scholarly journals Antibiotic Sensitivity Of Acute Respiratory Infection Patients In Bhayangkara Hospital Bengkulu.

2020 ◽  
Vol 11 (1) ◽  
pp. 31-40
Author(s):  
Zamharira Muslim ◽  
Putri Widelia Welkriana ◽  
Regita Pratiwi Mahardika

The high incidence of antibiotic resistance in the treatment of infections today is very worrying. The main therapy in patients with acute respiratory infections (ARI) is using antibiotics. This study aims to determine the sensitivity of several antibiotics to the bacteria that cause ARI. The design of this study is quasi-experimental. This sensitivity testing uses the disc diffusion method (Kirby Bauer). The antibiotics used are Ampicillin and Cefotaxime. The results obtained are that the antibiotic Ampicillin resistant by 86.26% and 13.63% are still sensitive to the bacteria that causes ARI. The same thing also happened to Cefotaxime antibiotics, most of which were resistant (59.09%), intermediate (9.09%), and most were still sensitive (31.81%) to bacteria that infect the respiratory tract. From the results obtained it can be concluded that the incidence of bacterial resistance to ampicillin and cefotaxime is very high against bacteria that cause ARI.

2018 ◽  
Vol 29 (2) ◽  
pp. 37-41
Author(s):  
M Iqbal Hossain ◽  
M Anwar Habib ◽  
Nazimuddin Ahmed

This quasi experimental study was designed to evaluate antibacterial activity of chemically synthesized silver nanoparticles (AgNPs) from silver nitrate (AgNO3) solutions on gram negative bacteria like E.Coli using disc diffusion method. Different concentrations of AgNPs, AgNO3 and reference drug ciprofloxacin were used to find out the antibacterial activity which revealed that AgNPs possessed significant antibacterial effect compared to AgNO3 solutions but relatively less antibacterial effect than that of ciprofloxacin. So chemical synthesis guided AgNPs may have some antibacterial effects.TAJ 2016; 29(2): 37-41


Author(s):  
Zoran Tambur ◽  
Igor Stojanov ◽  
Sonja Konstantinovic ◽  
Dara Jovanovic ◽  
Desanka Cenic-Milosevic ◽  
...  

Thermophilic Campylobacter are among the most common cause of bacterial enteritis in humans. Food animals are considered one of the most important sources of Campylobacter causing infections in man. Campylobacter infection is clinically mild and resolves spontaneously. In severe or long-lasting cases, treatment with antibiotics is necessary. Resistance of Campylobacter spp. to drugs used in treatment of infection is a matter of concern. The aim of this paper is to determine presence of multi drug resistant strains of Campylobacter jejuni and Campylobacter coli isolated from animals and man. Material for testing was obtained by scraping the cecum surface from boilers, pig cecum and colon, and human feces. For isolation Campylobacter jejuni and Campylobacter coli microaerophilic conditions, temperature of 42?C and antibiotic supplement were required to inhibit the growth of other intestinal bacteria. In this research, for sensitivity testing of Campylobacter jejuni and Campylobacter coli three different methods were used: disc diffusion test, E-test, and dilution agar method. A total of 55 strains of Campylobacter jejuni and Campylobacter coli. Out of the total, 24 strains originated from man, 16 from broilers were isolated, and 15 from pigs. Multidrug resistance was determined in cases when the strains were resistant to two or more antibiotics. Applying E-test, we detected that the largest number of Campylobacter jejuni were multi drug resistant to two antibiotics (41.2%), and three antibiotics (11.8%). Applying disc diffusion method it was detected that 5.9% of Campylobacter jejuni from man was resistant to four tested antibiotics. Applying all three methods, it was detected that the largest number of Campylobacter strains was resistant to two antibiotics and three antibiotics. Applying disc diffusion method it was detected that 50% of Campylobacter coli strains from pigs were resistant to three tested antibiotics.


