Lecture presented at AB national day at Almahmoudiya General Hospital, Baghdad, Iraq Nov/2019

1. Antibiotic sensitive
bacterial isolates of Al-
Mahmoudiya G. Hospital
Alaa Fadhel Hassan M.Sc. Pharm.

2. • This presentation involve antibiotics’ – sensitive bacterial
isolates dependent on cultures sensitivity test obtained from
bacteriology unit from Jan. 2018 to July 2019.
• It doesn’t involve neither numbers nor ratios, but only
bacterial spp. & sensitive antibiotics.
• Antibiotics are listed according to their categories (only).
• Red cells include intrinsic resistant bacteria to antibiotic, that
shouldn’t be used even with sensitive culture.

3. Escherchia coli
2018 2019
Jan-June July-Sep. Oct.-Dec Jan-March April-June
Penicillin Penicillin
Ampicillin-
sulbactam
Amoxicillin-
clavulanic a.
Amoxicillin
clavulanic a.
Piperacillin Piperacillin
Ticarcillin
clavulanic a.
Ceftriaxone Ceftriaxone Ceftriaxone Ceftriaxone Ceftriaxone
Ceftazidime Ceftazidime Ceftazidime Ceftazidime Ceftazidime
Cefepime Cefepime Cefepime Cefepime Cefepime
Cefoxitine Cefoxitine Cefoxitine Cefoxitine Cefoxitine
Cephalothin
Cefamandol Cefamandol

4. Escherchia coli
2018 2019
Jan-June July-Sep. Oct.-Dec Jan-Mrach April-July
Amikacin Amikacin Amikacin Amikacin Amikacin
Gentamicin Gentamicin Gentamicin Gentamicin Gentamicin
Imipenem Imipenem Imipenem Imipenem Imipenem
Meropenem Meropenem Meropenem
Aztreonam Aztreonam Aztreonam Aztreonam Aztreonam
Azithromycin
Ciprofloxacin Ciprofloxacin Ciprofloxacin
Levofloxacin Levofloxacin Levofloxacin
Nalidixic a. Nalidixic a. Nalidixic a. Nalidixic a.
Tetracycline
Doxycycline
Chloramphenicol
Trimethoprim
Nitrofurantoin Nitrofurantoin Nitrofurantoin Nitrofurantoin

5. Klebsiella pneumonia
2018 2019
Jan-June July-Sep. Oct.-Dec Jan-March April-June
Ampicillin-
sulbactam
Amoxicillin-
Calvulanic a.
Ceftriaxone Ceftriaxone
Ceftazidime Ceftazidime
Cefoxitine
Cephalothin
Amikacin Amikacin
Gentamicin Gentamicin
Imipenem
Aztreonam
Nalidixic a.

6. Proteus mirabilis
2018 2019
Jan-June July-Sep. Oct.-Dec Jan-March April-June
Ceftriaxone Ceftriaxone
Ceftazidime
Cefepime Cefepime
Cefoxitine
Amikacin Amikacin
Gentamicin Gentamicin
Imipenem Imipenem
Meropenem
Aztreonam Aztreonam Aztreonam
Ciprofloxacin Ciprofloxacin
Levofloxacin

7. Enterobacter spp.
2018 2019
Jan-June July-Sep. Oct.-Dec Jan-March April-June
Penicillin Penicillin
Piperacillin
Ceftriaxone Ceftriaxone Ceftriaxone Ceftriaxone
Ceftazidime
Cefepime Cefepime Cefepime
Cefoxitine Cefoxitine
Cephalothin
Amikacin Amikacin
Gentamicin Gentamicin Gentamicin Gentamicin
Imipenem Imipenem
Meropenem Meropenem
Aztreonam Aztreonam Aztreonam Aztreonam

8. Enterobacter spp.
2018 2019
Jan-June July-Sep. Oct.-Dec Jan-March April-June
Ciprofloxacin Ciprofloxacin Ciprofloxacin
Levofloxacin
Moxifloxacin
Nalidixic a.
Tetracycline
Chloramphenicol
Trimethoprime
Nitrofurantoin Nitrofurantoin

9. Enterobacter cloacae & aerogenes
2018 2019
Jan-June July-Sep. Oct.-Dec Jan-March April-June March-April
Ceftazidime
Cefepime
Cefoxitine
Amikacin Amikacin
Gentamicin
Imipenem Imipenem
Meropenem Meropenem
Aztreonam
Ciprofloxacin Ciprofloxacin
Trimethoprim

10. Salmonella spp. & typhi
2018 2019
Jan-June July-Sep. Oct.-Dec Jan-March April-June April-June
Penicillin
Cefoxitine
Gentamicin
Imipenem
Azithromycin
Ciprofloxacin Ciprofloxacin
Levofloxacin
Tetracycline
Chloramphenicol Chloramphenicol
Trimethoprim

