Nosocomial Acinetobacter baumannii infections and changing Antibiotic Resistance

Hakyemez, Ismail Necati and Kucukbayrak, Abdulkadir and Tas, Tekin and Yikilgan, Aslihan Burcu and Akkaya, Akcan and Yasayacak, Aliye and Akdeniz, Hayrettin (2013) Nosocomial Acinetobacter baumannii infections and changing Antibiotic Resistance. Pakistan Journal of Medical Sciences, 29 (5). ISSN 1681-715X

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Abstract

Objectives: In the intensive care setting, Acinetobacter baumannii causes ventilator-associated pneumonia and other nosocomial infections that are difficult to treat. Objective of this study was to investigate nosocomial A. baumannii infections and its changing antibiotic resistance.

Methods: A total of 56 patients diagnosed with A.baumannii infections between January 2009 and December 2011 were included in the study. Diagnosis for nosocomial infections was established according to the CDC (Centers for Disease Control and Prevention) criteria. Identification of the agents isolated was carried out using conventional methods and VITEK 2 automated system, while antibiotic sensitivity testing was performed through VITEK 2 AST-N090 automated system.

Results: The most common infection was nosocomial pneumonia by 43%, among which 46% were ventilator-associated pneumonia. Considering all years, the most effective antibiotics on the isolated strains were found as colistin, tigecycline, imipenem and meropenem. However resistance to imipenem and meropenem was observed to increase over years.

Conclusion: The issue of increased resistance to antibiotics poses difficulty in treatment of A. baumannii infections which in turn increases the rate of mortality and cost. In order to prevent development of resistance, antibiotics must be used in an appropriate way in accompanied with proper guidance.

Item Type: Article
Subjects: STM Repository > Medical Science
Depositing User: Managing Editor
Date Deposited: 20 May 2023 04:36
Last Modified: 26 Jun 2024 07:03
URI: http://classical.goforpromo.com/id/eprint/3275

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