scholarly journals Speciation of Enterococcus species: better way to deal with clinical infections at resource limited settings

2020 ◽  
Vol 8 (3) ◽  
pp. 941
Author(s):  
Kinjal P. Patel ◽  
Summaiya Mulla
Keyword(s):  
Susceptibility Testing ◽  
Healthcare Facility ◽  
Diffusion Method ◽  
Resistance Pattern ◽  
Enterococcus Species ◽  
Intrinsic Resistance ◽  
Biochemical Reactions ◽  
Biochemical Tests ◽  
Resource Limited Settings ◽  
Resource Limited

Background: Enterococcus species are well known for its intrinsic resistance pattern to several antibiotics. Hence, appropriate management and prevention is essential in any healthcare facility. Present study was conducted to establish an accessible biochemical tests to differentiate Enterococcus species at resource limited settings.Methods: Enterococci isolated from various clinical specimens were speciated using an array of biochemical reactions and antimicrobial susceptibility testing was performed by Kirby-Bauer disc diffusion method. Results were interpreted as per Clinical and Laboratory Standards Institute (CLSI) guidelines.Results: Out of 107 enterococcal isolates, 63(59%) were E. faecium, 40(37%) were E. fecalis, 2(2%) were E. hirae, 1(0.9%) was E. raffinosus and 1(0.9%) was E. gallinarum. E. faecium and E. fecalis showed 23% and 7% vancomycin resistance respectively, while E. gallinarum showed low level vancomycin resistance.Conclusions: Enterococcus speciation can be done using simple biochemical reactions and its susceptibility pattern enables to distinguish Van phenotypes too. Hence, it is helpful for management of infections in resource limited settings to a greater extent.

scholarly journals ANTIBIOGRAM PROFILE AND BIOFILM FORMING POTENTIAL OF PSEUDOMONAS SPECIES ISOLATED FROM VARIOUS CLINICAL SPECIMENS

2018 ◽  
Vol 11 (10) ◽  
pp. 150
Author(s):  
Jamsheera Cp ◽  
Ethel Suman
Keyword(s):  
Biofilm Formation ◽  
Susceptibility Testing ◽  
Diffusion Method ◽  
Resistance Pattern ◽  
Chi Square ◽  
Clinical Specimens ◽  
Medical College ◽  
Biofilm Production ◽  
Pseudomonas Species ◽  
Chi Square Test

Objective: The present study aimed at finding the resistance pattern of Pseudomonas aeruginosa and other Pseudomonas species isolated from various clinical specimens in the laboratory.Methods: A total of 150 isolates of different species of Pseudomonas obtained from various clinical specimens processed at the Microbiology laboratory of Kasturba Medical College, Manipal Academy of Higher Education, were taken for this study. Antibiotic susceptibility testing was performed by Kirby-Bauer disc diffusion method and interpreted according to the CLSI guidelines. Biofilm assay was performed by modified O’Toole and Kolter method. The results were analyzed using SPSS 17.0 and Student’s unpaired t-test, Kruskal–Wallis, Mann–Whitney, ANOVA, and Chi-square test. p<0.05 was considered statistically significant.Results: Increased resistance was observed by P. aeruginosa to cefotaxime, cotrimoxazole, levofloxacin, ofloxacin, and ticarcillin clavulanate. There was also a good correlation between antibiotic resistance to aztreonam, netilmicin, and ceftazidime and biofilm production. Results of the present study, therefore, demonstrated the occurrence of resistance to various antipseudomonal agents among the biofilm-producing P. aeruginosa isolates.Conclusion: The present study may help in assessing the seriousness of drug resistance caused by biofilm formation in P. aeruginosa and devise strategies through antibiotic policies to minimize such problems.

scholarly journals Can Thin Layer Agar Test Play a Key Role in the Diagnosis of Tuberculosis in Low-Resource Settings?

