XXXVIII Congreso de la semFYC – Barcelona

del 10 al 12 de mayo de 2018

Comunicaciones: Resultados de investigación

Prevalencia de SARM y SARM-CC398 en centros de Atención Primaria en una zona con alta densidad de ganado porcino (Póster)

OBJETIVOS

Analizar la prevalencia de la colonización por S. aureus, SARM y SARM-CC398. Valorar su impacto y analizar las características microbiológicas y los fenotipos de resistencias en SARM y SARM-CC398. 


MATERIAL Y MÉTODOS

Se realizó un estudio prospectivo observacional, entre mayo y septiembre de 2017 en 9 centros de atención primaria (CAPs) de Osona. El estudio fue aprobado por el comité de ética del hospital del Hospital Universitari de Vic (HUV). Se realizó un análisis epidemiológico de las personas que acudían al CAP y aceptaban participar (edad, sexo, contacto con granjas, contacto con hospital, comorbilidades etc.) Se procedió a la realización de un frotis nasal por cada persona. Las muestras fueron enviadas al servicio de Microbiología del HUV para su identificación y fenotipo de resistencia. El análisis molecular (MLST y Spa type) fue realizado a las cepas SARM-TetR.

La limitación del estudio está centrada en que no se realizó en todos los CAPs de Osona, lo que sugiere que la prevalencia podría ser mayor si en un futuro se incluyen al resto de CAPs.


RESULTADOS

De un total de 392 personas, fueron positivas para S. aureus 84 (21,4%), 4 casos de SARM (1%) siendo 2 de ellos SARM-tetR (50%).

Cepa Edad Sexo Contacto Comorbili SARM MLST / Fenotipo de
granjas dades Spa type resistencia
de cerdos antimicrobiana

10 70 hombre no no TetR CC398/t011 TET,GEN
63 33 mujer no no TetS GEN,CIP,TMX,LEV
202 18 hombre no no TetS TMX
232 42 mujer no no TetR CC398/t011 TET,TMX

Comunicaciones y ponencias semFYC: 2025; Comunicaciones: Resultados de investigación. ISSN: 2339-9333

Autores

Álvarez Guzmán, Gustavo Adolfo
CAP Manlleu. Manlleu. Barcelona

© 2014-2025 Sociedad Española de Medicina de Familia y Comunitaria
Diputació, 320 - 08009 Barcelona
Tel. 93.317.03.33 | semfyc@semfyc.es
Facebook Twitter Youtube News

