Article Sidebar

PDF
Date Published: 23/12/2021
Abstract Views: 457
Views PDF: 356
DOI: https://doi.org/10.51298/vmj.v507i2.1465
Issue
Vol. 507 No. 2 (2021)
Section
Các bài báo
How to Cite
Tuấn Dũng, V. ., & Quốc Tuấn, Đặng . (2021). CURRENT STATUS OF GRAM NEGATIVE BACTERIAL INFECTION IN PATIENTS NEWLY ADMITTED TO THE INTENSIVE CARE UNIT OF BACH MAI HOSPITAL IN 2020-2021. Vietnam Medical Journal, 507(2). https://doi.org/10.51298/vmj.v507i2.1465

CURRENT STATUS OF GRAM NEGATIVE BACTERIAL INFECTION IN PATIENTS NEWLY ADMITTED TO THE INTENSIVE CARE UNIT OF BACH MAI HOSPITAL IN 2020-2021

Vũ Tuấn Dũng1,, Đặng Quốc Tuấn2
1 Soc Son General Hospital
2 Hanoi Medical University

Main Article Content

Abstract

A cross-sectional descriptive study on 168 patients admitted to the ICU - Bach Mai Hospital within 48 hours from August 1, 2020 to August 31, 2021 to describe the patient's bacterial infection characteristics. Results: The rate of infection with multi-resistant gram-negative bacteria in patients newly admitted to the ICU accounted for a high rate of over 40%; especially, the rate of multi-resistant gram-negative bacteria was higher in patients transferred from other departments/centers in the hospital, accounting for 56.16% and from other hospitals accounted for 69.62% compared to patients from the community accounted for 43.75%; there was a difference in the rate of bacterial infection in the group of patients from the community and the group of patients transferred from other hospitals (p<0.05). 99.4% of the patients had SOFA score greater than or equal to 2. Conclusion: The patients who had an infection at the time of admission to the ICU - Bach Mai Hospital were in serious condition. Most of the patients transferred from other places had multi-resistant Gram-negative bacteria. The group of patients with community-acquired infections also had more than 40% of multidrug-resistant Gram-negative bacteria.

Article Details

Keywords

Gram-negative bacteria, multi-resistant gram-negative bacteria, ICU

References

1. Agyepong N., Govinden U., Owusu-Ofori A., et al. (2018). Multidrug-resistant gram-negative bacterial infections in a teaching hospital in Ghana. Antimicrob Resist Infect Control, 7, 37.
2. Center for Disease Control and Prevention (2013). Antibiotic Resistance Threats in the United States. Center for Disease Control and Prevention, Center for Disease Control and Prevention.
3. Centers for Disease Control and Prevention (2016). CDC: 1 in 3 antibiotic prescriptions unnecessary. Centers for Disease Control and Prevention, truy cập ngày 10/10/2021, tại trang web:

4. Vincent J.-L., Sakr Y., Singer M., et al. (2020). Prevalence and Outcomes of Infection Among Patients in Intensive Care Units in 2017. JAMA, 323(15), 1478–1487.
5. Nguyễn Thị Tuyến (2018), Phân tích thực trạng sử dụng kháng sinh Carbapenem tại bệnh viện Bạch Mai, Luận văn thạc sĩ dược học, Trường đại học Dược Hà Nội, Hà Nội.
6. Vincent J.-L., Rello J., Marshall J., et al. (2009). International Study of the Prevalence and Outcomes of Infection in Intensive Care Units. JAMA, 302(21), 2323–2329.
7. Bediako-Bowan A.A.A., Kurtzhals J.A.L., Mølbak K., et al. (2020). High rates of multi-drug resistant gram-negative organisms associated with surgical site infections in a teaching hospital in Ghana. BMC Infect Dis, 20, 890.
8. Centers for Disease Control and Prevention (2021). Antibiotic Resistant Germs in Hospitals: Information for Patients and their Families. Centers for Disease Control and Prevention, truy cập ngày 07/10/2021 tại trang web: .
9. Rizk S.S., Elwakil W.H., and Attia A.S. (2021). Antibiotic-Resistant Acinetobacter baumannii in Low-Income Countries (2000–2020): Twenty-One Years and Still below the Radar, Is It Not There or Can They Not Afford to Look for It?. Antibiotics, 10(7), 764.