Pseudomonas aeruginosa

Similar documents
Antibiotic Resistance in Pseudomonas aeruginosa Strains Isolated from Various Clinical Specimens

Antibiotic susceptibility pattern of Pseudomonas aeruginosa at the tertiary care center, Dhiraj Hospital, Piparia, Gujarat

Antibiotic Susceptibility of Common Bacterial Pathogens in Canine Urinary Tract Infections

Prevalence of Metallo-Beta-Lactamase Producing Pseudomonas aeruginosa and its antibiogram in a tertiary care centre

GENERAL NOTES: 2016 site of infection type of organism location of the patient

Prevalence and Resistance pattern of Pseudomonas strains isolated from ICU Patients

Evaluation of antimicrobial activity of Salmonella species from various antibiotic

The Resistance of Pseudomonas aeruginosa Strains Isolated from Cancer Patients to Various Groups of Antibiotics

Enterobacter aerogenes

Bacterial Pathogens in Urinary Tract Infection and Antibiotic Susceptibility Pattern from a Teaching Hospital, Bengaluru, India

RETROSPECTIVE STUDY OF GRAM NEGATIVE BACILLI ISOLATES AMONG DIFFERENT CLINICAL SAMPLES FROM A DIAGNOSTIC CENTER OF KANPUR

International Journal of Health Sciences and Research ISSN:

Prevalence of Extended Spectrum Beta- Lactamase Producers among Various Clinical Samples in a Tertiary Care Hospital: Kurnool District, India

GeNei TM. Antibiotic Sensitivity. Teaching Kit Manual KT Revision No.: Bangalore Genei, 2007 Bangalore Genei, 2007

Effect of Temperature on the antibiotic-resistance of Proteus spp clinical Isolates

BACTERIOLOGICALL STUDY OF MICROORGANISMS ON MOBILES AND STETHOSCOPES USED BY HEALTH CARE WORKERS IN EMERGENCY AND ICU S

A retrospective analysis of urine culture results issued by the microbiology department, Teaching Hospital, Karapitiya

Acinetobacter species-associated infections and their antibiotic susceptibility profiles in Malaysia.

International Journal of Pharma and Bio Sciences

PREVALENCE OF MULTI-DRUG RESISTANT (MDR) PSEUDOMONAS AERUGINOSA

The First Report of CMY, AAC(6')-Ib and 16S rrna Methylase Genes among Pseudomonas aeruginosa Isolates from Iran

Community-Associated C. difficile Infection: Think Outside the Hospital. Maria Bye, MPH Epidemiologist May 1, 2018

Prospective Study on Bacterial Isolates with their Antibiotic Susceptibility Pattern from Pus (Wound) Sample in Kathmandu Model Hospital

ESBL Producers An Increasing Problem: An Overview Of An Underrated Threat

Comparison of Antibiotic Resistance and Sensitivity with Reference to Ages of Elders

Detection of ESBL Producing Gram Negative Uropathogens and their Antibiotic Resistance Pattern from a Tertiary Care Centre, Bengaluru, India

Research Article. Drug resistance pattern of Pseudomonas aeruginosa isolates at PIMS Hospital, Islamabad, Pakistan

EXTENDED-SPECTRUM BETA-LACTAMASE (ESBL) TESTING

Study of Bacteriological Profile of Corneal Ulcers in Patients Attending VIMS, Ballari, India

Antimicrobial susceptibility of bacterial species identified from mastitic milk samples of camel

تقارير الدروس العملية

South As. J. Biol. Sci. 2(Supp.1): ISSN

Int.J.Curr.Microbiol.App.Sci (2015) 4(9):

MDR Pseudomonas aeruginosa in Nosocomial Infection: Burden in ICU and Burn Units of a Tertiary Care Hospital

Irrational use of antimicrobial agents often

Antimicrobial Susceptibility Patterns of Salmonella Typhi From Kigali,

Recommendations for Implementation of Antimicrobial Stewardship Restrictive Interventions in Acute Hospitals in Ireland

UNIVERSIDAD AUTÓNOMA DE SAN LUIS POTOSÍ Facultad de Ciencias Químicas. Lab. General Microbiology

Multiple drug resistance pattern in Urinary Tract Infection patients in Aligarh

Antimicrobial resistance at different levels of health-care services in Nepal

Prevalence of Extended-spectrum β-lactamase Producing Enterobacteriaceae Strains in Latvia

