德拉敦某三级医院NFGNB分离株流行率及抗生素谱评估

Juhi Chaudhary, Dimple Raina, Pallavi Rawat, Vidya Chauhan, N. Chauhan
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引用次数: 0

摘要

非发酵革兰氏阴性杆菌(NFGNB)正成为医院感染的主要原因,因为它们表现出很强的多药耐药性,从而给防治感染带来了困难。由于NFGNB的优势和药敏模式很可能存在地区差异,因此有必要对NFGNB的患病率和抗生素谱进行评估,以便对其引起的感染进行适当的管理。本研究的目的是评估三级医院不同年龄组患者中NFGNB的患病率以及抗菌药物的敏感性和耐药模式。在2020年8月- 2020年11月4个月的时间里,实验室共收到1000份各种临床标本,使用vitek -2紧凑型系统进行处理。在1000份临床样本中,328份检测出NFGNB,分别为铜绿假单胞菌、鲍曼不动杆菌、氧化木色无色杆菌、嗜麦芽窄养单胞菌和苦柏氏杆菌。铜绿假单胞菌(51.82%)和鲍曼不动杆菌(39.63%)是NFGNB的主要分离菌。结果表明,虽然NFGNB对大多数抗生素都有耐药性,但对粘菌素也有相当强的有效性。早期诊断需要使用Vitek 2对NFGNB进行准确、快速的鉴定和药敏试验,对患者进行适当的治疗和管理将减少NFGNB耐多药菌株的出现。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Assessment of Prevalence and Antibiogram of NFGNB isolates in a Tertiary care Hospital, Dehradun
Non-fermenting Gram Negative Bacilli (NFGNB) is emerging as a major cause of nosocomial infections as they exhibit great multidrug resistance thereby posing difficulty in combating the infections. Studies on assessing the prevalence rate and antibiogram of NFGNB is necessary for proper management of infections caused by them as there are high chances of regional variation in predominance and antimicrobial susceptibility pattern of NFGNB. Aim of the present study was to assess the prevalence rate of NFGNB along with antimicrobial sensitivity pattern revealing their drug sensitivity and resistance among the patients attending tertiary care hospital of varied age groups. A total of 1000 various clinical specimens were received in laboratory during the period of 4 months (August 2020-Novemebr 2020) and were subjected to processing using Vitek-2 compact system. Among 1000 clinical samples 328 yielded NFGNB i.e., Pseudomonas aeruginosa, Acinetobacter baumannii, Achromobacter Xylosoxidans, Stenotrophomonas maltophilia and Burkholderia cepcia. Pseudomonas aeruginosa (51.82%) and Acinetobacter baumannii (39.63%) were most prominent NFGNB isolates. Results showed that although NFGNB were found to be resistant against most of the subjected antibiotics but considerable intensity of effectiveness was also recorded against Colistin. Accurate, rapid identification and antimicrobial susceptibility testing of NFGNB by Vitek 2, is required in early diagnosis, treatment and proper management of patients will reduce emergence of MDR strains of NFGNB.
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