Volume 15, Issue 6 (Special issue (Nov-Dec) 2021)                   mljgoums 2021, 15(6): 31-37 | Back to browse issues page


XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Bagherian F, Nikoonejad A, Allami A, Dodangeh S, Yassen L T, Hosienbeigi B. Investigation of Antibiotic Resistance Pattern in Isolated From Urine and Blood Samples of Patients Admitted To the Intensive Care Unit of Velayat Hospital in Qazvin, Iran. mljgoums 2021; 15 (6) :31-37
URL: http://mlj.goums.ac.ir/article-1-1368-en.html
1- Department of Infectious Diseases, Clinical Research Development Unit, BouAli Sina Hospital, Qazvin University of Medical of Sciences, Qazvin, Iran
2- Department of Infectious Diseases, Clinical Research Development Unit, Booalisina Hospital, Qazvin University of Medical of Sciences, Qazvin, Iran , nikoonejad.anikoo@gmail.com
3- Department of Infectious Diseases, Clinical Research Development Unit, Booalisina Hospital, Qazvin University of Medical of Sciences, Qazvin, Iran
4- Department of Medical Parasitology and Mycology, Children Growth Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran
5- Department of Medical Laboratory Techniques, Osoul Aldeen University College, Baghdad, Iraq
6- Department of Medical Parasitology and Mycology, Qazvin, Iran
Abstract:   (4433 Views)
Background and objectives: Antibiotic resistance is a global health challenge that affects both individuals and the health system in many ways. The aim of this study was to evaluate the antibiotic resistance pattern in isolates from patients admitted to the intensive care unit (ICU) of a hospital in Qazvin, Iran.
Methods: This descriptive and retrospective study was performed on urine and blood samples collected from 1318 ICU patients in the Velayat Hospital of Qazvin (Iran) during 2017-2019. Data were collected from patients’ medical records. All statistical analyses were performed using SPSS software (version 25).
Results: Based on the findings, 65.2% of the samples were related to urinary tract infections and 34.7% to bloodstream infections. Escherichia coli (68.6%) and Stenotrophomonas (41.0%) were the most common bacteria isolated from urinary tract infections and bloodstream infections, respectively. Moreover, the rate of antibiotic resistance was higher among Acinetobacter, Escherichia coli, Stenotrophomonas, Enterococcus and Pseudomonas isolates.
Conclusion: The rate of drug resistance in isolates from ICU patients is alarmingly high and requires immediate attention. It is recommended to modify antibiotic prescriptions in the hospital based on the results of antibiotic resistance pattern, particularly for treatment of infections caused by E. coli and Stenotrophomonas.
Full-Text [PDF 740 kb]   (652 Downloads) |   |   Full-Text (HTML)  (1567 Views)  
Research Article: Research Article | Subject: Microbiology
Received: 2021/02/23 | Accepted: 2021/06/21 | Published: 2021/10/18 | ePublished: 2021/10/18

References
1. Dielubanza EJ, Schaeffer AJ. Urinary tract infections in women. Med Clin North AM. 2011; 95(1): 27-41. [View at Publisher] [DOI:10.1016/j.mcna.2010.08.023] [PubMed] [Google Scholar]
2. Najari HR, Ghadimi A, Allami A. Relationship of ABO-Rh blood groups with urinary tract infections in hospitalized patients. Scientific Journal of Kurdistan University of Medical Sciences. 2020; 25(4): 20-30. [View at Publisher] [Google Scholar]
3. Heron MP. Deaths: leading causes for 2017. National Vital Statistics Reports. 2019: 68(6): 9. [View at Publisher] [PubMed] [Google Scholar]
