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Volume 3 • Issue 4 • 1000173
J Trop Dis
ISSN: 2329-891X JTD, an open access journal
Research Article Open Access
Trivedi et al., J Trop Dis 2015, 3:4
http://dx.doi.org/10.4173/2329-891X.1000173
Research Article	 Open Access
Journal of Tropical Diseases
JournalofTro
pical Diseases &
PublicHealth
ISSN: 2329-891X
Antibiogram Typing and Biochemical Characterization of Klebsiella
pneumoniae after Biofield Treatment
Mahendra Kumar Trivedi1
, Alice Branton1
, Dahryn Trivedi1
, Harish Shettigar1
, Mayank Gangwar2
and Snehasis Jana2
*
1
Trivedi Global Inc., 10624 S Eastern Avenue Suite A-969, Henderson, NV 89052, USA
2
Trivedi Science Research Laboratory Pvt. Ltd., Hall-A, Chinar Mega Mall, Chinar Fortune City, Hoshangabad Rd., Bhopal-462026, Madhya Pradesh, India
*Corresponding author: Dr. Snehasis Jana, Trivedi Science Research Laboratory
Pvt. Ltd., Hall-A, Chinar Mega Mall, Chinar Fortune City, Hoshangabad Rd., Bhopal-
462026, Madhya Pradesh, India, Tel: +91-755-6660006; E-mail: publication@
trivedisrl.com
Received August 01, 2015; Accepted August 13, 2015; Published August 20, 2015
Citation: Trivedi MK, Branton A, Trivedi D, Shettigar H, Gangwar M, et al. (2015)
Antibiogram Typing and Biochemical Characterization of Klebsiella Pneumonia
after Biofield Treatment. J Trop Dis 3: 173. doi:10.4173/2329891X.1000173
Copyright: © 2015 Trivedi MK, et al. This is an open-access article distributed
under the terms of the Creative Commons Attribution License, which permits
unrestricted use, distribution, and reproduction in any medium, provided the
original author and source are credited.
Keywords: Klebsiella pneumoniae; Biofield Treatment; Multidrug-
Resistant; Antimicrobial susceptibility; Biochemical Reaction;
Biotyping
Introduction
Klebsiella pneumoniae (K. pneumoniae) is Gram-negative, rod-
shaped, facultative anaerobic, and nonmotile bacterium, belongs to
family Enterobacteriaceae. It is a common human pathogen associated
with nosocomial and community infections [1]. K. pneumoniae isolates
causes several infections such as pneumonia, septicemia, wound
infections, and urinary tract infections, which ultimately lead to
morbidity and mortality especially in immunocompromised patients,
and patients of intensive care units, pediatrics and surgical wards [2].
K. pneumoniae acquire resistance against existing antimicrobials by
multiple mechanism results in increased multidrug-resistant (MDR)
of K. pneumoniae that leads to serious problem in hospital settings
and health concern. Emergence of resistance occurs not only in
MDR isolates but also exist in pan-drug resistant (PDR) isolates of K.
pneumoniae. PDR refers to the resistant strains those are specifically
resistant to 7 antimicrobial agents such as cefepime, imipenem,
meropenem, ceftazidime, ciprofloxacin, piperacillin-tazobactam,
and levofloxacin [3]. Apart from this, the extended-spectrum
β-lactamase (ESBL) producing Klebsiella from a patient has been
identified which causes serious threat worldwide [4,5]. Continuous
use of antibiotics leads to resistance in microorganisms via. different
pathways mediated by plasmids, transposons, and gene cassettes in
integrons [6,7]. Carbapenem is usually preferred for the infection
caused by MDR isolates of K. pneumoniae but recently carbapenem-
resistant K. pneumoniae was also reported [8]. Due to dramatically
increase in drug resistant in K. pneumoniae, very few treatment
options are available. Alternative approaches are available but altering
the sensitivity pattern of antimicrobials using biofield is not available
against MDR microorganism, apart from existing allopathic system of
medicine. Biofield treatment may be an alternative approach to alter
the susceptibility pattern of K. pneumoniae. Complementary and
alternative medicine (CAM) therapies are commonly practiced in
healthcare sector and about 36% of Americans regularly uses some form
of CAM [9]. CAM include numerous energy therapies, biofield therapy,
is one of the energy medicine widely used worldwide to improve the
human health. The energy exists in various forms that can be produced
from different sources such as potential, electrical, kinetic, magnetic,
and nuclear energy. However, electromagnetic field defines as when
electrical signals fluctuate will generate magnetic field with respect
to time. The cumulative effect of bio-magnetic and electric field that
surrounds the human body is defined as biofield. The biofield energy can
be monitored by using electromyography (EMG), electrocardiography
(ECG) and electroencephalogram (EEG) [10]. According to Lucchetti
et al. biofield energy has shown significant effect on growth of bacterial
cultures [11]. Mr. Trivedi has the ability to harness the energy from
environment or universe and can transmit into any living or nonliving
object(s) around the Universe. The objects always receive the energy
and responding into useful way via biofield energy and the process is
known as biofield treatment. Mr. Trivedi’s unique biofield treatment is
also known as The Trivedi Effect®
. Mr. Trivedi’s biofield treatment was
extensively studied in different fields such as in material science [12,13],
agricultural science [14-16], and in biotechnology [17]. Further,
Abstract
Klebsiella pneumoniae (K. pneumoniae) is a common nosocomial pathogen causing respiratory tract (pneumoniae)
and blood stream infections. Multidrug-resistant (MDR) isolates of K. pneumoniae infections are difficult to treat in
patients in health care settings. Aim of the present study was to determine the impact of Mr. Trivedi’s biofield treatment
on four MDR clinical lab isolates (LS) of K. pneumoniae (LS 2, LS 6, LS 7, and LS 14). Samples were divided into
two groups i.e. control and biofield treated. Control and treated groups were analyzed for antimicrobial susceptibility
pattern, minimum inhibitory concentration (MIC), biochemical study and biotype number using MicroScan Walk-Away®
system. The analysis was done on day 10 after biofield treatment as compared with control group. Antimicrobial
sensitivity assay showed that there was 46.42% alteration in sensitivity of tested antimicrobials in treated group of
MDR K. pneumonia isolates. MIC results showed an alteration in 30% of tested antimicrobials out of thirty after biofield
treatment in clinical isolates of K. pneumoniae. An increase in antimicrobial sensitivity and decrease in MIC value was
reported (in LS 6) in case of piperacillin/tazobactam and piperacillin. Biochemical study showed a 15.15% change in
biochemical reactions as compared to control. A significant change in biotype numbers were reported in all four clinical
isolates of MDR K. pneumoniae after biofield treatment as compared to control group. On the basis of changed biotype
number after biofield treatment, new organism was identified as Enterobacter aerogenes in LS 2 and LS 14. These
results suggest that biofield treatment has a significant effect on altering the antimicrobial sensitivity, MIC values,
biochemical reactions and biotype number of multidrug-resistant isolates of K. pneumoniae.
