The discovery of penicillin in 1928 was followed by the discovery and commercial production of many other antibiotics.
We now take for granted that any infectious disease is curable by antibiotic therapy.
Antibiotics are manufactured at an estimated scale of about 100,000 tons annually worldwide, and their use had a profound impact on the life of bacteria on earth.
More strains of pathogens have become antibiotic resistant, and some have become resistant to many antibiotics and chemotherapeutic agents, the phenomenon of multidrug resistance.
Multidrug-resistant organisms develop when antibiotics are taken longer than necessary or when they are not needed.
Multidrug resistance in bacteria occurs by the accumulation, on resistance (R) plasmids or transposons, of genes, this will lead to Mutational Alteration of the Target Protein
Development of resistance in many human pathogens has emerged into a large scale and resistance has evolved into multidrug resistance in the present regime.
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.
This document outlines the implementation of an antibiogram program at a nursing home to improve antibiotic prescribing. It discusses collecting urine and wound culture data over time to identify local bacterial resistance patterns. Key findings show resistance of E. coli, Klebsiella, and MRSA to many commonly used antibiotics. The antibiogram provides prescribing guidance by showing effective first-line options for common infections like UTIs caused by gram-negative bacteria. Limitations include applicability depending on whether infections were acquired at the facility.
Emergence of ndm1 resistance assessment of colistin sparing antibiotic combin...Meher Rizvi
This presentation details the emergence of pan drug resistance, the pipeline of antimicrobials is running dry and which colistin sparing protocols to use.
Antimicrobial Susceptibility Testing involves procedures like diffusion and dilution methods to determine the susceptibility of microorganisms to antimicrobial agents. Key procedures discussed include Kirby-Bauer, agar and broth dilution tests. Interpretation of results defines organisms as susceptible, intermediate or resistant based on breakpoints. Quality control through reference strains is important to ensure accuracy and consistency of results. Automated methods now provide rapid and reproducible susceptibility testing through microdilution and detection of growth in broth cultures.
ABSTRACT- This study was an attempt to estimate the prevalence of Antimicrobial resistance in patients attending the OPD and IPD of IIMS&R, hospital, Lucknow. Total 453 urine samples were included in this study. Urinary isolates from symptomatic UTI cases were identified by conventional methods. Of the 453 processed samples 166 samples showed significant colony count of pathogens among which the most prevalent were E. coli (49.39%) followed by Klebsiella species (7.83%). The majority of the isolates were from female (68.67%) while the remaining was from male (31.32%). Dysuria was the most common clinical presentation followed by fever and abdominal pain. Diabetes and urogenital instrumentation were the major risk factors for UTI. Among the 166 urine samples which showed significant colony count, 152 (91.56%) of specimen showed pus cells in wet film examination. Among the gram-negative enteric bacilli high prevalence of resistance was observed against Ampicillin, Cefotaxime, Ciprofloxacin, Nalidixic acid and co-trimoxazole. 44% of isolates were detected to produce ESBL among the gram negative bacteria. Carbapenemase production was seen in 13 (11.71%) isolates. Among the 32 Enterococcus isolates 14 (43.75%) were resistant to High level Gentamicin, 2 (6.25%) were resistant to High level Streptomycin while 12 (37.50%) of isolates were resistant to both of the antimicrobial drugs. Among the 16 Staphylococcus species, 8 (50%) were MRSA.
KEYWORDS- MRSA, Antimicrobial resistance, UTI, ESBL, Gram-negative bacteria
identification and characterization of Staphylococuss. aureus from ready to e...Ruhely Nath
This study aimed to characterize Staphylococcus aureus and detect the tst1 gene from clinical and food samples in Silchar, India. A total of 96 samples were collected, of which 42 were clinical and 54 were food. S. aureus was isolated from 34 clinical samples and 18 food samples using biochemical tests. The isolates showed high resistance to erythromycin but sensitivity to vancomycin and teicoplanin. Polymerase chain reaction detected the tst1 gene in 34 clinical and 18 food isolates. This study demonstrates the presence of virulent S. aureus strains in foods in Silchar that can potentially cause toxic shock syndrome.
This document summarizes a study on enterococci bacteria isolated from poultry and red meat. The study identified enterococci species, tested their antibiotic resistance to 11 antibiotics, identified resistance genes, and analyzed their ability to produce hemolysin and gelatinase virulence factors. Results showed Enterococcus faecalis and E. faecium were the most common species isolated. Isolates displayed resistance predominantly to aminoglycosides. Virulence factors were also present. The genetic diversity of resistant isolates was analyzed using PFGE, finding a relationship between E. faecalis resistant to streptomycin or gentamicin. The study concludes enterococci from food can transfer antibiotic resistance determinants if consumed and infect humans
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.
This document outlines the implementation of an antibiogram program at a nursing home to improve antibiotic prescribing. It discusses collecting urine and wound culture data over time to identify local bacterial resistance patterns. Key findings show resistance of E. coli, Klebsiella, and MRSA to many commonly used antibiotics. The antibiogram provides prescribing guidance by showing effective first-line options for common infections like UTIs caused by gram-negative bacteria. Limitations include applicability depending on whether infections were acquired at the facility.
Emergence of ndm1 resistance assessment of colistin sparing antibiotic combin...Meher Rizvi
This presentation details the emergence of pan drug resistance, the pipeline of antimicrobials is running dry and which colistin sparing protocols to use.
