scholarly journals MICROBIAL PROFILE AND ANTIBIOTIC RESISTANCE PATTERN OF THE BACTERIAL ISOLATES IN A TERTIARY CARE PSYCHIATRY HOSPITAL

2015 ◽  
Vol 2 (47) ◽  
pp. 8317-8321
Author(s):  
Jyoti Hazarika ◽  
Mohan Sharma ◽  
Priyanka Patangia ◽  
Shilpi Saikia ◽  
Mili Sarkar ◽  
...  
Author(s):  
Razia Khatoon ◽  
Shameem Ahmad Khan ◽  
Noor Jahan

Background: Osteomyelitis is a common cause of morbidity in developing countries. Its treatment comprises of surgical debridement of all necrotic bone and soft tissue along with use of appropriate antimicrobial therapy. Treatment is becoming increasingly troublesome due to rise in drug resistant isolates in osteomyelitis cases. The present study was done to determine the antibiotic resistance pattern among aerobic bacterial isolates from osteomyelitis cases.Methods: 125 samples from osteomyelitis cases were aerobically cultured and isolates from culture positives were identified by standard procedures. Antimicrobial susceptibility testing was done by Kirby Bauer disk diffusion method. Staphylococcal isolates were screened for methicillin resistance and Gram negative bacilli were screened and confirmed for ESBL, AmpC and MBL production.Results: Out of 125 samples cultured, 20 were culture negative and 105 were culture positive giving rise to 120 isolates (58 Gram positive and 62 Gram negative organisms). The prevalence of methicillin resistant staphylococcal (MRS) isolates, ESBL, AmpC and MBL producers was found to be 43.1%, 51.6%, 24.2% and 14.5% respectively. All the resistant isolates were multidrug resistant, with MRS being 100% sensitive only to vancomycin, linezolid and teicoplanin, ESBL and AmpC producers being 100% sensitive only to imipenem and colistin, and MBL producers being 100% sensitive only to colistin.Conclusions: Antibiotic therapy on the basis of antibiotic susceptibility pattern helps the clinician to choose appropriate drugs leading to successful treatment and prevention of emergence and dissemination of drug resistant isolates.


2020 ◽  
Author(s):  
MANOJ SRIHARI DIKKAT ◽  
Firdosh Mansuri ◽  
Madhuri Chaudhari ◽  
Anant Marathe ◽  
Jitendra Vaghasiya ◽  
...  

Abstract Background: Antimicrobial resistance threatens the effective prevention and treatment of increasing number of cases of antibiotic resistance worldwide. So there is need of effective implementation of the treatment strategy to rationalize the antimicrobial use in the treatment of infectious disease. So the present study is aims to attempts to find the local antibiotic resistance, various microorganism responsible for infection using the antibiogram in the tertiary care teaching hospital.Methods: A cross-sectional study was carried out to check the Antibiotic resistance pattern based on the inclusion and exclusion criteria at Parul Sevasharam Hospital, Vadodara, Gujarat. Total 150 patients were included in study, culture sensitivity test and bacterial identification was done as per the microbiology department standard guidelines. Patient’s data regarding to demographic details, culture sensitivity test results and prescribed antibiotics was collected for 6 months’ duration from October 2019 to March 2020. Results: Total 150 samples were collected throughout the study period of six months in the various departments in the hospital. The main finding of our study,greater resistance found in Ceftriaxone (78%), Meropenem (71%), Azithromycin (66%), linezolid (66%), Amoxicillin+clavulanic acid (63%), Ciprofloxacin (56%) of patients in these antibiotics. Greater susceptibility was found in Clindamycin (75%), Amikacin (65%), Piperacilline+tazobactum (62%), Cefoperazone (48%), ciprofloxacin (44%) of the patients. During our study, 20 antibiotics were commonly prescribed out of which ceftriaxone was most commonly prescribed in our study and which was found to most resistant in patient population. The most common bacteria identified in our study was gram negative bacteria in that E. Coli, Pseudomonas Aeruginosa and KlebseillaPneuminiae was most commonly isolated.Conclusion: This study shows that there is increasing cases of antibiotic resistance identified in the hospital. Ceftriaxone is found to be most resistant in our study. So there is need of effective treatment strategies and use of antibiogram to find out the local antibiotic resistance pattern and to develop antibiotic policy for the safe use of antibiotic which is helpful for to reduce the antibiotic resistance.


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