scholarly journals TEICOPLANIN RESISTANCE IN GRAM-POSITIVE BACTERIAL ISOLATE: AN EMERGING THREAT

2021 ◽  
pp. 136-139
Author(s):  
SATISH CHANDEL ◽  
PARAG SHARMA ◽  
PRATIK AKHANI ◽  
RAMESH AGRAWAL
Keyword(s):  
Blood Culture ◽  
Blood Stream Infection ◽  
Central India ◽  
Blood Stream ◽  
Diffusion Method ◽  
Gram Positive ◽  
Disk Diffusion Method ◽  
Gram Positive Bacteria ◽  
Antibiotic Susceptibility Test ◽  
The Future

Objectives: Development of antimicrobial resistance in microorganism isolated from blood stream infection constitutes a major concern about their treatment. Teicoplanin is a glycopeptide antibiotic used in the treatment of infection caused by Gram-positive bacteria. This study was planned to determine Teicoplanin resistance in the Central India and recommend policy changes for prevention of the future resistance to the higher antibiotics. Methods: A total of 1855 septicemia suspected blood samples were studied. The blood culture samples were processed and identified in the microbiology laboratory according to the Clinical and Laboratory Standards Institute guidelines. Antibiotic susceptibility test was done using Kirby B disk diffusion method. Results: About 39.5% of blood culture samples showed positive growth for organism. We observed high teicoplanin resistance (29.5%) among Gram-positive isolates, predominantly (53%) in the Enterococcus species. Conclusion: Teicoplanin resistance has emerged tremendously in the present study. Hence, attention is required about this serious issue otherwise very limited choice of antibiotics will be available for treating infections in the future.

scholarly journals Synergistic effects of Persicaria odorata (Daun Kesom) leaf extracts with standard antibiotics on pathogenic bacteria

2020 ◽  
Vol 16 (2) ◽  
Author(s):  
P. M. Ridzuan ◽  
Hairul Aini Hamzah ◽  
Anis Shah ◽  
Norazian Mohd Hassan ◽  
Baharudin Roesnita
Keyword(s):  
Pathogenic Bacteria ◽  
Synergistic Effects ◽  
Gas Chromatography Mass Spectrometry ◽  
Diffusion Method ◽  
Synergistic Activity ◽  
Leaf Extracts ◽  
Gram Positive ◽  
Disk Diffusion Method ◽  
Bacteria Growth ◽  
Gram Positive Bacteria

Antibacterial activity of different types of P. odorata leaf extracts was evaluated in combination with standard antibiotics. Persicaria. odorata leaves were extracted with n-hexane (n-hex), dichloromethane (DCM) and methanol (MeOH).  Each extract was applied on vancomycin (30µg), erythromycin (15µg) and gentamicin (10µg) discs, respectively. Disk diffusion method was used to evaluate the synergistic activity of each combination on Staphylococcus aureus, Staphylococcus epidermidis, Streptococcus pyogenes, Streptococcus pneumoniae, Pseudomonas aeruginosa, Salmonella typhi, and Escherichia coli. Minimum inhibitory concentration (MIC) and gas chromatography mass spectrometry (GCMS) analysis was performed on the active extract. Synergistic effects seen were mainly from the n-hex+antibiotics combinations, mainly on the Gram-positive bacteria (7 additive, 5 antagonistic), with MIC range from 50 µg/ml to 100 µg/ml, as well as Gram-negative bacteria (2 additive, 2 indifferent, 5 antagonistic). In particular, synergism showed by the combination of n-hex+van were all additive against the susceptible bacteria. DCM extract combination showed synergistic effects on three Gram-positive species (S. aureus, S. epidermidis, S. pyogenes). Meanwhile, MeOH+antibiotics combination showed significant additive synergistic effects (p<0.05) on S. aureus and S. epidermidis.  The major compounds of leaves extract were decanal and β-citral. n-Hex extract superiorly inhibited Gram-positive bacteria growth as compared to DCM and MeOH extracts. The additive synergistic property of the n-hex P. odorata extract could be further studied for possible use as an antibacterial agent.

