2019
DOI: 10.12688/f1000research.17744.1
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Antimicrobial resistance surveillance among gram-negative bacterial isolates from patients in hospitals in Khartoum State, Sudan

Abstract: Background: Antimicrobial resistance (AMR) among gram-negative bacilli is a global health problem. Surveillance of AMR is required to advise on empirical antimicrobial therapy. This study aimed at evaluating the frequency and the AMR patterns of gram-negative isolates from patients treated in eight hospitals in Khartoum State, Sudan. Methods: A cross-sectional laboratory-based study was conducted over a 6 months period at the Microbiology Department, Soba University Hospital- Khartoum State, Sudan. All gram-ne… Show more

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Cited by 8 publications
(8 citation statements)
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References 27 publications
(27 reference statements)
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“…Our findings are inconsistent with the results of previous studies conducted in Sudan, which showed that multidrug-resistant E. coli strains were frequently resistant to macrolides [ 29 ], penicillins [ 21 , 30 , 31 ], cephalosporins [ 21 , 22 , 31 , 32 ], and tetracyclines [ 21 , 31 ], while they were less frequently resistant to quinolones, aminoglycosides [ 22 , 31 ], and carbapenems [ 22 ]. Other studies recorded complete sensitivity toward carbapenems [ 30 , 32 ], and others recorded frequent resistance against carbapenems [ 33 ].…”
Section: Discussioncontrasting
confidence: 99%
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“…Our findings are inconsistent with the results of previous studies conducted in Sudan, which showed that multidrug-resistant E. coli strains were frequently resistant to macrolides [ 29 ], penicillins [ 21 , 30 , 31 ], cephalosporins [ 21 , 22 , 31 , 32 ], and tetracyclines [ 21 , 31 ], while they were less frequently resistant to quinolones, aminoglycosides [ 22 , 31 ], and carbapenems [ 22 ]. Other studies recorded complete sensitivity toward carbapenems [ 30 , 32 ], and others recorded frequent resistance against carbapenems [ 33 ].…”
Section: Discussioncontrasting
confidence: 99%
“…Inconsistent with another study, we showed that most isolates were resistant to many antibiotics, and Gram-negative isolates were resistant to 67% of the examined antibiotics [ 21 ]. This is in contrast to earlier publications that demonstrated that the most common pathogen isolated from different clinical specimens was K. pneumoniae followed by P. aeruginosa and then E. coli , and about 22.3% were resistant to three or more classes of antibiotics [ 22 ].…”
Section: Discussioncontrasting
confidence: 90%
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“…5 In Sudan, a recent study that analyzed the antimicrobial susceptibility patterns of several species of Gram-negative bacteria, including P mirabilis , to four different groups of antibiotics showed that (22.3%) of the isolates were resistant to three or more classes of antibiotics, including cephalosporins, β-lactam–β-lactamase inhibitor, quinolones, aminoglycosides and carbapenems. 6 …”
Section: Introductionmentioning
confidence: 99%