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A Study On Phenotypic Characterisation And Antimicrobial Susceptibility Pattern Of Acinetobacter Isolates From Various Clinical Samples In A Tertiary Care Hospital

DEVI .

Abstract


Abstract : Acinetobacter spp. have emerged as an important nosocomial pathogen,especially in intensive care settings1,2. Despite their low pathogenic potential they are being reported increasingly as the causal organism of numerous hospital    outbreaks in several countries3,4 .In a recent international   multicentre study,Acinetobacter spp were ranked amongst the 10 organisms most commonly causing septicaemia in 18 of 44 large European hospitals5.Different levels and patterns of   antimicrobial susceptibilities have been found among different Acinetobacter species6.Several studies reported a higher   occurrence of multidrug resistance in A.baumannii compared with non-A.baumannii species7,8.Intraspecies diversity of    antimicrobial susceptibilities has also been reported.Hence this study was done to speciate and to determine the Antimicrobial susceptibility of Acinetobacter isolates in our Tertiary care   hospital. In this study,a total of 6553 samples like blood,CSF,and other bodyfluids were analyzed.The period of study was for 3 months from August 2011-October 2011.  Totally 543 non-fermenters were isolated ,out of which 100 were Acinetobacter.Speciation was done using simplified phenotypic tests,which showed A.calcoaceticus­baumanii complex(87),A.lwoffi (7),A.junii(4),A.hemolyticus(2). Resistance pattern to various drugs were cefoperazonesulbactum (11), Amikacin(43), Ofloxacin(49), Ceftazidime(55), Gentamicin(57),   Chloramphenicol (93).

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References :

Bergogne –Berezin E ,Joly-Guilou ML,Vieu JF.Epidemiology of nosocomial infections due to Acinetobacter calcoaceticus. J Hosp Infec 1987;10:105-113.

Gerner-Smidt P,Endemic occurrence of Acinetobacter calcoaceticus biovar anitratus in an intensive care unit.J Hosp Infec 1987;10:265-272.

Tilley PAG,Roberts FJ.Bacteraemia with Acinetobacter species:risk factors and prognosis in different clinical settings.Clin Infect Dis 1994;18:896-900

Tankovic J,Legrand P,BrunBuisson C,Dural J.Characterisation of a hospital outbreak of imipenem-resistant Acinetobacter baumanniiby phenotypic and genotypic methods.J Clin Microbiol 1994;32:2677-2681.

Washington JA.An international multicenter study of blood culture practices.The International collaborative Blood Culture Study Group.Eur J Clin Microbiol Infec Dis 1992;11:1115-1128.

Van Looveren M, Goossens H: Antimicrobial resistance of Acinetobacter spp. in Europe. Clin Microbiol Infect 2004, 10(8): 684-704.

Turton JF, Shah J, Ozongwu C, Pike R: Incidence of Acinetobacter species other than A. baumannii among clinical isolates of Acinetobacter: evidence for emerging species. J Clin Microbiol 2010, 48(4):1445-1449.

Van den Broek PJ, van der Reijden TJ, van Strijen E, Helmig-Schurter AV, Bernards AT, Dijkshoorn L: Endemic and epidemic Acinetobacter species in a university hospital: an 8-year survey. J Clin Microbiol 2009, 47(11):3593­3599.

Bergogne-Berezin E.Acinetobacter species ,saprophytic organisms of increasing pathogenic importance. Ind J Med Microbial Virol Parasitol infect Dis 1994;281(4):389-405.

De A,Deodhar L.Antibiotic resistance pattern and R-plasmids of Acinetobacter calcoaceticus subsp. anitratus. Indian J Pathol Microbiol 1995;38:185-188.

Chopade BA,Patwardhan RB,Dhakephalkar PK.Acinetobacter infections in India:genetic and molecular biological studies and some approaches to the problem.In :Tropical diseases .Delhi,CSIR.1994;704-717.

Bergogne-Berezin E,Towner KJ.Acinetobacter spp.as nosocomial pathogens :microbiological ,clinical,and epidemiological features.Clin Microbiol Rev 1996;9:148-165.

Lahiri K,Mani NS,Purai SS.Acinetobacter species as nosocomial pathogen ;Clinical significance and antimicrobial sensitivity .Med J Armed Forces India 2004 ;60:7-10.

Ng TK,Ling JM,Cheng AF, Norrby SR.A retrospective study of clinical characteristics of Acinetobacter bacteremia . Scandinavian J of Infect Dis Suppl 1996;101: 26-32.

Anupurba S,Sen MR.Antimicrobial resistance profile of bacterial isolates from ICU: Changing trends .J Commun Dis 2005;37 (1);58-65.

Capoor MR,Nair D,Srivastava L,Gupta B, Aggarwal P. Characterization and changing minimum inhibitory concentration of Acinetobacter species from a tertiary care set up.J Commun Dis 2005;37(2);99-107.


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