Details

Autor(en) / Beteiligte

• Miranda-Novales, María Guadalupe
• Flores-Moreno, Karen
• López-Vidal, Yolanda
• Rodríguez-Álvarez, Mauricio
• Solórzano-Santos, Fortino
• Soto-Hernández, José Luis
• Ponce de León-Rosales, Samuel

Titel

Antimicrobial resistance and antibiotic consumption in Mexican hospitals

Ist Teil von

• Salud pública de México, 2020-01, Vol.62 (1), p.42-49

Ort / Verlag

Mexico: Instituto Nacional de Salud Pública

Erscheinungsjahr

2020

Quelle

Business Source Ultimate

Beschreibungen/Notizen

• To establish the current situation of antimicrobial resistance and antibiotic consumption in Mexican hospitals. Antimicrobial susceptibility data from blood and urine isolates were collected. Defined daily dose (DDD) of antibiotic consumption/100 occupied beds (OBD) was calculated. Study period: 2016 and 2017. Of 4 382 blood isolates, E. coli and K. pneumoniae were most frequently reported, with antimicrobial resistance >30% for most drugs tested, only for carbapenems and amikacin resistance were <20%. A. baumannii had antimicrobial resistance >20% to all drugs. Resistance to oxacillin in S. aureus was 20%. From 12 151 urine isolates, 90% corresponded to E. coli; resistance to ciprofloxacin, cephalosporins and trimethoprim/sulfamethoxazole was >50%, with good susceptibility to nitrofurantoin, amikacin and carbapenems. Global median antimicrobial consumption was 57.2 DDD/100 OB. s. 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.