ANTIBIOTIC RESISTANCE CHARACTERISTICS OF COMMON PATHOGENOUS BACTERIA AT NINH THUAN PROVINCIAL GENERAL HOSPITAL 2024

Dung Do Thuy, Thach Le Huy, Truong Van Truong, Van Thanh Le

Main Article Content

Abstract

Objectives: Determine the rate of culture-positive bacteria from clinical specimens, investigate distribution of common pathogenous bacteria and its antibiotic resistance.
Subjects and methods: A cross-sectional study, data of pathogenic bacteria and antibiogram results were collected at Ninh Thuan province general hospital from January to October 2020.
Results and conclusions: A total of 1664 different patient samples were indicated for culture and 273 samples showed positive results, accounting for an overall rate of 16.4%. The number of Gram-negative bacteria isolated is significantly higher than that of Gram-positive bacteria. In the group of Gram-negative bacteria, common is the E. coli (36.1%), Klebsiella spp. (22.7%), Acinetobacter spp. (18.1%). In the group of Gram-positive bacteria, S. aureus is the dominant (77.1%). The rate of carbapenem-resistant Enterobacteriaceae (imipenem and meropenem) in E. coli ranges from 2.7 - 3.2%. Klebsiella spp. 34.6 - 44.7%. Proteus spp. 13 - 14.3%. Acinetobacter spp. and P. aeruginosa are resistant to imipenem at rates of 68.3% and 50%, respectively. The MRSA rate of this study is 92.0%, no strains of S. aureus resistant to vancomycin, linezolid and teicoplanin were detected. Carbapenem-resistant Gram-negative bacteria are
increasingly prevalent, requiring further in-depth research to elucidate the molecular mechanisms of this resistance.

Article Details

References

1. Naghavi M, Vollset SE, Ikuta KS, et al. Global burden of bacterial antimicrobial resistance 1990-2021: a systematic analysis with forecasts to 2050. The Lancet. 2024;404(10459):1199-1226.
2. Nelson RE, Hatfield KM, Wolford H, et al. National estimates of healthcare costs associated with multidrug-resistant bacterial infections among hospitalized patients in the United States. Clinical Infectious Diseases. 2021;72(1):S17-S26.
3. Jonas OBIA, Irwin A, Berthe FCJ, et al. Drug-resistant infections: a threat to our economic future (vol 2): final report (English). HNP/Agriculture Global Antimicrobial Resistance Initiative Washington, DC: World Bank Group. 2023.
4. Bộ Y tế. Báo cáo giám sát kháng kháng sinh tại Việt Nam 2020, Hà Nội 2023.
5. Cao Minh Nga, Nguyễn Ngọc Lân và Nguyễn Thanh Bảo. Sự đề kháng kháng sinh của các vi khuẩn gây bệnh thường gặp tại Bệnh viện Đại học Y Dược TP. Hồ Chí Minh. Tạp chí Y học TP. Hồ Chí Minh. 2012;16(1):215-220
6. Alnami AY, Aljasser AA, Almousa RM, et al. Rate of blood culture contamination in a teaching hospital: A single center study. Journal of Taibah University Medical Sciences. 2015;10(4):432-436.
7. Khanam RA, Islam MR, Sharif A, et al. Bacteriological Profiles of Pus with Antimicrobial Sensitivity Pattern at a Teaching Hospital in Dhaka City. Bangladesh Journal of Infectious Diseases. 2018;5(1):10-14.
8. Huang WY, Lee MS, Lin LM, et al. Diagnostic performance of the Sputum Gram Stain in predicting sputum culture results for critically ill pediatric patients with pneumonia. Pediatrics & Neonatology. 2020;61(4):420-425.
9. Quế Anh Trâm và Ngô Thị Phương Oanh. Nghiên cứu đặc điểm kháng kháng sinh của các vi khuẩn Gram âm gây nhiễm khuẩn huyết thường gặp tại Bệnh viện Hữu Nghị đa khoa Nghệ An năm 2022. Tạp chí Y học Việt Nam. 2023;530(1):302-306.
10. Mai Nguyệt Thu Huyền, Nguyễn Đình Duy và Nguyễn Hữu Lân. Các vi khuẩn thường gặp và tính đề kháng kháng sinh của chúng tại bệnh viện Phạm Ngọc Thạch từ 11/2016 - 11/2017. Tạp chí Y học TP. Hồ Chí Minh. 2018;22(5):196-200.