title: [Antibiotic multiresistance in critical care units].
abstract: The presence of microorganisms with acquired resistance to multiple antibiotics complicates the management and outcome of critically ill patients. The intensivist, in his/her daily activity, is responsible for the prevention and control of the multiresistance and the challenge of prescribing the appropriate treatment in case of an infection by these microorganisms. We have reviewed the literature regarding the definition, important concepts related to transmission, recommendations on general measures of control in the units and treatment options. We also present data on the situation in our country known primarily through the ENVIN-UCI register. Addressing the multiresistance not only requires training but also teamwork with other specialists and adaptation to the local environment.
authors.affiliation: Servicio de Medicina Intensiva, Complejo asistencial de Burgos, Burgos, España. mjlp@hgy.es
authors.forename: M J
authors.initials: MJ
authors.lastname: López-Pueyo
authors.forename: F
authors.initials: F
authors.lastname: Barcenilla-Gaite
authors.forename: R
authors.initials: R
authors.lastname: Amaya-Villar
authors.forename: J
authors.initials: J
authors.lastname: Garnacho-Montero
mesh_terms: D000151:Acinetobacter Infections / Q000188:drug therapy; D040981:Acinetobacter baumannii; D003422:Critical Care; D024901:Drug Resistance, Multiple, Bacterial; D016905:Gram-Negative Bacterial Infections / Q000188:drug therapy; D006801:Humans; D007362:Intensive Care Units; D017410:Practice Guidelines as Topic; D011552:Pseudomonas Infections / Q000188:drug therapy; D011550:Pseudomonas aeruginosa