A study of antibiotic resistance pattern of clinical bacterial pathogens isolated from patients in a tertiary care hospital

We investigated antibiotic resistance pattern in clinical bacterial pathogens isolated from in-patients and out-patients, and compared it with non-clinical bacterial isolates. 475 bacterial strains isolated from patients were examined for antibiotic resistance. Staphylococcus spp. (148; 31.1%) were...

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Main Authors: Vishal L. Handa, Bhoomi N. Patel, Dr. Arpita Bhattacharya, Ramesh K. Kothari, Dr. Ghanshyam Kavathia, B. R. M. Vyas
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-04-01
Series:Frontiers in Microbiology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmicb.2024.1383989/full
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author Vishal L. Handa
Bhoomi N. Patel
Dr. Arpita Bhattacharya
Ramesh K. Kothari
Dr. Ghanshyam Kavathia
B. R. M. Vyas
author_facet Vishal L. Handa
Bhoomi N. Patel
Dr. Arpita Bhattacharya
Ramesh K. Kothari
Dr. Ghanshyam Kavathia
B. R. M. Vyas
author_sort Vishal L. Handa
collection DOAJ
description We investigated antibiotic resistance pattern in clinical bacterial pathogens isolated from in-patients and out-patients, and compared it with non-clinical bacterial isolates. 475 bacterial strains isolated from patients were examined for antibiotic resistance. Staphylococcus spp. (148; 31.1%) were found to be the most prevalent, followed by Klebsiella pneumoniae (135; 28.4%), Escherichia coli (74; 15.5%), Pseudomonas aeruginosa (65; 13.6%), Enterobacter spp. (28; 5.8%), and Acinetobacter spp. (25; 5.2%). Drug-resistant bacteria isolated were extended spectrum-β-lactamase K. pneumoniae (8.8%), E. coli (20%), metallo-β-lactamase P. aeruginosa (14; 2.9%), erythromycin-inducing clindamycin resistant (7.4%), and methicillin-resistant Staphylococcus species (21.6%). Pathogens belonging to the Enterobacteriaceae family were observed to undergo directional selection developing resistance against antibiotics ciprofloxacin, piperacillin-tazobactam, cefepime, and cefuroxime. Pathogens in the surgical ward exhibited higher levels of antibiotic resistance, while non-clinical P. aeruginosa and K. pneumoniae strains were more antibiotic-susceptible. Our research assisted in identifying the drugs that can be used to control infections caused by antimicrobial resistant bacteria in the population and in monitoring the prevalence of drug-resistant bacterial pathogens.
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spelling doaj.art-b61f070f0c1d4d6b96cd4a780a91084d2024-04-17T04:57:17ZengFrontiers Media S.A.Frontiers in Microbiology1664-302X2024-04-011510.3389/fmicb.2024.13839891383989A study of antibiotic resistance pattern of clinical bacterial pathogens isolated from patients in a tertiary care hospitalVishal L. Handa0Bhoomi N. Patel1Dr. Arpita Bhattacharya2Ramesh K. Kothari3Dr. Ghanshyam Kavathia4B. R. M. Vyas5Department of Biosciences, Saurashtra University, Rajkot, Gujarat, IndiaDepartment of Biosciences, Saurashtra University, Rajkot, Gujarat, IndiaDepartment of Microbiology, Pandit Deendayal Upadhyay Medical College, Rajkot, Gujarat, IndiaDepartment of Biosciences, Saurashtra University, Rajkot, Gujarat, IndiaDepartment of Microbiology, Pandit Deendayal Upadhyay Medical College, Rajkot, Gujarat, IndiaDepartment of Biosciences, Saurashtra University, Rajkot, Gujarat, IndiaWe investigated antibiotic resistance pattern in clinical bacterial pathogens isolated from in-patients and out-patients, and compared it with non-clinical bacterial isolates. 475 bacterial strains isolated from patients were examined for antibiotic resistance. Staphylococcus spp. (148; 31.1%) were found to be the most prevalent, followed by Klebsiella pneumoniae (135; 28.4%), Escherichia coli (74; 15.5%), Pseudomonas aeruginosa (65; 13.6%), Enterobacter spp. (28; 5.8%), and Acinetobacter spp. (25; 5.2%). Drug-resistant bacteria isolated were extended spectrum-β-lactamase K. pneumoniae (8.8%), E. coli (20%), metallo-β-lactamase P. aeruginosa (14; 2.9%), erythromycin-inducing clindamycin resistant (7.4%), and methicillin-resistant Staphylococcus species (21.6%). Pathogens belonging to the Enterobacteriaceae family were observed to undergo directional selection developing resistance against antibiotics ciprofloxacin, piperacillin-tazobactam, cefepime, and cefuroxime. Pathogens in the surgical ward exhibited higher levels of antibiotic resistance, while non-clinical P. aeruginosa and K. pneumoniae strains were more antibiotic-susceptible. Our research assisted in identifying the drugs that can be used to control infections caused by antimicrobial resistant bacteria in the population and in monitoring the prevalence of drug-resistant bacterial pathogens.https://www.frontiersin.org/articles/10.3389/fmicb.2024.1383989/fullantimicrobial resistanceextended spectrum-β-lactamasemethicillin-resistant Staphylococcus aureusmetallo-β-lactamaseerythromycin-induced clindamycin resistance
spellingShingle Vishal L. Handa
Bhoomi N. Patel
Dr. Arpita Bhattacharya
Ramesh K. Kothari
Dr. Ghanshyam Kavathia
B. R. M. Vyas
A study of antibiotic resistance pattern of clinical bacterial pathogens isolated from patients in a tertiary care hospital
Frontiers in Microbiology
antimicrobial resistance
extended spectrum-β-lactamase
methicillin-resistant Staphylococcus aureus
metallo-β-lactamase
erythromycin-induced clindamycin resistance
title A study of antibiotic resistance pattern of clinical bacterial pathogens isolated from patients in a tertiary care hospital
title_full A study of antibiotic resistance pattern of clinical bacterial pathogens isolated from patients in a tertiary care hospital
title_fullStr A study of antibiotic resistance pattern of clinical bacterial pathogens isolated from patients in a tertiary care hospital
title_full_unstemmed A study of antibiotic resistance pattern of clinical bacterial pathogens isolated from patients in a tertiary care hospital
title_short A study of antibiotic resistance pattern of clinical bacterial pathogens isolated from patients in a tertiary care hospital
title_sort study of antibiotic resistance pattern of clinical bacterial pathogens isolated from patients in a tertiary care hospital
topic antimicrobial resistance
extended spectrum-β-lactamase
methicillin-resistant Staphylococcus aureus
metallo-β-lactamase
erythromycin-induced clindamycin resistance
url https://www.frontiersin.org/articles/10.3389/fmicb.2024.1383989/full
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