4. Chun K, Syndergaard C, Damas C, Trubey R, Mukindaraj A, Qian S, et al. Sepsis Pathogen Identification. J Lab Autom. 2015; 20(5): 539-61. [View at Publisher] [DOI:10.1177/2211068214567345] [PubMed] [Google Scholar]
5. Emmerson AM. The epidemiology of infections in intensive care units. Intensive Care Med. 1990; 16 Suppl 3:S197-200. [View at Publisher] [DOI:10.1007/BF01709700] [PubMed] [Google Scholar]
6. Ddgari F, Ahmadi K, Mardani M, Ramezan Khani A. Frequency and antibiotic resistance profile of bacteria isolated from the intensive care unit and General ward at a general hospital in Tehran. Ann Military Health Sci Res. 2006; 5(1): 155-64. [Google Scholar]
7. Shehabi AA, Baadran I. Microbial infection and antbiotic resistance patterns among Jordanian intensivecare patients. Eastern Mediterranean Health Journal. 1996; 2: 515-520. [View at Publisher] [DOI:10.26719/1996.2.3.515] [Google Scholar]
8. Tullu MS, Deshmukh CT, Baveja SM. Bacterial profile and antimicrobial susceptibility pattern in catheter related nosocomial infections. J Post graduate Med. 1998; 44: 7-13. [View at Publisher] [PubMed] [Google Scholar]
9. Stamm WE, Norrby SR. Urinary tract infections: disease panorama and challenges. J Infect Dis. 2001; 183 (Suppl 1): S1–S4. [View at Publisher] [DOI] [PubMed] [Google Scholar]
10. Ghafouri M, Hashemi S, Azimian A, Garevani T, Seyed Sharifi S.H. Evaluation of Antibiotic Resistance to Bacteria Isolated from Patients with Nosocomial Infections Hospitalized in Imam Reza in Bojnurd City in 2013. JRUMS. 2015; 14(7): 599-610. http://journal.rums.ac.ir/article-1-2675-en.html [View at Publisher] [Google Scholar]
11. Mohammadi S, Ramazanzade R, Zandi S, Rouhi S, Mohammadi B. Determination of Prevalence of isolated bacteria from urinary tracts and antibiotic resistant pattern of them in Tohid hospital of Sanandaj (2013-2014). Zanko Journal of Medical Sciences. 2015; 16 (50): 55-62. (Persian) [View at Publisher] [Google Scholar]
12. Chu CM, Lowder JL. Diagnosis and treatment of urinary tract infections across age groups. Am J Obstet Gynecol 2018; 219: 40–51. https://doi.org/10.1016/j.ajog.2017.12.231 [View at Publisher] [DOI] [PubMed] [Google Scholar]
13. Vranic SM, Zatric N, Rebic V, Aljicevic M, Abdulzaimovic A. The Most Frequent Isolates from Outpatients with Urinary Tract Infection. Mater Sociomed. 2017; 29 (1): 17-20. [DOI:10.5455/msm.2017.29.17-20] [PubMed] [Google Scholar]
14. Christofi T, Panayidou S, Dieronitou I, Michael C, Apidianakis Y. Metabolic output defines Escherichia coli as a health-promoting microbe against intestinal Pseudomonas aeruginosa. Scientific reports. 2019; 9(1):1-3. [View at Publisher] [DOI] [PubMed]
15. Laupland, K. B. Incidence of bloodstream infection: a review of population-based studies. Clin. Microbiol. Infect. 2013; 19, 492-500. [View at Publisher] [DOI:10.1111/1469-0691.12144] [PubMed] [Google Scholar]
16. Viana Taveira MR, Lima LS, de Araújo CC, de Mello MJ. Risk factors for central line-associated bloodstream infection in pediatric oncology patients with a totally implantable venous access port: A cohort study. Pediatric blood & cancer. 2017 Feb;64(2):336-42. [View at Publisher] [DOI:10.1002/pbc.26225] [PubMed] [Google Scholar]
17. Bijari B, Abbasi A, Hemati M,et al. Nosocomial infections and related factors in southern khorasan hospitals. Iran J Microbiol. 2015; 8(4): 69-73. [View at Publisher] [Google Scholar]
