Original Articles

Diversity of Bacteria Isolated From Long- and Short-term Catheterized Patients

Abstract

Background: The objectives of this study were to assess the antibiotic resistance and clonality of the bacteria isolated from patients with long- (LTC) and short-terms catheterizations (STC).
Methods: A total of 31 clinical Staphylococcus aureus isolates were collected from Loghman Hospital of Tehran, Iran. In vitro biofilm formation ability was determined by microliter tissue culture plates. All clinical isolates were examined for determination the ica locus by using PCR method.
Results: Ninety seven (62%) of the samples were bacterial positive. Positive samples were significantly higher in LTC (95%) than STC (61%) patients. Escherichia coli were the predominant microorganism (32%) followed by Klebsiella pneumoniae (15%), Pseudomonas aeroginosa (11%), Enterococcus faecalis (9.2%). From the total isolates, 42% were resistant to 5 or more antibiotics. Furthermore, high prevalence of
resistance amongst all isolates to ciprofloxacin (49%) was observed.
Conclusions: Diverse bacterial clones were observed for LTC and STC patients. Overall, the results suggested that catheterization could be a major source for growth and dissemination of highly resistant and diverse bacterial species in the hospitals.

Rebmann T, Greene LR. Preventing catheter-associated urinary tract infections: An executive summary of the Association for Professionals in Infection Control and Epidemiology, Inc, Elimination Guide. Am J Infect Control 2010; 38 (8): 644-666.

Hazelett SE, Tsai M, Gareri M, Allen K.The association between indwelling urinary catheter use in the elderly and urinary tract infection in acute care.BMC Geriatr. 2006; 6 (15).

Ha US, Cho YH. Catheter-associated urinary tract infections: new aspects of novel urinary catheters. Int J Antimicrob Agents. 2006; 28 (6): 485-490.

Trautner BW, Hull RA, Darouiche RO.Prevention of catheter-associated urinary tract infection. Curr Opin Infect Dis.2005; 18: 37-41.

Warren JW. Catheter-associated urinary tract infections. Int J Antimicrob Agents.2001; 17: 299-303.

Clinical and Laboratory Standards Institute / NCCLS Performance standards for Antimicrobial disc diffusion tests; Approved standards. 9th ed. CLSI Document M2-M9. Wayne Pa: Clinical and Laboratory Standards Institute 2006.

Talebi M, Rahimi F, Katouli M, et al.Epidemiological link between wastewater and human vancomycin-resistant Enterococcus faecium isolates. Curr Microbiol 2008; 56 (5): 468-473.

Pourshafie MR, Saifi M, Mousavi SF, et al. Clonal diversity of Salmonella enterica serotype Typhi isolated from patients with typhoid fever in Tehran. Scand J Infect Dis 2008; 40 (1):18-23.

Tenke P, Kovacs B, Bjerklund Johansen TE, et al. European and Asian guidelines on management and prevention of catheter-associated urinary tract infections. Int J Antimicrob Agents 2008;31: S68-78.

De Francesco MA, Ravizzola G, Peroni L, et al. Urinary tract infections in Brescia, Italy: etiology of uropathogens and antimicrobial resistance of common uropathogens. Med Sci Monit 2007; 13 (6): 136-144.

Lyytikäinen O, Kanerva M, Agthe N, et al. Finnish Prevalence Survey Study Group Healthcare-associated infections in Finnish acute care hospitals: a national prevalence survey, 2005. J Hosp Infect 2008; 69: 288-294.

Chomarat M. Resistance of bacteria in urinary tract infections. Int J Antimicrob Agents 2000; 16 (4): 483-487.

Sedor J, Mulholland SG. Hospital- acquired urinary tract infections associated with the indwelling catheter.Urol Clin North Am 1999; 26 (4): 821–828.

Pourshafie MR, Talebi M, Saifi M, et al.Clonal heterogeneity of clinical isolates of vancomycin-resistan Enterococcus faecium with unique vanS. Tropl Med Intern Health 2008; 13 (5): 722–727.

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IssueVol 3 No 1-2 (2014) QRcode
SectionOriginal Articles
Keywords
Catheter Infection Pseudomonas aeroginosa

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How to Cite
1.
Agha-Moghaddam N, Hosseini-Moghaddam SMM, Talebi M, Pourshafie MR. Diversity of Bacteria Isolated From Long- and Short-term Catheterized Patients. J Med Bacteriol. 2015;3(1-2):28-35.