Citation: Trivedi MK, Branton A, Trivedi D, Shettigar H, Gangwar M, et al. (2015) Antibiogram Typing and Biochemical Characterization of Klebsiella
Pneumonia after Biofield Treatment. J Trop Dis 3: 173. doi:10.4173/2329891X.1000173
Page 2 of 6
Volume 3 • Issue 4 • 1000173
J Trop Dis
ISSN: 2329-891X JTD, an open access journal
the biofield treatment has considerably altered the susceptibility of
antimicrobials and biotype of microbes [18-20]. By considering the
above mentioned facts and literature reports on biofield treatment,
the present work was undertaken to evaluate the impact of biofield
treatment on antimicrobials susceptibility, biochemical reactions
pattern, and biotype of MDR isolates of K. pneumoniae.
Materials and Methods
Experimental design and bacterial isolates
MDR clinical lab isolates (i.e. LS 2, LS 6, LS 7 and LS 14) of K.
pneumoniae were obtained from stored stock cultures in Microbiology
Lab, Hinduja Hospital, Mumbai. Each MDR strains was divided
into two groups i.e. control and treatment. The acceptability of the
identification media and antimicrobial agents were checked prior to the
study on microorganisms. The antimicrobial susceptibility, biochemical
reactions, and biotype number were evaluated on MicroScan Walk-
Away®
(Dade Behring Inc., West Sacramento, CA) using Negative
Breakpoint Combo 30 (NBPC 30) panel. The NBPC 30 panel was stored
at 2 to -25ºC. All antimicrobials and biochemicals were procured from
Sigma Aldrich, USA.
Biofield treatment strategy
Treatment groups of each strain, in sealed pack were handed over
to Mr. Trivedi for biofield treatment under laboratory conditions. Mr.
Trivedi provided the treatment through his energy transmission process
to the treated groups without touching the samples. The biofield treated
samples were returned in the similar sealed condition and analyzed
on day 10 using the standard protocols. The study was conducted on
automated MicroScan Walk-Away®
system (Dade Behring Inc., USA).
Evaluation of antimicrobial susceptibility assay
Antimicrobial susceptibility patterns of MDR lab isolates of K.
pneumoniae were studied using MicroScan Walk-Away®
using Negative
BreakPointCombo(NBPC30)panelaspermanufacturer’sinstructions.
The antimicrobial susceptibility pattern (S: Susceptible, I: Intermediate,
IB: Inducible β-lactamase; EBL: Suspected extended-spectrum β
-lactamases, and R: Resistant) and MIC values were determined by
observing the lowest antimicrobial concentration showing growth
inhibition [21]. The antimicrobials used in the susceptibility assay viz.
amikacin, amoxicillin/k-clavulanate, ampicillin/sulbactam, ampicillin,
aztreonam, cefazolin, cefepime, cefotaxime, cefotetan, cefoxitin,
ceftazidime, ceftriaxone, cefuroxime, cephalothin, chloramphenicol,
ciprofloxacin, gatifloxacin, gentamicin, imipenem, levofloxacin,
meropenem, moxifloxacin, norfloxacin, nitrofurantoin piperacillin,
piperacillin/tazobactam, tetracycline, ticarcillin/K-clavulanate,
tobramycin, and trimethoprim/sulfamethoxazole
Biochemical study
Biochemical studies of each MDR isolates of K. pneumoniae were
determined by MicroScan Walk-Away®
using NBPC 30 panel system
in both control and treated groups. Biochemicals used in the study
are acetamide, adonitol, arabinose, arginine, cetrimide, cephalothin,
citrate, colistin, esculin hydrolysis, nitrofurantoin, glucose, hydrogen
sulfide, indole, inositol, kanamycin, lysine, malonate, melibiose, nitrate,
oxidation-fermentation, galactosidase, ornithine, oxidase, penicillin,
raffinose, rhamnose, sorbitol, sucrose, tartarate, tryptophan deaminase,
tobramycin, urea, and Voges-Proskauer [21].
Identification by biotype number
The biotype number of each MDR isolates of K. pneumoniae in
control and treated sample were determined followed by identification
of microorganism by MicroScan Walk-Away®
processed panel data
report with the help of biochemical reaction data [21].
Results and Discussion
Antimicrobial susceptibility study
Results of antimicrobial sensitivity pattern and MIC values of
control and treated MDR isolates of K. pneumoniae are summarized
in Tables 1 and 2, respectively. All these changes were observed on 10
days after biofield treatment as compared to control group. Overall,
46.42% of tested antimicrobials out of twenty eight, showed alteration
in antimicrobial sensitivity pattern against biofield treated MDR
isolates of K. pneumoniae. All four MDR isolates, showed variations
in antimicrobial sensitivity assay viz. 32.14% in LS 2, 25% in LS 6,
17.85% in LS 7, and 28.57% in LS 14 against the tested antimicrobials
(Figure 1). Extended spectrum beta-lactamases (ESBLs) are rapidly
evolved group of beta-lactamases enzyme, which confer resistance to
most beta-lactam antibiotics, including penicillins, cephalosporins,
monobactam and aztreonam. Apart from beta-lactam antibiotics,
ESBLs are also resistant to other classes of non-penicillin antibiotics
[22]. Beta-lactamases are enzymes that inactivates the antibiotic and are
present in almost all Gram-negative bacilli. However, some pathogenic
species, such as E. coli and Klebsiella spp., are not able to induce the
production of β-lactamase which varies from low to high level. In
some species, exposure to β-lactams will induced the production level
of β-lactamase, commonly results in resistance to these agents. These
inducible β-lactamases are frequently found in Enterobacter spp. [23].
Experimental results of antimicrobial sensitivity assay showed altered
sensitivity pattern in biofield treated clinical isolates of K. pneumonia.
Aztreonam, cefotaxime, ceftazidime, and ceftriaxone sensitivity
changed from EBL → R in LS 2 and LS 14. Sensitivity of amoxicillin/k-
clavulanate changed from S → R in LS 7 and LS 14, while S → IB and
I → R in LS 2 and LS 6 respectively. Cefotetan and cefoxitin found
changed sensitivity pattern from S → R in LS 7, and while S → IB in
LS 2. Sensitivity of cefotetan changed from I → R in LS 6 while S →
IB in LS 14. Chloramphenicol and imipenem sensitivity changed from
S → R in LS 6. Although, in imipenem sensitivity changed from S →
I in LS 6. Meropenem sensitivity changed from I → R and S → R in
LS 6 and LS 7 respectively. An increase in sensitivity was reported in
piperacillin/tazobactam and piperacillin i.e. from R → I in biofield
treated LS 6 as compared to control. Although, piperacillin/tazobactam
sensitivity changed from S → IB and S → I in LS 2 and LS 14 respectively.
Ticarcillin/K-clavulanate sensitivity altered from S → I and S → R in LS
2 and LS 14 respectively (Table 1). Rest of antimicrobials did not show
any change in sensitivity pattern after biofield treatment.