Aviso legal
MessagesTimelineExceptionsViews4RouteQueries7Models21MailsAuthGateSessionRequest
7.2.24PHP Version306msRequest Duration4MBMemory UsageGET comunicacion/{slug}RouteAuth status
    • Booting (22.21ms)
    • Application (284ms)
    • 1 x Application (92.7%)
      283.85ms
      1 x Booting (7.25%)
      22.21ms
      4 templates were rendered
      • comunicacion (resources/views/comunicacion.blade.php)2blade
        Params
        0
        comunicacion
        1
        page
      • partials.jumbotron-mini (resources/views/partials/jumbotron-mini.blade.php)7blade
        Params
        0
        obLevel
        1
        __env
        2
        app
        3
        errors
        4
        comunicacion
        5
        page
        6
        congreso
      • layouts.app (resources/views/layouts/app.blade.php)9blade
        Params
        0
        obLevel
        1
        __env
        2
        app
        3
        errors
        4
        comunicacion
        5
        page
        6
        __currentLoopData
        7
        a
        8
        loop
      • partials.search (resources/views/partials/search.blade.php)9blade
        Params
        0
        obLevel
        1
        __env
        2
        app
        3
        errors
        4
        comunicacion
        5
        page
        6
        __currentLoopData
        7
        a
        8
        loop
      uri
      GET comunicacion/{slug}
      middleware
      web
      controller
      App\Http\Controllers\ComunicacionesController@one
      namespace
      App\Http\Controllers
      prefix
      where
      file
      app/Http/Controllers/ComunicacionesController.php:14-32
      7 statements were executed263ms
      preview_laravel_comunicaciones
      • select * from `comunicaciones` where `slug` = 'prevalencia-de-sarm-y-sarm-cc398-en-centros-de-atencion-primaria-en-una-zona-con-alta-densidad-de-ganado-porcino-poster' and `estado` = 1 limit 1115ms/app/Http/Controllers/ComunicacionesController.php:24preview_laravel_comunicaciones
        Metadata
        Bindings
        • 0. prevalencia-de-sarm-y-sarm-cc398-en-centros-de-atencion-primaria-en-una-zona-con-alta-densidad-de-ganado-porcino-poster
        • 1. 1
        Hints
        • Use SELECT * only if you need all columns from table
        • LIMIT without ORDER BY causes non-deterministic results, depending on the query execution plan
        Backtrace
        • 13. /app/Http/Controllers/ComunicacionesController.php:24
        • 16. /vendor/laravel/framework/src/Illuminate/Routing/ControllerDispatcher.php:45
        • 17. /vendor/laravel/framework/src/Illuminate/Routing/Route.php:212
        • 18. /vendor/laravel/framework/src/Illuminate/Routing/Route.php:169
        • 19. /vendor/laravel/framework/src/Illuminate/Routing/Router.php:658
      • select * from `autor_comunicacion` where `autor_comunicacion`.`comunicacion_id` in (17308) order by `orden` asc144ms/app/Http/Controllers/ComunicacionesController.php:24preview_laravel_comunicaciones
        Metadata
        Bindings
        • 0. 17308
        Hints
        • Use SELECT * only if you need all columns from table
        Backtrace
        • 18. /app/Http/Controllers/ComunicacionesController.php:24
        • 21. /vendor/laravel/framework/src/Illuminate/Routing/ControllerDispatcher.php:45
        • 22. /vendor/laravel/framework/src/Illuminate/Routing/Route.php:212
        • 23. /vendor/laravel/framework/src/Illuminate/Routing/Route.php:169
        • 24. /vendor/laravel/framework/src/Illuminate/Routing/Router.php:658
