Naslov Epidemiološke i mikrobiološke značajke infekcija uzrokovanih kampilobakterima u ambulantnih bolesnika u Splitsko-dalmatinskoj županiji 2021. godine
Naslov (engleski) Epidemiological and microbiological characteristics of infections caused by Campylobacter spp. in outpatients in Split-Dalmatia County
Autor Dino Viduka
Mentor Merica Carev (mentor)
Član povjerenstva Nataša Boban (predsjednik povjerenstva)
Član povjerenstva Anita Novak (član povjerenstva)
Član povjerenstva Merica Carev (član povjerenstva)
Ustanova koja je dodijelila akademski / stručni stupanj Sveučilište u Splitu Medicinski fakultet Split
Datum i država obrane 2022-12-19, Hrvatska
Znanstveno / umjetničko područje, polje i grana BIOMEDICINA I ZDRAVSTVO Farmacija Farmacija
Sažetak Cilj: Cilj ovog istraţivanja je bio odrediti učestalost infekcija uzrokovanih bakterijama roda Campylobacter u ambulantnih bolesnika u Splitsko-dalmatinskoj ţupaniji u 2021. godini, njihovu raspodjelu prema dobi, spolu, mjestu stanovanja i kalendarskim mjesecima te odrediti osjetljivost izolata Campylobacter spp. na antibiotike. Materijal i metode: U istraţivanju su korišteni podaci iz računalne baze podataka Odjela za dijagnostiku infekcija probavnoga sustava NZJZ SDŢ Split, a uključivali su sve bolesnike kojima je u razdoblju od 1. siječnja 2021. do 31. prosinca 2021. godine izolirana bakterija Campylobacter iz uzorka stolice. Podaci su obraĎeni korištenjem programskog paketa Microsoft Office 365, a za statističku analizu su korišteni programi Social Science Statistics i VassarStats. Rezultati: Ukupan broj bakterijskih izolata Campylobacter spp. iz uzoraka stolice ambulantnih bolesnika na području Splitsko-dalmatinske ţupanije u 2021. godini je iznosio 395. Najčešći izolat je bio Campylobacter jejuni (92,4%). Infekcije su bile značajno češće kod muškaraca nego kod ţena. Najveći broj infekcija je zabiljeţen u dobnim skupinama 0-4 godine i 20-29 godina. TakoĎer, broj oboljelih u urbanim područjima je bio značajno veći nego u suburbanim i ruralnim područjima. Najveći mjesečni broj infekcija kampilobakterom je zabiljeţen u razdoblju od oţujka do listopada s vrhuncem u svibnju. Na području Splitsko-dalmatinske ţupanije u 2021. godini, u odnosu na prethodna istraţivanja na istom području, je zabiljeţen porast broja izolata Campylobacter jejuni otpornih na ciprofloksacin i tetraciklin, dok je udio TcR/CipR korezistentnih izolata ostao stabilan. Campylobacter jejuni je u udjelu od 5,3% pokazao otpornost i na amoksicilin-klavulanat. Svi sojevi Campylobacter jejuni otporni na amoksicilin–klavulanat su ujedno bili i višestruko rezistentni na druga dva ili više antibiotika. Od 5 izolata Campylobacter coli uključenih u istraţivanje, svih 5 je pokazalo otpornost na ceftriakson i cefazolin, njih 3 na ciprofloksacin, a 2 soja su bila rezistentna na tetraciklin. Na sve ostale antibiotike Campylobacter coli je pokazao zadovoljavajuću osjetljivost. Izolat Camyplobacter lari je bio rezistentan na ciprofloksacin, ceftriakson i cefazolin, a na ostale antibiotike je bio osjetljiv. Dva izolata Campylobacter coli su bili TcR/CipR korezistentni dok ostali izolati nisu pokazivali dvostruku ili i višestruku otpornost. Zaključak: Epidemiološke značajke kampilobakterioza u ambulantnih bolesnika u 2021. godini su slične značajkama utvrĎenim u SDŢ u prethodnim istraţivanjima na ovom području, tj. pokazuju obrazac karakterističan za razvijene zemlje. UtvrĎen je porast otpornosti izolata Campylobacter jejuni na ciprofloksacin i na tetraciklin. TakoĎer, potvrĎeno je i postojanje višestruko otpornih izolata Campylobacter jejuni, dok je otpornost tih izolata na amoksicilin-klavulanat i eritromicin bila niska. Zabiljeţena je i povećana otpornost izolata Campylobacter coli na ceftriakson i ciprofloksacin, te umjerena otpornost na tetraciklin. S obzirom na ove in vitro rezultate testiranja osjetljivosti kampilobaktera na antibiotike, lijek izbora i dalje ostaje eritromicin, a zbog niskih stopa otpornosti, moguća je i terapija i amoksicilin-klavulanatom.
