scholarly journals TitleAntibiogram of Key Microorganisms of Health Importance, Found on Different Species of Banana (Musa spp.)

2021 ◽  
pp. 48-62
Author(s):  
C. J. Ugboma ◽  
C. A. Nzurumike ◽  
R. R. Nrior
Keyword(s):  
Nalidixic Acid ◽  
Vascular Tissue ◽  
Diffusion Method ◽  
Banana Fruit ◽  
Susceptibility Pattern ◽  
Sensitivity Testing ◽  
Port Harcourt ◽  
Fruit Samples ◽  
Complete Resistance ◽  
Rivers State

Aim: The aim of this study was to isolate, enumerate, identify and ascertain the antibiotic profile of the bacterial isolates associated with key body parts (Cut stalk, Tip, Endocarp, Vascular Tissue and Epicarp) of Banana fruits (Cavendish, Dwarf Cavendish, Red, Lady Finger and Grand Nain Banana) collected from Port-Harcourt, Rivers State. Study Design: The study employs statistical analysis of the data and interpretation. Place and Duration of Study: Five local markets which includes Oil Mill, Fruit Garden, Creek Road, Mile One and Mile Three Markets, all located in the city of Port-Harcourt, Rivers State were used for this study. Sample collection lasted for a week and the analysis was carried out every day and it lasted for six months. Methodology: A total of seventy-five (75) banana (Cavendish, Dwarf Cavendish, Red, Lady Finger and Grand Nain Banana) fruit samples were collected randomly, for a period of three months from five different markets (Oil Mill, Fruit Garden, Creek Road, Mile One and Mile Three Markets) in Rivers State. The collected samples were grouped into three groups (Unripe, Healthy-Looking and Spoiled) and were subjected to standard microbiological procedures which includes standard plate counts, identification, sensitivity testing using Kirby-Bauer disk diffusion method and molecular identification of the isolates. Results: A total of 83 bacteria were isolated from the different sampled parts (Cut stalk, Tip, Endocarp, Vascular Tissue and Epicarp) of the banana fruit samples. 18.88%. Escherichia coli showed high level of resistance to Cefotaxime (100%) > Augmentin (94.7%) > Gentamycin (78.9%) > Levofloxacin (10.5%). There was complete resistance to Cefotaxime, Levofloxacin, Imipenem/Cilastatin, Ofloxacin and Azithromycin in all isolates of Staphylococcus aureus and susceptibility at 70.8%, 79.2% and 20.8% to Augmentin, Ceftriaxone sulbactarm and Erythromycin, respectively. Pseudomonas aeruginosa were susceptible to Augmentin (25.0%), Imipenem/Cilastatin (66.7%), Gentamycin (83.3%) and Ceftriaxone Sulbactarm at 8.3%. While complete resistance was seen in Cefotaxime, Nalidixic Acid, Nitrofurantoin and Cefexime. The antimicrobial susceptibility pattern of all isolates of Bacillus flexus which shows complete resistance to Cefotaxime, Ceftriaxone Sulbactarm, Cefexime, Imipenem/Cilastatin and Azithromycin. While susceptibility was seen in Levofloxacin at 100% and 22.2%, 33.3% and 11.1% seen in Ciprofloxacin, Gentamycin and Augmentin, respectively. The isolates of Proteus mirabilis showed complete susceptibility in Imipenem/Cilastatin and CefrtiaxoneSulbactarm and complete resistance in Augmentin, Cefotaxime, Gentamycin, Nalidixic Acid, Nitrofurantoin, Cefuroxime, Ampiclox, Cefexime and Levofloxacin. Klebsiella pneumoniae to Levofloxacin and 45.5% susceptibility to Augmentin, Ofloxacin, Ceftriaxone and Ampiclox at 54.5%, 27.3% and 18.2%, respectively. While complete resistance was seen in Cefotaxime, Nalidixic Acid, Nitrofurantoin, Cefuroxime and Cefexime. Conclusion: Conclusively, this study revealed the Antibiotic susceptibility pattern of the isolated bacteria. Treatment guidelines for use of antibiotics should be formulated based on the hospital formulary and the sensitivity patterns. This should be reviewed occasionally to ensure rational use of antibiotics

scholarly journals Microbiological Assessment on Stalk, Endocarp, Epicarp, Tip and Vascular Tissue of Different Varieties of Banana Fruit (Musa spp.)