scholarly journals Chemical Composition and Antibacterial Activity of the Essential Oil of Espeletia nana

2012 ◽  
Vol 7 (5) ◽  
pp. 1934578X1200700 ◽  
Author(s):  
Alexis Peña ◽  
Luis Rojas ◽  
Rosa Aparicio ◽  
Libia Alarcón ◽  
José Gregorio Baptista ◽  
...  
Keyword(s):  
Staphylococcus Aureus ◽  
Antibacterial Activity ◽  
Chemical Composition ◽  
Essential Oil ◽  
Diffusion Method ◽  
Gram Negative Bacteria ◽  
Gram Positive ◽  
Disk Diffusion Method ◽  
Gram Negative ◽  
Gram Positive Bacteria

The essential oil of the leaves of Espeletia nana Cuatrec, obtained by hydrodistillation, was analyzed by GC-MS, which allowed the identification of 24 components, which made up 99.9% of the oil. The most abundant compounds were α-pinene (38.1%), β-pinene (17.2%), myrcene (15.0%), spathulenol (4.2%), bicyclogermacrene (4.0%), α-zingiberene (4.0%), and γhimachalene (3.7%). Antibacterial activity was tested against Gram-positive and Gram-negative bacteria using the agar disk diffusion method. Activity was observed only against Gram-positive bacteria. MIC values were determined for Staphylococcus aureus ATCC 25923(200 μg/mL) and Enterococcus faecalis ATCC 29212 (600 μg/mL).

scholarly journals Bacteraemia and antibiotic susceptibility pattern of isolates from patients visiting a private hospital of Kathmandu

2018 ◽  
Vol 5 ◽  
pp. 39-44
Author(s):  
Nandalal Jaishi ◽  
Pramila Pathak ◽  
Pradeep Kumar Shah ◽  
Puspa Raj Dahal
Keyword(s):  
Antibiotic Susceptibility ◽  
Blood Stream Infection ◽  
Empirical Therapy ◽  
Blood Stream ◽  
Salmonella Typhi ◽  
Diffusion Method ◽  
Microbiological Analysis ◽  
Gram Positive ◽  
Gram Negative ◽  
Causative Agents

Background: Bacteraemia can develop a broad array of complications that may be difficult to recognize initially and can increase morbidity. The study was thus conducted to identify the causative agents of bacteraemia and to assess antibiogram of the isolates among the patients suspected of blood stream infection visiting Everest hospital, New Baneshwor Kathmandu. Methods: Altogether 400 blood cultures were processed during March, 2015 to August, 2015. Standard Operating Procedures (SOPs) was followed during the processing of the specimens. Antibiotic susceptibility testing of bacterial isolates was done by Kirby Bauer disc diffusion method with Muller-Hinton agar using the guidelines and interpretive criteria of the Clinical and Laboratory Standards Institute (CLSI 2013). Result: The positivity of blood culture was found to be 48 (12%). Gram negative bacterial were found to be more predominant 27(56.2%) than gram positive bacteria 21(43.7%) in causing bacteraemia. The most prevalent isolate was Staphylococcus aureus 15 (31.2%) followed by Salmonella Paratyphi A 10 (20.8%) and Salmonella Typhi 8 (16.6%), E. coli & CoNS 4 (8.3%), Pseudomonas aeruginosa 3 (6.2%) and Klebsiella pneumoniae & Streptococcus pneumoniae 2 (4.1%) respectively. All gram-positive isolates were found to be sensitive to Cefoxitin, Ceftriaxone and Vancomycin followed by Ampicillin (90.42%), Erythromycin (85.71%), Ciprofloxacin (83.33%), Doxycycline (75%) and Cephalexin (70.58%) whereas gram negative isolates were sensitive to Ceftriaxone followed by Chloramphenicol (92%), Gentamicin (88.8%), Cefixime (85.71%), Ofloxacin (83.3%) and Amoxycillin and Ciprofloxacin (71.3%) Conclusion: The isolation of etiological agents of blood stream infection should be assessed by proper microbiological analysis and it would be helpful for controlling of the outbreaks of resistance strains through effective empirical therapy.

