Patterns of antimicrobial resistance among Multi-Drug resistant Escherichia coli in a tertiary care centre in South Karnataka
Journal Title: Indian Journal of Microbiology Research - Year 2017, Vol 4, Issue 1
Abstract
Introduction: Emergence of multi-drug resistant (MDR) organisms is an important public health concern especially in developing countries. The present study was carried out to assess the current antimicrobial pattern of multi-drug resistant Escherichia coli. Materials and Methods: 346 consecutive, non-duplicate isolates of E. coli isolated during a period of two years were included in the study. The numbers of multi-drug resistant isolates were determined. Their antimicrobial resistance phenotypes and Multiple Antibiotic Resistance (MAR) index were determined. Results: Among the 346 isolates of E. coli, 297 (85.84%) were multi-drug resistant with 61.3% of the isolates being resistant to drugs in more than five antimicrobial categories. The Multiple Antibiotic Resistance index of 82.7% of isolates was found to be greater than 0.2. Carbapenems, aminoglycosides, Chloramphenicol and Nitrofurantoin were found to be the most effective agents against MDR E.coli. Conclusion: Antimicrobial resistance profiles of bacteria are ever-changing and periodic evaluation of resistance phenotypes of isolates is essential for the formulation of appropriate antibiotic policy and initiation of pertinent empirical therapy.
Authors and Affiliations
Soumya Kaup, Sunitha B. U. , Jaya Sankarankutty
Is fungi replacing bacteria as etiological agents of community acquired pneumonia-current strategy of changing scenario?
Introduction: Pneumonia is one of the major infectious public health problem in developing countries .The etiologic agents causing Community Acquired Pneumonia (CAP) has been changed in the recent years. This study is co...
Screening for group B streptococci in antenatal women: Isolation and its antibiogram
Group B streptococci(GBS) is one of those pathogens causing neonatal septicaemia and neonatal meningitis. Objective of this study is to screen antenatal women for Group B Streptococcus colonization and its antibiotic sen...
Bacteriological profile and antibiogram of uropathogens among antenatal cases in a Tertiary Care Hospital
Introduction: Urinary tract infection (UTI) is one of the commonest complications occurring during the antenatal period. It can result in adverse outcomes like abortion, premature delivery, low birth weight. Screening of...
ESBL producing escherichia coli – its prevalence and antibiogram
Introduction: E. coli exhibits resistance to commonly used beta-lactam antibiotics by production of β-lactamases. Hence, creating awareness regarding these enzymes and its detection becomes necessary for better patient c...
Prevalence and Antibiotic susceptibility pattern among Klebsiella isolates from patients attending a tertiary care hospital
Introduction: Klebsiella is an important opportunistic pathogen that is found to be the causative of hospital acquired pneumonia, urinary tract infections, skin and soft tissue infections and bacteremia. It has developed...