Antibiotic Resistance in Acintobacter Strains Isolated from Patients, Staff and Equipment of ICUWards of the Hospital in Kermanshah, Iran

Background: Acinetobacter is a gram-negative coccobacillus that performs an essential role in nosocomial infection. Antibiotic resistance as a major problem in hospitals has increased in recent years. ICU-admitted patients have a high mortality and morbidity risk of disease with this organism. Objectives: This study was carried out to establish Acinetobacter’s pattern of antibiotic resistance in ICU wards. Methods: In this analytical-descriptive study, Acinetobacter isolates from patients, staff, and equipment of ICU ward in Imam Reza Hospital, Kermanshah, Iran were identified using bacteriologic and biologic methods during six months in 2017. Then the pattern of antibiotic susceptibility was determined for ten different antibiotics using the Disc-Diffusion-Agar-Method. Results: Acinetobacter bumanii isolates were completely resistant to cefepime, ciprofloxacin, ampicillin, ceftriaxone, ceftazidime, cefazolin, trimethoprim, gentamycin, pipracilin, and imipenem. Conclusions: This study revealed that Acinetobacter bumanii was highly resistant to various antibiotics. Although the methods in our study were not as reliable as E-test, regarding this agent’s potential role as a virulent pathogen in nosocomial infections, proper treatment with potent and effective antibiotics and infection control policies is needed to prevent the spread of this agent in ICU.