{"id":"https://openalex.org/W2494760922","doi":null,"title":"Infecciones por Klebsiella: un desaf\u00edo en hospitales cubanos. Contribuci\u00f3n del LNRM-IPK en su prevenci\u00f3n y control.","display_name":"Infecciones por Klebsiella: un desaf\u00edo en hospitales cubanos. Contribuci\u00f3n del LNRM-IPK en su prevenci\u00f3n y control.","publication_year":2016,"publication_date":"2016-04-20","ids":{"openalex":"https://openalex.org/W2494760922","mag":"2494760922"},"language":"es","primary_location":{"id":"pmh:oai:revistaccuba.sld.cu:article/287","doi":null,"is_oa":true,"landing_page_url":"https://revistaccuba.sld.cu/index.php/revacc/article/view/287","pdf_url":"https://revistaccuba.sld.cu/index.php/revacc/article/download/287/287","source":{"id":"https://openalex.org/S4306501937","display_name":"Anales de la Academia de Ciencias de Cuba","issn_l":null,"issn":["2304-0106"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","latindex","scielo"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"2304-0106","raw_type":"info:eu-repo/semantics/article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":[],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://revistaccuba.sld.cu/index.php/revacc/article/download/287/287","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5102446704","display_name":"Dianelys Qui\u00f1ones P\u00e9rez","orcid":"https://orcid.org/0000-0003-4506-6890","observed_orcids":["https://orcid.org/0000-0003-4506-6890"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Dianelys Qui\u00f1ones P\u00e9rez","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5102446704"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10147","display_name":"Antibiotic Resistance in Bacteria","score":0.9965999722480774,"subfield":{"id":"https://openalex.org/subfields/2726","display_name":"Microbiology (medical)"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10147","display_name":"Antibiotic Resistance in Bacteria","score":0.9965999722480774,"subfield":{"id":"https://openalex.org/subfields/2726","display_name":"Microbiology (medical)"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13849","display_name":"Enterobacteriaceae and Cronobacter Research","score":0.0010000000474974513,"subfield":{"id":"https://openalex.org/subfields/2404","display_name":"Microbiology"},"field":{"id":"https://openalex.org/fields/24","display_name":"Immunology and Microbiology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T10897","display_name":"Antibiotic Use and Resistance","score":0.00039999998989515007,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/klebsiella-infections","display_name":"Klebsiella infections","score":0.9829999804496765},{"id":"https://openalex.org/keywords/nosocomial-infections","display_name":"nosocomial infections","score":0.7720000147819519},{"id":"https://openalex.org/keywords/antimicrobial-resistance","display_name":"antimicrobial resistance","score":0.9700000286102295},{"id":"https://openalex.org/keywords/carbapenem-resistance","display_name":"carbapenem resistance","score":0.8479999899864197},{"id":"https://openalex.org/keywords/kpc-carbapenemase","display_name":"KPC carbapenemase","score":0.828000009059906},{"id":"https://openalex.org/keywords/extended-spectrum-beta-lactamase","display_name":"extended-spectrum beta-lactamase","score":0.9139999747276306},{"id":"https://openalex.org/keywords/ctx-m","display_name":"CTX-M","score":0.9120000004768372},{"id":"https://openalex.org/keywords/tem","display_name":"TEM","score":0.7549999952316284},{"id":"https://openalex.org/keywords/beta-lactamase-genes","display_name":"beta-lactamase genes","score":0.652999997138977},{"id":"https://openalex.org/keywords/molecular-epidemiology","display_name":"molecular epidemiology","score":0.765999972820282},{"id":"https://openalex.org/keywords/clonal-relatedness","display_name":"clonal