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Psuedomonas aeruginosa: A nosocomial bacteria Challenges to healthcare Annotated Bibliography (1) Melaku, S., Gebre-Selassie, S., Damtie, M., and Alamrew, K. (2012) Hospital acquired infections among surgical, gynecology and obstetrics patients in Felege-Hiwot referral hospital, Bahir Dar, northwest Ethiopia. Ethiop Med 2012 -- Apr; 50(2): 135-44. Retrieved from PubMed. Melaku, Gebre-Selassie, Damtie, and Alamrew (2012) report a study with the objective of assessing the prevalence and risk factors of hospital-acquired infections and the antibiotic susceptibility pattern of bacterial isolates in Feleg-Hiwot referral hospital. The study is reported to have been conducted among 1383 patients admitted to Surgical and Gynecology-Obstetrics wards during their stay in the hospital for development of infections. Data collected included sociodemographic, underlying disease, and risk factors. These were investigated using culture, biochemical testing, and gram staining as well as antibacterial sensitivity tests using disc diffusion methods. Results reported state that of the 1383 patients assessed including 333 obstetrics, and 89 gynecology patients, that "17.1% 21.0% and 13.5% developed infections, respectively. The overall incidence of hospital acquired infections was 246 (17.8%) with 251 (18.1%) episodes of bacterial infections. Urinary tract and surgical site infections were detected in 118 (48%) and 112 (45.6%) of the cases, respectively. Of the bacterial isolates, 132 (52.6%) were gram negative and 119 (47.4%) gram positive. Escherichia coli, Klebsiella pneumoniae, Psuedomonas aeruginosa, were the dominant gram negative isolates accounting for 49 (19.5%), 36 (14.3%) and 26 (10.4%), respectively. On the other hand, Staphylococcus aureus, coagulase negative staphylococci, and Enteroccocus species were isolated in 91 (36.3%), 18 (7.2%) and 10 (4.0%), respectively. Surgery, catheterization, underlying diseases, antibiotics prophylaxis and length of hospital stay were risk factors for infection (P<