Distribution and drug resistance profiles of pathogens causing bloodstream infection after chemotherapy in children with acute lymphoblastic leukemia.

Objectives: To study the changes in the distribution and drug resistance profiles of pathogens causing bloodstream infection after chemotherapy in children with acute lymphoblastic leukemia.

Methods: The medical data were collected from the children with acute lymphoblastic leukemia who were admitted to the First Affiliated Hospital of Zhengzhou University between January 2015 and December 2020 and developed bloodstream infection after chemotherapy. The samples were divided into the first three years group and the next three years group according to the time of testing to investigate the differences in the distribution and drug resistance profiles of pathogens as time.

Results: A total of 235 strains of pathogens were isolated, among which there were 159 Gram-negative strains (67.7%; mainly and ), 61 Gram-positive strains (26.0%; mainly ), and 15 strains of fungi (6.4%; mainly ). There were no significant differences between the first three years group and the next three years group in the detection rate of Gram-negative bacteria (68.8% vs 66.9%, >0.05) or Gram-positive bacteria (29.2% vs 23.7%, >0.05). Compared with the first three years group, the next three years group had significant increases in the detection rate of (5.8% vs 0.0%, <0.05) and fungi (9.4% vs 2.1%, <0.05). There was no significant difference in the drug resistance rate of Gram-negative or Gram-positive bacteria between the two groups (>0.05).

Conclusions: are the main pathogens of bloodstream infection after chemotherapy in children with acute lymphoblastic leukemia, while the detection rates of and fungi tend to increase as time, which needs to be taken seriously in clinical practice.