ĐẶC ĐIỂM VI KHUẨN PHÂN LẬP, TÍNH KHÁNG KHÁNG SINH VÀ KẾT QUẢ ĐIỀU TRỊ TRÊN BỆNH NHÂN NHIỄM KHUẨN TẠI KHOA HỒI SỨC BỆNH VIỆN TÂM ANH 2022 – 2024

Abstract

Objective: Describe bacterial characteristics, antibiotic resistance and treatment results in infected patients at the Intensive Care Unit of Tam Anh General Hospital 2022 - 2024. Subjects and methods: cross-sectional descriptive study on 71 infected patients treated at the Intensive Care Department - Tam Anh General Hospital, Hanoi with positive culture results from April 2022 to April 2024. Results: 71 infected patients in the Intensive Care Department with positive culture results, the average age was 71,6 ±14,7; respiratory infections is the highest rate of 35.2%, septic shock rate is 49,3%, gram-negative bacteria mainly for 67.9%, 9,9% are infected with ≥ 2 bacteria. The highest rate of bacteria is E.Coli with 32,1%. E.Coli are also sensitive to carbapenem and amikacin and tend to be resistant to quinolones, S.Aureus is almost resistant to penicillin, and is sensitive to vancomycin, linezolide, and tigecycline. The rate of appropriate empiric antibiotic treatment was 64.8%. There is a relationship between treatment outcomes and appropriate initial antibiotic use. Conclusion: Infected patients in the Intensive Care Department are also severe, with the main proportion being gram-negative bacteria. Antibiotic sensitivity tends to decrease even with stock antibiotics. The choice of appropriate empiric antibiotics affects treatment outcomes.