Non-fermenting gram negative bacilli isolated from blood and their in vitro sensitivity pattern in a tertiary care hospital

https://doi.org/10.53730/ijhs.v6nS5.11619

Authors

  • Maumita Deb Tutor, Department of Microbiology, K S Hegde Medical Academy Mangalore
  • Asha Rani S Assistant Professor, Department of Microbiology, GIMS Kalaburagi
  • Anitha T K Associate Professor, Department of Microbiology, East Point College of Medical Sciences and Research Centre, Bangalore

Keywords:

Acinetobacter, pseudomonas, non-fermenters, NFGNB, bacteremia

Abstract

Background: Bacteremia caused by non-fermenting gram negative bacilli (NFGNB) is a serious infection which is associated with high morbidity and mortality. Identification of NFGNB and monitoring their susceptibility pattern are important for proper management of these infections. Aim: Scope of the present study is to characterize the NFGNB along with their antimicrobial sensitivity pattern among the patients coming to our hospital, a tertiary care center. Materials & Methods: A retrospective study was conducted to determine the NFGNB isolated from blood during the one-year study period. A total of 8223 Blood cultures were received in the laboratory which was processed by semi-automated technique in Bac-T Alert. Antibiotic susceptibility was performed by VITEK and Kirby Bauer methods and interpreted by CLSI guidelines. 102 isolates of NFGNB were obtained from the Blood culture. Results: Most commonly isolated organism is Acinetobacter species (47%) followed by Pseudomonas spp (27%) and Burkholderia spp(15.6%). Maximum isolates of Acinetobacter spp were sensitive to colistin (91.9%), cefoperazone-sulbactum (88.4%), Tigecycline (62.5%). Pseudomonas spp was sensitive to colistin (100%), ciprofloxacin (59%). Conclusion: Identification of NFGNB and monitoring their susceptibility patterns will help in proper management of infections caused by them.

Downloads

Download data is not yet available.

References

Clinical and Laboratory Standards Institute (CLSI). Performance standards for antimicrobial susceptibility testing; 25th information informational supplement. Wanya, PA: CLSI; 2015 (M100 CS25).

Esterly JS, Richardson CL, Eltoukhy NS, Qi C, Scheetz MH. Genetic Mechanisms of Antimicrobial Resistance of Acinetobacter baumannii. Ann Pharmacother. 2011 Feb;45(2):218-28.

Juyal D, Prakash R, Shanakaranarayan SA, Sharma M, Negi V, Sharma N. Prevalence of non-fermenting gram negative bacilli and their in vitro susceptibility pattern in a tertiary care hospital of Uttarakhand: A Study from foothills of Himalayas. Saudi J Health Sci 2013;2:108-12.

Karah N, Dwibedi CK, Sjöström K, Edquist P, Johansson A, Wai SN, Uhlin BE. Novel Aminoglycoside Resistance Transposons and Transposon-Derived Circular Forms Detected in Carbapenem-Resistant Acinetobacter baumannii Clinical Isolates. Antimicrob Agents Chemother. 2016 Jan 11;60(3):1801-18.

Lister PD, Wolter DJ, Hanson ND. Antibacterial-resistant Pseudomonas aeruginosa: clinical impact and complex regulation of chromosomally encoded resistance mechanisms. Clin Microbiol Rev. 2009 Oct;22(4):582-610.

Liu JY, Wang FD, Ho MW, Lee CH, Liu JW, Wang JT, Sheng WH, Hseuh PR, Chang SC. In vitro activity of aminoglycosides against clinical isolates of Acinetobacter baumannii complex and other nonfermentative Gram-negative bacilli causing healthcare-associated bloodstream infections in Taiwan. J Microbiol Immunol Infect. 2016 Dec;49(6):918-923

Malini A, Deepa E, Gokul B, Prasad S. Nonfermenting gram-negative bacilli infections in a tertiary care hospital in kolar, karnataka. J Lab Physicians. 2009 Jul;1(2):62-6.

Nowak P, Paluchowska PM, Budak A. Co-occurrence of carbapenem and aminoglycoside resistance genes among multidrug-resistant clinical isolates of Acinetobacter baumannii from Cracow, Poland. Med Sci Monit Basic Res. 2014 Jan 27;20:9-14.

Pachori P, Gothalwal R, Gandhi P. Emergence of antibiotic resistance Pseudomonas aeruginosa in intensive care unit; a critical review. Genes Dis. 2019 Apr 17;6(2):109-119.

Rattanaumpawan, P., Ussavasodhi, P., Kiratisin, P. et al. Epidemiology of bacteremia caused by uncommon non-fermentative gram-negative bacteria. BMC Infect Dis 13, 167 (2013).

Suryasa, I. W., Rodríguez-Gámez, M., & Koldoris, T. (2021). Get vaccinated when it is your turn and follow the local guidelines. International Journal of Health Sciences, 5(3), x-xv. https://doi.org/10.53730/ijhs.v5n3.2938

Thaib, P. K. P., & Rahaju, A. S. (2022). Clinicopathological profile of clear cell renal cell carcinoma. International Journal of Health & Medical Sciences, 5(1), 91-100. https://doi.org/10.21744/ijhms.v5n1.1846

Wisplinghoff H, Bischoff T, Tallent SM, Seifert H, Wenzel RP, Edmond MB. Nosocomial bloodstream infections in US hospitals: analysis of 24,179 cases from a prospective nationwide surveillance study. Clin Infect Dis. 2004 Aug 1;39(3):309-17.

Published

08-08-2022

How to Cite

Deb, M., Asha, R. S., & Anitha, T. K. (2022). Non-fermenting gram negative bacilli isolated from blood and their in vitro sensitivity pattern in a tertiary care hospital. International Journal of Health Sciences, 6(S5), 7367–7375. https://doi.org/10.53730/ijhs.v6nS5.11619

Issue

Section

Peer Review Articles