Antimicrobial Susceptibility Testing involves procedures like diffusion and dilution methods to determine the susceptibility of microorganisms to antimicrobial agents. Key procedures discussed include Kirby-Bauer, agar and broth dilution tests. Interpretation of results defines organisms as susceptible, intermediate or resistant based on breakpoints. Quality control through reference strains is important to ensure accuracy and consistency of results. Automated methods now provide rapid and reproducible susceptibility testing through microdilution and detection of growth in broth cultures.
ABSTRACT- This study was an attempt to estimate the prevalence of Antimicrobial resistance in patients attending the OPD and IPD of IIMS&R, hospital, Lucknow. Total 453 urine samples were included in this study. Urinary isolates from symptomatic UTI cases were identified by conventional methods. Of the 453 processed samples 166 samples showed significant colony count of pathogens among which the most prevalent were E. coli (49.39%) followed by Klebsiella species (7.83%). The majority of the isolates were from female (68.67%) while the remaining was from male (31.32%). Dysuria was the most common clinical presentation followed by fever and abdominal pain. Diabetes and urogenital instrumentation were the major risk factors for UTI. Among the 166 urine samples which showed significant colony count, 152 (91.56%) of specimen showed pus cells in wet film examination. Among the gram-negative enteric bacilli high prevalence of resistance was observed against Ampicillin, Cefotaxime, Ciprofloxacin, Nalidixic acid and co-trimoxazole. 44% of isolates were detected to produce ESBL among the gram negative bacteria. Carbapenemase production was seen in 13 (11.71%) isolates. Among the 32 Enterococcus isolates 14 (43.75%) were resistant to High level Gentamicin, 2 (6.25%) were resistant to High level Streptomycin while 12 (37.50%) of isolates were resistant to both of the antimicrobial drugs. Among the 16 Staphylococcus species, 8 (50%) were MRSA.
KEYWORDS- MRSA, Antimicrobial resistance, UTI, ESBL, Gram-negative bacteria
identification and characterization of Staphylococuss. aureus from ready to e...Ruhely Nath
This study aimed to characterize Staphylococcus aureus and detect the tst1 gene from clinical and food samples in Silchar, India. A total of 96 samples were collected, of which 42 were clinical and 54 were food. S. aureus was isolated from 34 clinical samples and 18 food samples using biochemical tests. The isolates showed high resistance to erythromycin but sensitivity to vancomycin and teicoplanin. Polymerase chain reaction detected the tst1 gene in 34 clinical and 18 food isolates. This study demonstrates the presence of virulent S. aureus strains in foods in Silchar that can potentially cause toxic shock syndrome.
This document summarizes a study on enterococci bacteria isolated from poultry and red meat. The study identified enterococci species, tested their antibiotic resistance to 11 antibiotics, identified resistance genes, and analyzed their ability to produce hemolysin and gelatinase virulence factors. Results showed Enterococcus faecalis and E. faecium were the most common species isolated. Isolates displayed resistance predominantly to aminoglycosides. Virulence factors were also present. The genetic diversity of resistant isolates was analyzed using PFGE, finding a relationship between E. faecalis resistant to streptomycin or gentamicin. The study concludes enterococci from food can transfer antibiotic resistance determinants if consumed and infect humans
Antimicrobial susceptibility of isolated E.coli from different water sources ...Sulieman Bahar
This study tested the antimicrobial susceptibility of E.coli isolated from different water sources in Nyala Town, Sudan. E.coli was isolated from 50 water samples using standard methods and tested against 12 commonly used antimicrobial agents. The results showed that the E.coli strains were most sensitive to Ciprofloxacin, Co-Trimoxazole and Chloramphenicol and most resistant to Tetracycline and Ampicillin/Sulbactam. This indicates multiple antibiotic resistant E.coli exist in the water sources of the study area, making the water potentially unsafe for drinking.
This document provides information about antimicrobial susceptibility testing (AST), including definitions of key terms, the importance and reasons for performing AST, methods for determining minimum inhibitory concentration (MIC) and minimum bactericidal concentration (MBC), classification of different classes of antibiotics, and manual techniques for AST including disk diffusion and ATB strips. Resistance mechanisms of common bacteria are also discussed.
This document summarizes a study on multidrug resistant organisms and their antibiotic resistance patterns among intensive care unit patients in Surat City, India. The study found that Pseudomonas aeruginosa and Klebsiella species were the most common causes of healthcare-associated infections. It also found high resistance of these organisms to cephalosporins but that amikacin and imipenem were the most effective antibiotics. Regular monitoring of resistance patterns was deemed important for guiding empirical treatment of infections in ICU patients.
This document summarizes a study on enteric pathogens associated with childhood diarrhea in Tripoli, Libya. The study found that in addition to classical pathogens like Salmonella and rotavirus, emerging pathogens like norovirus, adenovirus, and enteroaggregative E. coli (EAEC) are also important causes of childhood diarrhea in Tripoli. Cryptosporidium, Campylobacter, and Aeromonas appear to play a minor role. Ciprofloxacin-resistant Salmonella was detected, which is a serious public health concern. More nationwide studies are needed to better understand the roles and prevalence of different enteric pathogens causing pediatric diarrhea in Libya.
Classic and new emerging enteric pathogens-Tripoli-Libya-
This document summarizes a study on enteric pathogens associated with childhood diarrhea in Tripoli, Libya. The study found that in addition to classical pathogens like Salmonella and rotavirus, norovirus, adenovirus, and enteroaggregative E. coli (EAEC) are important causes of childhood diarrhea. Cryptosporidium, Campylobacter, and Aeromonas appear to play a minor role. Emerging ciprofloxacin-resistant Salmonella is a serious public health concern. More nationwide studies are needed to better understand the roles and prevalence of enteric pathogens causing pediatric diarrhea in Libya.