11. Acintobacter spp. & lowffii
2018 2019
Jan-June July-Sep. Oct.-Dec Jan-March April-June April-June
Amoxicillin-
clavulanic a.
Ceftriaxone Ceftriaxone Ceftriaxone
Cefepime
Cefoxitine
Cephalothin
Amikacin
Gentamicin
Meropenem
Ciprofloxacin
Nitrofurantoin

12. Pseudomonas aeruginosa
2018 2019
Jan-June July-Sep. Oct.-Dec Jan-March April-June
Piperacillin
Cefepime
Amikacin
Gentamicin
Aztreonam Aztreonam

13. Pseudomonas spp.
2018 2019
Jan-June July-Sep. Oct.-Dec Jan-March April-June
Penicillin
Ceftriaxone
Ceftazidime Ceftazidime
Cefepime Cefepime
Amikacin Amikacin Amikacin
Gentamicin Gentamicin Gentamicin
Imipenem
Meropenem
Aztreonam Aztreonam
Ciprofloxacin
Levofloxacin
Nalidixic a.

14. Klebsiella spp.
2018 2019
Jan-June July-Sep. Oct.-Dec Jan-March April-June
Ceftriaxone
Cefepime
Cefoxitine
Amikacin Amikacin
Gentamicin
Meropenem
Levofloxacin
Trimethoprim
Nitrofurantoin

15. Klebsiella oxytoca & ozaenae
2018 2019
Jan-June July-Sep. Oct.-Dec Oct.-Dec Jan-March April-June April-June
Ceftriaxone
Ceftazidime
Cefepime
Amikacin
Gentamicin
Imipenem
Aztreonam Aztreonam
Azithromycin
Levofloxacin
Nalidixic a.
Nitrofurantoin

16. Aeromonas
2018 2019
Jan-June July-Sep. Oct.-Dec Jan-March April-June
Ceftriaxone
Cefepime
Amikacin
Gentamicin
Imipenem
Levofloxacin
Chloramphenicol
Nitrofurantoin

17. Staphylococcus aureus
2018 2019
Jan-June July-Sep. Oct.-Dec Jan-March April-June
Penicillin
Ceftriaxone Ceftriaxone Ceftriaxone
Cefepime
Cefoxitine
Amikacin Amikacin
Gentamicin Gentamicin Gentamicin Gentamicin Gentamicin
Azithromycin Azithromycin Azithromycin
Erythromycin Erythromycin Erythromycin
Ciprofloxacin Ciprofloxacin Ciprofloxacin Ciprofloxacin
Levofloxacin Levofloxacin Levofloxacin
Vancomycin Vancomycin Vancomycin Vancomycin Vancomycin

18. Staphylococcus aureus
2018 2019
Jan-June July-Sep. Oct.-Dec Jan-March April-June
Vancomycin Vancomycin Vancomycin Vancomycin Vancomycin
Tetracycline Tetracycline Tetracycline Tetracycline
Doxycycline Doxycycline Doxycycline
Chloramphenicol Chloramphenicol
Trimethoprim
Nitrofurantoin Nitrofurantoin Nitrofurantoin
Clindamycin Clindamycin Clindamycin

19. Staphylococcus spp.
2018 2019
Jan-June July-Sep. Oct.-Dec Jan-March April-June
Ceftriaxone
Cefepime
Amikacin Amikacin
Gentamicin Gentamicin Gentamicin
Imipenem
Azithromycin
Erythromycin Erythromycin
Ciprofloxacin Ciprofloxacin
Levofloxacin Levofloxacin
Vancomycin Vancomycin
Tetracycline
Doxycycline
Chloramphenicol
Nitrofurantoin

20. Staphylococcus saprophyticus
2018 2019
Jan-June July-Sep. Oct.-Dec Jan-March April-June
Penicillin
Oxacillin
Teicarcillin
Amikacin
Gentamicin Gentamicin Gentamicin
Tobramycin
Imipenem
Meropenem
Azithromycin
Erythromycin Erythromycin

21. Staphylococcus saprophyticus
2018 2019
Jan-June July-Sep. Oct.-Dec Jan-March April-June
Ciprofloxacin Ciprofloxacin
Levofloxacin Levofloxacin
Moxifloxacin
Vancomycin Vancomycin Vancomycin
Tetracycline
Doxycycline Doxycycline
Trimethoprim
Refampin
Nitrofurantoin Nitrofurantoin
Clindamycin
Linezolid

