ANTIBIOTIC SUSCEPTIBILITY OF ACINETOBACTER BAUMANNII STRAINS ISOLATED IN SOME VIETNAMESE HOSPITALS IN THE PERIOD 2017-2019

Authors

  • Vu Nhi Thai Nguyen University of Medicne and Pharmacy
  • Tran Huy Hoang National Institute Of Hygiene And Epidemiology
  • Nguyen Thai Son 103 Military Hospital, Vietnam Military Medical University

Keywords:

Acinetobacter baumannii, MIC, antibiotic resistance, carbapenem, colistin

Abstract

The study was to determine the Minimum Inhibitory Concentration (MIC) of 157 Acinetobacter baumannii strains isolated on inpatients from 6 hospitals in Vietnam including: Huu Nghi Hospital , Hospital 108, Thanh Nhan Hospital, Saint Paul Hospital, Hue Central Hospital, Can Tho Provincial General Hospital in the period 2017-2019. MIC results showed that A. baumannii was resistant to ≥ 77% to 8/9 tested antibiotics; 91% of A. baumannii were resistant to both carbapenem antibiotics, meropenem and imipenem, with MIC50 of 32 - 64 µg/ml and MIC90 ≥ 64 µg/ml. The lowest resistance rate was colistin (34,3%) and the MIC range of colistin ranged from < 0,25 - ≥ 4 µg/ml; MIC50 = 1 µg/ml, MIC90 = 4 µg/ml. Research results are the basis for clinical pharmacists and treating doctors to calculate an effective and safe treatment dose that is appropriate for the patient.

Downloads

Download data is not yet available.

References

[1]. Wareth G, Linde J, Nguyen NH, et al (2021). WGS-Based Analysis of Carbapenem-Resistant Acinetobacter baumannii in Vietnam and Molecular Characterization of Antimicrobial Determinants and MLST in Southeast Asia. Antibiotics; 10: 563.

[2]. Tacconelli E, Carrara E, Savoldi A, et al (2018). Discovery, research, and development of new antibiotics: the WHO priority list of antibiotic-resistant bacteria and tuberculosis. The Lancet Infectious Diseases; 18: 318–327.

[3]. P.T.N.Thao, T.V.Ngoc, T.T.T.Nga (2017). Investigation of drug resistance characteristics of Pseudomonas aeruginosa and Acinetobacter baumannii causing hospital-acquired pneumonia. Medical news; 64–69.

[4]. Hoang Quoc C, Nguyen Thi Phuong T, Nguyen Duc H, et al (2019). Carbapenemase genes and multidrug resistance of Acinetobacter baumannii: A cross sectional study of patients with Pneumonia in Southern Vietnam. Antibiotics (Basel); 8: E148.

[5]. Phu VD, Wertheim HFL, Larsson M, et al (2016). Burden of Hospital Acquired Infections and Antimicrobial Use in Vietnamese Adult Intensive Care Units. Plos ONE; 11: e0147544.

[6]. T.Đ.Hung, T.L.Son, T.T.Dung et al (2022). Introduction rate and antibiotic resistance of Acinetobacter baumannii isolated from respiratory diseases Can Tho city general hospital 2021. Vietnam Medical Journal; 515(2): 338-342

[7]. L N Khue (2017). Practical guide to clinical microbiology testing techniques. Medical Publishing House.

[8]. Patel JB (ed) (2017). Performance standards for antimicrobial susceptibility testing. 27th edition. Wayne, PA: Clinical and Laboratory Standards Institute.

[9]. Koeth LM, DiFranco-Fisher JM, McCurdy S (2015). A Reference Broth Microdilution Method for Dalbavancin In Vitro Susceptibility Testing of Bacteria that Grow Aerobically. Journal of Visualized Experiments: JoVE. Epub ahead of print 9 September. DOI: 10.3791/53028.

[10]. Hsu L-Y, Apisarnthanarak A, Khan E, et al (2017). Carbapenem-resistant Acinetobacter baumannii and Enterobacteriaceae in south and southeast Asia; 30: 1–22.

[11]. Thanh LNX, Ngọc LTÁ, Liên NTN, et al (2017). Molecular characterization of genes encoding acquired carbapenemase of carbapenemresistant Acinetobacter baumannii isolates. Journal of Medicine and Pharmacy; 7: 52.

[12]. P.H.Nhung, Đ.X.Co, B.T.Hao (2017). Antibiotic susceptibility of gram-negative bacilli isolated in the intensive care unit of Bach Mai hospital. Medical research journal; 109: 1–8.

[13]. Kim DH, Choi J-Y, Kim HW, et al (2013). Spread of Carbapenem-Resistant Acinetobacter baumannii Global Clone 2 in Asia and AbaR-Type Resistance Islands. Antimicrob Agents Chemother; 57: 5239–5246.

[14]. Magiorakos A-P, Srinivasan A, Carey RB, et al (2012). Multidrug-resistant, extensively drug-resistant and pandrug-resistant bacteria: an international expert proposal for interim standard definitions for acquired resistance. Clinical Microbiology and Infection; 18: 268–281.

[15]. Tuan Anh N, Nga TVT, Tuan HM, et al (2017). Molecular epidemiology and antimicrobial resistance phenotypes of Acinetobacter baumannii isolated from patients in three hospitals in southern Vietnam. Journal of Medical Microbiology; 66: 46–53.

[16]. LTVNga, PHNhung, TT VPhuong, et al (2020). The relationship between the degree of carbapenem resistance and the occurrence of carbapenemase-encoding genes of Acinetobacter baumannii strains isolated in some hospitals. Vietnam Science and Technology Magazine; 62 (7): 35-39

. Tran DN, Tran HH, Matsui M, et al (2017). Emergence of New Delhi metallo-beta-lactamase 1 and other carbapenemase-producing Acinetobacter calcoaceticus-baumannii complex among patients in hospitals in Ha Noi, Viet Nam. Eur J Clin Microbiol Infect Dis; 36: 219–225.

[18]. Linh TK, Van CTB (2017). The situation of colistin resistance in some common Gram-negative bacteria in hospital infections in Ho Chi Minh City. Medical Journal of Ho Chi Minh City; 8.

[19]. Osei Sekyere J. Mcr (2019). Colistin resistance gene: a systematic review of current diagnostics and detection methods. MicrobiologyOpen; 8: e00682.

[20]. Hui Li, Hua Zhou, Xi Li, Jianfeng Wang, Ying Fu, Yan Jiang, Yunsong Yu (2018). The Evaluation of Four In Vitro Susceptibility Testing Methods for Colistin on Carbapenenm-Resistant Acinetobacter baumannii. Jundishapur journal of microbiology; 10.

[21]. Matuschek E, Åhman J, Webster C, et al (2018). Antimicrobial susceptibility testing of colistin – evaluation of seven commercial MIC products against standard broth microdilution for Escherichia coli, Klebsiella pneumoniae, Pseudomonas aeruginosa, and Acinetobacter spp. Clinical Microbiology and Infection; 24: 865–870.

Published

2022-11-17

How to Cite

Vũ Nhị, H., Trần Huy, H., & Nguyễn Thái, S. (2022). ANTIBIOTIC SUSCEPTIBILITY OF ACINETOBACTER BAUMANNII STRAINS ISOLATED IN SOME VIETNAMESE HOSPITALS IN THE PERIOD 2017-2019. SCIENTIFIC JOURNAL OF TAN TRAO UNIVERSITY, 8(3). Retrieved from https://tckh.daihoctantrao.edu.vn/index.php/sjttu/article/view/811

Issue

Section

Natural Science and Technology