Antibiotic Resistance Pattern in Pseudomonas Aeruginosa Isolated from Different Clinical Specimens

Introduction: Pseudomonas aeruginosa is a major clinical microbiological problem affecting the hospitalized and non-hospitalized patients throughout the world. The susceptibility patterns of P. aeruginosa vary geographically and with clinical presentation. Pseudomonas can rapidly develop resistance especially when single drug is employed due to frequent mutation and its own innate mechanisms of antibiotic resistance.Objectives: This cross sectional study was carried out to determine in-vitro resistance pattern of Pseudomonas isolates to common antimicrobial agents by disc diffusion method. Various clinical samples were collected from Combined Military Hospital (CMH), Dhaka.Materials and Methods: This study was carried out in the Department of Microbiology, Armed Forces Institute of Pathology (AFIP) from 01 March 2012 to 31 August 2012. Identification and antibiogram were performed for Pseudomonas isolates following standard microbiological laboratory procedure.Results: A total of 198 P. aeruginosa were isolated from the various specimens. The highest number (76) of P. aeruginosa were isolated from wound swab/pus (38.38%), followed by urine (56, 28.28%), bronchial wash (23, 11.62%). In present study, maximum number of P. aeruginosa are resistant to penicillin (98.98%) followed by cephalosporins (89.85%), aminoglycosides (80.04%), carbapenems (76.08%). The most sensitive antibiotic was combination of piperacillin and tazobactam (only 3.37% resistant) followed by ciprofloxacin (54.04%) and azithromycin (59.18%).Conclusion: To prevent the spread of the resistant bacteria, it is critically important to have strict antibiotic policies. The surveillance programmes for multidrug resistant organisms and infection control procedures need to be implemented properly. The antibiotic susceptibility pattern of P. aeruginosa needs to be continuously monitored in specialized clinical units and the results readily made available to the clinicians so as to minimize the resistance.Journal of Armed Forces Medical College Bangladesh Vol.11(1) 2015: 45-49

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Evaluation of Antibiotic Resistance Pattern, Alginate and Biofilm Production in Clinical Isolates of Pseudomonas aeruginosa

Iranian Journal of Public Health ◽

10.18502/ijph.v50i2.5349 ◽

2021 ◽

Author(s):

Fateme DAVARZANI ◽

Navid SAIDI ◽

Saeed BESHARATI ◽

Horieh SADERI ◽

Iraj RASOOLI ◽

...

Keyword(s):

Pseudomonas Aeruginosa ◽

Biofilm Formation ◽

Bacterial Resistance ◽

Antimicrobial Agents ◽

Clinical Isolates ◽

Diffusion Method ◽

Clinical Samples ◽

Resistance Pattern ◽

Alginate Production ◽

Opportunistic Bacteria

Background: Pseudomonas aeruginosa is one of the most common opportunistic bacteria causing nosocomial infections, which has significant resistance to antimicrobial agents. This bacterium is a biofilm and alginate producer. Biofilm increases the bacterial resistance to antibiotics and the immune system. Therefore, the present study was conducted to investigate the biofilm formation, alginate production and antimicrobial resistance patterns in the clinical isolates of P. aeruginosa. Methods: One hundred isolates of P. aeruginosa were collected during the study period (from Dec 2017 to Jul 2018) from different clinical samples of the patients admitted to Milad and Pars Hospitals at Tehran, Iran. Isolates were identified and confirmed by phenotypic and genotypic methods. Antimicrobial susceptibility was specified by the disk diffusion method. Biofilm formation and alginate production were measured by microtiter plate and carbazole assay, respectively. Results: Sixteen isolates were resistant to all the 12 studied antibiotics. Moreover, 31 isolates were MultidrugResistant (MDR). The highest resistance rate was related to ofloxacin (36 isolates) and the least resistance was related to piperacillin-tazobactam (21 isolates). All the isolates could produce the biofilm and alginate. The number of isolates producing strong, medium and weak biofilms was equal to 34, 52, and 14, respectively. Alginate production was more than 400 μg/ml in 39 isolates, 250-400 μg/ml in 51 isolates and less than 250 μg/ml in 10 isolates. Conclusion: High prevalence of MDR, biofilm formation, and alginate production were observed among the clinical isolates of P. aeruginosa. The results also showed a significant relationship between the amount of alginate production and the level of biofilm formation.

