A Study of Bacteriological Profile and Their Sensitivity Pattern in Neonatal Sepsis at Tertiary Care Hospital in Mysore, Southern India
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2015, Vol 3, Issue 7
Abstract
Epidemiology and surveillance of neonatal sepsis helps in implementation of rational empirical antibiotic strategy. 60 consecutive babies over 1year period with suspected sepsis based on risk factors and clinical presentation were included in this study. All the babies underwent blood culture. Blood culture sample included a single sample from peripheral vein or artery. Blood culture report and sensitivity pattern was noted. In total, 80% (48 of 60) of the clinically suspected cases were culture-proven cases of neonatal sepsis, which isolated 9 pathogens. Gram negative organisms were isolated from 31 (64.5%). Klebsiella pneumoniae (19 out of 48, 40%) was the most common gram negative organism and most common causative agent of neonatal sepsis. Gram positive organisms were isolated from 15 (31.2%). Coagulase-negative staphylococci 10 (20.8%) were the most common gram-positive agent. The 19 Klebsiella pneumoniae isolates were 100% susceptible to Amikacin, Ciprofloxacin, Ofloxacin and Meropenem; and 100% resistant to Amoxyclav, ampicillin, Ceftazidime and Cefotaxime. Other Gram negative organisms isolated (Pseudomonas, E.coli, and Acinetobacter) were 100% sensitive to Amikacin, Ciprofloxacin, Levofloxacin, Piperacillin Tazobactum and Meropenem. E.coli was totally sensitive for Ceftriaxone, Ceftazidime, and Cefotaxime. All isolated E.coli were resistant to Amoxyclav and Ampicillin. All the gram positive isolates were 100% susceptible for Linezolid and Vancomycin. Bacteriological profile in neonatal sepsis in our locality is dominated by Gram negative bacteria, Klebsiella pneumoniae. Second commonest bacteria isolated are Staphylococcus, with 61.5% being Coagulase Negative strain. Ciprofloxacin and Amikacin would be appropriate as empirical first line antibiotic for suspected neonatal sepsis in our locality. Keywords: Bacteriological profile, Neonatal sepsis, Blood culture, Antibiotic sensitivity, Gram negative organisms, Gram positive organism.
Authors and Affiliations
Dr. Vinay BS, Dr Kruthi BN, Dr. Girish GN
Assessment of Lipid profile and Glycated Hemoglobin in Newly Diagnosed type 2 Diabetes Mellitus in Rural Population of Indore, M.P, India
Prevalence of dyslipidemia in type 2 diabetes mellitus patients is higher and positively correlated with BMI. The present study was designed to assess the glycemic control and lipid profile in newly diagnosed type 2 diab...
Emerging Human Papillomavirus Vaccines against Cervical Cancer
Abstract: Cervical cancer has been a huge health problem in our society for a long time. It has become as much an economic problem in addition to being a health problem. There are over one-half of a million cases of this...
1. Thomas L, David AW, Victoria FR, William SZ. Foye’s Priincipal of Medicinal Chemistry. Sixth Edition. Lippincott Williams and Wilkins; 2008: 521. 2. D.S.Reddy. Pharmacotherapy of catamanial epilepsy. Indian J Pharmacol. Oct 2005; 37(5): 288-293. 3. Thurman DJ, Beghi E, Begley CE, Berg AT, Buchhalter JR, Ding D, Hesdorffer DC, Hauser WA, Kazis L, Kobau R, Kroner B. Standards for epidemiologic s
Abstract:Acute appendicitis is the most common abdominal surgical emergency. The diagnosis may be easy but many times it may be very difficult. The clinical diagnosis of appendicitis is wrongly made many times as it is i...
Dieticians’ Knowledge of Diabetic Management and Patients’ Recovery Rate
Nutritional therapy has become the most reliable support regimen that a diabetic patient can benefit from and it is always preceded and controlled through a nutritional counseling. The impact of nutritional counseling on...
Impact of Tobacco Cigarette Smoking on Hematologic parameters among male Subjects in Port Sudan Ahlia College, Sudan
Abstract: The disorder of tobacco cigarette smoking is common worldwide. However, alterations in hematological parameters were expected. Data from Sudanese on this field is limited. The study aimed at identifying the imp...