Pseudomonas aeruginosa serotypes and resistance to antibiotics from wound swabs

Introduction/Aim. Pseudomonas aeruginosa (P. aeruginosa) is the most common cause of wound infections, following the disruption of the skin or mucous membranes integrity. The aim of this study was to analyze of the presence P. aeruginosa in wound swabs, antibiotics susceptibility testing, d...

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Main Authors: Stanković-Nedeljković Nataša, Tiodorović Branislav, Kocić Branislava, Ćirić Vojislav, Milojković Marko, Waisi Hadi
Format: Article
Language:English
Published: Military Health Department, Ministry of Defance, Serbia 2015-01-01
Series:Vojnosanitetski Pregled
Subjects:
Online Access:http://www.doiserbia.nb.rs/img/doi/0042-8450/2015/0042-84501500108S.pdf
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author Stanković-Nedeljković Nataša
Tiodorović Branislav
Kocić Branislava
Ćirić Vojislav
Milojković Marko
Waisi Hadi
author_facet Stanković-Nedeljković Nataša
Tiodorović Branislav
Kocić Branislava
Ćirić Vojislav
Milojković Marko
Waisi Hadi
author_sort Stanković-Nedeljković Nataša
collection DOAJ
description Introduction/Aim. Pseudomonas aeruginosa (P. aeruginosa) is the most common cause of wound infections, following the disruption of the skin or mucous membranes integrity. The aim of this study was to analyze of the presence P. aeruginosa in wound swabs, antibiotics susceptibility testing, determination of the minimum inhibitory concentrations (MICs) of antibiotics, testing of the metallo-β-lactamases (MBLs) production, isolates serotyping and analysis of the most common serotypes resistance. Methods. A total of 90 outpatients and 55 intpatients wound swabs were cultivated. Wound swabs were taken from the patients with wound infections symptoms. Antibiotics susceptibility testing was performed to: meropenem, imipenem, piperacillin-tazobactam, ceftazidime, cefepime, amikacin, gentamicin, netilmicin, ofloxacin, ciprofloxacin and colistin (HiMedia). Polyvalent and monovalent antisera for agglutination (Biorad) were used in P. aeruginosa agglutination. Results. P. aeruginosa was isolated from 36.55% wound swabs (36.66% of the inpatients wounds and 36.36% of the outpatients). The analyzed isolates showed the highest degree of sensitivity to colistin (100%) and meropenem (93.44%) and the lowest to cefepime (19.54%). The majority of the inpatients isolates had 12 μg/mL (28.57%) MIC for piperacillin-tazobactam and 16 μg/mL (28.57%) for the outpatients. The most common MICs for ciprofloxacin were 0.19 μg/mL (31.81%) for the nosocomial isolates, and 0.25 μg/mL (28.57%) for the outpatients’ ones. The most common MICs for amikacin of the nosocomial isolates were 6 μg/ml (40.9%), and for the outpatients ones 4 μg/mL (33.33%). Five (9.43%) isolates produced MBLs. The most common serotypes were P11 (22.64%), P6 (15.09%) and P1 (11.32%). Conclusion. Neither the increased presence of P. aeruginosa was noticed in wounds swabs, nor the antibiotic resistance in the nosocomial isolates compared to those from outpatients. The analyzed isolates had the higest sensitivity to colistin and meropenem, and the lowest to cefepime. [Projekat Ministarstva nauke Republike Srbije, br. TR 31080]
