scholarly journals Surveillance and Correlation of Antibiotic Prescription and Resistance of Gram-Negative Bacteria in Singaporean Hospitals

2010 ◽  
Vol 54 (3) ◽  
pp. 1173-1178 ◽  
Author(s):  
Li-Yang Hsu ◽  
Thean-Yen Tan ◽  
Vincent H. Tam ◽  
Andrea Kwa ◽  
Dale Andrew Fisher ◽  
...  

ABSTRACT A surveillance study was performed in four Singapore public hospitals from 2006 to 2008 to determine the correlation between antibiotic prescription and Gram-negative bacterial antimicrobial resistance. Targeted organisms included ceftriaxone- and ciprofloxacin-resistant Escherichia coli and Klebsiella pneumoniae, as well as imipenem-resistant Pseudomonas aeruginosa and Acinetobacter spp. Antibiotic prescription data were collated in the WHO anatomical therapeutic chemical (ATC)/defined daily dose (DDD) format, while antibiotic resistance was expressed as incidence density adjusted for total inpatient-days every quarter. Individual trends were determined by linear regression, while possible associations between antibiotic prescription and resistance were evaluated via cross-correlation analysis. Results over 3 years indicated significantly rising incidence densities of ceftriaxone- and ciprofloxacin-resistant E. coli and imipenem-resistant Acinetobacter spp. (blood isolates only). Antimicrobial-resistant Klebsiella pneumoniae rates declined. The prescription rates of piperacillin-tazobactam, ertapenem, meropenem, ciprofloxacin, and levofloxacin increased significantly, while imipenem and moxifloxacin prescription decreased. Cross-correlation analysis demonstrated possible associations between prescription of fluoroquinolones and ciprofloxacin-resistant E. coli (R 2 = 0.46), fluoroquinolones and ceftriaxone-resistant E. coli (R 2 = 0.47), and carbapenems and imipenem-resistant Acinetobacter spp. (R 2 = 0.48), all at zero time lag. Changes in meropenem prescription were associated with a similar trend in imipenem-resistant Acinetobacter blood isolates after a 3-month time lag. No correlation was found between cephalosporin use and resistance. In conclusion, our data demonstrated correlation between prescription of and Gram-negative bacterial resistance to several, but not all, key antimicrobial agents in Singapore hospitals. In areas where Gram-negative bacterial resistance is endemic and prescription of broad-spectrum antimicrobial agents is high, factors other than antimicrobial usage may be equally important in maintaining high resistance rates.

BIBECHANA ◽  
2021 ◽  
Vol 18 (2) ◽  
pp. 105-116
Author(s):  
Babu Ram Tiwari ◽  
Jiyao Xu ◽  
Binod Adhikari ◽  
Narayan Prasad Chapagain

This study has been performed to understand the relationship between sunspot numbers (SSN) with climatology related parameters like temperature and rainfall from 1901 to 2016. The spectral characteristics of sunspot numbers, temperature and rainfall have been observed using continuous wavelet transform. Cross-correlation analyses were also performed to find any relation among temperature, rainfall, and sunspot numbers. The 9–11 year periodicity of sunspot numbers confirmed by wavelet transform in annual scale. The periodicity of high-frequency signals is identified between 4 to 11 years whereas the low frequencies signal is found throughout the periods of observation for temperature. Similarly, it is clear that there is more concentration of power between 8–16 years for rainfall. Cross-correlation analysis shows that the sunspot numbers is highly correlated with rainfall and temperature (correlation coefficient ~ 0.8054). The time lag relationship resulted in the almost simultaneous linear relationship between the temperature, rainfall, and the SSN tendency. The development of convective motions over the subtropics might be affected by the time rate of change of SSN combined with the surface temperature changes of diverse time scales. The convective motions were mostly controlled by the available amount of water vapor and the stability of the atmosphere that had a strong connection with the heat capacity of the concerned region. To produce more authentic findings for policy implications, further comprehensive and appropriate research can be undertaken and implemented in this very important field. BIBECHANA 18 (2) (2021) 105-115


