Antimicrobial resistance and antibiotic consumption in Mexican hospitals

被引：16

作者：

Guadalupe Miranda-Novales, Maria ^{[1
,2
]}

Flores-Moreno, Karen ^{[1
]}

Lopez-Vidal, Yolanda ^{[3
]}

Rodriguez-Alvarez, Mauricio ^{[3
]}

Solorzano-Santos, Fortino ^{[4
]}

Luis Soto-Hernandez, Jose ^{[5
]}

Ponce de Leon-Rosales, Samuel ^{[6
]}

Arredondo-Hernandez, R. ^{[7
]}

Orduna-Estrada, P. ^{[7
]}

Ruiz Ramirez, C. G. ^{[7
]}

Barido-Murguia, M. E. ^{[8
]}

Basurto-Chipolini, D. A. ^{[9
]}

Reyes-Aguayo, M. ^{[9
]}

Castellanos-Martinez, J. M. ^{[10
]}

Gil-Veloz, M. ^{[10
]}

Rivera-Garay, L. R. ^{[10
]}

Cruz-Garcia, E. ^{[11
]}

Meza-Chavez, A. ^{[11
]}

Ramos-Hernandez, J. M. ^{[11
]}

Molina-Gamboa, J. D. ^{[12
]}

Garcia-Torres, R., I ^{[12
]}

Dominguez-Sosa, F. ^{[13
]}

Flores-Romero, M. P. ^{[13
]}

Franco-Cendejas, R. ^{[14
]}

Lopez-Jacome, E. ^{[14
]}

Gonzalez-Cervantes, B. ^{[15
]}

Hernandez-Medel, M. L. ^{[16
]}

Rivera-Benitez, C. ^{[16
]}

Morales-Gil, M. A. ^{[16
]}

Macias-Hernandez, A. ^{[17
]}

Gonzalez-Aguilar, E. E. ^{[17
]}

Arias-de la Garza, E. ^{[18
]}

Macias-Parra, M. ^{[18
]}

Aquino-Andrade, A. ^{[18
]}

Martinez-Orozco, J. A. ^{[19
]}

Becerril-Vargas, E. ^{[19
]}

Mireles-Davalos, C. D. ^{[19
]}

Morales-Reyes, J. J. ^{[20
]}

Soto-Mosqueda, G. ^{[20
]}

Morfin-Otero, M. R. ^{[21
]}

Rodriguez-Noriega, E. ^{[21
]}

Perez-Gomez, H. R. ^{[21
]}

Esparza-Ahumada, S. ^{[21
]}

Ramirez-Hinojosa, J. P. ^{[22
]}

Rodriguez-Zuleta, P. ^{[22
]}

Arroyo-Escalante, S. ^{[22
]}

Tinoco-Favila, J. C. ^{[23
]}

Salcido-Gutierrez, L. ^{[23
]}

Solorzano-Santos, F. ^{[24
]}

Jimenez-Juarez, R. ^{[24
]}

机构：

[1] Univ Nacl Autonoma Mexico, Fac Med, Lab Microbioma, Mexico City, DF, Mexico

[2] Inst Mexicano Seguro Social, Unidad Invest Anal & Sintesis Evidencia, Mexico City, DF, Mexico

[3] Univ Nacl Autonoma Mexico, Fac Med, Dept Microbiol & Parasitol, Mexico City, DF, Mexico

[4] Hosp Infantil Mexico Dr Federico Gomez, Unidad Invest Med Basada Evidencias, Mexico City, DF, Mexico

[5] Inst Nacl Neurol & Neurocirugia Dr Manuel Velasco, Mexico City, DF, Mexico

[6] Univ Nacl Autonoma Mexico, Mexico City, DF, Mexico

[7] Univ Nacl Autonoma Mexico, Fac Med, Mexico City, DF, Mexico

[8] Asociac Mexicana Estudio Infecc Nosocomiales AC, Mexico City, DF, Mexico

[9] IMSS, Hosp Gen Reg Tecamac 200, Mexico City, DF, Mexico

[10] Hosp Reg Alta Especialidad Bajio SS, Leon, Spain

[11] IMSS, CMN SXXI, UMAE Cardiol Dr Luis Mendez, Mexico City, DF, Mexico

[12] IMSS, UMAE Hosp Cardiol 34, Mexico City, DF, Mexico

[13] Hosp Cent Sur Alta Especialidad Petr Mexicanos, Mexico City, DF, Mexico

[14] Inst Nacl Rehabil SS, Mexico City, DF, Mexico

[15] Hosp Gen Acapulco Gro SS, Acapulco, Guerrero, Mexico

[16] Hosp Gen Mexico Dr Eduardo Liceaga SS, Mexico City, DF, Mexico

[17] Hosp Aranda Parra, Guanajuato, Mexico

[18] Inst Nacl Pediat SS, Mexico City, DF, Mexico

[19] Inst Nacl Enfermedades Resp SS, Mexico City, DF, Mexico

[20] Hosp Civil Guadalajara Dr Juan I Menchaca SS, Guadalajara, Jalisco, Mexico

[21] Hosp Civil Guadalajara Fray Antonio Alcalde SS, Guadalajara, Jalisco, Mexico

[22] Hosp Gen Manuel Gea Gonzalez SS, Mexico City, DF, Mexico

[23] Hosp Gen Durango SS, Durango, Mexico

[24] Hosp Infantil Mexico Federico Gomez SS, Mexico City, DF, Mexico

[25] Inst Nacl Cardiol Ignacio Chavez SS, Mexico City, DF, Mexico

[26] IMSS, CMN Siglo 21, UMAE Hosp Pediat, Mexico City, DF, Mexico

[27] Inst Nacl Cancerol SS, Mexico City, DF, Mexico

[28] Inst Nacl Neurol & Neurocirugia Manuel Velasco Su, Mexico City, DF, Mexico

来源：

SALUD PUBLICA DE MEXICO | 2020年 / 62卷 / 01期

关键词：

anti-bacterial agents; drug resistance; microbial; drug utilization;

D O I：

10.21149/10543

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Objective.To establish the current situation of antimicrobial resistance and antibiotic consumption in Mexican hospitals. Materials and methods. Antimicrobial susceptibility data from blood and urine isolates were collected. Defined daily dose (DDD) of antibiotic consumption/ 100 occupied beds (OBD) was calculated. Results. Study period:2016 and 2017. Of 4 382 blood isolates, E. coi: and K pr;eumor;:ce were most frequently reported, with antimicrobial resistance >30% for most drugs tested, only for carbapenems and amikacin resistance were <20%. A. boumanni had antimicrobial resistance >20% to all drugs. Resistance to oxacillin in S. aureus was 20%. From 12 151 urine isolates, 90% corresponded to E. cdi: resistance to ciprofloxacin, cephalosporins and trimethoprirr/sulfamethoxazole was >50%, with good susceptibility to nitrofurantoin, amikacin and carbapenems. Global median antimicrobial consumption was 57.2 DDD/ 100 OB. Conclusions.This report shows a high antimicrobial resistance level in Gram-negative bacilli and provides an insight into the seriousness of the problem of antibiotic consumption.

引用

页码：42 / 49

页数：8

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