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A compilation of antimicrobial susceptibility data from a network of 13 Lebanese hospitals reflecting the national situation during 2015–2016

BACKGROUND: There is a lack of official national antimicrobial resistance (AMR) data in Lebanon. Individual hospitals generate their own antibiotic susceptibility data in the form of yearly pamphlets. METHODS: In this study, antibiotic susceptibility data from 13 hospitals distributed across differe...

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Autores principales: Moghnieh, Rima, Araj, Georges F., Awad, Lyn, Daoud, Ziad, Mokhbat, Jacques E., Jisr, Tamima, Abdallah, Dania, Azar, Nadim, Irani-Hakimeh, Noha, Balkis, Maher M., Youssef, Mona, Karayakoupoglou, Gilbert, Hamze, Monzer, Matar, Madonna, Atoui, Roula, Abboud, Edmond, Feghali, Rita, Yared, Nadine, Husni, Rola
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6381724/
https://www.ncbi.nlm.nih.gov/pubmed/30828445
http://dx.doi.org/10.1186/s13756-019-0487-5
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author Moghnieh, Rima
Araj, Georges F.
Awad, Lyn
Daoud, Ziad
Mokhbat, Jacques E.
Jisr, Tamima
Abdallah, Dania
Azar, Nadim
Irani-Hakimeh, Noha
Balkis, Maher M.
Youssef, Mona
Karayakoupoglou, Gilbert
Hamze, Monzer
Matar, Madonna
Atoui, Roula
Abboud, Edmond
Feghali, Rita
Yared, Nadine
Husni, Rola
author_facet Moghnieh, Rima
Araj, Georges F.
Awad, Lyn
Daoud, Ziad
Mokhbat, Jacques E.
Jisr, Tamima
Abdallah, Dania
Azar, Nadim
Irani-Hakimeh, Noha
Balkis, Maher M.
Youssef, Mona
Karayakoupoglou, Gilbert
Hamze, Monzer
Matar, Madonna
Atoui, Roula
Abboud, Edmond
Feghali, Rita
Yared, Nadine
Husni, Rola
author_sort Moghnieh, Rima
collection PubMed
description BACKGROUND: There is a lack of official national antimicrobial resistance (AMR) data in Lebanon. Individual hospitals generate their own antibiotic susceptibility data in the form of yearly pamphlets. METHODS: In this study, antibiotic susceptibility data from 13 hospitals distributed across different governorates of Lebanon were collected to conduct a compilation-based surveillance of AMR in Lebanon for the years 2015–2016. The findings were compared with those of a previous nationwide study in this country conducted between 2011 and 2013 as well as with similar data obtained from the 2015 and 2016 European surveillance reports of AMR. To provide a clear presentation of the AMR situation, mean percent susceptibility of different antibiotic–microbe combinations was calculated. RESULTS: During 2015–2016, the percent susceptibility of Enterobacteriaceae to third-generation cephalosporins and to carbapenems was 59 and 97%, respectively. Among Pseudomonas aeruginosa and Acinetobacter spp., carbapenem susceptibility reached 70 and 12%, respectively. Among Gram positive organisms, the percent susceptibility to methicillin in Staphylococcus aureus was 72%, that to vancomycin in Enterococcus spp. was 98% and that to penicillin in Streptococcus pneumoniae was 75%. Compared with results of 2011–2013, there was an overall trend of decreased susceptibility of bacteria to the tested antibiotics, with a variation of 5 to 10%. The antibiotic susceptibility data from Lebanon were found to be comparable with those from Eastern and South-eastern European countries. CONCLUSION: This study highlights the need to establish a robust national AMR surveillance system that enables data from Lebanon to be included in global AMR maps. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s13756-019-0487-5) contains supplementary material, which is available to authorized users.
