{"id":"https://openalex.org/W7222965036","doi":"https://doi.org/10.12662/2317-3076jhbs.v14i1.6558.pe6558.2026","title":"Dissemina\u00e7\u00e3o de metalo-\u03b2-lactamases em gram-negativos e impacto na mortalidade hospitalar","display_name":"Dissemina\u00e7\u00e3o de metalo-\u03b2-lactamases em gram-negativos e impacto na mortalidade hospitalar","publication_year":2026,"publication_date":"2026-10-19","ids":{"openalex":"https://openalex.org/W7222965036","doi":"https://doi.org/10.12662/2317-3076jhbs.v14i1.6558.pe6558.2026"},"language":"pt","primary_location":{"id":"doi:10.12662/2317-3076jhbs.v14i1.6558.pe6558.2026","doi":"https://doi.org/10.12662/2317-3076jhbs.v14i1.6558.pe6558.2026","is_oa":true,"landing_page_url":"https://doi.org/10.12662/2317-3076jhbs.v14i1.6558.pe6558.2026","pdf_url":"https://periodicos.unichristus.edu.br/jhbs/article/download/6558/2971","source":{"id":"https://openalex.org/S2736438908","display_name":"Journal of Health & Biological Sciences","issn_l":"2317-3076","issn":["2317-3076","2317-3084"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":["latindex"],"host_organization":"https://openalex.org/P4310312185","host_organization_name":"Centro Universit\u00e1rio Christus","host_organization_lineage":["https://openalex.org/P4310312185"],"host_organization_lineage_names":["Centro Universit\u00e1rio Christus"],"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":"Journal of Health &amp; Biological Sciences","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://periodicos.unichristus.edu.br/jhbs/article/download/6558/2971","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5088422439","display_name":"Afonso Leoncio Saraiva","orcid":"https://orcid.org/0009-0009-8240-1230","observed_orcids":["https://orcid.org/0009-0009-8240-1230"]},"institutions":[{"id":"https://openalex.org/I243754102","display_name":"Universidade Federal do Cear\u00e1","ror":"https://ror.org/03srtnf24","country_code":"BR","type":"education","lineage":["https://openalex.org/I243754102"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Afonso Leoncio Saraiva J\u00f9nior","raw_affiliation_strings":["Universidade Federal do Cear\u00e1"],"raw_orcid":"https://orcid.org/0009-0009-8240-1230","affiliations":[{"raw_affiliation_string":"Universidade Federal do Cear\u00e1","institution_ids":["https://openalex.org/I243754102"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5099734818","display_name":"LUCAS ALMEIDA ARRUDA","orcid":"https://orcid.org/0009-0002-1749-2278","observed_orcids":["https://orcid.org/0009-0002-1749-2278"]},"institutions":[{"id":"https://openalex.org/I4210122181","display_name":"Unichristus","ror":"https://ror.org/02kt6vs55","country_code":"BR","type":"education","lineage":["https://openalex.org/I4210122181"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Lucas  Almeida Arruda","raw_affiliation_strings":["Universidade Christus"],"raw_orcid":"https://orcid.org/0009-0002-1749-2278","affiliations":[{"raw_affiliation_string":"Universidade Christus","institution_ids":["https://openalex.org/I4210122181"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5093972103","display_name":"BIANCA SANTOS DE CASTRO GADELHA","orcid":"https://orcid.org/0009-0007-2560-8687","observed_orcids":["https://orcid.org/0009-0007-2560-8687"]},"institutions":[{"id":"https://openalex.org/I4210122181","display_name":"Unichristus","ror":"https://ror.org/02kt6vs55","country_code":"BR","type":"education","lineage":["https://openalex.org/I4210122181"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Bianca Santos de Castro Gadelha","raw_affiliation_strings":["Universidade Christus"],"raw_orcid":"https://orcid.org/0009-0007-2560-8687","affiliations":[{"raw_affiliation_string":"Universidade Christus","institution_ids":["https://openalex.org/I4210122181"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5101307594","display_name":"ANA CLARA ALEXANDRE GUIMAR\u00c3ES","orcid":"https://orcid.org/0009-0002-1620-4481","observed_orcids":["https://orcid.org/0009-0002-1620-4481"]},"institutions":[{"id":"https://openalex.org/I4210122181","display_name":"Unichristus","ror":"https://ror.org/02kt6vs55","country_code":"BR","type":"education","lineage":["https://openalex.org/I4210122181"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Ana Clara Alexandre Guimar\u00e3es","raw_affiliation_strings":["Universidade