E-ISSN 2146-9369 | ISSN 2146-3158
 

Research Article 


Prevalence and risk factors of extended-spectrum B-lactamases producing Enterobacteriaceae in a general hospital in Saudi Arabia

Amina Yousef Kandeel.

Cited By:23

Abstract
Objective: To estimate the prevalence and associated risk factors of extended-spectrum β-lactamase producing Enterobacte¬riaceae (ESBL) in King Khaled General Hospital, Saudi Arabia.<br>Methods: A twelve -month retrospective study for the presence of ESBL producing Enterobacteriaceae infection was per¬formed by using the Microbiology and Infection Control Departments ' database. For all the collected specimens, microbiologi¬cal identification and antimicrobial sensitivity testing were done using MicroScan WalkAway system and then confirmed by API 20E and E-test respectively.<br>Results: The prevalence of ESBL producing Enterobacteriaceae infection among studied patients was 22%. The most common types of infections were urinary tract infections representing 59.2%. Previous use of antibiotics, urinary catheter, mechanical ventilation, previous hospitalization, previous intensive care unit admission and nosocomial origin of infection were significant risk factors for acquiring infection. Amikacin had the highest activity against ESBL producing isolates, whereas 20% of isolates were resistant to carbapenems<br>Conclusions: The study revealed that prevalence of ESBL producing Enterobacteriaceae infection was relatively high. Our findings suggest that invasive devices, the use of antibiotics, prolonged hospitalization especially in the intensive care unit in¬creases the risk of acquiring such infections. A strict antibiotic policy should be addressed especially with observed emergence of carbapenem resistance. Continuous review of need to invasive devices and strict compliance with basic infection control measures are mandatory to limit the spread of ESBL Enterobacteriaceae. J Microbiol Infect Dis 2014; 4(2): 50-54 doi: 10.5799/ahinjs.02.2014.02.0126

Key words: Enterobacteriaceae, extended-spectrum β-lactamase, prevalence, ESBL, resistant bacteria, risk factors


 
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Pubmed Style

Amina Yousef Kandeel. Prevalence and risk factors of extended-spectrum B-lactamases producing Enterobacteriaceae in a general hospital in Saudi Arabia. J Microbiol Infect Dis. 2014; 4(2): 50-54 . doi:10.5799/jmid2014.02.0126


Web Style

Amina Yousef Kandeel. Prevalence and risk factors of extended-spectrum B-lactamases producing Enterobacteriaceae in a general hospital in Saudi Arabia. https://www.jmidonline.org/?mno=302656960 [Access: February 04, 2024]. doi:10.5799/jmid2014.02.0126


AMA (American Medical Association) Style

Amina Yousef Kandeel. Prevalence and risk factors of extended-spectrum B-lactamases producing Enterobacteriaceae in a general hospital in Saudi Arabia. J Microbiol Infect Dis. 2014; 4(2): 50-54 . doi:10.5799/jmid2014.02.0126



Vancouver/ICMJE Style

Amina Yousef Kandeel. Prevalence and risk factors of extended-spectrum B-lactamases producing Enterobacteriaceae in a general hospital in Saudi Arabia. J Microbiol Infect Dis. (2014), [cited February 04, 2024]; 4(2): 50-54 . doi:10.5799/jmid2014.02.0126



Harvard Style

Amina Yousef Kandeel (2014) Prevalence and risk factors of extended-spectrum B-lactamases producing Enterobacteriaceae in a general hospital in Saudi Arabia. J Microbiol Infect Dis, 4 (2), 50-54 . doi:10.5799/jmid2014.02.0126



Turabian Style

Amina Yousef Kandeel. 2014. Prevalence and risk factors of extended-spectrum B-lactamases producing Enterobacteriaceae in a general hospital in Saudi Arabia. Journal of Microbiology and Infectious Diseases, 4 (2), 50-54 . doi:10.5799/jmid2014.02.0126



Chicago Style

Amina Yousef Kandeel. "Prevalence and risk factors of extended-spectrum B-lactamases producing Enterobacteriaceae in a general hospital in Saudi Arabia." Journal of Microbiology and Infectious Diseases 4 (2014), 50-54 . doi:10.5799/jmid2014.02.0126



MLA (The Modern Language Association) Style

Amina Yousef Kandeel. "Prevalence and risk factors of extended-spectrum B-lactamases producing Enterobacteriaceae in a general hospital in Saudi Arabia." Journal of Microbiology and Infectious Diseases 4.2 (2014), 50-54 . Print. doi:10.5799/jmid2014.02.0126



APA (American Psychological Association) Style

Amina Yousef Kandeel (2014) Prevalence and risk factors of extended-spectrum B-lactamases producing Enterobacteriaceae in a general hospital in Saudi Arabia. Journal of Microbiology and Infectious Diseases, 4 (2), 50-54 . doi:10.5799/jmid2014.02.0126