392990

Common bacterial and fungal infections as a challenging condition In cancer patients : Single centre based study

Article

Last updated: 04 May 2025

Subjects

-

Tags

Clinical microbiology

Abstract

Background: Cancer patients are at an increasing risk of developing infections that increase morbidity and mortality. The present study aimed to identify different pathogens isolated from infected cancer patients with evaluating the anti-microbial susceptibility pattern of bacterial isolates. Methods: 228 samples were collected from infected cancer patients. Bacteriological and fungal examinations were performed using standard methods. Bactec FX40 system was used for blood samples. Antimicrobial susceptibility tests were conducted according to Clinical and Laboratory Standards Institute (CLSI) guidelines. Results: The majority of samples revealed single pathogens with a predominance of Gram-negative bacteria (46%). Escherichia coli (E. coli) spp. was the most frequently isolated pathogen, followed by Klebsiella pneumoniae (K. pneumoniae) and Staphylococcus aureus (Staph. aureus). Candida albicans isolated from the majority of fungal infections. About 62.7% of bacterial isolates were multi-drug resistant with predominance of E. coli spp., K. pneumoniae and Staphylococcus aureus. About 40% of isolated Gram-negative bacteria were Carbapenem-resistant (CR) with predominance of CR K. pneumoniae. 74.2% of Staphylococcus aureus were MRSA, 13% were VRSA and 40% of Enterococci were VRE. Escherichia coli spp., K. pneumoniae and Staphylococcus aureus represented the majority of MDROs with 22.5%, 21.6% and 20.7% respectively, while K. pneumoniae represented the majority of PDROs with 44.4%. Patient hospitalization and the presence of medical devices were risk factors with positive culture results. Conclusions: High rate of Infection was detected among cancer patients with a predominance of MDROs. The regular revision of the antimicrobial policy based on microbiological data can reduce MDRO in cancer patients.

DOI

10.21608/mid.2024.331203.2310

Keywords

Cancer patients, Bacterial infections, fungal infections, Antimicrobial resistance, Multidrug-resistant organisms (MDROs)

Authors

First Name

Alaa

Last Name

Bastwesy

MiddleName

Reda

Affiliation

Medical Microbiology and Immunology Department, Faculty of Medicine, Tanta University, Egypt

Email

alaa.reda@med.tanta.edu.eg

City

tanta

Orcid

-

First Name

Naglaa

Last Name

Ghoname

MiddleName

Fawzy

Affiliation

Medical Microbiology and Immunology Department, Faculty of Medicine, Tanta University, Egypt

Email

naglaa.ghoname@med.tanta.edu.eg

City

tanta

Orcid

-

First Name

Nesreen

Last Name

Sabry

MiddleName

M

Affiliation

Clinical Oncology Department, Faculty of Medicine, Tanta University, Egypt

Email

nesreensabry1eg@yahoo.com

City

tanta

Orcid

-

First Name

Esraa

Last Name

Mohamed

MiddleName

A.

Affiliation

Medical Microbiology and Immunology Department, Faculty of Medicine, Tanta University, Egypt

Email

esraamali87@gmail.com

City

-

Orcid

-

Volume

6

Article Issue

2

Related Issue

55370

Issue Date

2025-05-01

Receive Date

2024-10-25

Publish Date

2025-05-01

Page Start

603

Page End

614

Print ISSN

2682-4132

Online ISSN

2682-4140

Link

https://mid.journals.ekb.eg/article_392990.html

Detail API

http://journals.ekb.eg?_action=service&article_code=392990

Order

392,990

Type

Original Article

Type Code

1,157

Publication Type

Journal

Publication Title

Microbes and Infectious Diseases

Publication Link

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

MainTitle

Common bacterial and fungal infections as a challenging condition In cancer patients : Single centre based study

Details

Type

Article

Created At

04 May 2025