a hospital in São Paulo County, Brazil. BMC Research Notes, 7, 554-558. https://doi.org/10.1186/1756-0500-7-554 DOI: https://doi.org/10.1186/1756-0500-7-554
Mehainaoui, A., Menasria, T., Benouagueni, S., Benhadj, M., Lalaoui, R., & Gacemi-Kirane, D. (2021). Rapid screening and characterization of bacteria associated with hospital cockroaches (Blattella germanica L.) using MALDI-TOF mass spectrometry. Journal of Applied Microbiology, 130(3), 960-970. https://doi.org/10.1111/jam.14803 DOI: https://doi.org/10.1111/jam.14803
Olaya-Másmela, L. A., Chacón, P., & Payán, A. (2005). Hormigas (Hymenoptera: Formicidae) en centros hospitalarios del Valle del Cauca como vectores de patógenos nosocomiales. Revista Colombiana de Entomología, 31(2), 183-187. https://doi.org/10.25100/socolen.v31i2.9442 DOI: https://doi.org/10.25100/socolen.v31i2.9442
Oliva, G. R., Díaz, C., Fuentes González, O., Martínez, Z. M. D., Fernández, C., Cordoví, R., Lago, P. M., & Herrera, N. (2010). Blattella germanica as a possible cockroach vector of micro-organisms in a hospital. Journal of Hospital Infection, 74(1), 93-95. https://doi.org/10.1016/j.jhin.2009.09.002 DOI: https://doi.org/10.1016/j.jhin.2009.09.002
Oliveira, P. S., Souza, S. G., Campos, G. B., Da Silva, D. C. C., Sousa, D. S., Araújo, S. P. F., Ferreira, L. P., Santos, V. M., Amorim, A. T., Santos, A. M. O. G., Timenetsky, J., Cruz, M.P., Yatsuda, R., & Marques, L. M. (2014). Isolation, pathogenicity, and disinfection of Staphylococcus aureus carried by insects in two public hospitals of Vitóriada Conquista, Bahia, Brazil. The Brazilian Journal of Infectious Diseases, 18(2), 129-136. https://doi.org/10.1016/j.bjid.2013.06.008 DOI: https://doi.org/10.1016/j.bjid.2013.06.008
Ortíz Bravo, D. S., Palacios, M. P., López, S. E., & García, O. P. (2008). Determinar las causas más frecuentes de Infecciones Intrahospitalarias en la Fundación Hospital San Pedro de la Ciudad de Pasto en el mes de octubre de 2008 [Tecnólogo]. Universidad Nacional Abierta y a Distancia, 2008. https://repository.unad.edu.co/bitstream/handle/10596/1747/2008-15T-11.pdf?sequence=1&isAllowed=y
Pacheco, R., Osorio, L., Correa, A.M., & Villegas, M.V. (2014). Prevalencia de bacterias Gram negativas portadoras del gen blaKPC en hospitales de Colombia. Biomédica, 34(Supl.1), 81-90. https://doi.org/10.7705/biomedica.v34i0.1642 DOI: https://doi.org/10.7705/biomedica.v34i0.1642
Padilla, J. C., Lizarazo, F. E., Murillo, O. L., Mendigaña, F. A., Pachón, E., & Vera, M. J. (2017). Epidemiología de las principales enfermedades transmitidas por vectores en Colombia, 1990-2016. Biomédica, 37(Supl.2), 27-40. https://doi.org/10.7705/biomedica.v37i0.3769 DOI: https://doi.org/10.7705/biomedica.v37i0.3769
Pai, H. H., Chen, W. C., & Peng, C. F. (2004). Cockroaches as potential vectors of nosocomial infections. Infection Control & Hospital Epidemiology, 25(11), 979-984. https://doi.org/10.1086/502330 DOI: https://doi.org/10.1086/502330
Pai, H. H., Chen, W. C., & Peng, C. F. (2003). Isolation of non-tuberculous mycobacteria from hospital cockroaches (Periplaneta americana). Journal of Hospital Infection, 53(3), 224-228. https://doi.org/10.1053/jhin.2002.1355 DOI: https://doi.org/10.1053/jhin.2002.1355
Pelli, A., Kappel, H. B., Oliveira, A. G., Silva, P. R., Dourado, P. L., & Bataus, L. A. M. (2007). Characterization of a Nocardia sp. isolated from an insect (moth-fly) captured in a University Hospital. Journal of Hospital Infection, 67(4), 393-396. https://doi.org/10.1016/j.jhin.2007.10.001 DOI: https://doi.org/10.1016/j.jhin.2007.10.001
Pujol, M., & Limón, E. (2013). Epidemiología general de las infecciones nosocomiales. Sistemas y Programas de Vigilancia. Enfermedades Infecciosas y Microbiología Clínica, 31(2),108-113. https://doi.org/10.1016/j.eimc.2013.01.001 DOI: https://doi.org/10.1016/j.eimc.2013.01.001
