scholarly journals ANALYSIS OF ANTIBIOTIC RESISTANCE OF K. PNEUMONIAE STRAINS ISOLATED IN A MULTIDISCIPLINARY HOSPITAL

2021 ◽  
Vol 19 (1) ◽  
pp. 31-35
Author(s):  
E. G. Antonova ◽  
◽  
I. V. Zhyltsou ◽  
Keyword(s):  
Antibiotic Sensitivity ◽  
Clinical Isolates ◽  
Diffusion Method ◽  
Antimicrobial Drugs ◽  
Resistance Level ◽  
Disk Diffusion Method ◽  
Actual Problem ◽  
Causative Agents ◽  
High Level

Background. The prevalence of infections caused by multiple resistant K. pneumoniae strains is an actual problem. Purpose. To investigate antibacterial resistance of hospital strains of K. pneumoniae – causative agents of purulent septic infections, to determine the resistance level of carbapenem-resistant strains of K. pneumoniae to polymyxins, to analyze their main profiles of antibiotic sensitivity. Material and methods. Antibiotic susceptibility of 146 clinical isolates of K. pneumoniae was determined using the disk diffusion method. The method of sequential microdilutions in broth with determination of MIC was used for isolates resistant to carbapenems. Results. For the majority of clinical isolates of K. pneumoniae (85.2%), only 3 antibiotics (colistin, tigecycline and amikacin) showed acceptable activity in vitro. For one strain resistance to all tested antimicrobial drugs was revealed. Conclusion. The data on extremely high resistance of K. pneumoniae to carbapenems, fluoroquinolones and aminoglycosides were confirmed. A high level of colistin resistance was also identified.

Antimicrobial susceptibility of clinical Staphylococcus aureus isolated from patients with an ear infection in Misan

2018 ◽  
Vol 9 (3) ◽  
pp. 1016
Author(s):  
Munaf Aal-Aaboda ◽  
Mohammed R. Al-Notazy
Keyword(s):  
Antibiotic Susceptibility ◽  
Antibiotic Sensitivity ◽  
Diffusion Method ◽  
Antibiotics Resistance ◽  
Biochemical Tests ◽  
Disk Diffusion Method ◽  
Ear Infection ◽  
Mannitol Salt Agar ◽  
Causative Agents ◽  
High Level

The present study was targeted to examine the prevalence of multi-drug resistant Staphylococcusaureus,which has been carried out in Misan, Iraq at a local hospital from February 2016 to January 2017.A hundred and eighty ear swabs have been obtained from patients with ear infections with or without discharges. Culturing and identifying the causative agents, as well as the antibiotic sensitivity profile, have been done on the specimens. Swabs were collected under sterile conditions and instantly transferred to the laboratory sealed in brain heart broth tubes. The initial isolation was done on selective media to S. aureus(mannitol salt agar) at a temperature of 37°C for 24 - 48 hours and then the biochemical tests and identification were done in accordance with the standard monotonous techniques. Antibiotic susceptibility tests were done by the disk diffusion method. A hundred and forty-four isolates diagnosed with Staphylococcus aureusand eighteen isolates as other bacteria. S.aureusisolates tested for antibiotic susceptibility showed high resistance to ampicillin, carbenicillin and amoxicillin, mild resistance to co-trimoxazole and were susceptible to norfloxacin, rifampicin, and ciprofloxacin.Additionally, S.aureusisolates showed multiple antibiotic resistance (MAR). The MAR index of the isolates found to range between 0.35 and 0.7. In conclusion, an ear infection is mostly caused by Staphylococcus aureusand most of these isolates showed a high level of antibiotics resistance, which eventually may lead to too many health-related consequences in Misan, Southern Iraq and expose the needs for further studies to lessen the resistance to antibiotics.

scholarly journals High Levels of Antibiotic Resistance in Isolates From Diseased Livestock

2021 ◽  
Vol 8 ◽  
Author(s):  
Nurul Asyiqin Haulisah ◽  
Latiffah Hassan ◽  
Siti Khairani Bejo ◽  
Saleh Mohammed Jajere ◽  
Nur Indah Ahmad
Keyword(s):  
Escherichia Coli ◽  
Antibiotic Sensitivity ◽  
Clinical Isolates ◽  
Situational Analysis ◽  
Sensitivity Testing ◽  
Resistance Level ◽  
Diagnostic Laboratory ◽  
E Coli ◽  
Livestock Health ◽  
High Level