2021 ◽  
pp. 1-23
Author(s):  
R. R. Nrior ◽  
C. J. Ugboma ◽  
C. A. Nzurumike
Keyword(s):  
Staphylococcus Aureus ◽  
Vascular Tissue ◽  
Public Awareness ◽  
Microbial Load ◽  
Banana Fruit ◽  
Musa Spp ◽  
Cavendish Banana ◽  
Port Harcourt ◽  
Fruit Samples ◽  
Different Parts

Aim: The aim of this study was to carry out microbiological assessment on Stalk, Endocarp, Epicarp, Tip and Vascular Tissue of Different Varieties of Banana fruit (Musa spp.) (Cavendish, Dwarf Cavendish, Red, Lady Finger and Grand Nain Banana). Study Design: The study employs statistical analysis of the data and interpretation. Place and Duration of Study: Three major markets - Oil Mill (OM), Fruit Garden (FG), Mile Three (MT), all located in the city of Port-Harcourt, Nigeria. Sample collection lasted for a week and the analysis was carried out every day and it lasted for six months. Methodology: A total of forty-five (45) banana (Cavendish, Dwarf Cavendish, Red, Lady Finger and Grand Nain Banana) fruit samples were collected for a period of three months from three different markets (Oil Mill, Fruit Garden and Mile Three Markets) in Port Harcourt, Nigeria. The collected samples were grouped into three (Unripe, Healthy-Looking and Spoiled) and were subjected to standard microbiological procedures which includes standard plate counts, biochemical and molecular identification of the isolates. Results: A total of 124 isolates were isolated from the different sampled parts (Cut stalk, Tip, Endocarp, Vascular Tissue and Epicarp) of the banana fruit. Staphylococcus aureus count in the unripe sampled Banana fruits from Oil Mill market showed high prevalent rate in the Cut Stalk of the Cavendish Banana at 4.17±0.31x102 CFU/g followed by the Tips of the Grand Nain and Cavendish Banana at 4.03±0.21x102 CFU/gand 4.00±0.20x102 CFU/g, respectively. While the TCC in the Healthy-Looking sampled fruits from Fruit Garden showed more microbial load in the Epicarp of the Dwarf Cavendish Banana at 2.93±1.15x103 CFU/g followed by the Tip and Epicarp of the Grand Nain Banana at 2.70±0.82x103 CFU/g and 2.60±0.46x103 CFU/g. The total fungal count (TFC) in Healthy-Looking sampled Banana fruits showed high prevalent rate in Oil Mill market at 2.79x103 CFU/g > Mile Three market, 2.31x103 CFU/g > 1.35x103 CFU/g at Fruit Garden market. While the result of the total Staphylococcal count in the unripe sampled Banana fruits showed that Staphylococcus aureus was more prevalent in Creek Road market at 1.65x102 CFU/g > Mile One at 1.64x102 CFU/g and the least seen in Mile Three market at 1.50x102 CFU/g. The result of the Coliform count in the spoiled sampled Banana fruits showed that coliform was more prevalent in Mile One market at 2.14x103 CFU/g > 1.98x103 CFU/g in Fruit Garden market and less prevalent in Creek Road market at 1.75x103 CFU/g. The Grand Nain Banana had the most microbial load at 33.9% > Dwarf Cavendish Banana, 25% > Cavendish Banana, 16.9% > Lady Finger Banana, 14.5% > Red Banana at 9.7%. The study location with the most microbial load is the Oil Mill market at 21.23% > Mile One, 20.64% > Creek Road, 20.01% > Mile Three, 19.23% > Fruit Garden, 18.88%.  Conclusion: Grand Nain banana variety has the highest microbial load thus consumption of it should be washed or cleansed thoroughly. Secondly, of the different parts sampled, Cut stalk of banana is associated with highest microbial load, therefore it should checked properly or cut off when peeling/during consumption, The high load of Staphylococcusaureus, Escherichiacoli and Bacillus is of great concern. These organisms associated with different parts and varieties of banana fruits (Musa spp.) in Port Harcourt Nigeria, poses serious threat to consumers. Prohibition of anthropogenic activities within the markets and farms should be encouraged in order to reduce the level of contamination of these fruits. Also, public awareness on safe and hygienic practices in the handling and distribution of Banana fruits from the farms to the markets should be encouraged.