Author(s):  
R. Shakthi D. Venkatesha

Methicillin resistant Staphylococcus aureus (MRSA) has emerged as one of the commonest causes of hospital acquired infections. Vancomycin is the drug of choice for the treatment of MRSA. Increase in Minimum inhibitory concentration (MIC) of Vancomycin has been observed in both Methicillin sensitive and resistant Staphylococcal isolates. In critically ill patients, Vancomycin has become a poor therapeutic antibiotic whereas; Linezolid has emerged as an alternative drug in treating such patients. This study was undertaken to determine the sensitivity pattern among clinical isolates of Staphylococcus aureus (S. aureus) to Vancomycin and Linezolid, in order to formulate a better treatment.100 S. aureuswere isolated from various clinical specimens. Antibiotic sensitivity testing was performed by Kirby Bauer disc diffusion method and MICs of Vancomycin and Linezolid were determined by E-test following CLSI guidelines. Out of 100 S. aureus isolated, 68 were MRSA strains. Among 68 strains of MRSA for which MIC levels of Vancomycin 4 µg/ml, 2µg/ml and 1 µg/ml were 4, 27, and 37 respectively. Similarly, out of total MRSA strains MIC levels of Linezolid 4 µg/ml, 2µg/ml and 1 µg/ml were 1, 25, and 42 respectively. All 100 strains showed similar in-vitro efficacy for Vancomycin and Linezolid by Kirby Bauer disc diffusion method, but the number of strains with higher ranges of MICs of Vancomycin were more as compared to those which had higher ranges of MICs for Linezolid. Hence we suggest that Linezolid can be used as an alternative for the treatment of MRSA.


2009 ◽  
Vol 63 (5-6) ◽  
pp. 311-320
Author(s):  
Ruzica Asanin ◽  
Milenko Zutic ◽  
Jelena Asanin ◽  
Dusan Misic ◽  
Jadranka Zutic ◽  
...  

The resistance of bacteria poses a significant problem everywhere in the world, and consequently in our country as well. The non-critical use of antibacterial medicines in human and veterinary medicine has contributed to the spreading of this resistance. Due to the topical importance of this problem, large numbers of states in the world are financing projects of which the objective is to follow and monitor bacterial resistance. The objective of this investigation was to isolate and identify pathogenic strains of E. coli from piglets with clinically manifest diarrhea and to examine the sensitivity of the isolated strains to a certain number of selected antibiotics. The material for these investigations were parts of intestines (jejunum, ileum) from piglets that died, rectal smears and feces of diseased piglets sampled pig farms in the vicinity of Belgrade. Conventional methods of microbiological diagnostics were used for isolation, and conventional and commercial tests API 20E (bio Merieux, France) were used for identification. Following biochemical identification using hyper immune serums for certain group (O) antigens: (O8, O138, O139, O147, O149, and O157), the serological typization of the strains was carried out. Commercial antiserums: T K88 (F4), K99 (F5), and 987P (F6), Toxigenic E. coli pili antisera, Denka Seiken Co. Ltd. Tokyo, Japan) were used to establish the presence and to identify fimbrial antigens-adhesions through slide agglutination reaction. The sensitivity of the antibiotics to the isolated strains of E. coli was examined using the disc diffusion method according to Kirby Bauer and the microdillution method in bouillon according to CLSI recommendations (2008). Examinations using the microdillution method in bouillon were performed with pure active antibiotic substances: ampicillin, apramycin, gentamicin, kanamycin, tetracycline, ceftriaxone, and ciprofloxacin (Sigma, USA). A total of 400 E. coli strains were isolated, including 48 E. coli strains that are within the category of pathogenic strains. Out of the total number of pathogenic strains of E. coli, 32 (66.67%) were found to be multi resistant to 3 or more than 3 antibiotics, and 16 (33.33%) pathogenic strains of E. coli were resistant to 2 or 1 of the examined antibiotics. Resistance to tetracycline and ampicillin was established in 89.58% isolated strains of E. coli, and to ciprofloxacin in 37.5% strains. The lowest percentage of resistance to ceftriaxone was established in 4.17% strains of E. coli. The isolated strains of E. coli were also found to be resistant to certain amino glycosides antibiotics. Thus, resistance to apramycin was established in 18.75% strains whose MIC values were higher than 128 ?g/mL. Resistance to kanamycin was established in 52.08% strains of E. coli, and in these, 96.00% strains showed MIC kanamycin values of over 256?g/mL. Resistance to the third amino glycosides antibiotic, gentamicin, was established in 33.33% E. coli strains. All the E. coli strains that led to diarrhea in piglets were resistant to at least two antibiotics, and more than 50% strains were found to be resistant to more than 3 antibiotics. It is significant to stress that all isolated strains of E. coli covered by these investigations were sensitive only to amikacyn. .


