Antibiotic Resistance in Bacterial Infected Eczema at Ho Chi Minh City Hospital of Dermatology.
Diep Le Ngoc, Ly Nguyen Thi Vu, Na Pham Thi Bich, Tro Chau Van, Vinh Ngo Minh, Hao Nguyen Trong, Thuong Nguyen Van, Khang Tran Hau, Marco Gandolfi, Francesca Satolli, Claudio Feliciani, Michael Tirant, Aleksandra Vojvodic, Torello Lotti
Author Information
Diep Le Ngoc: Medical University of Ho Chi Minh City, Ho Chi Minh City, Vietnam.
Ly Nguyen Thi Vu: Medical University of Ho Chi Minh City, Ho Chi Minh City, Vietnam.
Na Pham Thi Bich: Medical University of Ho Chi Minh City, Ho Chi Minh City, Vietnam.
Tro Chau Van: Department of Dermatology, Pham Ngoc Thach University of Medicine, Ho Chi Minh City, Vietnam.
Vinh Ngo Minh: Department of Dermatology, Pham Ngoc Thach University of Medicine, Ho Chi Minh City, Vietnam.
Hao Nguyen Trong: HCMC Hospital of Dermato-Venereology, Ho Chi Minh City, Vietnam.
Thuong Nguyen Van: National Hospital of Dermatology and Venereology, Hanoi, Vietnam.
Khang Tran Hau: National Hospital of Dermatology and Venereology, Hanoi, Vietnam.
Marco Gandolfi: Unit of Dermatology, University of Parma, Parma, Italy.
Francesca Satolli: Unit of Dermatology, University of Parma, Parma, Italy.
Claudio Feliciani: Unit of Dermatology, University of Parma, Parma, Italy.
Michael Tirant: University of Rome G. Marconi, Rome, Italy.
Aleksandra Vojvodic: Department of Dermatology and Venereology, Military Medical Academy of Belgrade, Belgrade, Serbia.
Torello Lotti: University of Rome G. Marconi, Rome, Italy.
BACKGROUND: Infected eczema is one of the most common complications of eczema. The progression and treatment of infected eczema have become more complex and difficulty due to the antibiotic resistance of bacteria and the abuse of antibiotics in treatment. AIM: Our research was conducted with the aim of investigating the severity of in vitro antibiotic resistance in patients with bacterially infected eczema at Ho Chi Minh City Hospital of Dermatology. METHODS: We studied 40 cases of patients, suffering from atopic dermatitis, contact dermatitis, vesicular palmoplantar eczema, with positive results of infected eczema. RESULTS: accounted for 82.5%, followed by (15%), (12.5%), (5%) accounted for a small percentage. (2.5%) and (2.5%) accounted for the lowest percentage. Both MSSA and MRSA were completely resistant to penicillin. MRSA is completely resistant to penicillin, erythromycin, and cefuroxime, highly resistant to clindamycin (82.35%). Our research showed that was not resistant to a variety of antibiotics. It was completely resistant to tetracycline, trimethoprim/sulfamethoxazole (100%). Most bacteria are highly sensitive to linezolid, vancomycin as other studies in the world shown. There are also rifampicins, pristinamycin. Hence, it`s prioritised to be used for only patients with eczema infected with multidrug-resistant bacteria. CONCLUSION: Penicillin is not recommended for the treatment for infected eczema. Linezolid, vancomycin has a high sensitivity to bacteria including multidrug-resistant bacteria like MRSA.
