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Odpornost anaerobnih bakterij proti protimikrobnim učinkovinam v Sloveniji in možnost uporabe mikrodilucijske metode za določitev minimalnih inhibitornih koncentracij v rutinski diagnostiki
ID Prestor, Zala (Author), ID Ambrožič Avguštin, Jerneja (Mentor) More about this mentor... This link opens in a new window, ID Jeverica, Samo (Comentor)

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Abstract
V prvem delu magistrskega naloge smo zbrali in analizirali podatke o odpornosti klinično pomembnih anaerobnih bakterij izoliranih v obdobju 2018-2020 v Sloveniji. Za anaerobne izolate, ki so bili pridobljeni iz vseh področnih oddelkov Centra za medicinsko mikrobiologijo Nacionalnega laboratorija za zdravje, okolje in hrano, smo preverili odpornost proti penicilinu, klindamicinu, metronidazolu, imipenemu in kombinaciji amoksicilin-klavulanska kislina. Podatke o minimalnih inhibitornih koncentracijah, interpretiranih v skladu z najnovejšim standardom EUCAST, smo zbrali v tabeli v programu Excel in s pomočjo standarda CLSI M39 pripravili kumulativni antibiogram anaerobnih bakterij. Največji delež bakterij je bil odporen proti penicilinu (40 %) in klindamicinu (24 %). Najbolj odporni bakterijski sevi spadajo v rodove Bacteroides, Prevotella in Parabacteroides. Ugotovili smo, da ostaja delež odpornih, klinično pomembnih anaerobnih bakterij v zadnjih letih v Sloveniji nespremenjen, in da je primerljiv z deležem po svetu. V drugem delu naloge smo validirali mikrodilucijsko metodo za ugotavljanje protimikrobne odpornosti, MICRONAUT-S Anaerobes (Merlin Diagnostika, Berlin, Nemčija) z izbranim naborom izolatov anaerobnih bakterij iz posameznih najpogostejših klinično pomembnih skupin. Naš namen je bil ugotoviti, ali je omenjena metoda primerna za rutinsko diagnostiko v kliničnih mikrobioloških laboratorijih. Ugotovili smo, da je metoda MICRONAUT-S primerljiva s standardno gradient-difuzijsko metodo z uporabo Etestov in zato primerna za uporabo v rutinski diagnostiki.

Language:Slovenian
Keywords:anaerobne bakterije, odpornost proti protimikrobnim učinkovinam, minimalne inhibitorne koncentracije, Slovenija, validacija metode MICRONAUT-S Anaerobes
Work type:Master's thesis/paper
Typology:2.09 - Master's Thesis
Organization:BF - Biotechnical Faculty
Place of publishing:Ljubljana
Publisher:[Z. Prestor]
Year:2022
PID:20.500.12556/RUL-137669 This link opens in a new window
UDC:579.61:579.24:615.33
COBISS.SI-ID:112830723 This link opens in a new window
Publication date in RUL:25.06.2022
Views:832
Downloads:85
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Secondary language

Language:English
Title:Antimicrobial resistance of anaerobic bacteria in Slovenia and the possibility of using a microdilution method to determine minimal inhibitory concentrations in rutine diagnostics
Abstract:
In the first part of the study we collected and analysed antimicrobial resistance data of clinically important anaerobic bacteria in Slovenia isolated in the years 2018, 2019, and 2020. The anaerobic izolates were acquired from the laboratories of the National Laboratory of Health, Environment and Food. We checked the resistance to penicillin, clindamycin, metronidazole, imipenem, and amoxicillin-clavulanic acid. We then collected minimal inhibitory concentration values interpreted according to the latest EUCAST standard edition. We analysed and presented cumulative antimicrobial susceptibility test data in Excel according to the latest CLSI M39 standard edition. The highest resistance rates were for penicillin and clindamycin (40 % and 20% total resistance of tested isolates, respectively). The most resistant isolates were Bacteroides, Prevotella, and Parabacteroides. We found that resistance rates in anaerobes in Slovenia have remained stable in recent years and are comparable to global resistance rates. In the second part of the study, we validated the MICRONAUT-S Anaerobes microdilution method (Merlin Diagnostics, Berlin, Germany) for antimicrobial resistance testing. We tested some of the most clinically important anaerobic bacterial isolates. The aim of this study was to determine whether the MICRONAUT-S Anaerobes microdilution method is suitable for rutine diagnostics in clinical microbiology laboratories. We found that the MICRONAUT-S Anaerobes microdilution method is comparable to the standard gradient-diffusion Etest method and suitable for use in rutine diagnostics.

Keywords:anaerobic bacteria, antimicrobial resistance, minimal inhibitory concentration, Slovenia, validation of the MICRONAUT-S Anaerobes microdilution method

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