Surveillance of hospital infection and Antimicrobial resistance Buengkan hospital between 2015 – 2017

Abstract

Objective : To study the situation of drug resistance in Bueng Kan Hospital and to monitor drug resistance to reduce unnecessary antibiotic treatment. Materials and methods : The data of infection rate in patients in Bueng Kan Hospital and samples of patients with biopsy were collected from October 2014 to September 2017 for bacterial culture and sensitivity testing. Using the M Lab program (CLSI) to analyze the results. Results : The study showed infection rate of patients form Bueng Kan hospital during 2015 -2017 were 2.293, 1.660 and 0.462 per 1000 patient days. Evidence of surveillance in Bueng Kan hospital by antibiogram were 4.2%, 3.8%, 4.8% of Methicillin-Resistant S. aureus (MRSA), respectively. 54.1%, 68.9%, 68.7% of Carbapenem-Resistant A. buamannii (CR-AB), respectively.38.7%, 34.7%, 25.7% of Carbapenem-Resistant P. aeruginosa (CR-PAE), respectively. 0%, 0.3%, 2.4% of Carbapenem Resistant E. coli, respectively. 5.3%, 12.8%, 31.1% of Carbapenem-Resistant K. pneumoniae, respectively. 27.3%, 35.7%, 50.2% of 3rd Generation Cephalosporins-Resistant K. pneumoniae, respectively. 42.1%, 36.8%, 37.6% of 3rd Generation Cephalosporins Resistant E. coli, respectively. And 13.5%, 18.2%, 18.4% of Piperacillin/Tazobactam-Resistant P. aeruginosa, respectively. Conclusion : Infection of the Bueng Kan hospital is reduced. Increased drug resistance and major hospital outbreaks of Acinetobacter buamannii, E. coli, K. pnuemoniae, P. aeruginosa, resistant to Carbapenem are important infections of the hospital. There is a higher mortality rate than Colistin