Research Topics
| Alexandre Prehn ZavasckiSummaryCountry: Brazil Publications
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Publications
Risk factors for nosocomial infections due to Pseudomonas aeruginosa producing metallo-beta-lactamase in two tertiary-care teaching hospitalsAlexandre Prehn Zavascki
Infectious Diseases Service, Hospital São Lucas da Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, Brazil
J Antimicrob Chemother 58:882-5. 2006..To assess risk factors for nosocomial infections due to Pseudomonas aeruginosa producing metallo-beta-lactamase (MBL-PA) in two teaching hospitals where horizontal dissemination has been demonstrated...
First case report of Neisseria lactamica causing cavitary lung disease in an adult organ transplant recipientAlexandre Prehn Zavascki
Infectious Diseases Service, Hospital São Lucas da Pontifícia Universidade Católica do Rio Grande do Sul, 6690 Ipiranga Avenue, 90610 000 Porto Alegre RS, Brazil
J Clin Microbiol 44:2666-8. 2006..To our knowledge, this is the first report of pulmonary disease caused by this organism and the second case of N. lactamica infection in an adult patient...
High prevalence of metallo-beta-lactamase-mediated resistance challenging antimicrobial therapy against Pseudomonas aeruginosa in a Brazilian teaching hospitalA P Zavascki
Infectious Diseases Service, Hospital São Lucas da Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, Brazil
Epidemiol Infect 135:343-5. 2007..The extremely high prevalence of MBL production found challenges the choice of therapeutics for P. aeruginosa, and measures to control horizontal dissemination of MBL producers are urgently required...
The influence of metallo-beta-lactamase production on mortality in nosocomial Pseudomonas aeruginosa infectionsAlexandre Prehn Zavascki
Infectious Diseases Service, Hospital São Lucas da Pontifícia Universidade Católica do Rio Grande do Sul Porto Alegre, Brazil
J Antimicrob Chemother 58:387-92. 2006..To assess the effect of metallo-beta-lactamase (MBL) production on Pseudomonas aeruginosa nosocomial infection mortality and to identify the determinants of such effect...
Outbreak of carbapenem-resistant Pseudomonas aeruginosa producing SPM-1 metallo-{beta}-lactamase in a teaching hospital in southern BrazilAlexandre Prehn Zavascki
Infectious Diseases Service, Hospital São Lucas da Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, Brazil
J Antimicrob Chemother 56:1148-51. 2005..To describe the first nosocomial outbreak of Pseudomonas aeruginosa producing SPM-1 metallo-beta-lactamase (MBL) in southern Brazil...
Severe acute hepatitis due to retroviral rebound syndrome after discontinuation of highly active antiretroviral therapyAlexandre Prehn Zavascki
Infectious Diseases Unit, Hospital Sao Lucas, Pontificia Universidade Catolica do Rio Grande do Sul, Porto Alegre RS, Brazil
J Infect 52:e93-4. 2006..Retroviral rebound syndrome is a relatively novel syndrome possible to occur after the discontinuation of antiretroviral therapy. This is the first case reported in the literature of severe acute hepatitis associated with this syndrome...
Risk factors for imipenem-resistant Pseudomonas aeruginosa: a comparative analysis of two case-control studies in hospitalized patientsA P Zavascki
Infectious Diseases Unit, Hospital São Lucas da Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, Brazil
J Hosp Infect 59:96-101. 2005..82) and renal failure (OR 5.00) were associated with IRPA. Our study confirmed that carbapenem exposure is the main risk factor for IRPA, and found that the use of both carbapenem and vancomycin can increase this effect...
The need for reappraisal of AIDS score weight of Charlson comorbidity indexAlexandre Prehn Zavascki
Medical Sciences Post graduate Program, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
J Clin Epidemiol 60:867-8. 2007..To discuss the need for reappraisal of AIDS score weight of the Charlson comorbidity index...
Reappraisal of Pseudomonas aeruginosa hospital-acquired pneumonia mortality in the era of metallo-beta-lactamase-mediated multidrug resistance: a prospective observational studyAlexandre Prehn Zavascki
Infectious Diseases Service, Hospital São Lucas da Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre RS, Brazil
Crit Care 10:R114. 2006..The metallo-beta-lactamases (MBLs) are emerging enzymes that hydrolyze virtually all beta-lactams. We aimed to assess P. aeruginosa HAP mortality in a setting of high-rate MBL production..
Dissemination of Pseudomonas aeruginosa producing SPM-1-like and IMP-1-like metallo-beta-lactamases in hospitals from southern BrazilA F Martins
Pharmaceutical Sciences Post graduate Program, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
Infection 35:457-60. 2007..We aimed to describe the prevalence and molecular characteristics of SPM-1-like, IMP-1-like and VIM type MBLs among ceftazidime and/or imipenem-resistant nosocomial P. aeruginosa isolates...
