Antimicrobial Resistance Pattern of Gram Negative Bacteria Associated with Urinary Tract Infection at a Teaching Hospital in the Malwa Region of Punjab
Keywords:
Antimicrobial resistance, Multi Drug Resistant, Urinary Tract InfectionAbstract
Urinary tract infection (UTI) is one of the most common bacterial infections encountered by clinicians in developing countries. The aim of this study was to determine the type and antibiotic resistance pattern of the urinary pathogens isolated from patients attending a busy tertiary care teaching institute of Malwa region of Punjab. A total number of 10938 clean catch mid stream urine samples were collected andprocessed according to CLSI guidelines in year 2015. As drug resistance among bacterial pathogens is an ongoing evolving process so, knowledge of uropathogens and their antimicrobial susceptibility pattern is the need of the hour. Therefore, development of regional surveillance programs is necessary for implementation of national UTI guidelines.
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Wilson Michael L., Gaido Loretta. Laboratory Diagnosis of Urinary Tract Infections in Adult Patients. The Infectious Diseases Society of America 2004.
Izabel Cristina de AlmeridaRodirigues e Barros, Aline de UrezedaRiberio et al. Micro Organisms prevalent in urinary tract infections and antimicrobial sensitivity profile: analysis of patients attended at the Military Police Hospital of the state of Goias, Brazil, in the period from 1998 to 2008. J health sci inst. 2011; 29(4): 243-7.
Muktikesh Dash, SanghamitraPadhi, IndraniMohanty, Pritilata Panda, and BanojiniParida Antimicrobial resistance in pathogens causing urinary tract infections in a rural community of Odisha, India. . 2013 Jan-Apr; 20(1): 20–26.
TazebewDemilie, Getenet Beyene, Selabat-Melaku, and Urinary Bacterial Profile and Antibiotic Susceptibility Pattern Among Pregnant Women in North West Ethiopia Ethiop J Health Sci. 2012 Jul; 22(2): 121–128.
Shah AA, Hasan F, Ahmed S, Hameed A. Extended-spectrum beta-lactamases (ESBLs): characterization, epidemiology and detection. Crit Rev Microbiol. 2004; 30(1):25-32.
GN Manjunath , R Prakash , Annam Vamseedhar, ShettyKiran. Changing trends in the spectrum of antimicrobial drug resistance pattern of uropathogens isolated from hospitals and community patients with urinary tract infections in Tumkur and Bangalore. Int J Biol MedRes. 2011; 2(2): 504-507.
Giannoula S. Tansarli, Stavros Athanasiou and Matthew E. Falagasgens and Evaluation of Antimicrobial Susceptibility ofEnterobacteriaceae Causing Urinary Tract Infections in Africa antimicrobial agents and chemotherapy .August 2013; vol. ( 57 ):83628-3639.
M E Rupp, P.D Fey. Extended Spectrum Beta-Lactamase (ESBL) producing Enterobacteriaceae: Considerations for diagnosis, prevention and drug treatment. Department of Internal Medicine, University of Nebraska Medical Center, Omaha, Nebraska, USA. Drugs. 2003 63(4): 353-365.
Paterson D.L, Bonomo R.A. Extended spectrum â-lactamses: A clinical update. Clin. Microbiol. Rev. 2005; 18(4): 657- 686.
Enterobacteriacae: AroraDR. Arora B. Textbook of Microbiology 3 edn. New rd Delhi Publishers and Distributors 2008; 351-55.
Gupta V, Yadav A, Joshi RM. Antibiotic resistance pattern in uropathogenes. Indian Journal of Med Microbial. 2002; 20(2) : 96-98.
Umadevi S, Kandhakumari G, Joseph N M, Kumar S, Easow J M, Stephen S, Singh U K. P r e v a l e n c e a n d a n t i m i c r o b i a l susceptibility pattern of ESBL producing gram negative bacilli. J. Clin. Diag. Res. 2011; 5(2): 236-239.
IrajianGolamreza, Moghadas Ali Jazayeri. Frequency of extended-spectrum beta lactamase positive and multidrug resistance pattern in Gram-negative u r i n a r y i s o l a t e s , S e m n a n , I ra n . Jundishapur Journal of Microbiology (2010); 3(3): 107-113.
S Baby Padmini, B Appalaraju. Extended spectrum beta lactamases in urinary isolates of Esch.coliand K.pneumoniae prevalence and susceptibility pattern in tertiary care hospital. Ind J. Med .Microbiol. 2004; 22: 172-174.
Prakasam Arul K.C, Kumar K. G. Dileesh, Vijayan M. A Cross Sectional Study on Distribution of Urinary Tract Infection and Their Antibiotic Utilization Pattern In Kerala. Int J Pharm Tech Res. 2012;4(3) :1309-316.
FouziaFerdows Khan Chowdhury, SunjuktaAhsan, Md. ShahidulKabir. Antibiotic resistance patterns of pathogenic Gram negative bacteria isolated from UTI patients in Sirajganj district. Stamford Journal of Microbiology, December 2013. Vol. 3, Issue 1, p. 17-20.
Clinical and Laboratory Standards Institute (CLSI). 2011. Performance Standards for Antimicrobial Susceptibility Testing; Twenty-First Informational Supplement. CLSI document M100-S21 (ISBN 1-56238-742- 1). Clinical and Laboratory Standards Institute, 940 West Valley Road, Suite 1400, Wayne, Pennsylvania 19087 USA.
V. Niranjan and A. Malini Antimicrobial resistance pattern in Escherichia coli causing urinary tract infection among inpatients. Indian J Med Res. 2014 Jun; 139(6): 945–948.
I-Ling Tseng ,Yu-Mei Liu ,Shiow-Jen Wang et al Emergence of Carbapenemase Producing Klebsiellapneumoniaeand Spread of KPC-2 and KPC-17 in Taiwan: A Nationwide Study from 2011 to 2013. Journals .plos .org 10.371.
Mona Fattouh , Asmaa Nasr El-din and Mohamed A. Omar Detection of KlebsiellapneumoniaeCarbapenemase (KPC) Producing Gram Negative Superbugs: An Emerging Cause of Multidrug-Resistant Infections in General Surgery Department of Sohag University Hospital, Egypt. Int.J.Curr.Microbiol. App.Sci (2015) 4(5): 1-15.
Varsha Gupta, KarthikeyanKumar-asamy, Neelam Gulati, Ritu Garg and Jagdish Chander AmpC â-lactamases in nosocomial isolates of Klebsiellapneumoniae from India. Indian J Med Res. 2012 Aug; 136(2): 237–241.
Mohammad Mubashir Ahmad Khan, AftabFaiz Frequency of Carbapenemase Producing Klebsiellapneumoniae in Makkah, Saudi Arabia. Journal of Microbiology and Infectious Diseases / 2016; 6 (3): 121-127.
