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Research ArticleOriginal Article
Open Access

Prevalence and antimicrobial resistance of health care associated bloodstream infections at a general hospital in Saudi Arabia

Jaffar A. Al-Tawfiq and Mahmoud S. Abed
Saudi Medical Journal September 2009, 30 (9) 1213-1218;
Jaffar A. Al-Tawfiq
Internal Medicine Services Division, PO Box 76, Room A-420B, Building 61, Dhahran Health Center, Saudi Aramco, Dhahran 31311, Kingdom of Saudi Arabia. Tel. +966 (3) 8773524. Fax. +966 (3) 8773790. E-mail: [email protected]
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Mahmoud S. Abed
Internal Medicine Services Division, PO Box 76, Room A-420B, Building 61, Dhahran Health Center, Saudi Aramco, Dhahran 31311, Kingdom of Saudi Arabia. Tel. +966 (3) 8773524. Fax. +966 (3) 8773790. E-mail: [email protected]
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Abstract

OBJECTIVE: To determine the trend of health care associated blood stream infection (HA-BSI) at Saudi Aramco Medical Services Organization.

METHODS: This prospective survey was conducted during the year 2002-2006. Definitions of HA-BSI infections were based on the Centers for Disease Control and Prevention categories.

RESULTS: There were a total of 1103 distinct episodes of HA-BSI with annual average rates of 8.5 per 1000 discharges and 18 per 10,000 patient-days. Of all episodes, 38% were primary, 47% were central line-associated bloodstream infection (CLABSI), and the remaining 15% were secondary bacteremias. The hospital wide BSI rate per 1000 discharges increased from 7.8 to 11.9 (p<0.001). Secondary bacteremia remained relatively stable over the study period at 3/10,000 patient-days (p=0.41). Primary BSI increased from 6.9 to 10.6 per 10,000 patient-days (p<0.001). Hospital wide CLABSI increased from 3.2 to 6 per 1000 discharges (p<0.001) and from 7 to 11.8 per 10,000 patient-days (p=0.039). Coagulase negative staphylococcus was the leading pathogen (23.7%) followed by Staphylococcus aureus (11.1%) and Escherichia coli (11.1%). Of all episodes, candida caused 5%, Klebsiella pneumoniae (9%) and Pseudomonas aeruginosa (7.3%).

CONCLUSION: The rate of secondary BSI remained relatively stable over the study period. However, primary BSI and CLABSI increased over time. Coagulase negative staphylococcus, Staphylococcus aureus, and Escherichia coli were the most frequent microorganisms.

  • Copyright: © Saudi Medical Journal

This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Saudi Medical Journal: 30 (9)
Saudi Medical Journal
Vol. 30, Issue 9
1 Sep 2009
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Prevalence and antimicrobial resistance of health care associated bloodstream infections at a general hospital in Saudi Arabia
Jaffar A. Al-Tawfiq, Mahmoud S. Abed
Saudi Medical Journal Sep 2009, 30 (9) 1213-1218;

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Prevalence and antimicrobial resistance of health care associated bloodstream infections at a general hospital in Saudi Arabia
Jaffar A. Al-Tawfiq, Mahmoud S. Abed
Saudi Medical Journal Sep 2009, 30 (9) 1213-1218;
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© 2023 Saudi Medical Journal Saudi Medical Journal is copyright under the Berne Convention and the International Copyright Convention.  Saudi Medical Journal is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3175. Print ISSN 0379-5284.

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