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医院物品中具有多重耐药潜力的细菌。

Bacteria with a Potential for Multidrug Resistance in Hospital Material.

作者信息

Souza Sandra Geane Pereira de, Santos Isabela Carvalho Dos, Bondezan Maria Augusta Dorigan, Corsatto Laisa Fernanda Melhado, Caetano Isabel Cristina da Silva, Zaniolo Melissa Marchi, Matta Rosana da, Merlini Luiz Sérgio, Barbosa Lidiane Nunes, Gonçalves Daniela Dib

机构信息

Programa de Pós-Graduação em Ciência Animal com Ênfase em Produtos Bioativos, Universidade Paranaense (UNIPAR), Umuarama, Brazil.

Médica Veterinária graduada pela Universidade Paranaense (UNIPAR), Umuarama, Brazil.

出版信息

Microb Drug Resist. 2021 Jun;27(6):835-842. doi: 10.1089/mdr.2019.0305. Epub 2020 Nov 24.

Abstract

The objective of this research was to determine the antimicrobial resistance of bacteria isolated from items related to hygiene and antisepsis, equipment, and instruments used in different hospital wards. Bacterial isolation and identification, phenotypic antimicrobial susceptibility assays, A gene detection, and multiple antimicrobial resistance index analysis were performed. In total, 105 bacteria were isolated from 138 items. Of these, 49.52% bacteria were collected from instruments, 43.80% from equipment, and 6.66% from items related to hygiene and antisepsis. All gram-positive bacteria (88 isolates) were identified as coagulase-negative . Five species of gram-negative bacilli (17 isolates) were isolated, and the prevalence of (29.41%), (11.76%), and (11.76%) was high. Antimicrobial resistance was reported for 93.33% of the isolates. Gram-positive bacteria were resistant to sulfazotrim (88.64%) and penicillin (82.95%), while gram-negative bacteria showed resistance to sulfazotrim (70.59%) and ampicillin (64.71%). Analysis of multiple antibiotic resistance index showed that 73.33% of the isolates were a high risk to public health. The A gene was detected in 23 (71.88%) isolates. The evaluation of microorganisms isolated in the hospital environment revealed their high multidrug resistance index. Thus our study presses the need to pay more attention to the cleanliness of frequently used instruments, which may be potential sources of infections.

摘要

本研究的目的是确定从不同医院病房使用的卫生和消毒相关物品、设备及器械中分离出的细菌的抗菌耐药性。进行了细菌分离鉴定、表型抗菌药敏试验、A基因检测以及多重抗菌耐药指数分析。总共从138件物品中分离出105株细菌。其中,49.52%的细菌从器械中收集,43.80%从设备中收集,6.66%从卫生和消毒相关物品中收集。所有革兰氏阳性菌(88株分离菌)均被鉴定为凝固酶阴性。分离出5种革兰氏阴性杆菌(17株分离菌),其中(29.41%)、(11.76%)和(11.76%)的流行率较高。93.33%的分离菌报告有抗菌耐药性。革兰氏阳性菌对复方磺胺甲恶唑(88.64%)和青霉素(82.95%)耐药,而革兰氏阴性菌对复方磺胺甲恶唑(70.59%)和氨苄西林(64.71%)耐药。多重抗生素耐药指数分析表明,73.33%的分离菌对公共卫生构成高风险。在23株(71.88%)分离菌中检测到A基因。对医院环境中分离出的微生物的评估显示它们具有较高的多重耐药指数。因此,我们的研究强调需要更加关注常用器械的清洁度,这些器械可能是感染的潜在来源。

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