Bacteriological Study of Otitis Media and Its Antibiotic Susceptibility Pattern

Background: Otitis Media is a prevailing and notorious infection in developing countries causing serious local damage and threating complication. Mainly in developing countries like Nepal, Otitis Media results because of illiteracy, poverty and poor hygiene. The aim of this study was to determine the profile of Otitis Media, its causative agents and their antibiotic susceptibility pattern.Methods: The study included 263 pus samples from 240 patients attending ENT department of Bharatpur hospital from May 2015 to January 2016. Samples were processed in microbiology department for bacteria using standard operating protocol. Antibiotic susceptibility testing was performed for all bacterial isolates by Kirby Bauer disc diffusion method and the results were interpreted according to clinical and laboratory standard institute (CLSI) guideline.Results: Out of 240 patients, 121 were female and 119 were male. Highest incidence of Otitis Media was observed in 1-10 year age group. Out of 263 samples taken from 240 patients, 216 showed bacterial growth. Gram negative bacteria predominated and the most common bacteria isolated were Staphylococcus aureus 36.11% followed by Pseudomonas aeruginosa 33.33% and Coagulase Negative Staphylococci 8.08%. All bacterial isolates were sensitive to gentamycin. Staphylococcus aureus was sensitive to Amikacin and gentamycin. All gram negative bacterial isolates were sensitive to Imipenem and gentamycin. 100% of Pseudomonas aeruginosa was sensitive to Imipenem.Conclusions: Staphylococcus aureus was the most predominant organism isolated from the pus swab followed by Pseudomonas aeruginosa and all the isolated organisms were sensitive to Gentamycin.

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Aerobic Bacteriological and Antibiotic Susceptibility Profile of Pus Isolates from A Tertiary Care Hospital, Puducherry

Journal of Pure and Applied Microbiology ◽

10.22207/jpam.14.3.35 ◽

2020 ◽

Vol 14 (3) ◽

pp. 1961-1966

Author(s):

A. Deboral ◽

Namrata K. Bhosale ◽

S. Umadevi

Keyword(s):

Staphylococcus Aureus ◽

Pseudomonas Aeruginosa ◽

Antibiotic Resistance ◽

Antibiotic Susceptibility ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Resistance Pattern ◽

Care Hospital ◽

Bacterial Isolates ◽

Gram Negative

The antibiotic resistance pattern was observed significantly in various geographical locations. Routine surveillance is therefore essential for constant monitoring of AMR rates in the clinically important pathogens. It is imperative to track the changing resistance pattern over time, to guide proper therapeutic strategies to combat infections due to drug-resistant pathogens. This study aims to highlights the distribution of aerobic bacterial isolated from pus samples, and their susceptibility to different antibiotics collected during 2017 (July to December) in a tertiary care hospital. Nearly 637 clinical pus samples were received during July to December 2017 to the Department of Microbiology, Tertiary care hospital, Puducherry. Bacterial identification was performed using standard conventional biochemical tests and antibiotic susceptibility was carried out according to CLSI guidelines 2017 on each one of the aerobic bacterial isolates from the pus samples. Among the isolates 76.5% were Gram-negative bacilli (GNB) as well as 23.5% were Gram-positive cocci (GPC). The most common bacteria isolated were Pseudomonas spp 24.88% (108 in 434), followed by Escherichia coli 21.66% (94 in 434), Staphylococcus aureus 19.82% (86 in 434) and Klebsiella pneumoniae 13.13% (57 in 434). Of the 86 (19.82%) Staphylococcus aureus isolates, 16 (18.40%) were MRSA. Pseudomonas aeruginosa was highly susceptible to the carbapenems and least susceptible to ciprofloxacin. Acinetobacter baumannii was the most resistant organism according to this study and showed the least susceptibility to ceftriaxone and maximum susceptibility to aminoglycosides. This study concluded that the Pseudomonas aeruginosa isolate was found to be a predominant in our clinical pus samples. Gram negative bacteria are more commonly associated with the pyogenic lesion that Gram positive. A high level of an antibiotic resistance was observed in most of our bacterial isolates.

