The Study of Antimicrobial Resistance (AMR) and Development of AMR Reporting Guidelines at Kap Choeng Hospital, Surin Province

Abstract

Abstract

            The objectives of this research are 1) to study the prevalence of antimicrobial resistance and 2) to develop guidelines for reporting antimicrobial resistance at Kap Choeng Hospital, Surin Province. The retrospective study was analyzed using microbiology culture and antimicrobial susceptibility test results from admitted patients in Kap Choeng Hospital from 1 January 2020 to 31 December 2022. The data were analyzed using descriptive statistics and content analysis. The research found that the blood specimen was not found multi-drug resistant (MDR) bacteria but found MDR in sputum, especially in the group Klebsiella pneumoniae and Pseudomonas aeruginosa while compared from 2020 to 2022, demonstrated for 17.14, 13.33, and 16.67 percent, respectively. In the urine, Escherichia coli, Klebsiella pneumoniae, and Pseudomonas aeruginosa were found as MDR with demonstrated percentages in three years as 43.18, 34.62, and 19.05, respectively. The delayed specimen transfer to our lab is the main obstacle, in combination with outdated reporting results and using guidelines for treating infections by using empiric antibiotics. This study proposes guidelines for improving the reporting of drug resistance, including reporting initial gram stain results before sending for analysis and the susceptibility of the bacteria to drugs from blood cultures, scanning culture results into the department's system, developing a culture report using Antibiogram and newly developed form to report drug resistance situation at Kap Choeng Hospital. The study also recommended that the collaborative healthcare team should support the establishment of a joint surveillance system for drug-resistant infections and use Antibiograms to support patient care, consideration of selecting antibiotics, surveillance, prevention, and minimizing of drug-resistant infections in hospitals.

Keywords : Drug-resistant infection, Bacteria Culture, Antibiogram, Nosocomial infection, Specimen