This study analyzed 200 pus samples to determine the incidence of methicillin-resistant Staphylococcus aureus (MRSA) and associated risk factors. 80 samples were found to contain S. aureus, of which 29 tested positive for the mecA gene, confirming MRSA. Testing methods like cefoxitin disk diffusion and oxacillin screen agar were compared to the PCR gold standard. The cefoxitin test showed 96.55% sensitivity and 96.22% specificity for detecting MRSA, outperforming oxacillin tests. Risk factors like hospital acquisition, diabetes, and sex were also analyzed. The study concludes that cefoxitin testing is an effective alternative to PCR for MRSA detection
This document discusses antibiotics and antibiotic resistance. It provides information on:
- Hospital-acquired infections are a significant problem, with over 70% of bacteria causing such infections being resistant to commonly used antibiotics.
- Antibiotics work by inhibiting nucleic acid synthesis, protein synthesis, or by acting on the cell membrane or enzyme systems.
- Antibiotic resistance can occur through spontaneous DNA mutation, transformation of DNA between bacteria, or acquisition of resistance genes via plasmids.
- Various mechanisms of resistance include reducing antibiotic uptake, active efflux, target modification/protection, and enzymatic inactivation.
- Monitoring antibiotic resistance patterns in hospitals is important to constrain the spread of resistance and avoid negative
SALMONELLA ARIZOANE: AN UNCOMMON UROPATHOGEN?Nuhu Tanko
Salmonella arizonae is usually an uncommon uropathogen from many studies. But from this study, it was the second most prevalent uropathogen after E.coli.
The UC San Diego AntiViral Research Center sponsors weekly presentations on infectious diseases to provide current research, clinical practices, and trends. This presentation from their AIDS Clinical Rounds discusses using blood culture nucleic acid tests to rapidly identify bacteria and detect antibiotic resistance directly from positive blood cultures. Such tests can identify organisms and resistance markers in 1.5 hours or less, much faster than conventional methods, allowing for more timely optimization of antibiotic therapy.
Trends in Antibiotic Resistance of Vibrio Cholerae Isolates in Kenya (2006 - ...paperpublications3
Abstract: The evolution of antibiotic resistance was studied among revived Vibrio cholerae strains which were previously archived at -800c between 2006 and 2015. Antibiotic susceptibility testing (AST) on 12 antimicrobials; ampicillin (10µg), cefpodoxime (10 µg), ceftazidime (30 µg), cefotaxime (30 µg), amoxicillin- clavulanic acid (10/ 100 µg ratio) nalidixic acid (30 µg), tetracycline (30 µg), ciprofloxacin (10 µg), SXT (sulphamethoxazole -30 µg trimethoprim -5.2 µg), streptomycin (25 µg), gentamycin (10 µg) and chloramphenicol (30 µg) was carried out using Kirby-Bauer disc diffusion method. AST results revealed susceptibility to tetracycline, which is the drug of choice in Kenya administered as doxycycline during cholera outbreaks, among all isolates. Resistance to βeta-lactams and ciprofloxacin emerged in latter years while a decline in resistance to SXT, Chloramphenicol and Streptomycin was noted. This study gave a clear indication that there were changes in the resistance patterns whereby resistance to some antimicrobials declined and others emerged over the ten year period. In order to slow down the emergence and spread of resistance strains, care should be taken by health professionals when prescribing antimicrobials to patients suffering from cholera disease and should be restricted to only severe cases. It is also recommended that antimicrobial susceptibility testing should be done before giving antimicrobials in management of cholera cases.
Keywords: Antimicrobial resistance, Evolution, Kenya, Vibrio cholera.
Title: Trends in Antibiotic Resistance of Vibrio Cholerae Isolates in Kenya (2006 - 2015)
Author: Penina Muthoni Kung’u, Samuel Njoroge, John Kiiru, Paul Okemo, Samuel Kariuki
ISSN 2349-7823
International Journal of Recent Research in Life Sciences (IJRRLS)
Paper Publications
Multidrug Resistance Pattern of Staphylococcus Aureus Isolates in Maiduguri ...Scientific Review SR
This study investigated the multidrug resistance patterns of Staphylococcus aureus isolates in Maiduguri, Nigeria. Samples were collected from hospitals and tested for S. aureus, which was isolated from 38.8% of samples, primarily from wound swabs. Antibiotic sensitivity testing found high resistance to ciprofloxacin (64.3%), ampicillin (59.5%), and chloramphenicol (54.8%). Multiple antibiotic resistance was observed in over 92% of isolates. The multiple antibiotic resistance index was highest at 0.6 (23.8%) and 0.5 (19.0%), indicating resistance to multiple drugs. The results demonstrate high multidrug resistance in S. aureus isolates from the
Multidrug Resistance Pattern of Staphylococcus Aureus Isolates in Maiduguri M...Scientific Review
Multi drug-resistant (MDR) isolates of Staphylococcus aureus are on rise and are becoming a challenge for timely and appropriate treatment. The present study was carried out with an objective to isolate Staphylococcus aureus from clinical samples and determine their sensitivity. Out of 110 samples collected, 44 were shown to contained S. aureus. The isolates were subjected to antibiotic sensitivity tests using 10 different and commonly used antibiotics by modified Kirby- Bauer disc diffusion technique. Out of the total isolates (42) tested, only 7.1% were susceptible to all the antibiotics. Multiple resistance was eminent in over 92% with highest occurrence in 4.8% where the entire antibiotics were resisted. Multiple antibiotic resistance indixes (MAR index) indicated that 0.6 index occurred most (23.8%) followed by 0.5 (19.0%). On the other hand, 0.1 and 0.8 indexes were the lowest with 0.0% and 1.0% occurrence respectively. Ciprofloxacin was resisted by most of the organisms (64.3%) while amoxicillin (64.3%) and streptomycin (61.9%) were most efficacious. With over 90% isolate having MAR index ≥ 0.2, the multiple drug resistance by the S. aureus is quite alarming and might suggest inappropriate antibiotic usage by the sampled population. Therefore, the need to strategize the nature of antibiotic treatment against S. aureus and massive campaign on indiscriminate antibiotic use is urgent.
