Nosocomial blood stream infections in Imam Khomeini Hospital, Urmia, Islamic Republic of Iran, 1999-2001.
In a 2-year retrospective study, the database of the microbiology laboratory of the Imam Khomeini Hospital was reviewed to identify patients who had nosocomial bacteraemia between 1 May 1999 and 31 May 2001 and identify the pathogen responsible and its resisitance to antibiotics. Of 6492 patients in various wards, 593 (9.1%) had positive blood cultures; 85 of those (14.3%) had signs of potential skin contamination. Gram-positive cocci, including coagulase-negative staphylococci, Staphylococcus aureus, Streptococcus pneumoniae and other Gram-positive cocci, accounted for 42.3% of isolates. Gram-negative bacilli were responsible for another 42.3% of isolates; Pseudomonas aeruginosa was the predominant isolate. Patterns of drug resistance varied according to species of bacteria but were generally quite high.
Rahbar
M
M
Department of Microbiology, Reference Laboratories of Iran, Tehran, Islamic Republic of Iran. mhhf_rz@yahoo.com
Gra-Agaji
R
R
Hashemi
S
S
D016470:Bacteremia / Q000175:diagnosis / Q000453:epidemiology* / Q000382:microbiology* / Q000517:prevention & control; D002954:Citrobacter; D003428:Cross Infection / Q000175:diagnosis / Q000453:epidemiology* / Q000382:microbiology* / Q000517:prevention & control; D024881:Drug Resistance, Bacterial; D004756:Enterobacteriaceae Infections / Q000453:epidemiology; D004927:Escherichia coli Infections / Q000453:epidemiology; D017052:Hospital Mortality; D006785:Hospitals, University; D006801:Humans; D017053:Infection Control; D007492:Iran / Q000453:epidemiology; D007710:Klebsiella Infections / Q000453:epidemiology; D007711:Klebsiella pneumoniae; D011008:Pneumococcal Infections / Q000453:epidemiology; D011159:Population Surveillance; D011552:Pseudomonas Infections / Q000453:epidemiology; D012189:Retrospective Studies; D013203:Staphylococcal Infections / Q000453:epidemiology; D013211:Staphylococcus aureus; D013296:Streptococcus pneumoniae