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Pseudomonas aeruginosa Infection and Antibiotic Sensitivity Pattern Isolated from a Tertiary Care Hospital in Dhaka City

Asian Journal of Research in Infectious Diseases ◽

10.9734/ajrid/2021/v8i230233 ◽

2021 ◽

pp. 23-29

Author(s):

Mousumi Karmaker ◽

Md. Abul Khair ◽

Una Jessica Sarker ◽

Rabeya Nahar Ferdous ◽

Sa’dia Tasnim ◽

...

Keyword(s):

Pseudomonas Aeruginosa ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Health Sciences ◽

Diffusion Method ◽

Clinical Samples ◽

Resistance Pattern ◽

Resistant Bacteria ◽

Care Hospital ◽

Sensitivity Pattern

Pseudomonas aeruginosa is one of the most widespread gram-negative microorganisms identified in the clinical samples and most common causes of hospital acquired infection. P. aeruginosa is affecting both indoor and outdoor patients throughout the world. Due to frequent mutation in P. aeruginosa highly resistant strain developed rapidly. The aim of the study to determine the prevalence of P. aeruginosa species in different samples isolated from a Tertiary care Hospital as well as determination their diverse antibiotic resistance pattern. This cross-sectional study was carried out to determine in-vitro resistance pattern of P. aeruginosa isolates to common antimicrobial agents by disc diffusion method. Various clinical samples were collected from Bangladesh Health Sciences Hospital (BIHS) General Hospital, Dhaka. This research was carried out in the Department of Microbiology of Bangladesh University of Health Sciences (BUHS). Isolation, identification and antibiogram were performed for P. aeruginosa following standard microbiological laboratory procedure. A total of 218 P. aeruginosa were isolated from 3062 different clinical specimens which are statistically significant (p<0.0001). Among the highest number of P. aeruginosa were isolated from outdoor patients 140 compare to Indoor patients which are significantly higher (p <0.013). In this study Male (68.3%) are more vulnerable to P. aeruginosa infection compare to females (31.7%) which is also statistically significant. Young people (less than 35 years) were more susceptible to P. aeruginosa infection which is also statistically significant (p< 0.01). The highest number of P. aeruginosa was isolated from wound (43.12%), followed by pus (40.33%), sputum (8.71%) urine (7.80%). The maximum number of P. aeruginosa in various samples was resistant to aztreonam and co-tromoxazole followed by cephalosporins, aminoglycosides, carbapenems. The most sensitive antibiotic was colistin of followed by gentamycin and tetracycline. To control the spread of resistant bacteria, it is disparagingly vital to have stringent antibiotic guidelines. The antibiotic susceptibility pattern of P. aeruginosa requires to be continuously monitored in specialized clinical units and the results readily made available to the clinicians to minimize the resistance.

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Antibiotic Resistance Pattern and Frequency of PER-1, SHV-1 and AMPC Type B-Lactamase Genes in Pseudomonas aeruginosa Isolated from Clinical Samples

The Open Microbiology Journal ◽

10.2174/1874285801913010308 ◽

2019 ◽

Vol 13 (1) ◽

pp. 308-312 ◽

Cited By ~ 1

Author(s):

Fatemeh F. Amoudizaj ◽

Elnaz Aghayi ◽

Milad G. Matin ◽

Nayemeh Soltani ◽

Pejman Mala

Keyword(s):

Pseudomonas Aeruginosa ◽

Antibiotic Resistance ◽

Resistance Genes ◽

Antimicrobial Agents ◽

Treatment Protocol ◽

Polymyxin B ◽

Diffusion Method ◽

Clinical Samples ◽

Resistance Pattern ◽

Pcr Method

Background: The existence of Extended Spectrum B-lactamase (ESBL) genes plays an important role in spreading B-lactam antibiotic resistance in the producing strains of these enzymes. The resistance of gram-negative bacteria, such as Pseudomonas aeruginosa, to different antimicrobial agents, especially B-lactams, has increasingly been reported. Objective: This study was conducted to determine the prevalence of TEM-1and VEB-1 beta-lactamases gene in P. aeruginosa isolates through Polymerase Chain Reaction (PCR) method. Methods: 100 clinical isolates of P. aeruginosa were collected from different clinical samples. The antibiotic susceptibility was examined by the disc diffusion method. The presence of PER-1, SHV-1 and AMPC genes was detected by PCR method. Results: Out of the studied P. aeruginosa isolates, 7, 9 and 37 isolates were positive for PER-1, SHV-1 and AMPC B-lactamases resistance genes, respectively. Patients with urinary infection had the most resistant isolates. All isolates (100%) were sensitive to polymyxin B. Conclusion: Antibiotic resistance in isolates of Pseudomonas can be caused by B-lactamases resistance genes. Noticing the increasing rate of the ESBLs producing strains, using the appropriate treatment protocol based on the antibiogram pattern of the strains is highly recommended.

