Prevalence of multidrug resistant (MDR) Enterobacteriacae in rural tertiary care hospital
Journal Title: Indian Journal of Microbiology Research - Year 2017, Vol 4, Issue 3
Abstract
Multidrug resistant organisms (MDROs) infections have increased in recent years. The antibiotic resistance development in clinical isolates of Enterobacteriacae is rapid and that spread in the hospital. Objectives: 1)To detect multidrug resistant Enterobacteriacae 2)To determine frequency of MDR Enterobacteriacae isolates by site of infection. 3)To determine antibiotic susceptibility pattern of multidrug resistant Enterobacteriacae. Materials and Method: Antibiotic susceptibilities of bacterial isolates from clinical specimens were determined according to standard guidelines. MDRO detection was based on the joint definition given by the European Center for Disease Prevention and Control (ECDC) and the Centers for Disease Prevention and Control (CDC).(6) Results: Out of 1585 clinical samples, 961(61%) samples had enterobacteriacae isolates. Out of total 961 Enterobacteriacae species studied, 648 (41 %) species were MDR. The commonest MDR Enterobacteriacae species were E. coli 364/519 (54%), followed by Klebsiella sp. 280/431 (45%). The commonest MDR Enterobacteriacae infections were urinary tract infections 400/648 (61%), followed by respiratory infections 133/648 (21%). MDR Enterobacteriacae isolates showed decreased sensitivity towards third generation cephalosporins, aminoglycosides and fluroquinolones. Conclusion: The early detection of MDR bacterial species should be started by all microbiology laboratories to give effective treatment to the patients and to reduce the cross infections to other patients in hospital as well as to reduce threat of antimicrobial resistance which is at present a global problem.
Authors and Affiliations
Sweta Prajapati, Sanjay Mehta, Kunjan Kikani, Dipak Panjwani
Keywords
Related Articles
- EP ID EP295163
- DOI 10.18231/2394-5478.2017.0069
- Views 57
- Downloads 0
Rise of superficial mycoses: A clinicoepidemiological study among the patients attending tertiary health care centre in north India
Introduction: Superficial mycoses refer to the disease of skin, hair and nail caused by fungi, are a serious problem due to deficient sanitation and education. This group includes dermatophytoses, non dermatophytic molds...
Bacteriological profile and antibiotic resistance pattern in blood stream infection in critical care units of a tertiary care hospital in North India
Background: Blood stream infections (BSIs) are an important cause of morbidity and mortality worldwide. The condition can be life threating in critically ill patients in intensive care unit (ICUs) of the hospital. Emerge...
Microbial etiology of acute gastroenteritis in pediatric patients in Western India
Introduction: Acute gastroenteritis is a major cause of illness and death among infants and young children worldwide. According to the World Health Organization (WHO), an estimated 2.5 billion cases of diarrhea occur amo...
Impact of cigarette smoke on respiratory pathogens in biofilm production
Biofilm formation by respiratory pathogen favour their colonization, persistence and virulence. Cigarette smoke have the ability to cause induction and increase in biofilm formation. This quantitative in vitro study is a...
Biosurfactant: Types, Detection Methods, Importance and Applications
There are many insoluble substrates that remain unavailable for macro and micro organisms. A microorganism synthesizes surface active agents to utilize these substrates that are collectively called as biosurfactants. Bio...