scholarly journals Antibiogram of Biofilm Producing Bacteria Isolated from Urine of Patients in Three Hospitals in Port Harcourt, Rivers State

2021 ◽  
pp. 5-20
Author(s):  
Onyedibia Golden Chukwuma ◽  
Williams Janet Olufunmilayo ◽  
Douglas Salome Ibietela
Keyword(s):  
Teaching Hospital ◽  
Bacterial Biofilm ◽  
Urine Samples ◽  
Diffusion Method ◽  
Sensitivity Testing ◽  
Resistance To Antibiotics ◽  
Port Harcourt ◽  
Biofilm Bacteria ◽  
Tract Infections ◽  
Rivers State

Aim: The aim of this study was to determine the antibiogram of biofilm producing bacteria isolated from urine of patients in three hospitals in Port Harcourt, Rivers State. Study Design: The study employs statistical analysis of the data and interpretation Place and Duration of Study: The study was conducted at three (3) hospitals; University of Port Harcourt Teaching Hospital (UPTH), Meridian Hospital D / line branch (MRD1) and Meridian Hospital Ikoku branch, all located in Port Harcourt, Rivers State. Sample collection was for three (3) months, analysis was carried out daily and it lasted for six (6) months. Methodology: A total of Forty-five (45) urine samples were collected for a period of three (3) months from the three (3) hospitals. The samples were labelled properly, according to date and time of collection. The collected samples were subjected to standard microbiological procedures which includes standard plate counts, identification, biofilm screening, sensitivity testing using Kirby-Bauer disk diffusion method, Phenotypic screening of extended spectrum beta lactamase and molecular characterization of the isolates Results: The results of the bacterial population of urine samples from the hospitals showed that the total heterotrophic bacterial counts for Meridian Hospital D/line (MRD1), Meridian Hospital Ikoku (MRD2) and University of Port Harcourt Teaching Hospital (UPTH) ranged from 4.93 - 6.30 x107cfu/ml. The Total coliform count ranged from 1.89-3.04 x106cfu/ml for Meridian Hospital D/line (MRD1), Meridian Hospital Ikoku (MRD2) and University of Port Harcourt Teaching Hospital (UPTH). Total faecal coliform counts ranged from 0.78-1.11 x105CFU/ml for Meridian Hospital D/line (MRD1), Meridian Hospital Ikoku (MRD2) and University of Port Harcourt Teaching Hospital (UPTH). A total of fifty-eight (58) bacterial isolates were isolated from urine of patients and 36(62.1%) isolates were identified as biofilm producers. The biofilm bacteria identified were 17.2% Staphylococcus,6.9% E. coli, 10.3% Pseudomonas, 6.9% Proteus ,10.3% Bacillus and 10.3% Enterococcus species. Biofilm forming ability of bacteria is considered a virulent factor and it is implicated to being a possible cause of increased resistance to most antibiotics. Varying susceptibility pattern was observed among biofilm isolates. Biofilm bacteria were resistant to several groups of antibiotics. Ofloxacin, Gentamycin, Imipenem and Nitrofurantoin can be used as drug of interest for most bacterial biofilm urinary tract infections. CTX-M and TET A gene were identified in the biofilm bacteria in this study to be possible factors that confer resistance to antibiotics. The presence of icaD and papC gene in the isolates whose genome were studied have been found to be possible factors that confers biofilm producing ability. This study indicates the emergence and rapid spread of biofilm producing bacteria and their resistance to antibiotics. Therefore, strict infection control practices as well as therapeutic guidance for confirmed infections should be rapidly initiated.

