Birru Melkam, Mengistu Matusal, Siraj Munira, Aklilu Addis, Boru Kalicha, Woldemariam Melat, Biresaw Gelila, Seid Mohammed, Manilal Aseer
Department of Medical Laboratory Science, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia.
Res Rep Trop Med. 2021 May 4;12:39-49. doi: 10.2147/RRTM.S301215. eCollection 2021.
Patient-care equipment and inanimate objects contaminated with bacteria are a persistent problem in countries like Ethiopia, and remain overlooked. This study aimed to elucidate the magnitude of contaminations, diversity, and antimicrobial-susceptibility patterns of bacterial isolates from selected wards of Arba Minch General Hospital, Ethiopia.
Samples were inoculated into bacteriological media and identified by biochemical characterization, followed by antimicrobial-susceptibility tests.
Of the 99 inanimate objects and items of patient-care equipment examined, 71 (71.7%) showed contamination: 26 (76.4%) from the surgical ward and 22 (66.6%) and 23 (71.8%), respectively, from the pediatric ward and neonatal intensive care unit. In the case of Gram-positive bacteria, coagulase-negative staphylococci (CoNS; 52.2%) were predominant, followed by (47.7%), whereas common Gram-negative counterparts were spp. (28.5%) and spp. (23.8%). Antibiograms of and CoNS showed 100% and 78% resistance, respectively, against penicillin. Isolates of spp. showed 100% resistance to ceftriaxone and ampicillin, whereas those of spp. displayed complete resistance against ampicillin and trimethoprim-sulfamethoxazole. All isolates of spp., spp., spp., , and spp. exhibited 100% resistance to amoxicillin, ampicillin, and trimethoprim-sulfamethoxazole. Overall prevalence of multidrug-resistant bacteria was 57.7%.
A stringent infection-vigilance program comprising routine sampling from equipment and inanimate objects combined with antimicrobial-resistance surveillance and decontamination efforts must be instituted promptly.
在埃塞俄比亚等国家,被细菌污染的患者护理设备和无生命物体是一个长期存在的问题,且一直被忽视。本研究旨在阐明埃塞俄比亚阿巴明奇综合医院选定病房细菌分离株的污染程度、多样性和抗菌药敏模式。
将样本接种到细菌学培养基中,通过生化特征进行鉴定,随后进行抗菌药敏试验。
在检查的99件无生命物体和患者护理设备中,71件(71.7%)显示有污染:外科病房26件(76.4%),儿科病房22件(66.6%),新生儿重症监护病房23件(71.8%)。在革兰氏阳性菌中,凝固酶阴性葡萄球菌(CoNS;52.2%)占主导地位,其次是金黄色葡萄球菌(47.7%),而常见的革兰氏阴性菌是大肠埃希菌属(28.5%)和肺炎克雷伯菌属(23.8%)。金黄色葡萄球菌和CoNS的抗菌谱显示,它们对青霉素的耐药率分别为100%和78%。大肠埃希菌属分离株对头孢曲松和氨苄西林的耐药率为100%,而肺炎克雷伯菌属分离株对氨苄西林和复方新诺明表现出完全耐药。所有大肠埃希菌属、肺炎克雷伯菌属、鲍曼不动杆菌属、铜绿假单胞菌属和阴沟肠杆菌属分离株对阿莫西林、氨苄西林和复方新诺明均表现出100%的耐药性。多重耐药菌的总体患病率为57.7%。
必须立即建立一个严格的感染监测计划,包括对设备和无生命物体进行常规采样,同时进行抗菌药物耐药性监测和去污工作。