Ambulance vehicles as a source of multidrug-resistant infections: a multicenter study in Assiut City, Egypt.

摘要: Background Ambulances may represent a potential source of infection to patients, patients' relatives, and paramedical staffs. In this study, we analyzed the extent bacterial contamination in ambulance vehicles measured degree antimicrobial resistance among isolated pathogens. Materials methods Twenty-five were included 16 sampling points swabbed each vehicle. Then swabs immediately transferred laboratory identify contaminants utilizing standard microbiological procedures API® systems. Antibiotic susceptibility testing screening for methicillin-resistant staphylococci extended spectrum β-lactamases (ESBLs)-producing Gram-negative rods carried out. Results A total 400 samples collected, 589 bacteria 286 (48.6%) isolates potentially pathogenic. The highest rate with pathogenic was detected suction devices (75.8%) stethoscopes (67.7%). Staphylococci most frequently microorganisms (n=184) followed by Klebsiella spp. (49), Escherichia coli (40), Citrobacter (7), Proteus (6). mostly sensitive vancomycin, whereas imipenem. Overall, 46.1% Staphylococcus aureus methicillin resistant, 20.4% coagulase-negative resistant. Moreover, 36.7% 27.5% E. ESBL producers. Conclusion Our study provides evidence that ambulances prehospital multidrug-resistant infections.