High levels of antimicrobial resistance at a tertiary trauma care centre of India
2011

High Levels of Antimicrobial Resistance in Trauma Care

Sample size: 3984 publication Evidence: moderate

Author Information

Author(s): Behera Bijayini, Mathur Purva

Primary Institution: All India Institute of Medical Sciences

Hypothesis

What is the antimicrobial susceptibility profile of pathogens in trauma patients at a tertiary care center in India?

Conclusion

The study found a high prevalence of multi-drug resistant Gram-negative bacteria and Candida spp. at the trauma care center.

Supporting Evidence

  • 30% of samples were culture positive for one or more organisms.
  • P. aeruginosa was the most common isolate, followed by Candida spp.
  • 87% of Gram-negative bacteria tested positive for ESBL production.
  • 246 isolates were resistant to all five major classes of antimicrobials.
  • 52% of carbapenem-resistant isolates produced metallo β-lactamase.

Takeaway

Infections in trauma patients are very serious, and many germs are resistant to common antibiotics, making treatment difficult.

Methodology

A retrospective study reviewing nosocomial infections and antimicrobial susceptibility of pathogens using standard microbiological techniques.

Limitations

The study is limited to a single center and may not represent broader trends.

Participant Demographics

Patients at a level-1 trauma care center in India.

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