金黄色葡萄球菌引起的化脓性皮肤感染的抗生素耐药性及其相关因素

L. Rakotondraoelina, Z. Rakotovao-Ravahatra, S. S. Rafaramalala, A. L. Rakotovao, A. Rasamindrakotroka
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引用次数: 0

摘要

感染是由金黄色葡萄球菌和β溶血性链球菌引起的,主要是化脓性链球菌[1-2]。摘要背景:金黄色葡萄球菌引起的化脓性皮肤感染在医院很常见,并且经常是继发性细菌感染引起的。本研究的目的是评估抗生素耐药性,并描述与金黄色葡萄球菌化脓性皮肤感染相关的因素。方法:本研究对Befelatanana大学医院实验室在2021年1月至2022年6月的18个月期间进行的179例脓液细胞细菌学检查结果进行了描述性和横断面研究。结果:179例脓液细胞细菌学检查阳性131例,医院检出率为73.2%。其中46例(25.7%)为金黄色葡萄球菌分离株。相关因素方面,60岁及以上受试者占30% (p=0.32;NS),女性(32.8%)(p=0.11;内科住院患者(39.3%)(p= 0.02)以金黄色葡萄球菌化脓性皮肤感染最多。抗菌谱结果显示,金黄色葡萄球菌对青霉素G(97.8%)、多西环素(56.5%)和复方新诺明(41.3%)的耐药率最高。耐甲氧西林金黄色葡萄球菌罕见(4.3%),所有菌株对万古霉素敏感。结论
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Antibiotic Resistance and Associated Factors with Purulent Skin Infections Due to Staphylococcus Aureus
infections are due to Staphylococcus aureus and β-hemolytic streptococci, primarily Streptococcus pyogenes [1–2]. Staphylococcus aureus is the predominant pathogen identified in skin infection Abstract Background: Purulent skin infections due to Staphylococcus aureus are common in hospitals and are frequently due to secondary bacterial infections. The aims of this study were to evaluate antibiotic resistance and to describe the factors associated with Staphylococcus aureus purulent skin infections. Methods: This is a descriptive and cross-sectional study of 179 results of cytobacteriological examinations of pus over a period of 18 months, from January 2021 to June 2022, at the laboratory of the University Hospital of Befelatanana. Results: Among the 179 cytobacteriological examinations of pus, 131 cases were positive showing a hospital prevalence of 73.2%. Among the germs identified, 46 cases (25.7%) were represented by isolates of Staphylococcus aureus . Regarding the associated factors, subjects aged 60 and over (30%) (p=0.32; NS), women (32.8%) (p=0.11; NS) and patients hospitalized in Internal Medicine departments (39.3%)(p=0 .02) were the most affected by Staphylococcus aureus purulent skin infections. Concerning the results of the antibiograms, the resistances of the isolates of Staphylococcus aureus to Penicillin G (97.8%), to Doxycycline (56.5%) and to Cotrimoxazole (41.3%) were the highest. Methicillin-resistant Staphylococcus aureus isolates were rare (4.3%) and all isolates were susceptible to Vancomycin. Conclusion
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