AI Article Synopsis

  • The study looked at infections in hospitals, especially in the Intensive Care Unit (ICU), to understand how germs are becoming resistant to treatments over time.
  • The researchers examined data from patients between 2012 and 2019 to see which germs were causing problems and found that certain dangerous germs were most common.
  • They noticed that there were outbreaks of these infections every year from October to December, showing a need for better infection control practices in hospitals.

Article Abstract

Purpose: Healthcare-associated infections (HAIs) are a leading cause of morbidity and mortality in low- and middle-income countries (LMICs). Moreover, the burden of HAIs is higher in ICU admitted patients. Long term studies are beneficial to evolution pattern of AMR. Therefore, this study aimed to evaluate the evolution of AMR pattern over the years in one of the ICUs of a level 1 Trauma Center. This will enable us to modify the prescribing practices according to emerging resistance patterns.

Methods: This study was conducted at one of the ICU of level-1 trauma center of tertiary care hospital. The study reports the findings of the AMR surveillance from January 2012 to December 2019. Standard definitions were used to define HAI (www.hais.com). The clinical records of the patients were maintained using ASHAIN indigenous software. Outbreak analysis was done by WHONET.

Results: From 1st January 2012-31st December 2019, 4305 isolates were obtained from 1969 patients. Most frequent occurring organism were gram negatives among which A. baumannii was common followed by K. pneumoniae, and P. aeruginosa. Retrospective analysis showed 7 outbreaks/clusters during the study period and all the outbreaks occurred from October to December in each year. The increasing trend of AMR pattern emphasizes to strengthen infection control practices and sustained AMR surveillance.

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Source
http://dx.doi.org/10.1016/j.ijmmb.2023.01.013DOI Listing

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