scholarly journals Klebsiella Pneumoniae in Septicemic Neonates with Special Reference to Extended Spectrum β-lactamase, AmpC, Metallo β-lactamase Production and Multiple Drug Resistance in Tertiary Care Hospital

2015 ◽  
Vol 7 (01) ◽  
pp. 032-037 ◽  
Author(s):  
Shivali V Gajul ◽  
Shivajirao T Mohite ◽  
Smita S Mangalgi ◽  
Sanjay M Wavare ◽  
Satish V Kakade
Keyword(s):  
Drug Resistance ◽  
Klebsiella Pneumoniae ◽  
Antimicrobial Susceptibility ◽  
Multiple Drug Resistance ◽  
Confirmatory Test ◽  
Diffusion Method ◽  
Multiple Drug ◽  
Neonatal Septicemia ◽  
Extended Spectrum ◽  
Disk Method

ABSTRACT Background: β-lactamases viz., extended spectrum β-lactamase (ESBL), AmpC, and metallo β-lactamase (MBL) production in Klebsiella pneumoniae has led to a serious concern about septicemic neonates in Neonatal Intensive Care Units due to high resistance against commonly used antimicrobials Purpose:To study the prevalence of ESBL, AmpC, and MBL production in K. pneumoniae isolates in neonatal septicemia, to check antimicrobial susceptibility to various drugs including tigecycline; and to assess burden of multiple drug resistance (MDR). Materials and Methods: Total 24 clinical isolates of K. pneumoniae isolated from 318 blood samples of suspected cases of neonatal septicemia were studied. Isolates were screened for ESBL, AmpC, and MBL production by Clinical and Laboratory Standards Institute (CLSI) disk method, AmpC cefoxitin screen, and imipenem, meropenem, ceftazidime disk screen respectively; and confirmation was done by CLSI phenotypic disk confirmatory test, AmpC sterile disk method, and imipenem ethylenediamine tetracetic acid double disk synergy test respectively. Antimicrobial susceptibility was determined by Kirby-Bauer's disk diffusion method. Efficacy of tigecycline was evaluated using United States Food and Drug Administration guidelines. Results: Of the 24 K. pneumoniae isolates, co-production of AmpC + MBL was found in more number of isolates (67%) (P < 0.0001) compared to single enzyme production (ESBL and MBL 8% both, AmpC 12.5%). Rate of resistance for penicillins and cephalosporins was highest. Susceptibility was more for imipenem, co-trimoxazole, and meropenem. Nonsusceptibility to tigecycline was low (21%). A total of 23 (96%) isolates were MDR. Conclusions: Routine detection of ESBL, AmpC, and MBL is required in laboratories. Carbapenems should be kept as a last resort drugs. Trend of tigecycline susceptibility has been noted in the study. Continued monitoring of susceptibility pattern is necessary to detect true burden of resistance for proper management.

scholarly journals Isolation, Molecular Identification and Multidrug Resistance Profiling of Bacteria Causing Clinical Mastitis in Cows

2020 ◽  
Author(s):  
D.J. Vatalia ◽  
B.B. Bhanderi ◽  
V.R. Nimavat ◽  
M.K. Jhala
Keyword(s):  
Drug Resistance ◽  
Antibiotic Resistance ◽  
Multiple Drug Resistance ◽  
Bacterial Species ◽  
Research Work ◽  
Resistance Index ◽  
Diffusion Method ◽  
Multiple Drug ◽  
Milk Samples ◽  
Sensitivity Pattern

Background: Mastitis, the inflammation of parenchyma of mammary gland is frequently considered to be costliest and complex disease prevalent in India. Mastitis is caused by pathogens like Staphylococcus spp., Streptococcus spp., Mycoplasma bovis, E. coli, Klebsiella spp., Citrobacter spp., Enterobacter spp. and Entercoccus. The treatment of mastitis in animals is carried out using antibiotics. Treatment failure in mastitis is due to increased antibiotic resistance of mastitis pathogens and also due to indiscriminate use of antibiotics without testing in vitro antibiotic sensitivity test against causal organisms. In comparison to cultural method, PCR assays takes less time for detection of bacteria from the mastitis milk samples. Present research work was carried out regarding isolation, identification and multiple drug resistance profile of clinical bovine mastitis associated pathogens using conventional as well as molecular approach. Methods: In the present study, 73 mastitis milk samples were collected from Anand and Panchmahal district of Gujarat. The milk samples were subjected for cultural isolation and DNA extraction for identification of bacteria by cultural and PCR method. Antimicrobial sensitivity pattern of the isolates were carried by disc diffusion method and isolates were categorized in multiple drug resistant. Result: In the present study, Out of 73 mastitis milk samples collected from cows 48 (65.75%) cows were positive for bacterial isolation and S. aureus was the most predominant bacterial species. PCR from the mastitis milk additionally detected bacteria in culturally negative milk samples. Most sensitive drug was gentamicin and most of the isolates (90.19%) showed the multiple drug resistance for the two to nine drugs with 0.1 to 0.6 multiple antibiotic resistance index.

