Comparative assessment of five clinical Klebsiella isolates in terms of antibiotic resistance and plasmid profiles / Beş farklı klinik Klebsiella türünün antibiyotik dirençliliği ile plazmid profillerinin karşılaştırmalı olarak değerlendirilmesi

2015 ◽  
Vol 40 (6) ◽  
Author(s):  
Nermin Hande Avcıoğlu ◽  
Işıl Seyis Bilkay
Keyword(s):  
Antibiotic Resistance ◽  
Plasmid Dna ◽  
Plasmid Profile ◽  
Similarity Coefficient ◽  
Comparative Assessment ◽  
Diffusion Method ◽  
Disc Diffusion ◽  
Disc Diffusion Method ◽  
Klebsiella Species ◽  
Different Strains

AbstractObjective: This study is firstly aimed to biotype and to investigate the antibiotic resistance profiles of Klebsiella strains which were isolated from clinical materials. Also plasmid profile types of Klebsiella species were investigated and the results were compared with each other.Methods: Klebsiella strains were biotyped by BBL Enterotube II and the antibiotic resistance was tested by Kirby Bauer disc diffusion method. In order to analyse Klebsiella strains genotypically, plasmid DNA’s of them were isolated and generated plasmid profile types determined by Dice coefficients of similarity.Results: According to biotyping, Klebsiella strains were distributed to five different species (K. pneumoniae, K. ornithinolytica, K. oxytoca, K. terrigena, K. rhinoscleromatis). As well as K. pneumoniae (37.33%) was the most isolated strain, K. terrigena (8.95%) which is not found to be investigated as much as other strains in the literature, was also observed. Additionally, it is determined that Klebsiella strains were resistant to at least one and at most seven antibiotics. With a similarity coefficient of 84%, it was observed that five different Klebsiella species displayed 17 different plasmid profile types. Among these profiles, P1 (52.23%) was the most observed type which exhibits >10 kbp plasmid DNA band and this profile was isolated from all strains.Conclusion: Finally, it is observed that antibiotic resistance can be due to the plasmid or chromosomal sources and different strains of the same genus may exhibit the same plasmid profile because of the plasmid transformation from one strain to another.

scholarly journals Determination of antibiotic resistance and minimum inhibitory concentration of meropenem and imipenem growth in Klebsiella strains isolated from urinary tract infection in Shahrekord educational hospitals

2019 ◽  
Vol 21 (2) ◽  
pp. 80-85
Author(s):  
Farshad Kakian ◽  
Behnam Zamzad ◽  
Abolfazl Gholipour ◽  
Kiarash Zamanzad
Keyword(s):  
Antibiotic Resistance ◽  
Urinary Tract ◽  
Minimum Inhibitory Concentration ◽  
Bacterial Infections ◽  
Inhibitory Concentration ◽  
Diffusion Method ◽  
Disc Diffusion ◽  
Disc Diffusion Method ◽  
Accurate Identification ◽  
Tract Infections

Background and aims: Klebsiella is an opportunistic organism that is the cause of severe diseases such as pneumonia, septicemia, and urinary tract infections (UTIs). In addition, high antibiotic resistance has challenged the treatment of this bacterium. However, carbapenem antibiotics are considered as the therapeutic agents for selecting the treatment of penicillin- and cephalosporin-resistant gram-negative bacterial infections. The present study aimed to determine the resistance and minimum inhibitory concentration (MIC) of meropenem and imipenem. Methods: A total of 80 Klebsiella spp isolated from UTIs were collected in various educational wards (i.e., urology, obstetrics, and gynecology, as well as the units of infectious diseases, internal medicine, and intensive care) in different hospitals of Shahrekord. The isolates were then identified by using biochemical tests. Further, disc diffusion method was employed to determine the antibiotic resistance. Furthermore, MIC was estimated by the Epsilon-test strip. Moreover, P=Q=0.50, an error of 0.05, and an accuracy of 0.11 were considered for determining the sample size (n=80). Results: Based on the results of disc diffusion method, 24 strains were resistant to meropenem and imipenem. Additionally, the MIC was 24 (30%) by the E-test. In addition, 24 isolates had a MIC of ≥4 μg/mL for meropenem and imipenem and thus were resistant while 18 isolates were found to have a MIC of 1≤ MIC<4 μg/mL and therefore, were considered semi-sensitive (P<0.001). Conclusion: In general, Klebsiella strains were found to be resistant to meropenem and imipenem. Therefore, rapid and accurate identification of these strains and the selection of appropriate antibiotics can help quickly eradicate the infections caused by these bacteria. Accordingly, a waste of time, the consumption of medication, or even an increased resistance are prevented.

scholarly journals Antimicrobial Susceptibility Pattern of Klebsiella Species from Various Clinical Samples at a Tertiary Care Hospital

