Effect of Brine Concentration on Bacteria Isolated from Leafy Vegetables (Talinum triangulare, Telfairia occidentalis and Vernonia amygdalina)

The effect of brine on bacteria isolated from leafy vegetables was evaluated. Fresh waterleaf (Talinum triangulare), Pumpkin leaves (Telfairia occidentalis) and Bitter leaves (Vernonia amygdalina) including cooking salt were bought from vendors in Mile 3 market, Port Harcourt, Rivers State. Brine concentrations of 1, 2, 3, 4 and 5% were prepared by dissolving appropriate grams of salt in distilled water. Nine millilitres of the respective concentrations were transferred into clean test tubes, labelled, stoppered with foil and autoclaved at 121? for 15 minutes at 15psi. Sterile distilled water served as a control. The test isolates were standardized based on 0.5McFarland and 1mL each was introduced into different brine concentrations. The standard plate count was used to monitor brine effects on isolates and this was done hourly for six hours. Inoculated plates were incubated at 37? for 24 hours. After incubation, enumerated colonies were used to deduce isolate mortality. The total heterotrophic bacterial (THB) load of bitter, Pumpkin and water leaves were 3.49±0.4×106, 3.25±0.4×106 and 1.99±0.2×106 CFU/g, respectively. The staphylococcal counts for bitter, Pumpkin and water leaves were 1.65±0.3×104, 3.13±0.5×104 and 1.55±0.4×104 CFU/g, respectively. Total coliform counts for bitter, Pumpkin and water leaves were 1.52±0.8×105, 2.85±0.1×105 and 1.75±0.6×105 CFU/g, respectively. Staphylococcal counts of pumpkin leaves were significantly (P?0.05) higher than those obtained for bitter leaf and water leaf. There was no significant difference(P>0.05) in the THB and Coliform counts of all samples. E. coli was predominant in Pumpkin and water leaves while Staphylococcus sp was predominant in bitter leaves. The LC50 values for E. coli, Klebsiella, Staphylococcus, and Bacillus sp were; 5.39, 3.88, 1.62, and -0.41mg/ml, respectively. The LC50 showed that the brine was very lethal on Bacillus sp and Staphylococcus sp. High brine concentration is recommended to achieve reduced bacterial load.

Screening of lysine production by Escherichia coli and Klebsiella isolates at different carbon sources

Lysine is an essential amino acid that is not biologically manufactured in the body. Different chemical methods for lysine production are expensive and give low yields. The present study was conducted with the purpose to evaluate the biochemical production of lysine by different carbon sources using bacterial isolates. Three carbon sources namely glucose, sucrose, and fructose were used to evaluate the biochemical production of lysine by Escherichia coli and Klebsiella spp. isolates. Optimum incubation periods were between 48-96 hours. An extensive amount of lysine was produced by all of these isolates in L6 fermentation medium. Maximum lysine was produced by Klebsiella isolate K1 6.48 g/L after 96 hours of incubation by using glucose as carbon source followed by 6.0 g/L by Klebsiella isolates K3 after 72 hours of incubation when sucrose was used as a carbon source at 37 °C. Highest amount of lysine was produced at 96 hours by Klebsiella isolates in addition to E. coli. From all three carbon sources using Klebsiella isolates and E. coli, glucose showed better lysine production.

Prevalence and Antimicrobial Susceptibility Pattern of Pathogens Isolated from Different Age Groups with Urinary Tract Infection at Tangail, Bangladesh

Background: Urinary tract infections (UTIs) are commonly detected in several hospitals and typical medical health centres. The antibiotic policy must be updated based on current knowledge about causative agents and their antibiotic susceptibility patterns. The goal of this study was to find out exactly how frequently microbes cause urinary infections and their antibiotic susceptibility patterns. Methods: Mid-stream urine samples were analyzed microscopically for a routine examination, and bacterial pathogens were isolated by conventional culture method using Chromogenic UTI media and MacConkey agar culture media. A group of biochemical parameters were utilized for bacterial identification and characterization. Finally, in vitro antimicrobial susceptibility was performed by the Kirby- Bauer disc diffusion methods against 14 commercially available antibiotics. Results: A total of 1288 clinical samples from UTI patients were obtained aseptically, with 398 showing positive growth with a range of bacteria. Females have a higher prevalence of UTI than males. E. coli was the most common pathogen found (82.86%), followed by Enterococcus faecalis (8.44%), Klebsiella pneumoniae (5.63%), Pseudomonas aeruginosa (2.81%), and Proteus mirabilis (0.26%). The majority of the bacteria had a high sensitivity to Meropenem (98.25%); moderate sensitivity to Amoxicillin, Azithromycin, Ciprofloxacin, Gentamicin, Levofloxacin, Ceftriaxone, Cefepime, and Nitrofurantoin; and low sensitivity (20%) to Cefixime, Cephradine, Cefuroxime, Clindamycin, and Trimethoprime. Conclusion: These findings have clinical and epidemiological implications, improving study to identify causative pathogens and pathogen sensitivity patterns in urinary tract infections, as well as clinicians' knowledge of how to choose the best antibiotics and, ultimately, contributing to patient diagnosis and treatment.