2021 ◽  
pp. 396-401
Author(s):  
Elijah Kolawole Oladipo ◽  
Elukunbi Hilda Awoyelu ◽  
Idowu Jesulayomi Adeosun ◽  
Abiodun A Ayandele

The emergent bacterial resistance to antibiotics, most especially Carbapenems, has become a common phenomenon. The aim of the recent study was the observation and evaluation of the antibacterial susceptibility of Klebsiella pneumoniae in clinical specimens to different Carbapenems. One hundred isolates of K. pneumoniae isolated from different clinical sites, such as leg, caesarean section (CS), head, buttock, breast, thigh, and arm were tested. Using disc diffusion method, the isolates were tested for susceptibility to different antibiotics including Tobramycin, Ciprofloxacin, Aztreonam, Colistin sulphate, Ceftriaxone, Cefepime, Cefoxitin, Ceftazidime, Ertapenem, Meropenem, and Imipenem. The results were interpreted according to the Clinical and Laboratory Standard Institute disk diffusion standard. All K. pneumoniae isolates were highly susceptible to all classes of Carbapenems: Imipenem (99%), Meropenem (96%) and Ertapenem (91%). However, they were highly resistant to Ciprofloxacin (97%), Ceftriaxone (91%) and Tobramycin (73%).  Despite the recent emergence of multi-drug resistant bacteria to Carbapenems, this study showed that Carbapenems could still be used in treating different infections caused by multi-drug resistant K. pneumoniae.


Author(s):  
V. I. Nahaichuk ◽  
O. A. Nazarchuk ◽  
Yu. M. Babina ◽  
N. I. Osadchuk ◽  
V. V. Bobyr ◽  
...  

Annotation. In the research, the new data of S. aureus clinical strains’ sensitivity to fluoroquinolones is presented. The aim of the research was to carry out analytic prognosis of sensitivity to fluoroquinolones in clinical strains of S. aureus, isolated from patients with burns. Our research was carried out in 2011–2018. From patients there were isolated 204 clinical strains of S. aureus. There was studied the sensitivity of S. aureus clinical strains to such fluoroquinolones as ofloxacinum, levofloxacin, gatifloxacin. The sensitivity was carried out by means of standard qualitative disc-diffusion method on dense medium and quantitative serial dilution one. The analytical dependence of dynamic prognostic changing criteria of S. aureus clinical strains’ sensitivity to fluoroquinolones was found by means of mathematical prognostication. Prognostic mathematical models were conducted. Authenticity of every model and substantiation of the prognosis of antibiotic sensitivity of S. aureus were estimated due to determination criteria (r2). “STATISTICA 10.0”; “Matlab 7.11” programs were used. In the result of the statistical analysis of the data, obtained in research, we found decreasing sensitivity of S. aureus to ofloxacinum and levofloxacin. The sensitivity to ofloxacinum in S. aureus strains was found to be reduced the 94,12% in 2012 years to 56,2% in 2020 years.). The resulting mathematical model showed a prognostic decrease in the sensitivity of hospital strains of S. aureus to levofloxacin. A mathematical prognostic model indicated a likely improvement in staphylococcus sensitivity to gatifloxacin in 2020 (94.1%). Obtained formulas of analytical prognosis of sensitivity of S. aureus, colonizing burn surfaces in patients, proved the decreasing effectiveness of fluoroquinolones in prophylaxis and treatment of infectious complications, caused by this opportunistic pathogen. That is why microbiological research at the beginning of management administration of antimicrobials in these patients is of great importance.


2020 ◽  
Vol 5 (3) ◽  
pp. 1148-1154
Author(s):  
Kabita Kumari Chaudhary ◽  
Hemanta Khanal ◽  
Ganesh Kumar Singh ◽  
Silak Ram Chaudhary ◽  
Om Prakash Sah