2023 ◽  
Vol 83 ◽  
Author(s):  
X. Wu ◽  
G. Zhong ◽  
H. Wang ◽  
J. Zhu

Abstract The β-lactam/lactamase inhibitors (BLBLIs) combination drugs are considered an effective alternative to carbapenems. However, there is a growing concern that the increased use of BLBLIs may lead to increased resistance. This study determined the temporal association between the consumption of BLBLI and the antimicrobial resistance in Gram-negative bacteria. In this retrospective study, electronic data on the Gram-negative bacterial isolates, including A. baumannii, P. aeruginosa, E. coli, and K. pneumoniae from in-patients and susceptibility testing results were retrieved from the medical records of the clinical laboratory. A linear regression and cross-correlation analysis were performed on the acquired data. Increasing trends (p<0.05) in the consumption of BIBLI and carbapenem with a median use of 27.68 and 34.46 DDD/1000 PD per quarter were observed, respectively. A decreased trend (p=0.023) in the consumption of fluoroquinolones with a median use of 29.13 DDD/1000 PD per quarter was observed. The resistance rate of K. pneumoniae was synchronized with the BIBLI and carbapenem consumptions with a correlation coefficient of 0.893 (p=0.012) and 0.951 (p=0.016), respectively. The cross-correlation analysis against the consumption of BIBLI and meropenem resistant K. pneumoniae was peaked at 0-quarter lag (r=951, p=0.016). There was an increasing trend in the consumption of BLBLI and carbapenems. The increasing trend in the rates of resistance to piperacillin/tazobactam, in line with the increasing consumption of BLBLI, suggests that BLBLI has to be used with caution and cannot be directly considered as a long-term alternative to carbapenems.


Author(s):  
Singh Gurvinder ◽  
Singh Prabhsimran ◽  
Dhawan R. K.

In order to develop new antimicrobial agents, a series of 3-formyl indole based Schiff bases were synthesized by reacting 3-formyl indole(indole-3-carboxaldehyde) with substituted aniline taking ethanol as solvent. The reaction was carried in the presence of small amount of p-toluene sulphonic acid as catalyst.All the synthesized compounds were characterized by IR, 1H-NMR spectral analysis. All the synthesized compounds were evaluated for antimicrobial activity against two gram positive bacterial strains (B. subtilisand S. aureus) and two gram negative bacterial strains (P. aeruginosaand E. coli) and one fungal strain (C. albicans). All the synthesized compounds were found to have moderate to good antimicrobial activity. The  standard drug amoxicillin, fluconazole were used for antimicrobial activity. Among the synthesized compounds, the maximum antimicrobial activity was shown by compounds GS04, GS07, GS08 and GS10.


2019 ◽  
Vol 11 (1) ◽  
pp. 01025-1-01025-5 ◽  
Author(s):  
N. A. Borodulya ◽  
◽  
R. O. Rezaev ◽  
S. G. Chistyakov ◽  
E. I. Smirnova ◽  
...  

Sensors ◽  
2018 ◽  
Vol 18 (5) ◽  
pp. 1571 ◽  
Author(s):  
Jhonatan Camacho Navarro ◽  
Magda Ruiz ◽  
Rodolfo Villamizar ◽  
Luis Mujica ◽  
Jabid Quiroga

2010 ◽  
Vol 09 (02) ◽  
pp. 203-217 ◽  
Author(s):  
XIAOJUN ZHAO ◽  
PENGJIAN SHANG ◽  
YULEI PANG

This paper reports the statistics of extreme values and positions of extreme events in Chinese stock markets. An extreme event is defined as the event exceeding a certain threshold of normalized logarithmic return. Extreme values follow a piecewise function or a power law distribution determined by the threshold due to a crossover. Extreme positions are studied by return intervals of extreme events, and it is found that return intervals yield a stretched exponential function. According to correlation analysis, extreme values and return intervals are weakly correlated and the correlation decreases with increasing threshold. No long-term cross-correlation exists by using the detrended cross-correlation analysis (DCCA) method. We successfully introduce a modification specific to the correlation and derive the joint cumulative distribution of extreme values and return intervals at 95% confidence level.


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