343085

Identification and antibiotic susceptibility patterns of multidrug resistant bacteria causing surgical site infections in Suez Canal University Hospitals in Egypt

Article

Last updated: 04 Jan 2025

Subjects

-

Tags

Medical microbiology

Abstract

Background: Surgical Site infections (SSIs) are a major postoperative complication, impacting patients and healthcare systems on a global scale. The rise and prevalence of multidrug-resistant bacteria (MDR) play a significant role in developing SSIs that pose a significant challenge. The aim of the study was to identify the types and antibiotic susceptibility pattern of MDR bacteria causing SSIs in Suez Canal University Hospitals (SCUHs).  Methods: A descriptive cross-sectional study included eighty wound swabs were collected from patients underwent surgical procedures and suspected to have SSIs. Bacterial growth was identified by conventional methods such as Gram staining, culture on suitable media, and biochemical reactions. Antimicrobial susceptibility was determined by Kirby-Bauer disc diffusion and broth microdilution minimal inhibitory concentration (MIC) methods.  Results: The prevalence of MDR in SCUHs was 68.9%; 37.8% were MDR, and 31.1% were extensively drug-resistant (XDR). MDR/XDR isolates were 51.6% Gram-positive and 48.4% Gram-negative. Most of the MDR isolates were S. aureus (64.7%), and most of the XDR isolates were Klebsiella pneumoniae (42.8%). Gram-positive isolates were most resistant to cefoxitin (100%), followed by gentamicin and tetracycline (92.9%) and were most sensitive to vancomycin (100%), levofloxacin (85.7%), and trimethoprim-sulfamethoxazole and chloramphenicol (76.9%). Gram-negative isolates were most resistant to cefoxitin, trimethoprim-sulfamethoxazole, and cephalosporins (100%), followed by meropenem (92.9%) and aztreonam (92.3%), and were most sensitive to chloramphenicol (81.8%), followed by gentamicin (35.7%). Conclusions: Multidrug-resistant bacteria represent a considerable health problem at SCUHs. Vancomycin, levofloxacin, and gentamicin can be good choices as empirical treatments for MDR bacteria in SSI infections.

DOI

10.21608/mid.2024.264727.1772

Keywords

Surgical site infections, multidrug-resistant bacteria, Antibiotic susceptibility pattern, Suez Canal University Hospitals, Egypt

Authors

First Name

Ahmed

Last Name

Hamed

MiddleName

Mohamed

Affiliation

Medical Microbiology and Immunology Department, Faculty of Medicine, Arish University, Egypt.

Email

ahmedm.hamed1d@outlook.com

City

-

Orcid

-

First Name

May

Last Name

Gharib

MiddleName

Ali

Affiliation

Medical Microbiology and Immunology Department, Faculty of Medicine, Suez Canal University, Egypt.

Email

mai_ali@med.suez.edu.eg

City

-

Orcid

-

First Name

Somaya

Last Name

Mohamed

MiddleName

Eldesouky

Affiliation

Medical Microbiology and Immunology Department, Faculty of Medicine, Suez Canal University, Egypt.

Email

somayaeldesouky@med.suez.edu.eg

City

-

Orcid

-

First Name

Sahar

Last Name

Zakaria

MiddleName

-

Affiliation

Medical Microbiology and Immunology Department, Faculty of Medicine, Suez Canal University, Egypt.

Email

saharmicrobiology@yahoo.com

City

Ismailia

Orcid

-

Volume

5

Article Issue

2

Related Issue

47401

Issue Date

2024-05-01

Receive Date

2024-01-22

Publish Date

2024-05-01

Page Start

729

Page End

737

Print ISSN

2682-4132

Online ISSN

2682-4140

Link

https://mid.journals.ekb.eg/article_343085.html

Detail API

https://mid.journals.ekb.eg/service?article_code=343085

Order

31

Type

Original Article

Type Code

1,157

Publication Type

Journal

Publication Title

Microbes and Infectious Diseases

Publication Link

https://mid.journals.ekb.eg/

MainTitle

Identification and antibiotic susceptibility patterns of multidrug resistant bacteria causing surgical site infections in Suez Canal University Hospitals in Egypt

Details

Type

Article

Created At

25 Dec 2024