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Aerobic Bacteriology of Chronic Suppurative Otitis Media without Cholesteatoma in Children

Annals of Otology Rhinology & Laryngology ◽

10.1177/000348949210101011 ◽

1992 ◽

Vol 101 (10) ◽

pp. 866-869 ◽

Cited By ~ 30

Author(s):

Dan M. Fliss ◽

Naftali Meidan ◽

Ron Dagan ◽

Alberto Leiberman

Keyword(s):

Staphylococcus Aureus ◽

Pseudomonas Aeruginosa ◽

Prospective Study ◽

Otitis Media ◽

Granulation Tissue ◽

Chronic Suppurative Otitis Media ◽

Suppurative Otitis Media ◽

Gram Negative ◽

Nonsurgical Management ◽

A Prospective Study

Medical management of chronic suppurative otitis media without cholesteatoma in children was shown recently to be efficacious. We undertook a prospective study in order to determine 1) the organisms associated with the disease and their sensitivity to various antibiotics and 2) their association with clinical variables. Pseudomonas was isolated from 84% of the patients, enteric gram-negative bacilli from 32%, Staphylococcus aureus from 20%, streptococci from 14%, and Hemophilus influenzae from 15%. Pseudomonas aeruginosa was the sole isolate in 48 of the 128 patients (38%). The sensitivity of P aeruginosa (78 isolates) was 100% (of isolates) to mezlocillin and ciprofloxacin, 99% to tobramycin and ceftazidime, 97% to piperacillin, 94% to gentamicin, and 78% to ceftriaxone. The isolated organisms and their sensitivity to antibiotics were not associated with age, sex, duration of otorrhea, or the presence of granulation tissue or polyps. We believe that our data may contribute to the appropriate choice of antibiotics when nonsurgical management of chronic suppurative otitis media without cholesteatoma is considered.

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Detection of the Antiseptic Resistance Gene among Pseudomonas aeruginosa Isolates

Iraqi Journal of Science ◽

10.24996/ijs.2021.62.1.7 ◽

2021 ◽

pp. 75-82

Author(s):

اخلاص نعمة

Keyword(s):

Pseudomonas Aeruginosa ◽

Antibiotic Susceptibility ◽

Antimicrobial Agents ◽

Opportunistic Pathogen ◽

Susceptibility Test ◽

Diffusion Method ◽

Bacterial Isolates ◽

Disk Diffusion Method ◽

Antibiotic Susceptibility Test ◽

Antibiotics Susceptibility

Pseudomonas aeruginosa is an opportunistic pathogen that causes a number of infections in immunocompromised patients. This organism appears to improve resistance to many antimicrobial agents and a high percentage of clinical isolates of P. aeruginosa exhibit multidrug resistance (MDR) phenotype . The purpose of this study is to screen the antibiotic susceptibility patterns and the prevalence of qacE delta1 gene among bacterial isolates. Accordingly, 145 samples were collected from different clinical sources from patients who admitted to different hospitals in Baghdad city in a period ranged 23/8/2018-1/1/2019. The isolates were diagnosed as P. aeruginosa based on routine bacteriological methods and confirmed by a molecular method using 16SrRNA gene. The antibiotic susceptibility test was performed to all identified isolates by Kirby-Bauer Disk Diffusion method using ten types of antibiotics. The results of antibiotics susceptibility test revealed high levels of resistance toward Piperacillin (72.22%), Trimethoprim (68%), Ceftazidime (68%), Colistin (40.28%), and Levofloxacin (33.33%). And , the minimum inhibitory concentration (MIC) of Cetrimide was tested using different concentrations (2.048 to 0.004µg/100µl) and the results showed that MIC values ranged between 2.048 and 0.016) μg/100μL, and the concentration of 0.256 μg/100μl was more frequent . Finally, the prevalence of qacE delta1 gene among bacterial isolates was detected in percentage 63.88% among bacterial isolates .