scholarly journals Detection of biofilm among uropathogenic Escherichia coli and its correlation with antibiotic resistance pattern

2019 ◽  
Vol 11 (01) ◽  
pp. 017-022 ◽  
Author(s):  
Rashmi M. Karigoudar ◽  
Mahesh H. Karigoudar ◽  
Sanjay M. Wavare ◽  
Smita S. Mangalgi
Keyword(s):  
Escherichia Coli ◽  
Antibiotic Resistance ◽  
Biofilm Formation ◽  
Agar Plate ◽  
Diffusion Method ◽  
Resistance Pattern ◽  
Susceptibility Pattern ◽  
Sensitivity Testing ◽  
E Coli ◽  
Tract Infections

Abstract BACKGROUND: Escherichia coli accounts for 70%–95% of urinary tract infections (UTIs). UTI is a serious health problem with respect to antibiotic resistance and biofilms formation being the prime cause for the antibiotic resistance. Biofilm can restrict the diffusion of substances and binding of antimicrobials. In this context, the present study is aimed to perform in vitro detection of biofilm formation among E. coli strains isolated from urine and to correlate their susceptibility pattern with biofilm formation. MATERIALS AND METHODS: A total of 100 E. coli strains isolated from patients suffering from UTI were included in the study. The identification of E. coli was performed by colony morphology, Gram staining, and standard biochemical tests. The detection of biofilm was carried out by Congo Red Agar (CRA) method, tube method (TM), and tissue culture plate (TCP) method. Antimicrobial sensitivity testing was performed by Kirby–Bauer disc diffusion method on Muller–Hinton agar plate. RESULTS: Of the 100 E. coli strains, 49 (49%) and 51 (51%) were from catheterized and noncatheterized patients, respectively. Biofilm production was positive by CRA, TM, and TCP method were 49 (49%), 55 (55%), and 69 (69%), respectively. Biofilm producers showed maximum resistance to co-trimoxazole (73.9%), gentamicin (94.2%), and imipenem (11.6%) when compared to nonbiofilm producers. Significant association was seen between resistance to antibiotic and biofilm formation with a P = 0.01 (<0.05). CONCLUSION: A greater understanding of biofilm detection in E. coli will help in the development of newer and more effective treatment. The detection of biofilm formation and antibiotic susceptibility pattern helps in choosing the correct antibiotic therapy.

scholarly journals Antimicrobial sensitivity patterns of salmonella typhi in children

2016 ◽  
Vol 15 (3) ◽  
pp. 416-418
Author(s):  
Md Khoyber Ali ◽  
Shahin Sultana
Keyword(s):  
Blood Culture ◽  
Nalidixic Acid ◽  
Medical Science ◽  
Antibiotic Sensitivity ◽  
Public Health Problem ◽  
Salmonella Typhi ◽  
Diffusion Method ◽  
Sensitivity Testing ◽  
Antimicrobial Sensitivity ◽  
Sensitivity Pattern

Background: Enteric fever is an important public health problem in developing countries including Bangladesh. A changing antibiotic sensitivity pattern of Salmonella typhi and emergence of resistance has increased to a great concern. Objective: Aim of the study was to investigate the antibiotic sensitivity pattern of Salmonella typhi. Methods: A total of 181 Salmonella typhi samples from 5 to 15 years age group were collected from blood culture during the period of October to December 2014 from IBN SINA Hospital, Dhaka, Bangladesh. Specimens from the blood culture were identified by standard procedures as needed. Antimicrobial susceptibility testing was performed by disk diffusion method according to ‘The Clinical Laboratory Standard Institute’ guidelines. Results: Among the tested antibiotics, S. typhi was susceptible to ceftriaxone 100%, followed by cefixime and gentamicin 99.4%, ciprofloxacin 98.6%, cotrimoxazole 88.9%, azithromycin 88.4 % and least susceptible antibiotic was Ampicillin 62.5% and nalidixic acid 5%. Conclusion: The antimicrobial sensitivity testing showed that the Salmonella typhi were highly sensitive (>88%) to most of the drugs used in this study, whereas nalidixic acid showed only 5% sensitivity. So this study indicates that ceftriaxone, cefixime, gentamicin and ciprofloxacin can be used as a first line therapy and nalidixic acid should be avoided for treatment.Bangladesh Journal of Medical Science Vol.15(3) 2016 p.416-418

