Background: P.aeruginosa has many virulence factors which are the main reason for
infection and the emergence of antibiotic resistance leading to an increase of morbidity
and mortality. Currently, multidrug resistance is the hardest problem, which made it
imperative to search for alternative treatment strategies. Objective: detection of some
phenotypic virulence factors of P.aeruginosa isolated from ICU patients and the
possibility of any antibiotic resistance related to certain virulence factors released by P.
aeruginosa. Methodology: Our study was carried out on patients admitted to ICU
Department in Benha University Hospital and infected with P.aeruginosa, the isolates
subjected to phenotypic detection of the virulence factors: phospholipase, alkaline
protease, lipase, gelatinase, esculin hydrolysis, biofilm formation, hemolysin and DNase
production using specific media for each and evaluation of the antibiotic susceptability
pattern using Kirby Bauer disk diffusion assay. Results: P.aeruginosa virulence factors
were recorded as follow: hemolysin (70%) followed by alkaline protease (68%),
phospholipase (62%), gelatinase & biofilm formation (60%) for each, lipase & bile
esculin hydrolysis (54%) for each and DNase (2%).High antibiotic resistance was
detected to mostly all of the used antibiotic discs. Also, presence of invasive device,
prolonged hospital stay, ICU stay and higher number of virulence factors were
associated with poor outcome. Conclusions: Production of different phenotypic
virulence factors in high amount reflects their important role in spread of infection and
pathogenicity with increased antibiotic resistance. Therefore finding anti-virulence
factors as adjuvant therapy has an important role in treatment of P. aeruginosa
especially MDR isolates.