Suppr超能文献

哪些抗生素针对哪些病原体?重症监护病房分离株的敏感性谱。

What antibiotics for what pathogens? The sensitivity spectrum of isolated strains in an intensive care unit.

机构信息

Department of Preclinical Disciplines, Faculty of Medicine and Pharmacy, University of Oradea, Oradea, Romania.

Department of Pharmacy, Faculty of Medicine and Pharmacy, University of Oradea, Oradea, Romania.

出版信息

Sci Total Environ. 2019 Oct 15;687:118-127. doi: 10.1016/j.scitotenv.2019.06.076. Epub 2019 Jun 7.

Abstract

Antibiotic sensitivity spectrum of isolated strains differs according to hospital departments, the hospitals themselves, and countries. Discrepancies also exist in terms of antibiotic use and dosage. The aim of the present study is to compare the antibacterial agents, the types of infections, the number and type of pathogens, and the sensitivity to antibiotics used in the Intensive Care Unit (ICU) of the Emergency Clinical County Hospital of Oradea, Romania. Over a one-year period, data were gathered from the pharmacy computer system and medical records of inpatients. WHO Anatomical Therapeutic Chemical (ATC)/defined daily doses (DDD) methodology was used to assess drug administration data, and antibiotic use was expressed as DDD/1000 PD (patient days). The antibiotic susceptibility of isolated strains was expressed through the cumulative antibiogram. The overall consumption of antimicrobial agents was 1247.47 DDD/1000 PD. The most common drugs used were cephalosporins and fluoroquinolones (52.97% of the total). Ceftriaxone was the most commonly used, followed by levofloxacin. Infections of the respiratory and urinary tract were the most frequently diagnosed infections. The most commonly isolated bacteria type was Acinetobacter baumannii (22.12% overall), isolated especially from the respiratory tract and resistant to all the β-lactam antibiotics including carbapenems. Antimicrobials intake at the ICU is much higher compared to medical and surgical wards. After we tested the existence of a possible connection between antibiotic consumption and antibiotic resistance of bacteria, it was revealed that on our sample exists a poor positive association.

摘要

从不同医院科室、医院本身和国家来看,分离株的抗生素敏感性谱存在差异。抗生素的使用和剂量也存在差异。本研究的目的是比较罗马尼亚奥拉迪亚紧急临床县医院重症监护病房(ICU)使用的抗菌药物、感染类型、病原体数量和类型以及抗生素敏感性。在一年的时间里,从药房计算机系统和住院患者的病历中收集数据。采用世界卫生组织解剖治疗化学(ATC)/定义日剂量(DDD)方法评估药物使用数据,并用 DDD/1000 PD(患者日)表示抗生素使用。通过累积药敏图表示分离株的抗生素敏感性。抗菌药物的总消耗量为 1247.47 DDD/1000 PD。使用最常见的药物是头孢菌素类和氟喹诺酮类(占总量的 52.97%)。头孢曲松是最常用的,其次是左氧氟沙星。呼吸道和尿路感染是最常见的诊断感染。最常见的分离细菌类型是鲍曼不动杆菌(总体占 22.12%),尤其从呼吸道分离出来,对所有包括碳青霉烯类在内的β-内酰胺类抗生素均耐药。与内科和外科病房相比,ICU 对抗生素的摄入量要高得多。在我们测试了抗生素消耗和细菌耐药性之间可能存在的联系之后,结果表明在我们的样本中存在较差的正相关。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验