Antibiotic susceptibility pattern in urinary isolates of gram negative bacilli with special reference to AmpC [beta]-lactamase in a tertiary care hospital
Introduction: Resistance to higher antimicrobial agent is commonly seen in gram negative bacilli. This issue is a challenging problem to the medical practitioners in addition to it is financial impact on the health care system. Objectives: To document the prevalence of multi drug resistant gram nega...
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Veröffentlicht in: | Urology annals 2010-01, Vol.2 (1), p.7 |
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description | Introduction: Resistance to higher antimicrobial agent is commonly seen in gram negative bacilli. This issue is a challenging problem to the medical practitioners in addition to it is financial impact on the health care system. Objectives: To document the prevalence of multi drug resistant gram negative bacilli isolated from urine of patients attending the Urology Department of Tertiary care Hospital of western India in year 2008. Results: Out of total 328 isolates, 118 (35.98%) E.coli, 72 (21.95 %) Klebsiella, 64 (19.51%) Pseudomonas aeruginosa, 30 (9.15%) Acinetobacter, 18 (5.49%) Proteus vulgaris, 18 (5.49%) Proteus mirabilis, 6 (1.83%) Providencia rettgerii, 2 (0.61%) Citrobacter freundii. Out of these isolates, 228 (69.51%) were b-lactamase positive, while 100 (30.51%) were β-lactamase negative. Out of 228 β-lactamase positive, 104 (45.61%) were AmpC β-lactamase positive. Conclusions: Stringent protocol such as Antibiotic policy and Hospital infection control program are mandatory to curb these microbes in a tertiary care hospital. |
doi_str_mv | 10.4103/0974-7796.62915 |
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This issue is a challenging problem to the medical practitioners in addition to it is financial impact on the health care system. Objectives: To document the prevalence of multi drug resistant gram negative bacilli isolated from urine of patients attending the Urology Department of Tertiary care Hospital of western India in year 2008. Results: Out of total 328 isolates, 118 (35.98%) E.coli, 72 (21.95 %) Klebsiella, 64 (19.51%) Pseudomonas aeruginosa, 30 (9.15%) Acinetobacter, 18 (5.49%) Proteus vulgaris, 18 (5.49%) Proteus mirabilis, 6 (1.83%) Providencia rettgerii, 2 (0.61%) Citrobacter freundii. Out of these isolates, 228 (69.51%) were b-lactamase positive, while 100 (30.51%) were β-lactamase negative. Out of 228 β-lactamase positive, 104 (45.61%) were AmpC β-lactamase positive. Conclusions: Stringent protocol such as Antibiotic policy and Hospital infection control program are mandatory to curb these microbes in a tertiary care hospital.</description><identifier>ISSN: 0974-7796</identifier><identifier>EISSN: 0974-7834</identifier><identifier>DOI: 10.4103/0974-7796.62915</identifier><language>eng</language><publisher>Mumbai: Medknow Publications and Media Pvt. Ltd</publisher><subject>Acids ; Antibiotics ; Antimicrobial agents ; Bacteria ; Bacterial infections ; Beta lactam antibiotics ; Complications and side effects ; Control ; Dosage and administration ; Drug resistance in microorganisms ; Drug therapy ; Enzymes ; Genetic aspects ; Infections ; Microbiology ; Mortality ; Nosocomial infections ; Pharmaceutical industry ; Risk factors ; Urogenital system</subject><ispartof>Urology annals, 2010-01, Vol.2 (1), p.7</ispartof><rights>COPYRIGHT 2010 Medknow Publications and Media Pvt. 