Overuse of antimicrobials in livestock health and production beyond therapeutic needs has been highlighted in recent years as one of the major risk factors for the acceleration of antimicrobial resistance (AMR) of bacteria in both humans and animals. While there is an abundance of reports on AMR in clinical isolates from humans, information regarding the patterns of resistance in clinical isolates from animals is scarce. Hence, a situational analysis of AMR based on clinical isolates from a veterinary diagnostic laboratory was performed to examine the extent and patterns of resistance demonstrated by isolates from diseased food animals. Between 2015 and 2017, 241 cases of diseased livestock were received. Clinical specimens from ruminants (cattle, goats and sheep), and non-ruminants (pigs and chicken) were received for culture and sensitivity testing. A total of 701 isolates were recovered from these specimens. From ruminants, Escherichia coli (n = 77, 19.3%) predominated, followed by Staphylococcus aureus (n = 73, 18.3%). Antibiotic sensitivity testing (AST) revealed that E. coli resistance was highest for penicillin, streptomycin, and neomycin (77–93%). In addition, S. aureus was highly resistant to neomycin, followed by streptomycin and ampicillin (68–82%). More than 67% of E. coli isolates were multi-drug resistant (MDR) and only 2.6% were susceptible to all the tested antibiotics. Similarly, 65.6% of S. aureus isolates were MDR and only 5.5% were susceptible to all tested antibiotics. From non-ruminants, a total of 301 isolates were recovered. Escherichia coli (n = 108, 35.9%) and Staphylococcus spp. (n = 27, 9%) were the most frequent isolates obtained. For E. coli, the highest resistance was against amoxicillin, erythromycin, tetracycline, and neomycin (95–100%). Staphylococcus spp. had a high level of resistance to streptomycin, trimethoprim/sulfamethoxazole, tetracycline and gentamicin (80–100%). The MDR levels of E. coli and Staphylococcus spp. isolates from non-ruminants were 72.2 and 74.1%, respectively. Significantly higher resistance level were observed among isolates from non-ruminants compared to ruminants for tetracycline, amoxicillin, enrofloxacin, and trimethoprim/sulfamethoxazole.

scholarly journals Detection of OXA Beta Lactamases Among Clinical Isolates of Acinetobacter baumannii Isolated from Tehran Hospitals, Iran

2019 ◽  
Vol 13 (1) ◽  
pp. 68-72
Author(s):  
Reza Ranjbar ◽  
Shahin Zayeri ◽  
Davoud Afshar ◽  
Shohreh Farshad
Keyword(s):  
Acinetobacter Baumannii ◽  
Early Recognition ◽  
Bacterial Pathogen ◽  
Polymyxin B ◽  
Clinical Isolates ◽  
Hospital Environment ◽  
Diffusion Method ◽  
Disk Diffusion Method ◽  
Molecular Tests ◽  
High Level

Background and Objective:Acinetobacter baumanniiis a non-motile Gram-negative bacterial pathogen with the history of vast resistant to antibiotics. The aim of this study was to determine the possibility of existence of OXAs genes among clinical isolates ofA. baumanniiobtained from Tehran hospitals.Materials and Methods:A total of 101 isolates were identified asA. baumanniiby common biochemical and molecular tests. The susceptibility to different antibiotics was assessed with Kirby-Bauer disk diffusion method. Phenotypic Detection of MBLs was performed with CDT test and PCR assay was also performed for detection ofblaOXA-23-like,blaOXA-24-like,blaOXA-40-like,blaOXA-51-like,blaOXA-58-likeandblaOXA-143-likegenesResults:All isolates ofA. baumanniishowed high-level of resistance to all antibiotics except for Polymyxin B. TheblaOXA-51 likegenes was found in all of the isolates and the prevalence ofblaOXA-143like,blaOXA-23like,blaOXA-40likeandblaOXA-24likewere 56%, 45.45%, 33% and 11.8%, respectively.Conclusion:TheblaOXA-51-likewas the predominant mechanism of resistance to imipenem inA. baumanniiand therefore, early recognition of carbapenem-resistantA. baumanniiisolates is a useful tools to prevent their spreading within the hospital environment.

