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2022, Number 1

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Rev Cubana Hematol Inmunol Hemoter 2022; 38 (1)

Microbiological Map - 2020 from Institute of Hematology and Immunology, Cuba

Rodríguez PM, González PJ, Rodríguez MMR, Cuevas DRS

Language: Spanish
References: 26
Page: 1-16
PDF size: 329.84 Kb.


ABSTRACT

Introduction: Microbiological maps are considered an epidemiological marker as statistically summarize circulating bacteria and their behavior against antibiotics in use. They allow establishing an antibiotic policy that guarantees the most rational use of antimicrobials and decreases the risk of bacterial resistance.
Objectives: Identify the isolated bacteria with more frequency from microbiological crops of hospitalized patients in the Institute of Hematology and Immunology during the year 2020 and determine the resistance of the most frequent bacteria to the antimicrobials tested, with a view to establishing the first microbiological map of the institution.
Methods: An observational, descriptive, cross-sectional study was performed that included cultures of patients hospitalized during the year 2020. Bacterial identification was carried out according to conventional methods and to determine the resistance profiles was used by the Bauer-Kirby method.
Results: The blood culture was the most indicated microbiological study with 32.80% positivity. The Gram negative bacteria predominated (81.71%), being the most identified Pseudomona spp., Enterobacter spp., Klebsiella spp. and Escherichia coli. Among the Gram positive bacteria predominate Staphylococcus spp. coagulase negative. High percentages of resistance were obtained in front of almost all antimicrobials evaluated.
Conclusions: The completion of the institutional microbiological map allows updating the antimicrobial use policy by identifying the Gram negative bacilli, with high percentages of resistance, as the main etiological agents of the infections registered in this health center during 2020.


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