ANTIMICROBIAL SUSCEPTIBILITY PATTERNS OF MORAXELLA CATARRHALIS ISOLATES AT TAM ANH GENERAL HOSPITAL IN 2023
Main Article Content
Abstract
Moraxella catarrhalis is an aerobic, gram-negative bacterium associated with respiratory tract infections. Its increasing resistance to commonly used antibiotics poses significant challenges to treatment. Methods: This cross-sectional study aimed to assess the distribution characteristics and antimicrobial susceptibility patterns of M. catarrhalis strains isolated at Tam Anh General Hospital in 2023. Results: Of 465 M. catarrhalis isolates, the highest distribution rate of M. catarrhalis was observed in children aged 1-4 years (82.8%), with a declining trend in older age groups. Most isolates were from male patients (58.9%), predominantly in the Pediatrics Department (99.4%). The strains exhibited the lowest susceptibility to azithromycin (36.3%) and cefuroxime (52.5%), while demonstrating the highest sensitivity to levofloxacin (99.7%). No resistance was detected to meropenem or amoxicillin-clavulanate among the isolates. Conclusions: M. catarrhalis primarily affects young children, with its prevalence decreasing from 5 years of age. The study highlights the importance of reasonable antibiotic use to mitigate the rise of antibiotic resistance. Meropenem, amoxicillin-clavulanate, and levofloxacin remain the most effective treatment options for M. catarrhalis infections.
Article Details
Keywords
: Moraxella catarrhalis, antimicrobial resistance, susceptibility, Tam Anh General Hospital.
References

2. Bộ Y tế, Quyết định 26/QĐ-BYT về việc "Hướng dẫn quy trình kỹ thuật chuyên ngành vi sinh y học". 2014.

3. Trần Tuấn Anh và cộng sự, Nghiên cứu đặc điểm lâm sàng, cận lâm sàng và đánh giá tính nhạy cảm kháng sinh của Moraxella catarrhalis gây viêm phổi ở trẻ em dưới 5 tuổi tại Trung tâm Nhi khoa Bệnh viện Trung ương Thái Nguyên. Tạp chí Y học Việt Nam, 2018. 471(1): p. 77-80.

4. Hsu, S.F., et al., Antimicrobial resistance of Moraxella catarrhalis isolates in Taiwan. J Microbiol Immunol Infect, 2012. 45(2): p. 134-40.

5. Shaikh, S.B., et al., Prevalence and resistance pattern of Moraxella catarrhalis in community-acquired lower respiratory tract infections. Infect Drug Resist, 2015. 8: p. 263-7.

6. Rifai, M., et al., Infectious acute respiratory failure in patients under 5 years of age: a retrospective cohort study. BMJ Paediatr Open, 2024. 8(1).

7. Li, Q., et al., Pediatric respiratory pathogen dynamics in Southern Sichuan, China: a retrospective analysis of gender, age, and seasonal trends. Front Pediatr, 2024. 12: p. 1374571.

8. Srifuengfung, S., et al., Prevalence and antimicrobial susceptibility of Haemophilus influenzae and Moraxella catarrhalis isolated from patients in Bangkok, Thailand. J Glob Antimicrob Resist, 2016. 5: p. 86-7.
