background: nosocomial infections constitute a global health problem, leading to a high rate of morbidity and mortality. the aim of this study was to determine the frequency and antimicrobial resistance patterns of nosocomial infections in eduâ­cational hospitals of hamadan, western iran. methods: during a 1-year period from april 2006 to march 2007, all patients with culâ­ture-proven nosocomia...

conclusions: this study highlighted the need to establish antimicrobial resistance surveillance networks for p. aeruginosa to determine the appropriate empirical treatment regimens. the high prevalence of multidrug resistance and production of esbls in p. aeruginosa isolates confirms the necessity of protocols considering these issues in the hospitals. results: the resistance against broad-spect...

urine specimens collected from in-patients and out-patients in urmia imam hospital, northwest iran, were cultured on blood agar and eosin methylene blue agar. isolated bacteria were identified according to standard microbiological tests and then subjected to sensitivity testing according to routine method of disk agar diffusion technique. out of 8044 and 10425 urine specimens, 8.7% and 11.9% we...

BACKGROUND Antimicrobial resistance is a public health threat. Because antimicrobial consumption in food-producing animals contributes to the problem, policies restricting the inappropriate or unnecessary agricultural use of antimicrobial drugs are important. However, this link between agricultural antibiotic use and antibiotic resistance has remained contested by some, with potentially disrupt...

Antimicrobial resistance (AMR) is a global public health threat. Emergence of AMR occurs naturally, but can also be selected for by antimicrobial exposure in clinical and veterinary medicine. Despite growing worldwide attention to AMR, there are substantial limitations in our understanding of the burden, distribution and determinants of AMR at the population level. We highlight the importance o...

BACKGROUND Antimicrobial resistance (AMR) has reached an end point, prompting a worldwide scare as no new antibiotics are in the pipeline, particularly for treatment of Gram-negative bacteria. To prevent further development and spread of AMR and to inform empirical treatment guidelines, surveillance of AMR is necessary. OBJECTIVE We aim to provide a framework for a stepwise approach toward im...

Introduction Antimicrobial resistance (AMR) is a challenging global and public health issue, raising bioethical challenges, considerations and strategies. Objectives This research protocol presents a conceptual model leading to formulating an empirically based bioethics framework for antibiotic use, AMR and designing ethically robust strategies to protect human health. Methods Mixed methods res...

Antimicrobial resistance (AMR) surveillance systems are generally not specifically designed to detect emerging resistances and usually focus primarily on resistance to individual drugs. Evaluating the diversity of resistance, using ecological metrics, allows the assessment of sampling protocols with regard to the detection of rare phenotypes, comprising combinations of resistances. Surveillance...

Fifty E. coli strains isolated from chicken flocks were analyzed to determine their resistance to antimicrobial agents used in Tehran poultry industry. By using Mast Diagnostic kit only O6 serotype was identified. Multiple resistance to antibiotics was observed in all isolates. The highest rate of resistance was against Tetracycline (94%), followed by Rifampicin (90%), and Oxytetracycline (80%)...

The prevalence of antimicrobial resistance (AR) limits the therapeutic options for treatment of infections, and increases the social benefit from disease prevention. Like an environmental resource, antimicrobials require stewardship. The effectiveness of an antimicrobial agent is a global public good. We argue for greater use of economic analysis as an input to policy discussion about AR, inclu...