{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,6]],"date-time":"2025-11-06T15:58:42Z","timestamp":1762444722700},"reference-count":18,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,10,11]]},"abstract":"<jats:p>Multidrug-resistant organism (MDRO) infections cause high morbidity and mortality, and high costs to patients and hospitals. The study aims were to determine the frequency of MDRO colonization and associated factors in patients with lower-extremity wounds with colonization. A cross-sectional study was designed during November 2015 to July 2016 in a tertiary care hospital in Lima, Peru. A wound swab was obtained for culture and susceptibility testing. MDRO colonization was defined if the culture grew with methicillin-resistant <jats:italic>Staphylococcus aureus<\/jats:italic>, vancomycin-resistant enterococci, and\/or extended spectrum beta-lactamase (ESBL) microorganisms. The frequency of MDRO wound colonization was 26.8% among the 97 patients enrolled. The most frequent MDRO obtained was ESBL-producing <jats:italic>Escherichia coli<\/jats:italic>, which was significantly more frequent in chronic wounds versus acute wounds (17.2% versus 0%, <jats:italic>P<\/jats:italic> &lt; 0.05). Infection control measures should be implemented when patients with chronic lower-extremity wounds are admitted.<\/jats:p>","DOI":"10.4269\/ajtmh.17-0235","type":"journal-article","created":{"date-parts":[[2017,10,12]],"date-time":"2017-10-12T06:03:13Z","timestamp":1507788193000},"page":"1045-1048","source":"Crossref","is-referenced-by-count":7,"title":["Multidrug-Resistant Microorganisms Colonizing Lower Extremity Wounds in Patients in a Tertiary Care Hospital, Lima, Peru"],"prefix":"10.4269","volume":"97","author":[{"given":"Rafael","family":"Mendo-Lopez","sequence":"first","affiliation":[{"name":"Instituto de Medicina Tropical Alexander von Humboldt, Universidad Peruana Cayetano Heredia, Lima, Peru;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luis","family":"Jasso","sequence":"additional","affiliation":[{"name":"Hospital Cayetano Heredia, Lima, Peru;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ximena","family":"Guevara","sequence":"additional","affiliation":[{"name":"Hospital Cayetano Heredia, Lima, Peru;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aurora Lizeth","family":"Astocondor","sequence":"additional","affiliation":[{"name":"Instituto de Medicina Tropical Alexander von Humboldt, Universidad Peruana Cayetano Heredia, Lima, Peru;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saul","family":"Alejos","sequence":"additional","affiliation":[{"name":"Instituto de Medicina Tropical Alexander von Humboldt, Universidad Peruana Cayetano Heredia, Lima, Peru;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana C.","family":"Bardossy","sequence":"additional","affiliation":[{"name":"Infectious Disease Division, Henry Ford Health System, Detroit, Michigan;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tyler","family":"Prentiss","sequence":"additional","affiliation":[{"name":"Infectious Disease Division, Henry Ford Health System, Detroit, Michigan;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcus J.","family":"Zervos","sequence":"additional","affiliation":[{"name":"Infectious Disease Division, Henry Ford Health System, Detroit, Michigan;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan","family":"Jacobs","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences, Institute of Tropical Medicine Antwerp, Antwerp, Belgium;"},{"name":"Department of Microbiology and Immunology, University of Leuven, Leuven, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Coralith","family":"Garc\u00eda","sequence":"additional","affiliation":[{"name":"Instituto de Medicina Tropical Alexander von Humboldt, Universidad Peruana Cayetano Heredia, 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