Relationship between antibiotic use and antimicrobial resistance in Acinetobacter baumannii
- VernacularTitle:鲍曼不动杆菌耐药性与抗菌药物使用情况的相关性分析
- Author:
Shuzhen XIAO
;
Guiting XU
;
Jie FANG
;
Haiqing CHU
;
Lizhong HAN
;
Yuxing NI
- Publication Type:Journal Article
- Keywords:
Acinetobacter baumannii;
antimicrobial resist-ance;
antibacterial agent;
nosocomial infection
- From:
Chinese Journal of Infection and Chemotherapy
2013;(6):446-449
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the relationship between antibiotic use and antimicrobial resistance in Acinetobacter bau-mannii for rational use of antibiotics.Methods Antibiotic use density (AUD)of common antibiotics in hospitalized patients were collected in a tertiary hospital between 2006 and 2010.Clinical isolates of A.baumannii from those patients were collect-ed.The resistance to common antimicrobial agents were tested by disk diffusion method according to Clinical and Laboratory Standards Institute (CLSI,2012)guidelines.Relationship between antibiotic use and antimicrobial resistance in A.baumannii was analysed by SPSS 16.0.Results The resistant rates of A.baumannii isolated from inpatients were high.Consumption of cephalosporins and quinolones were large.There was a positive correlation between the resistant rate of A.baumannii to imi-penem and AUD of carbapenems (r=0.975,P <0.05).The resistant rate of A.baumannii to meropenem showed significantly positive relation to AUD of carbapenems (r= 0.975,P <0.05).Resistant rates of aminoglycosides,quinolones,cephalospo-rins and beta-lactamase inhibitors was not correlated to AUD of those antibiotics.Conclusions We should pay more attention to the high prevalence of resistant A.baumannnii strains.Application of imipenem and meropenem should be strictly controlled.Amikacin and beta-lactamase inhibitors are better choice for empirical antibiotic therapy in the treatment of infections caused by A. baumannii.
