Pérez-Lazo Giancarlo, Abarca-Salazar Susan, Lovón Renata, Rojas Rocío, Ballena-López José, Morales-Moreno Adriana, Flores-Paredes Wilfredo, Arenas-Ramírez Berenice, Illescas Luis Ricardo
Division of Infectious Diseases, Guillermo Almenara Irigoyen National Hospital-EsSalud, Lima 15033, Peru.
Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London WC1E 7HT, UK.
Antibiotics (Basel). 2021 Oct 8;10(10):1221. doi: 10.3390/antibiotics10101221.
A descriptive design was carried out studying the correlation between antimicrobial consumption and resistance profiles of ESKAPE pathogens (, , , , , and spp.) in a Peruvian hospital, including the surgical, clinical areas and the intensive care unit (ICU) during the time period between 2015 and 2018. There was a significant correlation between using ceftazidime and the increase of carbapenem-resistant isolations (R = 0.97; < 0.05) and the resistance to piperacillin/tazobactam in spp. and ciprofloxacin usage (R = 0.97; < 0.05) in the medical wards. The resistance to piperacillin/tazobactam and amikacin in the intensive care unit (ICU) had a significant reduction from 2015 to 2018 (67% vs. 28.6%, 65% vs. 34.9%, < 0.001). These findings give valuable information about the rates and dynamics in the relationship between antibiotic usage and antimicrobial resistance patterns in a Peruvian hospital and reinforce the need for continuous support and assessment of antimicrobial stewardship strategies, including microbiological indicators and antimicrobial consumption patterns.
采用描述性设计,研究了2015年至2018年期间秘鲁一家医院中ESKAPE病原体(粪肠球菌、屎肠球菌、金黄色葡萄球菌、肺炎克雷伯菌、鲍曼不动杆菌和铜绿假单胞菌)的抗菌药物使用情况与耐药谱之间的相关性,研究范围包括外科、临床科室和重症监护病房(ICU)。在医疗病房中,使用头孢他啶与耐碳青霉烯类肠杆菌科细菌分离株的增加(R = 0.97;P < 0.05)以及肺炎克雷伯菌对哌拉西林/他唑巴坦的耐药性和环丙沙星的使用之间存在显著相关性(R = 0.97;P < 0.05)。重症监护病房(ICU)中肠杆菌科细菌对哌拉西林/他唑巴坦和阿米卡星的耐药性在2015年至2018年期间有显著下降(分别为67%对28.6%,65%对34.9%,P < 0.001)。这些发现为秘鲁一家医院抗生素使用与抗菌药物耐药模式之间关系的发生率和动态变化提供了有价值的信息,并强化了持续支持和评估抗菌药物管理策略的必要性,包括微生物学指标和抗菌药物使用模式。