Exploring the evolution of <i>Acinetobacter baumannii</i> and <i>Pseudomonas aeruginosa</i> resistance during the COVID-19 era

<h3>Aim</h3><p dir="ltr">In our study, we aim to compare the resistance profiles of <i>Acinetobacter baumannii </i>and <i>Pseudomonas aeruginosa</i> isolates from intensive care unit (ICU) patients before and during the COVID-19 pandemic.</p>...

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Main Author: Emine Sehmen (22457614) (author)
Other Authors: Esmeray Mutlu Yılmaz (22457617) (author), Sevim Yetkin Pusa (22457620) (author), Metin Özdemir (22457623) (author), Yavuz Yiğit (17823383) (author)
Published: 2025
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_version_ 1864513537126170624
author Emine Sehmen (22457614)
author2 Esmeray Mutlu Yılmaz (22457617)
Sevim Yetkin Pusa (22457620)
Metin Özdemir (22457623)
Yavuz Yiğit (17823383)
author2_role author
author
author
author
author_facet Emine Sehmen (22457614)
Esmeray Mutlu Yılmaz (22457617)
Sevim Yetkin Pusa (22457620)
Metin Özdemir (22457623)
Yavuz Yiğit (17823383)
author_role author
dc.creator.none.fl_str_mv Emine Sehmen (22457614)
Esmeray Mutlu Yılmaz (22457617)
Sevim Yetkin Pusa (22457620)
Metin Özdemir (22457623)
Yavuz Yiğit (17823383)
dc.date.none.fl_str_mv 2025-03-01T00:00:00Z
dc.identifier.none.fl_str_mv 10.1017/ash.2025.46
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Exploring_the_evolution_of_i_Acinetobacter_baumannii_i_and_i_Pseudomonas_aeruginosa_i_resistance_during_the_COVID-19_era/30393142
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Medical microbiology
Pharmacology and pharmaceutical sciences
Health sciences
Epidemiology
Acinetobacter baumannii
Pseudomonas aeruginosa
Antibiotic resistance
Antimicrobial susceptibility
Intensive Care Unit (ICU)
dc.title.none.fl_str_mv Exploring the evolution of <i>Acinetobacter baumannii</i> and <i>Pseudomonas aeruginosa</i> resistance during the COVID-19 era
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <h3>Aim</h3><p dir="ltr">In our study, we aim to compare the resistance profiles of <i>Acinetobacter baumannii </i>and <i>Pseudomonas aeruginosa</i> isolates from intensive care unit (ICU) patients before and during the COVID-19 pandemic.</p><h3>Materials</h3><p dir="ltr">The study involved adult patients monitored in the ICUs of a secondary-level hospital from January 2019 to December 2022. Isolates of <i>A. baumannii </i>and <i>P. aeruginosa </i>were obtained from blood, urine, and respiratory samples. Identification and antibiotic susceptibility tests were conducted using the disk diffusion method and the VITEK 2 system.</p><h3>Results</h3><p dir="ltr">The average age of the patients was 61.3 ± 21.9 years (range: 18–95), with a majority of 1306 (51.6%) being male. During the pandemic, <i>A. baumannii</i> isolates showed a significant increase in resistance rates for several antibiotics compared to the pre-pandemic period: imipenem (96% vs 35.1%), amikacin (84.1% vs 14.4%), ciprofloxacin (96.9% vs 36.9%), trimethoprim-sulfamethoxazole (66.4% vs 27%), and ceftazidime (96.5% vs 33.3%) (all with <i>P</i>< .001). However, there was no significant change in colistin resistance rates in these isolates (0.9% vs 0%; <i>P</i>= .307). Similarly, <i>Pseudomonas aeruginosa</i> isolates exhibited significant increases in resistance rates during the pandemic compared to the pre-pandemic period: imipenem (51.5% vs 18.8%; <i>P</i>< .001), colistin (4.9% vs 0.6%; <i>P</i>= .009), amikacin (23.5% vs 4.4%; <i>P</i>< .001), ciprofloxacin (53.3% vs 13.8%; <i>P</i>< .001), and ceftazidime (39.2% vs 12.7%; <i>P</i>< .001).</p><h3>Conclusion</h3><p dir="ltr">Our results demonstrate a significant increase in antibiotic resistance levels in <i>Acinetobacter </i>and<i> Pseudomonas</i> strains associated with hospital-acquired infections or colonization during the COVID-19 pandemic.</p><h2>Other Information</h2><p dir="ltr">Published in: Antimicrobial Stewardship & Healthcare Epidemiology<br>License: <a href="https://creativecommons.org/licenses/by/4.0/" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1017/ash.2025.46" target="_blank">https://dx.doi.org/10.1017/ash.2025.46</a></p>
eu_rights_str_mv openAccess
id Manara2_3010048dd49e34eae6e1c4fb2eee683f
identifier_str_mv 10.1017/ash.2025.46
network_acronym_str Manara2
network_name_str Manara2
oai_identifier_str oai:figshare.com:article/30393142
publishDate 2025
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rights_invalid_str_mv CC BY 4.0
