Surveillance of antimicrobial susceptibility of Enterobacteriaceae pathogens isolated from intensive care units and surgical units in Russia.

The Japanese journal of antibiotics Pub Date : 2016-02-01
Irina Partina, Olga Kalinogorskaya, Satoshi Kojima, Vladimir Gostev, Marina Volkova, Vladimir Ageevets, Yuri Lobzin, Sergey Sidorenko
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Abstract

A total of 473 strains of Enterobacteriaceae, including Escherichia coli, Klebsiella spp., Proteus spp., Citrobacter spp., Enterobacter spp., Serratia spp. and Providencia spp., were isolated from patients admitted to intensive care units and surgical units in Russia. About 90% of the isolates carried factors resistant to beta-lactams. The isolation rates of the extended-spectrum beta-lactamase (ESBL) producer defined in this study among E. coli, Klebsiella spp. and Proteus spp. were 45%, 48% and 17%, respectively. In the settings with high prevalence of the ESBL producer, flomoxef, which belongs to the oxacephem subgroup, and carbapenems retain their activity. The MIC₅₀ of flomoxef, meropenem and imipenem against total isolates were 1 µg/mL, ≤ 0.063 µg/mL and 0.25 µg/mL, respectively. Fifty-five carbapenem-resistant strains were isolated in this study. The carbapenem resistant rates of E. coli, Klebsiella spp. and Proteus spp. were 3%, 16% and 29%, respectively

俄罗斯重症监护病房和外科病房分离肠杆菌科病原菌的抗菌药物敏感性监测。
从俄罗斯重症监护病房和外科病房收治的患者中共分离出473株肠杆菌科细菌,包括大肠杆菌、克雷伯氏菌、变形杆菌、Citrobacter spp、肠杆菌spp、沙雷氏菌spp和普罗维登西亚spp。大约90%的分离株携带对β -内酰胺耐药的因子。本研究确定的广谱β -内酰胺酶(ESBL)产生菌在大肠杆菌、克雷伯氏菌和变形杆菌中的分离率分别为45%、48%和17%。在ESBL生产者高流行的环境中,氟莫西弗(属于奥沙西芬亚群)和碳青霉烯类保持其活性。氟莫昔夫、美罗培南和亚胺培南对总分离物的MIC₅0分别为1µg/mL、≤0.063µg/mL和0.25µg/mL。本研究共分离到55株碳青霉烯耐药菌株。大肠杆菌、克雷伯氏菌和变形杆菌的碳青霉烯耐药率分别为3%、16%和29%
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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