scholarly journals Antimicrobial Susceptibility Pattern of Salmonella spp. Isolated from Enteric Fever Patients in Nepal

2021 ◽  
Vol 13 (2) ◽  
pp. 388-400
Author(s):  
Anu Maharjan ◽  
Binod Dhungel ◽  
Anup Bastola ◽  
Upendra Thapa Shrestha ◽  
Nabaraj Adhikari ◽  
...  
Keyword(s):  
Drug Resistance ◽  
Minimum Inhibitory Concentration ◽  
Nalidixic Acid ◽  
Antimicrobial Susceptibility ◽  
Enteric Fever ◽  
Inhibitory Concentration ◽  
Diffusion Method ◽  
Susceptibility Pattern ◽  
Salmonella Spp ◽  
Blood Samples

Introduction: Enteric fever, a systemic infection caused by Salmonella enterica Typhi and S. enterica Paratyphi is one of the most common infections in developing countries such as Nepal. Aside from irrational practices of antibiotic use, mutations in chromosomal genes encoding DNA gyrase and Topoisomerase IV and by plasmid mediated quinolone resistant (PMQR) genes are suggested mechanisms for the development of resistance to nalidixic acid and reduced susceptibility to ciprofloxacin. Regardless of high endemicity of enteric fever in Nepal, there is paucity of studies on prevalence and drug-resistance of the pathogen. Therefore, this study aimed to assess the antibiotic susceptibility pattern of Salmonella isolates and determine the minimum inhibitory concentration of ciprofloxacin. Methods: A total of 1298 blood samples were obtained from patients with suspected enteric fever, attending Sukraraj Tropical and Infectious Disease Hospital (STIDH) during March–August, 2019. Blood samples were inoculated immediately into BACTEC culture bottles and further processed for isolation and identification of Salmonella Typhi and S. Paratyphi. Axenic cultures of the isolates were further subjected to antimicrobial susceptibility testing (AST) by using the modified Kirby–Bauer disc diffusion method based on the guidelines by CLSI. The minimum inhibitory concentration (MIC) of ciprofloxacin was determined by agar-dilution method. Results: Out of 1298 blood cultures, 40 (3.1%) were positive for Salmonella spp. among which 29 (72.5%) isolates were S. Typhi and 11 (27.5%) isolates were S. Paratyphi A. In AST, 12.5% (5/40), 15% (6/40) and 20% (8/40) of the Salmonella isolates were susceptible to nalidixic acid, ofloxacin and levofloxacin, respectively, whereas none of the isolates were susceptible to ciprofloxacin. The MIC value for ciprofloxacin ranged from 0.06-16 µg/mL in which, respectively, 5% (2/40) and 52.5% (21/40) of the isolates were susceptible and resistant to ciprofloxacin. None of the isolates showed multidrug-resistance (MDR) in this study. Conclusion: This study showed high prevalence of quinolone-resistant Salmonella spp., while there was marked re-emergence of susceptibilities to traditional first option drugs. Hence, conventional first-line-drugs and third-generation cephalosporins may find potential usage as the empirical drugs for enteric fever. Although our reporting was free of MDR strains, extensive surveillance, augmentation of diagnostic facilities and treatment protocol aided by AST report are recommended for addressing the escalating drug-resistance in the country.

scholarly journals Susceptibility Pattern of Bacterial Isolates from Dental Caries Patients Attending Clinic at Irrua Specialist Teaching Hospital, Irrua, Nigeria