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ANTIBACTERIAL RESISTANCE PATTERN OF PSEUDOMONAS AERUGINOSA ISOLATED FROM CLINICAL SAMPLES AT A GENERAL HOSPITAL IN PADANG, WEST SUMATRA, INDONESIA

Asian Journal of Pharmaceutical and Clinical Research ◽

10.22159/ajpcr.2017.v10i8.18539 ◽

2017 ◽

Vol 10 (8) ◽

pp. 158

Author(s):

Rustini Rustini ◽

Jamsari Jamsari ◽

Marlina Marlina ◽

Nasrul Zubir ◽

Yori Yuliandra

Keyword(s):

Pseudomonas Aeruginosa ◽

Bacterial Resistance ◽

Clinical Sample ◽

Opportunistic Pathogen ◽

Positive Control ◽

Diffusion Method ◽

Clinical Samples ◽

Resistance Pattern ◽

Tract Infections ◽

Almost All

Objectives: Pseudomonas aeruginosa is an opportunistic pathogen that has an innate resistance to some antibiotics. This bacterium is one of the mostcommon causes of nosocomial infections that include surgical wound infections, burns, and urinary tract infections. The bacteria have been reportedlyresistant to many antibiotics and have developed multidrug resistance (MDR). The objective of the study was to determine the resistance pattern ofP. aeruginosa isolated from clinical samples of patients against some major antibiotics.Methods: Isolates of P. aeruginosa were obtained from clinical sample of urine, sputum, swabs, pus, feces, and blood and cultured in cetrimide agar. P.aeruginosa ATCC 27853 was used as a positive control. The antibacterial susceptibility testing was conducted against 13 antibiotics: Ceftazidime, cefotaxime,ceftriaxone, cefoperazone, ciprofloxacin, levofloxacin, ofloxacin, gentamicin, amikacin, piperacillin, ticarcillin, meropenem, and imipenem. The examinationwas carried out using agar diffusion method of Kirby-Bauer and following the standards from Clinical and Laboratory Standards Institute (CLSI).Results: The results showed that bacterial resistance was established against all tested antibiotics. The highest number of resistance was shownagainst ceftriaxone (44.21%), whereas the most susceptibility was exhibited against amikacin (only 9.47% of resistance). MDR P. aeruginosa (MDRPA)was detected on almost all clinical samples tested, except the feces. The sample with the highest percentage of MDRPA was the pus.Conclusion: The study concludes that the most effective antibiotic against P. aeruginosa is amikacin (91.51%), whereas the most resistance is exhibited to ceftriaxone (43.16%).

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Prevalence of antibiotic resistance and blaIMP-1 gene among Pseudomonas aeruginosa strains isolated from burn and urinary tract infections in Isfahan, central Iran

Microbiology Research ◽

10.4081/mr.2017.7295 ◽

2017 ◽

Vol 8 (2) ◽

Cited By ~ 2

Author(s):

Naeimeh Sadat Hashemi ◽

Meysam Mojiri ◽

Parivash Yazdani Kachouyi ◽

Shiva Eskandari ◽

Mehrsa Mohammadian ◽

...

Keyword(s):