scholarly journals The Bacteriological Quality, Safety, and Antibiogram ofSalmonellaIsolates from Fresh Meat in Retail Shops of Bahir Dar City, Ethiopia

2017 ◽  
Vol 2017 ◽  
pp. 1-5 ◽  
Author(s):  
Melkamnesh Azage ◽  
Mulugeta Kibret
Keyword(s):  
Drug Resistance ◽  
Multiple Drug Resistance ◽  
Disease Outbreaks ◽  
High Rate ◽  
Personal Hygiene ◽  
Diffusion Method ◽  
Multiple Drug ◽  
Bahir Dar ◽  
Disk Diffusion Method ◽  
Fresh Meat

The habit of raw meat consumption in addition to the poor hygienic standards and lack of knowledge contribute to food-borne diseases outbreaks. The objective of this research was to assess the bacterial quality and safety of fresh meat from retail Bahir Dar City, Ethiopia. A total of 30 fresh meat samples were collected from butcher shops. Standard bacteriological methods were used to isolate and enumerate bacteria. Kirby-Bauer disk diffusion method was used for antimicrobial susceptibility testing ofSalmonellaisolates. The mean counts of AMB, TC, andS. aureuswere log104.53, 3.97, and 3.88 log10cfu/g, respectively.Salmonellawas isolated from 21 (70%) of the samples.Salmonellaisolates in this study were highly susceptible to ciprofloxacin, gentamycin, and norfloxacin while they were resistant to erythromycin and tetracycline. High rate of multiple drug resistance was also noticed inSalmonellaisolates. The microbial loads of meat were above the recommended microbial safety limits. Besides this, the isolation rate ofSalmonellawas high and high levels of drug resistance were documented forSalmonellaisolates. Measures on handling and appropriate personal hygiene practices of workers in the retail shops are recommended to reduce the change of forborne disease outbreaks.

scholarly journals The Magnitude and Drug Resistance Profile of Extended Spectrum Β-Lactamase (Esbl) Producing Gram-Negative Bacteria from Different Inanimate Objects at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia

2021 ◽  
Author(s):  
Asegedech Asmamaw Jemberu ◽  
Kassu Desta Tullu ◽  
Yimtubeznash Woldeamanuel Mulate
Keyword(s):  
Drug Resistance ◽  
Confirmatory Test ◽  
Diffusion Method ◽  
Gram Negative Bacteria ◽  
Gram Negative ◽  
Resistance Profile ◽  
Extended Spectrum ◽  
Specialized Hospital ◽  
Tikur Anbessa Specialized Hospital ◽  
Drug Resistance Profile

Abstract Background: Infections caused by gram-negative bacteria are causing morbidity and mortality worldwide. The production of extended-spectrum β-lactamases (ESBLs) is an important mechanism that is responsible for resistance to the third-generation cephalosporin. The purpose of this study was to determine the magnitude and drug resistance profile of ESBL producing gram-negative bacteria isolated from various inanimate objects at Tikur Anbessa Specialized Hospital. Methods: Laboratory based cross-sectional study was conducted involving a total of 216 isolates from January to March 2019. The samples were taken from different inanimate objects at Tikur Anbessa Specialized Hospital using pre-moistened sterile swabs. Screening of ESBLs was done using ESBL CHROME agar and confirmed with combined disk diffusion test. Antimicrobial susceptibility testing was done by disc diffusion method. The data were analyzed using SPSS software version 20 and descriptive statistical tests were performed. Results: 33/216 (15.3%) isolates were found to be ESBL producers based on the confirmatory test (combined disk method). Different ESBL producing gram-negative bacteria were isolated from the various inanimate objects of TASH including, Klebsiella ozaenae, Klebsiella oxytoca, Klebsiella pneumoniae, Klebsiella rhinoscleromatis, Citrobacter spp, Escherichia coli, Serriatia spp and Acinetobacter spp. The isolates were found to be 100% resistant to ceftazidime and ceftriaxone. Conclusion: It is worrisome to detect ESBL producing gram-negative bacteria from the inanimate objects of TASH, calling for systematic screening of inanimate objects for ESBL and other multidrug-resistant bacteria in the hospital. Furthermore, strengthening the infection prevention practice is vital to halt the transmission of these microorganisms.

scholarly journals Systematic Comparative Study of Selected Antibiotics and Sulphur/ Medicinal Plant Mediated Nano-particles against Non-Leguminous Endophytic Bacteria and Clinical Isolates