2021 ◽  
Vol 2 (9) ◽  
pp. 784-789
Author(s):  
Orhue O Philips ◽  
Omoregie Timothy ◽  
Idehen I Charlse ◽  
Iserhienrhien Osamuyimen
Keyword(s):  
Dental Caries ◽  
Teaching Hospital ◽  
Antibiotic Susceptibility ◽  
Diffusion Method ◽  
Bacterial Isolates ◽  
Susceptibility Pattern ◽  
Streptococcus Sobrinus ◽  
Sensitivity Testing ◽  
Antimicrobial Sensitivity ◽  
Low Sensitivity

This study was carried out to evaluate the antibiotic susceptibility pattern of bacterial isolates from dental caries patients attending the clinic at Irrua Specialist Teaching Hospital, Irrua, Nigeria. A total of 223 bacteria samples (Streptococcus mutans = 151; Streptococcus sobrinus = 36; Lactobacillus acidophilus = 22; Streptococcus salivarius = 10; Streptococcus mitis = 4) were collected from the patients. Antimicrobial sensitivity testing was done by single disc agar diffusion method on 24 antibiotics; selected into eight different groups of 3 according to action, community usage, and generation. The average group susceptibility of antibiotics to all bacterial isolates were 25.71%, 53.81%, 13.75%, 32.74%, 10.76%, 8.52%, 0.60% and 64.42% for group 1 to 8 respectively. Specifically, the most potent antibiotic in the different groups of antibiotics was Amoxicillin (42.60%), Unasyn (78.03%), Chloramphenicol (37.67%), Erythromycin (74.44%), Streptomycin (28.70%), Cefotaxime (18.39%), Pefloxacin (1.79%) and Clindamycin (96.41%). There was total resistance of all isolates to Cotrimoxazole, Neomycin, Ciprofloxacin, and Ofloxacin. The overall sensitivity of each isolated bacterial to the 24 antibiotics was 26.27%, 26.62%, 22.73%, 32.50%, and 28.13% for Strep. mutans, Strep. sobrinus, L. acidophilus, Strep. salivarius and Strep. mitis respectively. Considering the overall low sensitivity of dental caries isolates to the overall 24 antibiotics, there is a need for antibiotic susceptibility screening before an antibiotic prescription for the treatment of dental caries.

Epidemiological fectors and antibiotic susceptibility pattern of Salmonella spp

2021 ◽  
Vol 7 (3) ◽  
pp. 137-140
Author(s):  
Alpa Patel ◽  
Nirmal Choraria
Keyword(s):  
Nalidixic Acid ◽  
Antimicrobial Susceptibility ◽  
Antibiotic Susceptibility ◽  
Enteric Fever ◽  
Diffusion Method ◽  
Drug Resistant ◽  
Susceptibility Pattern ◽  
Antibiotic Susceptibility Pattern ◽  
Periodic Evaluation ◽  
Susceptibility Patterns

serovars Typhi and Paratyphi are known to cause enteric fever. Multidrug resistance in and has emerged as a cause of concern. To evaluate antimicrobial susceptibility patterns of Salmonella enteric serovar Typhi () and obtained from blood culture.: All isolates obtained from blood cultures of clinically suspected cases of enteric fever coming to microbiology laboratory, Nirmal hospital, from January 2015 to September 2017 were included in the study. Antimicrobial susceptibility patterns were determined using commercial antimicrobial disks chloramphenicol (30 μg), nalidixic acid (30 μg), ampicillin (10 μg), azithromycin (15 μg), cotrimoxazole (1.25/23.75 μg), ciprofloxacin (5 μg), and ceftriaxone (30 μg). Antimicrobial susceptibility testing was performed in accordance with the Clinical and Laboratory Standards Institute (CLSI) guidelines of respective year by KirbyBauer disc diffusion method.: Total 330 isolates of salmonella are there out of that 298 is . 32 are Salmonella para A, while 1 is of Salmonella para B. Enteric fever cases pick month are April, May, June and July. Sensitivity to first line drugs are &#62; 80%, Nalidixic acid resistant Salmonella (NARS) are 79%, while Multi drug resistant (resistant to ampicillin, chloramphenicol and co-trimoxazole all three)Salmonella are 3%.: Periodic evaluation of antibiotic susceptibility pattern is necessary to see changing pattern of antibiotics. Evaluation of Nalidixic acid resistant Salmonella and periodic evaluation of multi drug resistant Salmonella is also important as emergence of MDR strain is observed in our study.

