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Antibiograms of intensive care units at an Egyptian tertiary care hospital
Faculty
Medicine
Year:
2021
Type of Publication:
ZU Hosted
Pages:
15
Authors:
Ashraf Alsayed Sleim
Staff Zu Site
Abstract In Staff Site
Journal:
The Egyptian Journal of Bronchology The Egyptian Journal of Bronchology
Volume:
Keywords :
Antibiograms , intensive care units , , Egyptian tertiary
Abstract:
Background: Intensive care unit (ICU) infection management is a growing challenge, and physicians should have regularly updated antibiograms. The aim of this study was to find out the prevalence of pathogens and to determine their antibiotic susceptibility in different ICUs of an Egyptian tertiary care hospital. This retrospective record-based cross-sectional study was conducted from the first of January to the last of December 2019 with a total of 45,221 diagnostic first-isolate culture/patient obtained from different ICUs in Zagazig University Hospitals. The antibiogram construction was done according to Clinical and Laboratory Standards Institute instructions and a Web-based antibiogram at Stanford University. Results: The positive blood isolate was the most prevalent infection site (32.37%) followed by sputum and urine isolates. Gram-negative microorganisms (74.41%) were the most common pathogens, with Klebsiella pneumoniae as the most frequently identified one with an incidence of 33.51% followed by Escherichia coli with 19.3% incidence. Antibiotic sensitivity showed that colistin is the most effective antibiotic with 96.2%, 94.7%, and 89.9% sensitivity for Klebsiella, E. coli, and Acinetobacter, respectively, while carbepenems sensitivity was extremely low, showing 19.5% and 19% imipenem and meropenem sensitivity for Klebsiella, 48% imipenem and 52.7% meropenem sensitivity for E. coli, 20.1% imipenem and 20.3% meropenem sensitivity for Acinetobacter, and 17.3% imipenem and 15.2% meropenem sensitivity for Pseudomonas aeruginosa. Fungal infection in our results represented less than 1%. Conclusion: Our study provides a local baseline epidemiological data which describes the extent of the ICU infections problem in this tertiary care hospital. Trial registration: ClinicalTrials.gov (NCT04318613) Keywords: Intensive care unit, Microorganisms, Antimicrobial resistance, Antibiogram
Author Related Publications
Ashraf Alsayed Sleim, "miRNA-223-3p, miRNA- 2909 and Cytokines Expression in COVID-19 Patients Treated with Ivermectin", Zagazig University Medical Journal, 2022
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Ashraf Alsayed Sleim, "Comparing the Asthma Control and Anti-inflammatory Effects of Different Fixed Combinations of Inhaled Corticosteroids Plus Long-acting Beta 2 Agonist; A Randomized Clinical Trial", Open Access Macedonian Journal of Medical Sciences, 2021
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Ashraf Alsayed Sleim, "Effect of bronchial asthma education program on asthma control among adults at Mansoura district", Egyptian Journal of Chest Diseases and Tuberculosis, 2017
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Ashraf Alsayed Sleim, "Serum eosinophilic cationic protein and high sensitive C-reactive protein as alternative parameters for differentiation of severity stages and monitoring control in bronchial asthma patients", egyptian journal of chest diseases and tuberculosis, 2014
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Ashraf Alsayed Sleim, "Serum uric acid as a biomarker for prediction of outcomes of patients hospitalized for acute exacerbation of chronic obstructive pulmonary disease", Egyptian Journal of Bronchology, 2014
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Hanan Mohamed Elsehaat, "النيتريت كمؤشر لأكسيد النيتريك فى الاطفال المصابين بالتهاب رئوى", لايوجد, 1900
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Ramadan Mahmoud Elsayed Nafea, "assessment of guided percutaneous transbronchial needle biopsy in diagnosing peripheral pulmonary shadows ", لايوجد, 1900
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