scholarly journals Incidence of secondary blood stream infections in Covid 19 (SARS-nCoV II.) patients

2021 ◽  
Vol 8 (2) ◽  
pp. 128-131
Author(s):  
Asmabanu Shaikh ◽  
Rachana Patel ◽  
Anant Marathe
Keyword(s):  
Blood Culture ◽  
Blood Stream ◽  
Blood Cultures ◽  
Automated System ◽  
Empiric Antibiotic Therapy ◽  
Gram Negative Bacteria ◽  
Gram Positive ◽  
Blood Stream Infections ◽  
Gram Negative ◽  
Gram Positive Bacteria

The symptomatology and severity of covid-19 ranges widely depending on stage of infection. Most of the patients with mild to moderate disease can be managed without hospitalization. The patients with risk factors are likely to progress to severe disease. Patients developing secondary blood stream infections require longer hospital stay and are likely to develop fatal disease. The antibiotic selection is key to successful treatment of secondary BSI. This is cross-sectional study of 166 COVID 19 patients admitted to ICU of Parul Sevashram Hospital who developed sepsis like syndrome and were subjected to blood culture.Blood cultures were performed of all the patients developing sepsis like syndrome. IDSA guidelines were followed during blood collection for culture. Blood cultures were monitored on automated blood culture system. ID and susceptibility of all the isolates were performed on automated system (VITEK 2).A total of 1915 patients were reported RT-PCR positive for SARS nCoV2 during the period of 1st March2020 to 30 October 2020. 452 patients needed hospitalization based on their Oxygen saturation and co-morbidities. Out of 452, 166 patients developed sepsis like syndrome and were subjected to blood culture. The Blood culture positivity was 37/166 (22.28%). Gram positive bacteria were found in 48.64% while gram negative bacteria were 43.24%. The Enterococcus was the most common Gram positive bacterial isolates in patients. Candida was isolated in 2/37 positive blood cultures. Gram negative bacteria were isolated mostly amongst those patients who were on Ventilator. Most of the Gram positive bacteria were sensitive to Clindamycin, Linezolid, Vancomycin, Daptomycin and Teicoplanin.The incidence rate of BSI was high. Early secondary blood stream infections were mostly endogenous. Enterococcus was the most common amongst Gram positive bacteria. Gram negative secondary bacterial infections were more common with patients on ventilator. The susceptibility pattern would help in decision making of empiric antibiotic therapy. Interestingly as described by some authors earlier the relationship between SARS nCoV 2 and Enterococci needs to be studied further.

scholarly journals A rare case of blood stream infection due to Candida ciferii in an immuno-compromised patient

2019 ◽  
Vol 6 (4) ◽  
pp. 1343
Author(s):  
Sonali Choudhari ◽  
Swati Kale ◽  
Anand Pathak ◽  
Pradeep Mishra ◽  
Girish Deshpande
Keyword(s):  
Blood Culture ◽  
Blood Stream Infection ◽  
Tertiary Care ◽  
Central India ◽  
Blood Stream ◽  
Care Hospital ◽  
High Grade Fever ◽  
Diagnostic Laboratory ◽  
Therapeutic Implications ◽  
Medical Care Costs

Invasive infections related to yeast are increasingly observed in immune-compromised patients in hospitals.Fungal infections have increased morbidity and mortality and prolonged hospital stay which can lead to rise in medical care costs. Non-albicans Candida species have been increasingly found as causative agents in human infections with important therapeutic implications. We present a case of a 37-year-old, female patient, known case of B cell Acute Lymphoblastic Leukaemia admitted in a tertiary care hospital in central India for supportive care and chemotherapy. Patient was responding well to chemotherapy. On post induction day 20, she complained of high-grade fever with abdominal pain.Two sets of blood culture were sent to Microbiology Diagnostic Laboratory for diagnosis. She was started on Injection Magnex Forte (Cefoperazone-Sulbactum) empirically.The Gram stain of positive blood culture showed Gram positive budding yeast like cells in all four bottles.The organism was identified as C. ciferrii on Vitek 2 with 95% identification.Antibiotic susceptibility testing showed sensitive to Amphotericin B MIC ≤0.25 and voriconazole MIC ≤0.12. It was resistant to fluconazole MIC ≥64 μg/ml.

