Situation of Antimicrobial Resistance (AMR) of 8 type of Bacteria with Bloodstream Infections and related analysis results in Damnoensaduak Hospital.

Abstract

Antimicrobial resistance (AMR) that day by day trends to increase continuously. For various reasons by affecting the world now: Situation study Antimicrobial Resistance in Patients with Bloodstream Infections. To bring information that has been used in surveillance management antimicrobial resistance keep up with the situation. The data has been studied retrospectively from  January 2019 to December 2021. The results of the study were found in 517 cases of all 8 bacteria. Top 3 antimicrobial resistance strains found Escherichia coli ,Klebsiella pneumoniae, Staphylococcus aureus 35.08 %, 8.6 %, 4.47 % respectively. Multi-antimicrobial resistance (MDR) the most common Escherichia coli was 77.61%. Klebsiella pneumoniae was found to be resistant to carbapenem (CRE), 0.75%. and community-acquired infection antimicrobial resistance infections were higher than hospital-acquired infections, 64.22% and 7.93%, respectively. The total mortality rate for the most common antimicrobial resistance strain Klebsiella pneumoniae was 71.73%.. Results from this study can be used to determine measures, surveillance and infection control in hospitals and reduce antimicrobial resistance infections and rational control of drug use Including use as information for treatment planning and appropriate patient discharge. To prevent the spread of infection within the hospital.