Christus"],"raw_orcid":"https://orcid.org/0009-0002-1620-4481","affiliations":[{"raw_affiliation_string":"Universidade Christus","institution_ids":["https://openalex.org/I4210122181"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5037727818","display_name":"Andr\u00e9 Jhonathan Dantas","orcid":"https://orcid.org/0000-0002-9198-1611","observed_orcids":["https://orcid.org/0000-0002-9198-1611"]},"institutions":[{"id":"https://openalex.org/I4210106783","display_name":"Hospital Universit\u00e1rio Walter Cant\u00eddio","ror":"https://ror.org/01d9cfw89","country_code":"BR","type":"healthcare","lineage":["https://openalex.org/I4210106783"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Andr\u00e9 Jhonathan Dantas","raw_affiliation_strings":["Hospital Universit\u00e1rio Walter Cant\u00eddio"],"raw_orcid":"https://orcid.org/0000-0002-9198-1611","affiliations":[{"raw_affiliation_string":"Hospital Universit\u00e1rio Walter Cant\u00eddio","institution_ids":["https://openalex.org/I4210106783"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5061714610","display_name":"Gleiciane Moreira Dantas","orcid":"https://orcid.org/0000-0003-3714-684X","observed_orcids":["https://orcid.org/0000-0003-3714-684X"]},"institutions":[{"id":"https://openalex.org/I4210106783","display_name":"Hospital Universit\u00e1rio Walter Cant\u00eddio","ror":"https://ror.org/01d9cfw89","country_code":"BR","type":"healthcare","lineage":["https://openalex.org/I4210106783"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Gleiciane Moreira Dantas","raw_affiliation_strings":["Hospital Universit\u00e1rio Walter Cant\u00eddio"],"raw_orcid":"https://orcid.org/0000-0003-3714-684X","affiliations":[{"raw_affiliation_string":"Hospital Universit\u00e1rio Walter Cant\u00eddio","institution_ids":["https://openalex.org/I4210106783"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5090666480","display_name":"Maria do Carmo Soares de Azevedo Tavares","orcid":"https://orcid.org/0009-0006-7153-7421","observed_orcids":["https://orcid.org/0009-0006-7153-7421"]},"institutions":[{"id":"https://openalex.org/I4210106783","display_name":"Hospital Universit\u00e1rio Walter Cant\u00eddio","ror":"https://ror.org/01d9cfw89","country_code":"BR","type":"healthcare","lineage":["https://openalex.org/I4210106783"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Maria do Carmo Soares de Azevedo Tavares","raw_affiliation_strings":["Hospital Universit\u00e1rio Walter Cant\u00eddio"],"raw_orcid":"https://orcid.org/0009-0006-7153-7421","affiliations":[{"raw_affiliation_string":"Hospital Universit\u00e1rio Walter Cant\u00eddio","institution_ids":["https://openalex.org/I4210106783"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5108146778","display_name":"Ila F.N. Lima","orcid":"https://orcid.org/0000-0002-7471-8184","observed_orcids":["https://orcid.org/0000-0002-7471-8184"]},"institutions":[{"id":"https://openalex.org/I4210106783","display_name":"Hospital Universit\u00e1rio Walter Cant\u00eddio","ror":"https://ror.org/01d9cfw89","country_code":"BR","type":"healthcare","lineage":["https://openalex.org/I4210106783"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Ila Fernanda Nunes Lima","raw_affiliation_strings":["Hospital Universit\u00e1rio Walter Cant\u00eddio"],"raw_orcid":"https://orcid.org/0000-0002-7471-8184","affiliations":[{"raw_affiliation_string":"Hospital Universit\u00e1rio Walter Cant\u00eddio","institution_ids":["https://openalex.org/I4210106783"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5048309448","display_name":"Paulo C\u00e9sar Pereira de Sousa","orcid":"https://orcid.org/0000-0003-1572-6886","observed_orcids":["https://orcid.org/0000-0003-1572-6886"]},"institutions":[{"id":"https://openalex.org/I4210106783","display_name":"Hospital Universit\u00e1rio Walter Cant\u00eddio","ror":"https://ror.org/01d9cfw89","country_code":"BR","type":"healthcare","lineage":["https://openalex.org/I4210106783"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Paulo C\u00e9sar Pereira de Sousa","raw_affiliation_strings":["Hospital Universit\u00e1rio Walter Cant\u00eddio"],"raw_orcid":"https://orcid.org/0000-0003-1572-6886","affiliations":[{"raw_affiliation_string":"Hospital Universit\u00e1rio Walter Cant\u00eddio","institution_ids":["https://openalex.org/I4210106783"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":[],"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":"14","issue":"1","first_page":"e6558","last_page":"e6558"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10147","display_name":"Antibiotic