scholarly journals Changing Trend of Neonatal Septicemia and Antibiotic Susceptibility Pattern of Isolates in Nepal

2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
Author(s):  
Sangita Thapa ◽  
Lokendra Bahadur Sapkota
Keyword(s):  
Staphylococcus Aureus ◽  
Early Onset ◽  
Antibiotic Susceptibility ◽  
Late Onset ◽  
Diffusion Method ◽  
Susceptibility Pattern ◽  
Sensitivity Testing ◽  
Antibiotic Susceptibility Pattern ◽  
Neonatal Septicemia ◽  
Gram Negative

Background. Neonatal septicemia is one of the most common leading reasons for neonatal morbidity and mortality in developing countries. Frequent monitoring on pathogens with recent updates and their antimicrobial sensitivity pattern is mandatory for the better treatment. The aim of the study was to determine the bacteriological profile of neonatal septicemia and their antibiotic susceptibility pattern. Methods. This was a cross-sectional study conducted in Outpatient Department (OPD), Neonatal Intensive Care Unit (NICU), and Pediatrics Ward of Chitwan Medical College Teaching Hospital (CMCTH), Bharatpur, Nepal. Blood cultures were performed on all suspected neonates attending to the hospital with a clinical analysis of neonatal septicemia. Isolated organism was identified by the standard microbiological protocol and antibiotic sensitivity testing was done by Kirby-Bauer disk diffusion method. Results. Out of 516 specimens, bacterial growth was obtained in 56 specimens (10.8%). Prevalence of early onset sepsis was higher 35 (62.5%) in neonates compared to late onset sepsis 21 (37.5%). Majority of neonatal septicemia were caused by gram-negative isolates 39 (69.6%). Acinetobacter species 18 (32.1%) was most commonly isolated organism followed by Staphylococcus aureus 11 (19.6%). The predominant isolate in early onset septicemia was Acinetobacter species 18 (32.1%) and Staphylococcus aureus 9 (16%) and in late onset septicemia was Staphylococcus aureus 11 (19.6%) and Acinetobacter species 5 (8.9%). Staphylococcus aureus and coagulase-negative Staphylococci displayed highest susceptibility towards vancomycin, amikacin, teicoplanin, and meropenem. Gram-negative isolates showed susceptibility towards amikacin, piperacillin/tazobactam, meropenem, ofloxacin, and gentamicin. Conclusions. Acinetobacter species and Staphylococcus aureus remain the most predominant organisms responsible for neonatal septicemia in a tertiary care setting and demonstrate a high resistance to the commonly used antibiotics. Above all, since the rate of Acinetobacter species causing sepsis is distressing, inspiring interest to control the excess burden of Acinetobacter species infection is mandatory.

scholarly journals Antibiotic Susceptibility Pattern of Shigella spp. Isolated from Patients Suspected of Acute Gastroenteritis

2021 ◽  
Vol 26 (2) ◽  
pp. 1-7
Author(s):  
Bishal Basnet ◽  
Dhirendra Niroula ◽  
Jyoti Acharya ◽  
Shaila Basnyat
Keyword(s):  
Nalidixic Acid ◽  
Acute Gastroenteritis ◽  
Antibiotic Susceptibility ◽  
Generation Cephalosporin ◽  
Diffusion Method ◽  
Third Generation ◽  
Age Group ◽  
Susceptibility Pattern ◽  
Antibiotic Susceptibility Pattern ◽  
Shigella Species

