ĐẶC ĐIỂM VI KHUẨN VÀ TÌNH HÌNH ĐỀ KHÁNG KHÁNG SINH TRÊN BỆNH NHÂN VIÊM PHỔI BỆNH VIỆN TẠI BỆNH VIỆN ĐA KHOA CÀ MAU

Abstract

Background: Hospital-acquired pneumonia is the most common type of nosocomial infection and its rate has been increasing in recent years. Objectives: Describe the characteristics of pathogenic bacteria and determine the rate of antibiotic resistance of bacteria isolated on Hospital pneumonia patients in the intensive care unit - Poison control in Ca Mau General Hospital. Materials and methods: Patients diagnosed with hospital pneumonia at Ca Mau General Hospital active resuscitation department from April 2018 to April 2019, Cross-sectional descriptive study design, Convenient sampling method. Results: 121 subjects were recruited into the study. The common pathogenic bacteria were Klebsiella pneumonia, Acinetobacter Bauminnii, Pseudomonas aeruginosa, and  Escherichia coli. Gram-negative bacteria are highly resistant to cephalosporin, carbapenem, fluoroquinolones. Klebsiella pneumonia is still sensitive to amikacin (71%), Acinetobacter bauminnii, Pseudomonas aeruginosa is 100% sensitive to colistin. Particularly, Escherichia coli is sensitive to some antibiotics, piperacillin/tazobactam is more than 50% sensitive, also highly sensitive to amikacin 85%, carbapenem over 85%. Conclusion: Gram-negative bacteria were the main cause of nosocomial pneumonia and these bacteria were very resistant to cephalosporins, carbapenem, fluoroquinolones.