Antimicrobial susceptibility patterns of bacterial isolates at the american university medical center in Lebanon

Araj, George F.; Uwaydah, Marwan; Alami, Samih Y.

doi:10.1016/0732-8893(94)90109-0

Cited by 32 publications

(37 citation statements)

References 18 publications

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“…In 2012 and 2013, Araj et al showed that the most common serotypes isolated from clinical samples in Lebanon at the AUB-MC were S. Enteritidis followed by S. Typhimurium [18,19]. S. Enteritidis, S. Typhimurium, S. Typhi, and S. Paratyphi A, B, and C were the common serotypes between our study and these studies.…”

Section: Discussionsupporting

confidence: 52%

Molecular epidemiology and antimicrobial resistance of Salmonella species from clinical specimens and food Items in Lebanon

Fadlallah

Shehab

Cheaito

et al. 2017

J Infect Dev Ctries

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Introduction: Foodborne illnesses can be due to a wide range of bacteria, one of the most common being Salmonella. In this study, PulseNet International was implemented in Lebanon to identify circulating pathogens at the species and strain levels, determine antimicrobial resistance, and link food sources and clinical cases during outbreaks. Methodology: Clinical and food Salmonella isolates received from the Epidemiological Surveillance Unit, Ministry of Public Health (ESUMOH) and the Lebanese Agriculture Research Institute (LARI) between 2011 and 2014 were identified to the species level using API 20E. Serotyping was carried out using the Kauffman and White scheme. Antimicrobial susceptibility to a panel of antimicrobials was tested by the disc diffusion method. The DNA fingerprinting patterns were determined using Pulsed-Field Gel Electrophoresis (PFGE) followed by BIONUMERICS analysis. Results: 290 clinical and 49 food isolates were identified to be Salmonella. The serotyping of the isolates revealed the prevalence of ten serotypes in the clinical isolates and seven serotypes within the food isolates; S. Enteritidis and S. Typhimurium being the two most common. Antimicrobial susceptibility test showed resistance to tested antimicrobials among both clinical and food isolates. PFGE results showed a wide range of pulsotypes by the different serovars. These pulsotypes were then used to confirm the linkage of two outbreaks to their food sources. Conclusion: This study calls out to set and implement food safety regulations and emphasizes the importance of surveillance through a "farmto-fork" approach in identifying widely circulating food borne pathogens.

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Section: Discussionsupporting

confidence: 52%

Molecular epidemiology and antimicrobial resistance of Salmonella species from clinical specimens and food Items in Lebanon

Fadlallah

Shehab

Cheaito

et al. 2017

J Infect Dev Ctries

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“…CoNS was reported as an important cause of blood stream infections and the second most common source after wound swabs in a hospital in Lebanon and Kuwait [17][18] .…”

Section: Discussionmentioning

confidence: 99%

Prevalence and antimicrobial susceptibility pattern of Coagulase-negative Staphylococcus

Begum¹,

Anbumani²,

Kalyani³

et al. 2011

IJMEDPH

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“…In a study from Beirut, Lebanon, from 1994, Araj and others reported that 56% of Serratia species recovered from a variety of clinical sites were resistant to trimethoprim-sulfamethoxazole, compared to 12 to 48% resistance in Saudi Arabia, 50% resistance in Kuwait, and no resistance in the United States (13). From 1997 to 1999, S. marcescens isolates recovered from respiratory sites were 64 to 75% sensitive to trimethoprim-sulfamethoxazole in Italy (134).…”

Section: Trimethoprim-sulfamethoxazole Resistance In Serratia Speciesmentioning

confidence: 99%

Serratia Infections: from Military Experiments to Current Practice

2011

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SUMMARY Serratia species, in particular Serratia marcescens , are significant human pathogens. S. marcescens has a long and interesting taxonomic, medical experimentation, military experimentation, and human clinical infection history. The organisms in this genus, particularly S. marcescens , were long thought to be nonpathogenic. Because S. marcescens was thought to be a nonpathogen and is usually red pigmented, the U.S. military conducted experiments that attempted to ascertain the spread of this organism released over large areas. In the process, members of both the public and the military were exposed to S. marcescens , and this was uncovered by the press in the 1970s, leading to U.S. congressional hearings. S. marcescens was found to be a certain human pathogen by the mid-1960s. S. marcescens and S. liquefaciens have been isolated as causative agents of numerous outbreaks and opportunistic infections, and the association of these organisms with point sources such as medical devices and various solutions given to hospitalized patients is striking. Serratia species appear to be common environmental organisms, and this helps to explain the large number of nosocomial infections due to these bacteria. Since many nosocomial infections are caused by multiply antibiotic-resistant strains of S. marcescens , this increases the danger to hospitalized patients, and hospital personnel should be vigilant in preventing nosocomial outbreaks due to this organism. S. marcescens , and probably other species in the genus, carries several antibiotic resistance determinants and is also capable of acquiring resistance genes. S. marcescens and S. liquefaciens are usually identified well in the clinical laboratory, but the other species are rare enough that laboratory technologists may not recognize them. 16S rRNA gene sequencing may enable better identification of some of the less common Serratia species.

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Antimicrobial susceptibility patterns of bacterial isolates at the american university medical center in Lebanon

Cited by 32 publications

References 18 publications

Molecular epidemiology and antimicrobial resistance of Salmonella species from clinical specimens and food Items in Lebanon

Molecular epidemiology and antimicrobial resistance of Salmonella species from clinical specimens and food Items in Lebanon

Prevalence and antimicrobial susceptibility pattern of Coagulase-negative Staphylococcus

Serratia Infections: from Military Experiments to Current Practice

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