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Revista de la Facultad de Medicina Humana
versión impresa ISSN 1814-5469versión On-line ISSN 2308-0531
Resumen
ACHONG-SANCHEZ, Javier; LAZO-PAREDES, Ruth y AMADO-TINEO, José. Microbiological profile of antimicrobial sensitivity and resistance in a general hospital in the Peruvian Jungle, 2021. Rev. Fac. Med. Hum. [online]. 2024, vol.24, n.4, pp.35-42. Epub 31-Oct-2024. ISSN 1814-5469. http://dx.doi.org/10.25176/rfmh.v24i4.6573.
Introduction:
Antimicrobial resistance increases hospital mortality and is a public health problem.
Objective:
To determine the characteristics of microorganisms isolated from hospitalized patients and to detail antimicrobial sensitivity profiles.
Methods:
A cross-sectional study in a hospital in the Peruvian Jungle during 2021. The type of microorganism, antimicrobial sensitivity (VITEK ® 2 bioMérieux), source of isolation, patient age and hospitalization service were identified.
Results:
477 positive cultures were included in 453 patients. The samples came from bronchial secretion 54.9%, blood 35.2%, urine 6.5% and others 3.4%. The hospital services of origin were emergency 49.9%, intensive care unit 40.0%, medicine 9.6% and surgery 0.5%. Gram negative bacteria (74.6%), Gram positive bacteria (16.4%) and fungi (9%) were isolated. The most frequently isolated microorganisms were Acinetobacter baumannii complex (32.7%), Klebsiella pneumoniae ssp. (16.8%) and Pseudomonas aeruginosa (13.4%). Antimicrobial resistance for the most frequently isolated microorganisms was: Acinetobacter baumannii complex, XDR in 88.5%; Klebsiella pneumoniae ssp., MDR in 56.3%; Pseudomonas aeruginosa, XDR in 54.7%; Staphylococcus epidermidis, MDR in 92.3%; and Staphylococcus haemolyticus, MDR in 100%.
Conclusions:
Gram-negative bacteria were the most prevalent, and critical hospital areas were the most affected, finding a high percentage of antimicrobial resistance.
Palabras clave : Microbiology; bacteria; fungi; microbial drug resistance (source: MeSH - NLM).