Shigellosis, an intestinal infection caused by Shigella species, is manifested by bloody diarrhea. Due to the surge in multidrug-resistant (MDR) Shigella species, the control of shigellosis has been a big challenge. This study aims to determine the prevalence and assess the antibiotic susceptibility pattern of Shigella species. During our study period of five months from April 2014 to August 2014 at Sukraraj Tropical and Infectious Disease Hospital, Teku, Kathmandu, a total of 653 stool samples were collected from the patients suspected of acute gastroenteritis. The standard microbiological procedure was followed for the isolation and identification of Shigella species. Assessment of antibiotic susceptibility pattern of the Shigella species was done by Kirby-Bauer disk diffusion method following CLSI guidelines. The study found 25(3.82%) cases were Shigella positive. Among them, 18(72%) were S. flexneri, 6(24%) were S. dysenteriae, and 1(4%) was S. sonnei. The patients in the age group 16-45 years were highly susceptible to infection as the higher proportion 16(64%) of Shigella species were isolated from this age group (p> 0.05). Shigella species were found to be highly susceptible to Cefotaxime (100%), a third-generation cephalosporin. Nalidixic acid, on the other hand, was the least effective antibiotic as 20(80%) of the Shigella isolates were resistant, followed by Ampicillin 18(72%), Cotrimoxazole 13(52%), and Ciprofloxacin 9(36%). A higher proportion of [10(40%)] of our study isolates were MDR. Our results show that Nalidixic acid, Ampicillin, Cotrimoxazole, Ciprofloxacin, and Ofloxacin cannot be used as empirical therapy for the treatment of Shigella infection as Shigella species were highly resistant to these antibiotics. So, for the MDR Shigella infection, we suggest third-generation cephalosporin as an option.

scholarly journals Antibiotic Susceptibility of High Vaginal Swab’s Isolates Obtained from the University of Port Harcourt Teaching Hospital, Rivers State, Nigeria

2019 ◽  
pp. 1-10
Author(s):  
E. Effiong ◽  
N. N. Ndukwe ◽  
Y. S. Wali
Keyword(s):  
Teaching Hospital ◽  
Adaptive Strategy ◽  
Vaginal Swab ◽  
Herbal Remedies ◽  
Diffusion Method ◽  
Self Medication ◽  
Port Harcourt ◽  
Antibiotics Susceptibility ◽  
The University ◽  
Rivers State

Introduction: Bacterial vaginosis is caused by the invasion of the vagina by pathogenic microbiota with a unique adaptive strategy. Immunodeficiency and immune compromised female patients may have reported cases of this category of infections. Aims: This study evaluated the susceptibility pattern of High vaginal swab (HVS) isolates using both Optudisc and Abtek antibiotics susceptibility disc obtained from the Department of Medical Microbiology and Parasitology Unit, University of Port Harcourt Teaching Hospital (UPTH); Rivers State, South-South Nigeria. Study Design: Thirty (30) isolates with multidrug resistance were screened, selected and identified with frequencies of occurrence with 36.67% E. coli, 29.9% Klebsiella sp., 16.67% Staphylococcus aureus, 6.6% Pseudomonas sp. and 13.33% Proteus sp. The susceptibility of the isolates was assessed using Kirby Bauer disc diffusion method. Results: Over 80% were susceptible to Gentamicin, 64% to Ofloxacin, using the Abtex Biological Limited while Optudisc revealed 72% to Peflacin, Ciprofloxacin, Streptomycin, 60% resistant to Ampicillin, 56% to Nalidixic Acid, Septrin. About 100% sensitivity was observed in the second generation Cephalosporins, Cefuroxime and Ceftazidime, whereas 75% were resistant to Oxacillin and Augmentin. While Optudisc for Gram-positive isolates were 100% susceptible to Levofloxacin and Ciprofloxacin. Statistical analysis using t-test at p< 0.05 showed that mean results using the different disc were significant. Conclusion: The trend in the susceptibility of isolates was attributed to the spate of self-medication and abuse and misuse of herbal remedies. These findings underscore the need to enforce proper susceptibility testing prior to administration of therapeutic formulations.

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