Evaluation of microbiological profile and antibiogram of aerobic bacteria isolated from pus samples
Purulent wound infections are quite complicated to manage because of multidrug resistant bacteria. The main purpose of the present study was to assess the prevalence, microbiological profile and antibiograms of aerobic bacteria isolated from pus samples. One hundred pus sam-ples sent to the microbio...
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Deccan College of Medical Sciences
2018-01-01
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Series: | Journal of Medical and Allied Sciences |
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Online Access: | http://www.ejmanager.com/fulltextpdf.php?mno=284747 |
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author | Pilli Hema Prakash Kumari Purimitla Usha Rani Payala Vijaya Lakshmi |
author_facet | Pilli Hema Prakash Kumari Purimitla Usha Rani Payala Vijaya Lakshmi |
author_sort | Pilli Hema Prakash Kumari |
collection | DOAJ |
description | Purulent wound infections are quite complicated to manage because of multidrug resistant bacteria. The main purpose of the present study was to assess the prevalence, microbiological profile and antibiograms of aerobic bacteria isolated from pus samples. One hundred pus sam-ples sent to the microbiology laboratory from surgical departments over a period of six months were analyzed. Isolation and detection of culture isolates was done by using standard bacteriological techniques and antibiotic susceptibility testing was performed by disc diffusion method by following CLSI guidelines on Muller-Hinton (MH) agar. Highest number of pus samples were from incision and drainage (23.8%) followed by chronic non-healing ulcer (19.04%). Twenty one different bacterial isolates were obtained from one hundred pus samples. S. aureus was the predominant bacteria (28.5%) followed by coagulase-negative Staphylococci (23.8%). The results of the antibiotics susceptibility testing illustrated that majority of the isolated organisms were MDR. S. aureus showed highest sensitivity to antibiotics like linezolid (83.3%) and teicoplanin (50%). Among the five isolated strains of coagulase-negative Staphylococci (CONS), three of them were MDR and the other two showed sensitivity to antibiotics cefaperazone, co-trimoxazole and ticarcillin/clavulanic acid (20%). Among the 9 isolates of Enterobacteriaceae, one isolate of E. coli (11.1%), two isolates of Klebsiella species (22.2%) showed ESBL pro-duction. The isolated four strains of P. aeruginosa showed ESBL pro-duction (44.4%) by CAZ/CA antibiotic susceptibility testing. These or-ganisms were screened for carbapenemase production through Modified Hodge test, 5 strains possess carbapenemase enzyme pro-duction (71.4%) and thus acquire resistance to carbapenem antibiotics. Carbapenemase production was not detected in the 2 isolates of P. aeruginosa among the 4 tested strains. The overall results showed that 85% of the isolated strains showed MDR to certain classes of antibiotics. [J Med Allied Sci 2018; 8(1.000): 26-35] |
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language | English |
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publisher | Deccan College of Medical Sciences |
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spelling | doaj.art-cc5879dc524d49b796c57d6ff380d5342022-12-22T01:34:12ZengDeccan College of Medical SciencesJournal of Medical and Allied Sciences2231-16962231-170X2018-01-0181263510.5455/jmas.284747284747Evaluation of microbiological profile and antibiogram of aerobic bacteria isolated from pus samplesPilli Hema Prakash Kumari0Purimitla Usha Rani1Payala Vijaya Lakshmi2Department of Microbiology, Gitam Institute of Medical Sciences and Research, GITAM, Rushikonda, Visakhapatnam-530045, Andhra Pradesh, India Department of Microbiology, Gitam Institute of Medical Sciences and Research, GITAM, Rushikonda, Visakhapatnam-530045, Andhra Pradesh, India Department of Microbiology, Gitam Institute of Medical Sciences and Research, GITAM, Rushikonda, Visakhapatnam-530045, Andhra Pradesh, India.Purulent wound infections are quite complicated to manage because of multidrug resistant bacteria. The main purpose of the present study was to assess the prevalence, microbiological profile and antibiograms of aerobic bacteria isolated from pus samples. One hundred pus sam-ples sent to the microbiology laboratory from surgical departments over a period of six months were analyzed. Isolation and detection of culture isolates was done by using standard bacteriological techniques and antibiotic susceptibility testing was performed by disc diffusion method by following CLSI guidelines on Muller-Hinton (MH) agar. Highest number of pus samples were from incision and drainage (23.8%) followed by chronic non-healing ulcer (19.04%). Twenty one different bacterial isolates were obtained from one hundred pus samples. S. aureus was the predominant bacteria (28.5%) followed by coagulase-negative Staphylococci (23.8%). The results of the antibiotics susceptibility testing illustrated that majority of the isolated organisms were MDR. S. aureus showed highest sensitivity to antibiotics like linezolid (83.3%) and teicoplanin (50%). Among the five isolated strains of coagulase-negative Staphylococci (CONS), three of them were MDR and the other two showed sensitivity to antibiotics cefaperazone, co-trimoxazole and ticarcillin/clavulanic acid (20%). Among the 9 isolates of Enterobacteriaceae, one isolate of E. coli (11.1%), two isolates of Klebsiella species (22.2%) showed ESBL pro-duction. The isolated four strains of P. aeruginosa showed ESBL pro-duction (44.4%) by CAZ/CA antibiotic susceptibility testing. These or-ganisms were screened for carbapenemase production through Modified Hodge test, 5 strains possess carbapenemase enzyme pro-duction (71.4%) and thus acquire resistance to carbapenem antibiotics. Carbapenemase production was not detected in the 2 isolates of P. aeruginosa among the 4 tested strains. The overall results showed that 85% of the isolated strains showed MDR to certain classes of antibiotics. [J Med Allied Sci 2018; 8(1.000): 26-35]http://www.ejmanager.com/fulltextpdf.php?mno=284747Antibiotic susceptibilityCarbapenemase productionESBL detectionMultidrug resistanceWound infection |
spellingShingle | Pilli Hema Prakash Kumari Purimitla Usha Rani Payala Vijaya Lakshmi Evaluation of microbiological profile and antibiogram of aerobic bacteria isolated from pus samples Journal of Medical and Allied Sciences Antibiotic susceptibility Carbapenemase production ESBL detection Multidrug resistance Wound infection |
title | Evaluation of microbiological profile and antibiogram of aerobic bacteria isolated from pus samples |
title_full | Evaluation of microbiological profile and antibiogram of aerobic bacteria isolated from pus samples |
title_fullStr | Evaluation of microbiological profile and antibiogram of aerobic bacteria isolated from pus samples |
title_full_unstemmed | Evaluation of microbiological profile and antibiogram of aerobic bacteria isolated from pus samples |
title_short | Evaluation of microbiological profile and antibiogram of aerobic bacteria isolated from pus samples |
title_sort | evaluation of microbiological profile and antibiogram of aerobic bacteria isolated from pus samples |
topic | Antibiotic susceptibility Carbapenemase production ESBL detection Multidrug resistance Wound infection |
url | http://www.ejmanager.com/fulltextpdf.php?mno=284747 |
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