Clinical and bacteriological aspects of acinetobacter septicemia

ABSTRACT

Two hundred and seven patients attended Aim Shams Univesity hospital and suspected to have septicemia were included in the study. Blood cultures were performed to all patients. Forty-two [20%] blood cultures were positive, of which 6 isolates [2.9%] were Acinetobacter species. Acinetobacter thus represents 6 of 42 [14.3%] of all bacteremias. Four of the six isolates were A. baumannii [66.7%] and two cases were A. lwoffii [33.3%]. The isolated Acinetobacter strains were resistant to most of antimicrobial agents. Five strains were sensitive to ampicillin/sulbactam and imipenema. Three strains were sensitive to ciprofloxacin and amikacin and only one was sensitive to tobramycin. We recommended the use of ampicillin/sulbactam or imipenem in treatment of Acinetobacter septicemia however, susceptibility testing should be done to select the best antimicrobial drug for therapy