This study evaluated the efficacy of fosfomycin compared to other antimicrobials against urinary tract isolates. A total of 603 bacterial isolates from urine samples were tested for antibiotic susceptibility. Escherichia coli was the most common isolate (35.3%), and it showed high resistance to several antibiotics but 94.4% sensitivity to fosfomycin. Among gram-positive isolates, Enterococcus spp. comprised 11.9% of isolates and 90.2% were sensitive to fosfomycin. The results suggest that fosfomycin is effective against most urinary isolates and may be a preferable treatment option due to its distinctive mechanism of action and low resistance.
The document describes the development of a new heptaplex PCR assay that can identify and differentiate Staphylococcus aureus and coagulase-negative staphylococci (CoNS), as well as detect various virulence factors and antibiotic resistance markers. The assay was tested on 255 staphylococcal strains, including 53 reference strains, 124 local clinical isolates, 31 CoNS isolates, and 47 non-staphylococcal bacterial isolates. The heptaplex PCR was able to detect 7 genetic markers (16S rRNA, spa, tuf, cns, pvl, mecA, vanA) and identify staphylococcal species and resistance profiles in under an hour
This study analyzed urine samples collected from 2011-2013 at a hospital in Silchar, India to determine the antibiotic resistance patterns of bacteria causing urinary tract infections (UTIs). The main findings were:
1) Escherichia coli was the most common cause of UTIs, identified in 38.54% of samples. Resistance to oral antibiotics like fluoroquinolones and cephalosporins was high for E. coli isolates.
2) Extended spectrum beta-lactamase (ESBL) production was observed in 28.74% of E. coli and 40.74% of Klebsiella isolates.
3) Methicillin-resistant Staphylococcus aureus (
This study aimed to determine the frequency, antibiotic resistance, virulence factors, and genetic diversity of enterococci isolates from meat samples. Samples were taken from poultry and red meat. Identification and antibiotic susceptibility testing identified E. faecalis and E. faecium as the most common species, with high resistance seen to aminoglycosides. Genes conferring resistance were identified via PCR. Pulsed-field gel electrophoresis was used to analyze the genetic relationships between resistant isolates. The results indicate enterococci with antibiotic resistance are present in meat samples and that antibiotic use in poultry farming contributes to aminoglycoside resistance.
This study analyzed antibiotic resistance in Enterococcus spp. isolated from two types of cheese - Ragusano PDO and Pecorino Siciliano - at different ripening stages. A total of 110 Enterococcus isolates were identified as E. faecalis, E. faecium, and E. durans using MALDI-TOF/MS and multiplex PCR. Antimicrobial susceptibility testing found that 97% of isolates were multidrug-resistant, with resistance to 3-7 antibiotics. The most resistance was observed for streptomycin, gentamicin, erythromycin, and tetracycline. PCR detection found resistance genes vanA and vanB in some vancomycin-resistant enterococci
Antibiotics: classification and spectrum of actionBashar Mudallal
This document provides an overview of different classes of antibiotics, including cell wall inhibitors, protein synthesis inhibitors, topoisomerase inhibitors, anti-metabolites, and anti-mycobacterials. It describes common antibiotics within each class, what types of bacteria they cover, and examples of specific antibiotics. It also briefly discusses empiric antimicrobial therapy and treatment for C. difficile infections.
Sponsor Day on animal feeding: Antimicrobial consumption and emergence of cep...Irta
This study analyzed the relationship between antimicrobial consumption and emergence of cephalosporin resistant Escherichia coli and Salmonella in pigs in several European countries. The key findings were:
1) Higher consumption of cephalosporins and other antimicrobials was associated with increased occurrence of cephalosporin resistant E. coli in pigs.
2) Treatment of pigs with ceftiofur and amoxicillin led to increased proportions of cephalosporin resistant E. coli during treatment but did not result in long-term resistance.
3) A wide range of cephalosporin resistance genes were found in resistant E. coli isolated from treated pigs, including CT
These are a class of antibiotics having a nucleus of four cyclic rings. The tetracyclines are primarily bacteriostatic; inhibit protein synthesis by binding to 30S ribosomes in susceptible organism.
Subsequent to such binding, attachment
of aminoacyl-t-RNA to the acceptor (A) site of
mRNA-ribosome complex. The carrier involved
in active transport of tetracyclines is absent in
the host cells. Moreover, protein synthesizing
apparatus of host cells is less susceptible to
tetracyclines. These two factors are responsible
for the selective toxicity of tetracyclines for
the microbes.
The Children are very vulnerable to get affected with respiratory disease.
