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Bacterial resistance trends among intraoperative bone culture of chronic osteomyelitis in an affiliated hospital of South China for twelve years.
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- Author(s): Zhang X;Zhang X;Zhang X; Lu Q; Lu Q; Liu T; Liu T; Li Z; Li Z; Cai W; Cai W
- Source:
BMC infectious diseases [BMC Infect Dis] 2019 Sep 18; Vol. 19 (1), pp. 823. Date of Electronic Publication: 2019 Sep 18.- Publication Type:
Journal Article- Language:
English - Source:
- Additional Information
- Source: Publisher: BioMed Central Country of Publication: England NLM ID: 100968551 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2334 (Electronic) Linking ISSN: 14712334 NLM ISO Abbreviation: BMC Infect Dis Subsets: MEDLINE
- Publication Information: Original Publication: London : BioMed Central, [2001-
- Subject Terms: Anti-Bacterial Agents/*pharmacology ; Drug Resistance, Bacterial/*drug effects ; Osteomyelitis/*diagnosis; Adolescent ; Adult ; Anti-Bacterial Agents/therapeutic use ; Cefotaxime/pharmacology ; Cefotaxime/therapeutic use ; China ; Chronic Disease ; Escherichia coli/drug effects ; Escherichia coli/isolation & purification ; Female ; Hospitals ; Humans ; Male ; Microbial Sensitivity Tests ; Middle Aged ; Osteomyelitis/drug therapy ; Osteomyelitis/microbiology ; Pseudomonas aeruginosa/drug effects ; Pseudomonas aeruginosa/isolation & purification ; Retrospective Studies ; Rifampin/pharmacology ; Rifampin/therapeutic use ; Staphylococcus aureus/drug effects ; Staphylococcus aureus/isolation & purification ; Young Adult
- Abstract: Background: The purpose of this study was to gather temporal trends on bacteria epidemiology and resistance of intraoperative bone culture from chronic ostemyelitis at an affiliated hospital in South China.
Method: Records of patients with chronic osteomyelitis from 2003 to 2014 were retrospectively reviewed. The medical data were extracted using a unified protocol. Antimicrobial susceptibility testing was carried out by means of a unified protocol using the Kirby-Bauer method, results were analyzed according to Clinical and Laboratory Standards Institute definitions.
Result: Four hundred eighteen cases met our inclusion criteria. For pathogen distribution, the top five strains were Staphylococcus aureus (27.9%); Pseudomonas aeruginosa (12.1%); Enterobacter cloacae (9.5%); Acinetobacter baumanii (9.0%) and Escherichia coli (7.8%). Bacterial culture positive rate was decreased significantly among different year-groups. Mutiple bacterial infection rate was 28.1%. One strain of Staphylococcus aureus was resistant to linezolid and vancomycin. Resistance of Pseudomonas aeruginosa stains to Cefazolin, Cefuroxime, Cefotaxime, and Cefoxitin were 100% nearly. Resistance of Acinetobacter baumanii stains against Cefazolin, Cefuroxime were 100%. Ciprofloxacin resistance among Escherichia coli isolates increased from 25 to 44.4%. On the contrary, resistance of Enterobacter cloacae stains to Cefotaxime and Ceftazidime were decreased from 83.3 to 36.4%.
Conclusions: From 2003 to 2014, positive rate of intraoperative bone culture of chronic osteomyelitis was decreased; the proportion of Staphylococcus aureus was decreased gradually, and our results indicate the importance of bacterial surveilance studies about chronic osteomyelitis. - References: Clin Orthop Relat Res. 1999 Mar;(360):14-21. (PMID: 10101306)
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Clin Infect Dis. 1998 Nov;27(5):1247-54. (PMID: 9827278) - Contributed Indexing: Keywords: Bacterial culture positive rate; Chronic osteomyelitis; Intra-operative bone culture; Long-term secular trends, antibiotic resistance
- Accession Number: 0 (Anti-Bacterial Agents)
N2GI8B1GK7 (Cefotaxime)
VJT6J7R4TR (Rifampin) - Publication Date: Date Created: 20190920 Date Completed: 20191126 Latest Revision: 20200225
- Publication Date: 20240105
- Accession Number: PMC6751654
- Accession Number: 10.1186/s12879-019-4460-y
- Accession Number: 31533647
- Source:
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