      • select * from `autores` where `autores`.`id` in (11604)820μs/app/Http/Controllers/ComunicacionesController.php:24preview_laravel_comunicaciones
        Metadata
        Bindings
        • 0. 11604
        Hints
        • Use SELECT * only if you need all columns from table
        Backtrace
        • 23. /app/Http/Controllers/ComunicacionesController.php:24
        • 26. /vendor/laravel/framework/src/Illuminate/Routing/ControllerDispatcher.php:45
        • 27. /vendor/laravel/framework/src/Illuminate/Routing/Route.php:212
        • 28. /vendor/laravel/framework/src/Illuminate/Routing/Route.php:169
        • 29. /vendor/laravel/framework/src/Illuminate/Routing/Router.php:658
      • select * from `congresos` where `congresos`.`id` = 11 limit 1790μsview::comunicacion:3preview_laravel_comunicaciones
        Metadata
        Bindings
        • 0. 11
        Hints
        • Use SELECT * only if you need all columns from table
        • LIMIT without ORDER BY causes non-deterministic results, depending on the query execution plan
        Backtrace
        • 18. view::comunicacion:3
        • 20. /vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:59
        • 21. /vendor/laravel/framework/src/Illuminate/View/View.php:137
        • 22. /vendor/laravel/framework/src/Illuminate/View/View.php:120
        • 23. /vendor/laravel/framework/src/Illuminate/View/View.php:85
      • select * from `imagenes` where `imagenes`.`id` = 15 limit 1630μs/app/Congreso.php:42preview_laravel_comunicaciones
        Metadata
        Bindings
        • 0. 15
        Hints
        • Use SELECT * only if you need all columns from table
        • LIMIT without ORDER BY causes non-deterministic results, depending on the query execution plan
        Backtrace
        • 18. /app/Congreso.php:42
        • 19. view::partials.jumbotron-mini:5
        • 21. /vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:59
        • 22. /vendor/laravel/framework/src/Illuminate/View/View.php:137
        • 23. /vendor/laravel/framework/src/Illuminate/View/View.php:120
      • select * from `secciones` where `secciones`.`id` = 3 limit 1530μsview::comunicacion:8preview_laravel_comunicaciones
        Metadata
        Bindings
        • 0. 3
        Hints
        • Use SELECT * only if you need all columns from table
        • LIMIT without ORDER BY causes non-deterministic results, depending on the query execution plan
        Backtrace
        • 18. view::comunicacion:8
        • 20. /vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:59
        • 21. /vendor/laravel/framework/src/Illuminate/View/View.php:137
        • 22. /vendor/laravel/framework/src/Illuminate/View/View.php:120
        • 23. /vendor/laravel/framework/src/Illuminate/View/View.php:85
      • select * from `secciones` where `mostrar` = 1 order by `orden` asc730μs/app/Seccion.php:21preview_laravel_comunicaciones
        Metadata
        Bindings
        • 0. 1
        Hints
        • Use SELECT * only if you need all columns from table
        Backtrace
        • 12. /app/Seccion.php:21
        • 13. view::partials.search:30
        • 15. /vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:59
        • 16. /vendor/laravel/framework/src/Illuminate/View/View.php:137
        • 17. /vendor/laravel/framework/src/Illuminate/View/View.php:120
      App\Seccion
      16
      App\Imagen
      1
      App\Congreso
      1
      App\Autor
      1
      App\AutorComunicacion
      1
      App\Comunicacion
      1
        web
        null
        api
        null
          _token
          p9aUndkWU2G9dAjL7MSDcOCIqpIPbbRVYgwCDtvH
          _previous