In our country, the respiratory Disease conditions are consider as major cause for mortality and Morbidity in Child.
Antimicrobial susceptibility of isolated E.coli from different water sources ...Sulieman Bahar
This study tested the antimicrobial susceptibility of E.coli isolated from different water sources in Nyala Town, Sudan. E.coli was isolated from 50 water samples using standard methods and tested against 12 commonly used antimicrobial agents. The results showed that the E.coli strains were most sensitive to Ciprofloxacin, Co-Trimoxazole and Chloramphenicol and most resistant to Tetracycline and Ampicillin/Sulbactam. This indicates multiple antibiotic resistant E.coli exist in the water sources of the study area, making the water potentially unsafe for drinking.
This document provides information about antimicrobial susceptibility testing (AST), including definitions of key terms, the importance and reasons for performing AST, methods for determining minimum inhibitory concentration (MIC) and minimum bactericidal concentration (MBC), classification of different classes of antibiotics, and manual techniques for AST including disk diffusion and ATB strips. Resistance mechanisms of common bacteria are also discussed.
This document summarizes a study on multidrug resistant organisms and their antibiotic resistance patterns among intensive care unit patients in Surat City, India. The study found that Pseudomonas aeruginosa and Klebsiella species were the most common causes of healthcare-associated infections. It also found high resistance of these organisms to cephalosporins but that amikacin and imipenem were the most effective antibiotics. Regular monitoring of resistance patterns was deemed important for guiding empirical treatment of infections in ICU patients.
This document summarizes a study on enteric pathogens associated with childhood diarrhea in Tripoli, Libya. The study found that in addition to classical pathogens like Salmonella and rotavirus, emerging pathogens like norovirus, adenovirus, and enteroaggregative E. coli (EAEC) are also important causes of childhood diarrhea in Tripoli. Cryptosporidium, Campylobacter, and Aeromonas appear to play a minor role. Ciprofloxacin-resistant Salmonella was detected, which is a serious public health concern. More nationwide studies are needed to better understand the roles and prevalence of different enteric pathogens causing pediatric diarrhea in Libya.
Classic and new emerging enteric pathogens-Tripoli-Libya-
This document summarizes a study on enteric pathogens associated with childhood diarrhea in Tripoli, Libya. The study found that in addition to classical pathogens like Salmonella and rotavirus, norovirus, adenovirus, and enteroaggregative E. coli (EAEC) are important causes of childhood diarrhea. Cryptosporidium, Campylobacter, and Aeromonas appear to play a minor role. Emerging ciprofloxacin-resistant Salmonella is a serious public health concern. More nationwide studies are needed to better understand the roles and prevalence of enteric pathogens causing pediatric diarrhea in Libya.
This study analyzed 200 pus samples to determine the incidence of methicillin-resistant Staphylococcus aureus (MRSA) and associated risk factors. 80 samples were found to contain S. aureus, of which 29 tested positive for the mecA gene, confirming MRSA. Testing methods like cefoxitin disk diffusion and oxacillin screen agar were compared to the PCR gold standard. The cefoxitin test showed 96.55% sensitivity and 96.22% specificity for detecting MRSA, outperforming oxacillin tests. Risk factors like hospital acquisition, diabetes, and sex were also analyzed. The study concludes that cefoxitin testing is an effective alternative to PCR for MRSA detection
This document discusses antibiotics and antibiotic resistance. It provides information on:
- Hospital-acquired infections are a significant problem, with over 70% of bacteria causing such infections being resistant to commonly used antibiotics.
- Antibiotics work by inhibiting nucleic acid synthesis, protein synthesis, or by acting on the cell membrane or enzyme systems.
- Antibiotic resistance can occur through spontaneous DNA mutation, transformation of DNA between bacteria, or acquisition of resistance genes via plasmids.
- Various mechanisms of resistance include reducing antibiotic uptake, active efflux, target modification/protection, and enzymatic inactivation.
- Monitoring antibiotic resistance patterns in hospitals is important to constrain the spread of resistance and avoid negative
SALMONELLA ARIZOANE: AN UNCOMMON UROPATHOGEN?Nuhu Tanko
Salmonella arizonae is usually an uncommon uropathogen from many studies. But from this study, it was the second most prevalent uropathogen after E.coli.
The UC San Diego AntiViral Research Center sponsors weekly presentations on infectious diseases to provide current research, clinical practices, and trends. This presentation from their AIDS Clinical Rounds discusses using blood culture nucleic acid tests to rapidly identify bacteria and detect antibiotic resistance directly from positive blood cultures. Such tests can identify organisms and resistance markers in 1.5 hours or less, much faster than conventional methods, allowing for more timely optimization of antibiotic therapy.
Trends in Antibiotic Resistance of Vibrio Cholerae Isolates in Kenya (2006 - ...paperpublications3
Abstract: The evolution of antibiotic resistance was studied among revived Vibrio cholerae strains which were previously archived at -800c between 2006 and 2015. Antibiotic susceptibility testing (AST) on 12 antimicrobials; ampicillin (10µg), cefpodoxime (10 µg), ceftazidime (30 µg), cefotaxime (30 µg), amoxicillin- clavulanic acid (10/ 100 µg ratio) nalidixic acid (30 µg), tetracycline (30 µg), ciprofloxacin (10 µg), SXT (sulphamethoxazole -30 µg trimethoprim -5.2 µg), streptomycin (25 µg), gentamycin (10 µg) and chloramphenicol (30 µg) was carried out using Kirby-Bauer disc diffusion method. AST results revealed susceptibility to tetracycline, which is the drug of choice in Kenya administered as doxycycline during cholera outbreaks, among all isolates. Resistance to βeta-lactams and ciprofloxacin emerged in latter years while a decline in resistance to SXT, Chloramphenicol and Streptomycin was noted. This study gave a clear indication that there were changes in the resistance patterns whereby resistance to some antimicrobials declined and others emerged over the ten year period. In order to slow down the emergence and spread of resistance strains, care should be taken by health professionals when prescribing antimicrobials to patients suffering from cholera disease and should be restricted to only severe cases. It is also recommended that antimicrobial susceptibility testing should be done before giving antimicrobials in management of cholera cases.