2020 ◽  
pp. 143-147
Author(s):  
K. Sathyavathy ◽  
B. Kiran Madhusudhan
Keyword(s):  
Antimicrobial Susceptibility ◽  
Tertiary Care ◽  
Diffusion Method ◽  
Clinical Samples ◽  
Care Hospital ◽  
Disc Diffusion ◽  
Susceptibility Pattern ◽  
Disc Diffusion Method ◽  
Klebsiella Species ◽  
Antimicrobial Susceptibility Pattern

The aim of the study was to investigate the antimicrobial susceptibility pattern of Klebsiella species from different clinical samples at Sree Balaji Medical College and Hospital, India. Overall 189 samples out of 980 non repetitive clinical samples obtained from wound/pus, urine, sputum swab and blood by disc diffusion method and identified as Klebsiella and analysed. Out of total 189 Klebsiella isolates, 76 out of 155 K. pneumoniae (49%) were resistant and none out of 34 Klebsiella oxytoca (0%) showed resistance to cefotaxime and ceftazidime by disc diffusion method. Antimicrobial susceptibility testing of Klebsiella exhibited 100% resistance to Ampicillin. The present study highlights the need for the continued monitoring of antimicrobial susceptibility patterns of important bacterial pathogens, so that rational antibiotic policies can be formulated.

scholarly journals Gölbaşı ve Azaplı Göllerinden (Adıyaman) İzole Edilen Bakterilerin Tiplendirilmesi ve Çoklu Antibiyotik Dirençliliklerinin Araştırılması

2017 ◽  
Vol 5 (1) ◽  
pp. 43
Author(s):  
Fikret Büyükkaya Kayış ◽  
Sadık Dinçer ◽  
Fatih Matyar ◽  
Hatice Aysun Mercimek Takcı ◽  
Melis Sümengen Özdenefe ◽  
...  
Keyword(s):  
Antibiotic Resistance ◽  
Seasonal Changes ◽  
Reference Value ◽  
Summer Season ◽  
Diffusion Method ◽  
Gram Negative Bacteria ◽  
Disc Diffusion ◽  
Multiple Antibiotic Resistance ◽  
Disc Diffusion Method ◽  
Gram Negative

Identification and multiple antibiotic resistances of amphicillin, chloramphenicol, streptomycin and tetracycline resistant gram-negative bacteria that isolated microorganisms from Gölbaşı and Azaplı lakes (Adiyaman) were investigated in this study. Seasonally taken isolates of totally 386 bacteria in 10 different species from 7 genera were scanned against 16 antibiotics [gentamycin, imipenem, kanamycin, chloramphenicol, meropenem, nalidixic acid, nitrofurantoin, penicillin, cephalothin, cefazolin, cefpirome, ceftizoxime, cefuroxime, streptomycin, tetracycline and trimethoprim-sulphamethoxazole (Bioanalyse)] by using the disc diffusion method to determine the prevalence of multiple antibiotic resistance. Multiple antibiotic resistance of stations showed seasonal changes between 0.29 and 0.91. In generally, multiple antibiotic resistance in Golbasi and Azapli lakes were higher than the reference value and highest multiple antibiotic resistance values were obtained at summer season (3th period). When the obtained data are considered, high multiple antibiotic resistance poses a risk in terms of public health and for economically important animals.

scholarly journals Prevalence and Antibiotic Resistance Pattern of Acinetobacter Isolated from Patients Admitted in ICUs in Mazandaran, Northern Iran

2016 ◽  
Vol 8 (11) ◽  
pp. 112 ◽  
Author(s):  
Roya Ghasemian ◽  
Mohammad Ahanjan ◽  
Ebrahim Fatehi ◽  
Mehran Shokri
Keyword(s):  
Antibiotic Resistance ◽  
Resistance Rate ◽  
Test Method ◽  
Diffusion Method ◽  
Resistance Pattern ◽  
Disc Diffusion ◽  
Disc Diffusion Method ◽  
Northern Iran ◽  
Cross Sectional ◽  
Antibiotic Resistant

