Critically ill patients with infection in the intensive care unit (ICU) would certainly benefit from timely bacterial identification and effective antimicrobial treatment. Diagnostic techniques have clearly improved in the last years and allow earlier identification of bacterial strains in some cases, but these techniques are still quite expensive and not readily available in all institutions. ...

BACKGROUND Pseudomonas aeruginosa can become resistant to carbapenems by both intrinsic (mutation-driven) and transferable (β-lactamase-based) mechanisms. Knowledge of the prevalence of these various mechanisms is important in intensive care units (ICUs) in order to define optimal prevention and therapeutic strategies. METHODS A total of 109 imipenem-non-susceptible (MIC >4 mg/L) strains of P...

Resistance to carbapenems is commonly seen in nonfermenting gram negative bacilli (NFGNB). We document herein the prevalence of carbapenem resistance in NFGNB isolated from patients with respiratory tract infections in the intensive care units (ICUs). A total of 460 NFGNB were isolated from 606 endotracheal aspirate specimens during January through December 2003, of which 56 (12.2%) were found ...

The increasing prevalence of multiresistant Gram-negative bacteria of the Enterobacteriaceae family in Europe is a worrisome phenomenon. Extended spectrum betalactamase-producing Escherichia coli strains are widespread in the community and are frequently imported into the hospital. Of even more concern is the spread of carbapenem-resistant strains of Klebsiella spp. from regions where they are ...

Escherichia coli (E. coli) strains placed in predominant nosocomial bacteria intensive care units (ICUs), resulting severe drug-resistant infections. Non-susceptibility to β-lactams and last-line drugs such as Fosfomycin Colistin cause limited availability of infections eradication. The objective this study included the determination genes encoding extended-spectrum β-lactamase (ESBL), Carbapen...

Pain is a major concern in all intensive care units (ICUs). The proper assessment and management of pain is one of the main goals of patient care in ICUs. Improper evaluation of pain and its over or under treatment can cause significant problems in the process of patient management in ICU. Since most ICU patients are unable to communicate correctly with the ICU team and explain their level of p...

background ventilator- associated pneumonia (vap) continues to complicate the course of 8-28 % patients receiving mechanical ventilation. the mortality rate for vap is high, ranges from 24-50% and can reach 76% in some specific settings or when lung infection is caused by high risk pathogens. the etiologic agents widely differ according to the population of patients in an intensive care unit, d...

Multidrug-resistant infectious diseases are one of the top causes death and morbidity among hospitalized patients worldwide. Objective: This study’s aim was to assess frequency common bacterial pathogens, as well their antibiotic sensitivity & resistance, in various Intensive care unit tertiary hospitals. Methods: The current investigation conducted from February May 2021 multiple ICU at a ...

Background and aims: The concept and meaning of futile care depends on the existing culture, values,religion, beliefs, medical achievements, and emotional status of a country. In Iran, futile care hasbecome a challenge for nurses working in intensive care units (ICUs). Considering the differencesobserved in defining futile care based on the patients’ conditions and the nurses’...