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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 |
Bacterial infections are most commonly encountered by clinicians in developing countries. Area-specific monitoring studies done to assess the type of pathogens and their antibiotic sensitivity patterns which help the clinician to opt for best empirical treatment. The hospital based cross sectional study is conducted on various samples collected using sterile techniques from 2474 clinically-suspected cases attending RDBP, Jaipuriya Hospital from Jan 2016 to Dec 2017 and tested bacteriologically using standard conventional procedures. Antimicrobial susceptibility test was performed for the isolated pathogens using Kirby-Bauer disk diffusion method according to Clinical and Laboratory Standards Institute guidelines. Total of 2474 culture samples collected were cultured using standard microbiological techniques. The colonies grown were identified with the help of gram staining and biochemical tests. The antimicrobial susceptibility testing was performed by Kirby-Bauer disc diffusion technique. Out of 2474/ 680 were positive. Gram positive bacteria were isolated 252/680 samples and Gram-negative bacteria were found in 404/680 samples. Coagulase negative Staphylococcus aureus 108/252 was the predominant in Gram-positive bacteria isolated and Escherichia coli 255/404 were predominant in Gram negative bacteria. Primary screening of Methicillin-resistant Staphylococcus aureus (MRSA) isolates were detected by using cefoxitin disc (30µg) is 43.47% and Extended spectrum β lactamase (ESBL) detection done by the difference of Ceftazidime and Ceftazidime Clavulunate difference is more than 5 mm is 52.35%. The Vancomycin resistant Enterococci (VRE) detection is 21.77%. Antibiotic sensitivity of gram positive bacteria is Linezolid 90.47%, Vancomycin 77.77%, Doxycycline 60% and cefoxitin 45%. Antibiotic sensitivity of gram negative bacteria is Imipenam 87.6%, Gentamicin 47%, Ceftazidime Clavulunate 60%. This study showed that E. coli and Coagulase Negative Staphylococci isolates were the predominant pathogens. Sensitivity of Linezolid, Vancomycin, Doxycyline, Imipenam, Gentamicin, Ceftazidime clavulunate is seen in the bacterial strain found in the Jaipuriya setting. Since drug resistance is an evolving process, routine surveillance and monitoring studies should be conducted to provide physicians the updated and most effective empirical treatment.
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