scholarly journals The changing ecology of hospital bacteria and the selective role of cephalosporins

1991 ◽  
Vol 106 (1) ◽  
pp. 121-132 ◽  
Author(s):  
L. Mulgrave
Keyword(s):  
Antimicrobial Susceptibility ◽  
Positive Relationship ◽  
Empiric Therapy ◽  
Hospital Environment ◽  
Policy Choice ◽  
Isolation Frequency ◽  
Antimicrobial Susceptibility Tests ◽  
Cephalosporin Resistance ◽  
Susceptibility Tests

SUMMARYMore than 12800 clinical isolates from 115373 in-patient specimens obtained at the Sir Charles Gairdner Hospital, Perth, Western Australia, were identified and analysed statistically for relationships with usage of three generations of cephalosporins over the 5-year period from July 1984 to June 1989. A positive relationship between cephalosporin usage and significantly increasing isolation rates for those species capable of producing chromosomal β-lactamases was observed. Simultaneously, a small increase in the isolation frequency of non-chromosomal β-lactamase-producing strains was noted and no correlation with cephalosporin usage was demonstrated. The trend toward predomination in the hospital environment of strains possessing substantial cephalosporin resistance has implications for future antimicrobial policy, choice of empiric therapy and the predictive value of standard antimicrobial susceptibility tests.

scholarly journals Prevalence and antimicrobial Susceptibility of Bacteria Isolated from Septic wounds among Patients attending Uganda Martyrs’ Hospital Lubaga.

2021 ◽  
Author(s):  
◽  
Richard Musoke ◽  
Nathan Musisi Lubowa
Keyword(s):  
Antimicrobial Resistance ◽  
Antimicrobial Susceptibility ◽  
Cross Sectional Study ◽  
Hospital Environment ◽  
Resistance Pattern ◽  
Wound Infections ◽  
Cross Sectional ◽  
Etiologic Agents ◽  
Antimicrobial Susceptibility Tests ◽  
Susceptibility Tests

Background: Wound infections are associated with increased morbidity and mortality. Etiologic agents of wound infections vary with geographical locations. Pathogens that infect wounds can be part of normal flora or acquired from the hospital environment. This study aimed to determine the prevalence of wound infections, investigate the profile of pathogens cultured from an infected wound and determine their antimicrobial resistance pattern to commonly prescribed antibiotics.  Methodology: A prospective cross-sectional study was conducted at Uganda Martyrs’ Hospital Lubaga from March 2020 to May 2020. Swabs from different types of wounds were processed to investigate etiologic agents using the standard microbiological technique. Antimicrobial susceptibility tests were done using a simple disc diffusion technique.  Results: Out of 210 wound swab samples analyzed, 125(59.5%) were culture positive. 20(16%) of the culture had mixed infections and a total of 238 bacteria were isolated from 205 cases. Staphylococcus aureus was the most frequently isolated pathogen which accounted for 94 (75.2%) of isolates followed by Proteus 11 (8.8%). The sensitivity rates of Ciprofloxacin, ceftriaxone, and gentamicin were 80.6%, 80.6%, and 74.2% respectively.  Conclusions and recommendation: S. aureus and Proteus were the predominant causes of wound infections. Ciprofloxacin, ceftriaxone, and Gentamicin were the most effective drugs. Periodic surveillance of the species of bacteria involved in wound infection and determination of their antimicrobial resistance is recommended for empirical treatment.

scholarly journals Diagnosis and Treatment of Human Salmonellosis in Addis Ababa City, Ethiopia

2018 ◽  
Vol 2018 ◽  
pp. 1-7
Author(s):  
Legesse Garedew ◽  
Semaria Solomon ◽  
Yoseph Worku ◽  
Hilina Worku ◽  
Debela Gemeda ◽  
...  
Keyword(s):  
Antimicrobial Susceptibility ◽  
Addis Ababa ◽  
Clinical Signs ◽  
Diagnosis And Treatment ◽  
Widal Test ◽  
Predictive Values ◽  
Blood Samples ◽  
Antimicrobial Susceptibility Tests ◽  
Stool Samples ◽  
Susceptibility Tests

