Current Status of Bacterial Resistance in Obstetric Patients in a Third Level Center

C. M. Sepúlveda-Rivera, A. Ruiz-Beltran, Jessica Aidee Mora-Galvan, M. Ramírez, Mayela Berenice Gomez-Jaime, G. Villeda-Gabriel
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Abstract

Background: The aim of the study was to know the range of bacterial resistance in pathogens of epidemiological importance isolated from urine samples, secretion of surgical wound and blood culture in the Instituto Nacional de Perinatologia. Methods: In this retrospective study, we reviewed all the antibiograms obtained from isolates of microorganisms from: urine, surgical wound secretion and blood culture of obstetric patients (pregnancy and puerperium) in the period from January 2016 to June 2019 at the Instituto Nacional de Perinatologia. Results: A total of 3,322 microorganisms were isolated, 2,882 from urine sample, 270 from surgical wound secretion and 170 from blood cultures. The most frequent microorganism isolated was Escherichia coli (2,223 isolates), 2,042 from urine samples, 98 from surgical wound secretion and 83 from blood cultures. Conclusions: The use of the results of antimicrobial susceptibility of the isolated microorganisms allowed producing record from 2 years of pharmacological resistance for most of the species of epidemiological importance. Same results will allow initiating an empirical management under a sustenance of scientific evidence. J Clin Gynecol Obstet. 2019;8(4):103-106 doi: https://doi.org/10.14740/jcgo599
某三级中心产科患者细菌耐药性现状
背景:本研究的目的是了解国家围产期研究所从尿样、手术伤口分泌物和血液培养中分离出的具有流行病学意义的病原体的细菌耐药性范围。方法:在这项回顾性研究中,我们回顾了2016年1月至2019年6月在国家围产期研究所从产科患者(妊娠期和产褥期)的尿液、手术伤口分泌物和血液培养中分离的微生物中获得的所有抗体谱。结果:共分离到3322种微生物,其中2882种来自尿液,270种来自手术伤口分泌物,170种来自血液培养。最常见的微生物是大肠杆菌(2223个分离株),2042个来自尿液样本,98个来自手术伤口分泌物,83个来自血液培养物。结论:使用分离微生物的抗菌药物敏感性结果,可以对大多数具有流行病学重要性的物种产生2年的耐药性记录。同样的结果将允许在科学证据的支持下启动实证管理。《临床妇科产科杂志》。2019年;8(4):103-106 doi:https://doi.org/10.14740/jcgo599
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