Infektološki glasnik, Vol. 34 No. 3, 2014.
Stručni rad
Multiresistant isolates from sterile material of patients treated in the Pediatrics and Surgery Departments of the University Hospital Osijek in the period 2008–2012
Ivan Ordulj
; Zavod za hitnu medicinu Splitsko-dalmatinske županije, Split, Hrvatska
Dubravka Vuković
; Zavod za javno zdravstvo Osječko-baranjske županije, Osijek, Hrvatska
Domagoj Drenjančević
; Medicinski fakultet Osijek, Sveučilište Josip Juraj Strossmayer u Osijeku, Osijek, Hrvatska
Suzana Bukovski
; Klinika za infektivne bolesti "Dr. Fran Mihaljević", Zagreb, Hrvatska
Sažetak
The study analyzed the incidence of resistant Gram-positive and Gram-negative bacteria isolated from sterile clinical specimens of patients treated at wards with different hospital population, the Department of Pediatrics and Department of Surgery of the University Hospital Osijek in the period from 2008 to 2012. During the study period resistant bacteria were isolated from 62 clinical samples collected from Pediatrics and Surgery Departments of the University Hospital Osijek. There were 32 isolates (51.61%) of resistant bacteria collected in the Pediatrics Department, and a total of 30 isolates in the Surgery Department. The majority of isolates were isolates of Klebsiella pneumoniae ESBL 41.93% (26/62), followed by Pseudomonas aeruginosa 27.41% (17 / 62), Staphylococcus aureus – MRSA 20.96% (13/62) and Acinetobacter baumannii 9.67% (6/62). Asignificantly higher incidence of Gram-negative resistant isolates was recorded in the Pediatrics Department as opposed to Surgery Department where the most frequent isolate was MRSA (12/30). The most commonly isolated resistant bacteria in the Pediatrics Department were K. pneumoniae ESBL 71.87% (23/32), and only one isolate of MRSA was recorded. A. baumannii was isolated only from clinical specimens of patients treated in the Surgery Department, and P. aeruginosa was also more frequently isolated in the Surgery Department than Pediatrics Department (10 and 7 isolates, respectively). Our study established that in the period from 2008 to 2012 there was a decline in the incidence of multiresistant isolates in the Pediatrics and Surgery Departments of the University Hospital Osijek and that the largest number of resistant isolates was recorded in the first two years of the study period. Although P. aeruginosa isolates were not resistant to the 3rd and 4th generation of cephalosporins, special attention should be given to a high percentage of carbapenem resistance (58.81% to imipenem and 35.29% to meropenem).
Ključne riječi
Pediatric ward; surgical ward; multiresistant bacterial isolates
Hrčak ID:
138007
URI
Datum izdavanja:
30.9.2014.
Posjeta: 2.412 *