Research by researchers from the Faculty of Medicine and the São Paulo University Medical Institute (USP) found that the bacteria Klebsiella pneumoniae, who was already opposed to antibiotics, already spread in Brazil in 2011, four years before being explained in China in 2015. The study was published in the scientific magazine Erasing a bone tumor, from the Natural body.
The study was carried out by Professor Silvia Figueiredo Costa, from the Department of Infectious and Territorial Disease of the USP Medical School and technical director of the São Paulo Tropical Medicine Institute (USP) and Professor Dr. Ester Sabino, also of the Institute of Tropical Medicine of São Paulo.
It was made based on the Clinic Hospital's database in the USP Medical School and indicated that 1,042 patients who were developing a bone bone bone between the years 2008 and 2015 were in hospital 12 to catch her & # 39; super-magic moth for antibiotics. Out of this total, 10 died.
A Klebsiella pneumoniae The bacteria that are currently in a gastrointestinal way of humans and animals. It can also be found in the environment, water, food and sewage system. At the end it can be identified in the treatment of health professionals, in hospital equipment and in the hospital environment, such as in the patient's bed, for example. And it can make different reasons – like lusty or bloody disease – which will die to death.
Chinese China opposes this drug to use antibiotics in 2015. There are specific steps to China Klebsiella accept the device that works with colistin [um antibiótico que é usado como último recurso no tratamento de infecções por bactérias], called MCR-1. So far, this device was not recognized in the world.
After China dropped out of this study, other countries began to research their databases, and in many of them it was noted that there was the same device, as happened to this study in in Brazil This proves that there was a gene that was; Nowadays struggled to spread in the world before their tools were to be marked.
"When a new world-wide gadget appears, we will look at samples stored in the hospital," explained Silvia. "When China examined this appetite device, everyone in the world did it. They all went to explore the gadget that was stored on this era. They were also found in Asia, Europe, Argentina, here in Brazil, "he said.
In Brazil, the study found that several genes had antibiotics in different genres of the germ. And not just the MCR-1, but also the KPC. "Generally, when the MCR-1 is in a bacterium, it also involves serving colistin, though it is still sensitive to carbapenems. The analysis of our genealogy in both genera What a struggling, which makes it very difficult, "said Silvia.
Perhaps he has been opposing this face, she says, a & # 39; The use of non-crudely human antibiotic medicine in medicine and cultivation. In humans, control of antibiotics is controlled, ie it can only be sold under a medical order. In a particular case of colistin, it is disciplined even in humans: it is only in hospitals.
"This antibiotic is more common in large animals and it's a diet, like a pig, than in humans. But in the last ten years, when the drug evolved Worst, he started using this antibiotic too for people, "he said.
"There is already an attempt not to use this antibiotics both in grass cure and in agriculture. There are countries that have stopped using it. In many countries in Europe, it can not only in the treatment of people. In Brazil, a year ago guidance has been in control of the use of colistin in a medicinal medicine. But we do not have Brazil data [sobre o uso]"She said in an interview with Agência Brasil.
"We do not know what this antibiotic is used in medicine or agriculture. And this control needs to be developed in Brazil. Even in hospitals, we do not have Brazil data. We do not know what hospitals are, "he said.
Care and care
To prevent the drug, the researcher says that it is important to control the use of antibiotics and his / her; outgoing the patient that is turned off. In addition, he stressed, health professionals need to adopt procedures such as manual hygiene and the use of gloves and appliances in patient care.
"And avoid the way by controlling the use of antibiotic and detecting it. Because of the time it finds that this bacteria is at the patient, it must be in a room, on the other hand, without the need for other patients. Practitioners must also wear gloves and aprones to prevent transmission, "he said.
Another important issue, he stressed, that there are hospitals in São Paulo who see a disease with her; This type of graphics, communication and & # 39; adding the categories into the Adolfo Lutz Institute.
According to Silvia, the survey is not yet completed. "We got the generator in two other hospitals in São Paulo. We have completed the survey to be released for publication," he said.
The work should be given at a conference in Europe in April.