Alexandre R Marra

Summary

Country: Brazil

Publications

  1. doi request reprint Controlled trial measuring the effect of a feedback intervention on hand hygiene compliance in a step-down unit
    Alexandre R Marra
    Intensive Care Unit, Hospital Israelita Albert Einstein, Sao Paulo, Brazil
    Infect Control Hosp Epidemiol 29:730-5. 2008
  2. pmc Decreasing mortality in severe sepsis and septic shock patients by implementing a sepsis bundle in a hospital setting
    Sandra Christina Pereira Lima Shiramizo
    Critical Care Unit, Hospital Israelita Albert Einstein, Sao Paulo, Brazil
    PLoS ONE 6:e26790. 2011
  3. pmc A hospital-based matched case-control study to identify clinical outcome and risk factors associated with carbapenem-resistant Klebsiella pneumoniae infection
    Luci Correa
    Infection Control Unit, Hospital Israelita Albert Einstein, Av, Albert Einstein, 627 701 6º Andar Bloco D, Sao Paulo, ZIP 05652 000, Brazil
    BMC Infect Dis 13:80. 2013
  4. doi request reprint Hand hygiene compliance in the critical care setting: a comparative study of 2 different alcohol handrub formulations
    Alexandre R Marra
    Instituto Israelita de Ensino e Pesquisa Albert Einstein, Sao Paulo, Brazil
    Am J Infect Control 41:136-9. 2013
  5. doi request reprint Microbiological findings from the Haiti disaster
    Alexandre Rodrigues Marra
    Intensive Care Unit, Hospital Israelita Albert Einstein, Sao Paulo, Brazil
    Travel Med Infect Dis 10:157-61. 2012
  6. doi request reprint Preventing catheter-associated urinary tract infection in the zero-tolerance era
    Alexandre R Marra
    Intensive Care Unit, Hospital Israelita Albert Einstein, Sao Paulo, Brazil
    Am J Infect Control 39:817-22. 2011
  7. pmc Managing patients with dengue fever during an epidemic: the importance of a hydration tent and of a multidisciplinary approach
    Alexandre R Marra
    Intensive Care Unit, Hospital Israelita Albert Einstein, Sao Paulo, Brazil
    BMC Res Notes 4:335. 2011
  8. pmc Nosocomial bloodstream infections in Brazilian hospitals: analysis of 2,563 cases from a prospective nationwide surveillance study
    Alexandre R Marra
    Hospital Israelita Albert Einstein, Sao Paulo, Brazil1
    J Clin Microbiol 49:1866-71. 2011
  9. doi request reprint Positive deviance: a program for sustained improvement in hand hygiene compliance
    Alexandre R Marra
    Intensive Care Unit, Hospital Israelita Albert Einstein, Av Albert Einstein 627 701, Sao Paulo, Brazil
    Am J Infect Control 39:1-5. 2011
  10. doi request reprint Measuring rates of hand hygiene adherence in the intensive care setting: a comparative study of direct observation, product usage, and electronic counting devices
    Alexandre R Marra
    Intensive Care Unit, Hospital Israelita Albert Einstein, Statistics Department, Instituto Israelita de Ensino e Pesquisa, Sao Paulo, Brazil
    Infect Control Hosp Epidemiol 31:796-801. 2010

Collaborators

Detail Information

Publications36

  1. doi request reprint Controlled trial measuring the effect of a feedback intervention on hand hygiene compliance in a step-down unit
    Alexandre R Marra
    Intensive Care Unit, Hospital Israelita Albert Einstein, Sao Paulo, Brazil
    Infect Control Hosp Epidemiol 29:730-5. 2008
    ..To evaluate hand hygiene compliance in 2 adult step-down units (SDUs)...
