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International Journal of Current Microbiology and Applied Sciences (IJCMAS)
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National Academy of Agricultural Sciences (NAAS)
NAAS Score: *5.38 (2019)
[Effective from January 1, 2019]
For more details click here

ICV 2018: 95.39
Index Copernicus ICI Journals Master List 2017 - IJCMAS--ICV 2018: 95.39
For more details click here

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PRINT ISSN : 2319-7692
Online ISSN : 2319-7706
Issues : 12 per year
Publisher : Excellent Publishers
Email : editorijcmas@gmail.com / submit@ijcmas.com
Editor-in-chief: Dr.M.Prakash
Index Copernicus ICV 2018: 95.39
NAAS RATING 2020: 5.38

Int.J.Curr.Microbiol.App.Sci.2016.5(12): 452-464
DOI: http://dx.doi.org/10.20546/ijcmas.2016.512.049


Surveillance of Device-Associated Infection and Antimicrobial Resistance Rates in the Medical/Surgical Intensive Care Unit of Emergency Hospital at Tanta University, Egypt
Marwa M.E. Abd-Elmonsef1*, Maii A. Shams Eldeen1, Mohamed Samir Abd Elghafar2, A. Hagras3 and Walaa M. Shehata4
1Department of Microbiology and Immunology, Faculty of Medicine, Tanta University, Egypt
2Department of Anesthesia and Surgical Intensive Care, Faculty of Medicine,Tanta University, Egypt
3Department of Urology, Faculty of Medicine, Tanta University, Egypt
4Department of Public Health and Community Medicine, Faculty of Medicine,Tanta University, Egypt
*Corresponding author
Abstract:

To assess rates, bacteriological etiology and antimicrobial resistance patterns of the hospital acquired device-associated infection (DAI) in a medical/surgical intensive care unit (ICU). A prospective surveillance of DAI was conducted in the medical/surgical ICU, Emergency Hospital of Tanta University, Egypt, from 1st September 2015 to 1st March 2016, using the Centers for Disease Control and Prevention’s National Healthcare Safety Network case criteria for the different DAIs. In this study, the overall rate of DAI was 24.17 per 1,000 device-days. Ventilator-associated pneumonia (VAP) was the most common DAI (52.17/1,000 ventilator-days), followed by catheter-associated urinary tract infection (CAUTI) (11.63 /1,000 catheter-days) and central line-associated blood stream infection (CLABSI) (6.93/1,000 central line-days). The main cause of VAP was Klebsiella pneumoniae, and for CAUTI, it was Escherichia coli. In CLABSI, methicillin-sensitive Staphylococcus aureus and Staphylococcus epidermidis were equally presented. Overall, 92.68% of the isolated organisms in our study were multi-drug resistant. Gram-negative isolates showed highest resistance against the third generation cephalosporins (68.29% for each), followed by sulphamethoxazole / trimethoprime (63.41%), and the least was against imipenem (12.2%). Oxacillin resistance was 60% among the Gram-positive isolates. Routine microbiological surveillance are urgently needed to guide optimizing control measures and providing an obligating antimicrobial policy to prevent the high spread of multi-drug resistant infections in ICUs.


Keywords: Device-associated infection;Intensive care unit; Antimicrobial resistance;
 Multi-drug resistance.
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How to cite this article:

Marwa M.E. Abd-Elmonsef, Maii A. Shams Eldeen, Mohamed Samir Abd Elghafar, A. Hagras and Walaa M. Shehata. 2016. Surveillance of Device-Associated Infection and Antimicrobial Resistance Rates in the Medical/Surgical Intensive Care Unit of Emergency Hospital at Tanta University, Egypt.Int.J.Curr.Microbiol.App.Sci. 5(12): 452-464. doi: http://dx.doi.org/10.20546/ijcmas.2016.512.049