PATTERNS OF ANTIMICROBIAL USE AND PREVALENCE OF ANTIBIOTIC RESISTANT BACTERIA STUDY AT AIN-SHAMS UNIVERSITY SPECIALIZED HOSPITAL (ASUSH) | ||
| Journal of Environmental Science | ||
| Article 1, Volume 50, Issue 1, January 2021, Pages 1-22 PDF (542.27 K) | ||
| Document Type: Review Article | ||
| DOI: 10.21608/jes.2021.180068 | ||
| Authors | ||
| Nourhan Hussein1; Wafaa Kh. Zaki2; Gehan M. Fahmy3 | ||
| 1Ain Shams University Specialized Hospital | ||
| 2Faculty of Medicine Ain Shams University | ||
| 3Ain Shams Specialized Hospital. | ||
| Abstract | ||
| Introduction: Antibiotics are prescribed for treating bacterial infections. However, Excessive use of antibiotics leads to the development and spread of multidrug resistant bacteria, currently regarded as a global public health crisis threatening our ability to treat common infectious diseases, resulting in prolonged illness, disability and death. Aim of the work: To analyze the use and prescribing patterns of antimicrobials by physicians at Ain-Shams University Specialized Hospital (ASUSH) for inpatients among different infections and to determine the prevalence of different types of bacterial resistance among hospital infections. Subjects and methods: A cross- sectional study was conducted at (ASUSH). A total of 339 microorganisms isolated from several samples types were identified and studied using VITEK® 2 system. Physicians’ attitudes and knowledge were assessed using a questionnaire about antibiotic resistance problem. Results: Among (339) bacterial isolates Klebsiella pneumoniae was the most common isolate n=92 (27.1%), followed by E-coli n=60 (17.7%), Staph coag –ve (SCONs) n= 43 (12.7%) and Methecillin resistant staphylococcus aureas (MRSA), Pseudomonas aeruginosa and Acinetobacter baumanni n=33 (9.7%) for each. In this study, the majority of physicians had good knowledge about the antibiotic resistance meaning and the magnitude of that problem, with a positive attitude towards prescribing antibiotics. Conclusion: Strategies for control of resistant bacteria should consider variations among sample types, wards, and antibiotic resistance variability. There is a need to specifically address staff training and communication procedures for infection prevention and control with respect to drug resistant bacteria. | ||
| Keywords | ||
| Keywords: antibiotic policy; Multi Drug Resistance; physicians’ knowledge and attitude; Antibiotic Susceptibility | ||
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