Rady, M. H., Abdel-Raouf, N., Labib, I., & Merdan, A. I. (1992). Bacterial contamination of the housefly Musca domestica, collected from 4 hospitals at Cairo. Journal of the Egyptian Society of Parasitology, 22(1), 279-288. https://pubmed.ncbi.nlm.nih.gov/1578177/
Rael Ruiz, S., & López Pérez, M. V. (2016). Factores de riesgo que contribuyen a la infección del sitio quirúrgico. Metas de Enfermería, 19(6), 14-20. https://www.enfermeria21.com/revistas/metas/articulo/80942/factores-de-riesgo-que-contribuyen-a-la-infeccion-del-sitio-quirurgico/
Rafa, E., Kołpa, M., Wałaszek, M. Z., Domański, A., Wałaszek, M. J., Różańska, A., & Wójkowska-Mach, J. (2022). Healthcare-acquired infection surveillance in neurosurgery patients, incidence and microbiology, five years of experience in two Polish Units. International Journal Environment Research Public Health, 19(7544). https://doi.org/10.3390/ijerph19127544 DOI: https://doi.org/10.3390/ijerph19127544
Rahuma, N., Ghenghesh, K. S., Ben Aissa, R., & Elamaari, A. (2005). Carriage by the housefly (Musca domestica) of multiple-antibiotic-resistant bacteria that are potentially pathogenic to humans, in hospital and other urban environments in Misurata, Libya. Annals of Tropical Medicine and Parasitology, 99(8), 795-802. https://doi.org/10.1179/136485905X65134 DOI: https://doi.org/10.1179/136485905X65134
Rivera De La Torre, D. P. (2018). Programa de limpieza y desinfección en superficies hospitalarias para la prevención de infecciones relacionadas a la asistencia sanitaria [Tesis de Máster]. Pamplona, España: Universidad Pública de Navarra. https://academica-e.unavarra.es/bitstream/handle/2454/29091/TRABAJO%20FIN%20DE%20MASTER%20-%20DENISSE%20RIVERA%20-%20SALUD%20P%C3%9ABLICA.pdf?isAllowed=y&sequence=1
Rodovalho, C. M., Santos, A. L., Marcolino, M. T., Bonetti, A. M., & Brandeburgo, M. A. (2007). Urban ants and transportation of nosocomial bacteria. Neotropical Entomology, 36(3), 454-458. https://doi.org/10.1590/S1519-566X2007000300014 DOI: https://doi.org/10.1590/S1519-566X2007000300014
Rodríguez, P. L. C., Flórez, C. V. M., Russo, A., Domínguez, H. Y., Valencia, J. A., Arboleda, V. J. W., & Valle-Molinares, R. H. (2016). The ghost ant Tapinoma melanocephalum (Formicidae) as mechanical vector of clinically important bacteria. Pharmacology Online, 1, 185-191. https://pharmacologyonline.silae.it/files/archives/2016/vol2/PhOL_2016_2_A026_Rodriguez_185_191.pdf
Rosales Q. S., & Cubas GS. (2020). El rol del médico en la transmisión nosocomial del SARSCoV- 2. Revista Médica de Costa Rica y Centroamérica, 86(629), 8-13. https://www.medigraphic.com/pdfs/revmedcoscen/rmc-2020/rmc20629d.pdf
Rutala, W. A., & Weber, D. J. (2013a). Current principles and practices, new research, and new technologies in disinfection, sterilization, and antisepsis. American Journal of Infection Control, 41(5), S1. https://doi.org/10.1016/j.ajic.2012.12.003 DOI: https://doi.org/10.1016/j.ajic.2012.12.003
Rutala, W. A., & Weber, D. J. (2013b). Disinfectants used for environmental disinfection and new room decontamination technology. American Journal of Infection Control, 41(5 Suppl), S36-S41. https://doi.org/10.1016/j.ajic.2012.11.006 DOI: https://doi.org/10.1016/j.ajic.2012.11.006
Salehzadeh, A., Tavacol, P., & Mahjub, H. (2007). Bacterial, fungal and parasitic contamination of cockroaches in public hospitals of Hamadan, Iran. Journal of Vector Borne Diseases, 44(2), 105-110. https://pubmed.ncbi.nlm.nih.gov/17722863/
Serrano, M., Barcenilla, F., & Limón, E. (2014). Infección nosocomial en centros sanitarios de cuidados prolongados. Enfermedades Infecciosas y Microbiología Clínica, 32(3), 191-198. https://doi.org/10.1016/j.eimc.2013.11.007 DOI: https://doi.org/10.1016/j.eimc.2013.11.007