22. Staphylococcus epidermidis & Kloosi
2018 2019
Jan-June July-Sep. Oct.-Dec Jan-March April-June April-June
Gentamicin Gentamicin
Levofloxacin
Vancomycin Vancomycin
Tigecycline
Tetracycline
Trimethoprime
Rifampin
Nitrofurantoin
Linzolid

23. Streptococcus pneumonia & faecalis
2018 2019
Jan-June July-Sep. Oct.-Dec Jan-March April-June April-June
Ticarcillin
clavulanic a.
Ceftriaxone Ceftriaxone
Cefepime
Amikacin
Meropenem
Levofloxacin
Azithromycin
Erythromycin
Chloramphenicol
Clindamycin

24. Streptococcus pyogenes
2018 2019
Jan-June July-Sep. Oct.-Dec Jan-March April-June
Amoxicillin- clavulanic a.
Ceftriaxone Ceftriaxone Ceftriaxone
Cefepime Cefepime Cefepime
Amikacin
Gentamicin
Imipenem
Meropenem Meropenem
Aztreonam
Azithromycin Azithromycin
Erythromycin Erythromycin Erythromycin
Levofloxacin Levofloxacin
Vancomycin Vancomycin Vancomycin Vancomycin
Tetracycline Tetracycline Tetracycline
Chloramphenicol Chloramphenicol
Clindamycin Clindamycin

25. Enterococcus spp.
2018 2019
Jan-June July-Sep. Oct.-Dec Jan-March April-June
Penicillin
Ceftriaxone Ceftriaxone Ceftriaxone
Cefepime Cefepime Cefepime Cefepime
Cephalothin
Amikacin
Gentamicin Gentamicin
Imipenem
Meropenem
Aztreonam
Azithromycin
Erythromycin Erythromycin Erythromycin

26. Enterococcus spp.
2018 2019
Jan-June July-Sep. Oct.-Dec Jan-March April-June
Vancomycin Vancomycin Vancomycin Vancomycin Vancomycin
Tetracycline Tetracycline
Doxycycline Doxycycline Doxycycline
Chloramphenicol Chloramphenicol
Nitrofurantoin Nitrofurantoin Nitrofurantoin Nitrofurantoin
Clindamycin

27. Streptococcus spp.
2018 2019
Jan-June July-Sep. Oct.-Dec Jan-March April-June
Penicillin
Ceftriaxone Ceftriaxone Ceftriaxone
Cefepime
Amikacin
Gentamicin Gentamicin
Meropenem Meropenem Meropenem
Aztreonam
Azithromycin Azithromycin
Erythromycin Erythromycin
Ciprofloxacin Ciprofloxacin
Levofloxacin Levofloxacin Levofloxacin

28. Streptococcus spp.
2018 2019
Jan-June July-Sep. Oct.-Dec Jan-March April-June
Tetracycline
Doxycycline
Vancomycin Vancomycin Vancomycin Vancomycin Vancomycin
Chloramphenicol Chloramphenicol
Nitrofurantoin
Clindamycin Clindamycin

29. Streptococcus agalactiae
2018 2019
Jan-June July-Sep. Oct.-Dec Jan-March April-June
Ceftriaxone
Cefepime
Meropenem Meropenem
Azithromycin
Erythromycin
Levofloxacin Levofloxacin
Vancomycin Vancomycin
Tetracycline
Chloramphenicol Chloramphenicol

30. Streptococcus viridans & parasanguinis
2018 2019
Jan-June July-Sep. Oct.-Dec Jan-March April-June Jan-March
Ceftriaxone Ceftriaxone
Cefepime
Meropenem
Azithromycin Azithromycin
Erythromycin
Levofloxacin Levofloxacin
Moxifloxacin
Vancomycin Vancomycin
Tetracycline
Tigecycline
Chloramphenicol Chloramphenicol
Linzolid

31. Enterococcus cloacae
2018 2019
Jan-June July-Sep. Oct.-Dec Jan-March April-June
Cefepime
Gentamicin
Imipenem
Aztreonam

32. Micrococcus spp.
2018 2019
Jan-June July-Sep. Oct.-Dec Jan-March April-June
Azithromycin
Erythromycin
Levofloxacin
Tetracycline

33. Candida spp.
2018 2019
Jan-June July-Sep. Oct.-Dec Jan-March April-June
Miconazole Miconazole
Ketoconazole Ketoconazole
Econazole Econazole
Nystatin Nystatin
Clotrimazole Clotrimazole

34. Candida albicans
2018 2019
Jan-June July-Sep. Oct.-Dec Jan-March April-June
Miconazole Miconazole Miconazole
Ketoconazole Ketoconazole Ketoconazole Ketoconazole
Econazole Econazole Econazole Econazole
Nystatin Nystatin Nystatin
Clotrimazole Clotrimazole Clotrimazole Clotrimazole

36. THANK YOU