Determination of Minimum Inhibitory Concentration (MIC)
MIC values of all the clinical MDR isolates of control and biofield
treated K. pneumoniae are summarized in Table 2. MIC values were
decreased in case of piperacillin/tazobactam and piperacillin in LS
6 isolate only, while in rest of the antimicrobials, MIC values were
increased as compared to control. Overall, MIC results showed an
alteration in 30% tested antimicrobials (i.e. nine out of thirty) after
biofield treatment in clinical isolates of K. pneumoniae (Table 2 and
Figure 1). A decreased in MIC values in piperacillin/tazobactam and
piperacillin were reported along with increases antimicrobial sensitivity
after biofield treatment (64 µg/ml) in LS 6. Current treatment strategy
Citation: Trivedi MK, Branton A, Trivedi D, Shettigar H, Gangwar M, et al. (2015) Antibiogram Typing and Biochemical Characterization of Klebsiella
Pneumonia after Biofield Treatment. J Trop Dis 3: 173. doi:10.4173/2329891X.1000173
Page 3 of 6
Volume 3 • Issue 4 • 1000173
J Trop Dis
ISSN: 2329-891X JTD, an open access journal
S. No. Antimicrobial
LS 2 LS 6 LS 7 LS 14
C T C T C T C T
1 Amikacin S S R R R R S S
2 Amoxicillin/k-clavulanate S IB I R S R S R
3 Ampicillin/sulbactam R R R R R R R R
4 Ampicillin R R R R R R R R
5 Aztreonam EBL R EBL EBL EBL EBL EBL R
6 Cefazolin R R R R R R R R
7 Cefepime R R R R R R R R
8 Cefotaxime EBL R EBL EBL EBL EBL EBL R
9 Cefotetan S IB I R S R S IB
10 Cefoxitin S IB R R S R R R
11 Ceftazidime EBL R EBL EBL EBL EBL EBL R
12 Ceftriaxone EBL R EBL EBL EBL EBL EBL R
13 Cefuroxime R R R R R R R R
14 Cephalothin R R R R R R R R
15 Chloramphenicol S S S R R R I I
16 Ciprofloxacin S S R R R R R R
17 Gatifloxacin S S R R R R R R
18 Gentamicin R R R R R R R R
19 Imipenem S S S R S I S S
20 Levofloxacin S S R R R R R R
21 Meropenem S S I R S R S S
22 Moxifloxacin S S R R R R R R
23 Piperacillin R R R I R R R R
24 Piperacillin/tazobactam S IB R I R R S I
25 Tetracycline S S R R R R R R
26 Ticarcillin/k-clavulanate S I R R R R S R
27 Tobramycin R R R R R R R R
28 Trimethoprim/sulfamethoxazole S S R R R R R R
C: Control; T: Treatment; R: Resistant; I: Intermediate; S: Susceptible; LS: Lab Isolate; EBL: Suspected extended-spectrum beta-lactamases
Table 1: Effect of biofield treatment on multidrug resistant lab isolates of Klebsiella pneumoniae to antimicrobial susceptibility.
against K. pneumoniae infections preferably uses cefoperazone/
sulbactam, piperacillin/tazobactam, and imipenem antimicrobials
[24]. Although, piperacillin/tazobactam antimicrobial agent is useful
and preferred in neonatal infections caused due to K. pneumoniae [25].
Biofield treatment in clinical isolate (LS 6) significantly increased the
sensitivity and decreased the MIC values of piperacillin/tazobactam
and piperacillin. In Enterobacteriaceae family, the most prevalent
mechanism of acquired resistance in β-lactam antibiotics (piperacillin/
tazobactam and piperacillin) are the production of β-lactamases [26].
Biofield treatment might act on enzymatic or genetic level which might
affects the β-lactamases production that may lead to alter the sensitivity
pattern of tested antimicrobials.
Biochemical and biotype number study
Biochemical study results of control and biofield treated groups
are summarized in Table 3 and Figure 1. Results showed that overall
15.15% change in tested biochemical reactions among 4 treated MDR
clinical isolates of K. pneumoniae as compared to control. Cetrimide
changed from (-) negative to (+) positive reaction in LS 6, LS 7, and LS
14 as compared to control. Voges-Proskauer changed from (+) positive
to (-) negative reaction in LS 2, LS 6, and LS 7. Indole changed from
(+) positive to (-) negative reaction in LS 7. Ornithine changed from
negative (-) to positive (+) reaction in LS 14. Rest of biochemicals did
not show any alteration in their reaction after biofield treatment. Voges-
Proskauer, citrate, arabinose, lysine, glucose, sucrose, malonate are the
standard positive reaction biochemical tests of K. pneumoniae while
hydrogen sulfide, indole, ornithine and cetrimide are the standard
negative reaction test. Biochemical reactions of control MDR isolates
of K. pneumoniae were well supported with literature data [27]. Based
on the biochemical results, significant alteration in biotype numbers
were observed in all the four biofield treated lab isolates i.e. LS 2, LS 6,
LS 7, and LS 14 as compared to control. New organism was identified
as Enterobacter aerogenes in LS 2 and LS 14 after biofield treatment
on day 10 with respect to control (Table 4). Biofield treatment as
an alternate and complementary medicine, increasingly used in
biomedical health care system such as reduction in pain and anxiety
[28]. However, National Center for Complementary and Alternative
Medicine/National Institute of Health (NCCAM/NIH), now defined
biofield therapies in subcategory of energy therapies as one of the
five complementary medicine domain [29]. Mr. Trivedi’s biofield
treatment in pathogenic microbes were extensively studied and had
shown significant alteration in the antimicrobial sensitivity pattern,
biochemical reactions, and biotype number [18,19]. Biofield treatment
might be responsible to do alteration in microorganism at genetic level
and/or enzymatic level, which may act on receptor protein. While
altering receptor protein, ligand-receptor/protein interactions may
also alter that could lead to show different phenotypic characteristics.
Hence a cascade of intra-cellular signals may be initiated, accelerated or
inhibited [30]. The overall observations showed that, biofield treatment
on MDR isolates of K. pneumoniae induced significant alteration in
antimicrobial susceptibility pattern, MIC values, biochemical reactions,
and biotype number.