Detection and Quantitation of the Etiologic Agents of Ventilator Associated Pneumonia in Endotracheal Tube Aspirates From Patients in Iran

Safe Patient Care Keeping our Residents Safe Use Standard Precautions for ALL Residents at ALL times

PIPERACILLIN- TAZOBACTAM INJECTION - SUPPLY PROBLEMS

Protein Synthesis Inhibitors

Antimicrobial Susceptibility Patterns

Prevalence of Pseudomonas aeruginosa in Surgical Site Infection in a Tertiary Care Centre

JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH

Malignant Mixed Mammary Tumor in a German Shepherd Middle Age Bitch

CONTAGIOUS COMMENTS Department of Epidemiology

Int.J.Curr.Microbiol.App.Sci (2017) 6(11):

ALARMING RATES OF PREVALENCE OF ESBL PRODUCING E. COLI IN URINARY TRACT INFECTION CASES IN A TERTIARY CARE NEUROSPECIALITY HOSPITAL

National Surveillance of Antimicrobial Resistance in Pseudomonas aeruginosa Isolates Obtained from Intensive Care Unit Patients from 1993 to 2002

International Journal of Research in Pharmacology & Pharmacotherapeutics

Antimicrobial Susceptibility Testing: The Basics

Available online at Scholars Research Library. Der Pharmacia Lettre, 2017, 9 (1):85-92

Isolation of Urinary Tract Pathogens and Study of their Drug Susceptibility Patterns

Fluoroquinolones resistant Gram-positive cocci isolated from University of Calabar Teaching Hospital, Nigeria

OCCURRENCE OF PSEUDOMONAS AERUGINOSA IN POST-OPERATIVE WOUND INFECTION

Infection Pattern, Etiological Agents And Their Antimicrobial Resistance At A Tertiary Care Hospital In Moshi, Tanzania

** the doctor start the lecture with revising some information from the last one:

Bacteriological Study of Catheter Associated Urinary Tract Infection in a Tertiary Care Hospital

Department of Biology, Microbiology and Biotechnology, Faculty of Science, Federal University, Ndufu-Alike, Ikwo, Nigeria

An evaluation of the susceptibility patterns of Gram-negative organisms isolated in cancer centres with aminoglycoside usage

The Effect of Hand Treatments on Staphylococcus Aureus: A Normal Flora of the Human Palms

ISSN X (Print) *Corresponding author Sheetal Sharma

Available online at ISSN No:

Bacteriological Profile and Antimicrobial Sensitivity of DJ Stents

Isolation, identification and antimicrobial susceptibility pattern of uropathogens isolated at a tertiary care centre

Sepsis is the most common cause of death in

Antimicrobial Susceptibility Profile of E. coli Isolates Causing Urosepsis: Single Centre Experience

Protocol for Surveillance of Antimicrobial Resistance in Urinary Isolates in Scotland

Antimicrobial Susceptibility Testing: Advanced Course

n Am I B I A U n IVE RS ITV OF SCIEnCE AnD TECH n 0 LOGY

Learning Points. Raymond Blum, M.D. Antimicrobial resistance among gram-negative pathogens is increasing

Similar to Penicillins: -Chemically. -Mechanism of action. -Toxicity.

03/09/2014. Infection Prevention and Control A Foundation Course. Talk outline

Antimicrobial Resistance Pattern of Bacteria Isolated from ICU Patients with Respiratory Tract Infections

Available Online at International Journal of Pharmaceutical & Biological Archives 2011; 2(5): ORIGINAL RESEARCH ARTICLE

African Journal of Pharmaceutical Research & Development

R-factor mediated trimethoprim resistance: result of two three-month clinical surveys

2012 ANTIBIOGRAM. Central Zone Former DTHR Sites. Department of Pathology and Laboratory Medicine

1. The preferred treatment option for an initial UTI episode in a 22-year-old female patient

Suggestions for appropriate agents to include in routine antimicrobial susceptibility testing

Medical bacteriology Lecture 8. Streptococcal Diseases

Mili Rani Saha and Sanya Tahmina Jhora. Department of Microbiology, Sir Salimullah Medical College, Mitford, Dhaka, Bangladesh

Aerobic bacterial infections in a burns unit of Sassoon General Hospital, Pune

Help with moving disc diffusion methods from BSAC to EUCAST. Media BSAC EUCAST

Int.J.Curr.Microbiol.App.Sci (2017) 6(3):

