| Comparison of Antimicrobial Susceptibility of Nosocomial and
Community-Acquired Pathogens in Children of Medium-Sized Hospital |
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Kil Soo Joung1, Jae Kook Cha1, Kon Hee Lee1, Hye Sun Yoon1, Wonkeun Song2 |
1Department of Pediatrics, College of Medicine, Hallym University, Seoul, Korea
2Department of Clinical Pathology, College of Medicine, Hallym University, Seoul, Korea |
| 중소병원 소아 환아의 원내 및 원외감염에서 분리된 세균의 항균제 감수성 양상 |
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정길수1, 차재국1, 이건희1, 윤혜선1, 송원근2 |
1한림대학교 의과대학 동산성심병원 소아과학교실
2한림대학교 의과대학 동산성심병원 임상병리학교실 |
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| Abstract |
Purpose
: We evaluated the identification and antimicrobial susceptibility patterns of nosocomial
and community-acquired pathogens in children of the medium-sized hospital.
Methods
: The 357 bacterial strains isolated from Pediatric department of Dongsan Sacred Heart
Hospital were examined the species identification and antimicrobial susceptibility test during the
period of March to October 1996.
Results
: Fifty three strains(15%) of 357 strains were nosocomial pathogens. A half of Enterococcus
faecium is nosocomial pathogens. As a rule, Antimicrobial resistance of nosocomial pathogens were higher
than those of community-acquired pathogens. Enterococcus sp. isolated from nosocomial infection were
significantly less susceptible than those from community-acquired infection to imipemem(P < 0.05).
Escherichia coli isolated from nosocomial infection were significantly less susceptible than those from
community-acquired infection to amoxicillin/clavulanate, cefuroxime, cefoxitin, ceftazidime, and
aztreonam(P < 0.05). Klebsiella pneumoniae isolated from nosocomial infection were significantly less
susceptible than those from community-acquired infection to cephalothin, cefuroxime, cefotaxime,
aztreonam, tobramycin, gentamicin, and co-trimoxazole(P < 0.05).
Conclusions
: In medium-sized hospital, the rate of antimicrobial resistance to nosocomial
pathogens was higher than community-acquired pathogens. The regular reports of the susceptibility
patterns of nosocomial and community-acquired pathogens would be useful to improve the effects
of empirical antimicrobial therapy. |
| Key Words:
Nosocomial infection, Community-acquired infection, Medium-sized hospital |
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