Unveiling the Dynamics of Antimicrobial Resistance: A Year-Long Surveillance at the Largest Infectious Disease Profile Hospital in Western Romania
2024

Antimicrobial Resistance Surveillance in Romania

Sample size: 2179 publication 10 minutes Evidence: high

Author Information

Author(s): Laitin Sorina Maria Denisa, Baditoiu Luminita Mirela, Laza Ruxandra, Stefan Irina-Maria, Besliu Razvan Sebastian, Susa Septimiu Radu, Oancea Cristian, Stoicescu Emil Robert, Manolescu Diana, Fira-Mladinescu Corneluta, Kolar Milan, Mavroidi Angeliki, Vrioni Georgia

Primary Institution: 'Victor Babes' University of Medicine and Pharmacy Timisoara

Hypothesis

This study aimed to identify the most common bacterial pathogens and their resistance profiles from clinical cultures in a Romanian hospital.

Conclusion

The study found significant antimicrobial resistance patterns among key bacterial pathogens, highlighting the need for improved infection control and antimicrobial stewardship.

Supporting Evidence

  • Klebsiella pneumoniae showed high resistance rates, notably 41.41% in Quarter 1.
  • Escherichia coli exhibited 35.93% resistance in Quarter 1.
  • Staphylococcus aureus, particularly MRSA, had 169 cases recorded over the year.
  • Acinetobacter baumannii and Pseudomonas aeruginosa displayed alarming levels of multi-drug resistance.
  • Resistance rates declined by Quarter 4, but critical pathogens continued to show significant resistance.

Takeaway

The study looked at bacteria that make people sick and how well antibiotics work against them. It found that many bacteria are becoming resistant to treatment, which is a big problem.

Methodology

The study analyzed positive cultures from various clinical samples collected from inpatients over one year.

Potential Biases

Potential selection bias due to only including patients with samples sent for culture.

Limitations

The study's retrospective design may introduce selection bias, and it focuses on a single hospital, limiting generalizability.

Participant Demographics

Inpatients at 'Victor Babes' Hospital of Infectious Disease and Pneumoftiziology Timisoara.

Statistical Information

P-Value

<0.001

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.3390/antibiotics13121130

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