Bacteriological profile and antibiotic susceptibility patterns in neonatal septicemia in view of emerging drug resistance

The objective of this study was to isolate pathogenic bacteria in neo-natal septicaemia cases, and to know their antibiograms. Under aseptic precautions, blood was drawn from 140 neonates with sus-pected septicaemia and inoculated in brain heart infusion (BHI) broth. Isolates obtained were identifie...

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Main Authors: Maimoona Mustafa, Syed Laeeq Ahmed
Format: Article
Language:English
Published: Deccan College of Medical Sciences 2014-02-01
Series:Journal of Medical and Allied Sciences
Subjects:
Online Access:http://jmas.in/Vol4Issue1/Bacteriological%20profile%20and%20antibiotic%20susceptibility%20patterns%20in%20neonatal%20septicemia%20in%20view%20of%20emerging%20drug%20resistance.pdf
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author Maimoona Mustafa
Syed Laeeq Ahmed
author_facet Maimoona Mustafa
Syed Laeeq Ahmed
author_sort Maimoona Mustafa
collection DOAJ
description The objective of this study was to isolate pathogenic bacteria in neo-natal septicaemia cases, and to know their antibiograms. Under aseptic precautions, blood was drawn from 140 neonates with sus-pected septicaemia and inoculated in brain heart infusion (BHI) broth. Isolates obtained were identified as per standard protocol and antibi-otic susceptibility was done by Kirby Bauer disc diffusion method (as per CLSI guidelines). A total number of 62 (44.2%) patients had positive blood cultures. The most common pathogens isolated were Klebsiella pneumoniae (n=22, 35%) followed by Staphylococcus aureus (n=15, 24.1%), Escherichia coli (n=14, 22.5%), CONS (n=7, 11.2%) and Pseudomonas aeruginosa (n=4, 6.4%). The Gram nega-tive organisms showed high resistance to commonly used antibiotics and were highly sensitive to Meropenem. The Gram positive bacteria showed high resistance to Ampicillin, Erythromycin and Amoxycillin; but they were highly susceptible to Linizolid and Vancomycin. As the Gram negative organisms were the most common isolates in neona-tal septicemia, their resistance pattern should be considered essen-tial for deciding the empirical treatment. Prompt treatment of neonatal sepsis with judicious use of appropriate antibiotics can minimize the morbidity and mortality, besides reducing the emergence of multi-drug resistant organisms in intensive care units (ICUs).
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spelling doaj.art-7ce4bfde30b4436d90fa97cce80134042022-12-22T03:20:04ZengDeccan College of Medical SciencesJournal of Medical and Allied Sciences2231-16962231-170X2014-02-01410208Bacteriological profile and antibiotic susceptibility patterns in neonatal septicemia in view of emerging drug resistanceMaimoona Mustafa0Syed Laeeq Ahmed1Deccan College of Medical SciencesDeccan College of Medical SciencesThe objective of this study was to isolate pathogenic bacteria in neo-natal septicaemia cases, and to know their antibiograms. Under aseptic precautions, blood was drawn from 140 neonates with sus-pected septicaemia and inoculated in brain heart infusion (BHI) broth. Isolates obtained were identified as per standard protocol and antibi-otic susceptibility was done by Kirby Bauer disc diffusion method (as per CLSI guidelines). A total number of 62 (44.2%) patients had positive blood cultures. The most common pathogens isolated were Klebsiella pneumoniae (n=22, 35%) followed by Staphylococcus aureus (n=15, 24.1%), Escherichia coli (n=14, 22.5%), CONS (n=7, 11.2%) and Pseudomonas aeruginosa (n=4, 6.4%). The Gram nega-tive organisms showed high resistance to commonly used antibiotics and were highly sensitive to Meropenem. The Gram positive bacteria showed high resistance to Ampicillin, Erythromycin and Amoxycillin; but they were highly susceptible to Linizolid and Vancomycin. As the Gram negative organisms were the most common isolates in neona-tal septicemia, their resistance pattern should be considered essen-tial for deciding the empirical treatment. Prompt treatment of neonatal sepsis with judicious use of appropriate antibiotics can minimize the morbidity and mortality, besides reducing the emergence of multi-drug resistant organisms in intensive care units (ICUs).http://jmas.in/Vol4Issue1/Bacteriological%20profile%20and%20antibiotic%20susceptibility%20patterns%20in%20neonatal%20septicemia%20in%20view%20of%20emerging%20drug%20resistance.pdfcoagulase negative Staphylococcus (CONS)drug susceptibilityearly onset septicemialate onset septicemianeonatal septicemia
spellingShingle Maimoona Mustafa
Syed Laeeq Ahmed
Bacteriological profile and antibiotic susceptibility patterns in neonatal septicemia in view of emerging drug resistance
Journal of Medical and Allied Sciences
coagulase negative Staphylococcus (CONS)
drug susceptibility
early onset septicemia
late onset septicemia
neonatal septicemia
title Bacteriological profile and antibiotic susceptibility patterns in neonatal septicemia in view of emerging drug resistance
title_full Bacteriological profile and antibiotic susceptibility patterns in neonatal septicemia in view of emerging drug resistance
title_fullStr Bacteriological profile and antibiotic susceptibility patterns in neonatal septicemia in view of emerging drug resistance
title_full_unstemmed Bacteriological profile and antibiotic susceptibility patterns in neonatal septicemia in view of emerging drug resistance
title_short Bacteriological profile and antibiotic susceptibility patterns in neonatal septicemia in view of emerging drug resistance
title_sort bacteriological profile and antibiotic susceptibility patterns in neonatal septicemia in view of emerging drug resistance
topic coagulase negative Staphylococcus (CONS)
drug susceptibility
early onset septicemia
late onset septicemia
neonatal septicemia
url http://jmas.in/Vol4Issue1/Bacteriological%20profile%20and%20antibiotic%20susceptibility%20patterns%20in%20neonatal%20septicemia%20in%20view%20of%20emerging%20drug%20resistance.pdf
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AT syedlaeeqahmed bacteriologicalprofileandantibioticsusceptibilitypatternsinneonatalsepticemiainviewofemergingdrugresistance