Keywords: Antimicrobial resistance, Evolution, Kenya, Vibrio cholera.
Title: Trends in Antibiotic Resistance of Vibrio Cholerae Isolates in Kenya (2006 - 2015)
Author: Penina Muthoni Kung’u, Samuel Njoroge, John Kiiru, Paul Okemo, Samuel Kariuki
ISSN 2349-7823
International Journal of Recent Research in Life Sciences (IJRRLS)
Paper Publications
Multidrug Resistance Pattern of Staphylococcus Aureus Isolates in Maiduguri ...Scientific Review SR
This study investigated the multidrug resistance patterns of Staphylococcus aureus isolates in Maiduguri, Nigeria. Samples were collected from hospitals and tested for S. aureus, which was isolated from 38.8% of samples, primarily from wound swabs. Antibiotic sensitivity testing found high resistance to ciprofloxacin (64.3%), ampicillin (59.5%), and chloramphenicol (54.8%). Multiple antibiotic resistance was observed in over 92% of isolates. The multiple antibiotic resistance index was highest at 0.6 (23.8%) and 0.5 (19.0%), indicating resistance to multiple drugs. The results demonstrate high multidrug resistance in S. aureus isolates from the
Multidrug Resistance Pattern of Staphylococcus Aureus Isolates in Maiduguri M...Scientific Review
Multi drug-resistant (MDR) isolates of Staphylococcus aureus are on rise and are becoming a challenge for timely and appropriate treatment. The present study was carried out with an objective to isolate Staphylococcus aureus from clinical samples and determine their sensitivity. Out of 110 samples collected, 44 were shown to contained S. aureus. The isolates were subjected to antibiotic sensitivity tests using 10 different and commonly used antibiotics by modified Kirby- Bauer disc diffusion technique. Out of the total isolates (42) tested, only 7.1% were susceptible to all the antibiotics. Multiple resistance was eminent in over 92% with highest occurrence in 4.8% where the entire antibiotics were resisted. Multiple antibiotic resistance indixes (MAR index) indicated that 0.6 index occurred most (23.8%) followed by 0.5 (19.0%). On the other hand, 0.1 and 0.8 indexes were the lowest with 0.0% and 1.0% occurrence respectively. Ciprofloxacin was resisted by most of the organisms (64.3%) while amoxicillin (64.3%) and streptomycin (61.9%) were most efficacious. With over 90% isolate having MAR index ≥ 0.2, the multiple drug resistance by the S. aureus is quite alarming and might suggest inappropriate antibiotic usage by the sampled population. Therefore, the need to strategize the nature of antibiotic treatment against S. aureus and massive campaign on indiscriminate antibiotic use is urgent.
This study evaluated the efficacy of fosfomycin compared to other antimicrobials against urinary tract isolates. A total of 603 bacterial isolates from urine samples were tested for antibiotic susceptibility. Escherichia coli was the most common isolate (35.3%), and it showed high resistance to several antibiotics but 94.4% sensitivity to fosfomycin. Among gram-positive isolates, Enterococcus spp. comprised 11.9% of isolates and 90.2% were sensitive to fosfomycin. The results suggest that fosfomycin is effective against most urinary isolates and may be a preferable treatment option due to its distinctive mechanism of action and low resistance.
The document describes the development of a new heptaplex PCR assay that can identify and differentiate Staphylococcus aureus and coagulase-negative staphylococci (CoNS), as well as detect various virulence factors and antibiotic resistance markers. The assay was tested on 255 staphylococcal strains, including 53 reference strains, 124 local clinical isolates, 31 CoNS isolates, and 47 non-staphylococcal bacterial isolates. The heptaplex PCR was able to detect 7 genetic markers (16S rRNA, spa, tuf, cns, pvl, mecA, vanA) and identify staphylococcal species and resistance profiles in under an hour
This study analyzed urine samples collected from 2011-2013 at a hospital in Silchar, India to determine the antibiotic resistance patterns of bacteria causing urinary tract infections (UTIs). The main findings were:
1) Escherichia coli was the most common cause of UTIs, identified in 38.54% of samples. Resistance to oral antibiotics like fluoroquinolones and cephalosporins was high for E. coli isolates.
2) Extended spectrum beta-lactamase (ESBL) production was observed in 28.74% of E. coli and 40.74% of Klebsiella isolates.
3) Methicillin-resistant Staphylococcus aureus (
This study aimed to determine the frequency, antibiotic resistance, virulence factors, and genetic diversity of enterococci isolates from meat samples. Samples were taken from poultry and red meat. Identification and antibiotic susceptibility testing identified E. faecalis and E. faecium as the most common species, with high resistance seen to aminoglycosides. Genes conferring resistance were identified via PCR. Pulsed-field gel electrophoresis was used to analyze the genetic relationships between resistant isolates. The results indicate enterococci with antibiotic resistance are present in meat samples and that antibiotic use in poultry farming contributes to aminoglycoside resistance.
