ABSTRACT
Objective: to isolate/identify device associated bacteria with their antibiotic sensitivity/resistance patterns in 2015 and to compare them with such 2010 results. Further the impact of MSDS on device associated infections
Methods: this cross-sectional study was carried out by the Microbiology Laboratory on devices or device-associated samples from intensive care units of Services Hospital Lahore in 2015. Bacteria were identified and their antibiotic sensitivities/resistance was tested
Results: samples submitted by ICUs were 446 with 302 from devices. Tracheal samples were 189[62.6%] whereas CV tips [30%] and Folleys catheter [4.3%]. Growth positive samples were 219 [72%]. Non fermentors comprised 54 % isolates with Acinetobacter predominating [33%] followed by Pseudomonas [21.8%]. Enterobacteriaceae were 44% with E coli [16%] Klebsiella [12%] Proteus [10.7%] and Citrobacter [5.9%]. Gram positive isolates comprised [n=23] isolates. Oxacillin resistant were [n=4]. Acinetobacters [n=20] Pseudomonas [n=15] and Enterobactericeae [n=18] with Klebsiella [n=12] were resistantto all drugs tested. ESBLs were 14
Conclusion: DAls are a serious threat in ICU. Surveillance Programmers should be carried out under guidance of INICC