Nghiên cứu tỷ lệ và một số đặc điểm kháng kháng sinh của staphylococcus aureus phân lập từ bệnh phẩm lâm sàng tại Bệnh viện Hữu nghị Việt Tiệp (1/2020

Nghiên cứu tỷ lệ và một số đặc điểm kháng kháng sinh của staphylococcus aureus phân lập từ bệnh phẩm lâm sàng tại Bệnh viện Hữu nghị Việt Tiệp (1/2020 - 12/2020)

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Tác giả: Thị Hải Yến Hoàng, Thị Quỳnh Lại, Hùng Cường Nguyễn, Thị Thanh Phượng Nguyễn, Đức Trần, Thị Hằng Trịnh

Ngôn ngữ: vie

Ký hiệu phân loại: 571.993 Physiology and related subjects

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2022

Mô tả vật lý: 299-303

Bộ sưu tập: Metadata

ID: 499207

Thêm vào giỏ

The study was conducted at the Department of Microbiology of Viet Tiep Hospital to determine the infection rate of Staphylococcus aureus and evaluate some antibiotic resistance characteristics of Staphylococcus aureus isolated in 2020. Objects and methods: All patients with isolated results of Staphylococcus aureus in all departments in the Viet-Tiep Hospital, from January to December, 2020. The study was conducted according to the retrospective, cross-sectional research method. Results: The prevalence of S.aureus infection was 12.98%, out of a total of 4447 isolates. Among the isolates of S.aureus, pus samples accounted for the largest proportion of 57.2%
blood samples accounted for the second with 28.8%
fluids, sputum, urine, and other clinical specimens are all less than 10%. With 577 samples infected with S.aureus, the Department of Surgery accounted for 38.1%
followed by the Intensive resuscitation department (20.5%) and Internal Medicine (18.5%)
other faculties were less than 10%. Antibiotic susceptibility testing on isolates showed the highest rate of resistance to penicillin (97.62%), followed by erythromycin (83.33%), clindamycin (82.71%) ), cefoxitin (78.46%), oxacillin (78.42%), tetracyclin (50.65%). Other antibiotics had resistance rates below 50%. MRSA accounted for 78.5%. vancomycin-resistant strains of S.aureus have not been detected. Conclusion: The prevalence of S.aureus infection was 12.98%. The isolates of S.aureus as MRSA accounted for 78.5%. Vancomycin-resistant strains of S.aureus have not been detected.Xác định tỷ lệ nhiễm Staphylococcus aureus và đánh giá một số đặc điểm đề kháng kháng sinh của Staphylococcus aureus phân lập được tại bệnh viện Hữu nghị Việt-Tiệp năm 2020. Đối tượng và phương pháp: Tất cả những bệnh nhân có kết quả phân lập được Staphylococcus aureus tại bệnh viện Hữu nghị Việt-Tiệp, thời gian từ 01/01/2020 đến 31/12/2020. Nghiên cứu được tiến hành theo phương pháp nghiên cứu mô tả cắt ngang, hồi cứu. Kết quả: Tỷ lệ nhiễm S.aureus là 12,98% trên tổng số 4447 các chủng phân lập được. Trong các loại bệnh phẩm phân lập được S.aureus thì bệnh phẩm mủ chiếm tỉ lệ lớn nhất 57,2%
bệnh phẩm máu chiếm thứ 2 với 28,8%
các bệnh phẩm dịch cơ thể, đờm, nước tiểu và các bệnh phẩm khác đều dưới 10%. Với 577 m u nhiễm S.aureus thì khoa Ngoại chiếm tới 38,1%
tiếp theo là khoa Hồi sức tích cực (20,5%) và khoa Nội (18,5%)
các khoa khác đều dưới 10%. Thử nghiệm tính nhạy cảm với kháng sinh trên các chủng vi khuẩn phân lập được cho thấy tỷ lệ kháng với penicillin là cao nhất (97,62 %), tiếp theo là erythromycin (83,33%), clindamycin (82,71%), cefoxitin (78,46%), oxacillin (78,42%), tetracyclin (50,65%). Các kháng sinh khác có tỷ lệ kháng dưới 50%. 78,5% các chủng S.aureus phân lập được là MRSA.Chưa phát hiện thấy chủng S.aureus nào đề kháng với vancomycin. Kết luận: Tỷ lệ nhiễm S.aureus là 12,98%. Các chủng S.aureus phân lập được là MRSA chiếm 78,5%. Chưa phát hiện thấy chủng S.aureus đề kháng với vancomycin.

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