scholarly journals Fatal post-parturient diarrhoea in a nursing cow transported to Akinyele International Cattle Market, Ibadan, Nigeria: A case report

2020 ◽  
Vol 45 (4) ◽  
Author(s):  
I. G. Adeyemi
Keyword(s):  
Antibiotic Sensitivity ◽  
Visual Observation ◽  
Response To Therapy ◽  
Diffusion Method ◽  
Bacillus Species ◽  
Sensitivity Testing ◽  
Disk Diffusion Method ◽  
Klebsiella Species ◽  
Cattle Market

A pregnant cow of Kuri breed, estimated age of six years old with second calving was transported on land from Maiduguri, Borno state Nigeria. The journey took four days to the Akinyele International Cattle Market. The pregnant cow calved immediately on arrival at the market. A week after calving, the nursing cow was offered for sale and slaughter. The nursing cow and the calf were purchased and put under intensive medical and management care of an experienced cattle stockman in the market. The nursing cow became diarrheic on the second week of arrival at the market. Clinical examination by visual observation revealed projectile watery faeces, stained hindquarter and the pair rectal sterile swab samples were collected. Though the temperature and pulse rate were within the normal range. Standard bacteriological faecal culture of the rectal swab incubated overnight at 370C in selenith F- broth, Nutrient and blood agars at 370C for 24 hours were done, revealing heavy mixed growth of Escherichia coli, Klebsiella species and Bacillus species. Identification of colonies were based on morphology, gram staining, cultural and biochemical characteristics. In-vitro Antibiotic sensitivity testing on discrete colonies of bacteria faeces were done, using agar- Disk diffusion method. The E. coli, Klebsiella and Bacillus species were sensitive to ciprofloxacin® (10μg) and pefloxacin® (30μg). Sulfanol® (sulphadimidin) a broad spectrum antibiotic was administered immediately intramuscularly at 333mg in 3ml per 10kg for four days. Defaecation of the nursing cow stopped for two days after treatment. On the third day of the treatment, the faeces became pasty but the cow died overnight despite the good response to therapy.

scholarly journals Levonadifloxacin: A Novel Approved Drug Exhibiting Potent In vitro Activity against Gram Positive Bacterial Isolates from Patients Admitted in Intensive Care Units

2021 ◽  
Author(s):  
Tasneem Siddiqui ◽  
Rafat Shamim ◽  
Sangram Singh Patel ◽  
Chinmoy Sahu
Keyword(s):  
Staphylococcus Aureus ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Clinical Isolates ◽  
Disk Diffusion ◽  
Diffusion Method ◽  
Gram Positive ◽  
Disk Diffusion Method ◽  
Methicillin Resistant

Introduction: Levonadifloxacin is a novel antibiotic belonging to the benzoquinolizine subclass of fluoroquinolone with potent activity against Methicillin Resistant Staphylococcus aureus (MRSA) and Quinolone Resistant Staphylococcus aureus (QRSA). Both intravenous levonadifloxacin and its oral formulation have recently been approved in India for the treatment of acute bacterial skin related infections. Aim: To assess the activity of levonadifloxacin against gram positive clinical isolates collected from Intensive Care Units (ICUs) using the disk-diffusion method. Materials and Methods: The present descriptive study where non duplicate isolates of Staphylococcus aureus (S. aureus) and other gram positive isolates from various clinical samples from all Intensive Care Units (ICUs) were collected from June to December 2020 and subjected to levonadifloxacin susceptibility testing (disk diffusion method) as per the Clinical and Laboratory Standards Institute (CLSI) guidelines, 2020. Data analysis was performed using Statistical Package for the Social Sciences (SPSS) software, version 25.0. Results: A total of 142 gram positive clinical isolates collected from all ICUs of the hospital were analysed. These isolates included coagulase negative S. aureus 109 (76.8%), S. aureus 21 (14.8%) and Enterococcus faecalis 12 (8.4%). All the gram positive isolates of the study were susceptible to levonadifloxacin as per the prespecified interpretive criteria identified based on population pharmacokinetic model and Monte Carlo simulation enabled probability of pharmacodynamic target attainment analysis. Conclusion: Results of this in vitro study shows good activity of levonadifloxacin against gram positive isolates including difficult to-treat methicillin resistant staphylococcal isolates collected from ICU patients.

