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Information Journal Paper

Title

Evaluation of Antibiotic Resistance Trend among Cystic Fibrosis Patients: A Single Center Study from 2014-2019

Pages

  10719-10729

Abstract

 Background: Antibiotic Resistance in Cystic fibrosis (CF) patients has been a serious issue in their survival. The objective of this study was to investigate the antibiogram trend in serial admissions among CF patients. Materials and Methods: In this retrospective descriptive-analytical study, from 2014 to 2019, 95 known cases of CF patients with repeated admissions at Masih Daneshvari Hospital, Tehran, Iran, were evaluated. Demographic data and para-clinical parameters were evaluated. Fourteen antibiotic disks were used to determine Antibiotic Resistance. Resistance trend in 2014 and 2018 was compared. Results: Out of 95 patients, 48 patients (52. 2%) were female. The mean age of patients was 19. 43 ± 6. 7 years. Pseudomonas positive culture in the first admission was 68. 4%; while it was 45. 3% in the second admission and 28. 4% in the third admission (p> 0. 05). Staph positive culture was 20%; 18. 9%, and 16. 8%, respectively (p> 0. 05). Pseudomonas aeruginosa was the most sensitive to vancomycin (93. 8%), followed by colistin (93. 3%) and ceftazidime (65. 2%). There was no correlation between patients' age and multiDrug resistance (MDR). FEV1 was significantly lower in both the patient with positive pseudomonas (p-value: 0. 01), and culture and MDR (p= 0. 023). Furthermore, in terms of Antibiotic Resistance over time, resistance to colistin statistically decreased from 25% in 2014 to 2% in 2018 (p= 0. 02). Conclusion: Vancomycin, Colistin, Ceftazidim, Imipenem, Amikacin, and Gentamycin had the highest drug sensitivity; while Cefotaxime, Clindamycin, and Chloramphenicol antibiotics had a low sensitivity. From 2014 to 2019, resistance to Colistin dramatically decreased.

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    APA: Copy

    HASSANZAD, MARYAM, Sadati, Elham, GHORBANI, FARIBA, GHAFARIPOOR, HOSSEINALI, Farnia, Poopak, POORABDOLLAH, MIHAN, BAGHAEI, NOUSHIN, EMAMI, HABIB, & VELAYATI, ALI AKBAR. (2020). Evaluation of Antibiotic Resistance Trend among Cystic Fibrosis Patients: A Single Center Study from 2014-2019. INTERNATIONAL JOURNAL OF PEDIATRICS, 8(1 (73)), 10719-10729. SID. https://sid.ir/paper/777811/en

    Vancouver: Copy

    HASSANZAD MARYAM, Sadati Elham, GHORBANI FARIBA, GHAFARIPOOR HOSSEINALI, Farnia Poopak, POORABDOLLAH MIHAN, BAGHAEI NOUSHIN, EMAMI HABIB, VELAYATI ALI AKBAR. Evaluation of Antibiotic Resistance Trend among Cystic Fibrosis Patients: A Single Center Study from 2014-2019. INTERNATIONAL JOURNAL OF PEDIATRICS[Internet]. 2020;8(1 (73)):10719-10729. Available from: https://sid.ir/paper/777811/en

    IEEE: Copy

    MARYAM HASSANZAD, Elham Sadati, FARIBA GHORBANI, HOSSEINALI GHAFARIPOOR, Poopak Farnia, MIHAN POORABDOLLAH, NOUSHIN BAGHAEI, HABIB EMAMI, and ALI AKBAR VELAYATI, “Evaluation of Antibiotic Resistance Trend among Cystic Fibrosis Patients: A Single Center Study from 2014-2019,” INTERNATIONAL JOURNAL OF PEDIATRICS, vol. 8, no. 1 (73), pp. 10719–10729, 2020, [Online]. Available: https://sid.ir/paper/777811/en

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