2021 ◽  
Vol 14 (7) ◽  
Author(s):  
Sulaiman A Al Yousef ◽  
Khalid AbdelRahim ◽  
Ahmed Mohamed Ali
Keyword(s):  
Thin Layer ◽  
Susceptibility Testing ◽  
Characteristic Curve ◽  
Cost Effective ◽  
Drug Susceptibility ◽  
Drug Susceptibility Testing ◽  
Resource Limited Settings ◽  
Resource Limited ◽  
Tuberculosis Diagnosis ◽  
Agar Method

Background: Fast, reliable, and cost-effective tests are recommended for tuberculosis diagnosis and drug susceptibility testing, especially in resource-limited settings. Objectives: This study aimed to evaluate the performance of thin-layer agar for tuberculosis diagnosis and drug susceptibility testing. Methods: Samples were collected from patients with presumptive tuberculosis and tested using thin-layer agar for tuberculosis and drug susceptibility testing in parallel with Lowenstein Jensen culture method for tuberculosis diagnosis and proportion method for drug susceptibility testing as the gold standard. Receiver operating characteristic curve analysis was performed to calculate the performance parameters. Results: Thin-layer agar method showed sensitivity and specificity values of 96.63% and 62.50%, respectively, for the isolation of Mycobacterium tuberculosis directly from specimens. Drug susceptibility results using thin-layer agar showed sensitivity values for isoniazid, rifampicin), ethambutol and streptomycin were 94.74%, 86.84%, 94.74% and 81.58%, respectively, while the specificity values were 100%, 100%, 86.27% and 100% for isoniazid, rifampicin, ethambutol and streptomycin, respectively. Results were available in a median time of 16 days for thin-layer agar and 25 days for the conventional method. Conclusions: The thin-layer agar method is a relatively rapid, simple, and cost-effective method for the diagnosis and drug susceptibility testing of M. tuberculosis. It may be a useful tool for establishing tuberculosis laboratories in resource-limited settings because it does not require expensive equipment and a high level of training. Our study may help in choosing the appropriate treatment and control of tuberculosis.

scholarly journals Antibiotic Susceptibility Testing, Plasmid Detection and Curing of Clinically Isolated Enterococcus Species

2019 ◽  
pp. 1-20 ◽  
Author(s):  
G. A. C. Ezeah ◽  
M. C. Ugwu ◽  
A. O. Ekundayo ◽  
O. F. Odo ◽  
O. C. Ike ◽  
...  
Keyword(s):  
Antibiotic Resistance ◽  
Plasmid Dna ◽  
Antibiotic Susceptibility ◽  
Susceptibility Testing ◽  
Resistance Pattern ◽  
Antibiotic Susceptibility Testing ◽  
Enterococcus Species ◽  
Transfer Resistance ◽  
Antibiotic Resistance Profile ◽  
Agarose Electrophoresis

Vancomycin resistant enterococci (VRE) are a major medical concern globally. Their significantly greater prevalence and the ability to transfer resistance to vancomycin from other bacteria made them an object of interest and intense research. The isolates of Enterococcus sp. were subjected to antibiotic susceptibility testing before curing. The three Enterococcus species exhibited different antibiotic resistance profile. Pre-curing antibiotic resistance of nosocomial isolates compared with community acquired isolates revealed that high percentage of the nosocomial isolates were resistant to antibiotics compared to community isolate. Post-curing antibiograms of the isolates showed different resistant and susceptibility pattern. Also, DNA plasmid pre-curing and post curing analysis of the isolates showed different resistance pattern. Six of the 15 representative isolates selected on the basis of their high pre-curing antibiotic resistance for plasmid analysis with 0.8% agarose electrophoresis were positive for plasmid DNA. Four (4) of the positive isolates (E. faecium, E. faecium, E. faecalis, and E. avium) had plasmid fragment of greater than 1000 bp while two (2) of them (E. faecalis and E. faecalis) had fragments of between 100 and 500 bp. The remaining nine (9) had no plasmid DNA. The study revealed the pathogenicity factors demonstrated with the enterococcal isolates.