Pseudomonas Aeruginosa ◽

Antibiotic Resistance ◽

Urinary Tract ◽

Urinary Tract Infections ◽

Diffusion Method ◽

Clinical Samples ◽

Resistance Pattern ◽

Public Health Issue ◽

High Prevalence ◽

Tract Infections

Pseudomonas aeruginosa is one of the most important opportunistic pathogens responsible for various types of hospital infections. High prevalence of antibiotic resistance in P. aeruginosa strains of human clinical samples cause more severe diseases for a longer period of time. The current research was done in order to study the distribution of blaIMP-1 gene among the imipenem-resistant P. aeruginosa strains isolated from burn and urinary tract infections of hospitalized patients. Two-hundred and forty-three P. aeruginosa isolates recovered from the cases of burn and urinary tract infections of inpatients and outpatients were analysis for antibiotic resistance pattern using the disk diffusion method. Then, imipenem-resistant isolates were further analyzed for distribution of blaIMP-1 gene using the PCR. Of 243 P. aeruginosa isolates, 146 strains (60.08%) were taken from outpatients and 97 strains (39.91%) were taken from inpatients. P. aeruginosa isolates harbored the highest levels of resistance against streptomycin (100%), nalidixic acid (100%), aztreonam (100%), cotrimoxazole (95.47%), ciprofloxacin (88.47%), cefotaxime (84.36%) and gentamycin (83.95%). Inpatients had a relatively higher levels of antibiotic resistance. One-hundred and twenty-one out of 126 (96.03%) imipenem-resistant P. aeruginosa isolates harbored the blaIMP-1 gene. Inpatients also had a relatively higher prevalence of blaIMP-1 gene. High prevalence of blaIMP-1 gene and also imipenemresistant P. aeruginosa are important public health issue. Clinical laboratories should consider the detection of the blaIMP-1 gene among the P. aeruginosa isolates of clinical samples.

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USING ESSENTIAL OILS TO COMBAT THE THREAT OF MULTI-DRUG RESISTANT BACTERIA, PSEUDOMONAS AERUGINOSA

International Journal of Pharmacy and Pharmaceutical Sciences ◽

10.22159/ijpps.2016v8i12.13564 ◽

2016 ◽

Vol 8 (12) ◽

pp. 180 ◽

Cited By ~ 1

Author(s):

Jenies Grullon ◽

James P. Mack ◽

Albert Rojtman

Keyword(s):

Pseudomonas Aeruginosa ◽

Essential Oils ◽

Alternative Treatment ◽

Scientific Discovery ◽

Diffusion Method ◽

Resistant Bacteria ◽

Human Beings ◽

Disk Diffusion Method ◽

Cinnamon Bark

<div class="WordSection1">Objective: The development of antibiotics was a revolutionary scientific discovery and medical advancement that greatly extended the life expectancy of mankind. Through less than 100 y of using antibiotics to treat infectious bacteria, some of these highly adaptive organisms have developed resistance to the drugs. The healthcare field is greatly concerned with the threat of many common infections that have been considered treatable for decades, regaining its ability to be severely fatal; thus, making alternative treatments currently in high demand. This study concentrated on investigating an alternative treatment for a specific gram-negative bacterium, Pseudomonas aeruginosa (P. aeruginosa), a resistance-gaining bacteria that commonly infects hospitalized patients with weakened immune systems and/or open wounds.Methods: Prior to the age of modern medicine, human beings relied on nature for medicinal treatments. In our research, we focused on determining the in vitro efficacy of using the essential oils, cassia and cinnamon bark, their major component, cinnamaldehyde, as well as the major component of manuka honey, methylglyoxal, as an alternative treatment against P. aeruginosa We tested cassia, cinnamon bark, cinnamaldehyde, and methylglyoxal using the Kirby-Bauer disk diffusion method; the diameter of the zone of inhibition for each treated bacterial sample was measured and compared with the standard antibiotic treatments, tobramycin, and amikacin.Results: This study showed that the selected essential oils, cinnamaldehyde, and methylglyoxal were as effective or better in inhibiting the growth of P. aeruginosa compared to the standard aminoglycoside antibiotics.Conclusion: The tested essential oils, cinnamaldehyde, and methylglyoxal may be useful as an alternative treatment for infections caused by P. aeruginosa and may also provide communities where antibiotics are not readily available, a cost-effective way to treat this infectious disease.</div>

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IN VITRO ASSESSMENT OF ANTIBACTERIAL ACTIVITY OF STEM AND ROOT OF RAUWOLFIA SERPENTINA AGAINST DIFFERENT BACTERIA

International Research Journal of Pharmacy ◽

10.7897/2230-8407.1206148 ◽

2021 ◽

Vol 12 (6) ◽

pp. 87-90

Author(s):

Virendra Vaishnav ◽

Debasish Sahoo ◽

Tanushree Chatterjee

Keyword(s):

