Two years study of microbiological characteristics of catheter-related bloodstream infection in the North of Iran

سال انتشار: 1400
نوع سند: مقاله کنفرانسی
زبان: انگلیسی
مشاهده: 166

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شناسه ملی سند علمی:

MEDISM22_075

تاریخ نمایه سازی: 8 مهر 1400

چکیده مقاله:

Background and Aim : A significant part of healthcare-associated infections (HCAIs) is usually associated with the use of devices such as indwelling intravascular and urinary catheters, which can cause an increase in long-term hospitalization, cost, and morbidity and mortality. This study was performed to survey the microbiological characteristics of catheter-related bloodstream infection in the North of Iran.Methods : This retrospective study was carried out on inpatients with catheter-related bloodstream infection (CRBSI) over two years during ۲۰۱۸ and ۲۰۱۹. Standard microbiological and biochemical methods were followed for bacterial isolation and identification. Antimicrobial susceptibility test was performed by disk diffusion method.Results : Out of ۲۸۷ examined catheters, ۹۵ (۳۳.۱%) cases were positive with significant bacterial growth. The most prevalent causes of CRBSI were coagulase-negative staphylococci (۲۸.۴%), followed by Staphylococcus aureus (۱۵.۸%), Klebsiella pneumoniae (۱۴.۷%), and Pseudomonas aeruginosa (۱۲.۶%). Antibiotic susceptibility test showed that amikacin, co-trimoxazole, and tetracycline were the most effective antibiotics against staphylococci as the predominant cause of CRBSIs. Meanwhile, ۳۳.۳% of S. aureus isolates and ۵۶% of coagulase-negative staphylococci were methicillin-resistant. Ciprofloxacin, piperacillin-tazobactam, and gentamicin were the most effective antibiotics against K. pneumoniae isolates. Among non-fermentative Gram-negative bacilli (NFGNB), P. aeruginosa isolates showed the highest susceptibility to ofloxacin and imipenem. While gentamicin was the most effective antibiotic against Acinetobacter baumannii isolates. Conclusion : Our study showed a remarkable rate of catheter-associated infection, which demanded a more restricted and effective infection control policy. Moreover, our results provided important information for suggestions of proper antibiotics administration based on the local antibiotic susceptibility patterns.

نویسندگان

Mahsa Sadeghi

Burn and Regenerative Medicine Research Center, Guilan University of Medical Sciences, Rasht, Iran

Hadi Sedigh Ebrahim-Saraie

Department of Microbiology, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran

Meysam Hasannejad-Bibalan

Department of Microbiology, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran

Hossein Hemmati

Razi Clinical Research Development Unit, Razi Hospital, Guilan University of Medical Sciences, Rasht, Iran

Mohammad Taghi Ashoobi

Razi Clinical Research Development Unit, Razi Hospital, Guilan University of Medical Sciences, Rasht, Iran

Tofigh Yaghoubi

Razi Clinical Research Development Unit, Razi Hospital, Guilan University of Medical Sciences, Rasht, Iran