<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1695-6141</journal-id>
<journal-title><![CDATA[Enfermería Global]]></journal-title>
<abbrev-journal-title><![CDATA[Enferm. glob.]]></abbrev-journal-title>
<issn>1695-6141</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Murcia]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1695-61412020000200009</article-id>
<article-id pub-id-type="doi">eglobal.380951</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Factores de riesgo para Infecciones relacionadas con la Asistencia Sanitaria causadas por Enterobacteriaceae productoras de Klebsiella pneumoniae carbapenemase: un estudio de caso control]]></article-title>
<article-title xml:lang="en"><![CDATA[Risk factors for Healthcare-Associated Infections caused by KPC-producing Enterobacteriaceae: a case-control study]]></article-title>
<article-title xml:lang="pt"><![CDATA[Fatores de risco para Infecções relacionadas à Assistência à Saúde causadas por Enterobacteriaceae produtoras de Klebsiella pneumoniae carbapenemase: um estudo de caso controle]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alvim]]></surname>
<given-names><![CDATA[André Luiz Silva]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Couto]]></surname>
<given-names><![CDATA[Bráulio Roberto Gonçalves Marinho]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gazzinelli]]></surname>
<given-names><![CDATA[Andrea]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Federal de Minas Gerais Escuela de Enfermería ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Brasil</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Centro Universitario de Belo Horizonte  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Brasil</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2020</year>
</pub-date>
<volume>19</volume>
<numero>58</numero>
<fpage>257</fpage>
<lpage>286</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1695-61412020000200009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1695-61412020000200009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1695-61412020000200009&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Objetivo Evaluar los factores de riesgo para infecciones relacionadas con la asistencia sanitaria causadas por Enterobacteriaceaeproductoras de carbapenemas.  Método Este es un estudio retrospectivo de casos y controles que consistió en una muestra de 82 pacientes infectados y 164 controles, totalizando 246 pacientes. La recopilación de datos se realizó entre enero y mayo de 2017 mediante la búsqueda en el Sistema Automatizado de Control de Infecciones Hospitalarias y en los registros electrónicos de pacientes.  Resultados Pacientes previamente colonizados con microorganismos gramnegativos (OR: 10.7, 95% CI: 2-60, p=0.007), con cáncer (OR: 20.8, 95% CI: 4-120, p&lt;0.001), utilizando una catéter de doble luz (OR: 30.5, 95% CI: 2-382, p=0.008), con lesión por presión (OR: 136.2, 95% CI: 11- 1623, p&lt;0.001) y permanecer en la Unidad de Cuidados Intensivos (OR: 1.4, 95% CI: 1.2-1.6, p &lt;0.001) fueron más propensos a desarrollar infecciones causadas por Enterobacteriaceaeproductoras de carbapenemas que el grupo control. El área bajo la curva ROC mostró un buen rendimiento general (0,99; IC 95%: 0,992-0,998) del modelo de regresión logística final.  Conclusión La colonización previa, el cáncer, el uso de catéteres de doble luz, la lesión por presión y la estadía en la UCI fueron factores de riesgo muy importantes para la adquisición de infecciones en el entorno hospitalario.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Objective To evaluate the risk factors for healthcare-associated infections caused by Klebsiella pneumoniaecarbapenemase producing Enterobacteriaceae.  Method This is a retrospective case-control study that consisted of a sample of 82 infected patients and 164 controls, totaling 246 patients. Data collection was performed between January and May 2017 through search in the Automated Hospital Infection Control System and in the electronic patient records.  Results Patients previously colonized with gram-negative microorganisms (OR: 10.7, 95% CI: 2-60, p=0.007), with cancer (OR: 20.8, 95% CI: 4-120, p&lt;0.001), using a double lumen catheter (OR: 30.5, 95% CI: 2-382, p=0.008), with pressure injury (OR: 136.2, 95% CI: 11- 1623, p&lt;0.001) and Intensive Care Unit stay (OR: 1.4, 95% CI: 1.2-1.6, p &lt;0.001) had a greater chance of developing Healthcare-associated Infections caused by KPC-producing Enterobacteriaceaethan the control group. The area under the ROC curve showed a good overall performance (0.99, 95% CI: 0.992-0.998) of the final logistic regression model.  Conclusion Previous colonization, cancer, double lumen catheter use, pressure injury and ICU stay were very important risk factors for the acquisition of infections in the hospital environment.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO  Objetivo Avaliar os fatores de risco para infecções relacionadas à assistência à saúde causadas por Enterobactérias produtoras de Klebsiella pneumoniae carbapenemase.  Método Estudo de caso-controle, retrospectivo que foi composto por uma amostra de 82 pacientes infectados e 164 controles, totalizando 246 pacientes. A coleta de dados foi realizada entre janeiro e maio de 2017, por meio de busca no Sistema Automatizado de Controle de Infecção Hospitalar e nos prontuários eletrônicos dos pacientes.  Resultados Pacientes previamente colonizados com microrganismos gram-negativos (OR: 10,7, IC 95%: 2-60, p=0,007), com câncer (OR: 20,8, IC 95%: 4-120, p&lt;0,001), utilizando cateter de duplo lúmen (OR: 30,5, IC 95%: 2-382, p=0,008), com lesão por pressão (OR: 136,2, IC 95%: 11-1623, p&lt;0,001) e internação na Unidade de Terapia Intensiva (OR: 1,4, IC 95%: 1,2-1,6, p&lt;0,001) tiveram maior chance de desenvolver infecções relacionadas à assistência à saúde causadas por Enterobactérias produtoras de Klebsiella pneumoniae carbapenemasequando comparadas ao grupo controle. A área sob a curva ROC apresentou um bom desempenho geral do modelo final de regressão logística (0,99, IC95%: 0,992-0,998).  Conclusão Colonização prévia, câncer, uso de cateter de duplo lúmen, lesão por pressão e permanência na UTI foram fatores de risco muito importantes para a aquisição de infecções no ambiente hospitalar.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Enterobacteriaceae]]></kwd>
<kwd lng="es"><![CDATA[Infección Hospitalaria]]></kwd>
<kwd lng="es"><![CDATA[Farmacorresistencia Microbiana]]></kwd>
<kwd lng="en"><![CDATA[Enterobacteriaceae]]></kwd>
<kwd lng="en"><![CDATA[Cross Infection]]></kwd>
<kwd lng="en"><![CDATA[Drug Resistance, Microbial]]></kwd>
<kwd lng="pt"><![CDATA[Enterobacteriaceae]]></kwd>
<kwd lng="pt"><![CDATA[Infecção Hospitalar]]></kwd>
<kwd lng="pt"><![CDATA[Resistência Microbiana a Medicamentos]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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