Antibiotic resistance patterns in medical and surgical patients in a combined medical-surgical intensive care unit.
Purpose: Studies have found different rates of antimicrobial resistance among patients in medical and surgical intensive care units (ICUs). We studied whether these differences were a function of geography or differences in the patient populations, by comparing resistance rates among bacteria isolat...
| Published in: | Journal of Critical Care Vol. 28; no. 4; pp. 347 - 352 |
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| Main Authors: | , |
| Format: | research tables/charts Journal Article |
| Published: |
Elsevier B.V.
2013
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104198752&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104198752 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 08839441 1YR jtl: Journal of Critical Care issn: 08839441 maglogo: N pubinfo: dt: 2013 vid: 28 iid: 4 pid: 82545 pub: Elsevier B.V. place: Philadelphia, Pennsylvania artinfo: ui: 104198752 89299061 10.1016/j.jcrc.2012.02.006 NLM22459157 104198752 ppf: 347 ppct: 5 formats: tig: atl: Antibiotic resistance patterns in medical and surgical patients in a combined medical-surgical intensive care unit. aug: au: Akulian, Jason A. Metersky, Mark L. affil: Division of Pulmonary and Critical Care Medicine, Department of Medicine, Johns Hopkins University, Baltimore, MD 21224-6801, USA sug: subj: Drug Resistance, Microbial Surgical Patients Evaluation Patient Care Methods Intensive Care Units Critical Care Human Serial Publications Retrospective Design Cell Culture Techniques Data Collection Demography Sensitivity and Specificity Infection Mortality Critically Ill Patients Evaluation Academic Medical Centers Patient Admission Evaluation Methicillin-Resistant Staphylococcus Aureus Staphylococcal Infections Diagnosis Middle Age Male Female Pulmonary Disease, Chronic Obstructive Diagnosis Kidney Failure, Chronic Coronary Disease Diagnosis Culture Techniques Lactose Gram-Negative Bacterial Infections Diagnosis Data Analysis Descriptive Statistics Middle Aged: 45-64 years Male Female ab: Purpose: Studies have found different rates of antimicrobial resistance among patients in medical and surgical intensive care units (ICUs). We studied whether these differences were a function of geography or differences in the patient populations, by comparing resistance rates among bacteria isolated from a combined medical/surgical ICU. Materials and Methods: We retrospectively evaluated the results of bacterial cultures of each patient admitted to the ICU between February 2005 and September 2006. Data collection included patient demographics and culture and sensitivity results. Intensive care unit populations were compared using the Fisher exact test and the Student t test. Results: One hundred seventy-one medical and 94 surgical patients with positive cultures were studied. Organisms were grouped into 4 classes: Staphylococcus aureus, nonlactose fermenting gram-negative bacilli, Enterococcus species, and gram-negative enteric bacteria. In the 4 classes, no significant difference in antibiotic resistance was found between medical and surgical patients. Conclusion: Reported differences in resistance patterns among bacteria cultured from medical and surgical patients may be due to geographic separation of the ICUs as opposed to differences in the patient characteristics. This study suggests that ICU-specific antibiograms remain a useful tool to guide the choice of antimicrobial therapy, even in medical/surgical ICUs. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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