scholarly journals Antibiotic resistance of Streptococcus pneumoniae isolated from children in Moscow before and after the introduction of 13-valent pneumococcal conjugate vaccination

2020 ◽  
Vol 23 (4) ◽  
pp. 216-222
Author(s):  
Natalia M. Alyabyeva ◽  
Ekaterina A. Brzhozovskaya ◽  
Olga A. Ponomarenko ◽  
Anna V. Lazareva ◽  
Andrey P. Fisenko
Keyword(s):  
Streptococcus Pneumoniae ◽  
Test Method ◽  
Diffusion Method ◽  
Pneumococcal Serotypes ◽  
Resistance Level ◽  
Disk Diffusion Method ◽  
Antibiotic Resistant ◽  
National Medical ◽  
Before And After ◽  
High Level

Introduction. The formation and spread of antibiotic-resistant Streptococcus pneumoniae isolates is a concern. After the thirteen-valent pneumococcal conjugate vaccine (PCV13) was added to the children’s immunization program in Russia in 2014, an important task is to monitor the resistance level to antimicrobials and the spectrum of circulating antibiotic-resistant pneumococcal serotypes. Materials and methods. The study included 708 nasopharyngeal pneumococcal isolates from children patients under 5 years who recovered from 2010 to 2018, received inpatient and outpatient care at the National Medical Research Center for Children’s Health (Moscow). The determination of sensitivity to antimicrobials was performed by the disk diffusion method. The MICs of penicillin, amoxicillin, and erythromycin were determined using the E-test method. Evaluation of the results was carried out according to the EUCAST-2019 criteria. Results. In total, 33 different serotypes were identified in the S. pneumoniae collection. Six predominant serotypes accounted for 68.6% of the total distribution and included serotypes: 19F, 6B, 23F, 14, 15B/C, 6A. In general, antimicrobial resistance ranged from 3.5% to chloramphenicol to 54.8% to tetracycline. The level of resistance to oxacillin, erythromycin, and clindamycin increased by 15-20% between 2010 and 2018. However, since 2016, there has established a prevalence level of 40-46%, this process is offset by an increase in the proportion of non-vaccine pneumococcal serotypes. Conclusion. A high level of resistance to penicillin and erythromycin remains. Monitoring the resistance level to antibiotics and the epidemiology of serotypes, clarifying the laws of formation of resistance, and its spread in a dynamically changing pneumococcal population is an important area of microbiology.

scholarly journals Susceptibility of clinical Enterobacterales and Pseudomonas aeruginosa isolates to ceftazidimeavibactam in Russia: multicenter local laboratory databased surveillance

2021 ◽  
Vol 23 (3) ◽  
pp. 264-278 ◽  
Author(s):  
Mikhail V. Edelstein ◽  
Elena Yu. Skleenova ◽  
Ivan V. Trushin ◽  
Alexey Yu. Kuzmenkov ◽  
Alexey А. Martinovich ◽  
...  
Keyword(s):  
Pseudomonas Aeruginosa ◽  
Susceptibility Testing ◽  
Vitro Activity ◽  
Clinical Isolates ◽  
Diffusion Method ◽  
Case Report Form ◽  
In Vitro Activity ◽  
Disk Diffusion Method ◽  
Online Platform

