Comparison of antimicrobial resistance pattern in hospital versus community-acquired infections in pediatric patients

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HEDAYAT YAGHOOBI MOJTABA; KARAMI PEZHMAN; KHALEDI AZAD; Rafie Elahe; Sabahi Mohammadmahdi; Habibipour Behzad; RAHIMI BASHAR FARSHID; SEDIGHI IRAJ

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Journal: Journal of Advances in Medical and Biomedical Research Year:2019 | Volume:27 | Issue:123 Page(s): 1-8

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Title

Comparison of antimicrobial resistance pattern in hospital versus community-acquired infections in pediatric patients

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Keywords

Pediatric

Drug resistance

Nosocomial infection

Community-acquired infection

Abstract

Background & Objective: Nosocomial infection is one of the most daunting challenges to the global health care system. The current study aimed to compare the antimicrobial resistance pattern in hospital versus Community-acquired infections in Pediatric patients in Besat Hospital, Hamadan, Iran. Materials & Methods: The current study was carried out on all patients with a hospital-acquired infection (HAI) who were hospitalized in Besat Hospital, Hamadan, Iran, for 48 hours. Moreover, patients with Community-acquired infections (who had an infection before hospitalization) were also included in the current study. E-test and Kirby-Bauer disk diffusion test were utilized to determine antimicrobial susceptibility patterns according to the report test/CLSI M100/S27 guidelines. Antibiotic resistance patterns in both patients with hospital and Community-acquired infections were separately recorded. Subsequently, the obtained data were analyzed by SPSS software (version 16). Results: A number of 43 and 68 patients showed HAI and CAI, respectively. The most common HAI and CAI were blood-stream infection and urinary tract infection (UTI) with a prevalence of 69. 8%, and 73. 5%, respectively. The most frequent organisms isolated from CA and HA-infections were E. coli and Staphylococcus aureus with a prevalence of 67. 9%, and 30. 2%, respectively. The highest level of resistance in Gram-negative bacteria was observed against cotrimoxazole and ceftriaxone. Furthermore, the highest resistance in Gram-positive organisms was against clindamycin. The prevalence rates of MRSA isolates in HAI and CAI were reported as 46. 2% and 36. 9%, respectively. Conclusion: The obtained results indicated the high resistance to several antibiotics that can be used as promising choices in the treatment of both CA and HA-infections. It is recommended that region-specific monitoring studies be carried out in order to assist the clinician to select the accurate empirical therapy.

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References

Initial caloric administration as a risk factor for mortality in critically-ill children

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APA: Copy

HEDAYAT YAGHOOBI, MOJTABA, KARAMI, PEZHMAN, KHALEDI, AZAD, Rafie, Elahe, Sabahi, Mohammadmahdi, Habibipour, Behzad, RAHIMI BASHAR, FARSHID, & SEDIGHI, IRAJ. (2019). Comparison of antimicrobial resistance pattern in hospital versus community-acquired infections in pediatric patients. JOURNAL OF ADVANCES IN MEDICAL AND BIOMEDICAL RESEARCH, 27(123), 1-8. SID. https://sid.ir/paper/746852/en

Vancouver: Copy

HEDAYAT YAGHOOBI MOJTABA, KARAMI PEZHMAN, KHALEDI AZAD, Rafie Elahe, Sabahi Mohammadmahdi, Habibipour Behzad, RAHIMI BASHAR FARSHID, SEDIGHI IRAJ. Comparison of antimicrobial resistance pattern in hospital versus community-acquired infections in pediatric patients. JOURNAL OF ADVANCES IN MEDICAL AND BIOMEDICAL RESEARCH[Internet]. 2019;27(123):1-8. Available from: https://sid.ir/paper/746852/en

IEEE: Copy

MOJTABA HEDAYAT YAGHOOBI, PEZHMAN KARAMI, AZAD KHALEDI, Elahe Rafie, Mohammadmahdi Sabahi, Behzad Habibipour, FARSHID RAHIMI BASHAR, and IRAJ SEDIGHI, “Comparison of antimicrobial resistance pattern in hospital versus community-acquired infections in pediatric patients,” JOURNAL OF ADVANCES IN MEDICAL AND BIOMEDICAL RESEARCH, vol. 27, no. 123, pp. 1–8, 2019, [Online]. Available: https://sid.ir/paper/746852/en

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