Antimicrobial activity of three species of Phyllanthus (quebra-pedra) and its commercial product

2009 ◽  
Vol 4 (1) ◽  
pp. 93
Author(s):  
Tássia Campos de Lima Silva ◽  
Jorge Veras Filho ◽  
Janete Magali Araújo ◽  
Ulysses Paulino Albuquerque ◽  
Vânia Teixeira Lima ◽  
...  
Keyword(s):  
Antimicrobial Activity ◽  
Diffusion Method ◽  
Medicinal Species ◽  
Phyllanthus Niruri ◽  
Gram Positive ◽  
Disk Diffusion Method ◽  
Gram Positive Bacteria ◽  
Microdilution Method ◽  
Therapeutic Value ◽  
Antibacterial And Antifungal

ABSTRACT Objective: to determine the antimicrobial activity of three plant species of the genus Phyllanthus (P. amarus Schum. and Thom., P. tenellus Roxb. and Phyllanthus niruri L.) and its commercial dye (phytotherapic), opposite the bacteria and yeasts. Methods: we evaluated the antimicrobial activity against microorganisms by disk diffusion method, and then evaluated minimum inhibitory concentration of the best results from the microdilution method. Results: the medicinal species have antimicrobial activity to Gram-positive bacteria. The commercial dye showed significant antimicrobial activity. The extracts showed the best activity for S. aureus (P. amarus with MIC 0.16 mg / mL and P. tenellus with MIC 0.10 mg / mL), opposite to B. subtilis results were also satisfactory (P. amarus 0.25 mg / mL and P. tenellus 0.30 mg / mL). The commercial dye showed MIC greater than 1mg/ml only for S. aureus with MIC of 0.70 mg / mL, and for B. subtilis showed MIC 1.10 mg / mL. With respect to the yeast, all substances were less significant than for gram-positive bacteria, ranging from 0.70 to 1mg/ml for crude extracts and 1.10 to 1.20 mg / mL for the dyeing trade. Conclusion: this study showed the potential antibacterial and antifungal therapeutic value of these species can be better evaluated. Descriptors: Phyllanthus, MIC, antimicrobial, fungicide. RESUMOObjetivo: determinar a atividade antimicrobiana de três espécies de plantas do gênero Phyllanthus (P. amarus Schum e Thom.,  P. tenellus Roxb. e Phyllanthus niruri L.) e de sua tintura comercial (fitoterápico), frente a bactérias e leveduras. Métodos: foi avaliada a atividade antimicrobiana frente a microrganismos através do método de disco difusão, em seguida foram avaliadas as concentrações mínimas inibitórias dos melhores resultados a partir do método da microdiluição. Os extratos apresentaram melhor atividade para S. aureus (P. amarus com MIC 0,16 mg/mL e P. tenellus com MIC  0,10 mg/mL), frente a B. subtilis os resultados também foram satisfatórios (P. amarus 0,25mg/mL e P. tenellus 0,30mg/mL). A tintura comercial apresentou MIC maior que 1mg/mL apenas para S. aureus com MIC de 0,70mg/mL, já para B. subtilis apresentou MIC 1,10mg/mL. Com relação as leveduras, todas as substâncias resultaram ser menos expressivos  que para as bactérias gram-positivas, variando de 0,70 a 1mg/mL para os extratos brutos e 1,10 a 1,20 mg/mL para a tintura comercial. Conclusão: este estudo mostrou o potencial antibacteriano e antifúngicos destas espécies cujo valor terapêutico pode ser melhor avaliado. Descritores: Phyllanthus, CMI, antimicrobiana, fungicida. RESUMEN Objetivo: determinar la actividad antimicrobiana de tres especies de plantas del género Phyllanthus (P. amarus Schum y Thom., P. tenellus Roxb. y Phyllanthus niruri  L.) y su tinte comercial (phytotherapic), frente a las bacterias y levaduras. Métodos: se evaluó la actividad antimicrobiana contra microorganismos por el método de difusión en disco y, a continuación, detectado concentración mínima inhibitoria de los mejores resultados de la microdilución método. Resultados: los medicamentos especies actividad antimicrobiana de las bacterias Gram-positivas. El tinte comercial mostraron un importante actividad antimicrobiana. Los extractos mostraron la mejor actividad para S. aureus (P. amarus MIC con 0,16 mg / ml y P. tenellus MIC con 0,10 mg / ml), frente a B. subtilis resultados también fueron satisfactorios (P. amarus 0,25 mg / ml y P. tenellus 0,30 mg / ml). El tinte comercial mostró superior a 1mg/ml MIC sólo para S. aureus con CMI de 0,70 mg / ml, y para B. subtilis mostró MIC 1,10 mg / mL. Con respecto a la levadura, todas las sustancias eran menos importantes que para las bacterias gram-positivas, que van desde 0,70 a 1mg/ml de extractos crudos y de 1,10 a 1,20 mg / ml de tintura para el comercio. Conclusión: este estudio demostró el potencial antibacteriano y antimicótico valor terapéutico de estas especies pueden ser mejor evaluadas. Descriptores: Phyllanthus, CMI, los antibióticos, fungicidas. 

