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Surveillance of Multi-Drug Resistant Bacterial Infections and Analysis of Changes in Colonization Trends from 2019 to 2021
Vol 37, Issue 6, 2023
Abstract
Objective: The current study was undertaken to provide a scientific basis for the prevention and control of nosocomial infections by monitoring multi-drug-resistant bacterial infections and understanding changes in colonization trends. Methods: A retrospective analysis of clinical specimens from patients with multiple types of infections treated in our hospital from January 2019 to December 2021 was carried out. The samples were incubated and isolated, followed by bacterial identification using an identification instrument, and analysis of trends in distribution and variation. Results: A total of 1849 strains of bacteria of the same genus were isolated from hospital specimens collected from 2019 to 2021. A total of 103 strains of multi-drug resistant bacteria were detected, accounting for 5.57% of all strains. The multi-drug-resistant bacteria comprised 2 strains of Escherichia coli (E. coli), 13 strains of methicillin-resistant Staphylococcus aureus (MRSA), 10 strains of Klebsiella pneumoniae (K. pneumoniae), 15 strains of multidrug-resistant Acinetobacter baumannii (MDR-AB), and 63 strains of multidrug-resistant Pseudomonas aeruginosa (MDR-PA). The MDR-AB accounted for the largest proportion of multi-drug-resistant bacteria (61.17%), followed by MDR-AB (14.56%), MRSA (12.62%), K. pneumoniae (9.71%), and E. coli (1.94%). The major multi-drug resistant strains detected were from sputum specimens (77.67%), urine specimens (13.59%), secretions (4.85%), and pus and catheters (0.97%). The department with the highest level of multi-drug resistant strains was Respiratory Medicine (25.24%), followed by the intensive care unit (ICU) (22.33%) and Neurosurgery (21.36%). Conclusions: These results indicate that analysis of the types and characteristics of multi-drug resistant bacterial infections in our hospital, and implementation of targeted preventive and control measures will provide important guidelines for clinical care.
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Medical Genetics, University of Torino Medical School, Italy

Department of Biomedical, Surgical and Dental Sciences, University of Milan, Italy