Speciation of Enterococci to Predict Antibiotic Resistance Pattern: A Study from Teritiary Care Hospital
Journal Title: Journal of Medical Science And clinical Research - Year 2015, Vol 3, Issue 3
Abstract
Background: Enterococci has recently emerged as a medically important pathogen causing hospital as well as community acquired infections. Detection of multi drug resistance is major health concern among the enterococci species in the hospitalized patients.However at present prevalence of E.faecium is more common than E.faecalis in hospital acquired infections. So exact speciation may help to predict the antibiotics to be used. Objective: To isolate and speciate Enterococci from the clinical specimens and to detect their antibiotic susceptibility pattern. Materials and methods: This study was conducted over a period of 2 years from January 2013 to January 2015.Clinical samples were received from various departments of Narayana Super speciality Hospital in the form of pus, urine, blood and peritoneal, synovial, ascetic fluids ect. Antibiotic sensitivity patterns were determined by Kirby-Bauer’s disc diffusion method after isolation and speciation of enterococci. The work is carried out at Department of Microbiology, Narayana Medical College. Results: During this period total of 150 clinical samples were processed for the presence of Enterococci and its speciation and antibiotic sensitivity test. Among the 150 samples processed 83% were E.faecalis and 67% were E.faecium. In our study more number of Enterococci were isolated from Pus followed by urine and blood. Among antibiotic resistance of Enterococci species, E.faecium showed more resistance than E.faecalis. Conclusion: Our study findings are contrary to the belief. So correct speciation can help to predict antibiotic resistant pattern and treatment. Though the study has not been included the prevalence of fecal carriage of enterococci and vancomycin resistant enterococci (VRE),microbiologists and clinicians should know the threat of these specie. Surveillance for screening tests to detect fecal VRE carriage among the hospitalized and general population must be carried out for effective therapy and infection control measure to implement
Authors and Affiliations
P. Sreenivasulu Reddy
Keywords
Related Articles
- EP ID EP211035
- DOI -
- Views 69
- Downloads 0
Gingivovaginal Lichen Planus –A Rare Case Presentation
Lichen Planus is a multisystem disorder and can present to a variety of specialities - dermatologists, general practitioners and gynaecologists. It can be rapidly progressive with high patient morbidity. The vulvovaginal...
A Multidisciplinary Approach for Restoring Function and Esthetics in a Patient with Worn out Dentition: a Clinical Report
Cases of severe attrition and abrasion are common finding in daily clinical practice. This leads to loss of vertical dimension, chewing inefficiency and poor esthetics. These cases require complete oral rehabilitation wh...
Study of serum testosterone level in males with Prediabetes, before and after 3 months of metformin therapy, in patients attending a tertiary care hospital in West Bengal, Eastern India
Introduction: Hypogonadism is common in diabetes and prediabetes both. Metformin ,insulin sensitiser, is approved therapy for prediabetes Aim of the study: to assess whether metformin has any effect on serum testosterone...
Study on Acute Illness Observation Scale in Children with Respiratory Illness with Radiological Correlation
Background: Acute respiratory illness (ARI) is the most common cause of preventable mortality in under five aged children. For the early recognition of severity and prompt treatment of ARI Acute illness observation scale...
Study of the Role of Plating in Fractures of Distal One-Third of Humerus Via Posterior Approach
Introduction: Distal humerus fracture in adult is very difficult to treat. It is very difficult to achieve alignment, anatomical reduction, rigid fixation, immediate mobilization and fracture union in such patient. The a...