Molecular Detection of Carbapenem Resistance in Acinetobacter Baumannii Isolated From Patients in Khorramabad City, Iran

2020 ◽  
Vol 20 (4) ◽  
pp. 543-549
Author(s):  
Zeinab Babaie ◽  
Somayeh Delfani ◽  
Faranak Rezaei ◽  
Fatemeh Norolahi ◽  
Somayeh Mahdian ◽  
...  
Keyword(s):  
Drug Resistance ◽  
Acinetobacter Baumannii ◽  
Resistance Genes ◽  
High Resistance ◽  
Diffusion Method ◽  
Resistance Pattern ◽  
Biochemical Tests ◽  
Transfer Resistance ◽  
Drug Resistance Pattern ◽  
Wide Range

Background: Acinetobacter baumannii is an opportunistic pathogen, which causes a wide range of infections in hospitals, especially in intensive care units. Nowadays, due to the high resistance of Acinetobacter bumanni to antibiotics, this study, in addition to the phenotypic and genotypic investigations of drug resistance, focused on determining the molecular types of Acinetobacter baumannii isolated from patients in Khorramabad city by the pulsed-field gel electrophoresis (PFGE) method. Materials and Methods: In this cross-sectional study, 50 samples of Acinetobacter baumannii were collected from educational hospitals in Khorramabad city, Iran, from January to August 2015. They were identified in the laboratory using biochemical tests and culture methods. After determining the drug resistance pattern by the disc diffusion method and percentage of resistance genes to carbapenems, Acinetobacter baumannii isolates were analyzed using the PFGE method using the Apa1 enzyme. Results: The highest antibiotic resistance observed for Acinetobacter baumannii strains was against ampicillin-sulbactam (100%) and aztreonam (98%). The highest sensitivity was to polymixin B (100%) and colistin (94%), and also to the OXA-51-like gene present in all samples. The OXA-23-like gene was positive in 44 (88%) samples. PFGE results showed that Acinetobacterbaumannii strains had 33 different pulsotype patterns, of which 27 patterns had more than one strain and 23 had only one strain. Conclusion: Due to the high resistance of Acinetobacter baumannii and its ease of spread and its ability to transfer resistance genes, resistance control methods should be used in the disinfection of hospital areas. Hospital staff should observe hygiene standards and there should also be a reduction in antibiotic use.

scholarly journals COLISTIN RESISTANCE IN CARBAPENEM-RESISTANT KLEBSIELLA PNEUMONIAE STRAINS

2017 ◽  
Vol 10 (9) ◽  
pp. 70
Author(s):  
Beena Hosdurg Bhaskar ◽  
Shalini Shenoy Mulki ◽  
Sangeeta Joshi ◽  
Ranjeeta Adhikari ◽  
Bhavana Malavalli Venkatesh
Keyword(s):  
Antibiotic Susceptibility ◽  
Antimicrobial Agents ◽  
Susceptibility Testing ◽  
Ethylenediaminetetraacetic Acid ◽  
Diffusion Method ◽  
Resistance Pattern ◽  
Dilution Method ◽  
Agar Dilution Method ◽  
Antibiotic Susceptibility Testing ◽  
Carbapenem Resistant

Objective: There is an increasing use of colistin consequent to increase in the infections caused by carbapenem-resistant Klebsiella pneumoniae.The present study was conducted to determine the minimum inhibitory concentration (MIC) of colistin and the resistance pattern of colistin in carbapenem-resistant K. pneumoniae (CRKP) strains in our intensive care unit (ICU).Methods: Antibiotic susceptibility testing for other antimicrobial agents was done by Kirby-Bauer disk diffusion method. MIC of colistin was determined by agar dilution method. The results of antibiotic susceptibility testing were interpreted as per Clinical Laboratory Standard Institute guidelines 2016 and MIC of colistin were interpreted as per European Committee on Antimicrobial susceptibility testing. The carbapenem resistance was phenotypically detected by modified hodge test and imipenem/imipenem ethylenediaminetetraacetic acid disk method.Results: Out of 518 K. pneumoniae, 329 were resistant to carbapenems, and 91 isolates showed resistance to colistin. The MIC of colistin ranged between 4 and >512 ug/ml and MIC90 was 16 ug/L and MIC50 was 4 ug/ml. A majority of the colistin-resistant isolates were found in multidisciplinary ICU (85/91).Conclusion: The emergence of colistin-resistant strains is a major problem due to limited treatment options for infections caused by CRKP carbapenemase producing K. pneumoniae. Colistin should not be used alone, combination therapy should be preferred.

scholarly journals Antibacterial activity of aquatic extract of Myrtus communis leaves against Periodontitis isolated bacteria

