Temporal association between carbapenems usage and antimicrobial resistance in gram-negative bacteria at a tertiary hospital in Nanjing, China

Copyright © 2020 Elsevier Inc. All rights reserved..

In this study, we investigated the temporal association between carbapenems usage and antimicrobial resistance among major Gram-negative bacteria, using the data of quarterly carbapenems consumptions and percentages of antibiotic resistance for Gram-negative bacteria from inpatients from 2013 to 2017 in a tertiary hospital from Jiangsu Province, China. First, carbapenems consumption showed an increasing trend in the past 5 years, accompanied with the rising rates of A. baumannii and P. aeruginosa resistance against imipenem. In A. baumannii, we identified correlations between carbapenems consumption and antimicrobial resistance against piperacillin/tazobactam, ceftazidime, ciprofloxacin and imipenem, respectively. Additionally, close correlations were observed between carbapenems consumption and antimicrobial resistance against ceftazidime and ciprofloxacin in E. coli. Our data indicated that a significant positive correlation between the usage of carbapenems and the rate of antimicrobial resistance among A. baumannii and E. coli, respectively. Carbapenems should be cautiously prescribed to prevent antimicrobial resistance outbreak in A. baumannii and E. coli.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:98

Enthalten in:

Diagnostic microbiology and infectious disease - 98(2020), 2 vom: 01. Okt., Seite 115083

Sprache:

Englisch

Beteiligte Personen:

Hao, Yingying [VerfasserIn]
Chen, Shixing [VerfasserIn]
Chang, Haiyan [VerfasserIn]
Yan, Xiaomin [VerfasserIn]
Zhou, Wanqing [VerfasserIn]
Cao, Xiaoli [VerfasserIn]
Huang, Rui [VerfasserIn]
Zhang, Zhaoping [VerfasserIn]
Zhang, Haixia [VerfasserIn]
Jia, Bei [VerfasserIn]
Wu, Weihua [VerfasserIn]
Xiong, Yali [VerfasserIn]
Chen, Yuxin [VerfasserIn]
Wu, Chao [VerfasserIn]

Links:

Volltext

Themen:

5E8K9I0O4U
9M416Z9QNR
Anti-Bacterial Agents
Antimicrobial resistance
Carbapenems
Ceftazidime
Ciprofloxacin
Consumption
Gram-negative bacteria
Journal Article
Observational Study
Temporal association

Anmerkungen:

Date Completed 19.05.2021

Date Revised 19.05.2021

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.diagmicrobio.2020.115083

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM312270313