肠杆菌科抗生素敏感性在印度三级保健中心

S. Mulla, J. Charan, Tanvi Panvala
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引用次数: 16

摘要

目的和目标:据观察,各种微生物正在对大多数现有的强效抗生素产生耐药性;因此,每家医院都有必要根据该特定医院或地理区域的抗生素敏感性模式跟踪抗生素的使用情况。据报道,肠杆菌科微生物群越来越多地获得对许多抗生素的耐药性,这种耐药性在地理上有所不同。由于缺乏有关印度医院的最新数据,本研究旨在建立肠杆菌科微生物组对各种抗生素的敏感性模式。材料与方法:2010年12月至2011年4月不同肠杆菌科抗生素敏感性数据取自苏拉特政府医学院微生物学系。不同肠杆菌科的敏感性采用描述性统计。结果:大肠杆菌(55.6%)和克雷伯氏菌(31.2%)是最常见的分离菌。肠杆菌科对阿莫西林+克拉维酸(13.7%)、氯霉素(7.6%)、头孢哌酮(14.4%)、头孢克肟(15.7%)和头孢呋辛(17.6%)的敏感性极低。对氨曲南的敏感性为32.7%。本研究纳入的碳青霉烯类药物,即美罗培南的敏感性为69.8%。头孢他啶的敏感性最高(74.1%)。大肠杆菌对美罗培南比克雷伯菌更敏感。结论:肠杆菌科微生物对已知抗生素的敏感性呈下降趋势。碳青霉烯类抗生素敏感性降低是一个值得关注的问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Antibiotic sensitivity of Enterobacteriaceae at a tertiary care center in India
Aims and Objectives: It has been observed that various microorganisms are acquiring resistance to most of the available potent antibiotics; hence, there is a need for every hospital to follow the use of antibiotics according to antibiotic sensitivity pattern in that particular hospital or geographical area. It has been reported that Enterobacteriaceae group of microorganisms are increasingly acquiring resistance to many antibiotics and this resistance varies geographically. As there is a short of recent data with respect to Indian hospital, this particular study was designed with the aim of establishing sensitivity pattern of Enterobacteriaceae group of microorganisms to various antibiotics. Materials and Methods: Data of antibiotic sensitivity from December 2010 to April 2011 of different Enterobacteriaceae was taken from the Department of Microbiology, Govt. Medical College, Surat. Sensitivity of different Enterobacteriaceae was shown as using descriptive statistics. Results: E. coli (55.6%) and Klebsiella (31.2%) were the most frequent bacteria isolated. Enterobacteriaceae were very less sensitive to amoxicillin + clavulanic acid (13.7%), chloramphenicol (7.6%), cefoperazone (14.4%), cefixime (15.7%), and cefuroxime (17.6). Sensitivity to aztreonam was 32.7%. Sensitivity to carbapenem group of drugs included in this study, i.e., meropenem was 69.8%. Highest sensitivity was shown for ceftazidime (74.1%). E. coli is more sensitive to meropenem as compared with Klebsiella . Conclusion: Sensitivity of Enterobacteriaceae group of microorganisms to known antibiotics is decreasing. Decreased sensitivity to carbapenem group of antibiotics is a matter of concern.
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