Introduction: Group A hemolytic Streptococcal infections has worldwide distribution among children and it poses an important problem globally. There is lack of baseline information regarding Group A hemolytic streptococci in school going children in the eastern part of Nepal. Objective: The study was conducted for assessing the carrier rate of Group A hemolytic streptococci in school going children in eastern part of Nepal. Methodology: This study was community based cross-sectional study. During the study of 9 months, a total of 518 patients (school-going children) from different school who were symptomatic as well as asymptomatic were enrolled. All samples were collected by rubbing quickly and thoroughly over either tonsils (or tonsillar fossa) and over the posterior wall of the pharynx using light pressure and were subjected to microbial analysis in the clinical Microbiology Laboratory. The specimens were inoculated immediately into Blood agar (BA) and MacConkey agar (MA) and were incubated at 37°C aerobically and were checked for growth after overnight incubation. The identification of bacterial isolates was carried out by Clinical and Laboratory Standards Institute (CLSI) guidelines with colonial morphology and staining reactions. Biochemical tests such as catalase, bacitracin sensitivity test (0.004 units) and Lancefield grouping (PastorexTM Strep) were performed. All the identified S. pyogenes isolates thus obtained were subjected to in vitro antibiotics sensitivity testing by using Kirby-Bauer disc- diffusion method as recommended by CLSI (2014). Results: During 9 months period total 518 throat swabs (303 male and 215 female)from school going children attending government and private school were collected after taking verbal consent and were cultured on blood agar and MacConkey agar.Streptococcus pyogenes was identified by using standard microbiological procedures. Antimicrobial susceptibility testing of the isolates was performed by Kirby Bauer disc diffusion method. Group A streptococci (GAS) was isolated from 28 (5.4%) school going children, of which 15 (5%) were male and 13 (7%) were female. There was no significant sex difference in colonization of GAS (p>0.05). Majority of cases were asymptomatic. In this study it was observed that the sensitive drugs for GAS were Penicillin and their deravatives (100%), Ciproflocaxin (100%) and Azithromycin (100%) followed by Erythromycin (75%) and Cotrimoxazole (71.4%) (Table 9,10). Conclusion: The present preliminary study provides the base-line information on the GAS carriage rate and resistance trend among healthy school children. The present study showed that Penicillin and its derivatives should be used to treat a case of GAS pharyngitis and Azithromycin for those who are allergic to Penicillin. The present study also showed that Staphylococcus aureus as an equally important agent of pharyngitis and hence throat swab culture should be requested for appropriate therapy.


2019 ◽  
Vol 31 (1) ◽  
pp. 44-51

Objectives of study are (1) to reinforce the national capacity for diagnosis and antibiogram of some infectious diseases causing severe acute respiratory infection (SARI) and (2) to build a network between hospital and laboratory for the diagnosis and surveillance of SARI in Yangon. This study is a crosssectional hospital- and laboratory-based descriptive study. A total of 825 samples including respiratory samples and blood samples from 511 children attending Yangon Children’s Hospital and Yankin Children’s Hospital from December 2014 to April 2016 for treatment of SARI were included. Identification and antibiotic sensitivity testing were done using Vitek 2. Out of 129 gram-negative bacilli (GNB), K. pneumoniae 32%, P. aeruginosa 18%, A. baumannii 13%, E. coli 9% were mostly isolated. Among 35 gram-positive cocci (GPC), S. aureus 42% and S. pneumoniae 6% were mostly isolated. Multidrug resistance rates were E. coli 100%, K. pneumoniae 95%, A. baumanii 82% and P. aeruginosa 17%. Extended-spectrum beta-latamase (ESBL)-producing K. pneumoniae and E. coli was 6 out of 10 tested organisms. Carbarpenemase-producing GNB and methicillin-resistant Staphylococcus aureus (MRSA) were 21% and 33%, respectively. Virology section tested 529 samples of 490 patients using the FTD33 Multiplex PCR method which can detect 33 pathogens including 20 viruses, 12 bacteria and 1 fungus. Out of 490 patients, 374 were PCR positive. Different types of samples including nasopharyngeal, throat, endotracheal and laryngeal swab, tracheal secretion and bronchoalveolar lavage, were tested. Out of 566 viruses, respiratory syncytial virus (RSV) (19.3%), rhinovirus (17.0%), parechovirus (14.3%), bocavirus (11.1%), adenovirus (10.2%), metapneumo-virus A and B (10.2%), parainfluenza virus (5.7%), enterovirus (3.0%), influenza A virus (2.8%), coronavirus (4%), parainfluenza virus (0.9%) and influenza C virus (0.4%) were detected. This study highlighted the etiological agents of bacteria, viruses and drug-resistant bacterial pathogens in SARI.


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