International Journal of Pharma and Bio Sciences ANTIMICROBIAL SUSCEPTIBILITY PATTERN OF ESBL PRODUCING GRAM NEGATIVE BACILLI ABSTRACT

Comparison of the in vitro susceptibility of Clinical isolates of Pseudomonas aeruginosa a in a local hospital setting in Karachi, Pakistan

January 2014 Vol. 34 No. 1

UJMR, Volume 2 Number 2 December, 2017 ISSN:

Cipro for gram positive cocci in urine

Antibiotic utilization and Pseudomonas aeruginosa resistance in intensive care units

The Basics: Using CLSI Antimicrobial Susceptibility Testing Standards

Understanding the Hospital Antibiogram

BACTERIOLOGICAL PROFILE AND ANTIMICROBIAL SUSCEPTIBILITY PATTERN OF ISOLATES OF NEONATAL SEPTICEMIA IN A TERTIARY CARE HOSPITAL

Prevalence of Ciprofloxacin Resistance Among Gram-Negative Bacilli at a Specialist Hospital in Saudi Arabia

2 0 hr. 2 hr. 4 hr. 8 hr. 10 hr. 12 hr.14 hr. 16 hr. 18 hr. 20 hr. 22 hr. 24 hr. (time)

Transcription:

تردد بكرتيا الزائفت الزجناريت ملرضى التهاب اجملاري البوليت يف مدينت العمارة Pseudomonas aerugiosa 33 28 2009\4\1-2\1 Pseudomonas aerugiosa Pseudomonas aeruginosa 467

Amoxycillin, Gentamycin, Cefotaxaime, Carbenicillin, Aztreonam, Ciprofloxacin, Piperacillin, Cefazolin. Norfloxacin, Amikacin 6 100 pseudomonas 94 0 aerugiosa Introduction (1) (2) (3) 468

Pseudomonas aerugiosa (4) (5) Nasocomial infection) (6,7) Haemolysin Lipase (8,9) Exotoxin phospholipase C Protease 469

in- vitro (Materials & Methods) (Equipment & Apparatus) - 1 p.aeruginosa (Centrifuge (Autoclave ) (Hot plate magnetic stirrer 37 (Spectrophotometer) ( Incubation) 470

45 (Water distilator) 200 (Electric oven) (Sensitive balance) (Millipore filter unit) (Light microscope) (ph meter) (Culture media) :- 2 471

(11, 10) (Blood base agar) ( Brain heart infusion agar) (Agar-agar medium) (Urea base agar ) (Simon S citrate agar ) (MacConkey agar ) (Muller Hinton agar ) (Nutrient agar &broth ) Difico (U.S.A ) (11,10) 3 (Antibiotic disc) 4 25, Gentamycin 25 Amoxycillin Ciprofloxacin, Carbenicillin, 30 Cefotaxaime, 25 Aztreonam, 30 Cefazolin. 100 472

Piperacillin, Amikacin (ATCC 27853 ) 30 Cefotaxime, 10 Norfloxacin, Standard Strain P. aeruginosa 30 100 30 5 Different materials 6 (11,10) API 20 E Patient s samples 7 2009\4\1-2\1) 10 (11,10) Isolation&Diagnosis Macroscopic appearance) 1 473

(11,10) (Microscopic appearance) :- (Gram (11,10) (Biochemical tests) Urease tests) (Oxidase tests) (Catalases tests) Indol production tests) Methyl red tests) (Voges proskauer tests) (Citrate utilization tests) 2 s stain) 3 (API 20 E Techneqe) :- 4 (Oil ) 37 24 474

Antibiotic susceptibility 12 MacFarland tube 10 1) Disc diffusion tests Non (13,11) (Results&Discussion) lactose fermenter Single (0.7-2.5) Motile Pyocyanin (15,16) Obligately polar flagellum 475

(16,4) P. aeruginosa 1 (API 20 E) 17,16,4 16 33 31 28 5 33 18 51.1 p. %11.4 Nosocomial infection %90-60 aeruginosa 19 476

%9.3 (%8.7) 20 (%8.6) P. aeruginosa 21 P. aeruginosa Cefazolin 2 Amoxycillin ( %90)30 (%100)33 22 477

Cefotaxime Carbencillin 23 (%76) Cefotaxime Gentamycin (BroadSpectrum) (24 p. aeruginosa P. aeruginosa (%94) 31 Aztreonam Amikacin (%88) (%78) 9 2 P. aeruginosa Ciprofloxacin %76 (%90) (%66.4) Aztreonam (%72)23 (%46)15 (%92)30 Amikacin 25 26 p. aeruginosa p. aeruginosa 27 478

