- Title
- Bloodstream infections caused by resistant bacteria in surgical patients admitted to Modilon Hospital, Madang
- Creator
- Asa, Henao; Laman, Moses; Greenhill, Andrew; Siba, Peter; Davis, Timothy; Maihua, John; Manning, Laurens
- Date
- 2012
- Type
- Text; Journal article
- Identifier
- http://researchonline.federation.edu.au/vital/access/HandleResolver/1959.17/161778
- Identifier
- vital:12540
- Identifier
- ISBN:0031-1480
- Abstract
- In view of the dearth of information relating to antibiotic resistance in community- and hospital-acquired bacterial infections in Papua New Guinea (PNG), we carried out a prospective, hospital-based observational study of surgical patients between October 2008 and October 2009. In a sample of 115 patients (median age 30 years; 55% males) suspected of having a bloodstream infection, blood cultures were positive in 11 (10%) and a significant pathogen was isolated in 9 (8%). Staphylococcus aureus was isolated in 4 patients (44%) and 3 were methicillin resistant; all these isolates were considered community acquired because cultures were performed within 48 hours of admission. Of the remaining 5 isolates, 4 were Gram-negative organisms with at least intermediate resistance to chloramphenicol that were grown from blood taken > 48 hours post-admission and thus considered nosocomially acquired. These data suggest two distinct patterns of bacterial infection in PNG surgical inpatients that have implications for national antibiotic prescription guidelines.
- Publisher
- Papua New Guinea Department of Public Health
- Relation
- Papua and New Guinea Medical Journal Vol. 55, no. 1-4 (2012), p. 5-11
- Rights
- Copyright 2012
- Rights
- Open Access
- Rights
- This metadata is freely available under a CCO license
- Subject
- 11 Medical and Health Sciences; Antibiotic resistance; Bacteremia; Gram negative infection; Gram positive infection; Methicillin resistant Staphylococcus aureus; Microbiology; Papua New Guinea
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