<p><strong>BACKGROUND &amp; PURPOSE: </strong>Antibiotic resistance rate is increasing in <em>Acinetobacter</em> species, especially in <em>Acinetobacter baumannii</em>, as the most important pathogen of hospital and ICU . This research aimed to evaluate antibiotic resistant rate of <em>Acinetobacter</em> spp. isolated from patients admitted to ICUs in educational hospitals affiliated with Mazandaran University of Medical Sciences.</p><p><strong>METHODS:</strong> In this cross-sectional descriptive study, 50 <em>Acinetobacter</em> isolates were collected during 2013- 2014. After confirming <em>Acinetobacter</em> species, antibacterial sensitivity test was done using disc diffusion method and minimal inhibitor concentration (MIC) was evaluated by E-test in all isolates.</p><p><strong>RESULTS:</strong> Disc diffusion method revealed that 100% of isolates were resistant to Amikacin and Cefepim and 96% were resistant to both Meropenem and Ciprofloxacin antibiotics, 6% were sensitive, 18% were intermediate and 76% were resistant to imipenem. Also, 84% of isolates were sensitive and 16% were resistant to colistin. In E-test method, 92% of isolates were sensitive and 8% were resistant to colistin. Moreover, an isolate was sensitive, one was intermediate and the remaining isolates were resistant to ciprofloxacin, and 100% of isolates were resistant to other antibiotics in E-test. Over 96% of <em>Acinetobacter</em> isolates were resistant to the antibiotics frequently used in ICU (ciprofloxacin, meropenem, amikacin, and cefepim). Colistin was found as  the only appropriate antibiotic that could be used for patients in ICU.</p><p><strong>CONCLUSION:</strong> We hope these results could change the attitude of physicians toward using antibiotics in ICUs and encourage them to follow antibiotic stewardship as the only effective strategy to somewhat control antibiotic resistances.</p>

scholarly journals Monitoring of antibiotic resistance in isolates of Actinobacillus pleuropneumoniaein the Czech Republic between 2001 and 2003

2012 ◽  
Vol 50 (No. 5) ◽  
pp. 181-185 ◽  
Author(s):  
K. Nedbalcova ◽  
P. Satran ◽  
Z. Jaglic ◽  
R. Ondriasova ◽  
Z. Kucerova
Keyword(s):  
Antibiotic Resistance ◽  
Czech Republic ◽  
Clavulanic Acid ◽  
Actinobacillus Pleuropneumoniae ◽  
Diffusion Method ◽  
Disc Diffusion ◽  
Disc Diffusion Method ◽  
High Increase ◽  
The Czech Republic ◽  
Amoxicillin Clavulanic Acid

During the period of 2001 and 2003 a total of 238 isolates of Actinobacillus pleuropneumoniae obtained from 26 pig herds in the Czech Republic (2001 &ndash; 73 isolates, 2002 &ndash; 110 isolates, 2003 &ndash; 55 isolates) were examined for antibiotic resistance by disc diffusion method. Resistance to erythromycin (95.5% to 98.6%), streptomycin (76.4% to 82.7%) and tiamulin (72.7%) was detected most frequently over the whole monitored period. High increase in percentage of resistant isolates to tetracycline (2001 &ndash; 11.0%, 2002 &ndash; 36.4%, 2003 &ndash; 81.8%), doxycycline (2001 &ndash; 9.6%, 2002 &ndash; 34.6%, 2003 &ndash; 61.8%), nalidixic acid (2001 &ndash; 2.7%, 2002 &ndash; 14.5%, 2003 &ndash; 45.5%), and norfloxacin (2001 &ndash; 0%, 2002 &ndash; 7.3%, 2003 &ndash; 34.6%) was found, while differences in resistance to cephalotine (2001 &ndash; 1.4%, 2002 &ndash; 7.3%, 2003 &ndash; 9.1%), cotrimoxazol (2001 &ndash; 4.1%, 2002 &ndash; 10.0%, 2003 &ndash; 7.3%), amoxicillin (2001 &ndash; 12.3%, 2002 &ndash; 12.7%, 2003 &ndash; 10.9%) and amoxicillin-clavulanic acid (2001 &ndash; 9.6%, 2002 &ndash; 9.1%, 2003 &ndash; 10.9%) were small. Prevalence of isolates resistant to sulfasomidine was detected decreasing (2001 &ndash; 43.8%, 2002 &ndash; 47.3% and 2003 &ndash; 29.1%).

scholarly journals Multidrug resistant Salmonella sp isolated from chicken

2016 ◽  
Vol 4 (1) ◽  
pp. 64
Author(s):  
Atere Victor
Keyword(s):  
Antibiotic Resistance ◽  
Pure Culture ◽  
Multidrug Resistant ◽  
Diffusion Method ◽  
Disc Diffusion ◽  
Disc Diffusion Method ◽  
Resistance Level ◽  
Antibiotic Resistant ◽  
Biochemical Characteristics ◽  
Peptone Water