A clinical study of commonly isolated organism and its antibiotic sensitivity in diabetic foot ulcers in Sri Manakula Vinayagar Medical College and Hospital, Pondicherry

Background: Diabetic foot ulcer is one of the major surgical problem leading to hospital admission. Diabetic foot ulcer patients with uncontrolled diabetes may end up in forefoot amputation. Early aggressive debridement, control of blood sugar and empirical antibiotic therapy would reduce the morbidities in patients with diabetic foot ulcer. Further the knowledge of commonly isolated microbes and their antibiotic sensitivity pattern would be helpful to start empirical therapy. The purpose of this study was to determine the microbiological profile of diabetic foot infections (DFIs) and assess the antibiotic susceptibility of the causative agents.Methods: This cross-sectional study was conducted in 115 patients admitted with diabetic foot ulcer over a period of 9 months from October 2015 to June 2016 at the department of general surgery, Sri Manakula Vinayagar Medical College and Hospital, Pondicherry. Tissue scrapping samples were collected and processed as per standard guidelines.Results: 167 organisms were isolated from 115 patients. 52% of culture showed polymicrobial growth. There was increased prevalence of gram-negative organisms 53% compared to gram positive organisms 47%. When comes to individual isolate, Staphylococcus aureus was the most common organism isolated 24.6% followed by Pseudomonas aeruginosa 21%. All gram-positive aerobes were sensitive to vancomycin and gram-negative isolates were sensitive to amikacin, piperacillin-tazobactum, gentamycin and cefotaxime.Conclusions: Staphylococcus aureus and Pseudomonas were the common pathogens isolated. This study recommends use of vancomycin along with piperacillin-tazobactum as an empirical therapy along with adequate blood sugar control and early debridement of devitalized tissues in patients with diabetic foot infections.

Studies on delignification in jute (Corchorus spp L.) fibre with promising lignin degrading bacterial isolates

Aim: To investigate the reduction of lignin content in jute (Corchorus spp. L.) with promising lignin degrading bacterial isolates.Methodology: Promising lignin degrading bacterial isolates were screened on the basis of potency index, MnP (manganese peroxidase) and LiP (lignin peroxidase) activities. Very efficient ligninolytic isolates were used for laboratory scale delignification trial and the resultant fibre was tested for lignin content, fibre strength and fineness. The efficient isolates were identified up to species level with Biolog Inc. based on the metabolic fingerprinting of the isolates. Results: Out of 95 ligninolytic bactetial isolates, twenty isolates having potency index >1.10 on the basis of Azure-B dye degradation test were selected for enzyme assays. Five promising isolates (L3, L9, L10, L26 and L30) were selected for delignification trial on the basis of high MnP (126 – 482 U l-1 min-1), and LiP (558.7 – 615.6 U l-1 min-1) activities. The isolate L9 performed best among the five isolates and could reduce lignin content from 11.33 to 8.84% i.e. a reduction of 21.97% from the control. All the five isolates were identified as Bacillus spp. Interpretation: Delignification of jute by using lignin degrading bacteria without any environmental hazard may be considered as an alternate method of chemical delignification for minimization of environmental pollution

Prevalence of Bacterial Pathogens Isolated in 2018 from Patients in a Military Hospital

Aim:The aim of the present study was to describe the prevalence of bacterial pathogens isolated from patients in a military hospital in Alkharj.Methodology:This was a retrospective study conducted to describe the prevalence of bacterial pathogens in 2018. Clinical culture results were collected from laboratory in a military hospitalfrom 01-01-2018 to31-12-2018.Results:The most common bacteria were Escherichia colibacteria followed by Pseudomonas aeruginosa.Gram negative bacteria were collected mainly by urine culture while gram positive bacteria were collected mainly from wound/pus/skin cultures.Conclusion:In general, from this study it can be concluded that the rate of bacterialinfections is high. It is important to follow the healthcare professional recommendations such as hand washing and other measures to prevent the occurrence of infections. Moreover,health care professional should know the causative bacteria to give the appropriate treatment

