ISSN 2223-6775 Ukrainian journal of occupational health Vol.17, No 1, 2021
Microbiological monitoring of polyantibiotic resistant strains of Pseudomonas aeruginosa as one of the measures for the prevention of nosocomyal
Sarkis-Ivanova V.V., Dreval M.V., Korobchanski V.A.
https://doi.org/10.33573/ujoh2021.01.053
Kharkiv National Medical University, Kharkiv
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Introduction. Pseudomonas aeruginosa is a leading causative agent of nosocomial infections. Currently, the problem of prevention and treatment of Pseudomonas aeruginosa infection is a high level of protection of bacteria from the action of antibacterial agents. Microbiological monitoring of resistance profiles of clinical strains of Pseudomonas aeruginosa is appropriate for use in planning preventive measures for nosocomial infection.
Purpose and research. Determination of sensitivity of test strains of Pseudomonas aeruginosa to antibiotics, which were isolated from clinical material from patients of inpatient treatment and treatment facilities in Kharkov, as well as improvement of measures to prevent nosocomial infection.
Materials and methods of research. 90 cultures of Pseudomonas aeruginosa were used in the work. Test isolates of Pseudomonas aeruginosa were isolated and identified. The research used certified nutrient media produced by the Experimental Plant of Medicines, Ukraine, bioMérieux, France, HiMedia Laboratories Pvt. Limited, India. Determination of the sensitivity of the removed cultures of microorganisms to antimicrobial drugs was performed by the Bauer-Kirbi disco-diffusion method on Hinton-Müller medium using ready-made commercial disks, and analyzed using the computer program WHONET5.1.
Results. A significant difference in the levels of resistance of Pseudomonas aeruginosa test strains was found during antibiotic susceptibility analysis.
Conclusions. The focus of microbiological monitoring on the timely active detection of nosocomial infections fully reflects the epidemiological situation in the hospital. Sanitary and epidemiological measures carried out based on the results of microbiological monitoring will reduce the incidence and development of purulent-septic diseases in the hospital.
Key words: Pseudomonas aeruginosa, polyantibiotic resistance, nosocomial infection, preventive measures.
References
- Moradali M.F., Ghods S, Rehm B. Pseudomonas aeruginosa Lifestyle: A Paradigmfor Adaptation, Survival, and Persistence. Front Cell Infect Microbiol. 2017. Vol. 2. P. 7-39. https://doi.org/10.3389/fcimb.2017.00039
- Results from a 13-Year Prospective Cohort Study Show Increased Mortality Associated with Bloodstream Infections Caused by Pseudomonas aeruginosa Compared to Other Bacteria / Thaden J.T. et al. Antimicrob Agents Chemother. 2017. Vol. 61(6). P. 71-76. https://doi.org/10.1128/AAC.02671-16
- The commitment of the GISIO-SItI to contrast Healthcare-Associated Infections and the experience of prevalence studies in Sicily / Agodi A. et al. Ann Ig. 2018. Vol. 30(1). P. 38-47.
- Karampatakis T, Antachopoulos C, Tsakris A. Molecular epidemiology of carbapenem-resistant Pseudomonas aeruginosa in an endemic area: Comparison with global data European Journal of Clinical Microbiology and Infectious Diseases, 2018. Vol. 37, P.1211-1220. https://doi.org/10.1007/s10096-018-3244-4
- Saeed M, Rasheed F, Afzal R. Pseudomonas aeruginosa: Evaluation of pathogen burden and drug-resistance trends in a tertiary care hospital Journal of the College of Physicians and Surgeons Pakistan, 2018. Vol. 28, P. 279-283. https://doi.org/10.29271/jcpsp.2018.04.279
- Peleg A.Y., Hooper D.C. Hospital-acquired infections due to gram-negative bacteria. N Engl J Med. 2010. Vol. 362 (19). P. 1804-1813. https://doi.org/10.1056/NEJMra0904124
- Schumm K, Lam TB. Types of urethral catheters for management of short-term voiding problems in hospitalized adults: A short version cochrane review. Neurourol Urodyn 2008 Vol. 27. P. 738-746. https://doi.org/10.1002/nau.20645
- Warren JW. Catheter-associated urinary tract infections. Int J Antimicrob Agents 2001 Vol. 17. P. 299-303. https://doi.org/10.1016/S0924-8579(00)00359-9
- Berriel-Cass D, Adkins FW, Jones P, Fakih MG. Eliminating nosocomial infections at Ascension Health. Jt Comm J Qual Patient 2006 Vol.32 P. 612-620. https://doi.org/10.1016/S1553-7250(06)32079-X
- O'Grady NP, Murray PR, Ames N (2012) Preventing ventilator-associated pneumonia: Does the evidence support the practice? JAMA 2012 Vol. 307 P. 2534-2539. https://doi.org/10.1001/jama.2012.6445
- About the hardened methodical instructions "The value of the sensitivity of microorganisms to antibacterial drugs": Order of the Ministry of Health of Ukraine No. 167 dated 05.04.2007 p.
- Standardization of preparation of microbial suspensions: Information sheet about innovations in health protection systems No. 163-2006. K.: Ukrmedpatentinform, 2006.10 p.