Citation: Trivedi MK, Branton A, Trivedi D, Shettigar H, Gangwar M, et al. (2015) Antibiogram Typing and Biochemical Characterization of Klebsiella
Pneumonia after Biofield Treatment. J Trop Dis 3: 173. doi:10.4173/2329891X.1000173
Page 4 of 6
Volume 3 • Issue 4 • 1000173
J Trop Dis
ISSN: 2329-891X JTD, an open access journal
S. No. Antimicrobial
LS 2 LS 6 LS 7 LS 14
C T C T C T C T
1 Amikacin ≤16 ≤16 >32 >32 >32 >32 ≤16 ≤16
2 Amoxicillin/ Clavulanic acid ≤8/ 4 ≤8/4 16/8 >16/8 ≤8/4 >16/8 ≤8/4 >16/8
3 Ampicillin/Sulbactam >16/8 >16/8 >16/8 >16/8 >16/8 >16/8 >16/8 >16/8
4 Ampicillin >16 >16 >16 >16 >16 >16 >16 >16
5 Aztreonam >16 >16 >16 16 >16 >16 >16 >16
6 Cefazolin >16 >16 >16 >16 >16 >16 >16 >16
7 Cefepime >16 >16 >16 >16 >16 >16 >16 >16
8 Cefotaxime >32 >32 >32 >32 >32 >32 >32 >32
9 Cefotetan ≤16 ≤16 32 >32 ≤16 >32 ≤16 ≤16
10 Cefoxitin ≤8 ≤8 >16 >16 ≤8 >16 >16 >16
11 Ceftazidime >16 >16 >16 >16 >16 >16 >16 >16
12 Ceftriaxone >32 >32 >32 >32 >32 >32 >32 >32
13 Cefuroxime >16 >16 >16 >16 >16 >16 >16 >16
14 Cephalothin >16 >16 >16 >16 >16 >16 >16 >16
15 Chloramphenicol ≤8 ≤8 ≤8 >16 >16 >16 16 16
16 Ciprofloxacin ≤1 ≤1 >2 >2 >2 >2 >2 >2
17 Gatifloxacin ≤2 ≤2 >4 >4 >4 >4 >4 >4
18 Gentamicin >8 >8 >8 >8 >8 >8 >8 >8
19 Imipenem ≤4 ≤4 ≤4 >8 ≤4 8 ≤4 ≤4
20 Levofloxacin ≤2 ≤2 >4 >4 >4 >4 >4 >4
21 Meropenem ≤4 ≤4 8 >8 ≤4 >8 ≤4 ≤4
22 Moxifloxacin ≤2 ≤2 >4 >4 >4 >4 >4 >4
23 Nitrofurantoin ≤32 ≤32 >64 >64 >64 >64 ≤32 ≤32
24 Norfloxacin ≤4 ≤4 >8 >8 >8 >8 >8 >8
25 Piperacillin >64 >64 >64 64 >64 >64 >64 >64
26 Piperacillin/Tazobactam ≤16 ≤16 >64 64 >64 >64 ≤16 64
27 Tetracycline ≤4 ≤4 >8 >8 >8 >8 >8 >8
28 Ticarcillin/K-Clavulanate ≤16 64 >64 >64 >64 >64 ≤16 >64
29 Tobramycin >8 >8 >8 >8 >8 >8 >8 >8
30 Trimethoprim/Sulfamethoxazole ≤2/38 ≤2/38 >2/38 >2/38 >2/38 >2/38 >2/38 >2/38
MIC values are presented in µg/ml; C: Control; T: Treatment; LS: Lab Isolate
Table 2: Minimum inhibitory concentration (MIC) of multidrug resistant lab isolates of Klebsiella pneumoniae.
Figure 1: Percentage change in antimicrobial sensitivity pattern, minimum inhibitory concentrations and biochemical reactions after biofield treatment in multi-drug
resistant lab isolates of Klebsiella pneumonia.
Citation: Trivedi MK, Branton A, Trivedi D, Shettigar H, Gangwar M, et al. (2015) Antibiogram Typing and Biochemical Characterization of Klebsiella
Pneumonia after Biofield Treatment. J Trop Dis 3: 173. doi:10.4173/2329891X.1000173
Page 5 of 6
Volume 3 • Issue 4 • 1000173
J Trop Dis
ISSN: 2329-891X JTD, an open access journal
S. No. Code Biochemical
LS 2 LS 6 LS 7 LS 14
C T C T C T C T
1 ACE Acetamide - - - - - - - -
2 ADO Adonitol + + + + + + + +
3 ARA Arabinose + + + + + + + +
4 ARG Arginine - - - - - - - -
5 CET Cetrimide - - - + - + - +
6 CF8 Cephalothin + + + + + + + +
7 CIT Citrate + + + + + + + +
8 CL4 Colistin - - - - - - - -
9 ESC Esculin hydrolysis + + + + + + + +
10 FD64 Nitrofurantoin - - + + + + - -
11 GLU Glucose + + + + + + + +
12 H2S Hydrogen sulfide - - - + - - - -
13 IND Indole - - - - + - - -
14 INO Inositol + + + + + + + +
15 K4 Kanamycin + + + + + + + +
16 LYS Lysine + + + + + + + +
17 MAL Malonate + + + + + + + +
18 MEL Melibiose + + + + + + + +
19 NIT Nitrate + + + + - - + +
20 OF/G Oxidation-Fermentation + + + + + + + +
21 ONPG Galactosidase + + + + - - + +
22 ORN Ornithine - - - - - - - +
23 OXI Oxidase - - - - - - - -
24 P4 Penicillin + + + + + + + +
25 RAF Raffinose + + + + + + + +
26 RHA Rhamnose + + + + + + + +
27 SOR Sorbitol + + + + + + + +
28 SUC Sucrose + + + + + + + +
29 TAR Tartrate + + + + - - - -
30 TDA Tryptophan Deaminase - - - - - - - -
31 TO4 Tobramycin + + + + + + + +
32 URE Urea - - + + + + + +
33 VP Voges-Proskauer + - + - + - + +
C: Control; T: Treatment; LS: Lab Isolate; -: Negative; +: Positive
Table 3: Effect of biofield treatment on multidrug resistant lab isolates of Klebsiella pneumoniae to the vital processes occurring in living organisms.
Isolate Group Biotype Number Organism Identification
LS 2
C 7770 4372 K. pneumoniae
T 7770 4272 Enterobacter aerogenes
LS 6
C 7774 4372 K. pneumoniae
T 7776 4272 K. pneumoniae
LS 7
C 7774 4362 K. pneumoniae
T 7774 4262 K. pneumoniae
LS 14
C 7774 4372 K. pneumoniae
T 7774 5372 Enterobacter aerogenes
C: Control; T: Treatment; LS: Lab Isolate
Table 4: Effect of biofield treatment on multidrug resistant lab isolates of Klebsiella pneumoniae to distinguishing feature of the genotype
Conclusion
Overall data conclude that there has a significant impact of
biofield treatment on antimicrobial susceptibility pattern, MIC values,
biochemical reactions, and biotype number in all the four clinical
MDR lab isolates of K. pneumoniae. Based on the study outcome,
biofield treatment could be applied to alter the sensitivity pattern of
antimicrobials, against multi-drug resistance isolates of K. pneumoniae.
Acknowledgement
Authors gratefully acknowledged the whole team of PD Hinduja National
Hospital and MRC, Mumbai, Microbiology Lab for conducting experimental studies.
Authors would also thankful to Trivedi Science™, Trivedi Master Wellness™ and
Trivedi Testimonials for their generous support in experimental works.
Conflict of Interest
The authors declare that they have no competing interest.
