Antibiotic Resistance and Genotyping of Gram-Negative Bacteria Causing Hospital-Acquired Infection in Patients Referred to Children’S Medical Center Publisher



Mamishi S^{1, 2} ; Mahmoudi S² ; Naserzadeh N¹ ; Sadeghi RH² ; Ashtiani MTH³ ; Bahador A⁴ ; Abdosalehi MR¹ ; Rahmani M⁵ ; Pourakbari B² Show Affiliations
Source: Infection and Drug Resistance Published:2019

Abstract

Background and aim: Hospital-acquired infection (HAI) is a major problem worldwide. Understanding patterns of bacterial etiology and antibiotic susceptibility is vital to combating HAI. Besides, typing of isolates is important to establish the intra-hospital surveillance of resistant clones. In this study, we aimed to evaluate antibiotic resistance and genotyping of a number of gram-negative bacteria (GNB) causing HAI in patients who were referred to Children’s Medical Center. Methods: During the 6-month period, antimicrobial susceptibility profiles of GNB isolates recovered frompatients in Children’s Medical Center were determined. Typing of common GNB was performed by random amplified polymorphic DNA (RAPD) analysis and the results were analyzed by Gelcompar II software. Results: In total, 142 (1.1%) gram-negative bacterial strains were isolated, among which 59.2% were from males. The most organisms were isolated from blood (63%) followed by wounds (13.7%). The greatest proportion of strains came fromintensive care units (51%). Low sensitivity of Acinetobacter baumannii to common antibiotics and high resistance of Enterobacter spp. To cefotaxime (100%) were reported. The most efficient antibiotics for Escherichia coli strains were amikacin (84%) and gentamycin (81%). However, just 12.5% of Serratia marcescens strains were resistant to trimethoprim-sulfamethoxazole. The analysis of RAPD-typing revealed the presence of one clone in A. baumannii and E. coli and two clones in Klebsiella pneumoniae, whereas the trend varied completely in Pseudomonas aeruginosa strains and Enterobacter spp. Conclusion: The results of this study showed a possibility of an outbreak in the Children’s Medical Center. Since there is a possibility of transmission of an infection from one patient to another, high attention should be paid to the basic methods of preventing infection. © 2019 Mamishi et al.