加纳库马西医院分离的大肠杆菌抗生素耐药模式

ISRN Microbiology Pub Date : 2012-10-14 Print Date: 2012-01-01 DOI:10.5402/2012/658470
Duredoh Freeman George, Stephen Yao Gbedema, Christian Agyare, Francis Adu, Vivian Etsiapa Boamah, Adelaide Ama Tawiah, Sixtus Bieranye Bayaa Martin Saana
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引用次数: 31

摘要

院内感染是指患者在医院或保健服务中心接受治疗后获得的感染,并在短期住院期间出现症状。该研究旨在确定从加纳库马西Kumasi- south、Tafo和Suntreso医院分离的大肠杆菌的抗生素耐药性模式。2010年1月至6月期间从各医院共收集了600份拭子样本。采用形态学和生化方法对分离菌株进行鉴定。从医院共分离出97株大肠杆菌。在医院病房的床上大肠杆菌菌株数量最多(53.6%),其次是地板(20.6%),而排水最少(3.1%)。绝大多数大肠杆菌(90.7%)对氨苄西林耐药,中间敏感和敏感分别为6.2和3.1%。对复方新诺明的耐药率为78.4%,中、敏感率分别为9.3和12.4%。大肠杆菌对庆大霉素、环丙沙星和头孢曲松耐药(28.6% ~ 46.4%),对中间耐药(14.4% ~ 47.4%);大多数分离株(80.4%)表现为多药耐药。在这些医院中,必须遵守适当的个人卫生,使用有效的消毒剂,并妥善处理受污染/致病性物质,以控制院内感染。
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 Patterns of Escherichia coli Isolates from Hospitals in Kumasi, Ghana.

Antibiotic Resistance Patterns of Escherichia coli Isolates from Hospitals in Kumasi, Ghana.

Antibiotic Resistance Patterns of Escherichia coli Isolates from Hospitals in Kumasi, Ghana.

Nosocomial infections are infections acquired by a patient as a result of treatment in a hospital or healthcare service providing center and symptoms occurs within a short period of hospitalization. The study was to determine the antibiotic resistance patterns of Escherichia coli isolated from Kumasi-South, Tafo and Suntreso Hospitals, Kumasi, Ghana. Total of 600 swabs samples from the hospitals were collected between January and June, 2010. The isolates were identified using morphological and biochemical means. A total of 97 E. coli isolates were obtained from the hospitals. Beds in hospital wards had the highest number of E. coli strains (53.6%), followed by floors (20.6%) while drainages had the least isolates (3.1%). Majority of the E. coli isolates (90.7%) exhibited resistance to ampicillin while 6.2 and 3.1% showed intermediate and sensitive respectively. Co-trimoxazole, 78.4% of the isolates were resistant while 9.3 and 12.4% exhibited intermediate and sensitive responses respectively. E. coli isolates (28.6 to 46.4%) were resistant to gentamicin, ciprofloxacin and ceftriaxone while 14.4 to 47.4% gave intermediate responses. Most isolates (80.4%) exhibited multi-drug resistance. There is a need to observe proper personal hygiene, use of effective disinfectants and proper disposal of contaminated/pathogenic materials in these hospitals to control nosocomial infections.

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