  2. pmc Decreasing mortality in severe sepsis and septic shock patients by implementing a sepsis bundle in a hospital setting
    Sandra Christina Pereira Lima Shiramizo
    Critical Care Unit, Hospital Israelita Albert Einstein, Sao Paulo, Brazil
    PLoS ONE 6:e26790. 2011
    ..The Surviving Sepsis Campaign (SSC) guidelines for the management of severe sepsis (SS) and septic shock (SSh) have been recommended to reduce morbidity and mortality...
  3. pmc A hospital-based matched case-control study to identify clinical outcome and risk factors associated with carbapenem-resistant Klebsiella pneumoniae infection
    Luci Correa
    Infection Control Unit, Hospital Israelita Albert Einstein, Av, Albert Einstein, 627 701 6º Andar Bloco D, Sao Paulo, ZIP 05652 000, Brazil
    BMC Infect Dis 13:80. 2013
    ..The aim of this study was to describe the epidemiology and clinical outcomes associated with carbapenem-resistant K. pneumoniae and to determine the antimicrobial resistance mechanisms...
  4. doi request reprint Hand hygiene compliance in the critical care setting: a comparative study of 2 different alcohol handrub formulations
    Alexandre R Marra
    Instituto Israelita de Ensino e Pesquisa Albert Einstein, Sao Paulo, Brazil
    Am J Infect Control 41:136-9. 2013
    ..There are few published studies comparing different alcohol-based hand disinfection formulations...
  5. doi request reprint Microbiological findings from the Haiti disaster
    Alexandre Rodrigues Marra
    Intensive Care Unit, Hospital Israelita Albert Einstein, Sao Paulo, Brazil
    Travel Med Infect Dis 10:157-61. 2012
    ....
  6. doi request reprint Preventing catheter-associated urinary tract infection in the zero-tolerance era
    Alexandre R Marra
    Intensive Care Unit, Hospital Israelita Albert Einstein, Sao Paulo, Brazil
    Am J Infect Control 39:817-22. 2011
    ..Catheter-associated urinary tract infection (CAUTI) is one of the most common health care‒associated infections in the critical care setting...
  7. pmc Managing patients with dengue fever during an epidemic: the importance of a hydration tent and of a multidisciplinary approach
    Alexandre R Marra
    Intensive Care Unit, Hospital Israelita Albert Einstein, Sao Paulo, Brazil
    BMC Res Notes 4:335. 2011
    ..abstract:..
  8. pmc Nosocomial bloodstream infections in Brazilian hospitals: analysis of 2,563 cases from a prospective nationwide surveillance study
    Alexandre R Marra
    Hospital Israelita Albert Einstein, Sao Paulo, Brazil1
    J Clin Microbiol 49:1866-71. 2011
    ..and Pseudomonas aeruginosa isolates, 55.9% and 36.8%, respectively, were resistant to imipenem. In our multicenter study, we found high crude mortality and a high proportion of nBSIs due to antibiotic-resistant organisms...
  9. doi request reprint Positive deviance: a program for sustained improvement in hand hygiene compliance
    Alexandre R Marra
    Intensive Care Unit, Hospital Israelita Albert Einstein, Av Albert Einstein 627 701, Sao Paulo, Brazil
    Am J Infect Control 39:1-5. 2011
    ..There is a paucity of data evaluating whether positive deviance (PD) can sustain improvement in hand hygiene compliance...
  10. doi request reprint Measuring rates of hand hygiene adherence in the intensive care setting: a comparative study of direct observation, product usage, and electronic counting devices
    Alexandre R Marra
    Intensive Care Unit, Hospital Israelita Albert Einstein, Statistics Department, Instituto Israelita de Ensino e Pesquisa, Sao Paulo, Brazil
    Infect Control Hosp Epidemiol 31:796-801. 2010
    ..To compare 3 measures of hand hygiene adherence-direct observation, product usage, and electronic counting devices-in an intensive care unit...
  11. doi request reprint Impact of a program to prevent central line-associated bloodstream infection in the zero tolerance era
    Alexandre R Marra
    Intensive Care Unit, Hospital Israelita Albert Einstein, Sao Paulo, Brazil
    Am J Infect Control 38:434-9. 2010
    ..Central line-associated bloodstream infection (CLABSI) is one of the most important health care-associated infections in the critical care setting...