Shaw, W. R., & Catteruccia F. (2019). Vector biology meets disease control: using basic research to fight vector-borne diseases. Nature Microbiology, 4(1), 20-34. https://doi.org/10.1038/s41564-018-0214-7 DOI: https://doi.org/10.1038/s41564-018-0214-7
Stoesser, N., Giess, A., Batty, E. M., Sheppard, A. E., Walker, A. S., Wilson, D. J., Didelot, X., Bashir, A., Sebra, R., Kasarskis, A., Sthapit, B., Shakya, M., Kelly, D., Pollard, A. J., Peto, T. E., Crook, D. W., Donnelly, P., Thorson, S., Amatya, P., & Joshi, S. (2014). Genome sequencing of an extended series of NDM-producing Klebsiella pneumoniae isolates from neonatal infections in a Nepali hospital characterizes the extent of community- versus hospital-associated transmission in an endemic setting. Antimicrobial Agents and Chemotherapy, 58(12), 7347-7357. https://doi.org/10.1128/AAC.03900-14 DOI: https://doi.org/10.1128/AAC.03900-14
Stypułkowska-Misiurewicz, H., Pancer, K. W., Gliniewicz, A., Mikulak, E., Laudy, A., & Podsiadło, B., & Rabczenko, D. (2006). Synantropijne karaczany (Blattella germanica l.) w środowisku szpitalnym - narazenie mikrobiologiczne pacjentów i oszacowanie ryzyka zakazeń szpitalnych [Synantropic cockroaches (Blattella germanica L.) in hospital environment--microbiological hazard for patients and hospital infections risk assessment]. Przegląd Epidemiologiczny, 60(3), 609-616. https://pubmed.ncbi.nlm.nih.gov/17249187/
Vanegas, J. M., Higuita, L. F., Vargas, C. A., Cienfuegos, A. V., Rodríguez, E. A., Roncancio, G. E., & Jiménez, J. N. (2015). Acinetobacter baumannii resistente a carbapenémicos causante de osteomielitis e infecciones de la piel y los tejidos blandos en hospitales de Medellín, Colombia. Biomédica, 35, 522-530. https://doi.org/10.7705/biomedica.v35i4.2572 DOI: https://doi.org/10.7705/biomedica.v35i4.2572
Verwoerd, D. W. (2015). Definición de vector y enfermedad transmitida por vector. Revue Scientifique et Technique de l'OIE, 34(1), 37-39. https://doi.org/10.20506/rst.34.1.2343 DOI: https://doi.org/10.20506/rst.34.1.2343
Villalobos, A. P., Barrero, L. I., Rivera, S. M., Ovalle, M. V., & Valera, D. (2014). Vigilancia de infecciones asociadas a la atención en salud, resistencia bacteriana y consumo de antibióticos en hospitales de alta complejidad, Colombia, 2011. Biomédica, 34(Supl.1), 67-80. https://doi.org/10.7705/biomedica.v34i0.1698 DOI: https://doi.org/10.7705/biomedica.v34i0.1698
Villalobos Rodríguez, A. P., Díaz Ortega, M. H., Barrero Garzón, L. I., Rivera Vargas, S. M., Henríquez Iguarán, D. E., Villegas Botero, M. V., Robledo Restrepo, C. G., & Leal Castro, A. L. (2011). Tendencias de fenotipos de resistencia bacteriana en hospitales públicos y privados de alta complejidad de Colombia. Revista Panamericana de Salud Pública, 30(6), 627-633. https://iris.paho.org/handle/10665.2/9408?locale-attribute=es DOI: https://doi.org/10.1590/S1020-49892011001200022
Wall, E. C., Ghazy, A., Bulley, S., Ahmad, F., Aali, A., & Lynn, W. (2009). Medical staff at a London district hospital are not chronic vectors of MRSA or Clostridium difficile. Journal of Infection, 58(6), 469-471. https://doi.org/10.1016/j.jinf.2009.03.009 DOI: https://doi.org/10.1016/j.jinf.2009.03.009
Werinder A, Aspán A, Söderlund R, Backhans A, Sjölund M, Guss B, & Jacobson M. (2021). Whole-Genome Sequencing Evaluation of MALDI-TOF MS as a Species Identification Tool for Streptococcus suis. Journal of Clinical Microbiology, 59(11), e0129721. https://doi.org/10.1128/JCM.01297-21 DOI: https://doi.org/10.1128/JCM.01297-21
Zarchi, A. A., & Vatani, H. (2009). A survey on species and prevalence rate of bacterial agents isolated from cockroaches in three hospitals. Vector-Borne and Zoonotic Diseases, 9(2), 197-200. https://doi.org/10.1089/vbz.2007.0230 DOI: https://doi.org/10.1089/vbz.2007.0230
Accepted 2023-10-05
Published 2023-12-29
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