Antimicrobial Resistance Patterns of Pathogens Isolated from Patients with Wound Infection at a Teaching Hospital in Vietnam.

Purpose: At a teaching Hospital in Vietnam, the persistently high incidence of diagnosed wound infection poses ongoing challenges to treatment. This study seeks to explore the causative agents of wound infection and their antimicrobial and multidrug resistance patterns. Methods: A cross-sectional study was conducted at the Department of Microbiology, Military Hospital 103, Vietnam. Data on microorganisms that caused wound infection and their antimicrobial resistance patterns was recorded from hospitalized patients from 2014 to 2021. Using the chi-square test, we analyzed the initial isolation from wound infection specimens collected from individual patients. Results: Over a third (34.9%) of wound infection samples yielded bacterial cultures. Staphylococcus aureus was the most prevalent bacteria, followed by Pseudomonas aeruginosa. Worryingly high resistance rates were observed for several antibiotics, particularly among Gram-negative bacteria. Ampicillin displayed the highest resistance (91.9%), while colistin and ertapenem remained the most effective. In Gram-positive bacteria, glycopeptides like teicoplanin and vancomycin (0% and 3.3% resistance, respectively) were most effective, but their use was limited. Clindamycin and tetracycline showed decreasing effectiveness. Resistance rates differed between surgical and non-surgical wards, highlighting the complex dynamics of antimicrobial resistance within hospitals. Multidrug resistance (MDR) was substantial, with Gram-negative bacteria exhibiting a 63.6% MDR rate. Acinetobacter baumannii showed the highest MDR rate (88.0%). Conclusion: This study investigated wound infection characteristics, antibiotic resistance patterns of common bacteria, and variations by hospital ward. S. aureus was the most prevalent bacteria, and concerning resistance rates were observed, particularly among Gram-negative bacteria. These findings highlight the prevalence of multidrug resistance in wound infections, emphasizing the importance of infection control measures and judicious antibiotic use.

Using crime script analysis to understand wildlife poaching in Vietnam.

Poaching can contribute to the failure of biodiversity conservation efforts and inflict diverse harms on human livelihoods. We applied crime script analysis to the case of snare poaching-an illegal hunting activity-in three Vietnamese protected areas. Our goal was to enhance the understanding about the opportunity structure underlying snare poaching to advance the suite of community-based crime prevention activities. We analyzed crime scripts for three types of poachers across nine stages of the poaching process using expert-based elicitation with 13 workshop participants in Vinh, Vietnam, 2018. Five stages were similar, clustered toward the early stages, and two were different, clustered around middle crime stages. Analysis produced systematic crime-specific insight about the procedural aspects and requirements for poaching from preparation to hunt to selling one's catch. Stages identify multiple entry points to apply prevention techniques and match techniques with different types of snare poaching or poachers. Although this research focused on protected areas, the interdisciplinary approach applied herein may be adapted to other conservation contexts.