Título: | USE OF DATA ANALYTICS TO REDUCE THE BURDEN OF MULTIDRUG-RESISTANT BACTERIA | ||||||||||||
Autor: |
BIANCA BRANDAO DE PAULA ANTUNES |
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Colaborador(es): |
SILVIO HAMACHER - Orientador FERNANDO AUGUSTO BOZZA - Coorientador |
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Catalogação: | 11/NOV/2024 | Língua(s): | ENGLISH - UNITED STATES |
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Tipo: | TEXT | Subtipo: | THESIS | ||||||||||
Notas: |
[pt] Todos os dados constantes dos documentos são de inteira responsabilidade de seus autores. Os dados utilizados nas descrições dos documentos estão em conformidade com os sistemas da administração da PUC-Rio. [en] All data contained in the documents are the sole responsibility of the authors. The data used in the descriptions of the documents are in conformity with the systems of the administration of PUC-Rio. |
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Referência(s): |
[pt] https://www.maxwell.vrac.puc-rio.br/projetosEspeciais/ETDs/consultas/conteudo.php?strSecao=resultado&nrSeq=68595&idi=1 [en] https://www.maxwell.vrac.puc-rio.br/projetosEspeciais/ETDs/consultas/conteudo.php?strSecao=resultado&nrSeq=68595&idi=2 |
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DOI: | https://doi.org/10.17771/PUCRio.acad.68595 | ||||||||||||
Resumo: | |||||||||||||
The World Health Organization has declared that antimicrobial resistance is one of
the top 10 global public health threats facing humanity. Among the factors that
cause the dissemination of multidrug-resistant bacteria is the overuse of
antimicrobials in hospitals. This thesis is based on the premise that it is necessary
to use historical data to improve antimicrobial prescription and thus reduce the
burden of antimicrobial resistance in hospital settings. Its specific goals include
analyzing data to provide information that can support antimicrobial prescription,
thus avoiding antimicrobial resistance rates remaining high after the COVID-19
pandemic and preventing future similar protocol breakdowns. It also investigates
the differences in outcomes between presenting resistant vs. non-resistant bacteria
in community-acquired infections. To achieve these objectives, the methods include
data analysis tools such as descriptive and inferential statistics, Logistic Regression,
Process Mining, and Text Mining. The data includes information on patients
admitted to Intensive Care Units in hospitals from a private network located in Rio
de Janeiro, Brazil. The thesis comprises three articles and describes a CDSS
developed to support antimicrobial prescription in hospitals. The thesis s findings
revealed a significant increase in antimicrobial consumption and high variability in
treatments for COVID-19 patients. Specifically, meropenem, a carbapenem-class
antimicrobial, presented the highest adjusted number of doses prescribed for
COVID-19 patients in the analyzed hospitals. The escalation in carbapenem
prescription probably explains the observed increase in carbapenem resistance
during the COVID-19 surge. In the post-surge, the carbapenem resistance rate
decreased, following the decrease pattern we found in carbapenem consumption
after the first months of the pandemic. Even though there was a decrease in
carbapenem resistance, the post-surge levels remained higher than before the surge.
Besides, this thesis did not find an association between presenting with
antimicrobial-resistant bacteria and higher chances of hospital mortality or sepsis
in patients with community-acquired infections.
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