scholarly journals Bacteriological profile and antibiotic sensitivity pattern of blood culture isolates from tertiary care level teaching hospital of Vijayapura district

2020 ◽  
Vol 8 (11) ◽  
pp. 3974
Author(s):  
Raveendra D. Totad ◽  
Praveen Ganganahalli
Keyword(s):  
Blood Culture ◽  
Teaching Hospital ◽  
Tertiary Care ◽  
Antibiotic Sensitivity ◽  
Blood Stream ◽  
The Body ◽  
Blood Stream Infections ◽  
Bacteriological Profile ◽  
Sensitivity Pattern ◽  
Resistance To Penicillin

Background: Blood stream infections, ranging from self-limiting bacteraemia to life threatening septicaemia, remain one of the most important cause of morbidity and mortality worldwide. Sepsis is a systemic illness caused by microbial invasion of normally sterile parts of the body. Bacteria isolated from blood stream infections are numerous and diseases related to them need urgent treatment with antimicrobial drugs. Aim was to study the bacteriological profile of positive blood cultures and to find their antibiotic sensitivity patternMethods: A retrospective analysis of positive blood culture reports was done in the microbiology laboratory of present tertiary care teaching hospital (Al-Ameen Medical College, Vijayapura) for the consecutive year 2017, 2018 and 2019.Results: Total 21% samples found positive on blood culture shows Staphylococcus aureus as most common organism followed by Klebseilla and E.Coli antibiotic sensitivity pattern shows maximum sensitive to gentamicin (92%) and vancomycin (92%) as maximum resistance to penicillin (55%). Gram-positive organisms show more resistance to penicillin and least to vancomycin whereas gram-negative organisms show more resistance to cephalosporin group of antibiotics and least resistance to ciprofloxacin/gentamicin.Conclusions: Resistance pattern of organisms to some commonly used drugs has given warning signal to clinicians to search for alternate effective antibiotics and hospital authorities to formulate antibiotic policy for rationale use of antibiotics to prevent drug resistance.

scholarly journals Evaluation of Central Venous Catheter Associated Blood Stream Infections: A Microbiological Observational Study

2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Vinay Khanna ◽  
Chiranjay Mukhopadhayay ◽  
Vandana K. E. ◽  
Murlidhar Verma ◽  
Partha Dabke
Keyword(s):  
Tertiary Care ◽  
Antibiotic Sensitivity ◽  
Venous Catheter ◽  
Blood Stream ◽  
Attributable Mortality ◽  
Care Hospital ◽  
Exit Site ◽  
Blood Stream Infections ◽  
Sensitivity Pattern ◽  
Substantial Morbidity

There are substantial morbidity and mortality associated with vascular catheter use among crictically ill patients. The attributable mortality is 10% to 25% which is associated with bacteremia among those who are hospitalized. This study was undertaken to identify catheter related blood stream infections, to isolate pathogenic microorganisms present in intravascular catheter related local infections, exit site infections, and to determine the predisposing factors for the development of such infections and antibiotic sensitivity pattern of the isolated organisms in tertiary care hospital.

scholarly journals Spectrum of non-fermenting gram negative bacilli isolated from patients with blood stream infections in a tertiary care hospital in North India

2019 ◽  
Vol 7 (5) ◽  
pp. 1762
Author(s):  
Asifa Nazir ◽  
Bushra Yousuf Peerzada ◽  
Ifshana Sana
Keyword(s):  
Blood Culture ◽  
Antibiotic Susceptibility ◽  
Tertiary Care ◽  
Blood Stream ◽  
Control Measures ◽  
Care Hospital ◽  
Susceptibility Pattern ◽  
Intrinsic Resistance ◽  
Blood Stream Infections ◽  
Gram Negative

Background: Non-fermenting Gram-negative bacilli (NFGNB) are emerging as important causes of blood stream infections (BSI) and they are a major cause of morbidity and mortality worldwide. High intrinsic resistance of NFGNB to antimicrobial compounds makes the treatment of BSIs caused by them difficult and expensive. The aim of this study was to assess frequency and antibiotic susceptibility pattern of non-fermenting gram-negative rods isolated from blood culture of patients.Methods: A total of 3016 blood samples were received in the Department of Microbiology during the study period. All samples were processed according to standard microbiological procedures. Blood culture was done by automated blood culture system, (BacT/Alert) and identification and antibiotic susceptibility of non-fermenting gram negative bacilli was done by VITEK2 Compact System.Results: A total of 120 NFGNB were identified out of which the most common non-fermenters isolated were Acinetobacter sp. (95) followed by Pseudomonas aeruginosa (11), Burkholderia cepacia (09) Sternotrophomonas maltophilia (03) and Sphingomonas sp. (02). Most of the non -fermenters were multi drug resistant showing a high level of antibiotic resistance to most of the first- and second-line drugs. The most effective drugs were colistin and tigecycline.Conclusions: This study underlines the need to identify NFGNB in tertiary care hospitals and to monitor their susceptibility pattern to guide the clinician for better care and management of patients. Improved antibiotic stewardship and strict infection control measures especially hand washing need to be implemented to prevent emergence and spread of multidrug resistant NFGNB in health care settings.

scholarly journals Incidence, bacteriological profile and antibiotic sensitivity pattern of neonatal sepsis in a tertiary health facility in Abuja, North-central Nigeria.

