LOCAL MICROBIOLOGICAL MONITORING IN THE DEPARTMENTS OF ANESTHESIOLOGY AND INTENSIVE CARE OF THE GRODNO UNIVERSITY CLINIC
Journal: Journal of the Grodno State Medical University (Vol.20, No. 1)Publication Date: 2022-03-14
Authors : P. N. Yancheuski; M. V. Yarshova; N. N. Chernova; R. V. Yanovich;
Page : 73-79
Keywords : biological material; microorganisms; isolates; antimicrobial drugs; resistance; DAR (department of anesthesiology and resuscitation); HAI (healthcare associated infections);
Abstract
The aim of the study was to conduct a comparative and retrospective analysis of the spectrum and sensitivity to antimicrobial drugs of clinically significant microorganisms in two departments of anesthesiology and intensive care of the Grodno University Clinic. Material and methods. A retrospective analysis of the data for 5 years of microbiological material obtained from patients with diseases caused by pathogenic and opportunistic bacteria from two departments of anesthesiology and resuscitation was carried out. Results. According to the results of five-year dynamics, the seeding rate of some microorganisms (K. pneumoniae, A.baumannii, coagulase-negative staphylococci) increased in intensive care units by 2-2.5 times. At the same time, there is a decrease in the sensitivity of these microorganisms (up to 15-30%) to antimicrobial drugs, including the reserve group. Conclusions. Constant microbiological monitoring makes it possible to objectively determine the resistance of microorganisms to antimicrobial drugs, implement the optimal tactics for the use of antimicrobial drugs and prevent an increase in the number of resistant strains.
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