Prevalence of bacteremia and antimicrobial resistance pattern among patients in South Lebanon.

Am J Infect Control

Molecular Testing Laboratory, Department of Medical Laboratory Technology, Faculty of Health Sciences, Beirut Arab University, Beirut, Lebanon. Electronic address:

Published: January 2025

AI Article Synopsis

  • - The study investigates the prevalence of bacteremia and patterns of antimicrobial resistance (AMR) in South Lebanon, analyzing 76 positive blood cultures from two local hospitals between September 2023 and March 2024.
  • - Results showed an equal split of gram-positive and gram-negative bacteria, with Escherichia coli and Staphylococcus coagulase negative being the most common, and notable resistance to antibiotics was identified, including genes for extended-spectrum β-lactamases (ESBL) and carbapenemase-resistant Enterobacterales (CRE).
  • - The findings highlight significant rates of bacteremia and AMR in the region, emphasizing the urgent need for improved antibiotic stewardship and infection control measures.

Article Abstract

Background: Bacteremia is a leading cause of morbidity and mortality worldwide. Rising prevalence and antimicrobial resistance (AMR) are critical public health issues. This study aims to determine the prevalence of bacteremia and the AMR pattern among patients in South Lebanon.

Methods: A cross-sectional study analyzed 76 positive blood cultures from Hammoud and Labib Hospitals in South Lebanon between September 2023 and March 2024. The phenotype and antimicrobial susceptibility of gram-positive and gram-negative were determined by using disk diffusion. Genotypically, polymerase chain reaction was used to detect the carbapenemase-resistant Enterobacterales (CRE), extended-spectrum β-lactamases (ESBL), and methicillin-resistant Staphylococcus aureus genes.

Results: Out of 76 isolates, 38 (50%) were gram-positive and 38 (50%) were gram-negative. Escherichia coli was the most common among gram-negative (18. 42%), with 10.52% ESBL and 3.94% CRE. Staphylococcus coagulase negative was the most common among gram-positive (40.78%), followed by Staphylococcus aureus (6.57%), with 3.94% methicillin-resistant S. aureus. The prevalent ESBL gene was CTX-M (100%), and for the CRE, NDM (66.66%) was the most common gene. Regarding S. aureus, 66.66% were mecA.

Discussion: The diverse bacteremia isolates and resistance genes in South Lebanon reflect global variability in incidence and resistance profiles.

Conclusions: High rates of bacteremia and AMR in South Lebanon underscore the need for effective antibiotic stewardship programs.

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ajic.2024.09.023DOI Listing

Publication Analysis

Top Keywords

south lebanon
16
prevalence bacteremia
8
antimicrobial resistance
8
pattern patients
8
patients south
8
bacteremia amr
8
staphylococcus aureus
8
south
5
bacteremia antimicrobial
4
resistance
4

Similar Publications

Premise: Phelipanche ramosa is an economically damaging parasitic plant that has been reported in North America since the late 1800s. While this species comprises a variety of genetically distinct host races in its native range, the genetic composition of adventive populations in the New World remains unexplored. On the basis of morphological and ecological variation, some have suggested that the closely related P.

View Article and Find Full Text PDF

Background: The global burden of metabolic diseases is increasing, but estimates of their impact on primary liver cancer are uncertain. We aimed to assess the global burden of primary liver cancer attributable to metabolic risk factors, including high body mass index (BMI) and high fasting plasma glucose (FPG) levels, between 1990 and 2021.

Methods: The total number and age-standardized rates of deaths and disability-adjusted life years (DALYs) from primary liver cancer attributable to each metabolic risk factor were extracted from the Global Burden of Disease Study 1990-2021.

View Article and Find Full Text PDF
Article Synopsis
  • A team of over 180 researchers from more than 40 countries is addressing the issues related to "phantom agents," which are proposed pathogenic agents that are listed without concrete evidence of their existence.
  • These phantom agents, identified only through symptoms and lacking proper isolates or genetic data, create obstacles for trade and plant certification, making effective detection and risk assessment difficult.
  • The researchers recommend removing these agents from regulatory lists and updating standards in line with modern diagnostic methods to facilitate germplasm exchange and support global agriculture.
View Article and Find Full Text PDF

Purpose: Exposure to traumatic events may lead to the development of Acute Stress Disorder (ASD) within the first month post-trauma in some individuals, while others may not exhibit ASD symptoms. ASD was introduced as a potential early indicator to identify those at higher risk of developing Posttraumatic Stress Disorder (PTSD), however, PTSD can occur in some individuals even without prior ASD. Assessing ASD post-trauma can assist in identifying those who would most benefit from intervention to prevent later PTSD, yet the predictive power of ASD varies across studies, with intensity of ASD symptoms and subthreshold PTSD often less considered.

View Article and Find Full Text PDF

Background: Although total hip and total knee arthroplasty are highly successful operations, the decision of whether and when to undergo surgery is highly subjective and discretionary, and specific guidelines regarding readiness for surgery remain elusive. The nature of these decisions underscores the importance of shared decision-making, which is founded on the concept that patients substantially contribute to determining their own readiness for surgery. The OPTION survey was developed as a conversation aid to facilitate shared decision-making in the context of total joint arthroplasty.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!