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spelling doaj.art-b7e81931103d4dfaadb03a638c571c672022-12-22T01:39:41ZengMilitary Health Department, Ministry of Defance, SerbiaVojnosanitetski Pregled0042-84502406-07202015-01-017211996100310.2298/VSP131224108S0042-84501500108SPseudomonas aeruginosa serotypes and resistance to antibiotics from wound swabsStanković-Nedeljković Nataša0Tiodorović Branislav1Kocić Branislava2Ćirić Vojislav3Milojković Marko4Waisi Hadi5Health Center "Aleksinac", AleksinacFaculty of Medicine, NišFaculty of Medicine, NišClinical Center, Department of Endocrinology, NišSchool of Agriculture “Šumatovac”, AleksinacInstitute for Water Resources "Jaroslav Černi", BelgradeIntroduction/Aim. Pseudomonas aeruginosa (P. aeruginosa) is the most common cause of wound infections, following the disruption of the skin or mucous membranes integrity. The aim of this study was to analyze of the presence P. aeruginosa in wound swabs, antibiotics susceptibility testing, determination of the minimum inhibitory concentrations (MICs) of antibiotics, testing of the metallo-β-lactamases (MBLs) production, isolates serotyping and analysis of the most common serotypes resistance. Methods. A total of 90 outpatients and 55 intpatients wound swabs were cultivated. Wound swabs were taken from the patients with wound infections symptoms. Antibiotics susceptibility testing was performed to: meropenem, imipenem, piperacillin-tazobactam, ceftazidime, cefepime, amikacin, gentamicin, netilmicin, ofloxacin, ciprofloxacin and colistin (HiMedia). Polyvalent and monovalent antisera for agglutination (Biorad) were used in P. aeruginosa agglutination. Results. P. aeruginosa was isolated from 36.55% wound swabs (36.66% of the inpatients wounds and 36.36% of the outpatients). The analyzed isolates showed the highest degree of sensitivity to colistin (100%) and meropenem (93.44%) and the lowest to cefepime (19.54%). The majority of the inpatients isolates had 12 μg/mL (28.57%) MIC for piperacillin-tazobactam and 16 μg/mL (28.57%) for the outpatients. The most common MICs for ciprofloxacin were 0.19 μg/mL (31.81%) for the nosocomial isolates, and 0.25 μg/mL (28.57%) for the outpatients’ ones. The most common MICs for amikacin of the nosocomial isolates were 6 μg/ml (40.9%), and for the outpatients ones 4 μg/mL (33.33%). Five (9.43%) isolates produced MBLs. The most common serotypes were P11 (22.64%), P6 (15.09%) and P1 (11.32%). Conclusion. Neither the increased presence of P. aeruginosa was noticed in wounds swabs, nor the antibiotic resistance in the nosocomial isolates compared to those from outpatients. The analyzed isolates had the higest sensitivity to colistin and meropenem, and the lowest to cefepime. [Projekat Ministarstva nauke Republike Srbije, br. TR 31080]http://www.doiserbia.nb.rs/img/doi/0042-8450/2015/0042-84501500108S.pdfpseudomonas aeruginosawounds infectionserotypinganti-bacterial agentsdrug resistance
spellingShingle Stanković-Nedeljković Nataša
Tiodorović Branislav
Kocić Branislava
Ćirić Vojislav
Milojković Marko
Waisi Hadi
Pseudomonas aeruginosa serotypes and resistance to antibiotics from wound swabs
Vojnosanitetski Pregled
pseudomonas aeruginosa
wounds infection
serotyping
anti-bacterial agents
drug resistance
title Pseudomonas aeruginosa serotypes and resistance to antibiotics from wound swabs
title_full Pseudomonas aeruginosa serotypes and resistance to antibiotics from wound swabs
title_fullStr Pseudomonas aeruginosa serotypes and resistance to antibiotics from wound swabs
title_full_unstemmed Pseudomonas aeruginosa serotypes and resistance to antibiotics from wound swabs
title_short Pseudomonas aeruginosa serotypes and resistance to antibiotics from wound swabs
title_sort pseudomonas aeruginosa serotypes and resistance to antibiotics from wound swabs
topic pseudomonas aeruginosa
wounds infection
serotyping
anti-bacterial agents
drug resistance
url http://www.doiserbia.nb.rs/img/doi/0042-8450/2015/0042-84501500108S.pdf
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