23. INVESTIGATION OF THE MICROBIOLOGICAL CHARACTERISTICS OF SKIN AND SOFT TISSUE INFECTION PATIENTS AT THONG NHAT HOSPITAL

Nguyen Thanh Hai1, Le Van Lam1, Vo Thi Hoa1, Bui Thi Huong Quynh1,2
1 Faculty of Pharmacy, Thong Nhat Hospital
2 School of Pharmacy, University of Medicine and Pharmacy at Ho Chi Minh city

Main Article Content

Abstract

Objective: To investigate microbiological characteristics of patients with skin and soft tissue infections treated with antibiotics at Thong Nhat Hospital.


Method: A cross-sectional descriptive study was conducted on the medical reports of patients diagnosed with skin and soft tissue infections at Thong Nhat Hospital from January 2024 to December 2024. Survey parameters included baseline characteristics of patients, culture characteristics, and microbiological results.


Results: A total of 463 medical reports were included in the analysis of the study. The median age was 65 (47-75), 53.78% were male patients. There were 349 patients (75.38%) who had their specimens cultured, of which 67.62% were cultured before using antibiotics. Among the isolated bacterial strains, Staphylococcus aureus had the highest rate (28.87%), of which 80.36% were Methicillin-resistant Staphylococcus aureus (MRSA). The sensitivity rate of MRSA to Vancomycin, Teicoplanin, Linezolid, Tigecycline reached 99-100%. The Gram-negative bacteria isolated were mainly Escherichia coli (17.53%), Klebsiella pneumoniae (8.51%), Pseudomonas aeruginosa (6.45%). The resistance mechanisms recorded in Gram-negative bacteria were carbapenemase secretion (13.72%), AmpC (3.72%) and reduced outer membrane permeability (8.82%).


Conclusion: The situation of microbiological specimen culture in patients with skin and soft tissue infections was relatively good at Thong Nhat Hospital. Continued monitoring of antibiotic resistance is needed to help improve the effectiveness of infection treatment.

Article Details

References

[1] Nichols R.L, Florman S. Clinical presentations of soft-tissue infections and surgical site infections. Clin Infect Dis, 2001, 33 (2): 84-93.
[2] Russo A, Vena A, Bassetti M. Antibiotic treatment of acute bacterial skin and skin structure infections. Curr Opin Infect Dis, 2022, 35 (2): 120-7.
[3] Ray G.T, Suaya J.A, Baxter R. Incidence, microbiology, and patient characteristics of skin and soft-tissue infections in a U.S. population: a retrospective population-based study. BMC Infectious Diseases, 2013, 13 (1): 252.
[4] Abid Khan R.M, Dodani S.K, Nadeem A, Jamil S, Zafar M.N. Bacterial isolates and their antimicrobial susceptibility profile of superficial and deep-seated skin and soft tissue infections. Asian Biomed (Res Rev News), 2023, 17 (2): 55-63.
[5] Devi K.D, Khandait M, Sharma M, Sardar M, Singh A, Saha R, Devi L.S. Prevalence of multidrug-resistant Gram-negative bacteria causing pyogenic infections at a tertiary care hospital in Haryana. MGM Journal of Medical Sciences, 2023, 10 (3): 517-23.
[6] Bộ Y tế. Báo cáo giám sát kháng kháng sinh tại Việt Nam năm 2020, 2023.
[7] World Health Organization. GLASS Report: Global Antimicrobial Resistance and Use Surveillance System (GLASS) Report 2022, Geneva: WHO, 2022.
[8] European Centre for Disease Prevention and Control. Antimicrobial resistance in the EU/EEA (EARS-Net) - Annual Epidemiological Report 2023. Stockholm: ECDC, 2024.
[9] Liu C, Bayer A, Cosgrove S.E, Daum R.S, Fridkin S.K, Gorwitz R.J et al. Clinical Practice Guidelines by the Infectious Diseases Society of America for the Treatment of Methicillin-Resistant Staphylococcus aureus Infections in Adults and Children. Clinical Infectious Diseases, 2011, 52 (3): e18-e55.
[10] European Centre for Disease Prevention and Control. Carbapenem-resistant Enterobacterales, third update - 3 February 2025. ECDC: Stockholm, 2025.