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Study of The Inhibitory Activity of The Alcoholic Extract of Licorice Plant Glycyrrhiza Glabral and Its Effect on Prolonging The Storage Period of Manufactured Biscuit

IOP Conference Series Earth and Environmental Science ◽

10.1088/1755-1315/910/1/012027 ◽

2021 ◽

Vol 910 (1) ◽

pp. 012027

Author(s):

Suhair Abed Talaa Al-Sudani ◽

Alia Saad Al-Hafiz ◽

Labib Ahmed Kadhim

Keyword(s):

Escherichia Coli ◽

Pseudomonas Aeruginosa ◽

Food Contamination ◽

Storage Period ◽

Research Center ◽

Control Treatment ◽

Diffusion Method ◽

Alcoholic Extract ◽

Bacterial Isolates ◽

Gram Negative

Abstract The study was conducted to obtain the alcoholic extract of the licorice roots plant and to test its effectiveness against diagnosed bacterial isolates. This research was conducted at the Food Contamination Research Center/Department of Environment and Water/Ministry of Science and Technology. The results showed the following: 1-80% ethyl alcohol was used to obtain the alcoholic extract using a saxolite device, and the activity of the extract was tested against four bacterial isolates diagnosed in the Food Contamination Research Center, which included two gram-negative isolates of Escherichia Coli and Pseudomonas aeruginosa, and two gram-positive isolates of Bacillus Cereus and Staphylococcus aeastureus by a method, in addition to yeast by Diffusion method. The study included two treatments of biscuits with alcoholic extract (A) at a concentration of 10% and compared to the control treatment (B) without any adding and for preservation periods (1, 4, 8, 15, 22) days, and microbial tests were conducted for the biscuits. The alcoholic extract showed a lethal activity to microorganisms and no bacterial cell appeared in the biscuit samples except for the incubation period (22) days for storing biscuits, which recorded the presence of fungi (2) cells/ml. Conducting sensory evaluation of the treatments (A, B) for biscuits where there were no significant differences (P<0.05) for sensory attributes except for flavor and flakes of biscuits.

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Evaluation of Short-Term Exposure to 2.4 GHz Radiofrequency Radiation Emitted from Wi-Fi Routers on the Antimicrobial Susceptibility of Pseudomonas aeruginosa and Staphylococcus aureus

10.31661/gmj.v9i0.1580 ◽

2020 ◽

Vol 9 ◽

pp. 1580 ◽

Cited By ~ 1

Author(s):

Samad Amani ◽

Mohammad Taheri ◽

Mohammad Mehdi Movahedi ◽

Mohammad Mohebi ◽

Fatemeh Nouri ◽

...

Keyword(s):

Staphylococcus Aureus ◽

Pseudomonas Aeruginosa ◽

Antibiotic Susceptibility ◽

Electromagnetic Waves ◽

Bacterial Resistance ◽

Diffusion Method ◽

Short Term ◽

Radiofrequency Radiation ◽

Short Term Exposure ◽

Antibiotic Susceptibility Test

Background: Overuse of antibiotics is a cause of bacterial resistance. It is known that electromagnetic waves emitted from electrical devices can cause changes in biological systems. This study aimed at evaluating the effects of short-term exposure to electromagnetic fields emitted from common Wi-Fi routers on changes in antibiotic sensitivity to opportunistic pathogenic bacteria. Materials and Methods: Standard strains of bacteria were prepared in this study. Antibiotic susceptibility test, based on the Kirby-Bauer disk diffusion method, was carried out in Mueller-Hinton agar plates. Two different antibiotic susceptibility tests for Staphylococcus aureus and Pseudomonas aeruginosa were conducted after exposure to 2.4-GHz radiofrequency radiation. The control group was not exposed to radiation. Results: Our findings revealed that by increasing the duration of exposure to electromagnetic waves at a frequency of 2.4 GHz, bacterial resistance increased against S. aureus and P. aeruginosa, especially after 24 hours (P<0.05). Conclusion: The use of electromagnetic waves with a frequency of 2.4 GHz can be a suitable method for infection control and treatment. [GMJ.2020;9:e1580]

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Childhood Septicemia in Nepal: Documenting the Bacterial Etiology and Its Susceptibility to Antibiotics

International Journal of Microbiology ◽

10.1155/2014/452648 ◽

2014 ◽

Vol 2014 ◽

pp. 1-6 ◽

Cited By ~ 6

Author(s):

Shamshul Ansari ◽

Hari Prasad Nepal ◽

Rajendra Gautam ◽

Sony Shrestha ◽

Puja Neopane ◽

...