2020 ◽  
pp. 43-56
Author(s):  
Oludare Temitope Osuntokun ◽  
Owolabi Mutolib Bankole ◽  
Thonda Oluwakemi Abike ◽  
Omoyungbo Emmanuel Joy ◽  
Ajadi Fatima Adenike
Keyword(s):  
Drug Resistance ◽  
Medicinal Plant ◽  
Endophytic Bacteria ◽  
Multiple Drug Resistance ◽  
Nano Particles ◽  
Clinical Isolates ◽  
Diffusion Method ◽  
Resistant Bacteria ◽  
Multiple Drug ◽  
Ocimum Gratissimum

The rapid emergence of resistant bacteria is occurring worldwide, endangering the efficacy of antibiotics, therefore, there is a need for a systematic approach to the menace of resistant bacteria. Green synthesized nanoparticle (NPs) of medicinal plant based as become an alternative way out to total eradication of resistant microorganisms, Therefore, the search for new, effective bactericidal agents is imminent significantly, for combating drug resistance microorganism. This research work aims to isolate, identify and characterize endophytic bacteria from five non-leguminous plants, namely Carica papaya, Helianthus annuus, Talinum fruticosum, Phoenix dactylifera, and Solanum lycopersicum. The surface of the plants were sterilized, Isolation, characterization and identification using biochemical characterization of the endophytic bacteria were examined according to Bergey’s manual of Systemic Bacteriology. The sulfur/medicinal plant mediated Nanoparticle with and without Ocimum gratissimum were tested against the endophytic bacteria and selected clinical isolates, for their antimicrobial susceptibility test as described Kirby-Bauer Disc diffusion method. SNP1 was prepared from sodium thiosulfate penthahydrate, citric acid, with fresh leaves of O. gratissimum and characterized by using Shimadzu UV-VIS-NIR Spectrophotometer UV-3100 with a MPCF-3100 sample compartment while SNP2 was prepared using the same method but without O. gratissimum. The endophyte showed resistant to cephalosporin antibiotics family and SNP2, while all the endophytic bacteria were susceptible to ciprofloxacin (100%), pefloxacin (100%). Streptococcus infectinalis and Cellumonas flavigena showed high susceptibility to sulfur/ plant nanoparticle mediated with Ocimum gratissimum extract (SNP1). The study showed that sulfur/medicinal plant mediated nanoparticle can be a promising antimicrobial agent against a wide range of pathogenic and multiple drug resistance bacteria including both clinical isolates, its uses and practice should be encouraged especially against multiple drug resistance bacteria.

scholarly journals Isolation of a 29.5 kb Plasmid conferring Multiple Drug Resistance in Pseudomonas aeruginosa

1970 ◽  
Vol 17 ◽  
pp. 95-100
Author(s):  
Shahanara Begum ◽  
Iftikhar Ahmed ◽  
Faisal Alam ◽  
M Samsuzzaman ◽  
Parvez Hassan ◽  
...  
Keyword(s):  
Pseudomonas Aeruginosa ◽  
Drug Resistance ◽  
Plasmid Dna ◽  
Multiple Drug Resistance ◽  
Multidrug Resistant ◽  
Diffusion Method ◽  
Multiple Drug ◽  
Donor Strain ◽  
E Coli ◽  
Resistant Bacterial Strain

Context: Worldwide emergence of plasmid mediated multi drug resistant bacterial strain is a growing concern, especially in hospital infections caused by Pseudomonas aeruginosa. Relation of plasmid and drug resistance in clinical isolates of P. aeruginosa by curing and transformation experiments is scanty.Objectives: To isolate, purify and characterize plasmid DNA harbored in a selected Pseudomonas aeruginosa strain encoding multiple drug resistance and to perform transformation of the isolated plasmid into a sensitive strain of Escherichia coli LE 392 to judge transformation potential of the donor P. aeruginosa strain. Materials and Methods: Plasmid DNA was isolated from a multidrug-resistant (MDR) strain of P. aeruginosa obtained from swab of a hospitalized burn patient by mini-scale method. DNA was purified, quantitatively estimated and electrophoresed on 0.8% agarose gel. Transformation was done as per Cohen and co-workers using plasmid DNA isolated from MDR P. aeruginosa strain as the donor and the E. coli LE 392 strain. The presence of plasmid in transformants checked through electrophoresis and the transformants was also tested for each drug resistance already recorded for the donor strain by disc diffusion method and again confirmed by spreading its culture on the selected antibiotic plate of different concentrations. Results: A single plasmid of nearly 29.5 kb mass was isolated from MDR P. aeruginosa strain from clinical swab. This plasmid was transferred into sensitive and plasmid lacking recipient E. coli LE 392. Subsequent experiments on the transformed strain revealed that it acquired MDR and harbored a 29.5 kb plasmid which resembled to that of the donor strain proving that it encodes transferable MDR.Conclusion: The MDR P. aeruginosa strain contained a transferable plasmid conferring resistance to ampicillin, chloramphenicol, cotrimoxazole, tetracycline and ciprofloxacin. Key words: Pseudomonas aeruginosa; Multidrug–resistance; plasmid isolation; transformation. DOI: 10.3329/jbs.v17i0.7113J. bio-sci. 17: 95-100, 2009

scholarly journals Biofilm Detection on Catheter Associated Uropathogenic Bacteriuria among Fistula Patients Attending National Obstetric Fistula Centre Ningi, Bauchi State, Nigeria

