Prevalence of Pathogenic Bacteria and Antibiotic Susceptibility Profiles Isolated from Medical Equipment and Inanimate Surface

被引:0
|
作者
Amare, Ayenew [1 ]
Amare, Azanaw [2 ]
Tadesse, Senait [3 ]
机构
[1] Bahir Dar Hlth Sci Coll, Dept Lab Sci, Bahir Dar, Ethiopia
[2] Univ Gondar, Coll Med & Hlth Sci, Sch Biomed & Lab Sci, Dept Med Microbiol, Gondar, Ethiopia
[3] Bahir Dar Univ, Coll Med & Hlth Sci, Sch Hlth Sci, Dept Med Lab Sci, Bahir Dar, Ethiopia
关键词
bacterial profile; antibiotic resistance; intensive care unit ICU; medical equipment; inanimate objects; TRANSMISSION;
D O I
10.7754/Clin.Lab.2022.220834
中图分类号
R446 [实验室诊断]; R-33 [实验医学、医学实验];
学科分类号
1001 ;
摘要
Background: The hospital environment, especially the intensive care unit, is a leading reservoir of nosocomial bac-teria. Equipment and inanimate surfaces are among the most transmission vehicles for nosocomial bacteria. This study is to assess the bacterial profile and antibiotic susceptibility pattern of the isolates from medical equipment and inanimate surfaces at intensive care unit wards in Bahir Dar City government hospital, North West Ethiopia.Methods: A hospital-based, cross-sectional study was conducted between March 01/2021 and May 30/2021 at Felege Hiwot and Tibebe Gihon Compressive Specialized Hospitals. A total of 158 surface swab samples from the patient bed, table, chair, sphygmomanometer, and stethoscopes were collected. Sterile cotton-tipped swabs moist-ened with normal saline were used. Using standard protocols, the collected samples were processed at Bahir Dar University, Microbiology Laboratory. All isolates were cultured and identified by using routine bacterial culture, Gram staining, and biochemical tests. Phenotypic antimicrobial susceptibility testing was done on each isolate fol-lowing the Kirby Bauer disk diffusion method. Data were entered and analyzed using SPSS version 26 and the re-sults were explained by using percentages and tables.Results: In this study, coagulase-negative Staphylococcus, S. aureus, and K. pneumoniae were the most predomi-nant isolated bacteria, which accounted for 52.8%, 47.2%, and 43.2% respectively. Chairs, sphygmomanometers, and patient beds were the most contaminated. Imipenem and clindamycin were the most effective antibiotics for all Gram-negative and Gram-positive isolates, respectively. Among the total isolates, 84 (57.5%) were multidrug resistant and of these, 78.4% were Gram-negative isolates.Conclusions: Inanimate objectives and key medical devices of the hospital are heavily contaminated with poten-tially pathogenic bacteria. Additionally, the recovered isolates are multidrug resistant, making the control and prevention strategy more challenging. Thus, the hospital infection prevention and surveillance system must be activated and perform periodic disinfection of objects. Furthermore, large-scale surveillance is desirable.(Clin. Lab. 2023;69:1141-1150. DOI: 10.7754/Clin.Lab.2022.220834)
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收藏
页码:1141 / 1150
页数:10
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