Keyword(s):

Antibiotic Susceptibility ◽

Methicillin Resistance ◽

Care Center ◽

Tertiary Care ◽

Diffusion Method ◽

Coagulase Negative Staphylococci ◽

Gram Positive ◽

Disk Diffusion Method ◽

Gram Negative ◽

Microbiological Methods

Introduction. Children are among the most vulnerable population groups to contract illnesses. The varying microbiological pattern of septicemia warrants the need for an ongoing review of the causative organisms and their antimicrobial susceptibility pattern. Therefore, the objective of this study was to document the bacterial etiology of childhood septicemia and its antibiotic susceptibility profile.Methods.Cross-sectional type of study in 1630 suspected patients was conducted at CMCTH from January 2012 to December 2013. Blood samples were collected aseptically for culture. The organisms grown were identified by standard microbiological methods recommended by American Society for Microbiology (ASM) and subjected to antibiotic susceptibility testing by modified Kirby-Bauer disk diffusion method. Methicillin resistance was confirmed using cefoxitin and oxacillin disks methods.Results.Septicemia was detected in 172 (10.6%) cases. Among Gram-positive organisms, coagulase negative staphylococci (CoNS) were leading pathogen andAcinetobacterspp. were leading pathogen among Gram-negative isolates. Vancomycin, teicoplanin, and clindamycin were the most effective antibiotics against Gram-positive isolates while amikacin was effective against Gram-positive as well as Gram-negative isolates. Methicillin resistance was detected in 44.4% ofStaphylococcus aureus.Conclusions. This study has highlighted the burden of bacterial etiology for septicemia among children in a tertiary care center of central Nepal.

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Bacteriological Profile of Urinary Tract Infections among Postmenopausal Women Visiting Alka Hospital, Lalitpur, Nepal

Himalayan Journal of Science and Technology ◽

10.3126/hijost.v2i0.25841 ◽

2018 ◽

Vol 2 ◽

pp. 34-40

Author(s):

Surendra Prasad Yadav ◽

Puspa Raj Dahal ◽

Shiv Nandan Sah ◽

Vijay Kumar Sharma

Keyword(s):

Urinary Tract ◽

Postmenopausal Women ◽

Antibiotic Susceptibility ◽

Urine Samples ◽

Diffusion Method ◽

Bacterial Isolates ◽

Gram Positive ◽

Gram Negative ◽

Microbiological Methods ◽

Tract Infections

Urinary tract infection (UTI) is one of the most common diseases encountered worldwide and is a major public health problem in terms of morbidity and financial costs. A cross-sectional study was conducted in Alka Hospital, Lalitpur, Nepal from February to July, 2014. A total of 353 midstream urine samples were collected from postmenopausal women visiting Alka Hospital, Lalitpur, Nepal. The samples were examined by microscopically and culture methods. The isolated organisms were identified by conventional microbiological methods. Antibiotic susceptibility test was performed by modified Kirby-Bauer disc diffusion method according to CLSI (2011) guidelines. Among 353 urine samples processed, 32 % (113) showed significant bacteriuria. Out of 113 bacterial isolates, the prevalence of gram negative bacteria was 97.3% (110) while that of gram positive was 2.7% (3). The most predominating organisms causing UTI were Escherichia coli (84.9%) followed by Klebsiella pneumoniae (5.3%), Enterococcus faecalis (1.7%), Providencia spp. (1.7%), Klebsiella oxytoca (1.7%), Proteus mirabilis (1.7%), Proteus vulgaris (0.9%), Citrobacter freundii (0.9%) and Staphylococcus aureus (0.9%). Antibiotic susceptibility tests of the isolates showed that, most of the gram negative bacterial isolates were sensitive to Piperacillin+Tazobactam followed by Amikacin, Imipenem and Nitrofurantoin, while they were resistant to Amoxicillin. All gram positive isolates were sensitive to Amoxicillin and resistant to Gentamycin. This study showed that higher aged postmenopausal women (>80 years) were at higher risk for UTI than those of lower aged ones (<80 years).

