巴基斯坦奎达Chaghi实验室近3年脓液样品细菌药敏模式评价

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摘要

抗生素耐药性在化脓性细菌中发展和传播是治疗化脓性疾病时不明智地使用抗生素的结果。据观察,巴基斯坦奎达的抗生素耐药性研究存在重大差距,因此难以制定趋势线和耐药性模式,从而有助于抗击与抗菌素耐药性上升有关的危险。本研究的目的是确定从脓液样本中获得的细菌分离株的抗生素敏感性模式。对2018年1月至2020年12月在奎达查吉实验室采集的常规脓液标本进行回顾性分析。共检查259份标本的抗生素敏感性,其中环丙沙星(85.7%)、头孢拉定(78.4%)、氧氟沙星(77.6%)和奥格门汀(56%)耐药比例最大。所有金黄色葡萄球菌对万古霉素敏感(100%),对氨苄西林耐药(98.6%),革兰氏阴性菌对亚胺培南和他唑巴坦敏感(97.9%),对氨苄西林耐药(98.6%)。革兰氏阴性菌株对抗生素的耐药性逐渐增加,金黄色葡萄球菌对抗生素的耐药性明显增加。金黄色葡萄球菌是脓液样本中最常见的细菌,其次是肺炎克雷伯菌、大肠杆菌和铜绿假单胞菌。我们的结论是,应避免过度使用抗生素,以防止出现耐药性。对抗生素敏感性模式的定期监测还有助于制定更好的治疗方案,通过认识到生物体中抗生素耐药性的真正负担并防止其传播,从而减少发病率和死亡率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluation of Antimicrobial Susceptibility Patterns of Bacteria in Pus Samples of Last Three Years at Chaghi Laboratory, Quetta, Pakistan
Antibiotic resistance develops and spreads among pyogenic bacteria as a result of injudicious antibiotic usage in the treatment of pyogenic illnesses. Significant gaps in research on antibiotic resistance in Quetta, Pakistan have been observed making it difficult to develop trendlines and resistance patterns that can contribute to fighting the dangers associated with the rise of antimicrobial resistance. The objective of this study was to determine the antibiotic susceptibility patterns of bacterial isolates obtained from pus samples. A retrospective analysis was carried on regular pus specimens collected at the Chaghi laboratory in Quetta from January 2018 to December, 2020. A total of 259 specimens were examined for antibiotic susceptibility patterns, with Ciprofloxacin (85.7 %), Cephradine (78.4 %), Ofloxacin (77.6 %), and Augmentin (56%) having the greatest proportion of resistance. All S. aureus strains were vancomycin-sensitive (100%) and Ampicillin-resistant (98.6%), while all gram-negative bacteria were sensitive to Imipenem (97.9%) and Tazobactam (90%) however resistant to Ampicillin (98.6%). A gradual increase in antibiotic resistance was observed among gram-negative isolates and a notable increase in resistance was observed by S. aureus. S. aureus was shown to be the most frequent bacteria in pus samples, followed by K. pneumoniae, E. coli, and P. aeruginosa. We concluded that antibiotic overuse should be avoided to prevent emerging resistance. Regular surveillance of antibiotic susceptibility patterns also aids in the development of improved treatment options for reducing morbidity and death by recognizing the real burden of antibiotic resistance in an organism and preventing its spread.
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