Page 7 - pesta2015_4

Side 7 -pest-POSTEN

Forfatteren (no 7 fra høyre bak) sammen ved kollegaer på mikrobiologisk avdeling
hospital treats over 3 million outpatients, and target is that less than 60% of patients at the hos-
nearly 90 000 inpatients. pital should receive antibiotics. And the number
of approved antimicrobials have been reduced.
I spent the first three days of my observership
at the Division of Microbiology. The existing There are now some signs of decreased antibiotic
laboratory was opened in 2012 and is well equipped resistance. In 2008, nearly 70% of Staphylococ-
to perform modern bacteriology, mycology and cus aureus isolates were MRSA. In 2014 this pro-
virology. State of the art diagnostics include portion had decreased to around 30%. Although
molecular tests and MALDI-TOF. The laboratory the situation may be improving, antibiotic resis-
also has a very active research programme under tance is still a very serious problem. As an exam-
the leadership of professor Xu Ying Chun. The ple, almost 60% of E. coli isolated at the hospital
impressive list of publications includes articles were ESBL-producing in 2014, even higher in
on antibiotic susceptibility testing, surveillance the ICUs.
of antibiotic resistance, and advanced methods My visit to the laboratory was followed by four
for detection of pathogens. days at the Department of Infectious Diseases.
The department has 38 beds. As PUMCH is
China has serious challenges related to antibiotic a tertiary referral hospital, the spectrum of
resistance that were also evident at PUMCH. In disease is different from most other hospitals
recent years, the hospital has experienced large in China. A large proportion of the patients are
outbreaks of car-
bapenem- resis-
tant Acinetobac-
ter baumannii,
which led to the
temporary closure
of one ICU at the
hospital. Measures
to control antibio-
tic resistance have
included infection
control and clear
targets for reduc-
tion in inappropri-
ate antibiotic use.
For example, one Morgenmøte på Infeksjonsmedisinsk avdeling, PUMCH