2021 ◽  
Vol 880 (1) ◽  
pp. 012047
Author(s):  
Eman Mubdir Nayf ◽  
Hamzah Abdulrhaman Salman
Keyword(s):  
Susceptibility Testing ◽  
Morphological Characterization ◽  
Diffusion Method ◽  
Potential Zone ◽  
Myrtus Communis ◽  
Zone Of Inhibition ◽  
Biochemical Tests ◽  
Gram Positive ◽  
Gram Positive Bacteria ◽  
Antibacterial Susceptibility

Abstract Myrtus communis is an evergreen plant that can survive stressful environments and high-temperature seasons. Treatment using green plants was the most trended in recent years. The present study aimed to evaluate the antibacterial effects of Myrtus communis leaves against bacteria isolated from periodontitis. Fifty samples were collected from periodontitis subjects in both genders (female 32 % and male 68 %). The isolates were diagnosed by morphological characterization and biochemical tests. M. communis leaves were identified, collected, and prepared for extraction. The plant leaves were extracted using distilled water. The antibacterial susceptibility testing was performed by the well diffusion method. Antibiotics susceptibility patterns were executed using the disc diffusion method. All the isolates belonged to gram-positive bacteria. Among the isolated bacteria, 20, 18, and 12 were Lactobacillus spp., Streptococcus spp., and Staphylococcus aureus, respectively. The antibacterial susceptibility testing of M. communis extract showed a potential zone of inhibition against all the tested bacteria. Of the different concentrations, 30 mg/ml showed the highest zone of inhibition, 18.2 mm, 19.50 mm, and 30.66 mm against Streptococcus spp., Staphylococcus spp., and Lactobacillus spp. Among the tested antibiotics, ciprofloxacin and chloramphenicol exhibited the highest zone of inhibition against the tested bacteria. The aquatic extract of M. communis leaves was found to be effective against gram-positive bacteria. Further studies are warranted to investigate the active bio-compounds.

scholarly journals Prevalence of PVL and LucED Genes in Methicillin-resistant and Susceptible Isolates of Staphylococcus aureus Isolated From Burn Patients in Kermanshah, Iran

2021 ◽  
Vol 13 (12) ◽  
Author(s):  
Feizollah Mansouri ◽  
Siavash Vaziri ◽  
Mandana Afsharian ◽  
Mohammad Hossein Zamanian ◽  
Nahid Madadi-Goli ◽  
...  
Keyword(s):  
Staphylococcus Aureus ◽  
White Blood Cells ◽  
Diffusion Method ◽  
Resistance Pattern ◽  
Burn Patients ◽  
Biochemical Tests ◽  
Methicillin Resistant ◽  
Chain Reactions ◽  
Polymerase Chain Reactions ◽  
Severe Infections

Background: The main pathogen causing various nosocomial infections, especially in burn patients, is Staphylococcus aureus. An important virulence factor of this bacterium is leukocidin, which binds to white blood cells and leads to apoptosis and necrosis. Objectives: In the present research, we aimed at investigating the prevalence of the panton-valentine leukocidin (PVL) and LucED genes in methicillin-susceptible and resistant isolates of S. aureus isolated from burn patients in Kermanshah, Iran. Methods: Overall, 73 isolates of S. aureus were collected from burn wounds and identified by specific biochemical tests. After determining the susceptibility patterns of the isolates by the disc diffusion method, the frequencies of the PVL and LucED genes were assessed using specific primers and polymerase chain reactions. Results: The rates of methicillin-resistant Staphylococcus aureus (MRSA) and Methicillin-susceptible Staphylococcus aureus (MSSA) isolates were 58.9% (43 isolates) and 41.1% (30 isolates), respectively. In MRSA isolates, the highest antibiotic resistance was to penicillin (100%) and gentamicin (81.4%). Moreover, the frequencies of the LucED and PVL genes were 76.7% (56 isolates) and 27.4% (20 isolates), respectively, and the highest frequency of the LucED and PVL genes was observed in MRSA (81.4%) and MSSA (40%) isolates, respectively. Conclusions: Increased multidrug resistance pattern among S. aureus isolates with leukocidin production has led to treatment failure and severe infections. The development of infections can be prevented by the identification of isolates carrying the leukocidin gene, and early detection of MRSA isolates is feasible by using the PVL gene.

