@article{fdi:010076739, title = {{A}ntimicrobial susceptibility testing and antibiotic consumption results from 16 hospitals in {V}iet {N}am : the {VINARES} project 2012-2013}, author = {{V}u {T}ien {V}iet {D}ung and {D}o {T}hi {T}huy {N}ga and {R}ydell, {U}. and {N}ilsson, {L}.{E}. and {O}lson, {L}. and {L}arsson, {M}. and {H}anberger, {H}. and {C}hoisy, {M}arc and {D}ao {T}uyet {T}rinh and van {D}oorn, {H}.{R}. and {N}guyen {V}an {K}inh and {N}guyen {V}u {T}rung and {W}ertheim, {H}.{F}.{L}. and {VINARES} {C}onsortium}, editor = {}, language = {{ENG}}, abstract = {{O}bjective : {T}o establish a hospital-based surveillance network with national coverage for antimicrobial resistance ({AMR}) and antibiotic consumption in {V}iet {N}am. {M}ethods : {A} 16-hospital network ({V}iet {N}am {R}esistance: {VINARES}) was established and consisted of national and provincial-level hospitals across the country. {A}ntimicrobial susceptibility testing results from routine clinical diagnostic specimens and antibiotic consumption data in {D}efined {D}aily {D}ose per 1000 bed days ({DDD}/1000 patient-days) were prospectively collected and analysed between {O}ctober 2012 and {S}eptember 2013. {R}esults : {D}ata from a total of 24 732 de-duplicated clinical isolates were reported. {T}he most common bacteria were: {E}scherichia coli (4437 isolates, 18%), {K}lebsiella spp. (3290 isolates, 13%) and {A}cinetobacter spp. (2895 isolates, 12%). {T}he hospital average antibiotic consumption was 918 {DDD}/1000 patient-days. {T}hird-generation cephalosporins were the most frequently used antibiotic class (223 {DDD}/1000 patient-days, 24%), followed by fluoroquinolones (151 {DDD}/1000 patient-days, 16%) and second-generation cephalosporins (112 {DDD}/1000 patient-days, 12%). {P}roportions of antibiotic resistance were high: 1098/1580 (69%) {S}taphylococcus aureus isolates were methicillin-resistant ({MRSA}); 115/344 isolates (33%) and 90/358 (25%) {S}treptococcus pneumoniae had reduced susceptibility to penicillin and ceftriaxone, respectively. {A} total of 180/2977 (6%) {E}. coli and 242/1526 (16%) {K}lebsiella pneumoniae were resistant to imipenem, respectively; 602/1826 (33%) {P}seudomonas aeruginosa were resistant to ceftazidime and 578/1765 (33%) to imipenem. {O}f {A}cinetobacter spp. 1495/2138 (70%) were resistant to carbapenems and 2/333 (1%) to colistin. {C}onclusions : {T}hese data are valuable in providing a baseline for {AMR} among common bacterial pathogens in {V}ietnamese hospitals and to assess the impact of interventions.}, keywords = {{VIET} {NAM}}, booktitle = {}, journal = {{J}ournal of {G}lobal {A}ntimicrobial {R}esistance}, volume = {18}, numero = {}, pages = {269--278}, ISSN = {2213-7165}, year = {2019}, DOI = {10.1016/j.jgar.2019.06.002}, URL = {https://www.documentation.ird.fr/hor/fdi:010076739}, }