scholarly journals Antibiotic Susceptibility Pattern of ESβL Producing Klebsiella pneumoniae Isolated from Urine Samples of Pregnant Women in Karnataka

Author(s):  
Channappa T. Shivannavar
Author(s):  
Vijayan Sharmila ◽  
Thirunavukkarasu Arun Babu

Background: Group B streptococcus (GBS) is one of the important cause of early onset neonatal sepsis in developed countries leading to increased neonatal morbidity and mortality. Penicillin and Ampicillin are the drugs of choice for prevention of GBS infections. Antibiotic resistance amongst GBS isolates is an emerging health problem affecting neonates. Hence, this study was performed to determine the antibiotic susceptibility pattern of Group B Streptococcus (GBS) in a population of pregnant women.Methods: A prospective study was done to screen pregnant women for vaginal and rectal GBS colonization during their regular visits to antenatal clinic. Todd-Hewitt broth, an enrichment medium for GBS was used for isolation. The antibiotic susceptibility pattern of the isolates were studied.  Results: A total of 300 pregnant women were screened for GBS colonization. GBS colonization rate in our study was 2.3%. The antibiotic susceptibility pattern of the isolates revealed that none of the isolates were resistant to penicillin or clindamycin, while resistance was noted to erythromycin (14.3%) and   tetracycline (71.4%).Conclusions: GBS continues to remain sensitive to Penicillin which is the drug of choice for prevention and treatment of GBS.  Consistent surveillance of antibiotic sensitivity pattern of GBS as well as for other organisms implicated in new born sepsis and maternal infections is required to formulate guidelines for prevention and treatment.


2021 ◽  
Vol 25 (1) ◽  
pp. 59-63
Author(s):  
O. Aromolaran ◽  
O.A. Amodu

Antibiotic-resistant bacteria (ARB) strains have become a global health threat. This study aimed to determine the antibiotic susceptibility pattern of Klebsiella pneumoniae and Pseudomonas aeruginosa isolated from wells in Ondo town, Southwest Nigeria. Twenty-eight well water samples were analyzed for the presence of K. pneumoniae and P. aeruginosa by standard pour plate technique. The bacterial isolates were tested against eight commonly use antibiotics using Kirby Bauer disc diffusion method. The percentage occurrence of K. pneumoniae and P. aeruginosa in the well water samples were 17.86% and 21.43%, respectively. Two multi-drug resistant strains of K. pneumoniae were isolated, which were resistant to at least three classes of antibiotics. Fifty percent of the P. aeruginosa isolates were resistant to caftazidime, cefuroxime, nitrofurantoin, and ampicillin. None of the isolates was fully susceptible to cefuroxime, but have all showed resistance to β-lactam (ceftazidime, cefuroxime augmentin, and ampicillin) antibiotics. Cefuroxime may not be effective an effective drug in the treatment of K. pneumoniae and P. aeruginosa implicated infections in these communities in Ondo. Also, the over-use of antibiotics should be discouraged in order to curtail the menace of antibiotic resistance Keywords: Well water, Antibiotics, Klebsiella pneumoniae, Pseudomonas aeruginosa


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