title: Epidemiology of multi-drug resistant organisms in a teaching hospital in oman: a one-year hospital-based study.
abstract: BACKGROUND
  Antimicrobial resistance is increasingly recognized as a global challenge. A few studies have emerged on epidemiology of multidrug resistant organisms in tertiary care settings in the Arabian Gulf.
  
  
  OBJECTIVE
  To describe the epidemiology of multi-drug resistant organisms (MDRO) at Sultan Qaboos University Hospital, a tertiary hospital in Oman.
  
  
  METHODS
  A retrospective review of MDRO records has been conducted throughout the period from January 2012 till December 2012. Organisms were identified and tested by an automated identification and susceptibility system, and the antibiotic susceptibility testing was confirmed by the disk diffusion method.
  
  
  RESULTS
  Out of the total of 29,245 admissions, there have been 315 patients registered as MDRO patients giving an overall prevalence rate of 10.8 (95% CI 9.3, 12.4) MDRO cases per 1000 admissions. In addition, the prevalence rate of MDRO isolates was 11.2 (95% CI 9.7, 12.9) per 1000 admissions. Overall, increasing trends in prevalence rates of MDRO patients and MDRO isolates were observed throughout the study period.
  
  
  CONCLUSIONS
  Antimicrobial resistance is an emerging challenge in Oman. Continuous monitoring of antimicrobial susceptibility and strict adherence to infection prevention guidelines are essential to prevent proliferation of MDRO. Along such quest, stringent antibiotic prescription guidelines are needed in the country.
authors: Department of Infection Control, Sultan Qaboos University Hospital, Sultan Qaboos University, Muscat, Oman.
authors: Abdullah
authors: A
authors: Balkhair
authors: Department of Family Medicine and Public Health, College of Medicine and Health Sciences, Sultan Qaboos University, P.O. Box 35, P.C. 123 Al-Khoud, Muscat, Oman.
authors: Yahya M
authors: YM
authors: Al-Farsi
authors: Department of Infection Control, Sultan Qaboos University Hospital, Sultan Qaboos University, Muscat, Oman.
authors: Zakariya
authors: Z
authors: Al-Muharrmi
authors: Department of Infection Control, Sultan Qaboos University Hospital, Sultan Qaboos University, Muscat, Oman.
authors: Raiya
authors: R
authors: Al-Rashdi
authors: Department of Infection Control, Sultan Qaboos University Hospital, Sultan Qaboos University, Muscat, Oman.
authors: Mansoor
authors: M
authors: Al-Jabri
authors: Department of Infection Control, Sultan Qaboos University Hospital, Sultan Qaboos University, Muscat, Oman.
authors: Fatma
authors: F
authors: Neilson
authors: Oman Medical College, Sohar Campus, Al Tareef, Sohar, Oman.
authors: Sara S
authors: SS
authors: Al-Adawi
authors: Department of Family Medicine and Public Health, College of Medicine and Health Sciences, Sultan Qaboos University, P.O. Box 35, P.C. 123 Al-Khoud, Muscat, Oman.
authors: Marah
authors: M
authors: El-Beeli
authors: Department of Behavioral Medicine, College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, Oman.
authors: Samir
authors: 0000-0002-9858-5582
authors: S
authors: Al-Adawi
mesh_terms: D001424:Bacterial Infections / Q000453:epidemiology; D003428:Cross Infection / Q000453:epidemiology* / Q000382:microbiology*; D004352:Drug Resistance, Microbial; D024901:Drug Resistance, Multiple, Bacterial; D006784:Hospitals, Teaching; D006801:Humans; D009850:Oman / Q000453:epidemiology; D015995:Prevalence; D012189:Retrospective Studies; D012621:Seasons