STATUS OF ANTIMICROBIAL RESISTANCE OF COMMON GRAM-NEGATIVE BACTERIA CAUSING WOUND INFECTIONS AT MILITARY HOSPITAL 103 IN 2022

Hạ Long Hải Lê, Văn An Nguyễn

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Abstract

Objective: Study the status of antimicrobial resistance of common Gram-negative bacteria causing wound infections at Military Hospital 103 in 2022. Subject and methods: This was a cross-sectional study exploring the antimicrobial characteristics of common Gram-negative bacteria causing wound infections at Military Hospital 103 in 2022. Results: The total number of pathogens causing diseases isolated from wounds in 2022 was 195. Of these, there were 73 (37.4%) common Gram-negative bacteria. Klebsiella pneumoniae (45.2%), Pseudomonas aeruginosa (21.9%), and Escherichia coli (12.3%) were the most predominant bacterial species. Most bacteria in the study were isolated from the Surgery departments (39.7%) and the intensive care unit (32.9%). The percentage of multidrug resistance strains was the highest for K. pneumoniae (51.7%), P. aeruginosa (12.1%), E. coli (12.1%), and Enterobacter cloacae (12.1%). Gram-negative bacteria were the most resistant to ampicillin (100%), cefotaxime (79.2%), ciprofloxacin (76.7%), amoxicillin/clavulanic acid (73.1%), and trimethoprim/sulfamethoxazole (72.7%) and the least resistant to amikacin (29.0%), ertapenem (0%), and colistin (0%). Conclusion: The common Gram-negative bacteria isolated from wound specimens have a high rate of antimicrobial resistance and multidrug resistance. It was a serious threat to public health, requiring strictly managing antibiotics use, strongly implementing infection control measures, and creating effective treatment regimens.

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References

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