The Prevalence of Gram-Negative Microorganisms Isolated from VentilatorAssociated Pneumonia Patients in the Intensive Care Units of Southwest of Iran

Increasing microbial resistance is a severe threat to global public health. One of the most common diseases in the intensive care unit is ventilator-associated pneumonia. This study was carried out from January to March 2018, at the Golestan Hospital of Ahvaz. Patients with ventilator-associated pne...

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Main Authors: Saeed Mehralinejadian, Mandana Izadpanah, Farhad Soltani, Sepideh Sayadi, Maryam Aghakouchakzadeh
Format: Article
Language:English
Published: Research Center for Rational Use of Drugs (RCRUD) 2020-06-01
Series:Journal of Pharmaceutical Care
Subjects:
Online Access:https://jpc.tums.ac.ir/index.php/jpc/article/view/295
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author Saeed Mehralinejadian
Mandana Izadpanah
Farhad Soltani
Sepideh Sayadi
Maryam Aghakouchakzadeh
author_facet Saeed Mehralinejadian
Mandana Izadpanah
Farhad Soltani
Sepideh Sayadi
Maryam Aghakouchakzadeh
author_sort Saeed Mehralinejadian
collection DOAJ
description Increasing microbial resistance is a severe threat to global public health. One of the most common diseases in the intensive care unit is ventilator-associated pneumonia. This study was carried out from January to March 2018, at the Golestan Hospital of Ahvaz. Patients with ventilator-associated pneumonia were included in the study. The prevalence of resistant gram-negative microorganisms was studied through reported laboratory antibiogram results of cultures. Based on the results of the study, From 373 hospitalized patients, 38 (10.2%) were diagnosed with VAP. From the 57 respiratory cultures performed, overall 90 microorganisms were isolated, from which Enterobacter with 36 cases (39.5%) and E.Coli with 28 cases (30.7%) was most frequently compared to other organisms. Of the 90 organisms responsible for the infection, 43 cases (47.2%) were MDR microorganisms and 47 (51.6%) were XDR microorganisms. Enterobacter and E.Coli were the most prevalent MDR microorganisms with 17 cases (39.5%) and 13 (30.2%), respectively. Also, these two microorganisms were the most abundant XDR microorganisms with 19 cases (40.4%) and 15 (31.9%), respectively. The results show the requirement of robust antibiotic monitoring and the optimization of antibiotic use in order to prevent the progression of antibiotic resistance in these units.
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spelling doaj.art-1d13975acd3a4e43a7993a2c36ef184d2022-12-21T19:22:35ZengResearch Center for Rational Use of Drugs (RCRUD)Journal of Pharmaceutical Care2322-46302322-45092020-06-018387295The Prevalence of Gram-Negative Microorganisms Isolated from VentilatorAssociated Pneumonia Patients in the Intensive Care Units of Southwest of IranSaeed MehralinejadianMandana IzadpanahFarhad SoltaniSepideh SayadiMaryam AghakouchakzadehIncreasing microbial resistance is a severe threat to global public health. One of the most common diseases in the intensive care unit is ventilator-associated pneumonia. This study was carried out from January to March 2018, at the Golestan Hospital of Ahvaz. Patients with ventilator-associated pneumonia were included in the study. The prevalence of resistant gram-negative microorganisms was studied through reported laboratory antibiogram results of cultures. Based on the results of the study, From 373 hospitalized patients, 38 (10.2%) were diagnosed with VAP. From the 57 respiratory cultures performed, overall 90 microorganisms were isolated, from which Enterobacter with 36 cases (39.5%) and E.Coli with 28 cases (30.7%) was most frequently compared to other organisms. Of the 90 organisms responsible for the infection, 43 cases (47.2%) were MDR microorganisms and 47 (51.6%) were XDR microorganisms. Enterobacter and E.Coli were the most prevalent MDR microorganisms with 17 cases (39.5%) and 13 (30.2%), respectively. Also, these two microorganisms were the most abundant XDR microorganisms with 19 cases (40.4%) and 15 (31.9%), respectively. The results show the requirement of robust antibiotic monitoring and the optimization of antibiotic use in order to prevent the progression of antibiotic resistance in these units.https://jpc.tums.ac.ir/index.php/jpc/article/view/295resistanceventilator-associated pneumoniaintensive care unitsgram-negative microorganisms
spellingShingle Saeed Mehralinejadian
Mandana Izadpanah
Farhad Soltani
Sepideh Sayadi
Maryam Aghakouchakzadeh
The Prevalence of Gram-Negative Microorganisms Isolated from VentilatorAssociated Pneumonia Patients in the Intensive Care Units of Southwest of Iran
Journal of Pharmaceutical Care
resistance
ventilator-associated pneumonia
intensive care units
gram-negative microorganisms
title The Prevalence of Gram-Negative Microorganisms Isolated from VentilatorAssociated Pneumonia Patients in the Intensive Care Units of Southwest of Iran
title_full The Prevalence of Gram-Negative Microorganisms Isolated from VentilatorAssociated Pneumonia Patients in the Intensive Care Units of Southwest of Iran
title_fullStr The Prevalence of Gram-Negative Microorganisms Isolated from VentilatorAssociated Pneumonia Patients in the Intensive Care Units of Southwest of Iran
title_full_unstemmed The Prevalence of Gram-Negative Microorganisms Isolated from VentilatorAssociated Pneumonia Patients in the Intensive Care Units of Southwest of Iran
title_short The Prevalence of Gram-Negative Microorganisms Isolated from VentilatorAssociated Pneumonia Patients in the Intensive Care Units of Southwest of Iran
title_sort prevalence of gram negative microorganisms isolated from ventilatorassociated pneumonia patients in the intensive care units of southwest of iran
topic resistance
ventilator-associated pneumonia
intensive care units
gram-negative microorganisms
url https://jpc.tums.ac.ir/index.php/jpc/article/view/295
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