Infection and Drug Resistance (Feb 2022)

Antibiotic Profile of Pathogenic Bacteria Isolated from Postsurgical Site Infections in Public Hospitals in Northern Jordan

  • Ennab R,
  • Al-Momani W,
  • Al-Titi R,
  • Elayan A

Journal volume & issue
Vol. Volume 15
pp. 359 – 366

Abstract

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Raed Ennab,1 Waleed Al-Momani,2 Rama Al-Titi,2 Ayah Elayan2 1Department of Clinical Medical Sciences/General Surgery, Faculty of Medicine, Yarmouk University, Irbid, Jordan; 2Department of Basic Medical Sciences/Microbiology, Faculty of Medicine, Yarmouk University, Irbid, JordanCorrespondence: Raed EnnabDepartment of Clinical Medical Sciences/General Surgery, Faculty of Medicine, Yarmouk University, Irbid, Jordan, Tel +962797122559, Email [email protected]: Surgical site infections are hospital-acquired, vary from one hospital to another, and can cause significant postoperative morbidity, mortality, and prolonged hospital stay.Objective: The main aim of the study was to identify the bacterial pathogens associated with surgical site infections and their antibiotic susceptibility in a public hospital in northern Jordan.Methods: Postsurgical wound samples were collected and processed in a microbiology laboratory using standard microbiological techniques. Antibiotic susceptibility tests were performed using 13 antibiotics covering the gram-positive and gram-negative bacteria using the disc diffusion test.Results: The bacterial species that were identified in this study include Escherichia coli 8 (29%), Pseudomonas aeruginosa 3 (11%), Proteus mirabilis 1 (3.5%), Klebsiella pneumoniae 4 (14%), Salmonella enterica 2 (7%), Staphylococcus aureus 8 (29%), Staphylococcus epidermidis 1 (3.5%), and Streptococcus pyogenes 1 (4%). The antibiotic profiles of these bacteria showed high resistance. The MAR indices showed that 17 of 28 bacteria isolated were above 0.2 indicating high resistance.Conclusion: Resistant bacteria are becoming more dominant in wound infections with a high prevalence of multidrug resistant isolates. Hospital disinfection and treatment protocols regarding the use of antibiotics should be practiced vigorously and monitored regularly to combat resistance.Keywords: surgical site infection, antimicrobial susceptibility, bacterial resistance, multidrug resistance, bacterial isolation, wound swab

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