Determination of Antibiotic Susceptibility of Bacteria Isolated From Endotracheal Tube in Pulmonary Intensive Care Unit of a Hospital in Bandar Abbas

Background: The present study attempted to determine the antibiotic susceptibility of bacteria isolated from endotracheal tube culture on patients admitted to the intensive care units (ICUs) of Shahid Mohammadi hospital in Bandar Abbas. Materials and Methods: This cross-sectional study was conducted...

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Main Authors: Arash Rahimi, Maede Ansari, Parivash Davoodian, Saeed Shoja, Saeed Hosseini Teshnizi, Hesam Alizade
Format: Article
Language:English
Published: Hormozgan University of Medical Sciences 2022-04-01
Series:Disease and Diagnosis
Subjects:
Online Access:https://ddj.hums.ac.ir/PDF/ddj-11-58.pdf
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author Arash Rahimi
Maede Ansari
Parivash Davoodian
Saeed Shoja
Saeed Hosseini Teshnizi
Hesam Alizade
author_facet Arash Rahimi
Maede Ansari
Parivash Davoodian
Saeed Shoja
Saeed Hosseini Teshnizi
Hesam Alizade
author_sort Arash Rahimi
collection DOAJ
description Background: The present study attempted to determine the antibiotic susceptibility of bacteria isolated from endotracheal tube culture on patients admitted to the intensive care units (ICUs) of Shahid Mohammadi hospital in Bandar Abbas. Materials and Methods: This cross-sectional study was conducted on 114 patients hospitalized in the pulmonary ICU of Shahid Mohammadi hospital in Bandar Abbas from March 2018 to March 2019. The samples of the patients’ endotracheal tube secretions were collected for the culture purpose on the first and fifth days of hospitalization in the ICU where the disk diffusion method was used to determine antibiotic susceptibility. Results: The most common isolated microorganisms from the first day of culture were 26 Acinetobacter spp. isolates (22.8%), 10 Candida isolates (8.8%), and 9 Pseudomonas aeruginosa isolates (7.9%). The most common microorganisms which were isolated on the fifth day comprised Acinetobacter spp. with 57 isolates (51.8%), Candida with 6 isolates (5.5%), and P. aeruginosa with 6 isolates (5.5%). The highest resistant bacteria isolated from Acinetobacter spp. samples on the first-day were amikacin (92.3%) and meropenem (84.6%). The highest resistance of P. aeruginosa was against meropenem (77.8%), while the highest resistance of Acinetobacter spp. isolates was found to be amikacin (94.7%) and meropenem (86%) from the fifth-day samples. Further, P. aeruginosa isolates had the highest resistance in meropenem (83.3%), co-trimoxazole, and cefepime (66.7% for each of them). Conclusion: Ventilator-associated pneumonia (VAP) is considered a warning condition due to multidrug-resistant bacteria. According to the present study, the most common VAP-causing bacteria are gram-negative, especially Acinetobacter, with high antibiotic resistance.
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spelling doaj.art-a9cc2efc38c04defbb52e557562eb7ef2022-12-22T00:40:04ZengHormozgan University of Medical SciencesDisease and Diagnosis2717-32322022-04-01112586210.34172/ddj.2022.12ddj-398Determination of Antibiotic Susceptibility of Bacteria Isolated From Endotracheal Tube in Pulmonary Intensive Care Unit of a Hospital in Bandar AbbasArash Rahimi0Maede Ansari1Parivash Davoodian2Saeed Shoja3Saeed Hosseini Teshnizi4Hesam Alizade5Infectious and Tropical Diseases Research Center, Hormozgan Health Institute, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.Student Research Committee, Faculty of Medicine, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.Infectious and Tropical Diseases Research Center, Hormozgan Health Institute, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.Infectious and Tropical Diseases Research Center, Hormozgan Health Institute, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.Infectious and Tropical Diseases Research Center, Hormozgan Health Institute, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.Infectious and Tropical Diseases Research Center, Hormozgan Health Institute, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.Background: The present study attempted to determine the antibiotic susceptibility of bacteria isolated from endotracheal tube culture on patients admitted to the intensive care units (ICUs) of Shahid Mohammadi hospital in Bandar Abbas. Materials and Methods: This cross-sectional study was conducted on 114 patients hospitalized in the pulmonary ICU of Shahid Mohammadi hospital in Bandar Abbas from March 2018 to March 2019. The samples of the patients’ endotracheal tube secretions were collected for the culture purpose on the first and fifth days of hospitalization in the ICU where the disk diffusion method was used to determine antibiotic susceptibility. Results: The most common isolated microorganisms from the first day of culture were 26 Acinetobacter spp. isolates (22.8%), 10 Candida isolates (8.8%), and 9 Pseudomonas aeruginosa isolates (7.9%). The most common microorganisms which were isolated on the fifth day comprised Acinetobacter spp. with 57 isolates (51.8%), Candida with 6 isolates (5.5%), and P. aeruginosa with 6 isolates (5.5%). The highest resistant bacteria isolated from Acinetobacter spp. samples on the first-day were amikacin (92.3%) and meropenem (84.6%). The highest resistance of P. aeruginosa was against meropenem (77.8%), while the highest resistance of Acinetobacter spp. isolates was found to be amikacin (94.7%) and meropenem (86%) from the fifth-day samples. Further, P. aeruginosa isolates had the highest resistance in meropenem (83.3%), co-trimoxazole, and cefepime (66.7% for each of them). Conclusion: Ventilator-associated pneumonia (VAP) is considered a warning condition due to multidrug-resistant bacteria. According to the present study, the most common VAP-causing bacteria are gram-negative, especially Acinetobacter, with high antibiotic resistance.https://ddj.hums.ac.ir/PDF/ddj-11-58.pdfventilator-associated pneumoniaendotracheal intubationantibiotic resistanceicu
spellingShingle Arash Rahimi
Maede Ansari
Parivash Davoodian
Saeed Shoja
Saeed Hosseini Teshnizi
Hesam Alizade
Determination of Antibiotic Susceptibility of Bacteria Isolated From Endotracheal Tube in Pulmonary Intensive Care Unit of a Hospital in Bandar Abbas
Disease and Diagnosis
ventilator-associated pneumonia
endotracheal intubation
antibiotic resistance
icu
title Determination of Antibiotic Susceptibility of Bacteria Isolated From Endotracheal Tube in Pulmonary Intensive Care Unit of a Hospital in Bandar Abbas
title_full Determination of Antibiotic Susceptibility of Bacteria Isolated From Endotracheal Tube in Pulmonary Intensive Care Unit of a Hospital in Bandar Abbas
title_fullStr Determination of Antibiotic Susceptibility of Bacteria Isolated From Endotracheal Tube in Pulmonary Intensive Care Unit of a Hospital in Bandar Abbas
title_full_unstemmed Determination of Antibiotic Susceptibility of Bacteria Isolated From Endotracheal Tube in Pulmonary Intensive Care Unit of a Hospital in Bandar Abbas
title_short Determination of Antibiotic Susceptibility of Bacteria Isolated From Endotracheal Tube in Pulmonary Intensive Care Unit of a Hospital in Bandar Abbas
title_sort determination of antibiotic susceptibility of bacteria isolated from endotracheal tube in pulmonary intensive care unit of a hospital in bandar abbas
topic ventilator-associated pneumonia
endotracheal intubation
antibiotic resistance
icu
url https://ddj.hums.ac.ir/PDF/ddj-11-58.pdf
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