This study analyzed antibiotic resistance in Enterococcus spp. isolated from two types of cheese - Ragusano PDO and Pecorino Siciliano - at different ripening stages. A total of 110 Enterococcus isolates were identified as E. faecalis, E. faecium, and E. durans using MALDI-TOF/MS and multiplex PCR. Antimicrobial susceptibility testing found that 97% of isolates were multidrug-resistant, with resistance to 3-7 antibiotics. The most resistance was observed for streptomycin, gentamicin, erythromycin, and tetracycline. PCR detection found resistance genes vanA and vanB in some vancomycin-resistant enterococci
Antibiotics: classification and spectrum of actionBashar Mudallal
This document provides an overview of different classes of antibiotics, including cell wall inhibitors, protein synthesis inhibitors, topoisomerase inhibitors, anti-metabolites, and anti-mycobacterials. It describes common antibiotics within each class, what types of bacteria they cover, and examples of specific antibiotics. It also briefly discusses empiric antimicrobial therapy and treatment for C. difficile infections.
Sponsor Day on animal feeding: Antimicrobial consumption and emergence of cep...Irta
This study analyzed the relationship between antimicrobial consumption and emergence of cephalosporin resistant Escherichia coli and Salmonella in pigs in several European countries. The key findings were:
1) Higher consumption of cephalosporins and other antimicrobials was associated with increased occurrence of cephalosporin resistant E. coli in pigs.
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MULTIDRUG RESISTANT BACTERIA
1. Aims & Objectives
• To collect samples from hospital sewage and Municipal drains
• To isolate and identification of multidrug resistant bacteria
• To study of urbanisation is influence to turn resistant
• To Characterisation of gene to responsible for multi drug resistant
• To study of control measures
2. Introduction
• The rapid global urbanization and other extensive anthropogenic activities indiscriminate use of
antibiotics in human and veterinary medicine is often associated with increased bacterial resistant
and the ARB have created serious problems in the treatment of infectious diseases
• These bacteria and their antibiotic resistant gene enter the environment through varies sources like
Hospital waste water and municipal waste water are potential source for entry of ARB and ARG in to
the natural environment
• Antibiotic resistance in the environment can be transferred form pathogenic bacteria to non
pathogenic bacteria , which impair water ecology throughout change in, population dynamics and
physiology.
• A study has show that a large number of bacteria and resistant genes particularly in hospital strains
have been found in hospital waste water discharge
• ARGs can be transferred among the bacteria in the environment through Plasmids, Transposons and
Integrans and mechanism involved is, Permeability changes , Active efflux of microbial cell,
Degradation of the antimicrobial agent, Enzymatic modification of antibiotic, Modification of
antibiotic target and over production of target
3. Introduction
• The discovery of penicillin in 1928 was followed by the commercial production of many other antibiotics at
an esteemed scale of 1,00,000 tons annually worldwide, and their use had a profound impact on the life of
bacteria on earth.
• More strains of pathogens have become antibiotic resistant, and some have become resistant to many
antibiotics and chemotherapeutic agents, the phenomenon of multidrug resistance.
• Indeed, some strains have become resistant to practically all of the commonly available agents. A notorious
case is the methicillin-resistant Staphylococcus aureus (MRSA), which is resistant not only to methicillin
(which was developed to fight against penicillinase-producing S. aureus)
5. Materials &Methods
Sample collection:
• A total of 100 samples were collected from different areas of hospitals sewage and
municipal drainages located in Warangal in 30th march 2018 to 29th April 2019.
• All samples were collected in a sterile container .
• After collection, samples were stored in ice cold sterile containers during
transportation from the collection point to the laboratory.
• The samples collected from hospitals sewage and municipal drainages were
transferred in LB medium (Himedia, India) to the department of Microbiology
Kakatiya university, Warangal. For the isolation and identification all the samples
collected from different sources
6. Geographical distribution of Samples collection points
1.MGM Hospital sewage (25 nos)
2.Prashanthi Hospital Sewage (25 nos)
3.Municipal wastes in streams (25 nos)
4.Municipal Drains at varies places of Warangal (25 nos)
7. Bacterial isolation
• Samples collected from source were inoculated (5 μL inoculums) in LB medium
and stored at 4°C.
• The isolates were further characterized by streaking on Nutrient, MacConkey agar
and incubated overnight at 37°C.
• The phylogenetic classification of the bacteria isolates was conducted by PCR
and assigned to the 5 major bacteria groups SRKU20, SRKU42, SRKU55, SRKU78
and group SRKU99 according to the 16S rRNA analysis.
• Based on the initial biochemical tests, a total of 288 isolates from 100 samples
were selected and stored in sterile NA slants for further tests.
