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“‫” بسم ا الرحمن الرحيم‬

Pseudomonas
Prof. Khalifa Sifaw Ghenghesh
Pseudomonas aeruginosa
• Oxidase-positive, Strict aerobe, Gram –ve rods

• A major Cause of Nosocomial Infections.
• Infection Occur in Patients with Altered Host
Defences, Wounds or Burns.

• In Non-Hospitalized Patients:
• Vehicles of Transmission:
• LABORATORY DIAGNOSIS:
– On BA
• Irregular, β -hemolytic colonies
• Oxidase-positive
• O-F test >> Aerobic
– On NA
• Bluish, irregular colonies

• TREATMENT

– Resistant to antimicrobial agents

• CONTROL
Resistance of Pseudomonas aeruginosa
isolated from different clinical sources
to antibiotics

Antibiotic

No. (%) resistant
(n=235)
-----------------------------------------------------Cefsulodin
61 (26)
Gentamicin
102 (43)
Carbenicillin
113 (48)
Resistance of Pseudomonas spp isolated
from hospital and community cockroaches
to antibiotics
No. (%) resistant
Antibiotic
Hospital
Community
Total
(n=34)
(n=9)
(n=43)
--------------------------------------------------------------------------------Ampicillin
33 (97)
9 (100)
42 (97)
Amoxicillin33 (97)
9 (100)
43 (100)
clavulanic acid
Ceftazidime
0 (0.0)
0 (0.0)
0 (0.0)
Cephalothin
34 (100)
9 (100)
43 (100)
Chloramphenicol
33 (97)
9 (100)
42 (97)
Gentamicin
4 (12)
0 (0.0)
4 (9.5)
Nalidixic acid
34 (100)
9 (100)
43 (100)
Nitrofurantoin
34 (100)
9 (100)
43 (100)
Ciprofloxacin
0 (0.0)
0 (0.0)
0 (0.0)
Tetracycline
32 (94)
9 (100)
41 (95.3)
Trimethoprim34 (100)
9 (100
43 (100)
sulphamethoxazole
Resistance of Pseudomonas spp isolated
from hospital and community cockroaches
to antibiotics
No. (%) resistant
Antibiotic
Hospital
Community
Total
(n=34)
(n=9)
(n=43)
--------------------------------------------------------------------------------Ampicillin
33 (97)
9 (100)
42 (97)
Amoxicillin33 (97)
9 (100)
43 (100)
clavulanic acid
Ceftazidime
0 (0.0)
0 (0.0)
0 (0.0)
Cephalothin
34 (100)
9 (100)
43 (100)
Chloramphenicol
33 (97)
9 (100)
42 (97)
Gentamicin
4 (12)
0 (0.0)
4 (9.5)
Nalidixic acid
34 (100)
9 (100)
43 (100)
Nitrofurantoin
34 (100)
9 (100)
43 (100)
Ciprofloxacin
0 (0.0)
0 (0.0)
0 (0.0)
Tetracycline
32 (94)
9 (100)
41 (95.3)
Trimethoprim34 (100)
9 (100
43 (100)
sulphamethoxazole

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Lecture 19 Pseudomonas

  • 1. “‫” بسم ا الرحمن الرحيم‬ Pseudomonas Prof. Khalifa Sifaw Ghenghesh
  • 2. Pseudomonas aeruginosa • Oxidase-positive, Strict aerobe, Gram –ve rods • A major Cause of Nosocomial Infections. • Infection Occur in Patients with Altered Host Defences, Wounds or Burns. • In Non-Hospitalized Patients: • Vehicles of Transmission:
  • 3.
  • 4. • LABORATORY DIAGNOSIS: – On BA • Irregular, β -hemolytic colonies • Oxidase-positive • O-F test >> Aerobic – On NA • Bluish, irregular colonies • TREATMENT – Resistant to antimicrobial agents • CONTROL
  • 5. Resistance of Pseudomonas aeruginosa isolated from different clinical sources to antibiotics Antibiotic No. (%) resistant (n=235) -----------------------------------------------------Cefsulodin 61 (26) Gentamicin 102 (43) Carbenicillin 113 (48)
  • 6. Resistance of Pseudomonas spp isolated from hospital and community cockroaches to antibiotics No. (%) resistant Antibiotic Hospital Community Total (n=34) (n=9) (n=43) --------------------------------------------------------------------------------Ampicillin 33 (97) 9 (100) 42 (97) Amoxicillin33 (97) 9 (100) 43 (100) clavulanic acid Ceftazidime 0 (0.0) 0 (0.0) 0 (0.0) Cephalothin 34 (100) 9 (100) 43 (100) Chloramphenicol 33 (97) 9 (100) 42 (97) Gentamicin 4 (12) 0 (0.0) 4 (9.5) Nalidixic acid 34 (100) 9 (100) 43 (100) Nitrofurantoin 34 (100) 9 (100) 43 (100) Ciprofloxacin 0 (0.0) 0 (0.0) 0 (0.0) Tetracycline 32 (94) 9 (100) 41 (95.3) Trimethoprim34 (100) 9 (100 43 (100) sulphamethoxazole
  • 7. Resistance of Pseudomonas spp isolated from hospital and community cockroaches to antibiotics No. (%) resistant Antibiotic Hospital Community Total (n=34) (n=9) (n=43) --------------------------------------------------------------------------------Ampicillin 33 (97) 9 (100) 42 (97) Amoxicillin33 (97) 9 (100) 43 (100) clavulanic acid Ceftazidime 0 (0.0) 0 (0.0) 0 (0.0) Cephalothin 34 (100) 9 (100) 43 (100) Chloramphenicol 33 (97) 9 (100) 42 (97) Gentamicin 4 (12) 0 (0.0) 4 (9.5) Nalidixic acid 34 (100) 9 (100) 43 (100) Nitrofurantoin 34 (100) 9 (100) 43 (100) Ciprofloxacin 0 (0.0) 0 (0.0) 0 (0.0) Tetracycline 32 (94) 9 (100) 41 (95.3) Trimethoprim34 (100) 9 (100 43 (100) sulphamethoxazole