Microbial Landscape and Antibiotic Susceptibility Dynamics of Skin and Soft Tissue Infections in Kazakhstan 2018-2020.
Sholpan S Kaliyeva, Alyona V Lavrinenko, Yerbol Tishkambayev, Gulzira Zhussupova, Aissulu Issabekova, Dinara Begesheva, Natalya Simokhina
Author Information
Sholpan S Kaliyeva: Department of Clinical Pharmacology and Evidence-Based Medicine, NCJSC Karaganda Medical University, Karaganda 100000, Kazakhstan. ORCID
Alyona V Lavrinenko: Scientific Research Laboratory, NCJSC Karaganda Medical University, Karaganda 100000, Kazakhstan. ORCID
Yerbol Tishkambayev: Department of Surgery, NCJSC Karaganda Medical University, Karaganda 100000, Kazakhstan.
Gulzira Zhussupova: Salidat Kairbekova National Research Center for Health Development, Nur-Sultan 010000, Kazakhstan. ORCID
Aissulu Issabekova: Department of Clinical Pharmacology and Evidence-Based Medicine, NCJSC Karaganda Medical University, Karaganda 100000, Kazakhstan. ORCID
Dinara Begesheva: National Center for Rational Use of Medicines, Nur-Sultan 010000, Kazakhstan.
Natalya Simokhina: Department of Clinical Pharmacology and Evidence-Based Medicine, NCJSC Karaganda Medical University, Karaganda 100000, Kazakhstan. ORCID
Skin and soft tissue inflammatory diseases of bacterial origin occupy a significant part of hospitalizations to emergency departments. One of the most common causes of sepsis is soft tissue infection, which accounts for about a quarter of all nosocomial infections. The aim of this study was to determine the differences in microbial landscape and antibiotic susceptibility of soft tissue infection pathogens among adults and children during the period 2018-2020. We studied 110 samples of pus admitted to the Scientific Research laboratory of the Karaganda Medical University from 2018 to 2020. Each sample was studied using the standard and express methods. The antibiotic susceptibility was determined by using the diffuse disk method in accordance with the CLSI 2018 recommendations. As such, 50% of strains in children and 30% in adults were methicillin resistant. Differences in the resistance of strains in children and adults were insignificant. Thus, methicillin-resistant (MRSA) was not detected in children, but in adults, on the other hand, their percentage was 12.5%. The third cause of infection in adults was (13.72%), among which 75% were multidrug resistant. was found in 4.9% of adult patients' samples, of which 60% were multidrug resistant. The effectiveness of the most prescribed antibiotics decreased due to the isolated strain resistance.
