Hedieh Moradi-Tabriz; Alireza Abdollahi; Baharak Mehdipour; Saeideh Mahfoozi
Volume 5, Issue 4 , September 2010, , Pages 194-198
Abstract
Background and Objectives: A. baumannii is a cause of various infections with significant morbidity and mortality in the world. The aim of this study was to determine infection rate and antimicrobial susceptibility of A. baumannii in an Iranian tertiary care Hospital.
Materials and Methods:
This ...
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Background and Objectives: A. baumannii is a cause of various infections with significant morbidity and mortality in the world. The aim of this study was to determine infection rate and antimicrobial susceptibility of A. baumannii in an Iranian tertiary care Hospital.
Materials and Methods:
This study was performed on 166 positive blood cultures for A. baumannii, received from different wards of Imam Hospitals complex in Tehran, during two years. Disk diffusion method was used to survey several antibiotics resistance. Data were analyzed by spss software, chi square test.
Results: A. baumannii was resistant to imipenem (26.9%), gentamicine (32.2%), carbenicillin (36.4%), cephotaxime(41.7%), ampicillin (66.7%), amikacine (69.4%), ciprofloxacin (74.3%), cotrimoxazol (86.3%),piperacillin (91%), Ceftriaxone (92.5%), cefixime (99.2%), amoxiclave (100%), cefepime(100%), ceftazidime (100%). ICUs (50.6%) and Pediatrics Wards (2.4%) were the most and the least frequent wards in which A. baumannii were isolated.
Conclusions: Due to antibiotic resistance pattern change among A. baumannii and its consequences, it is recommended to control infection associated risk factors as well as further researches aiming identification of different of patterns in resistance and sensitivity to antibiotic.
Alireza Abdollahi; Hedieh Moradi-Tabriz; Mehrnaz Rasoulinejad
Volume 5, Issue 4 , September 2010, , Pages 208-211
Abstract
HIV-related Immunosuppression significantly increases the risk of acquiring opportunistic infections. This report describes a 69-year-old man, referred to hospital with decreased consciousness and productive cough. This man was a known case of human immunodeficiency virus positive. The sputum of this ...
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HIV-related Immunosuppression significantly increases the risk of acquiring opportunistic infections. This report describes a 69-year-old man, referred to hospital with decreased consciousness and productive cough. This man was a known case of human immunodeficiency virus positive. The sputum of this patient was positive for Salmonella typhimurium. Pulmonary auscultation signaled brief and scattered crackles especially in the lung bases. Lung graphy showed bronchopulmonary infiltration. Diagnosed with pneumonia due to Salmonella, the patient underwent treatment but he succumbed after 48 hours in septic shock. This case report demonstrates the importance of including general medical causes of immunosuppression and their treatment in the differential diagnosis and aetio-pathogenesis of HIV-infected patients with unusual clinical presentations.