Resistance in Bacteria","score":0.9990000128746033,"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":0.9990000128746033,"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/T10897","display_name":"Antibiotic Use and Resistance","score":0.0003000000142492354,"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"}},{"id":"https://openalex.org/T12824","display_name":"Infections and bacterial resistance","score":0.00019999999494757503,"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"}}],"keywords":[{"id":"https://openalex.org/keywords/metallo-beta-lactamase","display_name":"metallo-beta-lactamase","score":0.9559999704360962},{"id":"https://openalex.org/keywords/gram-negative-bacteria","display_name":"Gram-negative bacteria","score":0.8650000095367432},{"id":"https://openalex.org/keywords/carbapenemase-producing-bacteria","display_name":"carbapenemase-producing bacteria","score":0.6990000009536743},{"id":"https://openalex.org/keywords/imp-gene","display_name":"IMP gene","score":0.996999979019165},{"id":"https://openalex.org/keywords/klebsiella-pneumoniae","display_name":"Klebsiella pneumoniae","score":0.9940000176429749},{"id":"https://openalex.org/keywords/in-hospital-mortality","display_name":"in-hospital mortality","score":0.8069999814033508},{"id":"https://openalex.org/keywords/antimicrobial-resistance","display_name":"antimicrobial resistance","score":0.8629999756813049},{"id":"https://openalex.org/keywords/microbiological-surveillance","display_name":"microbiological monitoring","score":0.6729999780654907},{"id":"https://openalex.org/keywords/antimicrobial-susceptibility","display_name":"antimicrobial susceptibility","score":0.656000018119812}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5802000164985657},{"id":"https://openalex.org/C29456083","wikidata":"https://www.wikidata.org/wiki/Q1221899","display_name":"Gynecology","level":1,"score":0.4065000116825104},{"id":"https://openalex.org/C2777058267","wikidata":"https://www.wikidata.org/wiki/Q132592","display_name":"Klebsiella pneumoniae","level":4,"score":0.3765999972820282},{"id":"https://openalex.org/C153911025","wikidata":"https://www.wikidata.org/wiki/Q7202","display_name":"Molecular biology","level":1,"score":0.3278999924659729},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.2773999869823456},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.2685000002384186},{"id":"https://openalex.org/C3017616150","wikidata":"https://www.wikidata.org/wiki/Q1069330","display_name":"Diagnostic biomarker","level":3,"score":0.2531000077724457},{"id":"https://openalex.org/C2778866819","wikidata":"https://www.wikidata.org/wiki/Q215509","display_name":"Hospital-acquired infection","level":2,"score":0.18160000443458557},{"id":"https://openalex.org/C3017624810","wikidata":"https://www.wikidata.org/wiki/Q3259564","display_name":"Hospital discharge","level":2,"score":0.17870000004768372},{"id":"https://openalex.org/C2779974597","wikidata":"https://www.wikidata.org/wiki/Q28448986","display_name":"Clinical Practice","level":2,"score":0.16269999742507935}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.12662/2317-3076jhbs.v14i1.6558.pe6558.2026","doi":"https://doi.org/10.12662/2317-3076jhbs.v14i1.6558.pe6558.2026","is_oa":true,"landing_page_url":"https://doi.org/10.12662/2317-3076jhbs.v14i1.6558.pe6558.2026","pdf_url":"https://periodicos.unichristus.edu.br/jhbs/article/download/6558/2971","source":{"id":"https://openalex.org/S2736438908","display_name":"Journal of Health & Biological Sciences","issn_l":"2317-3076","issn":["2317-3076","2317-3084"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":["latindex"],"host_organization":"https://openalex.org/P4310312185","host_organization_name":"Centro Universit\u00e1rio Christus","host_organization_lineage":["https://openalex.org/P4310312185"],"host_organization_lineage_names":["Centro Universit\u00e1rio Christus"],"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":"Journal of Health &amp; Biological Sciences","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.12662/2317-3076jhbs.v14i1.6558.pe6558.2026","doi":"https://doi.org/10.12662/2317-3076jhbs.v14i1.6558.pe6558.2026","is_oa":true,"landing_page_url":"https://doi.org/10.12662/2317-3076jhbs.v14i1.6558.pe6558.2026","pdf_url":"https://periodicos.unichristus.edu.br/jhbs/article/download/6558/2971","source":{"id":"https://openalex.org/S2736438908","display_name":"Journal