2021 ◽  
Author(s):  
Olutunde Oluyinka ◽  
Kareem I. Airede ◽  
Kudi E. Olateju ◽  
Obaro K. Stephen ◽  
Nosakhare Izevbigie ◽  
...  
Keyword(s):  
Blood Culture ◽  
Incidence Rate ◽  
Neonatal Sepsis ◽  
White Cell Count ◽  
Antibiotic Sensitivity ◽  
Signs And Symptoms ◽  
Special Care Unit ◽  
Bacteriological Profile ◽  
Sensitivity Pattern ◽  
Pseudomonas Luteola

Abstract Background: Neonatal sepsis is commonly caused by bacteria in the first 28 days of life. Due to diagnostic limitations in developing settings, prompt laboratory identification of causative organisms is usually a challenge. To prevent mortality, clear knowledge of bacteria and their antibiotic sensitivity patterns are important for prompt empirical treatment. Methods: This prospective study enrolled 339 newborns with signs and symptoms suggestive of neonatal sepsis out of 645 that were admitted into the special care unit of the University of Teaching Hospital during the study period. Socio-demographic and clinical profiles of the newborns were obtained using a questionnaire and blood culture was done from every enrolled newborn (339 newborns) using BACTEC 9050. The bacteriological profile and antibiotic sensitivity pattern of newborns with confirmed neonatal sepsis were documented. Results: A total of 339 newborn were admitted for probable sepsis out of a total admission of 645 newborns during the study period based on clinical features and initial laboratory work-up. Forty-six of the 645 newborns (46/645) had culture proven sepsis resulting in a neonatal sepsis incidence rate of 71.3 (95%CI 50.7-91.9) per 1000 admitted newborns. Seventeen of the 46 confirmed sepsis cases were among the 1322 newborns delivered within the study facility during the study period giving an in-hospital neonatal sepsis incidence rate of 12.9 (95% CI 6.7-19.0) per 1000 live births. Amongst the 46 babies with positive blood culture, 27/46 (58.7%) had normal white cell count while the remaining 19/46 (41.3%) had abnormal results. Fifty-two (52) counts of bacteria categorized into 11 bacteria species were isolated from the 46 positive blood cultures. Enterococcus spp and streptococcus species were the commonest gram-positive while Escherichia coli and Pseudomonas luteola were the commonest gram-negative bacteria isolates. Imipenem, amoxicillin/clavulanic acid, Vancomycin, and ofloxacin had the widest coverage of bacteria isolated from newborn with sepsis. Conclusion: Neonatal sepsis is still prevalent in our environment and compared to previous documented isolates and sensitivity pattern, the bacteria causes, and their antibiotic sensitivity patterns appears to be changing.

scholarly journals Pattern of Antibiotic Sensitivity in Enteric Fever: A Tertiary Care Hospital Experience

2014 ◽  
Vol 15 (2) ◽  
pp. 122-124 ◽  
Author(s):  
Samira Rahat Afroze ◽  
Muhammad Abdur Rahim ◽  
Md. Mehedi Hasan ◽  
Farhana Afroz ◽  
Hasna Fahmima Haque ◽  
...  
Keyword(s):  
Blood Culture ◽  
Nalidixic Acid ◽  
Enteric Fever ◽  
Tertiary Care ◽  
Antibiotic Sensitivity ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Cross Sectional ◽  
Sensitivity Pattern ◽  
Drug Resistant Strains

Objectives: To describe the antibiotic sensitivity pattern ofSalmonella typhi and Salmonella paratyphi from blood culture specimens. Methods: This cross-sectional study was done in the Department of Medicine, BIRDEM from July 2009 to June 2012. Standard laboratory and microbiological procedures were followed for blood culture and antibiotic sensitivity tests. Results: Among the 97 blood culture positive samples, S. typhi was 71 (73.2%) and S. paratyphi was 26 (26.8%). Multi-drug resistant strains of S. typhi and S. paratyphi were 23 (32.4%) and 3 (11.5%) cases respectively. Azithromycin, nalidixic acid, ciprofloxacin, levofloxacin and amoxicillin resistance was also found in a good number of cases (S. typhi and S. paratyphi: 71.8% and 57.7%, 42.3% and 30.8%, 38% and 34.6%, 38% and 26.9% and 38% and 26.9% cases respectively). Nineteen (31.1%) of the 61ciprofloxacin sensitive organisms were resistant to nalidixic acid. Ceftriaxone was sensitive in 100% of S. typhi and S. paratyphi. Cefixim, ciprofloxacin, levofloxacin, imipenem were among the most common sensitive antibiotics (S. typhi and S. paratyphi: 83.1% and 73.1%, 62% and 65.4%, 53.5% and 65.4%, 76.1% and 65.4% cases respectively). Conclusion: Ceftriaxone was the most sensitive antibiotic for treating enteric fever followed by cefixim, imipenem and ciprofloxacin. However, in suspected cases of enteric fever, blood culture should be requested before prescribing antibiotic.DOI: http://dx.doi.org/10.3329/jom.v15i2.20684 J MEDICINE 2014; 15 : 122-124

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