<?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>0123-9392</journal-id>
<journal-title><![CDATA[Infectio]]></journal-title>
<abbrev-journal-title><![CDATA[Infect.]]></abbrev-journal-title>
<issn>0123-9392</issn>
<publisher>
<publisher-name><![CDATA[Asociación Colombiana de Infectología.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0123-93922017000400214</article-id>
<article-id pub-id-type="doi">10.22354/in.v21i4.684</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Brotes hospitalarios de bacterias resistentes a colistina: revisión sistemática de la literatura]]></article-title>
<article-title xml:lang="en"><![CDATA[Outbreaks of colistin resistant bacteria: systematic review]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Higuita-Gutiérrez]]></surname>
<given-names><![CDATA[Luis Felipe]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jiménez-Quiceno]]></surname>
<given-names><![CDATA[Judy Natalia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Antioquia Escuela de Microbiología Grupo de Investigación en Microbiología Básica y Aplicada (MICROBA)]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Antioquia Escuela de Microbiología Grupo de Investigación en Salud y sostenibilidad]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2017</year>
</pub-date>
<volume>21</volume>
<numero>4</numero>
<fpage>214</fpage>
<lpage>222</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0123-93922017000400214&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0123-93922017000400214&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0123-93922017000400214&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo  :  La colistina se ha constituido en un medicamento de uso común en países endémicos en resistencia a carbapenémicos; sin embargo, con su uso ha emergido el reporte de resistencia. El objetivo de este estudio es describir los brotes hospitalarios por bacterias resistentes a colistina  Material y método:  Revisión sistemática de la literatura en cinco bases de datos siguiendo los criterios de la guía PRISMA de identificación, tamización, elección e inclusión.  Resultados: Se identificaron 13 brotes en 7 países diferentes, 77% (n = 10) en Italia y Grecia, y 61,5% (n=8) en cepas de K. pneumoniae. Los pacientes presentaron condiciones de base, con múltiples comorbilidades y exposición afrecuente a los servicios de salud. Las pruebas y los criterios de susceptibilidad fueron variables, los mecanismos de resistencia que se encuentran simultáneamente con resistencia a colistina incluyen carbapenemasas y betalactamasas de espectro extendido. El genotipo predominante de acuerdo a MLST fue el ST-258.  Conclusión:  La emergencia de resistencia a colistina no se circunscribe a un grupo etario ni a una comorbilidad específica; sin embargo, se concentra en países donde la resistencia a carbapenémicos es endémica. Esto permite alertar a las autoridades sanitarias y a los centros hospitalarios para establecer programas de vigilancia, prevención y control que permiten la detección y contención oportuna de esta problemática]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objetive:  Colistin has become a drug commonly used in endemic countries in resistance to carbapenems; however, with their use has emerged the resistance. The objective: of this study is to describe outbreaks by bacteria resistant to colistin  Design:  Systematic review of the literature in five databases with the criteria guide PRISMA of identification, tamization, election and inclusion.  Results:  13 outbreaks were identified in 7 different countries, 77% (n = 10) in Italy and Greece, and 61.5% (n = 8) in K. pneumoniae strains. Patients had baseline conditions, multiple comorbidities and frequent exposure to health services. Tests and susceptibility criteria were variable, the resistance mechanisms that are simultaneously with the resistant to colistin include carbapenemases and extended spectrum beta-lactamases. The predominant genotype according to MLST was the ST-258.  Conclusion:  The emergence of resistance to colistin is not limited to an age group or a specific comorbidity; however, it concentrated in countries where resistance to carbapenems is endemic. This allows alert health authorities and hospitals to establish programs of surveillance, prevention and control that enable timely detection and containment of this problem]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Brotes de enfermedades]]></kwd>
<kwd lng="es"><![CDATA[colistina]]></kwd>
<kwd lng="es"><![CDATA[resistencia a medicamentos]]></kwd>
<kwd lng="en"><![CDATA[Disease Outbreaks]]></kwd>
<kwd lng="en"><![CDATA[colistin]]></kwd>
<kwd lng="en"><![CDATA[Drug Resistance]]></kwd>
</kwd-group>
</article-meta>
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