Incidence of Septicemia in Children Attending University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria

Introduction: Septicemia is an invasive infection where chemical substances released into the bloodstream causes morbidity and mortality in neonates. The developing countries carries major burden of the problem and Nigeria is not exceptional.Objective: The study was carried out to determine age/sex-related prevalence, causative agents and antimicrobial sensitivity pattern of neonatal septicemia in children at University of Port Harcourt Teaching Hospital, Nigeria.Methods: This retrospective study was carried out in the pediatric department for a period of twelve months. Blood culture test using thioglycollate broth and tryptone soya broth for isolation of microorganisms was adopted. Antimicrobial sensitivity pattern was done with disc diffusion method. The data was analyzed using descriptive statistics and Chi square for significance.Results:A total of 598 children were examined, of which 394(67.9%) children showed negative blood cultures, while 204(34.1%) children had positive bacterial cultures and 2 children (0.3%) were positive for Candida albicans. Overall, Klebsiellaspp. was the most common pathogen, accounting for (37.8%) of the total isolates, which is followed by Staphylococcus aureus(28.4%), Escherichia coli(11.8%), unclassified Coliforms (8.3%), Pseudomonasspp. (4.9%), Proteusspp. (3.4%), Enterococcusspp. (2.9%) and coagulase-negative Staphylococcus(CONS) (2.5%) respectively. Early onset neonatal sepsis (EONNS) had Klebsiella spp as the most prevalent causative agent while Staphylococcus aureus was prevalent among the late onset neonatal sepsis (LONNS). Klebsiella spp. was susceptible to spafloxacin(87.0%) followed by ofloxacin (82.0%), amoxycillin-clavulanic acid (79.0%) and ceftazidime (65.0%) among the Gram negative organisms. In the category of Gram positive organisms, Staphylococcus aureus was highly sensitive to ofloxacin (81.0%) followed by spafloxacin (79.0%) and amoxicillin-clavulanic acid (71.0%). Conclusion: The study showed Klebsiellaspp. and Staphylococcus aureus were the prevalent bacterial organisms of septicemia in children in University of Port Harcourt Teaching Hospital. Early diagnosis with use of appropriate antimicrobial treatment will effect intervention for management of the children

Comparative Antibacterial Analysis and Synergistic Potency of the Leaf Extracts of Ocimum gratissimum Linn. and Gongronema latifolium Benth. on Some Enteric Bacterial Isolates

The research was undertaken to investigate the comparative phytochemical and in-vitro antibacterial activity of the single and combined strengths of the leaf extracts of Ocimum gratissimum Linn and Gongronema latifolium Benth. on some enteric bacterial isolates. The sensitivity test and minimum inhibitory concentration (MIC) were carried out using a modified agar-well diffusion method. The enteric bacterial isolates tested included Escherichia coli, Shigella dysenteriae, Salmonella Typhi and Enterobacter aerogenes. Standard methods were applied to obtain the ethanol and aqueous leaf extracts. The ethanol extracts of O. gratissimum and G. latifolium produced highly significant inhibitory activity against all the enteric bacterial isolates tested. Comparatively, the ethanol plant extracts were more potent than the commercially available drug, Ciprofloxacin and the aqueous plant extracts. The isolates were sensitive at a minimum inhibitory concentration of 1.25 mg/ml for the ethanol extract but varied from 2.5 mg/ml - 5.0mg/ml in the aqueous extract. It was also observed that the synergistic antibacterial effect of the medicinal plant extracts was greater than the singular antibacterial effect of the individual plant extracts in both the ethanol and aqueous extracts. The potency of the individual extracts and the combined effect may be due to the presence of flavonoids, alkaloids, phenols, tannins and saponins in the leaves of the plants. This study partly validates the use of the plant extracts in the treatment of disease caused by the enteric bacterial isolates by multiple traditional medicine practitioners in Nigeria, however, strict adherence to dosage is recommended. The leaf extract is a potential source of the new drug if the components are purified and enhanced for treating infections caused by these enteric pathogens.