18. Murray PR, Rosenthal KS, Pfaller MA. Medical Microbiology E-Book: Elsevier Health Sciences. 2020. [Google Scholar]
19. Brooke JS. Stenotrophomonas maltophilia: an emerging global opportunistic pathogen. Clinical microbiology reviews. 2012; 25(1): 2-41. [View at Publisher] [DOI:10.1128/CMR.00019-11] [PubMed] [Google Scholar]
20. Jamali F, Boroumand MA, Yazdani F, et al. Minimal inhibitory concentration of ceftazidime and Co-trimoxazole for Stenotrophomonas maltophilia using E-test. J Glob Infect Dis. 2011; 3(3): 254. [View at Publisher] [DOI:10.4103/0974-777X.83531] [PubMed] [Google Scholar]
21. Guyot A, Turton JF, Garner D. Outbreak of Stenotroph-omonas maltophilia on an intensive care unit. J Hosp Infect. 2013; 85(4):303-7. [View at Publisher] [DOI:10.1016/j.jhin.2013.09.007] [PubMed] [Google Scholar]
22. Nikpour A, Shabani M, Kazemi A, Mohandesi M, Ershadpour R, Rezaei Yazdi H. Identification and Determination of Antibiotic Resistance Pattern of Stenotrophomonas maltophilia Isolated form Medical Devices and Clinical Samples in Jahrom, s Hospitals by Phenotype and Molecular Methods. Journal of Jahrom University of Medical Sciences. 2016; 14(2): 43-50. [View at Publisher] [DOI:10.29252/jmj.14.2.43] [Google Scholar]
23. Khosrishahi N, Sharifi M. Isolation of carbapenem resistant Acinetobacter baumannii (CRAB) strains from patients and equipments of Intensive care units (ICUs) at Qazvin between 2005-2006. Iran J Med Microbiol. 2007; 1 (3): 33-38. (Persian). [View at Publisher] [Google Scholar]
24. Khashei R, Navabi Z, Mohebi S, Samadi N. Antibiotic Resistance Among Escherichia coli, Pseudomonas aeruginosa and Acinetobacter baumannii Isolates Obtained From Shiraz Nemazi Hospital ICU Wards. Iran J Microbiol 2018; 12(4): 294-300. https://ijmm.ir/article-1-851-en.html [View at Publisher] [DOI:10.30699/ijmm.12.4.294] [Google Scholar]
25. Karami P, Bazmamoun H, Sedighi I, Mozaffari Nejad AS, Aslani MM, Alikhani MY. Antibacterial resistance patterns of extended spectrum β-lactamase-producing enteropathogenic Escherichia coli strains isolated from children. Arab J Gastroenterol. 2017; 18(4): 206-9. [View at Publisher] [DOI:10.1016/j.ajg.2017.11.004] [PubMed] [Google Scholar]
26. Mohammadi-mehr M, Feizabadi M. Antimicrobial resistance pattern of Gram-negative bacilli isolated from patients at ICUs of Army hospitals in Iran. Iran J Microbiol. 2011; 3(1): 26-30. [Persian] [Google Scholar]
27. Hooper DC. Bacterial Resistance to Antimicrobial Agents. Harrisons Principles of Internal Medicine. 2018; 1057-62. [View at Publisher]
28. Friedman ND, Temkin E, Carmeli Y. The negative impact of antibiotic resistance. Clinical Microbiology and Infection. 2016 May 1;22(5):416-22. [View at Publisher] [DOI] [PubMed] [Google Scholar]
29. Askarian M, Gooran NR. National nosocomial infection surveillance system-based study in Iran: additional hospital stay attributable to nosocomial infections. Am J Infect Control. 2003; 31(8): 465-8. [View at Publisher] [DOI:10.1016/S0196-6553(03)00673-4] [PubMed] [Google Scholar]
30. Gastmeier P, Geffers C, Schwab F, et al. Development of a surveillance system for nosocomial infections: the component for neonatal intensive care units in Germany. J Hosp Infect. 2004; 57(2): 126-31. [View at Publisher] [DOI:10.1016/j.jhin.2003.12.038] [PubMed] [Google Scholar]

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2007 All Rights Reserved | Medical Laboratory Journal

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.