  12. doi request reprint Positive deviance: a new strategy for improving hand hygiene compliance
    Alexandre R Marra
    Intensive Care Unit, Hospital Israelita Albert Einstein, Sao Paulo, Brazil
    Infect Control Hosp Epidemiol 31:12-20. 2010
    ..To evaluate the effectiveness of a positive deviance strategy for the improvement of hand hygiene compliance in 2 adult step-down units...
  13. doi request reprint Successful prevention of ventilator-associated pneumonia in an intensive care setting
    Alexandre R Marra
    Intensive Care, Hospital Israelita Albert Einstein, Sao Paulo, Brazil
    Am J Infect Control 37:619-25. 2009
    ..Ventilator-associated pneumonia (VAP) is one of the most common health care-associated infections (HAIs) in critical care settings...
  14. doi request reprint The effect of limiting antimicrobial therapy duration on antimicrobial resistance in the critical care setting
    Alexandre R Marra
    Intensive Care Unit, Hospital Israelita Albert Einstein, Sao Paulo, Brazil
    Am J Infect Control 37:204-9. 2009
    ..Using antimicrobial agents for prolonged periods of time and/or in heavy densities is known to contribute to antimicrobial resistance...
  15. pmc Nosocomial bloodstream infections in Brazilian pediatric patients: microbiology, epidemiology, and clinical features
    Carlos Alberto Pires Pereira
    Instituto de Oncologia Pediatrica IOP GRAAC, Sao Paulo, Brazil
    PLoS ONE 8:e68144. 2013
    ..Nosocomial bloodstream infections (nBSIs) are an important cause of morbidity and mortality and are the most frequent type of nosocomial infection in pediatric patients...
  16. ncbi request reprint Systemic inflammatory response syndrome in nosocomial bloodstream infections with Pseudomonas aeruginosa and Enterococcus Species: comparison of elderly and nonelderly patients
    Alexandre R Marra
    Division of Infectious Diseases, Universidade Federal de São Paulo Hospital São Paulo, Sao Paulo, Brazil
    J Am Geriatr Soc 54:804-8. 2006
    ..is different in elderly patients than in younger patients...
  17. pmc Comparison of the systemic inflammatory response syndrome between monomicrobial and polymicrobial Pseudomonas aeruginosa nosocomial bloodstream infections
    Alexandre R Marra
    Department of Infectious Diseases, Universidade Federal de Sao Paulo, Sao Paulo, Brazil
    BMC Infect Dis 5:94. 2005
    ..The purpose of this study was to compare differences in systemic inflammatory response and mortality between monomicrobial and polymicrobial nBSI with Pseudomonas aeruginosa...
  18. doi request reprint Implementation of an antibiotic prophylaxis protocol in an intensive care unit
    Silvana Maria de Almeida
    Intensive Care Unit, Hospital Israelita Albert Einstein, Sao Paulo, Brazil
    Am J Infect Control 40:721-5. 2012
    ..5% (53/105) among patients undergoing surgery in the adult intensive care unit of our hospital. In 2001, a protocol was designed to improve compliance with recommended practice...
  19. pmc Catheter related bloodstream infection (CR-BSI) in ICU patients: making the decision to remove or not to remove the central venous catheter
    Rodrigo Octávio Deliberato
    Critical Care Unit, Hospital Israelita Albert Einstein, Sao Paulo, Brazil
    PLoS ONE 7:e32687. 2012
    ..Our objective was to compare the in-hospital mortality when the catheter is removed or not removed in patients with CR-BSI...
  20. doi request reprint Clinical and economic impact of procalcitonin to shorten antimicrobial therapy in septic patients with proven bacterial infection in an intensive care setting
    Rodrigo Octávio Deliberato
    Critical Care Unit, Hospital Israelita Albert Einstein, Sao Paulo, Brazil
    Diagn Microbiol Infect Dis 76:266-71. 2013
    ..008. This study demonstrates that PCT can be a useful tool for limiting antimicrobial therapy in ICU patients with documented bacterial infection...
