Preview

Tuberculosis and Lung Diseases

Advanced search

Assessment of Microbiological Environment and the Level of Antibiotic Resistance in a Multidisciplinary Hospital

https://doi.org/10.21292/2075-1230-2022-100-8-43-53

Abstract

The objective: to determine the incidence and drug sensitivity of the main pathogens causing community-acquired and nosocomial infections in patients staying in a multidisciplinary hospital.

Subjects and Methods: a retrospective study of the microbiological population in patients of a multidisciplinary hospital was carried out. The period over 3 years was assessed. 3,954 samples of biological materials from various sites were studied.

Results: gram-positive bacteria prevailed in the general structure of microbial environment of patients – Staphylococcus aureus (28%), and Enterococcus faecalis (10%), as well as gram-negative – Escherichia coli (26%), and Klebsiella pneumoniae (13%). The majority of non-fermenting gram-negative microorganisms isolated from patients in the intensive care unit demonstrated multiple resistance and quantitatively prevailed over those in surgery units. The spectrum of antibiotic susceptibility of microorganisms of the same species isolated from patients of therapy and surgery departments differed.

About the Authors

D. A. Kudlay
Sechenov First Moscow State Medical University (Sechenov University); Immunology Research Institute by the Federal Medical Biological Agency
Russian Federation

Dmitry A. Kudlay, Doctor of Medical Sciences, Professor of Pharmacology Department of Pharmaceutical Science Institute

8, Bd. 2, Trubetskaya St., Moscow, 119991



B. A. Bakirov
Bashkiriya State Medical University
Russian Federation

Bulat A. Bakirov, Doctor of Medical Sciences, Professor, Head of Hospital Therapy Department no. 2

3, Blyukhera St., Ufa, 450075
Phone: +7 (347) 235-32-23



G. R. Zaripova
Bashkiriya State Medical University
Russian Federation

Guzel R. Zaripova, Candidate of Medical Sciences, Associate Professor of Hospital Therapy Department no. 2, Clinical Pharmacologist of the Clinic

2, Shafieva St., Ufa, 450083



N. D. Allayarov
Bashkiriya State Medical University
Russian Federation

Nail D. Allayarov, Head of Admission Department, Surgeon of Surgery Department of the Clinic

2, Shafieva St., Ufa, 450083



References

1. Gelfand B.R., Belotserkovskiy B.Z., Milyukova I.A., Protsenko D.N., Gelfand E.B., Popov T.V. The relevance of enterobacteriaceae in the etiology of nosocomial infections in critical condition patients. Modern antimicrobial therapy solutions. Annaly Khirurgii, 2015, no. 4, pp. 12-26. (In Russ.)

2. Danilov A.I., Zharkova L.P. Antibiotic resistance: arguments and facts. Klinicheskaya Farmakologiya i Terapiya, 2017, vol. 26, no. 5, pp. 6-9. (In Russ.)

3. Danilov A.I., Kozlov R.S., Kozlov S.N., Dekhnich A.V. The practice of managing the patients with infective endocarditis in the Russian Federation. Antibiotiki i Khimioterapiya, 2017, no. 1-2, pp. 30-34. (In Russ.)

4. Ilyina S.V. Use of antibiotics in medicine: crisis of antibiotic resistance and what we can do. Pediatricheskaya Pharmocologiya, 2017, vol. 14, no. 6, pp. 508-514. (In Russ.)

5. Kozlov V.A., Tikhonova E.P., Savchenko A.A., Kudryavtsev I.V., Andronova N.V., Anisimova E.N., Golovkin A.S., Demina D.V., Zdzitovetsky D.E., Kalinina Yu.S., Kasparov E.V., Kozlov I.G., Korsunsky I.A., Kudlai D.A., Kuzmina T.Yu., Minoranskaya N.S., Prodeus A.P., Starikova E.A., Cherdantsev D.V., Chesnokov A.B., Shesternya P.A., Borisov A.G. Klinicheskaya immunologiya: Prakticheskoye posobiye dlya infektsionistov. [Clinical immunology. A practical guide for infectious diseases specialists]. Krasnoyarsk, Polikor Publ., 2021, 563 p.

6. Kozlova N.S., Barantsevich N.E., Ivanova L.V., Goik V.G., Schwartz A.P., Mokrova E.V., Barantsevich E.P. Susceptibility to antibiotics in nosocomial staphylococci from multidisciplinary hospital. Problemy Meditsinskoy Mikologii, 2015, vol. 17, no. 4, pp. 58-62. (In Russ.)

7. Kulmagambetov I.R., Sarsenbaeva S.S., Ramazanova Sh. Kh., Esimova N.K. Contemporary approaches to the control and containment of antibiotic resistance in the world. Mezhdunarodny Journal Prikladnykh i Fundamentalnykh Issledovaniy, 2015, no. 9, pp. 54-59. (In Russ.)

8. Namazova-Baranova L.S., Baranov A.A. Antibiotic resistance in modern world. Pediatricheskaya Pharmocologiya, 2017, vol. 14, no. 5, pp. 341-354. (In Russ.)

9. O sostoyanii sanitarno-epidemiologicheskogo blagopoluchiya naseleniya v Rossiyskoy Federatsii v 2018 g. Gosudarstvenny doklad. [State report on the state on sanitary and epidemiological welfare of population in the Russian Federation in 2018]. Moscow, Federal Surveillance Service for Protection of Consumers' Rights and Well-being Publ., 2019. pp. 158-168.

10. Smirnova M.V., Artemuk S.D., Belkova E.I., Meltser A.A., Kozlova N.S., Timirbaeva O.Yu., Kugotova D.A. Antibiotic resistance of enterobacteriae strains isolated from blood. Meditsina: Teoriya i Praktika, 2019, vol. 4, no. 3, pp. 92-98. (In Russ.)

11. Sukhorukova M.V., Eidelstein M.V., Skleenova E.Yu. et al. Antibiotic resistance in nosocomial strains of Enterobacteriaceae in hospitals of Russia: results of multi-center epidemiological study of MARATHON in 2013-2014. Klinicheskaya Mikrobiologiya i Antimikrobnaya Khimioterapiya, 2017, vol. 19, no. 1, pp. 49-56. (In Russ.)

12. WHO publishes list of bacteria for which new antibiotics are urgently needed. (In Russ). Available: http://www.who.int/mediacentre/news/releases/2017/bacteria-antibiotics-needed/ru/


Review

For citations:


Kudlay D.A., Bakirov B.A., Zaripova G.R., Allayarov N.D. Assessment of Microbiological Environment and the Level of Antibiotic Resistance in a Multidisciplinary Hospital. Tuberculosis and Lung Diseases. 2022;100(8):43-53. (In Russ.) https://doi.org/10.21292/2075-1230-2022-100-8-43-53

Views: 386


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2075-1230 (Print)
ISSN 2542-1506 (Online)