(%28.7) (%19.9.) Antibiotic 28 Perfloxacin Ofloxacin Combination P. aeruginosa 1 479

480 2 P. aeruginosa Amoxycillin 25 33 100 Cefazolin 30 3 10 30 90 Carbencillin 100 10 28 23 72 Cefotaxime 30 10 28 23 72 Gentamycin 10 18 54 15 46 Norfloxacin 10 26 78 7 22 Piperacillin 100 27 82 6 18 Ciprofloxacin 25 29 88 4 12 Aztreonam 30 30 92 3 8 Amikacin 30 31 94 2 6

Referances : 1-Bonadio,M;Meini, M. ; Spitaler, p.and Gigli, C.2001. current microbiological and clinical aspects of urinary tract infections. Eur. Urol. 40 : 439-444. 2-Marthez, J.L.and Baquero, F. 2002. Interactions among strategies associated With bacterial infection : pathogenhcity, Epidericity and Antibiotic resistance. Clin. Micro. Reviews 15 (4):647-679. 3-Ayliffe, g.a.fraise, A.P.;Geddes, A.M.and Mitchell, K. 2000.Cotrol of hospital infection a practical Handbook 4 th ed.arnold London. Pp:305. 4- Habbeb,F.2003. Isolationand identification of most common pathogens in vaginaof non pregnant woman in Baghdad. MSc. thesis. College of Medical and Health Technology. 5- Olayinka, a.t.;onile, B.A.and Olayinka,B.O.2004.Prevalence of multi-drug resistant p.aeruginosa isolates in surgical units of Ahmadu Bello University Teaching Hospital,Zaria, Nigeria.Annals of African Meadicine.3(1):13-16. 6- Obritsch, M.D.Fish, D.N,; Maclaren, R.and June, R.2004. National surveillance of antimicrobial resistance in p.aeruginosa isolates obtained from Intensive Care Unit patients from 1993 2002. Antimicrobial Agents and Chemotherapy.48(12):4606-4610. 7-Miller, K.;John, A.;oneill, J.and Chopra, I.2004.E.coli mutators present an enhanced risk for emergence of antibiotic resistance during urinary try tract infections. Antimicrobial Agents and Chemotherapy. 48(1):23-29. 8- Cotter,C.S.;Avidano, M.A.;Stringer, S.P.and Schultz, G.S.1996.Inhibition of proteases in pseudomona spp. 481

From Otitis media in Chinchillas. Otolaryngology Head and Neck Surgery.115(4);342-351. 9-Quinn, j.p.2003.p.aeruginosa infections in Intensive Care Unit. Seminare in Respiratory and Critical Care Medicine.24(1):61-63.10- Vandepitte,J.;Verhaegen,J.;Engbaek,K.;Rohner.p.;piot,p.and Heuck, C.C.2003.Basic Iaboratory procedures in clinical bacteriology.2th ed.world Health Org. Geneva.pp.109-120. 10-Shanso,d.c.and speller,d.c.19999.microbiology in clinical practice.3th ed.butterwood Heinnmann.Pp:19-20. 11-Baron,E.J.;Finegold,S.M.and Peterson,I.I.1994.Baily and scotts diagnostic microbiology 9 th ed.mosby company.missou 12-National committee for clinical laboratory standards (NCCLS).2002.performance standards for susceptibility testing. M.100-S.12,NCCLS,Pennsylvania. 13-Nestter,E.W.;Anderson,d.G.;Jr,C.E.R.;Pearsall, N.N.and Nester,M.T.2001.Microbiology: A human Perspective 3th ed.mcgraw Hill.Pp:281and 495 14-Jawetz,M.A.;Brooks,G.F.;Butel,J.S.and Morse,S.A.2001.Medical Microbiology 22th ed.lange Medical Books,McGraw hill. 15-Atlas,R.M.1995.principle of microbiology.mosby,1 st ed.mosby.inc.minssouri,pp:367,650,663. 16-Forber,B.A.;Sahm,D.F.and Weissfeld,A.S.2002.Baily and Scotts diagnostic microbiology 11 th ed.mosby company.missouri.pp:384-394. 17-Hsu,D.I.;Okamoto,M.P.;Murthy,R.and wong- Beringer,A.2005.Fluoruquinolone 482