Citation: Trivedi MK, Branton A, Trivedi D, Shettigar H, Gangwar M, et al. (2015) Antibiogram Typing and Biochemical Characterization of Klebsiella
Pneumonia after Biofield Treatment. J Trop Dis 3: 173. doi:10.4173/2329891X.1000173
Page 6 of 6
Volume 3 • Issue 4 • 1000173
J Trop Dis
ISSN: 2329-891X JTD, an open access journal
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Citation: Trivedi MK, BrantonA, Trivedi D, Shettigar H, Gangwar M, et al. (2015)
Antibiogram Typing and Biochemical Characterization of Klebsiella Pneumonia
after Biofield Treatment. J Trop Dis 3: 173. doi:10.4173/2329891X.1000173
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Physical, Thermal and Spectroscopic Characterization of m-Toluic Acid: an Impact of Biofield Treatment

  • 1. Volume 3 • Issue 4 • 1000173 J Trop Dis ISSN: 2329-891X JTD, an open access journal Research Article Open Access Trivedi et al., J Trop Dis 2015, 3:4 http://dx.doi.org/10.4173/2329-891X.1000173 Research Article Open Access Journal of Tropical Diseases JournalofTro pical Diseases & PublicHealth ISSN: 2329-891X Antibiogram Typing and Biochemical Characterization of Klebsiella pneumoniae after Biofield Treatment Mahendra Kumar Trivedi1 , Alice Branton1 , Dahryn Trivedi1 , Harish Shettigar1 , Mayank Gangwar2 and Snehasis Jana2 * 1 Trivedi Global Inc., 10624 S Eastern Avenue Suite A-969, Henderson, NV 89052, USA 2 Trivedi Science Research Laboratory Pvt. Ltd., Hall-A, Chinar Mega Mall, Chinar Fortune City, Hoshangabad Rd., Bhopal-462026, Madhya Pradesh, India *Corresponding author: Dr. Snehasis Jana, Trivedi Science Research Laboratory Pvt. Ltd., Hall-A, Chinar Mega Mall, Chinar Fortune City, Hoshangabad Rd., Bhopal- 462026, Madhya Pradesh, India, Tel: +91-755-6660006; E-mail: publication@ trivedisrl.com Received August 01, 2015; Accepted August 13, 2015; Published August 20, 2015 Citation: Trivedi MK, Branton A, Trivedi D, Shettigar H, Gangwar M, et al. (2015) Antibiogram Typing and Biochemical Characterization of Klebsiella Pneumonia after Biofield Treatment. J Trop Dis 3: 173. doi:10.4173/2329891X.1000173 Copyright: © 2015 Trivedi MK, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Keywords: Klebsiella pneumoniae; Biofield Treatment; Multidrug- Resistant; Antimicrobial susceptibility; Biochemical Reaction; Biotyping Introduction Klebsiella pneumoniae (K. pneumoniae) is Gram-negative, rod- shaped, facultative anaerobic, and nonmotile bacterium, belongs to family Enterobacteriaceae. It is a common human pathogen associated with nosocomial and community infections [1]. K. pneumoniae isolates causes several infections such as pneumonia, septicemia, wound infections, and urinary tract infections, which ultimately lead to morbidity and mortality especially in immunocompromised patients, and patients of intensive care units, pediatrics and surgical wards [2]. K. pneumoniae acquire resistance against existing antimicrobials by multiple mechanism results in increased multidrug-resistant (MDR) of K. pneumoniae that leads to serious problem in hospital settings and health concern. Emergence of resistance occurs not only in MDR isolates but also exist in pan-drug resistant (PDR) isolates of K. pneumoniae. PDR refers to the resistant strains those are specifically resistant to 7 antimicrobial agents such as cefepime, imipenem, meropenem, ceftazidime, ciprofloxacin, piperacillin-tazobactam, and levofloxacin [3]. Apart from this, the extended-spectrum β-lactamase (ESBL) producing Klebsiella from a patient has been identified which causes serious threat worldwide [4,5]. Continuous use of antibiotics leads to resistance in microorganisms via. different pathways mediated by plasmids, transposons, and gene cassettes in integrons [6,7]. Carbapenem is usually preferred for the infection caused by MDR isolates of K. pneumoniae but recently carbapenem- resistant K. pneumoniae was also reported [8]. Due to dramatically increase in drug resistant in K. pneumoniae, very few treatment options are available. Alternative approaches are available but altering the sensitivity pattern of antimicrobials using biofield is not available against MDR microorganism, apart from existing allopathic system of medicine. Biofield treatment may be an alternative approach to alter the susceptibility pattern of K. pneumoniae. Complementary and alternative medicine (CAM) therapies are commonly practiced in healthcare sector and about 36% of Americans regularly uses some form of CAM [9]. CAM include numerous energy therapies, biofield therapy, is one of the energy medicine widely used worldwide to improve the human health. The energy exists in various forms that can be produced from different sources such as potential, electrical, kinetic, magnetic, and nuclear energy. However, electromagnetic field defines as when electrical signals fluctuate will generate magnetic field with respect to time. The cumulative effect of bio-magnetic and electric field that surrounds the human body is defined as biofield. The biofield energy can be monitored by using electromyography (EMG), electrocardiography (ECG) and electroencephalogram (EEG) [10]. According to Lucchetti et al. biofield energy has shown significant effect on growth of bacterial cultures [11]. Mr. Trivedi has the ability to harness the energy from environment or universe and can transmit into any living or nonliving object(s) around the Universe. The objects always receive the energy and responding into useful way via biofield energy and the process is known as biofield treatment. Mr. Trivedi’s unique biofield treatment is also known as The Trivedi Effect® . Mr. Trivedi’s biofield treatment was extensively studied in different fields such as in material science [12,13], agricultural science [14-16], and in biotechnology [17]. Further, Abstract Klebsiella pneumoniae (K. pneumoniae) is a common nosocomial pathogen causing respiratory tract (pneumoniae) and blood stream infections. Multidrug-resistant (MDR) isolates of K. pneumoniae infections are difficult to treat in patients in health care settings. Aim of the present study was to determine the impact of Mr. Trivedi’s biofield treatment on four MDR clinical lab isolates (LS) of K. pneumoniae (LS 2, LS 6, LS 7, and LS 14). Samples were divided into two groups i.e. control and biofield treated. Control and treated groups were analyzed for antimicrobial susceptibility pattern, minimum inhibitory concentration (MIC), biochemical study and biotype number using MicroScan Walk-Away® system. The analysis was done on day 10 after biofield treatment as compared with control group. Antimicrobial sensitivity assay showed that there was 46.42% alteration in sensitivity of tested antimicrobials in treated group of MDR K. pneumonia isolates. MIC results showed an alteration in 30% of tested antimicrobials out of thirty after biofield treatment in clinical isolates of K. pneumoniae. An increase in antimicrobial sensitivity and decrease in MIC value was reported (in LS 6) in case of piperacillin/tazobactam and piperacillin. Biochemical study showed a 15.15% change in biochemical reactions as compared to control. A significant change in biotype numbers were reported in all four clinical isolates of MDR K. pneumoniae after biofield treatment as compared to control group. On the basis of changed biotype number after biofield treatment, new organism was identified as Enterobacter aerogenes in LS 2 and LS 14. These results suggest that biofield treatment has a significant effect on altering the antimicrobial sensitivity, MIC values, biochemical reactions and biotype number of multidrug-resistant isolates of K. pneumoniae.
