Đặc điểm dịch tễ học nhiễm vi khuẩn mang gen đề kháng kháng sinh tại Bệnh viện Quân Y 175=Epidemiological characteristics of bacteria infection carrying antibiotic resistance genes at Military Hospital 175

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Tác giả: Hoài Minh Đặng, Tấn Tài Lê, Thị Thùy Nhung Lê, Thùy Dương Lê, Trần Thị Dân An Nguyễn, Trương Đức Nguyễn, Vũ Minh Duy Nguyễn

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2024

Mô tả vật lý: tr.159-166

Bộ sưu tập: Metadata

ID: 243458

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Đánh giá đặc điểm dịch tễ học vi khuẩn mang gen đề kháng kháng sinh tại Bệnh viện Quân Y 175 từ tháng 12/2020 – 6/2024. Đối tượng và phương pháp nghiên cứu: Hồi cứu kết quả các trường hợp cấy vi sinh dương tính. Kết quả: Tổng số mẫu cấy dương tính là 17406 trong đó bệnh phẩm đàm chiếm tỷ lệ cao nhất với 38,81%, tiếp đến là máu với 27,04%, nước tiểu là 10,96%, tỷ lệ cấy dương mủ vết thương và vết mổ thấp nhất là 2,89%, bệnh phẩm ngoài da và áp xe chiếm tỷ lệ 10,42%. Chiếm tỷ lệ cao nhất trong vi khuẩn Gram dương là S. aureus với 11,60%. Đối với nhóm vi khuẩn Gram âm thì K. pneumoniae chiếm tỷ lệ nhiều nhất với 22,66%, tiếp đến là A. baumannii với 14,81%, P. aeruginosae chiếm 12,93%. Phân bố chủng mang gen kháng thuốc phân lập được S. aureus kháng Methicillin (MRSA) chiếm 63,61%. Các chủng vi khuẩn mang ESBL phân lập được là 428 trong đó chủ yếu là K. pneumoniae với 212 (73,59%), E. coli chiếm 47 (10,98%). Với chủng vi khuẩn kháng nhóm Carbapenem (CRE) phân lập được là 1511 trong đó chủ yếu là K. pneumoniae với 1041 (68,89%), E. coli chiếm 91 (6,02%), A. baumannii chiếm 127 (8,41%). Kết luận: Tỷ lệ nhiễm vi khuẩn mang gen đề kháng kháng sinh còn cao so với các nghiên cứu khác trong nước, cần phải có một chính sách kiểm soát vi khuẩn đa kháng và các biện pháp kiểm soát nhiễm khuẩn hữu hiệu trong bệnh viện.To evaluate the epidemiological characteristics of bacteria carrying antibiotic resistance genes at Military Hospital 175 from December 2020 to June 2024. Subjects and methods: Retrospective results of positive microbiological culture cases Results: The total number of positive cultures was 17,406, of which sputum specimens accounted for the highest proportion at 38.81%, followed by blood at 27.04%, urine at 10.96%, the lowest rate of positive cultures of wound and surgical pus was 2.89%, skin specimens and abscesses accounted for 10.42%. The highest proportion of Gram-positive bacteria was S. aureus at 11.60%. For the Gram-negative bacteria group, K. pneumoniae accounted for the highest proportion at 22.66%, followed by A. baumannii at 14.81%, P. aeruginosae at 12.93%. The distribution of strains carrying drug resistance genes isolated from Methicillin-resistant S. aureus (MRSA) accounted for 63.61%. The isolated ESBL-carrying bacteria strains were 428, mainly K. pneumoniae with 212 (73.59%), E. coli accounted for 47 (10.98%). The isolated Carbapenem-resistant bacteria strains (CRE) were 1511, mainly K. pneumoniae with 1041 (68.89%), E. coli accounted for 91 (6.02%), and A. baumannii accounted for 127 (8.41%). Conclusion: The rate of infection with bacteria carrying antibiotic resistance genes is still high compared to other studies in the country. There needs to be a policy to control multi-resistant bacteria and effective infection control measures in hospitals.

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