Five-Year Antimicrobial Susceptibility of Pseudomonas aeruginosa from a Local Tertiary Hospital in Bacolod City, Philippines

Over five years, a total of 646 P. aeruginosa isolates was acquired from different clinical specimens and their resistance to the commonly used anti-pseudomonal antibiotics was determined. The majority of the isolates were from respiratory (60.99%) and urinary sources (23.22%) while the least came f...

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Main Authors: Alain C. Juayang, Joseph Peter T. Lim, Ann Francis V. Bonifacio, Alaica Victoria L. Lambot, Sean Maybelle Millan, Vic Zyrus Jeriko N. Sevilla, Julien Kate T. Sy, Paul John Villanueva, Carmina P. Grajales, Christine T. Gallega
Format: Article
Language:English
Published: MDPI AG 2017-07-01
Series:Tropical Medicine and Infectious Disease
Subjects:
Online Access:https://www.mdpi.com/2414-6366/2/3/28
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author Alain C. Juayang
Joseph Peter T. Lim
Ann Francis V. Bonifacio
Alaica Victoria L. Lambot
Sean Maybelle Millan
Vic Zyrus Jeriko N. Sevilla
Julien Kate T. Sy
Paul John Villanueva
Carmina P. Grajales
Christine T. Gallega
author_facet Alain C. Juayang
Joseph Peter T. Lim
Ann Francis V. Bonifacio
Alaica Victoria L. Lambot
Sean Maybelle Millan
Vic Zyrus Jeriko N. Sevilla
Julien Kate T. Sy
Paul John Villanueva
Carmina P. Grajales
Christine T. Gallega
author_sort Alain C. Juayang
collection DOAJ
description Over five years, a total of 646 P. aeruginosa isolates was acquired from different clinical specimens and their resistance to the commonly used anti-pseudomonal antibiotics was determined. The majority of the isolates were from respiratory (60.99%) and urinary sources (23.22%) while the least came from transudates and exudates (2.01%). Most of the samples were acquired from older adults (77.55%), most of whom were admitted (67.03%). Amikacin was found to be the most effective drug with a resistance rate of 7.5%, followed by piperacillin/tazobactam (8.5%) and gentamicin (13.5%). On the other hand, 26.7% of the isolates were resistant to levofloxacin. Almost 100% of the isolates were screened positive for AmpC production, which may suggest inducible resistance against expanded spectrum beta-lactamase. Furthermore, for the last three years, P. aeruginosa isolates from this area have been noted to have decreasing resistance only to aztreonam and gentamicin. Also, for five years, a mean MAR index of 0.17 was noted which indicates either proper antibiotic use or most isolates did not come from high-risk areas. Moreover, there was no significant difference in the resistance of P. aeruginosa when compared by specimen source (p = 0.662), but significant when compared by year band (p = 0.02).
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spelling doaj.art-3cbbbd455e804b34be3df9ee723fdba42022-12-22T02:53:47ZengMDPI AGTropical Medicine and Infectious Disease2414-63662017-07-01232810.3390/tropicalmed2030028tropicalmed2030028Five-Year Antimicrobial Susceptibility of Pseudomonas aeruginosa from a Local Tertiary Hospital in Bacolod City, PhilippinesAlain C. Juayang0Joseph Peter T. Lim1Ann Francis V. Bonifacio2Alaica Victoria L. Lambot3Sean Maybelle Millan4Vic Zyrus Jeriko N. Sevilla5Julien Kate T. Sy6Paul John Villanueva7Carmina P. Grajales8Christine T. Gallega9Clinical Laboratory, Dr. Pablo O. Torre Memorial Hospital, Bacolod City 6100, PhilippinesClinical Laboratory, Dr. Pablo O. Torre Memorial Hospital, Bacolod City 6100, PhilippinesMedical Technology Program, Colegio San Agustin, Bacolod City 6100, PhilippinesMedical Technology Program, Colegio San Agustin, Bacolod City 6100, PhilippinesMedical Technology Program, Colegio San Agustin, Bacolod City 6100, PhilippinesMedical Technology Program, Colegio San Agustin, Bacolod City 6100, PhilippinesMedical Technology Program, Colegio San Agustin, Bacolod City 6100, PhilippinesMedical Technology Program, Colegio San Agustin, Bacolod City 6100, PhilippinesMedical Technology Program, Colegio San Agustin, Bacolod City 6100, PhilippinesClinical Laboratory, Dr. Pablo O. Torre Memorial Hospital, Bacolod City 6100, PhilippinesOver five years, a total of 646 P. aeruginosa isolates was acquired from different clinical specimens and their resistance to the commonly used anti-pseudomonal antibiotics was determined. The majority of the isolates were from respiratory (60.99%) and urinary sources (23.22%) while the least came from transudates and exudates (2.01%). Most of the samples were acquired from older adults (77.55%), most of whom were admitted (67.03%). Amikacin was found to be the most effective drug with a resistance rate of 7.5%, followed by piperacillin/tazobactam (8.5%) and gentamicin (13.5%). On the other hand, 26.7% of the isolates were resistant to levofloxacin. Almost 100% of the isolates were screened positive for AmpC production, which may suggest inducible resistance against expanded spectrum beta-lactamase. Furthermore, for the last three years, P. aeruginosa isolates from this area have been noted to have decreasing resistance only to aztreonam and gentamicin. Also, for five years, a mean MAR index of 0.17 was noted which indicates either proper antibiotic use or most isolates did not come from high-risk areas. Moreover, there was no significant difference in the resistance of P. aeruginosa when compared by specimen source (p = 0.662), but significant when compared by year band (p = 0.02).https://www.mdpi.com/2414-6366/2/3/28antibiotic susceptibilityPseudomonas aeruginosalocal tertiary hospitalBacolod City
spellingShingle Alain C. Juayang
Joseph Peter T. Lim
Ann Francis V. Bonifacio
Alaica Victoria L. Lambot
Sean Maybelle Millan
Vic Zyrus Jeriko N. Sevilla
Julien Kate T. Sy
Paul John Villanueva
Carmina P. Grajales
Christine T. Gallega
Five-Year Antimicrobial Susceptibility of Pseudomonas aeruginosa from a Local Tertiary Hospital in Bacolod City, Philippines
Tropical Medicine and Infectious Disease
antibiotic susceptibility
Pseudomonas aeruginosa
local tertiary hospital
Bacolod City
title Five-Year Antimicrobial Susceptibility of Pseudomonas aeruginosa from a Local Tertiary Hospital in Bacolod City, Philippines
title_full Five-Year Antimicrobial Susceptibility of Pseudomonas aeruginosa from a Local Tertiary Hospital in Bacolod City, Philippines
title_fullStr Five-Year Antimicrobial Susceptibility of Pseudomonas aeruginosa from a Local Tertiary Hospital in Bacolod City, Philippines
title_full_unstemmed Five-Year Antimicrobial Susceptibility of Pseudomonas aeruginosa from a Local Tertiary Hospital in Bacolod City, Philippines
title_short Five-Year Antimicrobial Susceptibility of Pseudomonas aeruginosa from a Local Tertiary Hospital in Bacolod City, Philippines
title_sort five year antimicrobial susceptibility of pseudomonas aeruginosa from a local tertiary hospital in bacolod city philippines
topic antibiotic susceptibility
Pseudomonas aeruginosa
local tertiary hospital
Bacolod City
url https://www.mdpi.com/2414-6366/2/3/28
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