原创力文档high load of multi-drug resistant nosocomial neonatal pathogens carried by cockroaches in a neonatal intensive care unit at tikur anbessa specialized hospital, addis ababa, ethiopia高负载的耐多药医院新生儿蟑螂携带的病原体在新生儿重症监护室tikur anbessa专业医院,埃塞俄比亚的亚的斯亚贝巴.pdfVIP
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high load of multi-drug resistant nosocomial neonatal pathogens carried by cockroaches in a neonatal intensive care unit at tikur anbessa specialized hospital, addis ababa, ethiopia高负载的耐多药医院新生儿蟑螂携带的病原体在新生儿重症监护室tikur anbessa专业医院,埃塞俄比亚的亚的斯亚贝巴
Tilahun et al. Antimicrobial Resistance and Infection Control 2012, 1:12
/content/1/1/12
RESEARCH Open Access
High load of multi-drug resistant nosocomial
neonatal pathogens carried by cockroaches in a
neonatal intensive care unit at Tikur Anbessa
specialized hospital, Addis Ababa, Ethiopia
1* 1 2 3 4 5
Birkneh Tilahun , Bogale Worku , Erdaw Tachbele , Simegn Terefe , Helmut Kloos and Worku Legesse
Abstract
Background: Cockroaches have been described as potential vectors for various pathogens for decades; although
studies from neonatal intensive care units are scarce. This study assessed the vector potential of cockroaches
(identified as Blatella germanica) in a neonatal intensive care unit setup in Tikur Anbessa Hospital, Addis Ababa,
Ethiopia.
Methods: A total of 400 Blatella germanica roaches were aseptically collected for five consecutive months.
Standard laboratory procedures were used to process the samples.
Results: From the external and gut homogenates, Klebsiella oxytoca, Klebsiella pneumoniae, Citrobacter spp.
Enterobacter cloacae, Citrobacter diversus, Pseudomonas aeruginosa, Providencia rettgeri, Klebsiella ozaenae,
Enterobacter aeruginosa, Salmonella C1, Non Group A streptococcus, Staphylococcus aureus, Escherichia coli,
Acinetobacter spp. and Shigella flexneri were isolated. Multi-drug resistance was seen in all organisms. Resistance to
up to all the 12 antimicrobials tested was observed in different pathogens.
Conclusion: Cockroaches could play a vector role for nosocomial infections in a neonatal intensive care unit and
environmental control measures of these vectors is required to reduce the risk of infection. A high level of drug
resistance patt
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