  21. doi request reprint The effect of contact precautions on hand hygiene compliance
    Sátiro Ribeiro Franca
    Intensive Care Unit, Hospital Israelita Albert Einstein, Sao Paulo, Brazil
    Am J Infect Control 41:558-9. 2013
    ..Our study failed to show differences in adherence to hand hygiene practices in the care of contact isolation versus noncontact isolation patients...
  22. pmc A program for sustained improvement in preventing ventilator associated pneumonia in an intensive care setting
    Raquel A Caserta
    Intensive Care Unit, Hospital Israelita Albert Einstein, Av, Albert Einstein, 627 701 5º Andar Bloco B, Sao Paulo, CEP 05651 901, Brazil
    BMC Infect Dis 12:234. 2012
    ..Ventilator-associated pneumonia (VAP) is a common infection in the intensive care unit (ICU) and associated with a high mortality...
  23. pmc Hospital-acquired Clostridium difficile-associated disease in the intensive care unit setting: epidemiology, clinical course and outcome
    Alexandre R Marra
    Department of Infectious Diseases, Universidade Federal de Sao Paulo, Sao Paulo, Brazil
    BMC Infect Dis 7:42. 2007
    ..We evaluated the epidemiology, clinical course and outcome of hospital-acquired CDAD in the critical care setting...
  24. pmc Analysis of vancomycin use and associated risk factors in a university teaching hospital: a prospective cohort study
    Moacyr S Junior
    Department of Infectious Disease, Universidade Federal de Sao Paulo, Sao Paulo, Brazil
    BMC Infect Dis 7:88. 2007
    ..The aim of this work was to analyze the use of vancomycin and the risk factors associated with inappropriate treatment...
  25. doi request reprint Successful prevention of tracheostomy associated pneumonia in step-down units
    Raquel Caserta Eid
    Intensive Care Unit, Hospital Israelita Albert Einstein, Sao Paulo, Brazil
    Am J Infect Control 39:500-5. 2011
    ..We evaluated the implementation of preventive measures in SDU over 2 different periods on device (bilevel mechanical ventilation)-associated pneumonia...
  26. doi request reprint Contact precautions in the intensive care unit setting: 12 years of surveillance
    Felipe Maia de Toledo Piza
    Intensive Care Unit, Hospital Israelita Albert Einstein, Sao Paulo, Brazil
    Am J Infect Control 41:371-2. 2013
    ..We assessed the frequency of multidrug-resistant microorganisms responsible for implementation of contact precautions in the ICU of a tertiary care hospital over a 12-year period...
  27. doi request reprint Bloodstream infection after kidney transplantation: epidemiology, microbiology, associated risk factors, and outcome
    Moacyr Silva
    Division of Infectious Diseases, Universidade Federal de Sao Paulo EPM Hospital Sao Paulo, Sao Paulo, Sao Paulo, Brazil
    Transplantation 90:581-7. 2010
    ..Bloodstream infection (BSI) is associated with both relevant morbidity and mortality rates after kidney transplantation...
  28. doi request reprint Beta-lactam resistance mechanisms in Pseudomonas aeruginosa strains causing bloodstream infections: comparative results between Brazilian and American isolates
    Lorena C C Fehlberg
    Division of Infectious Diseases, Universidade Federal de Sao Paulo, Sao Paulo, Brazil
    Microb Drug Resist 18:402-7. 2012
    ..aeruginosa isolated from teaching hospitals located in Brazil and the United States exemplify the importance of local epidemiology in determining antimicrobial resistance rates...