Heavy metal resistance properties of bacteria from different soil types in Horo Guduru Wollega, Ethiopia

Background:The quality of life on earth is linked inseparably to the overall quality of the environment. Soil pollution with heavy metals has become a critical environmental concern due to its potential adverse ecological effects. The study explored the heavy metals resistance properties of bacteria isolated from fertilizer applied agricultural and non-agricultural soils. Methods:The soil samples were collected from both fertilizer applied agricultural soils and non-agricultural soils. After identification and characterization of the isolates from both soil types, six (6) similar bacterial isolates were selected to screen for resistance against Cobalt (Co+), Lead (Pb2+), Cromium (Cr+3), Mercury (Hg2+), Nickel (Ni2+), Cadmium (Cd2+) and Zinc (Zn2+) heavy metals. The minimum inhibitory concentration (MIC) for the bacterial isolates were determined by gradually increasing the concentration of heavy metals on agar plates until the isolates failed to show growth.Results:The isolates from fertilizer applied agricultural soil showed the highest resistance against the selected heavy metals than those isolated from fertilizers not applied(nonagricultural) soils.Conclusions:From this result it can be seen that fertilizer has significant role in influencing the heavy metal resistance properties of bacteria and these heavy metal resistant bacteria can be useful for the bioremediation of heavy metal contaminated environment

In Vitro Antimicrobial Susceptibility Testing Of Bacterial Isolates Causing Wound Infection In A Tertiary Care Hospital, Port Harcourt, Nigeria

A successful treatment of wound infection is determined by the proper identification and evaluation of the varied types of microorganisms that colonize the wound surface. Such evaluation will include an antimicrobial susceptibility profiling of the invading pathogen(s) in order to implement an effective and pathogen specific treatment. The antimicrobial susceptibility profile of the bacterial species isolated from wound infections was tested to provide basis for their prudent use as antimicrobials. The standard method of antibiotic sensitivity testing with single antibiotic disc was employed in the analysis. The bacterial isolates tested were Staphylococcus aureus, Escherichia coli, Pseudomonas aeruginosa and Klebsiella pneumoniae. The organisms were isolated from samples collected from patients at different wards at the University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria. The number and percentage occurrence of each individual bacterium encountered varied among the isolates. Pseudomonas aeruginosa has the highest frequency of occurrence of 48.6% accounting for 36 of the 74 bacterial isolates. This was followed by Staphylococcus aureus and Escherichia coli accounting for 17 (23.0%) and 11 (14.9%) respectively. Klebsiella pneumoniae was the least prevalent bacteria species accounting for 10 (13.5%) of the total bacterial count. The study shows imipenem as the most potent antimicrobial agent against the isolates tested. The isolates were moderately sensitive to gentamicin, ciprofloxacin and levofloxacin, but highly resistance to ceftazidime, erythromycin, sulphamethoxazole/trimethoprim, cefepime, amoxicillin/clavulanic acid and aztreonam. The study further reiterates the need for prudent use and control of antimicrobials.

Bacterial profile and antimicrobial susceptibility patterns of otitis media among children in Qatar

Background: Otitis Media (OM) common diseases affecting children below 5 years of age with a harmful effect on their hearing and health status. Data about the bacterial profile and current antimicrobial resistance status of Otitis Media in the region is scarce. Objective of this study determine the causative organisms of Otitis Media and antimicrobial  susceptibility patterns among children in a Primary Health Care Corporation (PPHC) centers, Qatar.Methods: A cross-sectional study was conducted in PPHC from Jan 2016 to Dec 2017. A total of 181 patients with Otitis Media presented to PHCC centers were enrolled in the study. Socio-demographic and clinical data were documented and analysed.Results: A total of 181 children, an almost equal number of male (49.7%) and female (50.3%) participants were involved in the study. 51.4% of participants were ≤5 years of age. Bacteria isolated were: Pseudomonas Aeruginosa (27.6%), Hemophilus Influenza (13.3%), Staphylococcus Aureus (11.6%), Methicillin-Resistant Staphylococcus Aureus (MSRA) (11.0%), Streptococcus Pyogenes (10.5%), Streptococcus Pneumonia (6.6%), Moraxella Catarrhalis (2.2%), Klebsiella Pneumonia (0.6%). The sensitivity of Pseudomonas Aeruginosa was (100%) to cotrimoxazole, vancomycin, and piperacillin, (96%) to cefepime and gentamicin, and was (88.2%) to ciprofloxacin. MRSA sensitivity was (100%) to vancomycin, rifampicin, and teicoplanin, (89%) to clindamycin.Conclusion: Pseudomonas Aeruginosa was the most frequent isolated bacteria. An overall antimicrobial resistance pattern seen in bacteria isolates ranges from 0% to 66.7%. The antimicrobial-resistant rate was observed for Ampicillin, Augmentin, and cefuroxime whereas ciprofloxacin, cefepime, chloramphenicol, cotrimoxazole, gentamicin, vancomycin, and amikacin were found effective for the isolated resistant bacteria.