resistant :Risk factors for acquisition and impact on outcomes. J.Antimicr Chem.22:1-7. 18-Song,Z.;Wu,H.;Ciofu,O.;Hoiby,N.;Rygaard,J.; Kharazmi,A.and Mathee,K.2003. alginate is regractory to Th 1 immuno response and impedes host immune clearance in a mouse model of acut lung infection.j.med.micro.52:731-740. 19- Pellegrino,F.P.C.;Teixeira,L.M;Carvalho,M.G.S.;Nouer,S.A ; Oliveire,M.P.;Sampaio,J.L.M.;Freitas,A.D.;Ferreira,A.L.P.; Amorim, E.L;Riley,L.W.and Moreira,B.M.2002.Occurrence of a multi-drug resistance p.aeruginosa clone in different hospital in Rio de Janeiro,Brazil.J.Clinc.Micro.40(7):2420-2424. 20- Kang,C.I.;Kim,S.H.;Park,W.B;Lee,K.D.;Kim,H.B;Kim,E.C. ;Oh,M.D.and Choe,K.W.2005 Bloodstream in fections caused by antibiotic resistant gram negative bacilli:risk factors for mortality and impact of inappropriate initial antimicrobial therapy on outcome.antimicrobial Agents and Chemotherapy.49(20:760-7660. 21- Chanalm,C.;Bonnet,R.;Champs,C.D.;Sirot,D.;Labia,R.and Sirot,J.2000.Prevalence of Beta- Lactamase among 1072 clinical strains of proteus mirabilis:a2 years survey in a French Hospital.Antimicrobial Agents and Chemotherapy.44(7):1930-1935. 22-Kriengkauykiat,J,;Porter,E.;Lomovskaya,O. and Wong- Beringer,A.2005.Use of an efflux pump inhibitor to 483

determine the prevalence of efflux pump mediated Fluoroquinoline resistance and multi-drug resistance in p.aeruginosa.antimicrobial agents and Chemotherapy.49(2):565-570. 23-Yasin,K.F.;Sabir,M.;Sherwani,M.K.;Zafar,M.;Yasmin,S. and Alam,M.I.2003.Amelioration of gentamycin nephrotoxicity by vitamin B6(Gneral&Histochemical profile).pakistan J.Med.Res.42(2):70-75. 24-Pitt-T.L.;Sparrow,M.;Warner,M.and Stefanidou,M.2003.Survey of resistance of p.aeruginosa from U.K. patients with cystic fibrosis to six commonly prescribed antimicrobial agents. Thorax.58:794-796. 25-Kapoor,S.and Gathwala,G.2004.Drug theraby Aztreonam. Indian padiatrics.41917:359-364. 26-Algun,U.;Arisoy,A.;AGunduz,T.and Ozbakkaloglu,B.2004. Theresistance of p.aeruginosa strains to Fluoroquinolone group of antibiotics.indian j.med.micro.22(2):112-114 27-Giamarellou,H.2002.prescribing guidelines for severe pseudomonasspp.infections.j,antimicro.chemo.49:229-233. 28-Carmeli,Y.;Troillet,N.,Eliopoulos,G.M.and Samore,M.H.1999.Emergence of antibiotic resistant p.aeruginosa comparison of risks associated with different antipseudomonal agents.antimicrorbial Agents and Chemotherapy.43(6):1382. 484

Frequency of Pseudomonas aerogniosa isolates of urinary tract infection( UTI) patients in Al-Emarha city Ali.A.Saihod Technical Institute - Amara Abstract :- In this study One hundred urine samples obtained from patients suffering from urinary tract infection(uti), whom admitted to AL sadr generl Hospital for the period of 1/2 1/4/2009,in Emarha city. All urine samples were cultured on MacConkey agar and Blood Agar base, then Macroscopic, Miacroscopic appearance and Biochemical tests were done to diagnose the purity isolates of p.aeruginosa, which found with( 33%) while there were (28)isolates obtained. Results of susceptibility to c to antibiotics Amoxycillin, Gentamycin, Cefotaxaime, Carbenicillin, Aztreonam, Ciprofloxacin, Piperacillin, Cefazolin. Norfloxacin, Amikacin ) showed that this bacteria had resistant mode ranged between 6% to 100%, while it was also having wide range of sensitivity ranged between 0% to 94% for Antibiotics which listed. The study should be recommending to use antibiotic combination to reduce antibiotic resistance of bacteria and to treat patients with UTI 485