8. Antibiotic sensitivity
• All the bacterial isolates were tested for antibiotics resistance including
• Amikacin (30µg) Amoxyclav (30µg) Amphicillin (10µg), Cifroflaxacin (5µg)
• Ofloxacin (5µg) Levofloxacin (5µg) Gentamicin (10µg), Cefixime(30µg),
• Cefotoxime (30µg) Ceftazadime (30µg) Oxacillin (1µg)
• Piperacillin (100µg) Tobramicin (10µg) ,Gentamicin (10µg) , Penicillin G (10 U)
• Colistin (10µg) Erythromycin (15µg) Amoxicillin(10µg) Tetracycline(30µg)
• Vankomycine (30µg) Co-Trimaxazole (25µg)
• All antibiotic discs were purchased from Hi media Laboratories, India
10. Colony morphology for antibiotic resistant strains
S No. Sample ID Gram Stain Shape Nutrient agar MecConkey Agar
1 SRKU 20 Negative Rod Circular , Greyish white
mucoid colonies (2-3mm)
Large shinny and dark pink in
color with mucoid colonies
(2-3mm)
2 SRKU 42 Negative Rod Irregular, Smooth, Greenish
blue colonies (2-4mm))
Circular, Smooth, Mucoid,
colourles colonies (2-3mm)
3 SRKU 55 Negative Rod Large, Thick, Greyish,
White, Moist and Smooth
(1-3mm)
Bright pink with mucoid
colonies (2-3mm)
4 SRKU 78 Negative Rod Circular , Greyish white
mucoid colonies (2-3mm)
Large shinny and dark pink in
color with mucoid colonies
(2-3mm)
5 SRKU 99 Negative Rod Irregular,Smooth, Greenish
blue colonies (2-4mm))
Circular, Smooth, Mucoid,
colourles colonies (2-3mm)
13. Plate: II Antibiotic sensitivity containing selected
multidrug resistance strains
Sno Sample ID Source of Sample
Amikacin
(30µg)
Amphicillin(10µg)
Cefazoline(10µg)
Cefroflaxacin
(5µg)
Ofloxacin
(5µg)
LeVoflaxacin
(5µg)
Gentamycine
(10µg)
Salbactam(10µg)
Cefixime(30µg)
Cefotoxime
(30µg)
Ceftazadime(30µg)
Piperacillin(100µg)
Nitrofurointain(30ug)
Norflaxacin
(10µg)
Cefifime(10µg)
Vankomycin
(30µg)
Co-Trimaxazole
(25µg)
1 SRKU20 Hospital Sewage (MGM Hos)
R S S R S S R S S R S S S R S
R R
2 SRKU42
Municipal Drainage (Alankar
Junction)
S R S R S S S R S S R S S S S
R S
3 SRKU55 Municipal Drainage (Gandhi agar)
R S S R S R S S S S R R S S S
R R
4 SRKU78 Hospital Sewage (Prashanthi) R S R S S S R S S S R S S S S R R
5 SRKU99 Hospital Sewage (Prashanthi)
S R S R S R S S S R S S S S S
R R
R = Resistant S = Sensitive
14. Molecular identification
• 1. Klebsiella pneumoniae (SRKU20)
gDNA and 16S Amplicon QC data: (SRKU20)
Source: Hospital Sewage (MGM Hospital)
Characteristic features:
1. Non motile, non spore forming, Gram
negative bacteria with a prominent
polysaccharide capsule,
2. The size of Klebsiella pneumoniae is
about 1–2 µm × 0.5–0.8 µm
3. In MecConkey agar - Large shinny and
dark pink in color with mucoid colonies
4. Colony s are circular 2-3mm diametre
5. IMViC (- - + +)
6. Opportunistic pathogen
16. 2. Pseudomonas aeruginosa (SRKU42)
Source: Municipal Drainage
Characteristic features:
1. Aerobic, Non sporeing , motile Gram
negative bacilli
2. which produce water soluble pigments
which diffuse through the media,
the best-known pigments are pyocyanin
(blue green)
3. Produce large , opaque ,non lactose
fermenting organisms on MecConkey agar
4. On NAM produce greenish blue colonies
5. IMVP (- - -), H2S (+) Catalase (+) and
Oxydase (+)
6. Normal flora in the gastro intestinal tract
18. 3. Escherichia coli (SRKU55)
Source: Municipal Drainage (Gandhi agar)
Characteristic features:
1. Non sporing, capsulated, motile gram
negative bacteria.
2. The size of Escherichia coli is about 1–3
µm × 0.4–0.7 µm
3. Circular, Smooth, mucoid bright pink
colonies due to lactose fermentation
are produced in MecConkey Agar
4. IMViC (+ + - - )
20. 4. Klebsiella pneumoniae (SRKU78)
Source: Hospital Sewage (MGM Hospital)
Characteristic features:
1. Non motile, non spore forming, Gram
negative bacteria with a prominent
polysaccharide capsule,
2. The size of Klebsiella pneumoniae is
about 1–2 µm × 0.5–0.8 µm
3. In MecConkey agar - Large shinny and
dark pink in color with mucoid colonies
4. Colony s are circular 2-3mm diametre
5. IMViC (- - + +)
6. opportunistic pathogen
22. 5. Pseudomonas aeruginosa (SRKU99)
Source: Hospital Sewage (Prashanthi hospital)
Characteristic features:
Characteristic features:
1. Aerobic, Non sporeing , motile Gram
negative bacilli
2. which produce water soluble pigments
which diffuse through the media,
the best-known pigments are pyocyanin
(blue green)
3. Produce large , opaque ,non lactose
fermenting organisms on MecConkey agar
4. On NAM produce greenish blue colonies
5. IMVP (- - -), H2S (+) Catalase (+) and
Oxidase (+)
6. Normal flora in the gastro intestinal tract
24. Thank you for giving the space
• Prof .G.Gangadhar reddy sir, Dean,
• faculty of Sciences
• Head of Dept Dr Sujatha maam
• Board of Studies Chairman Dr Raja Komuraiah sir
• Dr Venkataiah Sir
• All the mentors
• Co scholars and all PG students
thank you