Antibiotic resistance has been a major problem in combatting Salmonella in poultry, this research was designed to determine the antibiotic resistance level of Salmonella isolated from freshly dead chicken. A total of 107 freshly dead chicken were collected from 23 different farms, birds were necropsied, liver and trachea were collected, Salmonella were recovered from the samples using peptone water, Rappaport-Vassiliadis R10 Broth and Salmonella-Shigella agar. Pure culture were identified using cultural, morphological and biochemical characteristics. The pure isolates were subjected to antibiotic test using disc diffusion method. Sixteen isolates of Salmonella were recovered, 3 of which were from the trachea while 13 were recovered from the liver. All of the Salmonella isolates were resistant to Amoxicillin 100% while Nitrofuratoin was least resisted with only 37.5% of the Salmonella isolates showing resistance. The antibiotic resistant pattern often observed in this study were AMP, AUG, TLY with 75% (12); AMP, AUG, TLY, CPR, ENR, 50% (8); while 6.3% (1) was resistant to all of the antibiotics tested. This result showed that there is an emergence of multi-resistance Salmonella in poultry, therefore it is important to carry out sensitivity test before administration of antibiotics in order to control poultry salmonellosis.

scholarly journals Pseudomonas aeruginosa bacteremia: Associations with a source of infection and antibiotic resistance

Medicina ◽  
2008 ◽  
Vol 45 (1) ◽  
pp. 1
Author(s):  
Asta Dambrauskienė ◽  
Dalia Adukauskienė ◽  
Jolanta Jeroch ◽  
Astra Vitkauskienė
Keyword(s):  
Pseudomonas Aeruginosa ◽  
Antibiotic Resistance ◽  
Respiratory Tract ◽  
Lower Respiratory Tract ◽  
Multidrug Resistant ◽  
Diffusion Method ◽  
Disc Diffusion ◽  
Disc Diffusion Method ◽  
Source Of Infection ◽  
Resistant Strains

Aim of the study. To determine the associations between the source of infection and antibiotic resistance in patients with Pseudomonas aeruginosa bacteremia. Material and methods. A retrospective analysis of 50 patients with Pseudomonas aeruginosa bacteremia was carried out. If sepsis was suspected, blood culture was incubated in an automatic system BACTEC 9240. Then bacteria were identified, and their antibiotic resistance was estimated by disc diffusion method. If Pseudomonas aeruginosa strains were resistant to three or more antibiotics, they were considered as multidrug-resistant.Results. The origin of bacteremia was confirmed in 33 (66%) patients. Lower respiratory tract was the predominant source of Pseudomonas aeruginosa bacteremia (81.8%, n=27) as compared with infection of wound (39.4%, n=13), urinary tract (15.2%, n=5), and drain or cerebrospinal fluid (9.1%, n=3) (P<0.05). Eighteen percent (n=9) of strains, which caused bacteremia, were resistant to ceftazidime; 38% (n=19), to piperacillin; 22% (n=11), to imipenem; 26% (n=13), to meropenem; 24% (n=12), to ciprofloxacin; 40% (n=20), to gentamicin; and only 8% (n=4), to amikacin. Multidrug-resistant Pseudomonas aeruginosa strains were more frequently isolated if a source of infection was wound comparing to a source of other localization (61.5%, n=8 and 20.0%, n=4, respectively; P<0.05). Resistance of Pseudomonas aeruginosa strains to imipenem was associated with resistance to ciprofloxacin (13.2%, n=5 and 50.0%, n=6, retrospectively; P<0.05), but resistance to meropenem – both to ciprofloxacin and amikacin. Conclusions. The predominant source of Pseudomonas aeruginosa bacteremia was lower respiratory tract, and multidrug-resistant strains caused bacteremia more frequently if a source infection was wound. Pseudomonas aeruginosa resistance to carbapenems was associated with resistance to ciprofloxacin and resistance to meropenem – also to amikacin. Resistance of strains to ceftazidime and piperacillin was associated with resistance to gentamicin.

scholarly journals Control of Clinical Pathogens by the Haemolymph of Paratelphusa hydrodromous, a Freshwater Crab

2011 ◽  
Vol 2011 ◽  
pp. 1-4 ◽  
Author(s):  
A. Arul Prakash ◽  
S. Balasubramanian ◽  
G. Gunasekaran ◽  
M. Prakash ◽  
P. Senthil Raja
Keyword(s):  
Bacterial Species ◽  
Diffusion Method ◽  
Klebsiella Pneumonia ◽  
Disc Diffusion ◽  
Freshwater Crab ◽  
Disc Diffusion Method ◽  
Strong Response ◽  
Clinical Pathogens ◽  
Rhizopus Sp ◽  
Antimicrobial Assay

In the present study, effort has been made to find the antimicrobial activity of haemolymph collected from freshwater crab, Paratelphusa hydrodromous. The haemolymph collected was tested for antimicrobial assay by disc diffusion method against clinical pathogens. Five bacterial species, namely, Escherichia coli, Klebsiella pneumonia, Proteus mirabilis, Pseudomonas aeruginosa, Staphylococcus aureus, and five fungal strains, namely and Aspergillus flavus, Aspergillus fumigatus, Aspergillus niger, Rhizopus sp., and Mucor sp., were selected for the study. The result shows a strong response of haemolymph against the clinical pathogens which confirms the immune mechanism of the freshwater crab.

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