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Aerobic Bacterial Isolates and Their Antibiotic Susceptibility Patterns of Pus Samples at Tertiary Healthcare Center of Northern India

International Journal of Research and Review ◽

10.52403/ijrr.20210934 ◽

2021 ◽

Vol 8 (9) ◽

pp. 247-251

Author(s):

Aditya Rana ◽

Veehteeanveshna Gupta ◽

Subhash Chand Jaryal

Keyword(s):

Staphylococcus Aureus ◽

Antibiotic Resistance ◽

Antibiotic Susceptibility ◽

Diffusion Method ◽

Resistance Pattern ◽

Bacterial Isolates ◽

Northern India ◽

Gram Staining ◽

Bacteriological Profile ◽

Tertiary Healthcare

Introduction: Emerging resistance in microorganisms is a matter of great concern in health care setups. Bacterial isolate and AMR pattern changes from place to place and time to time. Unprofessional use of antibiotics has resulted in an increasing burden of antibiotic resistance. This study focused over the aerobic bacteriological profile and antibiotic resistance pattern in pus isolates. Materials and Methods: A retrospective study was carried out from June, 2020 to May 2021. 1174 pus samples collected during the study period were included. The samples were cultured on Blood and MacConkey agar. After aerobic incubation at 37°C for 18-24 hrs, organisms were identified by biochemical reactions, gram staining and antibiotic susceptibility was tested by Kirby Bauer disc diffusion method. Result: Among the total 1174 pus samples, 712 (60.6%) were male and 462 (39.3%) were females. 857(72.9%) samples showed positive results. Among them, Staphylococcus aureus was the most common isolate followed by Escherichia coli, Pseudomonas spp. and Klebsiella spp. The sensitivity of Staphylococcus aureus was highest with Vancomycin and Linezolid, whereas Enterobacterales and Pseudomonas were sensitive with Piperacillin tazobactam. Conclusion: Increasing resistance always poses a challenge in treating infections. The development of resistant strains of pathogens can be limited by the judicious use of antibiotics. This study shows the infecting bacterial isolates and their antibiogram from this area. Keywords: Pus, antimicrobial resistance, bacterial isolates.

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Catheter-Associated Urinary Tract Infection and Obstinate Biofilm Producers

Canadian Journal of Infectious Diseases and Medical Microbiology ◽

10.1155/2018/7624857 ◽

2018 ◽

Vol 2018 ◽

pp. 1-7 ◽

Cited By ~ 13

Author(s):

Govinda Maharjan ◽

Priyatam Khadka ◽

Gomik Siddhi Shilpakar ◽

Ganesh Chapagain ◽

Guna Raj Dhungana

Keyword(s):

