Paucity of Nosocomial Surveillance Programmes, Infection Prevention and Control Practices in Pakistan: Impact of International Nosocomial Infection Control Consortium In the Developing Countries (INICC)

Abstract

Objective: To isolate/identify device associated bacteria with their antibiotic
sensitivity/resistance patterns in 2015 and to compare them with such 2010 results. Further the
impact of MSDS on device associated infections.
Methods: This cross-sectional study was carried out by the Microbiology Laboratory on devices
or device-associated samples from intensive care units of Services Hospital Lahore in 2015.
Bacteria were identified and their antibiotic sensitivities/resistance were tested.
Results: Samples submitted by ICUs were 446 with 302 from devices. Tracheal samples were
189(62.6%) whereas CV tips (30%)and Folleys catheter (4.3%). Growth positive samples were
219 (72%). Non fermentors comprised 54 % isolates with Acinetobacter predominating (33%)
followed by Pseudomonas(21.8%). Enterobacteriaceae were 44% with E coli(16%) Klebsiella
(12%) Proteus (10.7%) and Citrobacter (5.9%). Gram positive isolates comprised (n=23) isolates.
Oxacillin resistant were (n=4). Acinetobacters (n=20) Pseudomonas (n=15) and Enteroba-
ctericeae (n=18)with Klebsiella (n=12) were resistant to all drugs tested. ESBLs were 14.
Conclusion: DAIs are a serious threat in ICU. Surveillance Programmes should be carried out
under guidance of INICC.