Background. Diagnosis using reliable tools and treatment followingin vitroantimicrobial susceptibility tests are critical to proper addressing of antibiotic-resistantSalmonellainfection.Methodology. A cross-sectional study was conducted to assess the practice of diagnosis and treatment of salmonellosis in Addis Ababa. Tube Widal test (for blood samples only), culture, biochemical and carbohydrate fermentation, serotyping, and antimicrobial susceptibility tests were employed for both blood and stool samples.Results. Of all the diseases listed in the diagnosis, nontyphoidal (n=72, 13.71%) and typhoidal (n=47, 8.95%) salmonellosis were the second and third common diseases. Among the 288 blood samples, almost half were positive for O, H, or both antigens. However, only 1 (0.68%) of the positive blood samples yieldedSalmonellaisolate during culture. The study demonstrated low specificity (0.68%) and positive predictive value (48.78%) of Widal test. Conversely, the test showed 100% sensitivity and negative predictive values.Salmonellaisolates were identified from 7 (7.07%) of 99 stool samples. Two-thirds of salmonellosis suspected patients received antibiotic treatment. However, only half of the confirmed salmonellosis patients were treated with appropriate antibiotics. All of the isolates were susceptible to ciprofloxacin and ceftriaxone but resistant to ampicillin.Conclusions. Majority of the patients who participated in this study were wrongly diagnosed using symptoms, clinical signs, and tube Widal test. Consequently, most of the patients received inappropriate treatment.

Yersinia enterocolitica isolates from humans in California, 1968-1975

1976 ◽  
Vol 4 (2) ◽  
pp. 137-144
Author(s):  
M L Bissett
Keyword(s):  
Yersinia Enterocolitica ◽  
Antimicrobial Susceptibility ◽  
Breast Abscess ◽  
Biochemical Tests ◽  
California Department ◽  
Biochemical Characteristics ◽  
Serotype O ◽  
Department Of Health ◽  
Antimicrobial Susceptibility Tests ◽  
Susceptibility Tests

This paper reports on the serological and biochemical characteristics of 24 human isolates of Yersinia enterocolitica submitted to the California Department of Health from 1968 through 1975. Nine different serotypes were represented. The majority of strains were serotype O:8 (six strains) and serotype O:5 (five strains). Sources of the isolates included feces (12 cases), blood (3), sputum or throat (3), bile or bowel drainage (2), wounds (2), breast abscess (1), and skin abscess (1). Clinical histories indicated a number of different syndromes. Underlying medical conditions existed in 13 cases. Results of selected biochemical tests and antimicrobial susceptibility tests on the strains indicated grouping compatible with the O serotypes of the organisms.

scholarly journals Trends in Antibiotic Resistance of Major Uropathogens

2020 ◽  
Author(s):  
Falah Hasan Obayes AL-Khikani
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Antimicrobial Susceptibility ◽  
Bacterial Species ◽  
High Rate ◽  
Control Group ◽  
Microbiological Methods ◽  
Antimicrobial Susceptibility Tests ◽  
Susceptibility Tests

Around the world, there is no population clear from urinary tract infection (UTI), particularly among women. UTI is considered the most predominant bacterial infection. This study aimed to detect the incidence of the most common major uropathogens in patients severe from urinary tract infection with antibiotic sensitivity tests that assist urologist doctors for appropriate antimicrobial empirical therapy.Methods: This study was carried in a private laboratory in Babil city, Iraq from May 2019 to May 2020. Totally 70 individuals suffering from clear symptoms of UTI, as well as, 20 healthy persons participated in this study as a control group. Then, the standard microbiological methods carried out to isolate and identify bacterial species. Antimicrobial susceptibility tests were performed using different antimicrobial discs by applying the Kirby–Bauer disc diffusion method.Results: Totally, 90 specimens were obtained from them 20 control group, 19 with no growth, and 51 patients with bacterial growth distributed as 43 (83%) females and 8 (17%) males. E. coli were the most common predominant organisms. All isolates were showed a high rate of resistance to evaluated cephalosporins 100% and 82% to cefotaxime and ceftriaxone respectively, while very low resistance recorded in Aminoglycosides 20% and 13% to Gentamicin and amikacin respectively. Most age group infected with UTI was 21-40 years old.Conclusion: The current study showed an increasing burden of urinary tract infection caused by various bacteria implicated in UTI that causes changeable sensitivity to various antimicrobial agents. Therefore, in clinical use appropriate medications should be selected based on the data obtained from antimicrobial susceptibility tests.

Sign in / Sign up

Export Citation Format

Share Document