of Health & Biological Sciences","issn_l":"2317-3076","issn":["2317-3076","2317-3084"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":["latindex"],"host_organization":"https://openalex.org/P4310312185","host_organization_name":"Centro Universit\u00e1rio Christus","host_organization_lineage":["https://openalex.org/P4310312185"],"host_organization_lineage_names":["Centro Universit\u00e1rio Christus"],"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":"Journal of Health &amp; Biological Sciences","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7222965036.pdf","grobid_xml":"https://content.openalex.org/works/W7222965036.grobid-xml"},"referenced_works_count":25,"referenced_works":["https://openalex.org/W2768956363","https://openalex.org/W3011224011","https://openalex.org/W3094579195","https://openalex.org/W3125992558","https://openalex.org/W4224319029","https://openalex.org/W4307503876","https://openalex.org/W4311489381","https://openalex.org/W4321478399","https://openalex.org/W4383346849","https://openalex.org/W4385659375","https://openalex.org/W4388691523","https://openalex.org/W4389938105","https://openalex.org/W4390768899","https://openalex.org/W4392914566","https://openalex.org/W4400766866","https://openalex.org/W4402557213","https://openalex.org/W4406464558","https://openalex.org/W4407941786","https://openalex.org/W4409261340","https://openalex.org/W4409430637","https://openalex.org/W4409986399","https://openalex.org/W4410607506","https://openalex.org/W4413832743","https://openalex.org/W4414341862","https://openalex.org/W7118536195"],"related_works":["https://openalex.org/W7135044281","https://openalex.org/W4389934318","https://openalex.org/W4386940277","https://openalex.org/W4220817813","https://openalex.org/W6992810357","https://openalex.org/W4415126145","https://openalex.org/W7217773978","https://openalex.org/W6958037708","https://openalex.org/W4200164100","https://openalex.org/W6893428861"],"abstract_inverted_index":{"Objetivo:":[0],"descrever":[1],"o":[2,113],"perfil":[3],"epidemiol\u00f3gico,":[4],"microbiol\u00f3gico":[5],"e":[6,35,49,55,71,122,141],"os":[7,136],"desfechos":[8],"cl\u00ednicos":[9],"de":[10,17,51,95,97,125,131,143,146,156],"pacientes":[11,43,79],"infectados":[12],"por":[13],"bact\u00e9rias":[14,144],"gram-negativas":[15],"produtoras":[16,145],"metalo-\u03b2-lactamases":[18],"(MBL)":[19],"ou":[20],"dupla":[21],"carbapenemase":[22],"no":[23,73,148],"Hospital":[24],"Universit\u00e1rio":[25],"Walter":[26],"Cant\u00eddio":[27],"(HUWC/UFC),":[28],"Fortaleza-CE,":[29],"em":[30],"2025.":[31,52,66],"M\u00e9todos:":[32],"estudo":[33],"descritivo":[34],"retrospectivo,":[36],"aprovado":[37],"pelo":[38,59],"CEP":[39],"(protocolo":[40],"6.717.757).":[41],"Inclu\u00eddos":[42],"com":[44,61,81,93,150],"culturas":[45],"positivas":[46],"entre":[47,85],"janeiro":[48],"dezembro":[50],"Identifica\u00e7\u00e3o":[53],"microbiana":[54],"sensibilidade":[56],"antimicrobiana":[57],"realizadas":[58],"Vitek-2\u00ae,":[60],"interpreta\u00e7\u00e3o":[62],"pelos":[63],"crit\u00e9rios":[64],"BrCAST":[65],"Dados":[67],"coletados":[68],"via":[69],"REDCap":[70],"analisados":[72],"R":[74],"(v4.4.1).":[75],"Resultados:":[76],"identificados":[77],"43":[78],"\u00fanicos,":[80],"68":[82],"isolados":[83],"distribu\u00eddos":[84],"dez":[86],"esp\u00e9cies":[87],"bacterianas.":[88],"Predom\u00ednio":[89],"do":[90,117],"sexo":[91],"masculino,":[92],"mediana":[94],"idade":[96],"56":[98],"anos.":[99],"Klebsiella":[100],"pneumoniae":[101],"correspondeu":[102],"a":[103,154],"mais":[104,114],"da":[105],"metade":[106],"dos":[107],"isolados.":[108],"O":[109,129],"gene":[110],"NDM":[111],"foi":[112],"prevalente,":[115],"seguido":[116],"IMP.":[118],"Amostras":[119],"majoritariamente":[120],"hematog\u00eanicas":[121],"urin\u00e1rias,":[123],"oriundas":[124],"8":[126],"setores":[127],"hospitalares.":[128],"n\u00famero":[130],"\u00f3bitos":[132],"hospitalares":[133],"foi15.":[134],"Conclus\u00e3o:":[135],"achados":[137],"evidenciam":[138],"presen\u00e7a":[139],"ativa":[140],"diversificada":[142],"MBL":[147],"HUWC,":[149],"mortalidade":[151],"expressiva,":[152],"refor\u00e7ando":[153],"necessidade":[155],"vigil\u00e2ncia":[157],"microbiol\u00f3gica":[158],"sistem\u00e1tica.":[159]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-10-20T00:00:00"}
