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Susceptibility to antibiotics in escherichiae isolated in a multidisciplinary medical centre

Nadezda S. KozlovaNorth-Western State Medical University named after I.I. MechnikovN. E. BarantsevichFederal Almazov North-West Medical Research CentreE. P. BarantsevichFederal Almazov North-West Medical Research Centre
2016en
ABI

Аннотация

Relevance. Antimicrobial resistance in nosocomial strains currently presents a very important problem. Aim of the study: Study of antibiotic resistance in Escherichia coli, isolated in a multidisciplinary centre. Materials and Methods. Susceptibility of 151 E. coli strains to 15 antibiotics was studied by microdilution method. Results. The majority of the studied strains were resistant to antibiotics, including: ampicillin (57.0%), ciprofloxacin and moxifloxacin (42.4% each), III and IV generation cephalosporins (37.1% and 34.4%, respectively) and gentamycin (29.1%). The highest activity against E. coliwas shown for carbapenems (resistance to erthapenem – 2.6%, meropenem – 0.7%), in particular, for imipenem – no strains resistant to this drug were isolated. Resistance to amikacin and phosphomycin was low: 3.3% and 1.3% respectively. Wide diversity of antibiotic resistance spectra was revealed in studied strains, with a high level of multidrug resistance (48.0%). Conclusion. Study of susceptibility to antimicrobial agents in E. coli, isolated in a multidisciplinary centre, showed predominance of resistant strains with a high level of multidrug resistance. The appearance of carbapenem-resistant strains in a multidisciplinary centre presents a rising problem.

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