The status of multidrug resistance in ubiqutous and dominated pseudomonas aeruginosa in Ha Noi hospital

Background: Strains caused by hospital-acquired infections as acommon rule havehigh multiantimicrobial resistance andincrease the dispersal risks ofthese strains. Objectives: To learn about the status of multidrug resistance in ubiquitous and dominant pseudomonas aeruginosa in Ha Noi hospital. Subjects and method: 138nosocomial Pseudomonas aerug.\r\n', u'Results:114 nosocomial Pseudomonas aerug- inosa isolates from Hanoi hospital were studied in relation to their antibiotic susceptibilities and the results showed the ratesof resistance to antibiotics among beta lactams ranged from 29 to 41.7%; quinolones ranged from 45.7% to 47.3%; cephems ranged from 64.1 % to 74.4% and aminoglyy cosides ranged from 41.1 to 74,6%. Of the five dominant serogroups O12 (27.2%); O11 (18.4%); O16 (11.4%); O5 (6.1%) and O2 (5.3%). Multidrug resistance rates in the major serogroups were O16 (100%); O11 (95.2%); and O12 (93.5%).Conclusion: Efforts to monitor antibiotic resistance of hospital bacteria strainsnationalwide, regional and local levels is necessary to provide physicians with the selection of information for effective treatment. \r\n', u'\r\n', u'

The status of multidrug resistance in ubiquitous and domination acinetobacter Spp caused nosocomial infections

Background: Acinetobacter spp are present everywhere in the environment and cause many epidemics in tropical countries.\r\n', u'Objectives: This study aims to learn about the status of multidrug resistance in ubiquitous and domination acinetobacter Spp caused nosocomial infections. Subjects and method: A descriptive, epidemiologic cross-sectional study on 65 nosocomial Acinetobacter spp isolated from 244 patients hospitalized at the intensive-care units, Bach Mai hospital and burn patients from the National Burn Institute from April, 2007 to May, 2008. Results: Rates of A.baumannii were 70.8% of the isolates. Acinetobacter spp were isolated from patients in intensive-care units showed resistant to almost all commercially available antibiotics groups, among Penicillin ranged from 94.6 to 97.4%; beta- Lactam ranged from 80.5 to 90%; Cephems were 97.6%; Aminoglycosides group ranged from 62.5 to 100% and Quinolon were 100%. The isolates that were susceptible to Netilmycin was 35% and Imipenem was 34.1%. Acinetobacter spp were isolated from burn patients, which showed resistant to Penicillin was 86, 7%; beta- Lactam was 93, 3%; Aminoglyco- sides ranged from 25% to 87.5% and Quinolon was 81,3%. The isolates were susceptible to Netilmycin was 75% and Imipenem was 31.3%. \r\n', u'Conclusion: Analysis of risk factors may help the study of epidemiology Acinetobacter to prevent hospital infections and reduce the mortality rate. \r\n', u'

Primary results of multi-urinary induction in early treatment of acute tubular nephritis-related acute renal failure

This study included 6 patients who have serum creatinine level as 130mmol/l. Urea, creatinine levels, electrolysis, blood gases, and weight were measured every day. The patients were inserted catheter to measure the central venous pressure and received fluid infusion. The systolic pressure was maintained at 90mmHg and the urinary amount at 200ml per hour. On average, renal failure were resolved after 5 days of treatment.