Pseudomonas Aeruginosa ◽

Antibacterial Activity ◽

Antimicrobial Agents ◽

Development Program ◽

Positive Control ◽

Diffusion Method ◽

Disc Diffusion ◽

Disc Diffusion Method ◽

Rauwolfia Serpentina

Medicinal Plants are the good source of natural antimicrobial agents. The main aim of present study was to evaluate the antibacterial activity of stem and root of Rauwolfia serpentina against six microorganism, Powdered stem and root of plant were extracted with acetone, chloroform and methanol and streptomycin used as positive control. The antibacterial activity of Rauwolfia serpentine was detected by using disc diffusion method and agar well diffusion method on the following bacteria- Bacillus cereus, Staphylococcus aureus, Bacillus fusiformis, Escherichia coli, Pseudomonas aeruginosa and P. luminescens. The experiment reported that R. serpentina Root methanol extract shown 14.86 ± 1.11 highest antibacterial activity against Pseudomonas aeruginosa through well diffusion method. Whereas root chloroform recorded 13.46 ± 1.28 highest antibacterial activity against E. coli through disc diffusion method, maximum zone of inhibition 22.66±0.52 mm was found for the positive control, streptomycin through well diffusion method. Further studies should be undertaken to reveal the correct mechanism of action of antimicrobial effect to identify the active ingredients which can be used in drug development program.

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Antimicrobial Resistance Pattern of Extensively Drug Resistant Carbapenemase Producing Enterobacteriaceae

Bangladesh Journal of Medical Microbiology ◽

10.3329/bjmm.v13i2.51786 ◽

2019 ◽

Vol 13 (2) ◽

pp. 7-10

Author(s):

Fatima Afroz ◽

Shaheda Anwar ◽

Mashrura Quraishi ◽

GM Mohiuddin ◽

SM Ali Ahmed ◽

...

Keyword(s):

Bacterial Infections ◽

Multidrug Resistant ◽

Diffusion Method ◽

Clinical Samples ◽

Resistance Pattern ◽

Drug Resistant ◽

Disk Diffusion Method ◽

Cross Sectional ◽

Extensively Drug Resistant ◽

Broth Microdilution Method

Carbapenems, often agents of last resort for multidrug resistant bacterial infections are now threatened by widespread dissemination of carbapenem-resistant Enterobacteriaceae (CRE). Production of carbapenemases remain the most clinically important mechanism of carbapenem resistance in Enterobacteriaceae. The objective of this study was to determine the antibiogram pattern of carbapenemase producing Enterobacteriaceae. A cross sectional study was conducted at department of Microbiology and Immunology, BSMMU from September 2018 to August 2019. A total of 145 CRE isolates from different clinical samples were studied.Antimicrobial susceptibility was examinedby disk diffusion method and MIC of colistin by broth microdilution method. Resistant carbapenemase genes NDM and OXA-48 were identified by polymerase chain reaction. Out of 145 CRE isolates, 104 were NDM, 73 were OXA-48and 34 isolates were both NDM and OXA-48 co-producers. All the NDM and OXA-48 carbapenemase producing isolates were 100% resistant to meropenem, imipenem, ertapenem, ceftriaxone, ceftazidime, cefotaxime, cefuroxime, amoxicillin + clavulanic acid and piperacillin + tazobactam. Resistance rates of reserved antimicrobials to treat CRE isolates were also alarming. Thirty seven percent, 9.6% and 5.5 % of OXA-48 carbapenemase producers and 26.0%, 10.6% and 2.9% of NDM carbapenemase producers were resistant to colistin, polymyxin B and tigecycline respectively.Among the carbapenemase producing isolates, 16.6% (24) were multidrug resistant (MDR), 82.1% (119) were extensively drug resistant (XDR) and 1.3% (2) isolates were pan drug resistantwhich highlights the emerging therapeutic challenge for these superbugs. Bangladesh J Med Microbiol 2019; 13 (2): 7-10

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Molecular Detection of blaTEM, blaCTX-M and blaSHV Genes in Extended Spectrum β-Lactamase (ESBL) Escherichia Coli from Clinical Samples

10.21203/rs.3.rs-965153/v1 ◽

2021 ◽

Author(s):

Mahesh Kumar Chaudhary ◽

Indrani Jadhav ◽

Megha Raj Banjara

Keyword(s):