          array:1 [ "url" => "https://preview.comunicacionescongresosemfyc.com/comunicacion/prevalencia-de-s...
          PHPDEBUGBAR_STACK_DATA
          []
          path_info
          /comunicacion/prevalencia-de-sarm-y-sarm-cc398-en-centros-de-atencion-primaria-en-una-zona-con-alta-densidad-de-ganado-porcino-poster
          status_code
          200
          status_text
          OK
          format
          html
          content_type
          text/html; charset=UTF-8
          request_query
          []
          request_request
          []
          request_headers
            0 of 0   
          array:15 [▶
  "host" => array:1 [▶
    0 => "preview.comunicacionescongresosemfyc.com"
  ]
  "connection" => array:1 [▶
    0 => "keep-alive"
  ]
  "pragma" => array:1 [▶
    0 => "no-cache"
  ]
  "cache-control" => array:1 [▶
    0 => "no-cache"
  ]
  "sec-ch-ua" => array:1 [▶
    0 => ""HeadlessChrome";v="129", "Not=A?Brand";v="8", "Chromium";v="129""
  ]
  "sec-ch-ua-mobile" => array:1 [▶
    0 => "?0"
  ]
  "sec-ch-ua-platform" => array:1 [▶
    0 => ""Windows""
  ]
  "upgrade-insecure-requests" => array:1 [▶
    0 => "1"
  ]
  "user-agent" => array:1 [▶
    0 => "Mozilla/5.0 AppleWebKit/537.36 (KHTML, like Gecko; compatible; ClaudeBot/1.0; +claudebot@anthropic.com)"
  ]
  "accept" => array:1 [▶
    0 => "text/html,application/xhtml+xml,application/xml;q=0.9,image/avif,image/webp,image/apng,*/*;q=0.8,application/signed-exchange;v=b3;q=0.7"
  ]
  "sec-fetch-site" => array:1 [▶
    0 => "none"
  ]
  "sec-fetch-mode" => array:1 [▶
    0 => "navigate"
  ]
  "sec-fetch-user" => array:1 [▶
    0 => "?1"
  ]
  "sec-fetch-dest" => array:1 [▶
    0 => "document"
  ]
  "accept-encoding" => array:1 [▶
    0 => "gzip, deflate, br, zstd"
  ]
]
          request_server
            0 of 0   
          array:44 [▶
  "REDIRECT_HTTPS" => "on"
  "REDIRECT_SSL_TLS_SNI" => "preview.comunicacionescongresosemfyc.com"
  "REDIRECT_STATUS" => "200"
  "HTTPS" => "on"
  "SSL_TLS_SNI" => "preview.comunicacionescongresosemfyc.com"
  "HTTP_HOST" => "preview.comunicacionescongresosemfyc.com"
  "HTTP_CONNECTION" => "keep-alive"
  "HTTP_PRAGMA" => "no-cache"
  "HTTP_CACHE_CONTROL" => "no-cache"
  "HTTP_SEC_CH_UA" => ""HeadlessChrome";v="129", "Not=A?Brand";v="8", "Chromium";v="129""
  "HTTP_SEC_CH_UA_MOBILE" => "?0"
  "HTTP_SEC_CH_UA_PLATFORM" => ""Windows""
  "HTTP_UPGRADE_INSECURE_REQUESTS" => "1"
  "HTTP_USER_AGENT" => "Mozilla/5.0 AppleWebKit/537.36 (KHTML, like Gecko; compatible; ClaudeBot/1.0; +claudebot@anthropic.com)"
  "HTTP_ACCEPT" => "text/html,application/xhtml+xml,application/xml;q=0.9,image/avif,image/webp,image/apng,*/*;q=0.8,application/signed-exchange;v=b3;q=0.7"
  "HTTP_SEC_FETCH_SITE" => "none"
  "HTTP_SEC_FETCH_MODE" => "navigate"
  "HTTP_SEC_FETCH_USER" => "?1"
  "HTTP_SEC_FETCH_DEST" => "document"
  "HTTP_ACCEPT_ENCODING" => "gzip, deflate, br, zstd"
  "PATH" => "/usr/local/sbin:/usr/local/bin:/usr/sbin:/usr/bin:/sbin:/bin"
  "SERVER_SIGNATURE" => ""
  "SERVER_SOFTWARE" => "Apache"
  "SERVER_NAME" => "preview.comunicacionescongresosemfyc.com"
  "SERVER_ADDR" => "157.230.17.148"
  "SERVER_PORT" => "443"
  "REMOTE_ADDR" => "52.14.114.234"
  "DOCUMENT_ROOT" => "/var/www/preview_laravel_comunicaciones/public"
  "REQUEST_SCHEME" => "https"
  "CONTEXT_PREFIX" => ""
  "CONTEXT_DOCUMENT_ROOT" => "/var/www/preview_laravel_comunicaciones/public"
  "SERVER_ADMIN" => "devel@adncomunicacio.com"
  "SCRIPT_FILENAME" => "/var/www/preview_laravel_comunicaciones/public/index.php"
  "REMOTE_PORT" => "63202"
