[Trends in resistant bacteria isolated from a tube smear in intubated patients in intensive care].
Long standing antibiotics therapy has resulted in growing bacteria resistance. We took a tube smear and prepared culture with antibiogram from the fifty intubated patients in the Intensive care unit in the war period. Gram-negative germs were the dominant ones in total sum, and among them the Acinetobacter calcoaceticus (No 21), Pseudomonas aeruginosa (No 18), Klebsiella pneumoniae (No 18), were isolated most frequently. Pseudomonas aeruginosa showed high resistance to Gentamicin (64%), Amikacin (35%), Trimethoprim (66%), Pefloxacin (20%), Ofloxacin (25%), Ciprofloxacin (25%). Klebsiella pneumoniae is resistant to Gentamicin (68%), Amikacin (22%), Cephalosporin (100%), Trimethoprim (31%), but it showed no resistance to chinolones. Acinetobacter calcoaceticus is resistant to Gentamicin (73%), Amikacin (36%), Cephalosporin (100%), Trimethoprim (63%), Pefloxacin (33%), Ofloxacin (67%), Ciprofloxacin (46%). Staphylococcus aureus was the most frequent among Gram-positive germs and it was resistant to Penicillin (100%), Gentamicin (40%), Lincocin (18%), Trimethoprim (5%), Pefloxacin (13%), Methicillin (21%), Cephalosporin (8%). The appearance of resistance on the antibiotics demands attentive follow-up aiming to influence the empirical application of antibiotics schemes depending on resistance.
Suljević
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Klinika za anesteziologiju, Klinicki centar Univerziteta u Sarajevu.
Cengić
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D
Suljević
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I
D001419:Bacteria / Q000187:drug effects / Q000302:isolation & purification*; D004352:Drug Resistance, Microbial; D006801:Humans; D007362:Intensive Care Units; D007442:Intubation, Intratracheal; D008826:Microbial Sensitivity Tests
Kretanje rezistencije bakterija izoliranih brisom tubusa kod intubiranih pacijenata na intenzivnoj njezi.