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spelling pubmed-63817242019-03-01 A compilation of antimicrobial susceptibility data from a network of 13 Lebanese hospitals reflecting the national situation during 2015–2016 Moghnieh, Rima Araj, Georges F. Awad, Lyn Daoud, Ziad Mokhbat, Jacques E. Jisr, Tamima Abdallah, Dania Azar, Nadim Irani-Hakimeh, Noha Balkis, Maher M. Youssef, Mona Karayakoupoglou, Gilbert Hamze, Monzer Matar, Madonna Atoui, Roula Abboud, Edmond Feghali, Rita Yared, Nadine Husni, Rola Antimicrob Resist Infect Control Research BACKGROUND: There is a lack of official national antimicrobial resistance (AMR) data in Lebanon. Individual hospitals generate their own antibiotic susceptibility data in the form of yearly pamphlets. METHODS: In this study, antibiotic susceptibility data from 13 hospitals distributed across different governorates of Lebanon were collected to conduct a compilation-based surveillance of AMR in Lebanon for the years 2015–2016. The findings were compared with those of a previous nationwide study in this country conducted between 2011 and 2013 as well as with similar data obtained from the 2015 and 2016 European surveillance reports of AMR. To provide a clear presentation of the AMR situation, mean percent susceptibility of different antibiotic–microbe combinations was calculated. RESULTS: During 2015–2016, the percent susceptibility of Enterobacteriaceae to third-generation cephalosporins and to carbapenems was 59 and 97%, respectively. Among Pseudomonas aeruginosa and Acinetobacter spp., carbapenem susceptibility reached 70 and 12%, respectively. Among Gram positive organisms, the percent susceptibility to methicillin in Staphylococcus aureus was 72%, that to vancomycin in Enterococcus spp. was 98% and that to penicillin in Streptococcus pneumoniae was 75%. Compared with results of 2011–2013, there was an overall trend of decreased susceptibility of bacteria to the tested antibiotics, with a variation of 5 to 10%. The antibiotic susceptibility data from Lebanon were found to be comparable with those from Eastern and South-eastern European countries. CONCLUSION: This study highlights the need to establish a robust national AMR surveillance system that enables data from Lebanon to be included in global AMR maps. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s13756-019-0487-5) contains supplementary material, which is available to authorized users. BioMed Central 2019-02-20 /pmc/articles/PMC6381724/ /pubmed/30828445 http://dx.doi.org/10.1186/s13756-019-0487-5 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research
Moghnieh, Rima
Araj, Georges F.
Awad, Lyn
Daoud, Ziad
Mokhbat, Jacques E.
Jisr, Tamima
Abdallah, Dania
Azar, Nadim
Irani-Hakimeh, Noha
Balkis, Maher M.
Youssef, Mona
Karayakoupoglou, Gilbert
Hamze, Monzer
Matar, Madonna
Atoui, Roula
Abboud, Edmond
Feghali, Rita
Yared, Nadine
Husni, Rola
A compilation of antimicrobial susceptibility data from a network of 13 Lebanese hospitals reflecting the national situation during 2015–2016
title A compilation of antimicrobial susceptibility data from a network of 13 Lebanese hospitals reflecting the national situation during 2015–2016
title_full A compilation of antimicrobial susceptibility data from a network of 13 Lebanese hospitals reflecting the national situation during 2015–2016
title_fullStr A compilation of antimicrobial susceptibility data from a network of 13 Lebanese hospitals reflecting the national situation during 2015–2016
title_full_unstemmed A compilation of antimicrobial susceptibility data from a network of 13 Lebanese hospitals reflecting the national situation during 2015–2016
title_short A compilation of antimicrobial susceptibility data from a network of 13 Lebanese hospitals reflecting the national situation during 2015–2016
title_sort compilation of antimicrobial susceptibility data from a network of 13 lebanese hospitals reflecting the national situation during 2015–2016
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6381724/
https://www.ncbi.nlm.nih.gov/pubmed/30828445
http://dx.doi.org/10.1186/s13756-019-0487-5
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