2021 ◽  
Vol 3 (2) ◽  
pp. 180-184
Author(s):  
Ngozi V. Uzuegbunam ◽  
Faruk A. Umar ◽  
Bassey Enya Bassey
Keyword(s):  
Drug Resistance ◽  
Antimicrobial Susceptibility ◽  
Congo Red ◽  
Susceptibility Testing ◽  
Multiple Drug Resistance ◽  
Obstetric Fistula ◽  
Antimicrobial Susceptibility Testing ◽  
Diffusion Method ◽  
Significant Bacteriuria ◽  
Agar Method

Background: Biofilm production caused by bacteria plays a vital role in catheter associated urinary tract infection (UTI) or bacteriuria being responsible for persistence and recurrent infection. Biofilms forming bacteria are difficult to eradicate due to antimicrobial resistance to the commonly used antibiotic. Biofilms are currently estimated to be responsible for over 65% of nosocomial infections and 80% of microbial infections. This study aimed to perform biofilm detection on uropathogenic bacterial isolates among fistula patients attending National Obstetric Fistula centre Ningi and investigate the antimicrobial susceptibility pattern. Methods: A total of 217 strains of significant bacteriuria were isolated from vesico vaginal fistula (VVF) patients. A cross sectional study was conducted at the hospital. The urine samples were collected and cultured on CLED and blood agar media while confirmation was done using their biochemical reaction. The detection of biofilms formation on the isolates was performed using tube adherence and Congo red agar method. Antimicrobial susceptibility testing was carried out by disc diffusion method on Muller Hinton agar. Results: Out of 217 significant bacteriuria isolated, 38 strains produced biofilms;28 strains tested positive on tube adherence method while 15 strains were positive on Congo red agar method. Bacteria that produced biofim showed multiple drug resistance compared to the platonic bacterial cells. All the biofilm producers showed 100% resistant to septrin, ampiclox, gentamycin and amoxicillin. There was no significant value between tube adherence and Congo red agar method with P value > 0.05. Conclusion: Biofilm detection should form part of routine testing while antimicrobial susceptibility testing is paramount on better choice of antibiotic therapy for proper management to reduce economic lost, treatment failure and drug resistance.

scholarly journals Amplification of mecA gene in multi-drug resistant Staphylococcus aureus strains from hospital personnel

2007 ◽  
Vol 1 (03) ◽  
pp. 289-295 ◽  
Author(s):  
Asad U. Khan ◽  
Ayesha Sultan ◽  
Anju Tyagi ◽  
Shazia Zahoor ◽  
Mohd Akram ◽  
...  
Keyword(s):  
Staphylococcus Aureus ◽  
Drug Resistance ◽  
Multiple Drug Resistance ◽  
Meca Gene ◽  
North India ◽  
Diffusion Method ◽  
Multiple Drug ◽  
Hospital Personnel ◽  
Inoculation Test ◽  
Disk Diffusion Method

Background: Antibiotic resistance is common among bacterial pathogens associated with both community acquired and nosocomial infections. In view of the present problem of drug resistance we investigated the prevalence of methicillin resistant Staphylococcus aureus (MRSA) and amplified the mecA gene in the isolates from the hand swabs of the hospital personnel. Methodology: The nuc gene was amplified to characterize these isolates at species level. The S. aureus isolates were analyzed for their susceptibility to different classes of antibiotics using the disk diffusion method. The spot inoculation test was performed to detect methicillinase production in these isolates. Results: In the screened isolates of S. aureus, 14.2 and 15 kb of plasmids were present. These isolates showed pronounced resistance against β-lactam antibiotics including second- and third-generation cephalosporins, aminoglycosides, macrolides and fluoroquinolone. Some of the isolates included in this study were resistant to three or more antibiotics. Expression of methicillinase was detected by spot inoculation test, and a few of the isolates were found to produce methicillinase. Moreover, mecA gene was also amplified. Of 17 isolates only 7 showed presence of mecA gene. Conclusion: This study highlights the emerging trend of multiple drug resistance in S. aureus strains isolated from hospital personnel working in a premier hospital in North India.

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