Prevalence and Antimicrobial Resistance Pattern of Extended Spectrum Beta Lactamase Producing Gram Negative Bacterial Isolates Obtained From Various Clinical Samples of Indoor Patients Admitted in a Tertiary Care Hospital

Introduction: Antimicrobial resistance is a cause of globalconcern as resistance is emerging enormously in hospitaland community settings. The occurrence of resistance tocephalosporins due to production of Extended SpectrumBeta- Lactamases is known worldwide. Hence, this studywas undertaken to detect the prevalence and antimicrobialresistance pattern of ESBL-producing gram-negative bacteriaisolated from various clinical samples received from theindoor patients of a tertiary care hospital.Material and Methods: Clinical specimens received fromthe patients admitted in Guru Nanak Dev Hospital, Amritsarfrom January 1, 2018 to June 30, 2018 were included inthe study. The samples were processed based on standardmicrobiological techniques. ESBL screening and confirmationwere done based upon CLSI guidelines. Antimicrobialresistance pattern of ESBL producing gram negative bacteriawas determined.Result:- A total of 8147 samples were received out of which1061(13.02%) gram negative bacteria were isolated. 227(21.97%) of the gram negative isolates were positive onscreening and 107 (10.08%) were confirmed to be ESBLproducers phenotypically. Maximum antimicrobial resistancewas observed to ciprofloxacin and amikacin. All the isolateswere sensitive to sulbactam ceftriaxone and imipenem.Conclusion: The present study highlights the prevalenceof ESBL-producing gram negative bacterial isolates in atertiary care hospital in Amritsar, Punjab. Measures such asthe establishment of antimicrobial stewardship activities,monitoring surveillance and infection control programmes,emphasizing on effective hand hygiene practices together withcoherent antibiotic policies should be enforced in the hospitalsto arrest the spread of ESBLs

Bacteriological Profile And Antibiotic Susceptibility Pattern Of The Isolates Among The Neonatal Septicemia In Northeast India

Background: Bacterial resistance to antibiotics was a global problem. Multidrug-resistant bacteria causing neonatal septicemiaswere increasing in the world. It was difficult to compare the bacterial profile and antibiotic susceptibility pattern of the isolatesamong the neonatal septicemia between countries because the epidemiology of neonatal septicemia was extremely variable.Objective: Timely identification of bacterial profile and antibiotic susceptibility pattern of the isolates among the neonatalsepticemias are essential to guide the clinicians regarding both the empirical and definitive treatments of neonatal septicemia.Materials and Methods: Based on the AIIMS protocol 2014 of neonatal sepsis-World Health Organization newborn CC,an operational definition of clinically diagnosed neonatal septicemia was established for the selection of participants inthe study for blood culture and sensitivity test (CST). Hence, in this study, blood CST was done only among the selectedpatients for clinically diagnosed neonatal septicemia as recommended in the National Committee for Clinical LaboratoryStandards.Results: This study observed that there was a shift from the predominance of Gram-negative organisms to Gram-positiveorganisms, especially Staphylococcus aureus. Acinetobacter and Citrobacter were emerging organisms.In this study,aminoglycosides and fluoroquinolones were sensitive to organisms, especially in Gram-negative organisms. Imipenem andmeropenem were also sensitive in both Gram-positive and Gram-negative organisms. Imipenem was more sensitive toorganisms than meropenem. Tobramycin, doxycycline, gatifloxacin, and chloramphenicol were more sensitive to organismsthan erythromycin, azithromycin, and clindamycin.Conclusion: Early clinical diagnosis and prompt initiation of empirical antimicrobials therapy to patients of pending culturesensitivity reports for definitive therapy may be life-saving. Hence, periodic surveillance for bacteriological profile and antibioticsusceptibility pattern of the isolates among the neonatal septicemia for appropriate choice of antimicrobials for empirical therapycan be outlined and reevaluated in a timely manner to save the life of 5 million neonatal deaths a year, with 98% occurringin developing countries and limited resource rural areas. This study concluded that empiric therapy for clinically diagnosedneonatal septicemia should cover both Gram-negative and Gram-positive organisms. Hence, the combination of one antibioticfrom each of the following two groups, (1) Imipenam/piperacillin/cefotaxime and (2) amikacin/gentamicin/netilmicin, can beincluded as an initial therapy for neonatal septicemia.