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This issue is a challenging problem to the medical practitioners in addition to it is financial impact on the health care system. Objectives: To document the prevalence of multi drug resistant gram negative bacilli isolated from urine of patients attending the Urology Department of Tertiary care Hospital of western India in year 2008. Results: Out of total 328 isolates, 118 (35.98%) E.coli, 72 (21.95 %) Klebsiella, 64 (19.51%) Pseudomonas aeruginosa, 30 (9.15%) Acinetobacter, 18 (5.49%) Proteus vulgaris, 18 (5.49%) Proteus mirabilis, 6 (1.83%) Providencia rettgerii, 2 (0.61%) Citrobacter freundii. Out of these isolates, 228 (69.51%) were b-lactamase positive, while 100 (30.51%) were β-lactamase negative. Out of 228 β-lactamase positive, 104 (45.61%) were AmpC β-lactamase positive. Conclusions: Stringent protocol such as Antibiotic policy and Hospital infection control program are mandatory to curb these microbes in a tertiary care hospital.</description><subject>Acids</subject><subject>Antibiotics</subject><subject>Antimicrobial agents</subject><subject>Bacteria</subject><subject>Bacterial infections</subject><subject>Beta lactam antibiotics</subject><subject>Complications and side effects</subject><subject>Control</subject><subject>Dosage and administration</subject><subject>Drug resistance in microorganisms</subject><subject>Drug therapy</subject><subject>Enzymes</subject><subject>Genetic aspects</subject><subject>Infections</subject><subject>Microbiology</subject><subject>Mortality</subject><subject>Nosocomial infections</subject><subject>Pharmaceutical industry</subject><subject>Risk factors</subject><subject>Urogenital system</subject><issn>0974-7796</issn><issn>0974-7834</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNptkE1r3DAQhk1poGnac6-ihd68lSVbko_L0qSFQC-5lbCM5fHuBFlyJbklf6W_Nlq2hRTKHObred-Bqap3Dd-0DZefeK_bWutebZTom-5FdXmeGNm-_FuX7avqdUoPnCuleHtZ_d76TAOFTJalNVlcTq2j_MgWyBmjZ-TZGslDfGSUgoOMiYWJHSLMzOMBMv1ENoAl54j9onxkaUFL4FjECSN6iywHtp2XHfs-YIb72oHNMEPCkzmwcibTyd9CRHYMaaEM7k11MYFL-PZPvqrurj_f7b7Ut99uvu62t_WhER2vxWS5HfhoBt2OSoHQkx35YGWvJRqQTTeilKUUU9f0djRlq1ppOuRmUEJeVe_PtksMP1ZMef8Q1ujLxb3RvDWmF7xAH87QARzuyU8hR7AzJbvfCtFpzZumK9TmP1SJEWeyweNEZf6P4OMzwRHB5WN58Zop-PQcfAIgUJSN</recordid><startdate>20100101</startdate><enddate>20100101</enddate><creator>Patel, Mitesh</creator><creator>Trivedi, Grishma</creator><creator>Patel, Sachin</creator><creator>Vegad, Mahendra</creator><general>Medknow Publications and Media Pvt. 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This issue is a challenging problem to the medical practitioners in addition to it is financial impact on the health care system. Objectives: To document the prevalence of multi drug resistant gram negative bacilli isolated from urine of patients attending the Urology Department of Tertiary care Hospital of western India in year 2008. Results: Out of total 328 isolates, 118 (35.98%) E.coli, 72 (21.95 %) Klebsiella, 64 (19.51%) Pseudomonas aeruginosa, 30 (9.15%) Acinetobacter, 18 (5.49%) Proteus vulgaris, 18 (5.49%) Proteus mirabilis, 6 (1.83%) Providencia rettgerii, 2 (0.61%) Citrobacter freundii. Out of these isolates, 228 (69.51%) were b-lactamase positive, while 100 (30.51%) were β-lactamase negative. Out of 228 β-lactamase positive, 104 (45.61%) were AmpC β-lactamase positive. Conclusions: Stringent protocol such as Antibiotic policy and Hospital infection control program are mandatory to curb these microbes in a tertiary care hospital.</abstract><cop>Mumbai</cop><pub>Medknow Publications and Media Pvt. Ltd</pub><doi>10.4103/0974-7796.62915</doi><oa>free_for_read</oa></addata></record> |
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subjects | Acids Antibiotics Antimicrobial agents Bacteria Bacterial infections Beta lactam antibiotics Complications and side effects Control Dosage and administration Drug resistance in microorganisms Drug therapy Enzymes Genetic aspects Infections Microbiology Mortality Nosocomial infections Pharmaceutical industry Risk factors Urogenital system |
title | Antibiotic susceptibility pattern in urinary isolates of gram negative bacilli with special reference to AmpC [beta]-lactamase in a tertiary care hospital |
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