  • 2. Citation: Trivedi MK, Branton A, Trivedi D, Shettigar H, Gangwar M, et al. (2015) Antibiogram Typing and Biochemical Characterization of Klebsiella Pneumonia after Biofield Treatment. J Trop Dis 3: 173. doi:10.4173/2329891X.1000173 Page 2 of 6 Volume 3 • Issue 4 • 1000173 J Trop Dis ISSN: 2329-891X JTD, an open access journal the biofield treatment has considerably altered the susceptibility of antimicrobials and biotype of microbes [18-20]. By considering the above mentioned facts and literature reports on biofield treatment, the present work was undertaken to evaluate the impact of biofield treatment on antimicrobials susceptibility, biochemical reactions pattern, and biotype of MDR isolates of K. pneumoniae. Materials and Methods Experimental design and bacterial isolates MDR clinical lab isolates (i.e. LS 2, LS 6, LS 7 and LS 14) of K. pneumoniae were obtained from stored stock cultures in Microbiology Lab, Hinduja Hospital, Mumbai. Each MDR strains was divided into two groups i.e. control and treatment. The acceptability of the identification media and antimicrobial agents were checked prior to the study on microorganisms. The antimicrobial susceptibility, biochemical reactions, and biotype number were evaluated on MicroScan Walk- Away® (Dade Behring Inc., West Sacramento, CA) using Negative Breakpoint Combo 30 (NBPC 30) panel. The NBPC 30 panel was stored at 2 to -25ºC. All antimicrobials and biochemicals were procured from Sigma Aldrich, USA. Biofield treatment strategy Treatment groups of each strain, in sealed pack were handed over to Mr. Trivedi for biofield treatment under laboratory conditions. Mr. Trivedi provided the treatment through his energy transmission process to the treated groups without touching the samples. The biofield treated samples were returned in the similar sealed condition and analyzed on day 10 using the standard protocols. The study was conducted on automated MicroScan Walk-Away® system (Dade Behring Inc., USA). Evaluation of antimicrobial susceptibility assay Antimicrobial susceptibility patterns of MDR lab isolates of K. pneumoniae were studied using MicroScan Walk-Away® using Negative BreakPointCombo(NBPC30)panelaspermanufacturer’sinstructions. The antimicrobial susceptibility pattern (S: Susceptible, I: Intermediate, IB: Inducible β-lactamase; EBL: Suspected extended-spectrum β -lactamases, and R: Resistant) and MIC values were determined by observing the lowest antimicrobial concentration showing growth inhibition [21]. The antimicrobials used in the susceptibility assay viz. amikacin, amoxicillin/k-clavulanate, ampicillin/sulbactam, ampicillin, aztreonam, cefazolin, cefepime, cefotaxime, cefotetan, cefoxitin, ceftazidime, ceftriaxone, cefuroxime, cephalothin, chloramphenicol, ciprofloxacin, gatifloxacin, gentamicin, imipenem, levofloxacin, meropenem, moxifloxacin, norfloxacin, nitrofurantoin piperacillin, piperacillin/tazobactam, tetracycline, ticarcillin/K-clavulanate, tobramycin, and trimethoprim/sulfamethoxazole Biochemical study Biochemical studies of each MDR isolates of K. pneumoniae were determined by MicroScan Walk-Away® using NBPC 30 panel system in both control and treated groups. Biochemicals used in the study are acetamide, adonitol, arabinose, arginine, cetrimide, cephalothin, citrate, colistin, esculin hydrolysis, nitrofurantoin, glucose, hydrogen sulfide, indole, inositol, kanamycin, lysine, malonate, melibiose, nitrate, oxidation-fermentation, galactosidase, ornithine, oxidase, penicillin, raffinose, rhamnose, sorbitol, sucrose, tartarate, tryptophan deaminase, tobramycin, urea, and Voges-Proskauer [21]. Identification by biotype number The biotype number of each MDR isolates of K. pneumoniae in control and treated sample were determined followed by identification of microorganism by MicroScan Walk-Away® processed panel data report with the help of biochemical reaction data [21]. Results and Discussion Antimicrobial susceptibility study Results of antimicrobial sensitivity pattern and MIC values of control and treated MDR isolates of K. pneumoniae are summarized in Tables 1 and 2, respectively. All these changes were observed on 10 days after biofield treatment as compared to control group. Overall, 46.42% of tested antimicrobials out of twenty eight, showed alteration in antimicrobial sensitivity pattern against biofield treated MDR isolates of K. pneumoniae. All four MDR isolates, showed variations in antimicrobial sensitivity assay viz. 32.14% in LS 2, 25% in LS 6, 17.85% in LS 7, and 28.57% in LS 14 against the tested antimicrobials (Figure 1). Extended spectrum beta-lactamases (ESBLs) are rapidly evolved group of beta-lactamases enzyme, which confer resistance to most beta-lactam antibiotics, including penicillins, cephalosporins, monobactam and aztreonam. Apart from beta-lactam antibiotics, ESBLs are also resistant to other classes of non-penicillin antibiotics [22]. Beta-lactamases are enzymes that inactivates the antibiotic and are present in almost all Gram-negative bacilli. However, some pathogenic species, such as E. coli and Klebsiella spp., are not able to induce the production of β-lactamase which varies from low to high level. In some species, exposure to β-lactams will induced the production level of β-lactamase, commonly results in resistance to these agents. These inducible β-lactamases are frequently found in Enterobacter spp. [23]. Experimental results of antimicrobial sensitivity assay showed altered sensitivity pattern in biofield treated clinical isolates of K. pneumonia. Aztreonam, cefotaxime, ceftazidime, and ceftriaxone sensitivity changed from EBL → R in LS 2 and LS 14. Sensitivity of amoxicillin/k- clavulanate changed from S → R in LS 7 and LS 14, while S → IB and I → R in LS 2 and LS 6 respectively. Cefotetan and cefoxitin found changed sensitivity pattern from S → R in LS 7, and while S → IB in LS 2. Sensitivity of cefotetan changed from I → R in LS 6 while S → IB in LS 14. Chloramphenicol and imipenem sensitivity changed from S → R in LS 6. Although, in imipenem sensitivity changed from S → I in LS 6. Meropenem sensitivity changed from I → R and S → R in LS 6 and LS 7 respectively. An increase in sensitivity was