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Bacteriology and antimicrobial susceptibility of ENT infections in a tropical hospital.
- Source :
-
Ear, nose, & throat journal [Ear Nose Throat J] 2014 Jun; Vol. 93 (6), pp. E5-8. - Publication Year :
- 2014
-
Abstract
- We conducted a retrospective observational study to determine the spectrum and antibiotic sensitivity pattern of organisms isolated in otorhinolaryngologic (ORL) infections. We reviewed the laboratory culture and sensitivity records of 4,909 patients-2,773 males (56.5%) and 2,136 females (43.5%), aged 2 to 90 years (mean: 45.3 ± 12.6)-who had been seen at two government hospitals in Malaysia. Of this group, 4,332 patients had a respiratory tract infection (88.2%), 206 had an ear infection (4.2%), 188 had a deep neck infection (3.8%), and 183 had an oropharyngeal infection (3.7%). The most common isolated organisms were Klebsiella spp, Pseudomonas aeruginosa, methicillin-resistant Staphylococcus aureus, methicillin-susceptible S aureus, coagulase-negative S aureus, and Acinetobacter baumannii. We also identified the antimicrobial susceptibility of these organisms. We conclude that since the spectrum of causative pathogens in some infections differs between tropical and nontropical areas of the world, tropical hospitals should not completely adopt the antibiotic guidelines for ORL infections that have been recommended for hospitals in nontropical regions. We hope that our review and analysis of local data will help practitioners in Malaysia develop an appropriate prescribing policy with respect to ORL pathogens and antimicrobial susceptibility. The goal is to reduce the morbidity and mortality associated with these infections.
- Subjects :
- Acinetobacter baumannii drug effects
Adolescent
Adult
Aged
Aged, 80 and over
Child
Child, Preschool
Female
Hospitals
Humans
Klebsiella drug effects
Malaysia
Male
Methicillin-Resistant Staphylococcus aureus drug effects
Microbial Sensitivity Tests
Middle Aged
Neck
Oropharynx
Pseudomonas aeruginosa drug effects
Retrospective Studies
Young Adult
Anti-Bacterial Agents pharmacology
Bacterial Infections microbiology
Ear Diseases microbiology
Respiratory Tract Infections microbiology
Subjects
Details
- Language :
- English
- ISSN :
- 1942-7522
- Volume :
- 93
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Ear, nose, & throat journal
- Publication Type :
- Academic Journal
- Accession number :
- 24932831