Risk factors for and mortality of extended-spectrum-beta-lactamase-producing Klebsiella pneumoniae and Escherichia coli nosocomial bloodstream infectionsSilvana Vargas Superti
Laboratory of Microbiology, Hospital Sao Lucas, Pontificia Universidade Catolica do Rio Grande do Sul, Porto Alegre, RS, Brazil
Rev Inst Med Trop Sao Paulo 51:211-6. 2009..The finding that piperacillin-tazobactam use is a risk factor for ESBL-production in KP or EC BSIs requires attention, since this drug can be recommended to limit the use of third-generation cephalosporins...
Reduction in incidence of nosocomial methicillin-resistant Staphylococcus aureus (MRSA) infection in an intensive care unit: role of treatment with mupirocin ointment and chlorhexidine baths for nasal carriers of MRSAAna Maria Sandri
Infection Control Department, , 6690 Ipiranga Avenue, Porto Alegre, RS 90610-000, Brazil
Infect Control Hosp Epidemiol 27:185-7. 2006..aureus infection during the later years of follow-up. Decolonization of nasal carriers of methicillin-resistant S. aureus is probably associated with such findings...
Indications of carbapenem resistance evolution through heteroresistance as an intermediate stage in Acinetobacter baumannii after carbapenem administrationSilvana Vargas Superti
Laboratory of Microbiology, Hospital Sao Lucas, Pontificia Universidade Catolica do Rio Grande do Sul, Porto Alegre, RS, Brazil
Rev Inst Med Trop Sao Paulo 51:111-3. 2009..baumannii warrant further investigations. This is the first description of such phenomenon in vivo and the second report of heteroresistance to carbapenems in A. baumannii...
Cystic fibrosis patient with Burkholderia pseudomallei infection acquired in BrazilAfonso Luis Barth
Unidade de Microbiologia e Biologia Molecular, Serviço de Patologia Clínica, Hospital de Clinicas de Porto Alegre, Porto Alegre, Brazil
J Clin Microbiol 45:4077-80. 2007..We report the recovery of B. pseudomallei from the sputum of a cystic fibrosis patient who lives in Brazil. We highlight the importance of careful attention to unusual nonfermentative gram-negative rods in cystic fibrosis patients...
Polymyxin B for the treatment of multidrug-resistant pathogens: a critical reviewAlexandre Prehn Zavascki
Infectious Diseases Service, Hospital São Lucas da Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, Brazil
J Antimicrob Chemother 60:1206-15. 2007..Since polymyxins will be increasingly used for the treatment of infections caused by MDR bacteria, clinical pharmacokinetic, pharmacodynamic and toxicodynamic studies underpinning the optimal use of these drugs are urgently required...
Paracoccidioidomycosis in organ transplant recipient: case reportAlexandre Prehn Zavascki
, , Porto Alegre, RS, Brazil
Rev Inst Med Trop Sao Paulo 46:279-81. 2004..Unusual clinical and radiological manifestations of Paracoccidioides brasiliensis infection can occur in immunocompromised patients...
Mycobacterium tuberculosis resistance in HIV-infected patients from a tertiary care teaching hospital in Porto Alegre, southern BrazilM Wolfart
Microbiology and Molecular Biology Unit, Clinical Pathology Service, Hospital de Clinicas de Porto Alegre, 2350 Ramiro Barcelos St, Porto Alegre, CEP 90 035 903, Rio Grande do Sul, Brazil
Trans R Soc Trop Med Hyg 102:421-5. 2008..Our findings indicate the need to reappraise regional TB treatment policies and support the recommendation for routine performance of in vitro TB susceptibility tests in all previously treated patients...
High rate of antimicrobial resistance in Pseudomonas aeruginosa at a tertiary-care teaching hospital in southern BrazilAlexandre Prehn Zavascki
Infect Control Hosp Epidemiol 25:805-7. 2004
Nosocomial bloodstream infections due to metallo-beta-lactamase-producing Pseudomonas aeruginosaAlexandre Prehn Zavascki
J Antimicrob Chemother 61:1183-5. 2008
Caution when reconsidering empiric antimicrobial therapy for methicillin-resistant Staphylococcus aureus skin and soft-tissue infectionsLeticia Vale Scribel da Silva
Am J Surg 196:618-9. 2008
Determining risk factors for infection with influenza A (H5N1)Janice Luisa Lukrafka
Emerg Infect Dis 13:955-6; author reply 956-. 2007
Comment on: immune reconstitution inflammatory syndrome: more answers, more questionsAlexandre Prehn Zavascki
J Antimicrob Chemother 58:1094; author reply 1094-5. 2006
Assessing risk factors for acquiring antimicrobial-resistant pathogens: a time for a comparative approachAlexandre Prehn Zavascki
Clin Infect Dis 39:871-2; author reply 872-3. 2004
