Changing patterns and widening of antibiotic resistance inShigellaspp. over a decade (2000–2011), Andaman Islands, India

2014 ◽  
Vol 143 (3) ◽  
pp. 470-477 ◽  
Author(s):  
D. BHATTACHARYA ◽  
H. BHATTACHARYA ◽  
D. S. SAYI ◽  
A. P. BHARADWAJ ◽  
M. SINGHANIA ◽  
...  
Keyword(s):  
Drug Resistance ◽  
Antibiotic Resistance ◽  
Wide Spectrum ◽  
Resistance Pattern ◽  
Third Generation ◽  
Isolation And Identification ◽  
Antimicrobial Drugs ◽  
Drug Resistance Pattern ◽  
Resistance Patterns ◽  
Third Generation Cephalosporins

SUMMARYThis study is a part of the surveillance study on childhood diarrhoea in the Andaman and Nicobar Islands; here we report the drug resistance pattern of recent isolates ofShigellaspp. (2006–2011) obtained as part of that study and compare it with that ofShigellaisolates obtained earlier during 2000–2005. During 2006–2011, stool samples from paediatric diarrhoea patients were collected and processed for isolation and identification ofShigellaspp. Susceptibility to 22 antimicrobial drugs was tested and minimum inhibitory concentrations were determined for third-generation cephalosporins, quinolones, amoxicillin-clavulanic acid combinations and gentamicin. A wide spectrum of antibiotic resistance was observed in theShigellastrains obtained during 2006–2011. The proportions of resistant strains showed an increase from 2000–2005 to 2006–2011 in 20/22 antibiotics tested. The number of drug resistance patterns increased from 13 in 2000–2005 to 43 in 2006–2011. Resistance to newer generation fluoroquinolones, third-generation cephalosporins and augmentin, which was not observed during 2000–2005, appeared during 2006–2011. The frequency of resistance inShigellaisolates has increased substantially between 2000–2006 and 2006–2011, with a wide spectrum of resistance. At present, the option for antimicrobial therapy in shigellosis in Andaman is limited to a small number of drugs.

scholarly journals Antibiotic Resistance ofSalmonellaspp. Isolated from Shrimp Farming Freshwater Environment in Northeast Region of Brazil

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Fátima C. T. Carvalho ◽  
Oscarina V. Sousa ◽  
Edirsana M. R. Carvalho ◽  
Ernesto Hofer ◽  
Regine H. S. F. Vieira
Keyword(s):  
Drug Resistance ◽  
Antibiotic Resistance ◽  
Shrimp Farming ◽  
Diffusion Method ◽  
Resistance Pattern ◽  
Plasmid Curing ◽  
Freshwater Environment ◽  
Disk Diffusion Method ◽  
Northeast Region ◽  
Drug Resistance Pattern

This study investigated the presence and antibiotic resistance ofSalmonellaspp. in a shrimp farming environment in Northeast Region of Brazil. Samples of water and sediments from two farms rearing freshwater-acclimatedLitopenaeus vannameiwere examined for the presence ofSalmonella. Afterwards,Salmonellaisolates were serotyped, the antimicrobial resistance was determined by a disk diffusion method, and the plasmid curing was performed for resistant isolates. A total of 30 (16.12%) of the 186 isolates were confirmed to beSalmonellaspp., belonging to five serovars:S. serovar Saintpaul,S. serovar Infantis,S. serovar Panama,S. serovar Madelia, andS. serovar Braenderup, along with 2 subspecies:S. entericaserovar houtenae andS. entericaserovar enterica. About twenty-three percent of the isolates were resistant to at least one antibiotic, and twenty percent were resistant to at least two antibiotics. Three strains isolated from water samples (pond and inlet canal) exhibited multiresistance to ampicillin, tetracycline, oxytetracycline, and nitrofurantoin. One of them had a plasmid with genes conferring resistance to nitrofurantoin and ampicillin. The incidence of bacteria pathogenic to humans in a shrimp farming environment, as well as their drug-resistance pattern revealed in this study, emphasizes the need for a more rigorous attention to this area.

scholarly journals Antibiotic resistance pattern of Klebsiella pneumoniae in obtained samples from Ziaee Hospital of Ardakan, Yazd, Iran during 2016 to 2017