  "REDIRECT_URL" => "/comunicacion/prevalencia-de-sarm-y-sarm-cc398-en-centros-de-atencion-primaria-en-una-zona-con-alta-densidad-de-ganado-porcino-poster"
  "GATEWAY_INTERFACE" => "CGI/1.1"
  "SERVER_PROTOCOL" => "HTTP/1.1"
  "REQUEST_METHOD" => "GET"
  "QUERY_STRING" => ""
  "REQUEST_URI" => "/comunicacion/prevalencia-de-sarm-y-sarm-cc398-en-centros-de-atencion-primaria-en-una-zona-con-alta-densidad-de-ganado-porcino-poster"
  "SCRIPT_NAME" => "/index.php"
  "PHP_SELF" => "/index.php"
  "REQUEST_TIME_FLOAT" => 1742022707.807
  "REQUEST_TIME" => 1742022707
]
          request_cookies
          []
          response_headers
            0 of 0   
          array:5 [▶
  "cache-control" => array:1 [▶
    0 => "no-cache, private"
  ]
  "date" => array:1 [▶
    0 => "Sat, 15 Mar 2025 07:11:48 GMT"
  ]
  "content-type" => array:1 [▶
    0 => "text/html; charset=UTF-8"
  ]
  "set-cookie" => array:2 [▶
    0 => "XSRF-TOKEN=eyJpdiI6IjQ1NVwvV1VyN2l0NkRlXC9yZWg2ZDJ5Zz09IiwidmFsdWUiOiJsYVMzSlJwaXkzY0o5R0h2eEZ4UlVYeEhNc3dubERIYXN6SUVLcGhEQ0ttXC9Md3NTVEtUeGdubm9zY1RzUGUyWCIsIm1hYyI6ImRlZmE1ZWFkNjVjM2EzOTFkYjg0NDdhOWM2N2Q0MTIwMzJiMGQwNTcxMjdkZDU1MjU2MWE3Y2FkZTE2NTE0NmEifQ%3D%3D; expires=Sat, 15-Mar-2025 09:11:48 GMT; Max-Age=7200; path=/ ◀XSRF-TOKEN=eyJpdiI6IjQ1NVwvV1VyN2l0NkRlXC9yZWg2ZDJ5Zz09IiwidmFsdWUiOiJsYVMzSlJwaXkzY0o5R0h2eEZ4UlVYeEhNc3dubERIYXN6SUVLcGhEQ0ttXC9Md3NTVEtUeGdubm9zY1RzUGUyWCIsI ▶"
    1 => "laravel_session=eyJpdiI6ImRZSmN3S2dUbW9nQWc4VGxMVG1LaVE9PSIsInZhbHVlIjoicVhPQ3NicWhMRTVWZ1l6cXZUMVJmT1JZUmVVSGZlRFhvRGowU0FtUkZURzd3cWxIZXpSVWlFUjRKUERBVGNmQ0F0aVRJODh2UWtwS2doaUhVa2dBb1pwRlhIUHJpYjhCZkRoMUZqOE9QXC9SZURDUU1vMUVPRVliY2F2OHR3Mzh1IiwibWFjIjoiODA0OGFiNDYyMDRiZTcxYTJkNWViNDM2YzgwMDU1OWE4N2Y0NWUwYTA0YzRiMzEyNzBmYWZhY2UwMDEyMTA2MSJ9; expires=Sat, 15-Mar-2025 09:11:48 GMT; Max-Age=7200; path=/; httponly ◀laravel_session=eyJpdiI6ImRZSmN3S2dUbW9nQWc4VGxMVG1LaVE9PSIsInZhbHVlIjoicVhPQ3NicWhMRTVWZ1l6cXZUMVJmT1JZUmVVSGZlRFhvRGowU0FtUkZURzd3cWxIZXpSVWlFUjRKUERBVGNmQ0F0 ▶"
  ]
  "Set-Cookie" => array:2 [▶
    0 => "XSRF-TOKEN=eyJpdiI6IjQ1NVwvV1VyN2l0NkRlXC9yZWg2ZDJ5Zz09IiwidmFsdWUiOiJsYVMzSlJwaXkzY0o5R0h2eEZ4UlVYeEhNc3dubERIYXN6SUVLcGhEQ0ttXC9Md3NTVEtUeGdubm9zY1RzUGUyWCIsIm1hYyI6ImRlZmE1ZWFkNjVjM2EzOTFkYjg0NDdhOWM2N2Q0MTIwMzJiMGQwNTcxMjdkZDU1MjU2MWE3Y2FkZTE2NTE0NmEifQ%3D%3D; expires=Sat, 15-Mar-2025 09:11:48 GMT; path=/ ◀XSRF-TOKEN=eyJpdiI6IjQ1NVwvV1VyN2l0NkRlXC9yZWg2ZDJ5Zz09IiwidmFsdWUiOiJsYVMzSlJwaXkzY0o5R0h2eEZ4UlVYeEhNc3dubERIYXN6SUVLcGhEQ0ttXC9Md3NTVEtUeGdubm9zY1RzUGUyWCIsI ▶"
    1 => "laravel_session=eyJpdiI6ImRZSmN3S2dUbW9nQWc4VGxMVG1LaVE9PSIsInZhbHVlIjoicVhPQ3NicWhMRTVWZ1l6cXZUMVJmT1JZUmVVSGZlRFhvRGowU0FtUkZURzd3cWxIZXpSVWlFUjRKUERBVGNmQ0F0aVRJODh2UWtwS2doaUhVa2dBb1pwRlhIUHJpYjhCZkRoMUZqOE9QXC9SZURDUU1vMUVPRVliY2F2OHR3Mzh1IiwibWFjIjoiODA0OGFiNDYyMDRiZTcxYTJkNWViNDM2YzgwMDU1OWE4N2Y0NWUwYTA0YzRiMzEyNzBmYWZhY2UwMDEyMTA2MSJ9; expires=Sat, 15-Mar-2025 09:11:48 GMT; path=/; httponly ◀laravel_session=eyJpdiI6ImRZSmN3S2dUbW9nQWc4VGxMVG1LaVE9PSIsInZhbHVlIjoicVhPQ3NicWhMRTVWZ1l6cXZUMVJmT1JZUmVVSGZlRFhvRGowU0FtUkZURzd3cWxIZXpSVWlFUjRKUERBVGNmQ0F0 ▶"
  ]
]
          session_attributes
            0 of 0   
          array:3 [▶
  "_token" => "p9aUndkWU2G9dAjL7MSDcOCIqpIPbbRVYgwCDtvH"
  "_previous" => array:1 [▶
    "url" => "https://preview.comunicacionescongresosemfyc.com/comunicacion/prevalencia-de-sarm-y-sarm-cc398-en-centros-de-atencion-primaria-en-una-zona-con-alta-densidad-de-ganado-porcino-poster ◀https://preview.comunicacionescongresosemfyc.com/comunicacion/prevalencia-de-sarm-y-sarm-cc398-en-centros-de-atencion-primaria-en-una-zona-con-alta-densidad-de- ▶"
  ]
  "PHPDEBUGBAR_STACK_DATA" => []
]