{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T22:38:45Z","timestamp":1777934325768,"version":"3.51.4"},"reference-count":25,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2015,2,1]],"date-time":"2015-02-01T00:00:00Z","timestamp":1422748800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Surgical Infections"],"published-print":{"date-parts":[[2015,2,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Unit-specific antibiograms have developed to guide clinicians to appropriate antibiotic choices for subsets of patients. The additional level of a unit- and respiratory-specific antibiogram for surgical and trauma patients defines key differences in susceptibility information for treating hospital-acquired pneumonia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      This was a three-year, retrospective single-center study. A total of 729 positive respiratory specimens from 612 patients were analyzed using Quality Compass Pathfinder\n                      <jats:sup>\n                        <jats:bold>\u00ae<\/jats:bold>\n                      <\/jats:sup>\n                      , the antibiotic-reporting software. Culture and susceptibility reports were compared for the surgical\/trauma intensive care unit (S\/TICU) and the general hospital (excluding the S\/TICU but including the medical ICU [MICU]). Data were filtered to include those genera and organisms with a high association with hospital-acquired pneumonia:\n                      <jats:italic toggle=\"yes\">Acinetobacter, Citrobacter, Enterobacter, Escherichia coli, Haemophilus, Klebsiella, Neisseria, Pseudomonas, Staphylococcus, Stenotrophomonas, Streptococcus<\/jats:italic>\n                      , and\n                      <jats:italic toggle=\"yes\">Serratia<\/jats:italic>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      For gram-negative organisms, susceptibility differences were noted for\n                      <jats:italic toggle=\"yes\">Acinetobacter<\/jats:italic>\n                      and\n                      <jats:italic toggle=\"yes\">Pseudomonas<\/jats:italic>\n                      between the S\/TICU and the rest of the hospital. In particular,\n                      <jats:italic toggle=\"yes\">Acinetobacter<\/jats:italic>\n                      was significantly more susceptible to ciprofloxacin (86% vs. 43%; p&lt;0.001), gentamicin (86% vs. 54%; p=0.001), imipenem-cilastatin (93% vs. 55%; p&lt;0.001), trimethoprim-sulfamethoxazole (88% vs. 54%; p=0.001), and tobramycin (50% vs. 0; p=0.012).\n                      <jats:italic toggle=\"yes\">Pseudomonas<\/jats:italic>\n                      isolates from the S\/TICU were significantly more susceptible to aztreonam (83% vs. 68%; p=0.037), ciprofloxacin (86% vs. 69%; p=0.019), and imipenem-cilastatin (94% vs. 79%; p=0.01). For gram-positive organisms,\n                      <jats:italic toggle=\"yes\">Staphylococcus<\/jats:italic>\n                      isolates from the S\/TICU were significantly more susceptible to erythromycin (81% vs. 57%; p=0.007) and trimethoprim-sulfamethoxazole (98% vs. 91%; p=0.034) than were the hospital isolates.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>\n                      For key respiratory pathogens, such as\n                      <jats:italic toggle=\"yes\">Pseudomonas, Acinetobacter<\/jats:italic>\n                      , and\n                      <jats:italic toggle=\"yes\">Staphylococcus<\/jats:italic>\n                      , surgical and trauma patients present greater susceptibility to several antibiotics. Although this information cannot be extrapolated to other institutions, it does provide a basis for comparable institutions to consider developing unit- and collection-site-specific antibiograms for infections that affect surgical\/trauma patients commonly.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/sur.2013.171","type":"journal-article","created":{"date-parts":[[2015,3,11]],"date-time":"2015-03-11T10:12:18Z","timestamp":1426068738000},"page":"62-67","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Antimicrobial Susceptibilities of Respiratory Pathogens in the Surgical\/Trauma Intensive Care Unit Compared with the Hospital-Wide Respiratory Antibiogram in a Level I Trauma Center"],"prefix":"10.1177","volume":"16","author":[{"given":"Sara","family":"Al-Dahir","sequence":"first","affiliation":[{"name":"Xavier University of Louisiana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher","family":"Gillard","sequence":"additional","affiliation":[{"name":"Xavier University of Louisiana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fatima","family":"Brakta","sequence":"additional","affiliation":[{"name":"Xavier University of Louisiana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julio E.","family":"Figueroa","sequence":"additional","affiliation":[{"name":"Louisiana State University School of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2015,3,11]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1086\/510393"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1073\/pnas.94.22.12106"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003246-200106000-00001"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2003.07.005"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1128\/AAC.41.5.1127"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1089\/sur.2011.056"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrc.2012.02.006"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1086\/658665"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1086\/514913"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1086\/595011"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1592\/phco.28.2.235"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1086\/504476"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2007.10.006"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.133.10.1041"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.200405-644ST"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1093\/jac\/48.suppl_1.5"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.133.10.1041"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.44.4.1592-1593.2006"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1574-6976.2006.00049.x"},{"key":"e_1_3_3_21_2","unstructured":"Centers for Disease Control and Prevention. Antimicrobial susceptibility testing of Neisseria meningitidis Haemophilus influenzae and Streptococcus pneumoniae. Atlanta. The Centers; available at www.cdc.gov\/meningitis\/lab-manual\/chpt11-antimicrobial-suscept-testing.html#ref10. Accessed July15 2013."},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-200010000-00010"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1089\/sur.2010.052"},{"key":"e_1_3_3_24_2","first-page":"307","article-title":"Implementation of antibiotic rotation protocol improves antibiotic susceptibility profile in a surgical intensive care unit","volume":"63","author":"Bennett KM","year":"2007","unstructured":"Bennett KM, , Scarborough JE, , Sharpe M, et al. Implementation of antibiotic rotation protocol improves antibiotic susceptibility profile in a surgical intensive care unit. J Trauma, 2007; 63:307\u2013311.","journal-title":"J Trauma"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.TA.0000141890.29032.9A"},{"key":"e_1_3_3_26_2","first-page":"1","article-title":"Observations of resistance through minimum inhibitory concentrations trends for respiratory specimens of commonly isolated organisms","author":"Gillard C","year":"2012","unstructured":"Gillard C, , Al-Dahir S, , Brakta F. Observations of resistance through minimum inhibitory concentrations trends for respiratory specimens of commonly isolated organisms. 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