reported in piperacillin/tazobactam and piperacillin i.e. from R → I in biofield treated LS 6 as compared to control. Although, piperacillin/tazobactam sensitivity changed from S → IB and S → I in LS 2 and LS 14 respectively. Ticarcillin/K-clavulanate sensitivity altered from S → I and S → R in LS 2 and LS 14 respectively (Table 1). Rest of antimicrobials did not show any change in sensitivity pattern after biofield treatment. Determination of Minimum Inhibitory Concentration (MIC) MIC values of all the clinical MDR isolates of control and biofield treated K. pneumoniae are summarized in Table 2. MIC values were decreased in case of piperacillin/tazobactam and piperacillin in LS 6 isolate only, while in rest of the antimicrobials, MIC values were increased as compared to control. Overall, MIC results showed an alteration in 30% tested antimicrobials (i.e. nine out of thirty) after biofield treatment in clinical isolates of K. pneumoniae (Table 2 and Figure 1). A decreased in MIC values in piperacillin/tazobactam and piperacillin were reported along with increases antimicrobial sensitivity after biofield treatment (64 µg/ml) in LS 6. Current treatment strategy
  • 3. Citation: Trivedi MK, Branton A, Trivedi D, Shettigar H, Gangwar M, et al. (2015) Antibiogram Typing and Biochemical Characterization of Klebsiella Pneumonia after Biofield Treatment. J Trop Dis 3: 173. doi:10.4173/2329891X.1000173 Page 3 of 6 Volume 3 • Issue 4 • 1000173 J Trop Dis ISSN: 2329-891X JTD, an open access journal S. No. Antimicrobial LS 2 LS 6 LS 7 LS 14 C T C T C T C T 1 Amikacin S S R R R R S S 2 Amoxicillin/k-clavulanate S IB I R S R S R 3 Ampicillin/sulbactam R R R R R R R R 4 Ampicillin R R R R R R R R 5 Aztreonam EBL R EBL EBL EBL EBL EBL R 6 Cefazolin R R R R R R R R 7 Cefepime R R R R R R R R 8 Cefotaxime EBL R EBL EBL EBL EBL EBL R 9 Cefotetan S IB I R S R S IB 10 Cefoxitin S IB R R S R R R 11 Ceftazidime EBL R EBL EBL EBL EBL EBL R 12 Ceftriaxone EBL R EBL EBL EBL EBL EBL R 13 Cefuroxime R R R R R R R R 14 Cephalothin R R R R R R R R 15 Chloramphenicol S S S R R R I I 16 Ciprofloxacin S S R R R R R R 17 Gatifloxacin S S R R R R R R 18 Gentamicin R R R R R R R R 19 Imipenem S S S R S I S S 20 Levofloxacin S S R R R R R R 21 Meropenem S S I R S R S S 22 Moxifloxacin S S R R R R R R 23 Piperacillin R R R I R R R R 24 Piperacillin/tazobactam S IB R I R R S I 25 Tetracycline S S R R R R R R 26 Ticarcillin/k-clavulanate S I R R R R S R 27 Tobramycin R R R R R R R R 28 Trimethoprim/sulfamethoxazole S S R R R R R R C: Control; T: Treatment; R: Resistant; I: Intermediate; S: Susceptible; LS: Lab Isolate; EBL: Suspected extended-spectrum beta-lactamases Table 1: Effect of biofield treatment on multidrug resistant lab isolates of Klebsiella pneumoniae to antimicrobial susceptibility. against K. pneumoniae infections preferably uses cefoperazone/ sulbactam, piperacillin/tazobactam, and imipenem antimicrobials [24]. Although, piperacillin/tazobactam antimicrobial agent is useful and preferred in neonatal infections caused due to K. pneumoniae [25]. Biofield treatment in clinical isolate (LS 6) significantly increased the sensitivity and decreased the MIC values of piperacillin/tazobactam and piperacillin. In Enterobacteriaceae family, the most prevalent mechanism of acquired resistance in β-lactam antibiotics (piperacillin/ tazobactam and piperacillin) are the production of β-lactamases [26]. Biofield treatment might act on enzymatic or genetic level which might affects the β-lactamases production that may lead to alter the sensitivity pattern of tested antimicrobials. Biochemical and biotype number study Biochemical study results of control and biofield treated groups are summarized in Table 3 and Figure 1. Results showed that overall 15.15% change in tested biochemical reactions among 4 treated MDR clinical isolates of K. pneumoniae as compared to control. Cetrimide changed from (-) negative to (+) positive reaction in LS 6, LS 7, and LS 14 as compared to control. Voges-Proskauer changed from (+) positive to (-) negative reaction in LS 2, LS 6, and LS 7. Indole changed from (+) positive to (-) negative reaction in LS 7. Ornithine changed from negative (-) to positive (+) reaction in LS 14. Rest of biochemicals did not show any alteration in their reaction after biofield treatment. Voges- Proskauer, citrate, arabinose, lysine, glucose, sucrose, malonate are the standard positive reaction biochemical tests of K. pneumoniae while hydrogen sulfide, indole, ornithine and cetrimide are the standard negative reaction test. Biochemical reactions of control MDR isolates of K. pneumoniae were well supported with literature data [27]. Based on the biochemical results, significant alteration in biotype numbers were observed in all the four biofield treated lab isolates i.e. LS 2, LS 6, LS 7, and LS 14 as compared to control. New organism was identified as Enterobacter aerogenes in LS 2 and LS 14 after biofield treatment on day 10 with respect to control (Table 4). Biofield treatment as an alternate and complementary medicine, increasingly used in biomedical health care system such as reduction in pain and anxiety [28]. However, National Center for Complementary and Alternative Medicine/National Institute of Health (NCCAM/NIH), now defined biofield therapies in subcategory of energy therapies as one of the five complementary medicine domain [29]. Mr. Trivedi’s biofield treatment in pathogenic microbes were extensively studied and had shown significant alteration in the antimicrobial sensitivity pattern, biochemical reactions, and biotype number [18,19]. Biofield treatment might be responsible to do alteration in microorganism at genetic level and/or enzymatic level, which may act on receptor protein. While altering receptor protein, ligand-receptor/protein interactions may also alter that could lead to show different phenotypic characteristics. Hence a cascade of intra-cellular signals may be initiated, accelerated or inhibited [30]. The overall observations showed that, biofield treatment on MDR isolates of K. pneumoniae induced significant alteration in antimicrobial susceptibility pattern, MIC values, biochemical reactions, and biotype number.
