Asghari Estiar, M, Rafi, A, Heidarzadeh, S, Ohadian Moghadam, S, Mahboubi, R, Monadi Sefidan, A, Allafzadeh, J, Nik Khah, H,
Volume 8, Issue 4 (1-2015)
Abstract
Abstract Background and Objective: One of the main causes of increased mortality in cancer patients is bacteremia. On the other hand, antibiotic resistance is the major cause of treatment failure in malignant diseases especially in hematological malignancies. The aim of this study was to diagnose the bacterial strains isolated from blood specimens of cancer patients and to determine their antibiotic susceptibility. Material and Methods: In this cross-sectional study, 0.5 ml of venous blood was taken from 613 cancer patients especially leukemia, and blood cultures and antibiotic susceptibility tests were performed using standard methods. Using disc diffusion method, antibiotic susceptibility was performed with a wide range of antibiotics. Results: Out of 613 cultured specimens, 153 (25%) were found to be positive including 76.47% of gram negative and 23.53% of gram positive bacteria. The most common isolated bacteria were E. coli, coagulase-negative Staphylococci, Klebsiella, Staphylococcus aureus and Pseudomonas aeroginosa, respectively. Conclusion: It seems that Ceftriaxone is the best choice for the treatment of gram negative caused bacteremia and Gentamicin for bacteremia caused by gram positive agents. Given the high level of resistance to the commonly used antibiotics, it seems reasonable to avoid of early and inappropriate use of antibiotics to prevent the development of drug resistant bacteria. Keywords: Cancer, Blood Cultures, Bacteremia, Antibiotic Resistance
Shahnaz Halimi, Pegah Shakib, Elham Mehrabnejad, Faranak Rezaei, Somayeh Delfani,
Volume 19, Issue 5 (9-2025)
Abstract
Background and objectives: Today, the widespread increase in the prevalence of antibiotic resistance in bacteria is considered one of the biggest problems in the health and treatment system around the world. Therefore, this study was conducted with the aim of investigating the prevalence and antibiotic resistance pattern of bacteria isolated from blood cultures of Shahid Rahimi Hospital, Khorramabad in 2018.
Methods: In this cross-sectional study, blood cultures of patients admitted to Shahid Rahimi Hospital from June to December 2018 were investigated. The disc diffusion method was performed according to CLSI instructions. Finally, the data were analyzed using SPSS software.
Results: In the present study, out of a total of 2591 blood culture samples, 247 blood culture samples were positive. The highest frequency was related to the emergency department (62%) and ICU (23%), and the lowest frequency was related to the children's department (2.4%). Among the tested samples, 28% Gram-negative bacilli and 72% Gram-positive cocci were reported. The most abundant Gram-negative and Gram-positive bacteria were Escherichia coli (38%) and Staphylococcus epidermidis (54.2%), respectively. Among Gram-negative bacteria, the highest level of resistance was observed in Acinetobacter baumannii strains, which showed resistance to all antibiotics. Among Gram-positive bacteria, the highest resistance of Streptococcus group D strains to the antibiotic erythromycin (92%) was reported.
Conclusion: The prevalence of antibiotic resistance in common microorganisms isolated from blood cultures in different departments is worrying, and choosing an effective drug to eliminate these bacteria by performing accurate laboratory tests is of particular importance.
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