scholarly journals Antimicrobial Resistance Pattern of Enterobacter Species Isolated from Different Clinical Specimens in a Tertiary Care Hospital of Bangladesh

2019 ◽  
Vol 13 (2) ◽  
pp. 3-6
Author(s):  
Mashrura Quraishi ◽  
Ahmed Abu Saleh ◽  
Chandan Kumar Roy ◽  
Fatima Afroz ◽  
GM Mohiuddin
Keyword(s):  
Antimicrobial Resistance ◽  
High Resistance ◽  
Antimicrobial Susceptibility ◽  
Susceptibility Testing ◽  
Antimicrobial Susceptibility Testing ◽  
Diffusion Method ◽  
Resistance Pattern ◽  
Clinical Specimens ◽  
Enterobacter Species ◽  
Resistance Rates

The present study was undertaken to determine the antimicrobial resistance pattern of Enterobacter species to guide the clinician in selecting the best antimicrobial agent for an individual patient. A total of 50 clinical isolates of Enterobacter species were collected from different clinical specimens at the microbiology laboratory of BSMMU between August, 2018 and September, 2019. The two main species of Enterobacter, E.cloacae and E.aerogenes were identified by biochemical tests. Antimicrobial susceptibility testing was performed by Kirby Bauer disc diffusion method and reported according to CLSI guidelines. Majority (56%) of the isolated Enterobacter were E.cloacae, 40% were E.aerogenes and 4% were other species. The Enterobacter isolates showed relatively high resistance rates to the cephalosporins including cefoxitin (82%), cefixime (62%), ceftazidime (46%) and ceftriaxone (46%). Resistance to the carbapenems and aminoglycosides was relatively low. The high resistance rates of Enterobacter species to multiple antibiotics makes it necessary for antimicrobial susceptibility testing to be conducted prior to antibiotic prescription. Bangladesh J Med Microbiol 2019; 13 (2): 3-6

scholarly journals ACINETOBACTER SPECIES

2018 ◽  
Vol 25 (12) ◽  
pp. 1949-1953
Author(s):  
Aneela Khawaja ◽  
Faiqa Arshad ◽  
Sadaf Aleem
Keyword(s):  
Tertiary Care ◽  
Antibiotic Sensitivity ◽  
Diffusion Method ◽  
Resistance Pattern ◽  
Biochemical Tests ◽  
Disk Diffusion Method ◽  
Acinetobacter Species ◽  
Clinical Specimens ◽  
Sensitivity Pattern ◽  
Acinetobacter Spp

Introduction: The genetic competencies of bacteria and the resistance have been impeding the usefulness of antibiotic therapy. There has been an alarming increase in the infections caused by Acinetobacter spp. especially the multidrug resistance pattern has narrowed the therapeutic ranges. Objectives: To determine the prevalence and antibiotic sensitivity pattern of Acinetobacter spp., among clinical specimens of tertiary care hospital.Study Design: Descriptive study. Place & Duration of Study: Pathology Department, PGMI, from January 2015 to December 2015. Materials & Methods: Total 8465 clinical specimens were inoculated. Acinetobacter spp. was identified and isolated by the preliminary microbiological and biochemical tests. Antimicrobial susceptibility testing was implemented by modified Kirby-Bauer disk diffusion method as per CLSI guidelines (2015). Results: Acinetobacter spp. isolated in 234 (7.29%) clinical specimens among 3208 (37.89%) culture positive isolates. Out of total 234 Acinetobacter spp. isolates 144 (61.54%) were recovered from male patients and 90 (38.46%) from female patients. the frequency of Acinetobacter spp. isolates was seen highest in CSF (23.07%) and lowest in HVS (5.52%) specimens. Maximum samples were recovered from surgical wards 85 (36.32%), while from pediatrics department only 20 (8.54%) samples. Only, 140 (59.82%) isolates were sensitive to tigecycline; while 216 isolates were (92.30%) resistant to salbactam. Conclusion: The progressively increasing threat of Acinetobacter resistant infections can be minimized by judicial use of antibiotics, and implementation of strict infection control policy in health care settings.

Sign in / Sign up

Export Citation Format

Share Document