2020 ◽  
Vol 2 (2) ◽  
pp. 32-36
Author(s):  
Jamshid Ayatollahi ◽  
◽  
Mohammad Sharifyazdi ◽  
Razieh Fadakarfard ◽  
Seyed Hossein Shahcheraghi ◽  
...  
Keyword(s):  
Drug Resistance ◽  
Antibiotic Resistance ◽  
Klebsiella Pneumoniae ◽  
Resistance Pattern ◽  
Inappropriate Use ◽  
Antibiotic Resistance Pattern ◽  
Appropriate Treatment ◽  
Resistance Patterns ◽  
Susceptibility Tests ◽  
Antibiotic Resistance Patterns

Background: In recent years, due to the inappropriate use of antibiotics, drug resistance has increased in gram negative bacilli, including Klebsiella pneumoniae. Drug resistance is associated with an increase in mortality and therapeutic costs. Therefore, determination of an antibiotic resistance pattern for choosing the appropriate treatment for infections caused by this bacterium seems necessary. This study was conducted to determine the antibiotic resistance pattern of Klebsiella pneumoniae species isolated from patients referring to Ziaee Hospital in Ardakan in 2016-2017. Materials and Methods: For this descriptive-analytic study, all positive cultures of Klebsiella pneumoniae in patients referred to Ziaee Hospital in Ardakan during 2016 to 2017, were evaluated. Antibiotic resistance patterns of the samples were determined by the standard method of propagation of the disk from 12 different antibiotics and data analyzed by SPSS 21 software. Results and discussions: The results of this study, which were performed on 75 samples, showed that 22 (29.3%) were male and 53 (70.7%) were female. Klebsiella's resistance to clarithromycin was 100%, but was 100% susceptible to amikacin. The percentage of Klebsiella's resistance to ampicillin was 78.3%, cefalotin 75%, cotrimoxazole 43.9%, ceftriaxone 32%, ciprofloxacin 30.9%, cefotaxime 24%, and ampicillin 20%. The highest sensitivity of Klebsiella pneumoniae for antibiotics was 100% for amikacin, 82.8% for meropenem and 82% for cefepime. Due to the high prevalence of resistance in Klebsiella samples, there is a need for strict measures in the administration of antibiotics. Antibiotic resistance can also be reduced by choosing the appropriate antibiotic for treatment and by taking antibiotic susceptibility tests.

scholarly journals Resistance to chloramphenicol and ampicillin in Salmonella johannesburg in Hong Kong: observations over a five-year period 1973-1977

1978 ◽  
Vol 81 (3) ◽  
pp. 343-351 ◽  
Author(s):  
P. Y. Chau ◽  
W. T. Wong ◽  
Y. P. Fok
Keyword(s):  
Antibiotic Resistance ◽  
Hong Kong ◽  
Resistance Pattern ◽  
Dilution Method ◽  
Agar Dilution Method ◽  
Antimicrobial Drugs ◽  
Resistance Factors ◽  
Resistance Patterns ◽  
Agar Dilution

SummarySamonella johannesburg has been prevalent in Hong Kong since 1973 and most strains were resistant to a multiplicity of antibiotics. The susceptibility of S. johannesburg strains isolated in a 5-year period from 1973 to 1977 to eight antimicrobial drugs including ampicillin (A), streptomycin (S), tetracycline (T), chloramphenicol (C), Kanamycin (K), sulphadiazine (Su), trimethoprim (Tm) and gentamicin (G) was tested by the agar dilution method. The proportion of strains resistant to chloramphenicol and ampicillin increased steadily during the 5-year period while those resistant to tetracycline decreased dramatically. This change was associated with an alteration of predominant patterns of antibiotic resistance: strains with the resistance pattern A.S.T.C.K.Su predominated in years 1973, 1974 and 1975 while those with the resistance pattern A.S.C.K.Su predominated in years 1976 and 1977. Analysis of the resistance patterns of S. johannesburg strains isolated from the same cases showed that the resistance pattern A.S.C.K.Su was more stable, and changed less frequently to other patterns of resistance than strains with the resistance pattern A.S.T.C.K.Su. In donor salmonella strains with the A.S.T.C.K.Su resistance pattern, transmissible factorscarrying resistance to A.S.T.C.K.Su in to to, to A.S.T.C.Su, A.T.C.K.Su and to A or T alone were demonstrated. In donor salmonella strains with the A.S.C.K.Su resistance pattern, transmissible factors carrying resistance to A.S.C.K.Su in toto and to A.S.K.Su were detected. The significance of the carriage of such transmissible resistance factors by this Salmonella is briefly discussed.

scholarly journals Antibiotic resistance pattern of Salmonella spp. isolated from stool samples of hospitalized diarrheal patients in Bangladesh

