ANTIMICROBIAL RESISTANCE IN ARAD REGION , ROMANIA

  • Olariu, T.
  • Olariu, I.
  • Toma, I. R.
  • Negru, D. G.
  • Popovici, E. D.
Abstract:
Antimicrobial resistance is a serious threat to global public health and requires action across all government sectors and society. The European Centre for Disease Prevention and Control (ECDC), an EU agency, monitors 52 communicable diseases, having programmes which cover antimicrobial resistance. The highest rates of non prescription use of antibiotics are in Romania (20%). Objectives: To determine if there is any significant difference between antimicrobial resistance of Gram negative bacteria isolated in hospital settings in comparison with those found in ambulatory settings. Materials and Methods: We performed a systematic review and meta-analysis of unpublished studies (as reports that are produced by all levels of government, academics, business and industry in print and electronic formats but that are not controlled by commercial publishers) of Gram negativ bacteria's antimicrobial resistance in Arad County (n=17.166, between 2010-2016). As for factor analysis we extracted six factors, labeled as: „Total Gram negative isolates”, „Hospital Gram negative antibiotic resistant isolates”, „Ambulatory Gram negative antibiotic resistant isolates”, „Relative Risk”, „Risk Difference” and „Odds ratio” for hospital versus ambulatory bacteria's antimicrobial resistance. Results: The highest incidence for antimicrobial resistance was in 2011 (41,9% in hospitals and 20,91% in ambulatory settings). Gram negative hospitals bacteria would be 1,493 - 3,544 times as likely as Gram negative ambulatory bacteria to develop antimicrobial resistance isolates and Odds ratio (OR) has had a range of values between 1,36-4,16. Conclusion: Because antimicrobial resistance is endemic both in hospital and ambulatory settings, education programmes are needed for health professional as well as for all Romanian citizens. Recommendation: To limit antibiotic availability for consumption without prescription.
SGEM Research areas:
Year:
2018
Type of Publication:
In Proceedings
Keywords:
antimicrobial resistance; Gram negative bacteria; forest plot; meta-analysis
Volume:
18
SGEM Book title:
5th International Multidisciplinary Scientific Conference on Social Sciences and Arts SGEM 2018
Book number:
3.1
SGEM Series:
International Multidisciplinary Scientific Conference on Social Sciences and Arts-SGEM
Pages:
571-578
Publisher address:
51 Alexander Malinov blvd, Sofia, 1712, Bulgaria
SGEM supporters:
Bulgarian Acad Sci; Acad Sci Czech Republ; Latvian Acad Sci; Polish Acad Sci; Russian Acad Sci; Serbian Acad Sci & Arts; Slovak Acad Sci; Natl Acad Sci Ukraine; Natl Acad Sci Armenia; Sci Council Japan; World Acad Sci; European Acad Sci, Arts & Letters; Ac
Period:
19 -21 March, 2018
ISBN:
978-619-7408-32-4
ISSN:
2367-5659
Conference:
5th International Multidisciplinary Scientific Conference on Social Sciences and Arts SGEM 2018 , 19 -21 March, 2018
DOI:
10.5593/sgemsocial2018H/31/S13.072
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