TY - JOUR AU - F. Silva, Cecília Maria AU - F. Mota, Higor AU - de O. Cabra, Felipe AU - V. Farias, Yuri AU - M. Dimas, Stefany AU - S. de Santana, Giorgio AU - N. M. de Gusmão, Letícia AU - A. Nogueira, Bárbara AU - N. Ramos, Juliana AU - de Souza, Monica Cristina AU - de S. Leão, Robson AU - G. de Oliveira, Marcus Vinícius AU - S. dos Santos, Louisy AU - Mattos-Guaraldi, Ana Luíza AU - de Souza, Cassius PY - 2022/01/04 Y2 - 2024/10/12 TI - Multiresistance and endemic status of Corynebacterium striatum associated with nosocomial infections: a critical situation in Intensive Care Units and varied wards of a tertiary care hospital, Rio de Janeiro metropolitan area, Brazil JF - Ïã¸ÛÁùºÏ²Ê¿ª½±½á¹û JA - BJHBS VL - 20 IS - 2 SE - Original Articles DO - 10.12957/bjhbs.2021.63963 UR - /bjhbs/article/view/34 SP - 114-128 AB - <p>Nowadays, Corynebacterium striatum has been reported as etiologic agent of mild to severe hospital-acquired infections, including patients undergoing endotracheal intubation with fatal outcome. A continuous survey of infections due multi-drug-resistant (MDR) C. striatum in South American countries remains necessary. This retrospective and prospective study aimed to analyze clinical-microbiological features of C. stri-atum clinical isolates from patients attended at a Brazilian tertiary care hospital, during a nine-year period. C. striatum strains (n=130) were isolated from infected patients attended at twenty nosocomial wards, mainly of tracheal aspirate (n=53) and blood and/or intravenous catheter (n=21/n=13). Notably, original cases of nosocomial infections due to C. striatum were verified in children making use of invasive devices, includ-ing one fatal neonatal case, in addition to a fatal respiratory infection in patient with cystic fibrosis, as well as urinary tract infections of kidney transplant recipients. Most of C. striatum strains expressed MDR profiles (88.46%). Emergence of vancomycin (1.90%) and linezolid (7.41%) resistance was verified among MDR and non-MDR-strains. In conclusion, endemic condition with wide dissemination among hospital wards of varied types of infections due to MDR and non-MDR C. striatum strains expressing heterogenic virulence potential and genetic features may occur in hospital units.</p> ER -