1. Analysis on Bacterial Distribution and Change of Drug Resistance Rate in ICUs Across Southwest China from 2018 to 2022
- Author
-
Chang,Fan, Wang,Xiao, Huang,Xiangning, Liu,Xin, Huang,Lijun, Chang,Fan, Wang,Xiao, Huang,Xiangning, Liu,Xin, and Huang,Lijun
- Abstract
Fan Chang,1 Xiao Wang,1 Xiangning Huang,1 Xin Liu,1 Lijun Huang2 1Department of Laboratory Medicine and Sichuan Provincial Key Laboratory for Human Disease Gene Study, Sichuan Provincial Peopleâs Hospital, University of Electronic Science and Technology of China, Chengdu, Peopleâs Republic of China; 2West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, Peopleâs Republic of ChinaCorrespondence: Lijun Huang, West China School of Public Health and West China Fourth Hospital, Sichuan University, No. 18, Section 3, Renmin South Road, Wuhou District, Chengdu, Sichuan, Peopleâs Republic of China, Email huanglijun93@163.comPurpose: To analyze the distribution of bacteria and their drug resistance changes in Intensive Care Units (ICUs) across Southwest China from 2018 to 2022 and establish the antibiogram in this region to provide a basis for early empirical antimicrobial use.Methods: Non-repetitive pathogens isolated from 109 member units with qualified data were obtained from the Antimicrobial Resistance Surveillance System in Sichuan Province, southwest China. The results obtained were interpreted with reference to CLSI M100-31th, and analyzed with WHONET 5.6 software.Results: A total of 46,728 clinical isolates in ICUs were collected from 2018 to 2022, of which gram-negative organisms accounted for 76.1%, and gram-positive were 23.9%. The top 5 were Klebsiella pneumoniae, Acinetobacter baumannii, Escherichia coli, Pseudomonas aeruginosa and Staphylococcus aureus, respectively. From 2018 to 2022, the resistance rates of Klebsiella pneumoniae to imipenem and meropenem changed from 14.5% and 17.8% to 14.0% and 14.4%, showing a steady downward trend. Escherichia coli was always highly sensitive to carbapenems, with a total resistance rate of 3.8%. Among non-fermented gram-negative bacteria, the resistance rates of Pseudomonas aeruginosa to imipenem and meropenem decreased significantly, changed from 25.3% and 22.9% in 2018 t
- Published
- 2023