Pathogen Distribution and Antimicrobial Susceptibility of Bacterial Bloodstream Infection in AIDS Patients

Bo TIAN; Jun LIU; Haiwen LI; Wei SONG; Haiyun CHEN; Jianjun SUN

doi:10.12259/j.issn.2095-610X.S20220616

Volume 43 Issue 6

Jun. 2022

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Bo TIAN, Jun LIU, Haiwen LI, Wei SONG, Haiyun CHEN, Jianjun SUN. Pathogen Distribution and Antimicrobial Susceptibility of Bacterial Bloodstream Infection in AIDS Patients[J]. Journal of Kunming Medical University, 2022, 43(6): 140-146. doi: 10.12259/j.issn.2095-610X.S20220616

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Pathogen Distribution and Antimicrobial Susceptibility of Bacterial Bloodstream Infection in AIDS Patients

doi: 10.12259/j.issn.2095-610X.S20220616

1.
The Third People’s Hospital of Kunming/Yunnan Clinical Medical Center for Infectious Diseases，Kunming Yunnan 650041
2.
Dept. of Infection and Immunity，Shanghai Public Health Clinical Center，Shanghai 201508，China

Received Date: 2022-03-25
Available Online: 2022-06-07
Publish Date: 2022-06-30

Abstract

Abstract

Objective To explore the prevalence of bacterial bloodstream infection in AIDS patients, and to learn the pathogen species drug resistance among AIDS patients . Methods We retrospectively collected the data of AIDS patients with bacteria isolated from blood culture in Shanghai Public Health Clinical Center from 2015 to 2020. The species of pathogenic bacteria and the antibiotic resistance were analyzed, and the proportion of multiple resistance was also calculated. Results The positive rate of bacteria in bloodstream between 2015 and 2020 was 4.48% in AIDS patients. 128 strains （59.3%） of gram-positive bacteria were detected, 83 strains were reported to be resistant to penicillin, and the resistance rate to erythromycin was 94% and 91.4% No Linezolide, Tigecycline, Vancomycin, Quinolputin/ Dapoptine resistance were detected. The multiple drug resistance rate was 38.6%, and 39.7% of the bacteria were resistant to more than 5 classes of antibiotics. Gram-negative bacteria were detected in 88 patients （40.7%）, and drug resistance was reported in 70 patients , the resistance rate to Ampicillin was 81.6%. Quinolones, Carbopenems and Cephalosperins all had high sensitivity to gram-negative bacteria. The multiple drug resistance rate was 14.4%, and 12.8% of the bacteria were resistant to more than 5 classes of antibiotics. Conclusions For AIDS patients with bacterial blood flow infection, the multiple drug resistance rate of gram-positive bacteria is higher, linezolid, tigecycline, vancomycin and quinuptine/daphoputin can be selected for treatment . Quinolones, Carbopenems, and Cephalosperins all have high sensitivity to gram-negative bacteria.
- HIV,
- AIDS,
- Bloodstream infection,
- Bacterium,
- Drug sensitivity

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References(19)

References

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