(Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej, 2018-05-22)
Oliynyk, Oleksandr; Ślifirczyk, Anna; Pereviznyk, Bogdan
The article reviews the issue of antibiotic resistance of microorganisms to meropenem
in intensive care units in Ukraine. An increase in meropenem inefficiency against
microorganisms in intensive care units has been observed in the last years. The data analysis
suggests a significant predominance of gram-negative flora: A. baumannii, Р. aeruginosa,
К. pneumoniae, E. cloacae, E.coli. On average 30% of microorganisms are resistant to 5 and
more basic antibiotics including meropenem. 40-80 % of the gram-negative flora in intensive
care units in Ukraine are resistant to meropenem. This can be attributed to the free sale
of antibiotics without prescription, patients’ self-treatment, inadequate antibiotic therapy,
and failure to comply with sanitary norms on the part of intensive care staff. Microbiological
diagnostics of infectious pathogens also needs improvement. Unless proper measures are
taken within a few years, meropenem as an antibiotic is likely to disappear in Ukraine.