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SM ISO690:2012 FERDOHLEB, Alina, IACONI, Oana-Simina, BALAN, Greta, GALBEN, Lucia, DZIEWIT, Lukasz, BORREGO, Carles M.. Public health problem of resistant bacteria in low and middleincome countries, following the example of Moldova. In: One Health and Risk Management, 2024, vol. 5, nr. 1, pp. 34-42. ISSN 2587-3458. DOI: https://doi.org/10.38045/ohrm.2024.1.05 |
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One Health and Risk Management | ||
Volumul 5, Numărul 1 / 2024 / ISSN 2587-3458 /ISSNe 2587-3466 | ||
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DOI:https://doi.org/10.38045/ohrm.2024.1.05 | ||
CZU: 615.33.015.8:614.2:338 | ||
Pag. 34-42 | ||
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Rezumat | ||
Introduction. Antimicrobial resistance is an important public health concern. This phenomenon has become an environmental problem, due to the spread of resistant microorganisms in water. This problem is now more visible in Low-and Middle-Income Countries, where it increases the social burden. One of the newest methods to fight antimicrobial-resistant bacteria is the use of strain-specific bacteriophages. Material and methods. The bacterial strains were obtained from inpatients and identified using VITEK 2 Compact system and culture. The disk diffusion method was used to determine the resistance profiles, which were then analyzed using EUCAST methodology. The presence of resistance mechanisms was checked by phenotypic testing. For research purposes, 31 bacterial strains were selected. Results. The strains of K. pneumoniae, P. aeruginosa, Acinetobacter spp., S. aureus, E. coli, and Enterococcus spp. were identified. The resistance profile of the isolates revealed: 61.5% of K. pneumoniae isolates were pan-drug-resistant, while 23,1% were only susceptible to Carbapenems. E. coli strains were extensively drug-resistant, 71.4% of P. aeruginosa and 75% of Acinetobacter spp. were pan-drug-resistant bacteria. The susceptibility profile of S. aureus strains showed that 3/4 were resistant to Cephalosporins and Fluoroquinolones. Conclusions. The study identified all six highly virulent and antibiotic-resistant bacterial pathogens in low and middle-income countries and Moldovan hospitals. The analysis conducted in the study could serve as an argument for using bacteriophages in water treatment as a cost effective method to combat antimicrobial resistance. |
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Cuvinte-cheie antimicrobial resistance, Bacteria, LMICs, susceptibility testing, bacteriophages, water treatment., rezistența la antimicrobiene, Bacterii, țări cu venituri mici și medii, teste de sensibilitate, bacteriofagi, tratarea apei |
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