Bacteriological Profile and Antibiotic Sensitivity Pattern in Community Acquired Neonatal Sepsis in Rajsamand – A Hospital Based Prospective Study

Background: To isolate the pathogenic bacteria and to know the antibiotic sensitivity in the community acquired neonatal sepsis. Materials & Methods: It was a prospective study undertaken on 120 neonates suspected of community acquired neonatal sepsis admitted in Pediatrics Department of AIMSRC over a period of twoyear. All these cases fulfilled the inclusion criteria required for the study. Blood culture of these cases was performed by Mackie and McCartney method and antibiotic sensitivity by Kirley-Baner’s disc diffusion method. Results: Out of 120 cases,88cases showed positive blood culture. Gramnegative isolates (N=55) were more frequent than gram positive isolates (N=33). Most common isolate was Klebseilla, Pneumoniae followed by Staphylococcus Aureus, E.Coli, Pseudomonas Aeroginosa, Acinetobacter. Both gram negative as well as gram positive isolates showed high resistance to ampicillin and gentamycin. Gram negative isolates were highly sensitive to Colistin Sulphateand Meropenem whereas gram positive isolates were highly sensitive to Linezolid andVancomycin. Conclusion: Gram negative bacteria were more frequent causes of community acquired neonatal septicemia than gram positive isolates. Both gram positive and negative isolates showed poor sensitivity towards conventional first line antibiotics, rather were mainly susceptible to higher antibiotics. So,the knowledge of the pattern of bacteriological isolates and their antimicrobial susceptibility pattern can be very helpful for prompt treatment of such patients, to decrease neonatal morbidity and mortality as well as reducing the emergence of multi-drugresistant organisms.

Bacterial growth in placental swab cultures done among women who received Ampicillin Prophylaxis for term prelabor rupture of membranes: Matched cohort study

Background@#Term prelabor rupture of membranes (PROM) increases the risk of maternal and neonatal infections. @*Objective@#To compare rates of positive bacterial growth in placental swab cultures done among women who received ampicillin prophylaxis at different timings after term PROM. @*Design@#Matched cohort study. @*Setting@#Department of Obstetrics and Gynecology at Southern Philippines Medical Center in Davao City, Philippines. @*Participants@#120 pregnant women aged ≥18 years old, at ≥37 weeks age of gestation, with PROM: 40 women received ampicillin within 6 hours (6H group), 40 within >6 to 12 hours (12H group), and 40 within >12 to 18 hours (18H group) of onset of PROM. @*Main outcome measures@#Rates of positive bacterial growth in postpartum placental swab cultures; most common bacterial isolates; and signs of intraamniotic infection (IAI).

Drug Resistance of Pathogens in Blood Culture Specimens in Shaanxi Antimicrobial Resistant Investigation Net from 2013 to 2015 / 现代检验医学杂志

Objective To explore the Gram-positive bacterial drug resistance in blood culture in 2013 to 2015 from the members of Antimicrobial Resistant Investigation Net of Shaanxi province,and guide the clinicians touse antimicrobial drugs rationally.Methods All the objective bacterial isolates were collected and identified susceptibility date by software WHONET 5.6.Results 8 824 Gran positive bacterial isolates and their antibacterial susceptibilitydata were collected.The top five populations of Gram-positive bacterial isolates were Staphylococcus epidermidis,Staphylococcus hominis,Staphylococcus haemolyticus,Staphylococcus aureus and Enterococcus feacium.The isolating rates of methicillin-resistant Staphylococcus aureus (MRSA) and methicillin-resistant coagulase negative Staphylococcus(MRCNS) were 33.9 ～ 54.9％ and 72.1 ～88.6 ％ respectively.No vancomycin,Linezolid and teicoplanin resistant Staphylococcus isolates were found.There were 0.9 ～2％ E.faecium vancomycin-resistant isolates.Conclusion The composition of blood culture from 2013 to 2015 was not changed,The rate of MRSA and MRSE showed downward trend.But it was severe that the situation of bacterial drug resistance in blood culture in Shaanxi province.Should fully use bacterial drug resistance surveillance results for supervision and administration,and take effective measures for controlling the spread of resistant isolates.

