Bloodstream infections caused by resistant bacteria in surgical patients admitted to Modilon Hospital, Madang.
- Author:
Asa, Henao
;
Laman, Moses
;
Greenhill, Andrew R
;
Siba, Peter M
;
Davis, Timothy M E
;
Maihua, John
;
Manning, Laurens
- Publication Type:Journal Article
- From:
Papua and New Guinea medical journal
2012;55(1-4):5-11
- CountryPapua New Guinea
- Language:English
-
Abstract:
In view of the dearth of information relating to antibiotic resistance in community- and hospital-acquired bacterial infections in Papua New Guinea (PNG), we carried out a prospective, hospital-based observational study of surgical patients between October 2008 and October 2009. In a sample of 115 patients (median age 30 years; 55% males) suspected of having a bloodstream infection, blood cultures were positive in 11 (10%) and a significant pathogen was isolated in 9 (8%). Staphylococcus aureus was isolated in 4 patients (44%) and 3 were methicillin resistant; all these isolates were considered community acquired because cultures were performed within 48 hours of admission. Of the remaining 5 isolates, 4 were Gram-negative organisms with at least intermediate resistance to chloramphenicol that were grown from blood taken > 48 hours post-admission and thus considered nosocomially acquired. These data suggest two distinct patterns of bacterial infection in PNG surgical inpatients that have implications for national antibiotic prescription guidelines.
