Antimicrobial susceptibility in hospitals in Hong Kong: The current status 2009-2011.

Hospitals in Hong Kong, like many hospitals in the world, are constantly challenged by the increasing rate of non-susceptible and multidrug-resistant organisms (MDROs). Accurate and timely surveillance is essential for effective control. The Hospital Authority of Hong Kong has developed a comprehensive antimicrobial susceptibility monitoring system that utilises data obtained from all of its 38 hospitals. In this review, the susceptibility pattern of more than 320000 isolates covering the period 2009-2011 will be discussed. Special attention will be paid to MDROs.

Granulocytic sarcoma of the small bowel causing intestinal obstruction.

Granulocytic sarcomas of the small bowel are rare. They are discrete tumours of leukaemic myeloblasts and partially matured granulocytes that form in any part of the body. This disease is infrequently seen in patients with acute myeloid leukaemia, and rarely seen in patients without leukaemia. Here we report a case of small bowel obstruction due to granulocytic sarcoma of mid-ileum in a non-leukaemic patient. We also review the literature on treatment and prognosis of this condition.