relatedness","score":0.6460000276565552},{"id":"https://openalex.org/keywords/antimicrobial-resistance-surveillance","display_name":"antimicrobial resistance surveillance","score":0.625},{"id":"https://openalex.org/keywords/cuba","display_name":"Cuba","score":0.5669999718666077},{"id":"https://openalex.org/keywords/isla-de-la-juventud","display_name":"Isla de la Juventud","score":0.8840000033378601},{"id":"https://openalex.org/keywords/pulsed-field-gel-electrophoresis","display_name":"pulsed-field gel electrophoresis","score":0.7680000066757202}],"concepts":[{"id":"https://openalex.org/C15708023","wikidata":"https://www.wikidata.org/wiki/Q80083","display_name":"Humanities","level":1,"score":0.5402251482009888},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.5174932479858398},{"id":"https://openalex.org/C153911025","wikidata":"https://www.wikidata.org/wiki/Q7202","display_name":"Molecular biology","level":1,"score":0.4288955330848694},{"id":"https://openalex.org/C142362112","wikidata":"https://www.wikidata.org/wiki/Q735","display_name":"Art","level":0,"score":0.31898921728134155}],"mesh":[],"locations_count":2,"locations":[{"id":"pmh:oai:revistaccuba.sld.cu:article/287","doi":null,"is_oa":true,"landing_page_url":"https://revistaccuba.sld.cu/index.php/revacc/article/view/287","pdf_url":"https://revistaccuba.sld.cu/index.php/revacc/article/download/287/287","source":{"id":"https://openalex.org/S4306501937","display_name":"Anales de la Academia de Ciencias de Cuba","issn_l":null,"issn":["2304-0106"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","latindex","scielo"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"2304-0106","raw_type":"info:eu-repo/semantics/article"},{"id":"mag:2494760922","doi":null,"is_oa":true,"landing_page_url":"http://www.revistaccuba.cu/index.php/revacc/article/download/287/287","pdf_url":null,"source":{"id":"https://openalex.org/S4306501937","display_name":"Anales de la Academia de Ciencias de Cuba","issn_l":null,"issn":["2304-0106"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","latindex","scielo"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":null,"is_accepted":false,"is_published":false,"raw_source_name":"Anales de la Academia de Ciencias de Cuba","raw_type":null}],"best_oa_location":{"id":"pmh:oai:revistaccuba.sld.cu:article/287","doi":null,"is_oa":true,"landing_page_url":"https://revistaccuba.sld.cu/index.php/revacc/article/view/287","pdf_url":"https://revistaccuba.sld.cu/index.php/revacc/article/download/287/287","source":{"id":"https://openalex.org/S4306501937","display_name":"Anales de la Academia de Ciencias de Cuba","issn_l":null,"issn":["2304-0106"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","latindex","scielo"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"2304-0106","raw_type":"info:eu-repo/semantics/article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9391000270843506,"display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2494760922.pdf","grobid_xml":"https://content.openalex.org/works/W2494760922.grobid-xml"},"referenced_works_count":4,"referenced_works":["https://openalex.org/W1130828782","https://openalex.org/W1514089185","https://openalex.org/W2119288091","https://openalex.org/W2125371735"],"related_works":["https://openalex.org/W2532924016","https://openalex.org/W2289840045","https://openalex.org/W1995106530","https://openalex.org/W7206829764","https://openalex.org/W2121830429","https://openalex.org/W1547022587","https://openalex.org/W4285043328","https://openalex.org/W7133401328","https://openalex.org/W7120379410","https://openalex.org/W4389262281"],"abstract_inverted_index":{"Klebsiella":[0,66,332,343,374,597],"spp":[1,67],"constituye":[2,367],"uno":[3],"de":[4,18,29,42,55,81,83,91,99,111,130,143,153,168,193,195,215