  • 4. Citation: Trivedi MK, Branton A, Trivedi D, Shettigar H, Gangwar M, et al. (2015) Antibiogram Typing and Biochemical Characterization of Klebsiella Pneumonia after Biofield Treatment. J Trop Dis 3: 173. doi:10.4173/2329891X.1000173 Page 4 of 6 Volume 3 • Issue 4 • 1000173 J Trop Dis ISSN: 2329-891X JTD, an open access journal S. No. Antimicrobial LS 2 LS 6 LS 7 LS 14 C T C T C T C T 1 Amikacin ≤16 ≤16 >32 >32 >32 >32 ≤16 ≤16 2 Amoxicillin/ Clavulanic acid ≤8/ 4 ≤8/4 16/8 >16/8 ≤8/4 >16/8 ≤8/4 >16/8 3 Ampicillin/Sulbactam >16/8 >16/8 >16/8 >16/8 >16/8 >16/8 >16/8 >16/8 4 Ampicillin >16 >16 >16 >16 >16 >16 >16 >16 5 Aztreonam >16 >16 >16 16 >16 >16 >16 >16 6 Cefazolin >16 >16 >16 >16 >16 >16 >16 >16 7 Cefepime >16 >16 >16 >16 >16 >16 >16 >16 8 Cefotaxime >32 >32 >32 >32 >32 >32 >32 >32 9 Cefotetan ≤16 ≤16 32 >32 ≤16 >32 ≤16 ≤16 10 Cefoxitin ≤8 ≤8 >16 >16 ≤8 >16 >16 >16 11 Ceftazidime >16 >16 >16 >16 >16 >16 >16 >16 12 Ceftriaxone >32 >32 >32 >32 >32 >32 >32 >32 13 Cefuroxime >16 >16 >16 >16 >16 >16 >16 >16 14 Cephalothin >16 >16 >16 >16 >16 >16 >16 >16 15 Chloramphenicol ≤8 ≤8 ≤8 >16 >16 >16 16 16 16 Ciprofloxacin ≤1 ≤1 >2 >2 >2 >2 >2 >2 17 Gatifloxacin ≤2 ≤2 >4 >4 >4 >4 >4 >4 18 Gentamicin >8 >8 >8 >8 >8 >8 >8 >8 19 Imipenem ≤4 ≤4 ≤4 >8 ≤4 8 ≤4 ≤4 20 Levofloxacin ≤2 ≤2 >4 >4 >4 >4 >4 >4 21 Meropenem ≤4 ≤4 8 >8 ≤4 >8 ≤4 ≤4 22 Moxifloxacin ≤2 ≤2 >4 >4 >4 >4 >4 >4 23 Nitrofurantoin ≤32 ≤32 >64 >64 >64 >64 ≤32 ≤32 24 Norfloxacin ≤4 ≤4 >8 >8 >8 >8 >8 >8 25 Piperacillin >64 >64 >64 64 >64 >64 >64 >64 26 Piperacillin/Tazobactam ≤16 ≤16 >64 64 >64 >64 ≤16 64 27 Tetracycline ≤4 ≤4 >8 >8 >8 >8 >8 >8 28 Ticarcillin/K-Clavulanate ≤16 64 >64 >64 >64 >64 ≤16 >64 29 Tobramycin >8 >8 >8 >8 >8 >8 >8 >8 30 Trimethoprim/Sulfamethoxazole ≤2/38 ≤2/38 >2/38 >2/38 >2/38 >2/38 >2/38 >2/38 MIC values are presented in µg/ml; C: Control; T: Treatment; LS: Lab Isolate Table 2: Minimum inhibitory concentration (MIC) of multidrug resistant lab isolates of Klebsiella pneumoniae. Figure 1: Percentage change in antimicrobial sensitivity pattern, minimum inhibitory concentrations and biochemical reactions after biofield treatment in multi-drug resistant lab isolates of Klebsiella pneumonia.
  • 5. Citation: Trivedi MK, Branton A, Trivedi D, Shettigar H, Gangwar M, et al. (2015) Antibiogram Typing and Biochemical Characterization of Klebsiella Pneumonia after Biofield Treatment. J Trop Dis 3: 173. doi:10.4173/2329891X.1000173 Page 5 of 6 Volume 3 • Issue 4 • 1000173 J Trop Dis ISSN: 2329-891X JTD, an open access journal S. No. Code Biochemical LS 2 LS 6 LS 7 LS 14 C T C T C T C T 1 ACE Acetamide - - - - - - - - 2 ADO Adonitol + + + + + + + + 3 ARA Arabinose + + + + + + + + 4 ARG Arginine - - - - - - - - 5 CET Cetrimide - - - + - + - + 6 CF8 Cephalothin + + + + + + + + 7 CIT Citrate + + + + + + + + 8 CL4 Colistin - - - - - - - - 9 ESC Esculin hydrolysis + + + + + + + + 10 FD64 Nitrofurantoin - - + + + + - - 11 GLU Glucose + + + + + + + + 12 H2S Hydrogen sulfide - - - + - - - - 13 IND Indole - - - - + - - - 14 INO Inositol + + + + + + + + 15 K4 Kanamycin + + + + + + + + 16 LYS Lysine + + + + + + + + 17 MAL Malonate + + + + + + + + 18 MEL Melibiose + + + + + + + + 19 NIT Nitrate + + + + - - + + 20 OF/G Oxidation-Fermentation + + + + + + + + 21 ONPG Galactosidase + + + + - - + + 22 ORN Ornithine - - - - - - - + 23 OXI Oxidase - - - - - - - - 24 P4 Penicillin + + + + + + + + 25 RAF Raffinose + + + + + + + + 26 RHA Rhamnose + + + + + + + + 27 SOR Sorbitol + + + + + + + + 28 SUC Sucrose + + + + + + + + 29 TAR Tartrate + + + + - - - - 30 TDA Tryptophan Deaminase - - - - - - - - 31 TO4 Tobramycin + + + + + + + + 32 URE Urea - - + + + + + + 33 VP Voges-Proskauer + - + - + - + + C: Control; T: Treatment; LS: Lab Isolate; -: Negative; +: Positive Table 3: Effect of biofield treatment on multidrug resistant lab isolates of Klebsiella pneumoniae to the vital processes occurring in living organisms. Isolate Group Biotype Number Organism Identification LS 2 C 7770 4372 K. pneumoniae T 7770 4272 Enterobacter aerogenes LS 6 C 7774 4372 K. pneumoniae T 7776 4272 K. pneumoniae LS 7 C 7774 4362 K. pneumoniae T 7774 4262 K. pneumoniae LS 14 C 7774 4372 K. pneumoniae T 7774 5372 Enterobacter aerogenes C: Control; T: Treatment; LS: Lab Isolate Table 4: Effect of biofield treatment on multidrug resistant lab isolates of Klebsiella pneumoniae to distinguishing feature of the genotype Conclusion Overall data conclude that there has a significant impact of biofield treatment on antimicrobial susceptibility pattern, MIC values, biochemical reactions, and biotype number in all the four clinical MDR lab isolates of K. pneumoniae. Based on the study outcome, biofield treatment could be applied to alter the sensitivity pattern of antimicrobials, against multi-drug resistance isolates of K. pneumoniae. Acknowledgement Authors gratefully acknowledged the whole team of PD Hinduja National Hospital and MRC, Mumbai, Microbiology Lab for conducting experimental studies. Authors would also thankful to Trivedi Science™, Trivedi Master Wellness™ and Trivedi Testimonials for their generous support in experimental works. Conflict of Interest The authors declare that they have no competing interest.
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J Trop Dis 3: 173. doi:10.4173/2329891X.1000173 Submit your next manuscript and get advantages of OMICS Group submissions Unique features: • User friendly/feasible website-translation of your paper to 50 world’s leading languages • Audio Version of published paper • Digital articles to share and explore Special features: • 400 Open Access Journals • 30,000 editorial team • 21 days rapid review process • Quality and quick editorial, review and publication processing • Indexing at PubMed (partial), Scopus, DOAJ, EBSCO, Index Copernicus and Google Scholar etc • Sharing Option: Social Networking Enabled • Authors, Reviewers and Editors rewarded with online Scientific Credits • Better discount for your subsequent articles Submit your manuscript at: http://www.omicsonline.org/submission