scholarly journals Evaluation of 1,2-Benzothiazine 1,1-Dioxide Derivatives In Vitro Activity towards Clinical-Relevant Microorganisms and Fibroblasts

Molecules ◽  
2020 ◽  
Vol 25 (15) ◽  
pp. 3503 ◽  
Author(s):  
Ruth K. Dudek-Wicher ◽  
Berenika M. Szczęśniak-Sięga ◽  
Rafał J. Wiglusz ◽  
Jan Janczak ◽  
Marzenna Bartoszewicz ◽  
...  
Keyword(s):  
Antimicrobial Activity ◽  
Local Treatment ◽  
Fibroblast Cell ◽  
Microbial Pathogens ◽  
Diffusion Method ◽  
Gram Positive ◽  
Disk Diffusion Method ◽  
Gram Positive Bacteria ◽  
Microdilution Method

The global concern related with growing number of bacterial pathogens, resistant to numerous antibiotics, prone scientific environment to search for new antimicrobials. Antiseptics appear to be suitable candidates as adjunctive agents to antibiotics or alternative local treatment option aiming to prevent and treat infections. 1,2-benzothiazines are considered one the most promising of them. In this research twenty 1,2-benzothiazine 1,1-dioxide derivatives were scrutinized with regard to their biological activity. Three of them are new. For evaluation of compounds’ activity against microbial pathogens, disk diffusion method and serial microdilution method was applied. To establish the cytotoxicity profile of tested 1,2-benzothiazines 1,1-dioxides derivatives, the cytotoxicity assay using fibroblasts L292 was performed. Antimicrobial activity of all tested compounds against Gram-positive Staphylococcus aureus and Enterococcus faecalis strains was higher than antimicrobial activity of DMSO solvent, which possesses antimicrobial activity itself. Gram-negative P. aeruginosa, E. coli and K. pneumoniae have shown susceptibility only to compounds 3e, 7i and 7l. None of tested compounds was effective against C. albicans. Compound 6g has demonstrated the strongest antimicrobial potency (MIC = 0.00975 mg/mL) among compounds of series 6. Compounds of series 7, namely 7d, 7f, 7g had the lowest minimum inhibitory concentration (MIC). Compound 7f displayed also the lowest cytotoxic effect against fibroblast cell line among series 7 compounds. All tested derivatives displayed lower MIC against Gram-positive bacteria than commercially applied antiseptic, povidone iodine, which MIC value range for tested Gram-positive bacteria was 1.56–6.25 mg/mL.

scholarly journals Antimicrobial Activity of Toothpastes Containing Natural Extracts, Chlorhexidine or Triclosan

