Six-year multicenter study on short-term peripheral venous catheters-related bloodstream infection rates in 246 intensive units of 83 hospitals in 52 cities of 14 countries of Middle East: Bahrain, Egypt, Iran, Jordan, Kingdom of Saudi Arabia, Kuwait, Lebanon, Morocco, Pakistan, Palestine, Sudan, Tunisia, Turkey, and United Arab Emirates—International Nosocomial Infection Control Consortium (INICC) findings

Rosenthal, Víctor D.; Belkebir, Souad; Zand, Farid; Afeef, Majeda; Tanzi, Vito; Al-Abdely, Hail M.; El-Kholy, Amani; Al-Khawaja, Safa; Demiröz, Ali Pekcan; Sayed, Amani Fouad; Elahi, Naheed; Gamar-Elanbya, May Osman; Abidi, Khalid; Benjaballah, N.; Salama, Mona F.; Helali, Najla J.; Abdel-Halim, Mona Mohiedden; Demaisip, Nadia Lynette; Ahmed, Hala; Diab, Hanan Hanafy; Molano, Apsia Musa; Sawan, Fahad A.; Kelany, Ashraf; Altowerqi, Rami; Rushdi, Hala; Alkamaly, Modhi A.; Bohlega, Eatedal; Aldossary, Hajer A.; Abdelhady, Kareem M.; Ikram, Aamer; Madco, Marjory; Caminade, Yvonne; Alazmi, Muneefah; Mahfouz, Tahsine; Yousef, Reham H. A.; Ibrahim, Ahmed; Elawady, Basma A.; Asad, Tasmiya; Shyrine, Leide; Leblebicioğlu, Hakan

doi:10.1016/j.jiph.2020.03.012

Cited by 24 publications

(13 citation statements)

References 47 publications

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“…High proportions of carbapenem resistance in Acinetobacter spp. have been varying between 70 and 80% in the Levant, Gulf, and Egypt [ 30 , 31 , 32 , 33 ]. Among the Enterobacterales 3GCR organisms have reached more than 60% in E. coli and Klebsiella spp.…”

Section: Amr In the Arab World Before Covid-19mentioning

confidence: 99%

“…Among the Enterobacterales 3GCR organisms have reached more than 60% in E. coli and Klebsiella spp. [ 30 , 31 , 32 , 33 ] and carbapenem resistance has fluctuated between 10 to 30% [ 30 , 31 , 32 , 33 ]. P. aeruginosa resistant to carbapenems has been highly reported from some of the Levant and North African Arab countries (more than 50%), while reported to a lesser extent in the Gulf [ 14 , 33 ].…”

Section: Amr In the Arab World Before Covid-19mentioning

confidence: 99%

“…The production of metallo-β-lactamases (mostly VIM and IMP) has been the most important mechanism of carbapenem resistance in P. aeruginosa throughout the Arab League countries [ 14 , 25 , 33 ]. Regarding Gram-positive bacteria, Staphylococcus aureus isolates have shown high methicillin resistance percentage of around 50%, while vancomycin resistance ranged between 0 and 5% [ 30 , 31 , 32 ]. In addition, penicillin non-susceptibility among Streptococcus pneumoniae has been frequently reported in the Middle East (50%) [ 14 , 32 ].…”

Section: Amr In the Arab World Before Covid-19mentioning

confidence: 99%

“…Most Arab countries have produced AMR surveillance reports and many of them have reported their data to the GLASS [ 6 , 34 ]. Yet, the majority of the AMR data is generated by hospital laboratories and therefore may be more biased towards AMR in nosocomial organisms [ 30 , 31 , 32 ]. Several reports describe the AMS efforts in the Arab world [ 29 , 40 , 41 ] showing the successful implementation of stewardship programs to promote appropriate antibiotic use.…”

Section: Amr In the Arab World Before Covid-19mentioning

confidence: 99%

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Challenges to Antimicrobial Stewardship in the Countries of the Arab League: Concerns of Worsening Resistance during the COVID-19 Pandemic and Proposed Solutions

et al. 2021

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The COVID-19 pandemic is expected to worsen the global problem of antimicrobial resistance (AMR). There is a heightened interest in understanding this effect and to develop antimicrobial stewardship (AMS) interventions accordingly to curb this threat. Our paper aims to evaluate the potential magnitude of COVID-19 on AMR and AMS with a focus on the countries of the Arab league, given the social, political, and economic environments. We also evaluate obstacles in applying the rational use of antibiotics, monitoring resistance trends in the midst of the pandemic, and evaluating the impact of the economic crisis in some countries. We aim to raise awareness about the potential effects of antibiotic overuse during the pandemic and to propose practical approaches to tackle this issue.

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Section: Amr In the Arab World Before Covid-19mentioning

confidence: 99%

Section: Amr In the Arab World Before Covid-19mentioning

confidence: 99%

Section: Amr In the Arab World Before Covid-19mentioning

confidence: 99%

Section: Amr In the Arab World Before Covid-19mentioning

confidence: 99%

See 2 more Smart Citations

Challenges to Antimicrobial Stewardship in the Countries of the Arab League: Concerns of Worsening Resistance during the COVID-19 Pandemic and Proposed Solutions

et al. 2021

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“…Reyes, Bardossy, and Zervos 19 highlighted vancomycin-resistant enterococcus (VRE) as the most dangerous infection in the hospital environment. Another multicentre surveillance study 23 conducted in 14 Middle Eastern countries reported higher incidence of BSIs specifically related to PVC, in comparison to USA and Australia. The study reported 470 PVCs (2.32/1000 PVCs per day) and mortality rate of 29.36%.…”

Section: Causes Of Nosocomial Infectionsmentioning

confidence: 96%

Nosocomial Infection and Antibiotic-Resistant Threat in the Middle East

Nimer¹

2022

IDR

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The prevalence of nosocomial infections (NIs) is associated with different bacteria found in hospitals. These infections in their extreme conditions result in morbidity and mortality. This study aims to provide a detailed review of literary studies to identify the prevalence of nosocomial infections and antibiotic-resistance specifically in Middle Eastern countries. A literature review approach is followed in this study. It further identifies different causes and effects associated with nosocomial infections in the given regions. Relevant studies were used to extract important information, specifically related to the Middle Eastern countries. The findings indicated that nosocomial infections following antibiotic resistance are an emerging problem in Middle Eastern countries, leading to significant morbidity and mortality. Most frequently reported NIs in Middle East in our review are bloodstream infections (BSIs) (50%) and surgical site infections (SSIs) (50%) followed by urinary tract infections (UTIs). Escherichia coli and Klebsiella species among gram-negative bacteria, Staphylococcus aureus among gram-positive bacterial and fungal pathogens such as Candida species are most reported pathogens involved in nosocomial infections and resistance to penicillins, cephalosporins, carbapenems and fluoroquinolones antibiotics were significantly reported. However, most studies showed minimum resistance of pathogens against drug colistin. To control the growth rate of the given condition, government officials are suggested to ensure that hospitals follow adequate healthcare mechanisms. Also, sufficient education must be provided to the hospital staff about the causes and effects of the given disease.

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