National Academy of Agricultural Sciences (NAAS)
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PRINT ISSN : 2319-7692
Online ISSN : 2319-7706 Issues : 12 per year Publisher : Excellent Publishers Email : editorijcmas@gmail.com / submit@ijcmas.com Editor-in-chief: Dr.M.Prakash Index Copernicus ICV 2018: 95.39 NAAS RATING 2020: 5.38 |
A two year retrospective study was done to know the types of enterococcal species isolation, presence of multiply drug resistant enterococci and vancomycin resistant enterococci from post operative wounds of cancer patients in a regional cancer hospital, Kidwai Memorial Institute of Oncology, Bangalore. The study was done for the first time in our hospital in cancer patients. A retrospective study was done on post operative infected wound discharges and post operative drains in-situ discharges from surgery, gynaecology, head and neck and oral oncology departments in the department of microbiology at our regional cancer hospital in South India. Samples were analysed between January 2012 to December 2014. Bacterial isolation from the clinical samples were done by conventional laboratory methods in the department of microbiology. Antimicrobial susceptibility and resistance pattern to isolated pathogens were performed and interpreted as per NCCLS guidelines. Tests for vancomycin resistant enterococci and detection for beta-lactamase production was done accordingly. Only monomicrobial enterococcal post operative and drain discharges isolates were taken for study. A total number of three hundred and twenty two pus and wound discharge samples which came from the oncology departments of surgery, gynaecology, head and neck and oral were analysed. Enterococci species isolated were Enterococcus faecalis (E.faecalis)168 (52.17%), Enterococcus faecium (E.faecium)150 (46.58%) and Enterococci casseliflavus (E.casseliflavus) 4(1.24%). Amongst the antibiotics all isolates were susceptible to the gycopeptides, vanomycin and teicoplanin. There was no beta-lactamase production from the isolates. The most common enterococcal species were Enterococcus faecalis, Enterococcus faecium and Enterococcus casseliflavus from post operative wound discharges. Post operative enterococcal infection may aggravate the morbidity and mortality of the cancer patients thereby prolonging hospital stay with an additional hospital cost and form one of the potential risk factors for health-care associated infection.
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