This document provides an antibiogram for Jindal Institute of Medical Science summarizing the types of bacterial isolates found from patient samples over a one month period and their antibiotic sensitivities. It lists the most common gram positive and gram negative isolates from urine, sputum/endotracheal secretions, pus, and blood samples. It then details the sensitivity of these isolates to various antibiotics, with E.coli and Klebsiella being highly sensitive to imipenem, amikacin and piperacillin-tazobactam according to the data. The document concludes with rates of multidrug-resistant organisms identified.

1. JINDAL INSTITUTE OF MEDICAL SCIENCE
ANTIBIOGRAM
1/8/2014-1/9/2014
DEPARTMENT OF CLINICAL MICROBIOLOGY &
INFECTION CONTROL
DR LAL PATH LABS
Dr Jayant Balani
Jayant.balani@Drlalpathlabs.com
9896539594,09899994898

2. Tips on using the antibiogram
• Antibiogram is based on the Hospital Flora & antibiotic
sensitivity of isolates from Jindal hospital over last 1 month .
• Antibiogram is updated at regular intervals(3 months)
• Antibiogram can used to guide the empiric therapy in treatment
. See the most common isolate from the sample type(Urine,pus
etc) ,then see the antibiotic sensitivity of the isolate which may
then be used to guide the empiric antibiotic be sensitivity.eg
E.coli is the commonest isolate in urine samples from the
hospital & Imipenem has the highest sensitivity for E .coli
followed by Pipercallin tazobactum & Amikacin.
• Antibiotics being used in antibiotic panels are as per Guidelines
from CLSI(Clinical laboratries standards Institute),2014.

3. Type of isolates(Urine)
18
9
14
0
9
7
0
5
9
14
18
23
E.coli
K.Pneumoniae
Pseudomonassp.
Acinetobactorsp.
S.aureus
Enterococcus.faecalis
PercentagePercentage

4. Type of isolates(Sputum & E.T)
4
30
26
6 7
1
0
13
25
38
50
E.coli
K.Pneum
Pseudom
Acinetoba
S.aureus
Enteroco
Percentage
Percentage

5. Type of isolates(Pus)
10
14
7
3
26
2
0
13
25
38
50
E.coli
K.Pneum
Pseudom
Acinetoba
S.aureus
Enteroco
Percentage
Percentage

6. Type of isolates(Blood)
1
3
6
2
18
0
0
6
13
19
25
E.coli
K.Pneumo
Pseudomo
Acinetoba
S.aureus
Enterococ
Percentage
Percentage

7. Number of isolates
Gram positive isolates N=number of
isolates
Gram negative
isolates
N=number of
isolates
Staphylococcus
aureus
43 Escherichia coli 38
Enterococcus
faecalis
05 Klebsiella sp. 57
Streptococcus sp. 02 Pseudomonas sp. 55
Coagulase negative
staph.(CONS)
21 Acinetobactor sp. 11
MRSA(Methicillin resistant
Staphylococcus)
40
MSSA(Methicillin sensitive
Staphylococcus sp.)
30

8. GRAM POSITIVE SENSITIVITY
Staphylococcus,Enterococcus,Streptococcus
n=number of isolates
Antibiotic Sensitive
(n)
Resistant
(n)
% Antibiotic Sensitive
(n)
Resistant
(n)
%
Gentamycin 45 25 64% Amikacin 43 27 62%
Amoxyclave 35 25 58% Imipenem 43 27 61%
Azithromycin 42 28 60% Vancomycin 63 07 90%
Erythromycin 48 22 68.5% Linezolid 70 0 100%
Clindamycin 60 10 85%
Ciprofloxacin 31 39 44%

9. Antibiogram(Gram positive isolates)
100
90
85
68
61 60 62 61 64 62
40
86
92
100
0
25
50
75
100
125
Linezolid
Vancomycin
Clindamycin
Erythromycin
Imipenem
Azithromycin
Amikacin
Imipenem
Gentamycin
Amoxyclave
Ciprofloxacin
mpisulbactam
Levofloxacin
Teicoplanin
% sensitivity

10. GRAM NEGATIVE SENSITIVITY
E.coli,K.pneumoniae.Citrobactor sp,Enterobactor sp.)
n=number of isolates
Antibiotic Sensitive
(n)
Resistant
(n)
% Antibiotic Sensitive
(n)
Resistant
(n)
%
Amikacin 62 32 65% Colistin 21 2 91%
Ampicillin/su
lbactum
39 55 41% Imipenem 112 11 91%
Ceftazidime 16 19 45% Cefotaxime 43 57 43%
Ciprofloxacin 42 57 42% Ceftriaxone 33 62 34%
Cefuroxime 10 60 14% Aztreonam 32 64 33%
Meropenem 47 67 41% Piperacillin
tazobactum
48 32 60%

11. Antibiogram(Gram negative)
(E.coli,K.pnem,Citrobactor,Enterobactor)
65
45 42 41
91
43
34
91
60
12
41
14
33
21
0
25
50
75
100
Amikacin
Ceftazidime
Ciprofloxacin
Meropenem
Colistin
Cefotaxime
Ceftriaxone
Imipenem
n/tazobactum
illin/clauvanic
illin/sulbactun
Cefuroxime
Aztreonam
Cefipime
% sensitivity

12. GRAM NEGATIVE SENSITIVITY
Pseudomonas sp.
n=number of isolates(55)
Antibiotic % Sensitivity Antibiotic % Sensitivity
Amikacin 88% Cefoperazone
/Sulbactum
70%
Ceftazidime 88% Imipenem 96%
Ciprofloxacin 53% Piperacillin
/Tazobactum
67%
Meropenem 45% Ticarcillin/Clauva
nate
34%
Colistin 100%
Cefotaxime 54%

13. Antibiogram(Pseudomonas sp.)
88 88
55
45
100
54
63
96
67
34 32
48 46
38
0
25
50
75
100
125
Amikacin
Ceftazidime
Ciprofloxacin
Meropenem
Colistin
Cefotaxime
ne/sulbactum
Imipenem
n/tazobactum
illin/clauvanic
Tobramycin
Levofloxacin
Gentamycin
Cefepime
% sensitivity

14. Multidrugresistant organisims(MDROS)
• MRSA-4O%
• VRE-0
• ESBL-55%
• CRE-5%

15. THANK YOU