,221,236,242,275,282,284,295,308,317,329,331,333,342,357,370,373,382,386,397,403,408,423,430,439,449,489,515,526,542,545,553,565,567,590,599,605,613,616,625,642,646,655,667,672,684,686,703,707],"los":[5,19,23,49,219,318,433,543],"principales":[6],"pat\u00f3genos":[7],"nosocomiales":[8],"a":[9,15,22,34,48,51,114,181,345,353,394,478,502,528,561,574,690],"nivel":[10,479,503],"mundial":[11,480,504],"con":[12,88,189,306,359,464,493,550,578,603,622],"extrema":[13],"resistencia":[14,31,113,132,372,527,617],"la":[16,39,43,53,75,89,94,103,112,118,128,131,154,166,177,190,246,258,327,340,354,365,371,380,401,405,421,437,447,593,611,623,643,673,679,691],"mayor\u00eda":[17],"antimicrobianos":[20,183],"incluso":[21,363],"carbapen\u00e9micos.":[24],"La":[25,410],"emergencia":[26,381,441],"en":[27,77,127,161,260,278,290,323,364,375,388,432,442,466,535,569,601,652],"Latinoam\u00e9rica":[28],"esta":[30],"ha":[32],"conllevado":[33],"tres":[35,292],"alertas":[36],"epidemiol\u00f3gicas":[37],"por":[38,68,170,209,213,426,608],"Organizaci\u00f3n":[40],"Panamericana":[41],"Salud":[44,398],"(OPS)":[45],"quien":[46],"insta":[47],"pa\u00edses":[50],"fortalecer":[52],"vigilancia":[54,63,406,586,624,666],"este":[56,100,516,626,656,668],"pat\u00f3geno.":[57],"En":[58],"Cuba,":[59],"no":[60],"exist\u00eda":[61],"una":[62,368,484,500,513,519,539,585],"nacional":[64,587,645],"para":[65,93,238,298,610,661,678,700],"lo":[69,390,509,558,618,648,695],"que":[70,320,391,420,446,510,559,588,619,649,696],"se":[71,217,231,482],"hizo":[72],"necesario":[73],"iniciar":[74],"misma":[76],"el":[78,149,158,162,376,427,443,506,653,701,711],"Laboratorio":[79],"Nacional":[80,683],"Referencia":[82],"Microbiolog\u00eda":[84,647],"del":[85,146,287,337,468,555,595,681],"IPK":[86],"(LNRM/IPK)":[87],"introducci\u00f3n":[90],"metodolog\u00edas":[92],"caracterizaci\u00f3n":[95,594],"convencional":[96],"y":[97,116,124,148,173,201,211,223,253,263,289,303,348,481,496,530,547,577,628,640,665,705,710],"molecular":[98],"pat\u00f3geno":[101,627,657],"monitoreando":[102],"susceptibilidad":[104,328,674],"antimicrobiana,":[105],"especies":[106,169],"circulantes,":[107],"las":[108,185,233,250,254,291,395,414,460,490,563,575,687,708],"bases":[109],"gen\u00e9ticas":[110,241],"betalact\u00e1micos":[115],"determinar":[117,299],"relaci\u00f3n":[119,247,304,485],"gen\u00e9tica":[120],"entre":[121,249,413,459],"aislados":[122,330],"cubanos":[123],"su":[125,300,440],"impacto":[126],"evoluci\u00f3n":[129],"antibiotica":[133],"valorando":[134],"sus":[135],"implicaciones":[136],"cl\u00ednico-epidemiol\u00f3gicas.":[137],"Se":[138,164,175,204,244,271,311,325,378,453,472,498,522,583,635],"estudiaron":[139],"696":[140],"aislamientos":[141,307,319],"procedentes":[142],"14":[144],"provincias":[145],"pa\u00eds":[147,288,444],"municipio":[150],"especial":[151],"Isla":[152],"Juventud":[155],"recibidas":[156],"durante":[157],"per\u00edodo":[159],"Enero/2010-Agosto/2014":[160],"LNRM/IPK.":[163],"realiz\u00f3":[165,272],"identificaci\u00f3n":[167],"m\u00e9todos":[171],"convencionales":[172],"automatizados.":[174],"determin\u00f3":[176],"concentraci\u00f3n":[178],"inhibitoria":[179],"m\u00ednima":[180],"20":[182],"seg\u00fan":[184],"normas":[186],"CLSI,":[187],"2012":[188],"detecci\u00f3n":[191,612],"fenot\u00edpica":[192],"Betalactamasas":[194],"espectro":[196],"extendido":[197],"(BLEE),":[198],"AmpC":[199],"plasm\u00ecdica":[200],"carbapenemasa":[202],"KPC.":[203],"investigaron":[205],"diferentes":[206,285,334,360],"genes":[207],"bla":[208],"PCR":[210],"posteriormente":[212],"secuenciaci\u00f3n":[214],"ADN":[216],"determinaron":[218],"subtipos":[220],"CTX-M":[222],"TEM.":[224],"Mediante":[225],"estas":[226],"dos":[227],"t\u00e9cnicas":[228],"moleculares,":[229],"tambi\u00e9n":[230],"caracterizaron":[232],"cepas":[234,251,280,293,415,461],"presuntivas":[235],"KPC":[237,255,297,387],"conocer":[239],"variantes":[240,361],"esta.":[243],"evalu\u00f3":[245],"clonal":[248,470],"BLEE":[252,283,358,416,462],"positivas":[256,417,463],"mediante":[257],"Electroforesis":[259],"Campos":[261],"Pulsados":[262],"RAPD":[264],"(Random":[265],"amplified":[266],"polymorphic":[267],"DNA":[268],"analysis),":[269],"respectivamente.":[270],"un":[273,314,450,524,631,662,698],"estudio":[274,534],"secuencias":[276,456,476],"multilocus":[277],"54":[279],"productoras":[281,294],"regiones":[286],"carbapenemasas":[296],"estructura":[301],"poblacional":[302],"filogen\u00e9tica":[305,486],"otras":[309],"regiones.":[310],"realiz\u00f3,":[312],"adem\u00e1s,":[313],"an\u00e1lisis":[315],"particularizado":[316],"causaron":[321],"infecciones":[322,576,600],"ni\u00f1os.":[324],"muestra":[326],"\u00e1reas":[335],"geogr\u00e1ficas":[336],"pa\u00eds,":[338],"revelando":[339],"circulaci\u00f3n":[341,465],"resistente":[344],"carbapen\u00e9micos,":[346],"colistina":[347,529],"dominante":[349,531],"multidrogorresistencia.":[350,532],"Esto,":[351],"unido":[352],"elevada":[355],"prevalencia":[356],"gen\u00e9ticas,":[362],"comunidad,":[366],"alarma":[369],"pa\u00eds.":[377],"notifica":[379,499],"K.":[383],"pneumoniae":[384],"productora":[385],"Cuba":[389,467,602],"permiti\u00f3":[392,650],"alertar":[393,629],"autoridades":[396],"P\u00fablica":[399],"sobre":[400,512],"necesidad":[402],"implementar":[404],"activa":[407],"carbapenemasas.":[409],"policlonalidad":[411],"observada":[412],"mostraron":[418],"evidencia":[419],"presi\u00f3n":[422],"selecci\u00f3n":[424],"ejercida":[425],"amplio":[428],"uso":[429],"cefalosporinas":[431],"hospitales":[434],"parece":[435],"ser":[436],"causa":[438],"m\u00e1s":[445],"diseminaci\u00f3n":[448],"clon":[451],"espec\u00edfico.":[452],"identificaron":[454],"27":[455],"tipos":[457],"(STs)":[458],"complejo":[469],"258.":[471],"detectaron":[473],"10":[474],"nuevas":[475],"tipo":[477],"evidenci\u00f3":[483],"muy":[487,572],"estrecha":[488],"STs":[491],"cubanas":[492],"l\u00edneas":[494],"europeas":[495],"asi\u00e1ticas":[497],"ST":[501],"portando":[505],"gen":[507,517],"blaKPC-2":[508],"alerta":[511,520,560],"propagaci\u00f3n":[514],"constituyendo":[518],"internacional.":[521],"notific\u00f3":[523],"11%":[525],"El":[533],"poblaci\u00f3n":[536],"pedi\u00e1trica":[537],"revel\u00f3":[538],"mayor":[540,551],"afectaci\u00f3n":[541],"servicios":[544],"neonatolog\u00eda":[546],"UCI":[548],"pedi\u00e1tricas":[549],"ocurrencia":[552],"infecci\u00f3n":[554,568],"torrente":[556],"sangu\u00edneo":[557],"reforzar":[562],"medidas":[564],"control":[566],"estos":[570],"pacientes":[571],"susceptibles":[573],"esquemas":[579],"terap\u00e9uticos":[580],"limitados.":[581],"Conclusiones:":[582],"inicia":[584],"aborda":[589],"manera":[591],"integral":[592],"g\u00e9nero":[596],"causantes":[598],"implementaci\u00f3n":[604],"protocolos":[606],"recomendados":[607],"OPS-OMS":[609],"fenotipos":[614],"emergentes":[615],"permitir\u00e1":[620],"continuar":[621],"ante":[630],"nuevo":[632],"evento":[633],"epidemiol\u00f3gico.":[634],"capacit\u00f3":[636],"al":[637],"personal":[638],"t\u00e9cnico":[639],"profesional":[641],"red":[644],"avances":[651],"conocimiento":[654],"aportando":[658],"herramientas":[659],"esenciales":[660],"mejor":[663],"diagn\u00f3stico":[664],"microorganismo.":[669],"Los":[670],"estudios":[671],"antimicrobiana":[675],"fueron":[676],"imprescindibles":[677],"elaboraci\u00f3n":[680],"Consenso":[682],"Tratamiento":[685],"Infecciones":[688],"Asociadas":[689],"Asistencia":[692],"Sanitaria":[693],"(IAAS)":[694],"constituy\u00f3":[697],"apoyo":[699],"Programa":[702],"Prevenci\u00f3n":[704],"Control":[706],"IAAS":[709],"PAMI.":[712]},"counts_by_year":[],"updated_date":"2026-11-08T12:12:28.789561","created_date":"2016-08-23T00:00:00"}
