Please use this identifier to cite or link to this item: https://scholarhub.balamand.edu.lb/handle/uob/2496
Title: Resistance of Gram-Negative Bacilli in Lebanon
Authors: Sokhn, Salem Elie
Dahdouh, Elias
Daoud, Ziad
Affiliations: Faculty of Medicine 
Issue Date: 2013
Part of: Journal of ISRN infectious diseases
Volume: 2013
Abstract: 
Several studies have reported the isolation of resistant Gram-Negative Bacilli in Lebanon. However, those studies are new and scarce as compared to worldwide data and mostly restricted to single center studies. In this review, we attempt to provide a reliable and comprehensive report describing the current situation and providing prospects for bacterial resistance in Lebanon. Several studies have shown that Extended Spectrum β-Lactamase-producing E. coli and K. pneumoniae strains are being increasingly reported. Moreover, 2.15% of E. coli and 7.84% of K. pneumoniae isolates have shown carbapenem resistance and up to 30% of isolated E. coli strains were found to be Multi-Drug Resistant. Molecular studies showed that the most widespread β-Lactamases in Lebanon are of the CTX-M-15 and SHV types. In addition, K. pneumoniae strains producing metallo-β-Lactamase and Klebsiella pneumoniae Carbapenemase have been reported. Resistant Pseudomonas aeruginosa and Acinetobacter baumannii caused several nosocomial infections and some Acinetobacter baumannii strains were found to produce OXA-58 type ESBL. The few data addressing the rate of antibiotic consumption in Lebanon show a high rate of antibiotic misuse and abuse. In conclusion, there is a need for antibiotic stewardship programs and additional studies that go beyond the scope of single-center studies in Lebanon.
URI: https://scholarhub.balamand.edu.lb/handle/uob/2496
Open URL: Link to full text
Type: Journal Article
Appears in Collections:Faculty of Medicine

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