Antibiotic Resistance Pattern of Enterococci Isolates from Nosocomial Infections in Imam Khomeini Hospital, Ahvaz City

Introduction: Enterococci are opportunistic bacteria that can become pathogenic if colonized. Resistance to commonly used antibiotics by Enterococci causing nosocomial infections is of concern, which necessitates judicious, responsible and evidence-based use of antibiotics. The aim of this study was...

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Main Authors: Sousan Akrami, Reza Abouali, Rozhin Heidary Lal-Abady, Mohammad Mostafa Olapour, Arshid Yousefi Avarvand
Format: Article
Language:fas
Published: Shahid Sadoughi University of Medical Sciences 2023-06-01
Series:Majallah-i Dānishgāh-i ’Ulūm-i Pizishkī-i Shahīd Ṣadūqī Yazd
Subjects:
Online Access:http://jssu.ssu.ac.ir/article-1-5823-en.pdf
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author Sousan Akrami
Reza Abouali
Rozhin Heidary Lal-Abady
Mohammad Mostafa Olapour
Arshid Yousefi Avarvand
author_facet Sousan Akrami
Reza Abouali
Rozhin Heidary Lal-Abady
Mohammad Mostafa Olapour
Arshid Yousefi Avarvand
author_sort Sousan Akrami
collection DOAJ
description Introduction: Enterococci are opportunistic bacteria that can become pathogenic if colonized. Resistance to commonly used antibiotics by Enterococci causing nosocomial infections is of concern, which necessitates judicious, responsible and evidence-based use of antibiotics. The aim of this study was to evaluate the pattern of antibiotic resistance of Enterococci isolated from patients admitted to Imam Khomeini Hospital in Ahvaz City, Iran. Methods: The data of this cross-sectional description study were collected from October to March 2019 in the Microbiology Department of Imam Khomeini Hospital, Ahvaz City, Iran. Ninety samples of patients aged 1 to 99 years with infection caused by Enterococcus faecalis and Enterococcus faecium were included. The samples included urine culture, wound swab, vaginal swab, blood culture, catheter, sputum, broncho-aspirate, cerebrospinal fluid and other cases (abscess, drainage, ascites fluid, pleural fluid, culture fluid and purulent material). The antibiotic sensitivity of the isolates was measured using the agar disk diffusion method. Results: Enterococci were collected from 53 urine samples, 10 blood samples, 1 cerebrospinal fluid sample, 1 abscess sample, 2 cornea samples, 9 wound samples and 14 other secretion samples. The resistance of enterococcus strains against ciprofloxacin, ampicillin, imipenem and nalidixic acid was 66.7%, 42.6%, 55.6% and 93.3%, respectively. The highest sensitivity of Enterococcus isolates against ampicillin (42.6%) was observed. 43.3% of the samples obtained were from men and 56.7% from women. Conclusion: Based on the results of this study, a significant percentage of Enterococci strains are resistant to ciprofloxacin, imipenem, and nalidixic acid. Over-the-counter and unnecessary use of available antibiotics should be avoided to prevent increased resistance to common antibiotics.
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spelling doaj.art-e51377b17c6543c485a0b7f126711d862023-06-12T04:59:38ZfasShahid Sadoughi University of Medical SciencesMajallah-i Dānishgāh-i ’Ulūm-i Pizishkī-i Shahīd Ṣadūqī Yazd2228-57412228-57332023-06-0131365196525Antibiotic Resistance Pattern of Enterococci Isolates from Nosocomial Infections in Imam Khomeini Hospital, Ahvaz CitySousan Akrami0Reza Abouali1Rozhin Heidary Lal-Abady2Mohammad Mostafa Olapour3Arshid Yousefi Avarvand4 Department of Microbiology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran. Student Research Committee, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. Student Research Committee, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. Student Research Committee, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. Department of Laboratory Sciences, Faculty of Paramedicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. Introduction: Enterococci are opportunistic bacteria that can become pathogenic if colonized. Resistance to commonly used antibiotics by Enterococci causing nosocomial infections is of concern, which necessitates judicious, responsible and evidence-based use of antibiotics. The aim of this study was to evaluate the pattern of antibiotic resistance of Enterococci isolated from patients admitted to Imam Khomeini Hospital in Ahvaz City, Iran. Methods: The data of this cross-sectional description study were collected from October to March 2019 in the Microbiology Department of Imam Khomeini Hospital, Ahvaz City, Iran. Ninety samples of patients aged 1 to 99 years with infection caused by Enterococcus faecalis and Enterococcus faecium were included. The samples included urine culture, wound swab, vaginal swab, blood culture, catheter, sputum, broncho-aspirate, cerebrospinal fluid and other cases (abscess, drainage, ascites fluid, pleural fluid, culture fluid and purulent material). The antibiotic sensitivity of the isolates was measured using the agar disk diffusion method. Results: Enterococci were collected from 53 urine samples, 10 blood samples, 1 cerebrospinal fluid sample, 1 abscess sample, 2 cornea samples, 9 wound samples and 14 other secretion samples. The resistance of enterococcus strains against ciprofloxacin, ampicillin, imipenem and nalidixic acid was 66.7%, 42.6%, 55.6% and 93.3%, respectively. The highest sensitivity of Enterococcus isolates against ampicillin (42.6%) was observed. 43.3% of the samples obtained were from men and 56.7% from women. Conclusion: Based on the results of this study, a significant percentage of Enterococci strains are resistant to ciprofloxacin, imipenem, and nalidixic acid. Over-the-counter and unnecessary use of available antibiotics should be avoided to prevent increased resistance to common antibiotics.http://jssu.ssu.ac.ir/article-1-5823-en.pdfenterococciantibiotic resistancedisc diffusionahvaz.
spellingShingle Sousan Akrami
Reza Abouali
Rozhin Heidary Lal-Abady
Mohammad Mostafa Olapour
Arshid Yousefi Avarvand
Antibiotic Resistance Pattern of Enterococci Isolates from Nosocomial Infections in Imam Khomeini Hospital, Ahvaz City
Majallah-i Dānishgāh-i ’Ulūm-i Pizishkī-i Shahīd Ṣadūqī Yazd
enterococci
antibiotic resistance
disc diffusion
ahvaz.
title Antibiotic Resistance Pattern of Enterococci Isolates from Nosocomial Infections in Imam Khomeini Hospital, Ahvaz City
title_full Antibiotic Resistance Pattern of Enterococci Isolates from Nosocomial Infections in Imam Khomeini Hospital, Ahvaz City
title_fullStr Antibiotic Resistance Pattern of Enterococci Isolates from Nosocomial Infections in Imam Khomeini Hospital, Ahvaz City
title_full_unstemmed Antibiotic Resistance Pattern of Enterococci Isolates from Nosocomial Infections in Imam Khomeini Hospital, Ahvaz City
title_short Antibiotic Resistance Pattern of Enterococci Isolates from Nosocomial Infections in Imam Khomeini Hospital, Ahvaz City
title_sort antibiotic resistance pattern of enterococci isolates from nosocomial infections in imam khomeini hospital ahvaz city
topic enterococci
antibiotic resistance
disc diffusion
ahvaz.
url http://jssu.ssu.ac.ir/article-1-5823-en.pdf
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