Antimicrobial susceptibility pattern of Acinetobacter isolates from patients in Kenyatta National Hospital, Nairobi, Kenya

VM Musyok, MM Masik, W Mutai, G Wilfred… - Pan African Medical …, 2019 - ajol.info
VM Musyok, MM Masik, W Mutai, G Wilfred, F Muthin
Pan African Medical Journal, 2019ajol.info
Introduction: infection due to multidrug-resistant microorganisms is a growing threat in
healthcare settings. Acinetobacter species specifically A. baumannii is increasingly
becoming resistant to most antimicrobial agents recommended for treatment. This study
aimed to determine the antimicrobial susceptibility pattern of Acinetobacter species isolated
from patients in Kenyatta National Hospital. Methods: we conducted a retrospective study
based on VITEK 2 (BioMérieux) electronic records capturing identification and antimicrobial …
Introduction
infection due to multidrug-resistant microorganisms is a growing threat in healthcare settings. Acinetobacter species specifically A. baumannii is increasingly becoming resistant to most antimicrobial agents recommended for treatment. This study aimed to determine the antimicrobial susceptibility pattern of Acinetobacter species isolated from patients in Kenyatta National Hospital.
Methods
we conducted a retrospective study based on VITEK 2 (BioMérieux) electronic records capturing identification and antimicrobial susceptibility of Acinetobacter isolates from patient samples analyzed between 2013 and 2015 at Kenyatta National Hospital microbiology laboratory. Generated data were analyzed using WHONET and SPSS.
Results
a total of 590 Acinetobacter isolates were analyzed. Eighty five (85%) of the isolates tested were multi-drug resistant (MDR). Among the 590 isolates, 273 (46%) were from tracheal aspirates and 285 (48%) from the critical care unit. A. baumannii was the most frequently isolated species with high susceptibility to amikacin (77%) and poor susceptibility to ciprofloxacin (69-76%), tobramycin (37%) and meropenem (27%). Both A. lwoffii and A. haemolyticus had high susceptibility to amikacin (80-100%) and meropenem (75-100%).
Conclusion
A. baumannii is resistant to commonly administered antibiotics. There is need for continuous antimicrobial resistance surveillance especially in health care facilities and strengthening of antibiotic stewardship programmes which will contribute to enhancement of infection control policies.
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