Sažetak (engleski) Objective: The goal of this research was to determine frequency of infections caused by Campylobacter bacteria in outpatients in Split-Dalmatia county in 2021., their distribution according to age, gender, place of residence and months of the year as well as to determine the antimicrobal susceptibility of Campylobacter spp. isolates. Materials and methods: The data used in this research were taken from the computer data base of the Department for gastrointestinal tract infections diagnosing of the TIPH SDC Split, and they included all of the patients who were diagnosed with Campylobacter spp. bacteria in their stool samples during the period from the 1st of January 2021. to the 31st of December 2021. The data were analyzed using the Microsoft Office 365 software package, and programs Social Science Statistics and VassarStats for statistical analysis. Results: The total number of Campylobacter spp. isolates from stool samples in the area of Split-Dalmatia County in 2021. was 395. The most common isolate was Campylobacter jejuni (92,4%). Infections were significantly more frequent in men than women. The highest number of infections was present in the age groups 0-4 and 20-29 years. Also, the number of patients in urban areas was significantly higher than in suburban and rural areas. The highest number of infections was detected during the period from March through October with a peak in May. In comparison with other previous research that took place in Split-Dalmatia County, there has been detected an increase in the number of resistant Campylobacter jejuni isolates to ciprofloxacin and tetracycline, while the percentage of TcR/CipR co-resistant isolates remained stable. 5,3% of Campylobacter jejuni isolates also showed resistance to amoxicilin-clavulanate. All of the Campylobacter jejuni strains resistant to amoxicilin-clavulanate were also multiple resistant to other two or more antibiotics. Out of the 5 Campylobacter coli isolates included in the research, all five were resistant to ceftriaxone and cefazolin, 3 of them were resistant to ciprofloxacin, and 2 strains demonstrated resistance to tetracycline. Campylobacter coli showed good susceptibility to tested antibiotics. Camyplobacter lari isolate was resistant to ciprofloxacin, ceftriaxone and cefazolin, and was susceptible to other tested antibiotics. Two of the Campylobacter coli isolates were TcR/CipR co-resistant, while others did not show double or multiple resistance. Conclusion: The epidemiological characteristics of campilobacteriosis in outpatients in 2021. were similar to the characteristics determined in SDC in previous research in this area, in fact this pattern is similar to patterns of campylobacteriosis in other developed countries. There has been shown an increase in resistance to ciprofloxacin and tetracycline of Campylobacter jejuni isolates. Also, there has been confirmed the presence of multiple resistant Campylobacter jejuni isolates, while the resistance of these isolates to amoxicilin-clavulanate and erythromicin was low. There was also noted the higher resistance of Campylobacter coli isolates to ceftriaxon and ciprofloxacin, as well as moderate resistance to tetracycline. Considering these in vitro antimicrobial susceptibility results of Campylobacter isolates, erythromycin still remains the drug of choice, but it is also possible to treat this infection with amoxicilin- clavulanate because of its low resistance rate.
Ključne riječi
ROD CAMPYLOBACTER
KAMPILOBAKTERIOZA
OTPORNOST NA ANTIBIOTIKE
Ključne riječi (engleski)
Campylobacter
Campylobacter Infections
Microbial Drug Resistance
Jezik hrvatski
URN:NBN urn:nbn:hr:171:678487
Studijski program Naziv: Farmacija Vrsta studija: sveučilišni Stupanj studija: integrirani preddiplomski i diplomski Akademski / stručni naziv: magistar/magistra farmacije (mag. pharm.)
Vrsta resursa Tekst
Način izrade datoteke Izvorno digitalna
Prava pristupa Otvoreni pristup
Uvjeti korištenja
Datum i vrijeme pohrane 2023-01-04 13:12:45