Surveillance of surgical-site infections and antimicrobial resistance patterns in a tertiary hospital in Alexandria, Egypt
| Autor: | Amira Amer, Abdelfattah Agamya, Thoraya Ghazal, May Raouf, M. G. Kassem |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty medicine.drug_class Antibiotics Drug resistance 030501 epidemiology Gram-Positive Bacteria Microbiology Tertiary Care Centers 03 medical and health sciences Antibiotic resistance Virology Internal medicine Surgical site Epidemiology Drug Resistance Bacterial Gram-Negative Bacteria medicine Humans Surgical Wound Infection Prospective Studies Candida albicans Gram-Positive Bacterial Infections 0303 health sciences biology 030306 microbiology business.industry Incidence (epidemiology) Candidiasis General Medicine Middle Aged biology.organism_classification Anti-Bacterial Agents Infectious Diseases Etiology Parasitology Egypt Female 0305 other medical science business Gram-Negative Bacterial Infections |
| Zdroj: | Journal of infection in developing countries. 14(3) |
| ISSN: | 1972-2680 |
| Popis: | Introduction: Surveillance and antimicrobial resistance (AMR) monitoring are fundamental to Health care associated infections control. Limited data are available from developing countries for both. This study aimed to evaluate incidence and risk factors of surgical site infections (SSIs), etiological pathogens and AMR patterns identification. Methodology: A prospective active surveillance study was implemented over a 24- month period at a 110-bed multispecialty non-teaching tertiary hospital. Follow up data were collected for 30-90 days. SSI was diagnosed according to Centers for Disease Control and Prevention and National Healthcare Safety Network (CDC/NHSN) criteria. The SSI isolates were identified by Matrix-assisted laser desorption ionization–time of flight mass spectrometry (MALDITOF/MS). Antibiotics susceptibility test was performed according to Clinical Laboratory Standards Institute (CLSI) and European Committee on Antimicrobial Susceptibility Testing (EUCAST). Results: Out of a total of 3,642 patients, 70% had complete follow-up. SSI was detected in 57 cases (2.3%), 61.4% of which were detected post discharge. Factors significantly associated with increased SSI risk included smoking, diabetes, ASA score 5/E, ICU admission, previous admission and increased hospital stay. Sixty-five isolates were obtained; 70.8% were GNB while 24.6% were GPC and 4.6% were Candida albicans. Regarding AMR, 58.7% of isolates were extended spectrum β lactamase (ESBL) producers while 45.7% were Carbapenem resistant. Multi drug resistant (MDR) was detected in 13% of isolates, 54.3% were extended drug resistant (XDR) and 10.9% were pan drug resistant (PDR). Eighty-six percent of Staphylococci isolates were methicillin-resistant. Conclusion: Despite low SSI rates detected, the high incidence of AMR identified is alarming. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|