Bacterial isolates from the Pediatric patients and its correlation with microbiological flora in tertiary care hospital

Background: Infection is a health hazard of great expense and significance affecting the final outcome of treatment. Hospital indoor air contains a diverse range of microbial population. Objective: To study microbiological organism and their antibiotic sensitivity isolated from patients’ blood culture and to correlate this micro-organism with pattern of microbiological flora in tertiary care hospital. Materials and methods: All the patients who fulfilled study criteria were subjected for blood culture analysis and prospectively observed for clinical conditions and there outcome. Antimicrobial susceptibility testing was performed for all blood culture isolates. Case fatality study was a comparison between deaths in blood culture positive patients with reference to resistance to first line antibiotics. A comparison was made between the type of organism found in cultures of samples taken from patients and the type of organism obtained from sites near the patients during the same time interval. Results: out of 3144 sample sent for blood culture, 888 (28.2%) samples came out to be positive. most isolates of klebseilla, Acinobacter, and E. coli were resistant to ampicillin (97 to 98%), gentamycin (70 to 80%) and cephalosporins (65% to 100%). Most of the gram negative isolates were sensitive to levofloxacin and Piperacillin-tazobactam. Staphylococcus aureus were resistant to Parikh YN, Kharadi J, Nain N, Kalathiya M, Shah Z. Bacterial isolates from the Pediatric patients and its correlation with microbiological flora in tertiary care hospital. IAIM, 2017; 4(1): 78-84. Page 79 ampicillin (90.4%). Staphylococcus aureus were sensitive with vancomycin by 98.6%. Case fatality due to gram –ve organisms were 19.45%. Gram –ve bacteria were dominating pathogens in both prefumigation samples from various sites of ICU and wards and blood culture sample from patients admitted in ICU and wards i.e. 32 (72.7%) and 815 (91.8%) respectively. It sets up a correlation between source of infection and sepsis in patients admitted to ICU and wards. Conclusion: Most organism (gram positive and gram negative) were resistant to first line antibiotics such as ampicillin, gentamycin, cephalosporins. Antibiotic combination with piperacillintazobactam or levofloxacin had better sensitivity among all gram negative organisms. Gram positive organisms were susceptible to vancomycin. Most deaths occur in patients infected with first line antibiotic resistant strains. Strong association found between source of bacterial infection and culture sample positivity.

Caracterización clinicoepidemiológica y microbiológica en úlceras corneales bacterianas y micóticas / Clinical, epidemiological and microbiological characterization of bacterial and mycotic ulcers

Objetivo: describir la asociación entre aspectos clinicoepidemiológicos y los resultados microbiológicos en pacientes con queratitis infecciosa ingresados en el Servicio de Córnea del Instituto Cubano de Oftalmología Ramón Pando Ferrer en el período 2010-2014. Métodos: se realizó un estudio observacional descriptivo, de corte transversal, de 39 ojos. Se estudiaron las variables edad, sexo, tiempo de evolución, tratamiento previo con antibióticos, factores predisponentes y concordancia del tratamiento empírico. Se utilizaron medidas de resumen para variables cualitativas y cuantitativas, prueba no paramétrica de probabilidad exacta de Fisher, prueba de Chi cuadrado de Pearson y Prueba U de Mann Whitney. Resultados: en los aislamientos de bacterias, el 42,3 por ciento de los pacientes eran menores de 30 años; 53,8 por ciento pertenecían al sexo femenino y el tiempo de evolución promedio fue de 7 días. Los factores predisponentes fueron: enfermedad ocular previa (23,1 %), uso de lentes de contacto (30,8 por ciento) y enfermedades sistémicas (11,5 por ciento). Los mayores de 69 años (46,5 por ciento), el sexo masculino (92,3 por ciento); el tiempo de evolución promedio de 14,5 días y el antecedente de traumatismo ocular no quirúrgico (15,4 por ciento) se observaron en aislamientos micóticos. La perforación corneal se produjo en el 7,7 por ciento de los crecimientos bacterianos; en crecimientos micóticos el 15,4 por ciento desarrolló descemetocele y el 23,1 por ciento perforación corneal. Se realizó queratoplastia penetrante en el 30,8 por ciento(AU) Conclusiones: los aislamientos bacterianos son más frecuentes en pacientes jóvenes, del sexo femenino y con antecedentes de enfermedad ocular previa y uso de lentes de contacto, mientras que la etiología micótica se produce en pacientes del sexo masculino, mayores de 60 años y con antecedentes de trauma corneal no quirúrgico

