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International Journal of Current Microbiology and Applied Sciences (IJCMAS)
IJCMAS is now DOI (CrossRef) registered Research Journal. The DOIs are assigned to all published IJCMAS Articles.
Index Copernicus ICI Journals Master List 2018 - IJCMAS--ICV 2018: 95.39 For more details click here
National Academy of Agricultural Sciences (NAAS) : NAAS Score: *5.38 (2020) [Effective from January 1, 2020]For more details click here

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National Academy of Agricultural Sciences (NAAS)
NAAS Score: *5.38 (2020)
[Effective from January 1, 2020]
For more details click here

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

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Original Research Articles

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.2020.9(4): 2748-2755
DOI: https://doi.org/10.20546/ijcmas.2020.904.324


Antibiotic policy of Gastroenterology Surgery Center in Egypt
Noha El-Mashad1, Eman Elsayed1, Mohamed Elshobary2, Yomna Ahmed Setate3 and Mohammed Elshaer1*
1Department of Clinical Pathology, Faculty of Medicine, Mansoura, Egypt
2Mansoura Gastroenterology Surgical Center, Egypt
3Mansoura Specialized Hospital, Egypt
*Corresponding author
Abstract:

Antimicrobial resistance is considered a major health threat for patients and healthcare providers. It challenges the control of infectious diseases, jeopardizes any medical progress and imposes huge treatment costs. This study aimed to design an effective antibiotic policy for treatment of different types of infections at Gastrointestinal Surgical Center, Mansoura, Egypt in order to reduce antibiotic resistance, and to minimize unnecessary costs. From 1/1/2019 to 31/12/2019, samples were obtained according to the site of infection, cultured on suitable media. Automated identification of isolates was performed by Vitek 2 system whereas antibiotic susceptibility testing was done by disc diffusion method. Isolates with multidrug resistance were also assessed for susceptibility by Vitek 2 system. Out of 3300 microbiologic samples, 1190 (36.1%) were positive. 862 of 1190 (72.4%) were gram-negative & 328 of 1190 (27.6%) gram-positive. The patterns of resistance observed were MRSA (37.1%), ESBL (8.5%) and Carbapenemases (8.9%). An antibiogram was designed for each infection type including the first-line therapy protocol. Antibiotic initiation or change should be done after sending appropriate cultures Once culture reports are available, the physician must step down to the narrowest spectrum antibiotic, the most efficient and cost-effective option.


Keywords: Carbapenemase, Drug resistance, Sensitivity tests, Drug resistance, Infection control
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How to cite this article:

Noha El-Mashad, Eman Elsayed, Mohamed Elshobary, Yomna Ahmed Setate and Mohammed Elshaer. 2020. Antibiotic policy of Gastroenterology Surgery Center in Egypt.Int.J.Curr.Microbiol.App.Sci. 9(4): 2748-2755. doi: https://doi.org/10.20546/ijcmas.2020.904.324