Escherichia Coli ◽

Major Gene ◽

Polymyxin B ◽

Cross Sectional Study ◽

Diffusion Method ◽

Clinical Samples ◽

Resistant Bacteria ◽

Microbiology Laboratory ◽

Cross Sectional ◽

Extended Spectrum

Abstract BackgroundExtended spectrum β-lactamases are the group of beta-lactamase enzymes which confer resistance to the oxyimino-cephalosporins and monobactams. Emergence of ESBL producing genes which possess a serious threat for the treatment of infections both in community and hospitals since it is found to be increasing trends of multidrug resistance. This study was focused to find out the ESBLs producing genes.MethodsThis was a cross-sectional study conducted over a period of 2 years (September 2018 to April 2020) at microbiology laboratory of Nepal Mediciti Hospital. Clinical samples were processed in microbiology laboratory and culture isolates were indetified and characterized by standard microbiological techniques. following standard procedures.Antibiotic susceptibility testing was performed by modified Kirby-Bauer disc diffusion method as recommended by Clinical and Laboratory Standard Institute. Extended spectrum beta-lactamases were phenotypically confirmed by combined disc method.ESBL producing genes i.e. blaTEM,blaCTX-M and blaSHV were confirmed by PCR.ResultsOf the 1449 total E.coli isolates, 323/1449(22.29%) isolates were multi -drug resistance.Among total MDR Escherichia coli isolates, 215/323(66.56%) isolates were ESBL producers. The maximum number of ESBL Escherichia coli was isolated from urine 194(90.23%), followed by sputum 12(5.58%), swab 5 (2.32%), pus 2 (0.93%) and blood 2 (0.93%).Antibiotic susceptibility pattern of ESBL E.coli producers showed highest sensitivity towards tigecycline (100%) followed by polymyxin b, colistin and meropenem.Out of 215 phenotypically confirmed ESBL E.coli,only 186(86.51%) isolates were found to positive by PCR.The last 29(13.49%) were negative for any of the resistant genes.Among the ESBL genotypes,most common was blaTEM 118(63.4%) followed by blaCTX-M 68(36.6%).ConclusionThe emergence of MDR and ESBL producing E.coli isolates with high antibiotic resistant rates to commonly used antibiotics and increased predominance of major gene types blaTEM is a serious concern to the clinicians as well as microbiologist. This study forwarded a real massage to all the clinicians for the emergence of XDR and PDR resistant bacteria and preservation of antibiotics for their proper use in near future, if past experience with MDR and ESBLs is any indicator.

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Prevalence of aerobic pathogenic bacteria isolated from patients with burn infection and their antimicrobial susceptibility patterns in Al-Najaf City, Iraq- a three-year cross-sectional study.

F1000Research ◽

10.12688/f1000research.15088.1 ◽

2018 ◽

Vol 7 ◽

pp. 1157 ◽

Cited By ~ 3

Author(s):

Ahmed Abduljabbar Jaloob Aljanaby ◽

Israa Abduljabbar Jaloob Aljanaby

Keyword(s):

Pseudomonas Aeruginosa ◽

Cross Sectional Study ◽

Diffusion Method ◽

Resistant Bacteria ◽

Drug Resistant ◽

Bacterial Isolates ◽

Sectional Study ◽

Cross Sectional ◽

Extended Spectrum ◽

Drug Resistant Bacteria

Background: Burn infections are one of the most common serious illnesses caused by pathogens, mainly by both gram-negative and gram-positive bacteria. The aim of this study was to detect of the prevalence of multi-drug resistant and extended-spectrum β-lactamase-producing (ESBL) bacteria isolated from inpatients with burn infection and the antimicrobials sensitivity patterns of all bacterial isolates during three years. Methods: This cross-sectional study was performed in Al-Najaf Central Hospital in Al-Najaf City, Iraq from January 2015 to December 2017. A total of 295 burns swabs were collected from hospitalized patients with burn infection. All grown bacterial isolates were identified by standardized microbiological tests. Antimicrobials susceptibility testing was done using the disc diffusion method. Multi-drug, extensive-drug and pan-drug resistant bacteria and extended-spectrum β-lactamase-producing bacteria were determined according to standardized methods and guidelines. Results: Of the 295 burn swabs, 513 different bacteria strains were isolated. Pseudomonas aeruginosa was the most common bacteria with 142 isolates (27.6%) followed by methicillin resistance Staphylococcus aureus 106 isolates (20.6%), while Staphylococcus typhi was the least common bacteria with only 17 isolates (3.3%). 323 (63%) different bacterial strains were isolated from patients who stayed in hospital for 15 days. Most bacterial isolates were resistant to most antimicrobials with high percentages. Out of the 513 bacterial isolates; only 33 isolates (6.4%) were resistant to imipenem 10µg and 464 isolates (90.4%) were multi-drug resistant, 20 isolates (14%) were extensive-drug resistant and 17 isolates (3.3%) were pan-drug resistant. Pseudomonas aeruginosa was the most common ESBL-producing bacteria (51 isolates-35.9%). Conclusions: There was a high prevalence of multi-drug resistant bacteria in burn infection in Al-Najaf hospital. Pseudomonas aeruginosa was the most common multi-drug resistant bacteria, and the most common of ESBL bacteria causing burn infection over the three years.

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