2018 ◽  
Vol 3 (4) ◽  
pp. 534-538 ◽  
Author(s):  
Mohammad Sharif Uddin ◽  
Md Imranul Hoq ◽  
Mohammad Shaokat Ali ◽  
Md Mijanur Rahman ◽  
KM Shariful Islam
Keyword(s):  
Drug Resistance ◽  
Antibiotic Resistance ◽  
Public Health Problem ◽  
Diffusion Method ◽  
Resistance Pattern ◽  
Salmonella Spp ◽  
Mortality And Morbidity ◽  
Antibiotic Susceptibility Test ◽  
Drug Resistance Pattern ◽  
Stool Samples

This study was carried out to investigate the drug resistance pattern of Salmonella spp. from diarrheal patients of under 5 years of age. Collected stool samples from the hospitalized diarrheal patients were analyzed for the presence of Salmonella spp. Among 350 stool samples from diarrheal patients, 15 (4%) were positive for the Salmonella spp. Antibiotic susceptibility test of the identified Salmonella spp. was performed according to Kirby-Bauer disc diffusion method. Eight commonly used antibiotics including azithromycin (15 μg), chloramphenicol (30 μg), Sulphamethaxole-trimethoprim (25 μg), metronidazole (50 μg), tetracycline (30 μg), doxycycline (30 μg), erythromycin (15 μg) and ciprofloxacin (5 μg) used to determine drug resistance pattern of the identified Salmonella spp. Majority of the isolates were multidrug resistant showed resistance against more than three drugs. 73% of Salmonella spp. was resistant to 2-4 drugs and 20% showed resistance to more than 5 drugs. We found that 100% Salmonella showed resistance to metronidazole and 87% were resistant to erythromycin. 7% isolates were resistant to chloramphenicol and doxycycline and 20% were resistant to ciprofloxacin. Antibiotic resistance is a serious public health problem worldwide and a leading cause of mortality and morbidity. This kind of situation, leads to great socioeconomic losses from the perspective of the patient, the hospital, and the whole society. To get rid form the drug resistance problem unnecessary, over and misuse of antibiotics should immediately prohibited and policy of judicious use of antibiotics should be strengthened.Asian J. Med. Biol. Res. December 2017, 3(4): 534-538

scholarly journals CLINICAL PROFILE, DRUG RESISTANCE PATTERN AND TREATMENT OUTCOMES OF ABDOMINAL TUBERCULOSIS PATIENTS IN WESTERN INDIA

2019 ◽  
Vol 56 (2) ◽  
pp. 178-183 ◽  
Author(s):  
Suhas UDGIRKAR ◽  
Samit JAIN ◽  
Sunil PAWAR ◽  
Sanjay CHANDNANI ◽  
Qais CONTRACTOR ◽  
...  
Keyword(s):  
Drug Resistance ◽  
Treatment Outcomes ◽  
Wide Spectrum ◽  
Symptomatic Relief ◽  
Abdominal Tuberculosis ◽  
Clinical Profile ◽  
Resistance Pattern ◽  
Western India ◽  
Ileocaecal Valve ◽  
Drug Resistance Pattern

ABSTRACT BACKGROUND: Abdominal tuberculosis is an increasing problem in developing world. OBJECTIVE: The objective of the study was to describe the clinical presentations, drug resistance pattern and treatment outcomes of abdominal tuberculosis in Western India. METHODS: All the cases of abdominal tuberculosis from May 2014 to April 2017, diagnosed on the basis of clinical profile and gross morphological findings at endoscopy, imaging, followed by histology and/or GeneXpert and MGIT culture were included. All patients received antitubercular drug (AKT) therapy according to national protocol. Patients were followed from diagnoses till completion of treatment and various parameters were studied. RESULTS: Out of the 176 patients, 48% were males. Abdominal pain was most common complaint in 83.5%. On colonoscopy terminal ileum and ileocaecal valve were most commonly involved segments. Upper gastrointestinal tract was involved in four patients. Overall ulceronodular lesions were most common followed by ulcerative/nodular lesion. Strictures in bowel were seen in 28 (15.9%) patients with ileocaecal valve being most commonly involved, of which 23 had symptomatic relief with AKT and only three required dilatation. Histopathology showed granuloma in 80.8% cases. MGIT was positive in 43 (35.80%) cases and GeneXpert was positive in 35 (26.1%) cases. Eight patients had multi drug resistant tuberculosis. Only two patients required surgical management. CONCLUSION: Abdominal tuberculosis with wide spectrum of presentation, can still be managed with early diagnosis and treatment even in patients with sub acute intestinal obstruction. Weight gain or resolving symptoms were considered early markers of treatment response. Patients with stricture can become asymptomatic with medical treatment alone.