  29. pmc Bloodstream infections with metallo-beta-lactamase-producing Pseudomonas aeruginosa: epidemiology, microbiology, and clinical outcomes
    Alexandre R Marra
    Divsion of Infectious Diseases, Universidade Federal de Sao Paulo, Brasil UNIFESP EPM Hospital São Paulo, Escola Paulista de Medicina, Rua Napoleao de Barros, 715 7th andar, CEP 04023 062, Sao Paulo, SP, Brazil
    Antimicrob Agents Chemother 50:388-90. 2006
    ..We evaluated the epidemiological and microbiological characteristics of monomicrobial bloodstream infections caused by MBL-producing P. aeruginosa isolates, as well as the clinical outcomes in patients with these infections...
  30. pmc Time to blood culture positivity as a predictor of clinical outcome in patients with Candida albicans bloodstream infection
    Cintia Zoya Nunes
    Infectious Diseases Division, Universidade Federal de Sao Paulo UNIFESP, Sao Paulo, Brazil
    BMC Infect Dis 13:486. 2013
    ..The purpose of this study was to evaluate the time to positivity (TTP) of blood cultures in patients with Candida albicans BSIs and to assess its impact on clinical outcome...
  31. doi request reprint Measuring hand hygiene compliance in a hematology-oncology unit: a comparative study of methodologies
    Lidiane Soares Sodré da Costa
    Onco Hematology Unit, Hospital Israelita Albert Einstein, Sao Paulo, Brazil
    Am J Infect Control 41:997-1000. 2013
    ..In managing hematology-oncology patients, there is a great opportunity for performing hand hygiene (HH)...
  32. pmc Nephrotoxicity and efficacy assessment of polymyxin use in 92 transplant patients
    Marcelo M Mostardeiro
    Solid Organ Transplant Infectious Disease Unit, Infectious Disease Division, Federal University of Sao Paulo, Sao Paulo, Brazil
    Antimicrob Agents Chemother 57:1442-6. 2013
    ..Polymyxin use is associated with very high rates of significant decrease in renal function; therefore, polymyxin must be used only when no other option is available and for as briefly as possible in the solid organ transplant setting...
  33. ncbi request reprint Systemic inflammatory response syndrome in adult patients with nosocomial bloodstream infection due to Pseudomonas aeruginosa
    Alexandre R Marra
    Division of Infectious Diseases, Brazil UNIFESP EPM Hospital São Paulo HSP, Universidade Federal de Sao Paulo, Sao Paulo, Brazil
    J Infect 53:30-5. 2006
    ..To evaluate relationships between the inflammatory response, clinical course, and outcome of nosocomial BSI due to Pseudomonas aeruginosa...
  34. pmc Improving the diagnosis of meningitis due to enterovirus and herpes simplex virus I and II in a tertiary care hospital
    Eduardo Casaroto
    Instituto Israelita de Ensino e Pesquisa Albert Einstein, Hospital Israelita Albert Einstein, Sao Paulo, Brazil
    BMC Infect Dis 13:487. 2013
    ..The purpose of this study was to analyse the impact of the use molecular testing for Enteroviruses and Herpes simplex viruses I and II in all suspected cases of viral meningitis...
  35. doi request reprint A multicenter study using positive deviance for improving hand hygiene compliance
    Alexandre R Marra
    Hospital Israelita Albert Einstein, Sao Paulo, Brazil Universidade Federal de São Paulo UNIFESP, Sao Paulo, Brazil Electronic address
    Am J Infect Control 41:984-8. 2013
    ..Positive deviance (PD) can be a strategy for the improvement of hand hygiene (HH) compliance...
  36. ncbi request reprint Hand Hygiene: State-of-the-Art Review With Emphasis on New Technologies and Mechanisms of Surveillance
    Alexandre R Marra
    Instituto Israelita de Ensino e Pesquisa Albert Einstein, Hospital Israelita Albert Einstein 3rd floor, Av Albert Einstein, 627 701, Morumbi, Sao Paulo, Brazil, 05651 901
    Curr Infect Dis Rep 14:585-91. 2012
    ..g., measuring the volume of HH products consumed) and the use of new technologies (e.g., electronic dispenser counters, radiofrequency, alcohol sensors, and video recording) will also be discussed...