Study on Gentamicin and Carbenicillin resistant strains of Pseudomonas aeuroginosa

Pseudomonas aeruginosa strains were isolated from different clinical wards of Tanta University hospital during the period from January 1981 till the end of December of the same year. Extensive use of gentamicin and carbenicillin against Pseudomonas during the last few years, has caused an increase in the number of resistant strains to these antibiotics. Gentamicin resistant strains during one year of study increased from 10.6% of the total isolates, in the first 6 months, to 20% at the end of the second 6 months of the same year, while carbenicillin resistant strains increased from 25.3% to 48.2% during the same period. It was found that 88% of total isolates were resistant to ampicillin, chloramphenicol, tetracycline, kanamycin, kefeoldin, streptomycin and sulfamethazole. Gentamicin and carbenicillin resistant strains were also resistant to the above mentioned antibiotics. Minimum inhibitory concentration of gentamicin and carbenicillin and transfer studies were performed on strains resistant to all the antibiotics tested. No transfer of gentamicin resistance traits was observed. The unstability of gentamicin resistance and other resistance characters, in the presence of acriflavin indicated the extrachromosomal nature of the resistance characters. Five serotypes were noted among the strains with no evidence of cross infection. Four of the studied strains displayed an unstable gentamicin resistance at 12°C but not at 37°C. This instability appeared to be linked to the rate of growth of these strains

Bacteriology and therapy of lung abscess in children

The bacteriology of lung abscess in children has not been fully investigated in Egypt. This study reports the bacteriological findings in ten children with lung abscess. The medical treatment for such cases was instituted according to the results of antibiotic sensitivity tests made to the different causative organisms.Then results of this investigation demonstrated the role of anaerobic bacteria in causing lung abscess in children. Anaerobic Organisms were present in all ten patients, in eight they were mixed with aerobic bacteria. The most frequent anaerobic isolates were peptostreptococcus, peptococcus, Bacteroides melaninogenicus and Veillonella respectively. The aerobie isolates most frequently recovered were Alpha and Beta haemolytic streptococci; Escherichia coli and Klesbiella paeumoniae, respectively. Antibiotic sensitivity tests showed that Gentamycin, Rifocin, Cephalexine and Ampicilline were the most effective antibiotics on the etiological bacteria. Treatment of the patients each with his proper chemotherapeutic drug, beside postural drainage and frequent suction have led to complete cure of all patients within 5-10 days duration