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Analysis of microbiological monitoringof excitation of hospital infections in the intensive care unit of surgical and therapeutic

https://doi.org/10.51922/1818-426X.2022.3.137

Abstract

The growing prevalence of multidrug­resistant pathogens is a huge challenge for modern medicine, and this is especially true for patients in intensive care units (ICU). This article presents the results of monitoring the isolates of microorganisms and their resistance to antibiotics in the ICU of therapeutic and surgical profiles. As a result of the study, the following results were obtained: the greatest sensitivity of Klebsiellapneumoniae in therapeutic resuscitation is shown to colistin (100 %) and tigecycline (100 %), in surgical resuscitation – to extended­spectrum beta­lactamase (ESBL) (93.2 %) and tetracycline (58.9 %); Acinetobacter baumanii: in the therapeutic – to colistin (100 %), in the surgical – to colistin (100 %); Coagulase­negative staphylococci: in the therapeutic – to nitrofurantoin, linezolid, tigecycline, vancomycin (100 %); Staphylococcusaureus: in the therapeutic field – resistance to most of the drugs used, with the exception of benzylpenicillin; Pseudomonas aeruginosa: in the therapeutic – colistin (100 %), in the surgical – to colistin (100 %). This study emphasizes the importance of interdisciplinary interaction of hospital doctors, including ICUs with clinical bacteriologists and epidemiologists, as well as the role of timely correction of antibiotic therapy.

About the Authors

R. E. Yakubcevich
УО «Гродненский государственный медицинский университет»
Belarus


A. V. Lemesh
УО «Гродненский государственный медицинский университет»
Belarus


N. N. Chernova
УЗ «Гродненская университетская клиника»
Belarus


A. A. Balla
УЗ «Гродненская университетская клиника»
Belarus


D. E. Arutyunyan
УО «Гродненский государственный медицинский университет», УЗ «Гродненская университетская клиника»
Belarus


A. A. Kazukevich
УО «Гродненский государственный медицинский университет», УЗ «Гродненская университетская клиника»
Belarus


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Review

For citations:


Yakubcevich R.E., Lemesh A.V., Chernova N.N., Balla A.A., Arutyunyan D.E., Kazukevich A.A. Analysis of microbiological monitoringof excitation of hospital infections in the intensive care unit of surgical and therapeutic. Medical Journal. 2022;(3):137-142. (In Russ.) https://doi.org/10.51922/1818-426X.2022.3.137

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ISSN 1818-426X (Print)