ANTIMICROBIAL SUSCEPTIBILITY PROFILE OF PATIENTS OF UTI IN A TERTIARY CARE HOSPITAL

2021 ◽  
pp. 15-16
Author(s):  
Tyagi Ayushi ◽  
Gupta Smita ◽  
Grover Ankit
Keyword(s):  
Tertiary Care ◽  
Multi Drug Resistance ◽  
Resistance Pattern ◽  
Care Hospital ◽  
Antimicrobial Drugs ◽  
In Vitro Susceptibility ◽  
E Coli ◽  
Drug Resistance Pattern ◽  
Resistance Patterns

BACKGROUND: Urinary tract infection (UTI) is one of the commonest infection in humans, mainly following instrumentation. Common causative pathogens include E.coli, Pseudomonas, Klebsiella, Proteus etc. Thus, the aim of this study was to determine causative urinary bacteria and assess their in vitro susceptibility pattern to commonly used antimicrobial drugs. MATERIALAND METHODS: One sample from each subject was considered. Total of 100 positive urine cultures were taken. RESULT: E. coli (55%) was the predominant organism followed by K. pneumoniae (15%) and pseudomonas (11%). Resistance of microbes was high towards cefoperazone/ sulbactam, piperacillin/ tazobactam, meropenem. CONCLUSION: Findings from the study revealed that E.coli is the most predominant etiology of UTIs followed by Klebsiella. The results show that the antimicrobial resistance patterns of the causes of UTI are highly variable. The multi-drug resistance pattern in these bacteria was high. Hence, it becomes essential to treat UTI patients based on microbiological susceptibility results.

​Multidrug-resistance Pattern of Antibiogram of Escherichia coli and Staphylococcus aureus Isolated from Mastitis Affected Buffaloes in Eastern Uttar Pradesh

2021 ◽  
Author(s):  
S.V. Singh ◽  
J.P. Singh ◽  
Vibha Yadav ◽  
Sandeep Kumar Yadav ◽  
Ramakant . ◽  
...  
Keyword(s):  
Drug Resistance ◽  
Antibiotic Resistance ◽  
Multiple Drug Resistance ◽  
Antibiotic Sensitivity ◽  
Multi Drug Resistance ◽  
Resistance Pattern ◽  
Multiple Drug ◽  
E Coli ◽  
Whole Milk ◽  
Drug Resistance Pattern

Background: Mastitis is a problem of dairy animals including buffaloes. Treatment failure has become a common problem and the most cited reason is antibiotic resistance. The paper presents the scenario of antibiotic resistance with special reference to multi drug resistance pattern. Methods: Microbiological assay of mastitis affected 48 milk samples was carried out using standard protocols to establish the prevalence of mastitis caused by E. coli and S. aureus. Antibiotic sensitivity test was carried out against these organisms and the whole milk culture for commonly used antibiotics. The drug resistance pattern was established. Result: The overall prevalence of mastitis was 20%. The prevalence of E. coli and S. aureus was 29.17% and 54.17% respectively. The antibiotic sensitivity revealed that E.coli isolates were 100% susceptible to tetracycline, gentamicin, enrofloxacin and streptopenicillin followed by Ceftriaxone and sulbactum combination and streptomycin (92.86%) and ceftriaxone and methicillin (85.71%). The isolates of S. aureus were 100% sensitive to only two antibiotics gentamicin and streptopenicillin. The antibiogram of whole milk culture revealed maximum susceptibility to enrofloxacin, gentamicin and streptopeniciliin (95.83% each). Multiple drug resistance has been observed in this study.

Detection and antibiogram of Edwardsiella tarda from Oreochromis niloticus (Tilapia fish) obtained from selected farms in Ibadan, Nigeria

2021 ◽  
Author(s):  
Ogunleye Seto Charles ◽  
Ishola Olayinka Olabisi ◽  
Olatoye Isaac Olufemi ◽  
Adedeji Olufemi Bolarinwa
Keyword(s):  
Oreochromis Niloticus ◽  
Edwardsiella Tarda ◽  
Multi Drug Resistance ◽  
Resistance Pattern ◽  
Bacterial Disease ◽  
Isolation And Identification ◽  
North West ◽  
Drug Resistance Pattern ◽  
Resistance Patterns ◽  
Ibadan Nigeria