2014 ◽  
Vol 25 (3) ◽  
pp. 186-190 ◽  
Author(s):  
Andiara De Rossi ◽  
Danielly Cunha Araújo Ferreira ◽  
Raquel Assed Bezerra da Silva ◽  
Alexandra Mussolino de Queiroz ◽  
Léa Assed Bezerra da Silva ◽  
...  
Keyword(s):  
Antimicrobial Activity ◽  
Culture Media ◽  
In Vitro Study ◽  
Antimicrobial Effect ◽  
Diffusion Method ◽  
Gram Positive ◽  
Disk Diffusion Method ◽  
Gram Positive Bacteria ◽  
Natural Extracts

Abstract: The objective of this in vitro study was to evaluate the antimicrobial effect of toothpastes containing natural extracts, chlorhexidine or triclosan. The effectiveness of toothpastes containing natural extracts (Parodontax(r)), 0.12% chlorhexidine (Cariax(r)), 0.3% triclosan (Sanogil(r)) or fluoride (Sorriso(r), control) was evaluated against yeasts, Gram-positive and Gram-negative bacteria using the disk diffusion method. Water was used as a control. Disks impregnated with the toothpastes were placed in Petri dishes containing culture media inoculated with 23 indicative microorganisms by the pour plate method. After incubation, the inhibition growth halos were measured and statistical analyses (α=0.05) were performed. The results indicated that all formulations, except for conventional toothpaste (Sorriso(r)), showed antimicrobial activity against Gram-positive bacteria and yeasts. The toothpaste containing natural extracts (Parodontax(r)) was the only product able to inhibit the growth of Pseudomonas aeruginosa. The toothpastes containing chlorhexidine, triclosan or natural extracts presented antimicrobial activity against Gram-positive bacteria and yeasts.

scholarly journals Analysis of pathogenic distribution and drug resistance of catheter-related blood stream infection in hemodialysis patients with vein tunneled cuffed catheter

2021 ◽  
Vol 19 ◽  
pp. 205873922110008
Author(s):  
Wei Ren ◽  
Jun Jiang ◽  
Yan Wang ◽  
Yan Jin ◽  
Yuan Fang ◽  
...  
Keyword(s):  
Drug Resistance ◽  
Blood Culture ◽  
Blood Stream ◽  
Resistance Rate ◽  
Penicillin G ◽  
Gram Positive ◽  
Gram Negative ◽  
Gram Positive Bacteria ◽  
Positive Rate ◽  
Resistance Rates

The catheter related blood stream infections (CRBSI) in hemodialysis (HD) patients with vein tunneled cuffed catheter (TCC) and misuse of antibiotic in clinical practice seriously affected the prognosis of MHD patients. The present study aimed to investigate the pathogen distribution and drug resistance of CRBSI in HD patients with TCC to guide clinical empirical pharmacy. The clinical data of 75 HD patients with TCC diagnosed with CRBSI between January 2011 and March 2015 were retrospectively collected, and the distribution and drug resistance of pathogens were analyzed. In 75 HD patients with TCC diagnosed with CRBSI, there were 33 patients with positive blood culture, and the positive rate of blood culture was 44%. The majority of the 33 pathogens were Gram-positive bacteria (22 strains, accounting for 66.7%). Gram-positive cocci hardly resisted to vancomycin and linezolid, while the resistance rate to penicillin G nearly reached to 100%. Gram-negative bacilli had low resistance rates to carbapenems and quinolone antibiotics, and the resistance rate to cephalosporins antibioticsexceeding 50%. The positive rate of blood culture in 75 HD patients with TCC diagnosed with CRBSI is low. The pathogens resulting in CRBSI in HD patients are mainly Gram-positive bacteria which are significantly resistant to penicillin G, and have a low resistance rate to methicillin. Gram-negative bacteria have high resistance rates to commonly used antibiotics. The pathogen examination should be performed as early as possible and effective antibiotics should be chosen according to drug sensitivity test results in CRBSI in HD patients.

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