Escherichia Coli ◽

Staphylococcus Aureus ◽

Pseudomonas Aeruginosa ◽

Antibiotic Sensitivity ◽

Diffusion Method ◽

Klebsiella Pneumonia ◽

Gram Positive ◽

Gram Negative ◽

Control And Prevention ◽

Amoxicillin Clavulanate

Background. Biofilms, or colonies of uropathogen growing on the surface of indwelling medical devices, can inflict obstinate or recurring infection, thought-provoking antimicrobial therapy.Methods. This prospective analysis included 105 urine samples from catheterized patients receiving intensive care. Ensuing phenotypic identification, antibiotic sensitivity test was performed by modified Kirby–Bauer disc diffusion method following CLSI guidelines; MDR isolates were identified according to the combined guidelines of the European Centre for Disease Prevention and Control (ECDC) and the Centers for Disease Control and Prevention (CDC). Biofilm-forming uropathogens were detected by the tissue culture plate (TCA) method.Results. The predominant uropathogen in catheter-associated UTIs (CAUTIs) wasEscherichia coli57%, followed byKlebsiella pneumonia15%,Pseudomonas aeruginosa12%,Staphylococcus aureus8%,Enterobacterspp. 3%,Enterococcus faecalis,Acinetobacterspp., andProteus mirabilis1.5%, of which 46% isolates were biofilm producers. Prime biofilm producers wereEscherichia coli33%, followed byKlebsiella pneumoniae30%,Pseudomonas aeruginosa20%,Staphylococcus aureus10%,Acinetobacter, andEnterobacter3.33%. Multidrug resistance associated with biofilm producers were greater than biofilm nonproducers. The Gram-negative biofilm producers found 96.15%, 80.76%, 73.07%, 53.84%, 53.84%, 46.15%, 19.23%, and 11.5% resistant to amoxyclave, ceftazidime, tetracycline, gentamicin, meropenem, nitrofurantoin, amikacin, imipenem, and fosfomycin, respectively. Gram-positive biofilm producers, however, were found 100% resistant to tetracycline, cloxacillin, and amoxyclave: 66.67% resistant to ampicillin while 33.33% resistant to gentamicin, ciprofloxacin, and nitrofurantoin.Conclusion. High antimicrobial resistance was observed in biofilm producers than non-biofilm producers. Of recommended antimicrobial therapies for CAUTIs, ampicillin and amoxicillin-clavulanate were the least active antibiotics, whereas piperacillin/tazobactam and imipenem were found as the most effectual for gram-negative biofilm producer. Likewise, amoxicillin-clavulanate and tetracycline were the least active antibiotics, whereas vancomycin, fosfomycin, piperacillin-tazobactam, and meropenem were found as the most effective antibiotic for Gram-positive biofilm producer. In the limelight, the activity fosfomycin was commendable against both Gram-positive and Gram-negative biofilm producers.

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Screening of some plant materials used in South-West Algerian traditional medicine for their antibacterial activity

International Journal of Phytomedicine ◽

10.5138/09750185.2161 ◽

2017 ◽

Vol 9 (4) ◽

pp. 619

Author(s):

Fatehi Naima ◽

Houcine BENMEHDI ◽

Allali Hocine ◽

Oulednecir Nawal

Keyword(s):

Escherichia Coli ◽

Staphylococcus Aureus ◽

Pseudomonas Aeruginosa ◽

Antibacterial Activity ◽

Traditional Medicine ◽

Diffusion Method ◽

Plant Materials ◽

Gram Negative ◽

Maximum Inhibition ◽

Reference Strains

The initial introduction of new medicinal agents into the health care system sometimes, requires information beyond that is recorded in libraries relying instead, on reports available through traditions and healers within a society. This paper explored the antibacterial activity of aqueous and hydromethanolic extracts of nine folkloric medicinal plant from Bechar region (southwest Algeria) namely: A. nardus, A. schoenanthus, G. vulgaris, two species of H. scoparia green & red, P. laevigata, R. tripartita, T. gallica and T. nudatum, frequently used in the local traditional medicine. The antibacterial activity of different extracts were evaluated by using disc diffusion method agar and antibiotics susceptibility of ten selected microorganisms: seven reference strains, Bacillus cereus, Enterococcus faecalis, Staphylococcus aureus, Escherichia coli, Klebsiella pneumoniae, Pseudomonas aeruginosa, Salmonella typhi, and three clinically isolated strains, Escherichia coli (Urinary Tract Infection), Escherichia coli (Vaginal Infection) and Staphylococcus aureus (Skin Infection).The maximum antibacterial activity was recorded against the gram negative reference strains Pseudomonas aeruginosaand Escherichia coli with a maximum inhibition diameter of 15.6 ± 0.5 and 15.0 ± 1.4 mm respectively displayed by the aqueous extract of T. gallica, followed by the activity detected by the hydromethanolic extract of R. tripartita against the gram negative reference strain Pseudomonas aeruginosa (14.6±1.2 mm) and the aqueous and hydromethanolic extracts of R. tripartita against the gram negative reference strains Pseudomonas aeruginosa and Escherichia coli with a maximum inhibition diameter of 14.3 ± 2.0 and 14.3±0.5 mm, respectively.According to the present study, H. scoparia red, P. laevigata, R. tripartita, and T. gallicacan be served as broad spectrum antibiotic and used as a potent source of natural antibacterial agents by replacing commercially available synthetic drug that may have a large number of side effects.

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