SUSCEPTIBILITY PATTERNS AND CROSS-RESISTANCE OF ANTIBIOTICS AGAINST PSEUDOMONAS AERUGINOSA ISOLATED FROM BURN PATIENTS IN THE SOUTH OF IRAN

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ZHAPOUNI A.; FARSHAD SH.; ALBORZI A.A.V.; KALANI M.; NASIRI JALIL

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Journal: Iranian Journal of Infectious Diseases and Tropical Medicine Year:2007 | Volume:11 | Issue:35 Page(s): 13-18

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Title

SUSCEPTIBILITY PATTERNS AND CROSS-RESISTANCE OF ANTIBIOTICS AGAINST PSEUDOMONAS AERUGINOSA ISOLATED FROM BURN PATIENTS IN THE SOUTH OF IRAN

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PSEUDOMONAS AERUGINOSAQ3

ANTIBIOTICSQ4

CROSS-RESISTANCEQ3

IRANQ3

Abstract

Background and objective: PSEUDOMONAS AERUGINOSA plays a prominent role in serious infections in burn patients. Quick acquisition of multi-drug resistance leads to the high morbidity and mortality especially in burn centers.Material and methods: Ten ANTIBIOTICS which were widely administrated in our burn patients were selected. MICs for imipenem, mropenem, cefepime, ceftazidime, cafuparazone/sulbactam, ticarcillin/clavulanate, piperacillin/tazobactam, ciprofloxacin, tobramycin and amikacin to 70 strains of P. aeruginosa which were isolated from burn patients were determined by the E-test method (AB biodisk, Sweden). Extended-spectrum b-lactamase, group I inducible b-lactamases and metallo-b-lactamase activities were also determined.Results: Imipenem and meropenium were the most in vitro active antibacterial agents followed by ciprofloxacin (p<0.05) whereas, ticarcillin/clavulanate was the least active antibiotic. Almost all (98-100%) of the resistant isolates also showed CROSS-RESISTANCE to cefepime. The majority of imipenem and meropenem resistant isolates (85-100% & 76-100%) demonstrated CROSS-RESISTANCE to the rest of ANTIBIOTICS. ESBLs were detected in only 3 (4.3%) isolates, whereas inducible b- lactamase was observed in 8 (11.4%) isolates. Metallo-b-lactamase was detected in none of the isolates.Conclusion: Almost all of the antibiotic resistant isolates also showed CROSS-RESISTANCE to the majority of penicillins and cephalosporins with or without b-lactamase inhibitors, from which ticarcillin/clavulanate demonstrated this phenomenon at the highest level.

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APA: Copy

ZHAPOUNI, A., FARSHAD, SH., ALBORZI, A.A.V., KALANI, M., & NASIRI, JALIL. (2007). SUSCEPTIBILITY PATTERNS AND CROSS-RESISTANCE OF ANTIBIOTICS AGAINST PSEUDOMONAS AERUGINOSA ISOLATED FROM BURN PATIENTS IN THE SOUTH OF IRAN. IRANIAN JOURNAL OF INFECTIOUS DISEASES AND TROPICAL MEDICINE, 11(35), 13-18. SID. https://sid.ir/paper/52924/en

Vancouver: Copy

ZHAPOUNI A., FARSHAD SH., ALBORZI A.A.V., KALANI M., NASIRI JALIL. SUSCEPTIBILITY PATTERNS AND CROSS-RESISTANCE OF ANTIBIOTICS AGAINST PSEUDOMONAS AERUGINOSA ISOLATED FROM BURN PATIENTS IN THE SOUTH OF IRAN. IRANIAN JOURNAL OF INFECTIOUS DISEASES AND TROPICAL MEDICINE[Internet]. 2007;11(35):13-18. Available from: https://sid.ir/paper/52924/en

IEEE: Copy

A. ZHAPOUNI, SH. FARSHAD, A.A.V. ALBORZI, M. KALANI, and JALIL NASIRI, “SUSCEPTIBILITY PATTERNS AND CROSS-RESISTANCE OF ANTIBIOTICS AGAINST PSEUDOMONAS AERUGINOSA ISOLATED FROM BURN PATIENTS IN THE SOUTH OF IRAN,” IRANIAN JOURNAL OF INFECTIOUS DISEASES AND TROPICAL MEDICINE, vol. 11, no. 35, pp. 13–18, 2007, [Online]. Available: https://sid.ir/paper/52924/en

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