Objective: to describe the association of clinical and epidemiological aspects with the microbiological results of patients with infectious keratitis, who were admitted to the corneal service of "Ramon Pando Ferrer" Cuban Institute of Ophthalmology in the period of 2010 to 2014. Methods: cross-sectional, descriptive and observational study of 39 eyes. The analyzed variables were age, sex, time of progression, previous antibiotic treatment, predisposing factors and agreement of the empirical treatment. Summary measures for qualitative and quantitative variables; non-parametric Fisher´s exact probability test, Pearson´s Chi square test, and Mann Whitney's U test. Results: in the bacterial isolates, 42.3 percent of patients were younger than 30 years; 53.8 percent were females and average time of progression of disease was 7 days. The predisposing factors were previous eye disease (23.1 percent), use of contact lenses (30.8 percent) and systemic diseases (11.5 percent). Regarding mycotic isolates, patients aged over 69 years (46.5 percent), males (92.3 percent), average time of progression of 14.5 percent and history of non surgical ocular trauma (15.4 percent) predominated. The corneal perforation occurred in 7.7 percent of bacterial infection whereas 15.4 percent developed descemetocele and 23.1 percent corneal perforation in the mycotic infection group. Penetrating keratoplasty was performed in 30.8 percent of patients. Conclusions: bacterial isolates were more frequent in young female patients with a history of previous ocular diseases and contact lenses whereas mycotic etiology was more commonly observed in males over 60 years and history of non surgical corneal trauma(AU)

Blood Culture and Sensitivity Profile Study in a Tertiary Medical Hospital in Kolkata, West Bengal: 7 Years’ Experience.

Aims and objectives: To identify the prevalence of bacteremia and the spectrum of antimicrobial sensitivity in our community, because it will guide the clinician to institute proper antimicrobial therapy. Background: Bacteremia originates from either intravascular sites or extraVascular sites. In case of bloodstream infection, either Gram-positive or Gram-negative bacteria are responsible. Of these bacterial isolates, Gram-negative bacteria are responsible for higher mortality and morbidity. Since 20 to 30 years, coagulase-negative Staphylococci are responsible for most infection. Materials and methods: In this retrospective study, blood samples were collected aseptically from 11,581 patients and were injected into the bottles containing bile-broth and brainheart infusion broth and allowed to be incubated at 37°. Then subculture was done on blood agar, chocolate agar, as well as MacConkey agar media and was kept for 7 days or till the appearance of growth of the organism. After identification of isolates, Kirby Bauer disk diffusion test on Mueller-Hinton agar II was performed to detect antimicrobial sensitivity. Results: Our study documented 8.58% positive cultures in the last 7 years. Gram-negative bacterial isolates were significantly higher than Gram-positive isolates (64.19% vs 34.80%, p = 0.00). Lowest number of positivity was seen in Morganella (0.40%) followed by Proteus (0.50%) and Enterococcus faecium (0.90%) in ascending order. Males were significantly more culture positive than females (549/994 vs 445/994, p = 0.00). Most common bacterial isolates were (coagulase negative Staphylococci) CoNS (239, 24.04%) followed by Klebsiella including ESBL (extended spectrum beta-lactamase), carbapenamase producer (234, 23.74%) and Escherichia coli (110, 11.06%). E. coli was >75% sensitive to imipenem group, polymyxin B (98.18%), colistin (96.36%), and amikacin (80.9%). Coagulase negativeStaphylococci showed more than 60% sensitivity to levofloxacin (76.98%), amikacin (82.84%), tigecycline (87.44%), vancomycin (94.45%), teicoplanin (91.63%), linezolid (91.21%), gentamicin (76.56%), netilmicin (74.47%), and tetracycline (75.31%). Klebsiella (non-ESBL and carbapenemase producer) was highly sensitive to polymyxin B (93.06%), colistin (91.90%), meropenem (65.31%), and imipenem (94.73%). Extended spectrum beta-lactamase-producing Klebsiella showed increased sensitivity to meropenem (89.47%), imipenem (94.73%), ertapenem (81.57%), polymyxin B, and colistin (97.36% each). Conclusion: Positive cultures were 8.58% in the last 7 years. Gram negative bacterial isolates were significantly higher. Males were more culture positive. Most common bacterial isolates were CoNS followed by Klebsiella species and E. coli. Gram-negative bacterial isolates were highly sensitive to piperacillin, cefoperazone, imipenem, meropenem, aminoglycoside group of antibiotics, tigecycline, polymyxin B and colistin. Gram-positive bacterial isolates were sensitive to piperacillin, cefoparazone, vancomycin, teicoplanin, linezolid and clindamycin. Salmonella typhi were sensitive to ampicillin, cefoparazone, cefepime, azithromycin, chloramphenicol, and fluoroquinolones. Acinetobacter showed > 50% sensitivity to cefepime and Pseudomonas showed > 50% sensitivity to cefotaxime and levofloxacin. So to prevent resistance of bacterial isolates, a proper antibiotic guideline should be maintained.