Edwardsiellosis caused by Edwardsiella tarda is a septicemic bacterial disease responsible for 5- 70% mortalities and prevalence up-to 70% in freshwater fishes. Although rarely associated with human infections, Edwardsiella tarda have been found to cause gastroenteritis, soft tissue infection, liver abscess, tubo-ovarian abscess, and mycotic aneurysm mostly in immunocompromised humans. This study investigated prevalence and antibiogram of E. tarda isolated from Oreochromis niloticus obtained from selected farms in Ibadan, Nigeria. A total of 156 samples consisting: gills, intestines and skins were collected from 52 O. niloticus from Egbeda-(A), Ido-(B), Ibadan: NorthEast-(C) and North-West-(D) for bacteriological analysis. E. tarda Isolation, identification, and antibiogram were performed using standard methods. Data were analyzed using Chi-Square. An overall prevalence of 62.5% was observed for E. tarda with 87.5%, 62.5% and 50.0% for gills, intestine and skin samples, respectively, whilst overall location prevalence were observed as: 100.0%-(A), 50.0%-(B), 66.6%-(C) and 50.0%-(D). Isolates exhibited resistance patterns comprising; 100.0%-(Ceftazidime-(CPZ), Cefuroxime-(CRX) and Meropenem-(MEM)), 91.7%- Cefotaxime-(CTX), 83.3%-(Tetracyclin-(TET)), 50.0%-(Cotrimoxazole-(COT)), 33.3% (Ceftriaxone-(CTR) and Gentamicin-(GEN)), 25.0%-(Chloramphenicol-(CHL)), 16.7%-Amikacin- (AMK) and 8.3%-(Ciprofloxacin-(CIP)). Multi-drug resistance pattern: CRX-CFZ-MEM-(100%), CRX-CTR-CTX-CFZ-MEM-(83.3%), CRX-CTR-CTX-CFZ-MEM-TET-(66.7%), CRX-CTRCTX-CFZ-MEM-TET-COT-(58.3%) and CRX-CTR-CTX-CFZ-MEM-TET-COT-GEN-(8.3%) was observed. Isolation and identification of E. tarda from O. niloticus confirm its presence in Ibadan and affirms that O. niloticus harbors, and could serve as a source of infection to humans. The antimicrobial resistance patterns of isolates to antibiotics indicate misuse in aquaculture and indiscriminate disposal of antibiotics into aquatic environments. This suggests risks of transmission of infectious agents to human and probable spread of resistant pathogens to humans from the environment.

scholarly journals Prevalence and Antibiotic Resistance of Bacteria Isolated from Urinary Tract Infections of Pregnant Women in Baghdad Hospitals

2018 ◽  
Vol 11 (4) ◽  
pp. 1989-1994
Author(s):  
Kais Kassim Ghaima ◽  
Zainab Shaban Khalaf ◽  
Alaa Aziz Abdulhassan ◽  
Noor Yahya Salman
Keyword(s):  
Antibiotic Resistance ◽  
Urinary Tract ◽  
Pregnant Women ◽  
Urinary Tract Infections ◽  
Age Groups ◽  
Resistance Pattern ◽  
Isolation And Identification ◽  
Microbiological Methods ◽  
Resistance Patterns ◽  
Tract Infections

The aim of this study was investigating the drug resistance patterns of bacteria isolated from pregnant women with urinary tract infections (UTIs). This study included 1140 pregnant women attending two of main hospitals in Baghdad, Iraq, between September 2016 and August 2017. The isolation and identification of uropathogenic bacteria conducted by standard microbiological methods and Vitek2 system. The disc diffusion test was used to determine the antimicrobial resistance patterns of the isolated bacteria. The present study revealed that three hundred and fifty six isolates were positive for significant bacterial growth. Escherichia coli were the predominant bacteria (34 %) followed by Staphylococcus aureus (22.2 %), Klebsiella spp. (14.6 %), non-coagulase Staphylococcus (11.5 %), Proteus spp. (4.5 %), Pseudomonas spp. (3.7 %), Acinetobacter spp. (2.8 %), Citrobacter (2.8 %), Enterococcus (2.5 %) and Enterobacter (1.4 %). High resistance to Ampicillin (85.6 %), Co-trimoxazole (72.2 %) and Tetracycline (71.3 %) was observed. Also, It was found a moderate resistance to Ceftazidime, Ciprofloxacin, Amoxicillin-clavulanic acid and Ceftriaxone. Imipenem was the most active antibiotic against isolated uropathogens. Among the 356 uropathogenic isolates, 196 (55 %) were from women in the 21 to 30 years old age group, and this rate was higher than other age groups. In conclusion, urinary tract infections are frequent among pregnant women. Early detection and continuous monitoring of antibiotic resistance pattern is very important to determine the appropriate treatment of UTIs among pregnant women without complications.

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