机构地区：[1]Hô pital d’Instruction des Armées Omar Bongo Ondimba, Département de biologie médicale, Libreville, Gabon [2]Centre Interdisciplinaire de Recherches Médicales de Franceville (CIRMF), Laboratoire de Bactériologie de Recherche, Unité de recherche et d’Analyses Médicales (URAM), Franceville, Gabon [3]Centre Hospitalier Universitaire de Montpellier, Laboratoire de Bactériologie, France [4]Institut de Recherche en Ecologie Tropicale (IRET/CENAREST), Département Ecologie animale, Libreville, Gabon [5]Hô pital d’Instruction des Armées Omar Bongo Ondimba, Département de Médecine, Libreville, Gabon [6]Unité mixte de Recherche Santé Militaire/CIRMF, Libreville, Gabon [7]Université des sciences et techniques de Masuku (USTM), Laboratoire de Biologie Moléculaire et Cellulaire, équipe de Microbiologie et Immunologie, Franceville, Gabon [8]Université des Sciences de la Santé, Faculté de Médecine, Département d’Epidémiologie, Biostatistiques et Informatique Médicale (DEBIM)/Unité de Recherche en Epidémiologie des Maladies Chroniques et Santé Environnement (UREMCSE), Libreville, Gabon [9]MIVEGEC, IRD, CNRS, Université de Montpellier, Montpellier, France
出 处：《Open Journal of Medical Microbiology》2021年第2期100-118,共19页医学微生物学（英文）
摘 要：<b><span style="font-family:Verdana;">Background:</span></b><span style="font-family:""><span style="font-family:Verdana;"> The increasing phenomenon of bacterial resistance to antibiotics is a real public health problem. The main causes are poor management of hygiene and water quality, but also the use of antibiotics without precaution. The objective of this study was to isolate and determine the antibiotic resistance profile of the different bacteria found in the main hospitals and bacteriology laboratories in Gabon. </span><b><span style="font-family:Verdana;">Methods:</span></b><span style="font-family:Verdana;"> 6034 samples were taken from hospitals in seven main cities of Gabon, and analyzed according to the usual techniques. The pathogenic strains were identified by Matrix-Assisted Laser Desorption Ionization-Time Of Flight Mass Spectrometry. Antimicrobial susceptibility testing was performed by the agar disc diffusion method, according to the Antibiogram Committee of the French Society for Microbiology guidelines. </span><b><span style="font-family:Verdana;">Results: </span></b><span style="font-family:Verdana;">974 pathogenic bacterial strains were found, including 890/974 (91</span><span style="font-family:Verdana;">.4%) Gram-negative bacilli. The systematic antimicrobial suscepti</span><span style="font-family:Verdana;">bility testings identified 160/974 (16.4%) multi-resistant strains. </span><i><span style="font-family:Verdana;">Escherichia coli</span></i><span style="font-family:Verdana;"> was t</span><span style="font-family:Verdana;">he most represented species. 12.5%</span></span><span style="font-family:""> </span><span style="font-family:Verdana;">-</span><span style="font-family:""> </span><span style="font-family:""><span style="font-family:Verdana;">25% of </span><i><span style="font-family:Verdana;">Escherichia coli</span></i><span style="font-family:Verdana;">, </span><i><span style="font-family:Verdana;">Klebsiel</span></i></span><i><span style="font-family:Verdana;">la pneumoniae</span><b><span style="font-family:Verdana;">Background:</span></b><span style="font-family:""><span style="font-family:Verdana;"> The increasing phenomenon of bacterial resistance to antibiotics is a real public health problem. The main causes are poor management of hygiene and water quality, but also the use of antibiotics without precaution. The objective of this study was to isolate and determine the antibiotic resistance profile of the different bacteria found in the main hospitals and bacteriology laboratories in Gabon. </span><b><span style="font-family:Verdana;">Methods:</span></b><span style="font-family:Verdana;"> 6034 samples were taken from hospitals in seven main cities of Gabon, and analyzed according to the usual techniques. The pathogenic strains were identified by Matrix-Assisted Laser Desorption Ionization-Time Of Flight Mass Spectrometry. Antimicrobial susceptibility testing was performed by the agar disc diffusion method, according to the Antibiogram Committee of the French Society for Microbiology guidelines. </span><b><span style="font-family:Verdana;">Results: </span></b><span style="font-family:Verdana;">974 pathogenic bacterial strains were found, including 890/974 (91</span><span style="font-family:Verdana;">.4%) Gram-negative bacilli. The systematic antimicrobial suscepti</span><span style="font-family:Verdana;">bility testings identified 160/974 (16.4%) multi-resistant strains. </span><i><span style="font-family:Verdana;">Escherichia coli</span></i><span style="font-family:Verdana;"> was t</span><span style="font-family:Verdana;">he most represented species. 12.5%</span></span><span style="font-family:""> </span><span style="font-family:Verdana;">-</span><span style="font-family:""> </span><span style="font-family:""><span style="font-family:Verdana;">25% of </span><i><span style="font-family:Verdana;">Escherichia coli</span></i><span style="font-family:Verdana;">, </span><i><span style="font-family:Verdana;">Klebsiel</span></i></span><i><span style="font-family:Verdana;">la pneumoniae</span>
关 键 词：GABON Antibiotic Resistance Profiles Methicillin-Resistant S. aureus (MRSA) Extended Spectrum Beta-Lactamase-Producing Enterobacteriaceae (ESBL-PE) CARBAPENEMS
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