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Analysis of cumulative antibiogram reports in intensive care units at an Egyptian University Hospital

Authors :
Essamedin M. Negm
Eman S. Elgharabawy
Shahenda G. Badran
ALZahraa M. soliman
Aya M. el sayed
Aya O.N. Raafat
Sara T. Soliman
Heba M. Mahmoud
Ahmed E. Tawfik
Amr T. EL Hawary
Abeer El Hawary
Ahmed Elhewala
Rehab H. El-Sokkary
Source :
Journal of Infection and Public Health, Vol 16, Iss 8, Pp 1220-1229 (2023)
Publication Year :
2023
Publisher :
Elsevier, 2023.

Abstract

Background: Institutions must have access to antibiograms to monitor changes in antimicrobial resistance and direct empirical antibiotic therapy. The first facility-specific cumulative antibiogram was launched in the ICU in 2019. Consequently, many antibiogram-operation-related actions have been adopted in the institution based on reported data. This study aimed to analyze the cumulative antibiogram reports for multiple intensive care units (ICUs) for 2020, and compare the antimicrobial susceptibility testing (AST) patterns between the 2019 and 2020 years in an academic medical center. Methods: This cross-sectional study was performed of routine bacterial culture and AST data extracted from a laboratory information system in a 2252-bed capacity hospital. Only the first diagnostic isolate of a given species per patient per year was included in the study. Interpretation and reporting were done in accordance with the applicable Clinical and Laboratory Standards Institute and European Committee on Antimicrobial Susceptibility Testing guidelines. Results: Of the 46,791 clinical isolates, the Gram-negative bacilli isolation rate witnessed a significant increase: 35,670 isolates in 2020 versus. 33,652 isolates in 2019. Klebsiella pneumoniae showed a statistically significant increase, mainly in pediatric, emergency, and cardiothoracic ICUs (p

Details

Language :
English
ISSN :
18760341
Volume :
16
Issue :
8
Database :
Directory of Open Access Journals
Journal :
Journal of Infection and Public Health
Publication Type :
Academic Journal
Accession number :
edsdoj.407440f63375459e9f5d6747da003e47
Document Type :
article
Full Text :
https://doi.org/10.1016/j.jiph.2023.05.032