NOSOCOMIAL INFECTIONS: MULTICENTER SURVEILLANCE OF ANTIMICROBIAL RESISTANCE PROFILE OF STAPHYLOCOCCUS AUREUS AND GRAM NEGATIVE RODS ISOLATED FROM BLOOD AND OTHER STERILE BODY FLUIDS IN IRAN

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POURABBAS BAHMAN; MARDANEH JALAL; REZAEI ZAHRA; KALANI MEHDI; POULADFAR GHOLAMREZA; ALAMI MOHAMMAD HASAN; SOLTANI JAFAR; SHAMSIZADEH AHMAD; ABDOLI OSKOUEI SHAHRAM; SAFFAR MOHAMMED JAFAR; ALBORZI ABDOLVAHAB

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Journal: Iranian Journal of Microbiology Year:2015 | Volume:7 | Issue:3 Page(s): 127-135

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Title

NOSOCOMIAL INFECTIONS: MULTICENTER SURVEILLANCE OF ANTIMICROBIAL RESISTANCE PROFILE OF STAPHYLOCOCCUS AUREUS AND GRAM NEGATIVE RODS ISOLATED FROM BLOOD AND OTHER STERILE BODY FLUIDS IN IRAN

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Keywords

BLOOD

STERILE BODY FLUIDS

GRAM NEGATIVE BACTERIA

STAPHYLOCOCCUS AUREUS

ANTIMICROBIAL RESISTANCE

IRAN

Abstract

Background and Objective: Antibiotic resistance is increasing, especially in healthcare-associated infections causing significant public health concerns worldwide. National information is required to make appropriate policies, update list of essential drugs for treatment, and evaluate the effects of intervention strategies. A nationwide surveillance of antimicrobial resistant bacteria in nosocomial infections was established in IRAN in 2008, so that the data obtained through the surveillance would enable us to construct a database.Materials and Methods: Seven major teaching hospitals in Shiraz, Tabriz, Sari, Mashhad, Sanandaj, Ahwaz and Isfahan participated in this study. A total of 858 strains isolated from BLOOD and other STERILE BODY FLUIDS were tested. Identification at the species level was performed with conventional biochemical methods and the API system. Susceptibility tests were done using disk diffusion method. The methicillin-resistance in S. aureus (MRSA) was determined by the oxacillin agar screen plate and respective MIC values were assessed using the E-test strips. The confirmatory disk diffusion methods were applied for phenotypic identification of extended-spectrum b- lactamase (ESBL) production for E. coli and K. pneumoniae, according to CLSI guidelines.Results: Cultivation and re-identification of the strains yielded 858 isolates, consisting of 224 S. aureus, 148 Klebsiella spp., 105 Serratia spp., 146 E. coli, 67 Acinetobacter spp., 38 Enterobacter spp., 95 Pseudomonas spp., 71 P.aeruginosa. 35 Stenotrophomonas sp., and 8 other organisms. MRSA was detected in 37.5% of the isolates. No vancomycin-resistant or vancomycin-intermediate resistant S. aureus was detected. With the exception of Acinetobacter and Stenotrophomonas, 85% of the Gram-negative isolates were found to be susceptible in vitro to imipenem. Overall, about 61% of K. pneumoniae and 35% of E. coli isolates were ESBL producing.Conclusion: Multidrug resistant isolates of Gram-negative organisms and methicillin-resistant strains of S. aureus have been detected in many hospitals in this study.

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APA: Copy

POURABBAS, BAHMAN, MARDANEH, JALAL, REZAEI, ZAHRA, KALANI, MEHDI, POULADFAR, GHOLAMREZA, ALAMI, MOHAMMAD HASAN, SOLTANI, JAFAR, SHAMSIZADEH, AHMAD, ABDOLI OSKOUEI, SHAHRAM, SAFFAR, MOHAMMED JAFAR, & ALBORZI, ABDOLVAHAB. (2015). NOSOCOMIAL INFECTIONS: MULTICENTER SURVEILLANCE OF ANTIMICROBIAL RESISTANCE PROFILE OF STAPHYLOCOCCUS AUREUS AND GRAM NEGATIVE RODS ISOLATED FROM BLOOD AND OTHER STERILE BODY FLUIDS IN IRAN. IRANIAN JOURNAL OF MICROBIOLOGY, 7(3), 127-135. SID. https://sid.ir/paper/315351/en

Vancouver: Copy

POURABBAS BAHMAN, MARDANEH JALAL, REZAEI ZAHRA, KALANI MEHDI, POULADFAR GHOLAMREZA, ALAMI MOHAMMAD HASAN, SOLTANI JAFAR, SHAMSIZADEH AHMAD, ABDOLI OSKOUEI SHAHRAM, SAFFAR MOHAMMED JAFAR, ALBORZI ABDOLVAHAB. NOSOCOMIAL INFECTIONS: MULTICENTER SURVEILLANCE OF ANTIMICROBIAL RESISTANCE PROFILE OF STAPHYLOCOCCUS AUREUS AND GRAM NEGATIVE RODS ISOLATED FROM BLOOD AND OTHER STERILE BODY FLUIDS IN IRAN. IRANIAN JOURNAL OF MICROBIOLOGY[Internet]. 2015;7(3):127-135. Available from: https://sid.ir/paper/315351/en

IEEE: Copy

BAHMAN POURABBAS, JALAL MARDANEH, ZAHRA REZAEI, MEHDI KALANI, GHOLAMREZA POULADFAR, MOHAMMAD HASAN ALAMI, JAFAR SOLTANI, AHMAD SHAMSIZADEH, SHAHRAM ABDOLI OSKOUEI, MOHAMMED JAFAR SAFFAR, and ABDOLVAHAB ALBORZI, “NOSOCOMIAL INFECTIONS: MULTICENTER SURVEILLANCE OF ANTIMICROBIAL RESISTANCE PROFILE OF STAPHYLOCOCCUS AUREUS AND GRAM NEGATIVE RODS ISOLATED FROM BLOOD AND OTHER STERILE BODY FLUIDS IN IRAN,” IRANIAN JOURNAL OF MICROBIOLOGY, vol. 7, no. 3, pp. 127–135, 2015, [Online]. Available: https://sid.ir/paper/315351/en

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