Resistencia Microbiana en La Red Nacional Cubana de Laboratorios con Equipos Diramic durante el año 2004.

The 2004 report on the antibiogram results obtained from the DIRAMIC system Cuban network users is presented. The amount of assays was 2210. The data were processed using the Microbiological Surveillance system V 6.0, the programming system to obtain the different circulating microorganisms and their antibiotics used susceptibility, as well as to know the antibiotic susceptibility patterns. The global frequency of appearance of isolated pathogens and their distribution for the different samples are presented. The most frequently isolates germs were: Escherichia coli, Proteus sp., Klebsiella sp., Shigella sp., Enterobacter sp., coagulase-negative Staphylococcus, Staphylococcus aureus and Pseudomonas sp. The most frequently examined samples were: blood culture, urine culture, pharynx exudate, coproculture and nasal exudate. Antibiotics like chloramphenicol, amikacin, gentamycin, kanamycin and ciprofloxacin have low resistance levels. But the other group of antibiotics like: penicillin, ampicillin, cephazolin, sulfamethoxazole + trimethoprim and ceftriaxone have a high resistance levels, over 50 %, and their use has to be observed in a short time. The antibiotics used keep working, and it was proved. This kind of work gives valuable information to define the antibiotic policy to be used knowing the antibiotics resistance level. It's also possible to select the appropriate antibiotic to be used in the empirical therapy, as well as to recommend that a specific antibiotic is not used when it presents low susceptibility levels. [ABSTRACT FROM AUTHOR]