Objective. To assess the in vitro activity of ceftazidime-avibactam against clinical Enterobacterales and Pseudomonas aeruginosa isolates in various regions of Russia based on results of local susceptibility testing by disk diffusion method. Materials and Methods. Overall, 160 laboratories located in 61 Russian cities participated in this surveillance during 2018-2020. All consecutive clinical isolates of Enterobacterales and Pseudomonas aeruginosa in each participating laboratory were included in the study. Ceftazidime-avibactam susceptibility testing was done by disc-diffusion method in accordance with current EUCAST recommendations. Susceptibility data for carbapenems and III-IV generation cephalosporins, as well as results of carbapenemases detection, were also reported, if available. All the data were recorded in electronic case report form developed on the OpenClinica online platform (www.openclinica.com). Data analysis and reporting were done using AMRcloud online platform (https://amrcloud.net/). Results. In total, we received information on antimicrobial susceptibility of 22,121 isolates, including 17,456 (78.9%) Enterobacterales and 4,665 (21.1%) P. aeruginosa. Less than 9% of Enterobacterales isolates were resistant to ceftazidime-avibactam. At the same time rates of resistance to ceftazidime, cefotaxime, cefepime, ertapenem, imipenem, and meropenem were 54.1%, 58.9%, 59.4%, 41.4%, 23.9%, and 21.3%. Among Enterobacterales the highest level of resistance to ceftazidime-avibactam was detected in K. pneumoniae (16.5%), lowest – in E. coli (2.1%). Some increase of resistance to ceftazidimeavibactam was noted during the study – from 7.8% in 2018-2019 to 9.6% in 2020 (p = 0.0001). Rate of resistance to ceftazidime-avibactam in P. aeruginosa was 33.1%. At the same time rates of resistance to ceftazidime, cefepime, imipenem, and meropenem were 51.1%, 54.5%, 50%, and 47.3%. During the study there was statistically significant decrease in resistance to ceftazidime-avibactam in P. aeruginosa (p = 0.0001). Resistance rates for all beta-lactams for both Enterobacterales and P. aeruginosa were higher in nosocomial isolates than in community-acquired isolates. Conclusions. Ceftazidime-avibactam demonstrated significantly higher in vitro activity against Enterobacterales and P. aeruginosa Russian clinical isolates comparing with commonly used carbapenems and extended spectrum cephalosporins. Access for all study data available at the AMRcloud online platform (https://amrcloud.net/ru/project/cazavi-1-2/).

scholarly journals Fluoroquinolone Resistance in Clinical Isolates of Klebsiella Pneumoniae

2020 ◽  
Vol 12 (02) ◽  
pp. 121-125
Author(s):  
Pacha Venkataramana Geetha ◽  
Kayanam Vijaya Lalitha Aishwarya ◽  
Shanthi Mariappan ◽  
Uma Sekar
Keyword(s):  
Klebsiella Pneumoniae ◽  
Clinical Laboratory ◽  
Pcr Amplification ◽  
Quinolone Resistance ◽  
Clinical Isolates ◽  
Fluoroquinolone Resistance ◽  
Diffusion Method ◽  
Disk Diffusion Method ◽  
Agar Dilution ◽  
High Level

Abstract Introduction Fluoroquinolones are widely used broad-spectrum antibiotics. Recently, increased rate of resistance to this antibiotic has been observed in Klebsiella pneumoniae. The aim of the present study was to determine the presence of quinolone resistance determining regions (QRDR) mutation genes and plasmid-mediated quinolone resistance (PMQR) determinants in clinical isolates of ciprofloxacin-resistant K. pneumoniae. Material and Methods The study included 110 nonduplicate ciprofloxacin-resistant K. pneumoniae clinical isolates. Antibiotic susceptibility testing by disk diffusion method and minimum inhibitory concentration (MIC) by agar dilution methods for ciprofloxacin was performed according to the recommendations of Clinical Laboratory Standards Institute. The presence of QRDR genes and PMQR genes was screened by polymerase chain reaction (PCR) amplification. Result All 110 isolates were resistance to ciprofloxacin, levofloxacin, and ofloxacin. As much as 88% of the isolates exhibited high-level of MIC to ciprofloxacin. Among the 110 isolates, 94(85%) harbored gyrA and 85 (77%) gyrB. The parC and parE genes were detected in 88 (80%) and 64 (58%) isolates. qnrB was detected in 13 (12%) isolates and qnrS in 5 (4.5%) isolates. Two (1.8%) isolates carried both qnrB and qnrS genes. The acc (6')-Ib-cr gene was found in 98 (89%) isolates and oqxAB was detected in 7 (6.3%) isolates. One (0.9%) isolate carried qnrB, acc(6')-Ib-cr and oqxAB genes. Conclusion The prevalence of acc (6')-Ib-cr gene is high among PMQR determinants, followed by qnrB, oqxAB and qnrS.

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