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Antibiotic Resistance Pattern in Pseudomonas Aeruginosa Species Isolated at a Tertiary Care Hospital, Ahmadabad

机译:在艾哈迈达巴德一家三级护理医院分离的铜绿假单胞菌物种的抗生素耐药性模式

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Introduction: Pseudomonas aeruginosa (Ps.aeruginosa) is one of the important bacterial pathogens isolated from various samples. Despite advances in medical and surgical care and introduction of wide variety of antimicrobial agents against having anti-pseudomonal activities, life threatening infection caused by Ps. aeruginosa continues to cause complications in hospital acquired infections. Several different epidemiological studies indicate that antibiotic resistance is increasing in clinical isolates. Material and Method: This study was conducted during April 2009 to april 2010. During this period total of 630 samples were tested, in which 321 samples showed growth of bacteria. Out of 321 samples, 100 clinical isolates of Pseudomonas aeruginosa were isolated. The samples were selected on the basis of their growth on routine MacConkey medium which showed lactose Non-fermenting pale colonies which were oxidase test positive and on Nutrient agar pigmented and non-pigmented colonies with oxidase positive. Antimicrobial susceptibility of all the isolates was performed by the disc-diffusion (Modified-Kirby Baur disc diffusion method) according to CLSIs guidelines. Result: In present study, maximum isolates of Ps. aeruginosa isolated from various samples are resistant to tobramycin (68%) followed by gentamycin (63%), piperacillin (50%), ciprofloxacin (49%) and ceftazidime (43%). Conclusion: To prevent the spread of the resistant bacteria, it is critically important to have strict antibiotic policies while surveillance programmes for multidrug resistant organisms and infection control procedures need to be implemented.
机译:简介:铜绿假单胞菌(Ps.aeruginosa)是从各种样品中分离出的重要细菌病原体之一。尽管在医学和外科护理方面取得了进步,并且引入了多种抗微生物剂以对抗具有抗假性的活动,但是由Ps引起的威胁生命的感染。铜绿假单胞菌继续在医院获得性感染中引起并发症。几种不同的流行病学研究表明,临床分离物中的抗生素耐药性正在增加。材料和方法:这项研究于2009年4月至2010年4月进行。在此期间,总共测试了630个样品,其中321个样品显示出细菌的生长。从321个样本中,分离出100株铜绿假单胞菌临床分离株。根据样品在常规MacConkey培养基上的生长情况进行选择,常规MacConkey培养基显示乳糖非发酵性浅色菌落(氧化酶测试呈阳性),以及营养琼脂有色和无色素菌落(氧化酶呈阳性)。根据CLSIs指南,通过碟片扩散(改良的Kirby Baur碟片扩散法)对所有分离株进行了药敏试验。结果:在本研究中,Ps的最大分离物。从各种样品中分离出的铜绿假单胞菌对妥布霉素(68%),庆大霉素(63%),哌拉西林(50%),环丙沙星(49%)和头孢他啶(43%)耐药。结论:为防止耐药菌的传播,至关重要的是要制定严格的抗生素政策,同时还需要实施针对多药耐药生物的监测计划和感染控制程序。

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