spelling Exploring the evolution of <i>Acinetobacter baumannii</i> and <i>Pseudomonas aeruginosa</i> resistance during the COVID-19 eraEmine Sehmen (22457614)Esmeray Mutlu Yılmaz (22457617)Sevim Yetkin Pusa (22457620)Metin Özdemir (22457623)Yavuz Yiğit (17823383)Biomedical and clinical sciencesMedical microbiologyPharmacology and pharmaceutical sciencesHealth sciencesEpidemiologyAcinetobacter baumanniiPseudomonas aeruginosaAntibiotic resistanceAntimicrobial susceptibilityIntensive Care Unit (ICU)<h3>Aim</h3><p dir="ltr">In our study, we aim to compare the resistance profiles of <i>Acinetobacter baumannii </i>and <i>Pseudomonas aeruginosa</i> isolates from intensive care unit (ICU) patients before and during the COVID-19 pandemic.</p><h3>Materials</h3><p dir="ltr">The study involved adult patients monitored in the ICUs of a secondary-level hospital from January 2019 to December 2022. Isolates of <i>A. baumannii </i>and <i>P. aeruginosa </i>were obtained from blood, urine, and respiratory samples. Identification and antibiotic susceptibility tests were conducted using the disk diffusion method and the VITEK 2 system.</p><h3>Results</h3><p dir="ltr">The average age of the patients was 61.3 ± 21.9 years (range: 18–95), with a majority of 1306 (51.6%) being male. During the pandemic, <i>A. baumannii</i> isolates showed a significant increase in resistance rates for several antibiotics compared to the pre-pandemic period: imipenem (96% vs 35.1%), amikacin (84.1% vs 14.4%), ciprofloxacin (96.9% vs 36.9%), trimethoprim-sulfamethoxazole (66.4% vs 27%), and ceftazidime (96.5% vs 33.3%) (all with <i>P</i>< .001). However, there was no significant change in colistin resistance rates in these isolates (0.9% vs 0%; <i>P</i>= .307). Similarly, <i>Pseudomonas aeruginosa</i> isolates exhibited significant increases in resistance rates during the pandemic compared to the pre-pandemic period: imipenem (51.5% vs 18.8%; <i>P</i>< .001), colistin (4.9% vs 0.6%; <i>P</i>= .009), amikacin (23.5% vs 4.4%; <i>P</i>< .001), ciprofloxacin (53.3% vs 13.8%; <i>P</i>< .001), and ceftazidime (39.2% vs 12.7%; <i>P</i>< .001).</p><h3>Conclusion</h3><p dir="ltr">Our results demonstrate a significant increase in antibiotic resistance levels in <i>Acinetobacter </i>and<i> Pseudomonas</i> strains associated with hospital-acquired infections or colonization during the COVID-19 pandemic.</p><h2>Other Information</h2><p dir="ltr">Published in: Antimicrobial Stewardship & Healthcare Epidemiology<br>License: <a href="https://creativecommons.org/licenses/by/4.0/" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1017/ash.2025.46" target="_blank">https://dx.doi.org/10.1017/ash.2025.46</a></p>2025-03-01T00:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1017/ash.2025.46https://figshare.com/articles/journal_contribution/Exploring_the_evolution_of_i_Acinetobacter_baumannii_i_and_i_Pseudomonas_aeruginosa_i_resistance_during_the_COVID-19_era/30393142CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/303931422025-03-01T00:00:00Z
spellingShingle Exploring the evolution of <i>Acinetobacter baumannii</i> and <i>Pseudomonas aeruginosa</i> resistance during the COVID-19 era
Emine Sehmen (22457614)
Biomedical and clinical sciences
Medical microbiology
Pharmacology and pharmaceutical sciences
Health sciences
Epidemiology
Acinetobacter baumannii
Pseudomonas aeruginosa
Antibiotic resistance
Antimicrobial susceptibility
Intensive Care Unit (ICU)
status_str publishedVersion
title Exploring the evolution of <i>Acinetobacter baumannii</i> and <i>Pseudomonas aeruginosa</i> resistance during the COVID-19 era
title_full Exploring the evolution of <i>Acinetobacter baumannii</i> and <i>Pseudomonas aeruginosa</i> resistance during the COVID-19 era
title_fullStr Exploring the evolution of <i>Acinetobacter baumannii</i> and <i>Pseudomonas aeruginosa</i> resistance during the COVID-19 era
title_full_unstemmed Exploring the evolution of <i>Acinetobacter baumannii</i> and <i>Pseudomonas aeruginosa</i> resistance during the COVID-19 era
title_short Exploring the evolution of <i>Acinetobacter baumannii</i> and <i>Pseudomonas aeruginosa</i> resistance during the COVID-19 era
title_sort Exploring the evolution of <i>Acinetobacter baumannii</i> and <i>Pseudomonas aeruginosa</i> resistance during the COVID-19 era
topic Biomedical and clinical sciences
Medical microbiology
Pharmacology and pharmaceutical sciences
Health sciences
Epidemiology
Acinetobacter baumannii
Pseudomonas aeruginosa
Antibiotic resistance
Antimicrobial susceptibility
Intensive Care Unit (ICU)