不同临床分离株对Augmentin、亚胺培南和头孢曲松的耐药性分析

Miftah S. M. Nag, N. M. Al-Awkally, Ahmed Abouserwel, F. M. Senossi, Sara El-Warred, M. A. Ali
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摘要

背景:抗生素耐药性是一个日益严重的全球公共卫生问题,因为它危及细菌感染的有效控制和治疗。本研究的目的是确定来自利比亚班加西Al-Saleem实验室的各种临床标本中的细菌谱和对亚胺培南、Augmentin和头孢曲松的易感性模式。方法:进行两项单独的研究。每个实验持续三个月。患者的临床样本包括伤口拭子、尿液、精子、血液、高位阴道拭子和脑脊液。在每项研究中使用标准微生物学方法分离和鉴定细菌种类。从2020年9月到2020年11月,使用Kirby-Bauer椎间盘扩散法进行抗菌药物敏感性测试。结果:从535名女性和503名男性患者中获得711个分离株。从标本中分离出的最常见的生物体是大肠杆菌、克雷伯菌和金黄色葡萄球菌。结论:细菌对各种抗生素的耐药性水平差异较大。我们发现Augmentin对临床标本中分离的革兰氏阴性菌的活性较低,而亚胺培南对分离物的作用比Augmentin强得多。对流行病原菌及其敏感性的适当监测将有助于临床医生做出适当的抗生素治疗选择,以避免抗微生物耐药性的传播。
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Antimicrobial Resistance Profile of Different Clinical Isolates against Augmentin, Imipenem and Ceftriaxone
Background: Antibiotic resistance is a growing global public health concern because it jeopardizes the effective control and treatment of bacterial infections. The purpose of this study was to determine the bacterial profiles and susceptibility patterns to Imipenem, Augmentin, and Ceftriaxone in various clinical specimens from Al Saleem laboratory in Benghazi, Libya. Methods: Two separate studies were carried out. Each experiment lasted three months. The patients' clinical samples included wound swabs, urine, sperm, blood, high vaginal swabs, and cerebrospinal fluid. Bacterial species were isolated and identified using standard microbiological methods in each study. Kirby-Bauer disc diffusion was used to conduct antimicrobial susceptibility tests from September 2020 to November 2020. Results: There were 711 isolates obtained from 535 female and 503 male patients. The most common organisms isolated from specimens were E. coli spp, Klebsiella spp, and Staph aureus. Conclusion: Bacterial resistance levels to various antibiotics varied greatly. We found that Augmentin has less activity against gram negative bacteria isolated from clinical specimens, whereas Imipenem has a much stronger effect on isolates than Augmentin. Appropriate monitoring of prevalent pathogenic organisms and their sensitivities will assist clinicians in making appropriate antibiotic treatment choices to avoid the spread of antimicrobial resistance.
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