EPIDERMICS OF MULTIDRUG RESISTANT KLEBSIELLA PNEUMONIAE IN BUENG KAN HOSPITAL, THAILAND, 2016-2019
Keywords:
Epidemic, Klebseill apneumoniae, Multipledrug resistant bacteria, MDR, CREAbstract
Klebseilla pneumoniae MDR was the major pathogen of multidrug resistant nosocomial infection in Buengkan hospital. The purpose of this descriptive research was to study the epidemiology of Klebseilla pneumoniae MDR, colonization location of pathogen in environment and trend of Klebseilla pneumoniae MDR nosocomial infection. Data was retrieved942 isolates from MLAB, the microbiology laboratory information system during the 1st of January, 2016 ant the 31th of December, 2019. Data wasanalyzed by the number, frequency and percentage.
The result founded that the incidence of Klebseilla pneumoniae MDR in 2019 was increased two time in the 2016 period. The proportion of CRE strain was more than ESBL strain. ICU was the location of highest incidence of CRE strain of Klebseilla pneumoniae. Trend of Klebseilla pneumoniae MDR was decreased to 7 time in 2019 compared to 2016. This study was suggested the epidemiologic triad theory and IAM (Integrated AMR Management) apply to multidrug resistant nosocomial infection management, the incidence of Klebseilla pneumoniae MDR was effectively decreased in ICU by this theory.
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