Evaluation and Susceptibility Pattern of Staphylococci Isolated From Clinical Specimens in POF Hospital, Wah Cantt.

Objective: To determine the frequency and antibiotic susceptibility pattern of Staphylococcus aureus and coagulase negative staphylococci isolated from clinical specimens as a result of culture and sensitivity. Materials & Methods: This cross sectional study was carried out in POF Hospital M...

Full description

Bibliographic Details
Main Authors: Lubna Ghazal, Saba Mushtaq, Sohail Ashraf, Saima Rafique, Muhammad Bilal, Naila Iqbal
Format: Article
Language:English
Published: Rawalpindi Medical University 2022-06-01
Series:Journal of Rawalpindi Medical College
Subjects:
Online Access:https://www.journalrmc.com/index.php/JRMC/article/view/1815
_version_ 1811192305148755968
author Lubna Ghazal
Saba Mushtaq
Sohail Ashraf
Saima Rafique
Muhammad Bilal
Naila Iqbal
author_facet Lubna Ghazal
Saba Mushtaq
Sohail Ashraf
Saima Rafique
Muhammad Bilal
Naila Iqbal
author_sort Lubna Ghazal
collection DOAJ
description Objective: To determine the frequency and antibiotic susceptibility pattern of Staphylococcus aureus and coagulase negative staphylococci isolated from clinical specimens as a result of culture and sensitivity. Materials & Methods: This cross sectional study was carried out in POF Hospital Microbiology laboratory from January 2019 to September 2020. One hundred and eighty four staphylococci isolated from clinical specimens were processed as per standard methodology. Results: Out of 148, methicillin resistant S.aureus and methicillin resistant coagulase negative staphylococci were 38.04% and13.04% respectively. Infections caused by Methicillin resistant staphylococcal isolates were higher among the age group 31-40 years (71.4%, OR=2.68). Out of thirty expired patients, 53.3% had been infected with methicillin resistant staphylococcal infections. The methicillin resistant staphylococci were most frequent in miscellaneous category of clinical specimens (80.0%, OR=4.63). The susceptibility analysis revealed that methicillin resistant staphylococci are 100% resistant to penicillin, meropenem and amoxycillin-clavulanate (p=0.000).  A significant association of methicillin resistance was also noticed against amikacin (p=0.002), ciprofloxacin (p=0.001), clindamycin (p=0.005) and erythromycin (p=0.000). Moxifloxacin, linezolid and vancomycin are the most effective choice for infections caused by methicillin resistant staphylococci. Conclusions: The methicillin-resistant staphylococci are highly resistant to commonly prescribed oral as well as injectable antibiotics. Establishment and implementation of infection control policies are required to combat the grave situation of increasing antibiotic resistance.
first_indexed 2024-04-11T23:50:25Z
format Article
id doaj.art-0a425d5bcca74747a46ba73cee1d96c9
institution Directory Open Access Journal
issn 1683-3562
1683-3570
language English
last_indexed 2024-04-11T23:50:25Z
publishDate 2022-06-01
publisher Rawalpindi Medical University
record_format Article
series Journal of Rawalpindi Medical College
spelling doaj.art-0a425d5bcca74747a46ba73cee1d96c92022-12-22T03:56:30ZengRawalpindi Medical UniversityJournal of Rawalpindi Medical College1683-35621683-35702022-06-0126210.37939/jrmc.v26i2.1815Evaluation and Susceptibility Pattern of Staphylococci Isolated From Clinical Specimens in POF Hospital, Wah Cantt.Lubna Ghazal0Saba MushtaqSohail AshrafSaima RafiqueMuhammad BilalNaila IqbalWah Medical College Objective: To determine the frequency and antibiotic susceptibility pattern of Staphylococcus aureus and coagulase negative staphylococci isolated from clinical specimens as a result of culture and sensitivity. Materials & Methods: This cross sectional study was carried out in POF Hospital Microbiology laboratory from January 2019 to September 2020. One hundred and eighty four staphylococci isolated from clinical specimens were processed as per standard methodology. Results: Out of 148, methicillin resistant S.aureus and methicillin resistant coagulase negative staphylococci were 38.04% and13.04% respectively. Infections caused by Methicillin resistant staphylococcal isolates were higher among the age group 31-40 years (71.4%, OR=2.68). Out of thirty expired patients, 53.3% had been infected with methicillin resistant staphylococcal infections. The methicillin resistant staphylococci were most frequent in miscellaneous category of clinical specimens (80.0%, OR=4.63). The susceptibility analysis revealed that methicillin resistant staphylococci are 100% resistant to penicillin, meropenem and amoxycillin-clavulanate (p=0.000).  A significant association of methicillin resistance was also noticed against amikacin (p=0.002), ciprofloxacin (p=0.001), clindamycin (p=0.005) and erythromycin (p=0.000). Moxifloxacin, linezolid and vancomycin are the most effective choice for infections caused by methicillin resistant staphylococci. Conclusions: The methicillin-resistant staphylococci are highly resistant to commonly prescribed oral as well as injectable antibiotics. Establishment and implementation of infection control policies are required to combat the grave situation of increasing antibiotic resistance. https://www.journalrmc.com/index.php/JRMC/article/view/1815Antibiotic susceptibility, Methicillin resistant staphylococci, Antibiotics
spellingShingle Lubna Ghazal
Saba Mushtaq
Sohail Ashraf
Saima Rafique
Muhammad Bilal
Naila Iqbal
Evaluation and Susceptibility Pattern of Staphylococci Isolated From Clinical Specimens in POF Hospital, Wah Cantt.
Journal of Rawalpindi Medical College
Antibiotic susceptibility, Methicillin resistant staphylococci, Antibiotics
title Evaluation and Susceptibility Pattern of Staphylococci Isolated From Clinical Specimens in POF Hospital, Wah Cantt.
title_full Evaluation and Susceptibility Pattern of Staphylococci Isolated From Clinical Specimens in POF Hospital, Wah Cantt.
title_fullStr Evaluation and Susceptibility Pattern of Staphylococci Isolated From Clinical Specimens in POF Hospital, Wah Cantt.
title_full_unstemmed Evaluation and Susceptibility Pattern of Staphylococci Isolated From Clinical Specimens in POF Hospital, Wah Cantt.
title_short Evaluation and Susceptibility Pattern of Staphylococci Isolated From Clinical Specimens in POF Hospital, Wah Cantt.
title_sort evaluation and susceptibility pattern of staphylococci isolated from clinical specimens in pof hospital wah cantt
topic Antibiotic susceptibility, Methicillin resistant staphylococci, Antibiotics
url https://www.journalrmc.com/index.php/JRMC/article/view/1815
work_keys_str_mv AT lubnaghazal evaluationandsusceptibilitypatternofstaphylococciisolatedfromclinicalspecimensinpofhospitalwahcantt
AT sabamushtaq evaluationandsusceptibilitypatternofstaphylococciisolatedfromclinicalspecimensinpofhospitalwahcantt
AT sohailashraf evaluationandsusceptibilitypatternofstaphylococciisolatedfromclinicalspecimensinpofhospitalwahcantt
AT saimarafique evaluationandsusceptibilitypatternofstaphylococciisolatedfromclinicalspecimensinpofhospitalwahcantt
AT muhammadbilal evaluationandsusceptibilitypatternofstaphylococciisolatedfromclinicalspecimensinpofhospitalwahcantt
AT nailaiqbal evaluationandsusceptibilitypatternofstaphylococciisolatedfromclinicalspecimensinpofhospitalwahcantt