Antimicrobial Resistance Patterns of Bacterial Isolates from Tertiary Care Hospital of North India
Microbiology Research Journal International,
Page 11-16
DOI:
10.9734/mrji/2022/v32i230369
Abstract
Antimicrobial resistance is one of the serious health threats in the world and death due to it is projected to reach up to 10 million every year by 2050. In India, the government implemented a National Action Plan on Antimicrobial Resistance (NAP-AMR) intending to develop a laboratory-based AMR surveillance system, guidelines and practices to promote the awareness of the rational use of antibiotics in healthcare communities. In this plane, only five major hospitals are included which is not sufficient to provide the actual status of AMR. The present study focused on the AMR patterns analysis for bacteria isolated from the different health units in SSB heart and multispecialty hospital, Faridabad, Haryana. Clinically relevant samples such as pus & Body fluid, respiratory, urine and blood samples from the suspected patients were screened over a period of 5 months (February to June 2021) and AMR pattern analysis was carried out by using the disc diffusion method (Kirby–Bauer test) and interpretation was made as per the guidelines of recent Clinical and Laboratory Standards Institute. The study revealed that E. coli was the most dominated resistant bacteria. Moreover, aminoglycosides showed 55% resistance against maximum bacterial isolates from respiratory samples while fosfomycin had higher sensitivity i.e. 85% against pathogens from urine samples. The present study concluded that regular susceptibility testing should be conducted with a defined interval to detect the current trend of resistance which helps clinicians in the effective infectious disease management and leads to reducing the burden of AMR.
Keywords:
- Antimicrobial resistance
- antibiogram
- national action plan on antimicrobial resistance
- India
- current status
How to Cite
References
Murray CJ, Ikuta KS, Sharara F, Swetschinski L, Aguilar GR, Gray A, Han C, Bisignano C, Rao P, Wool E, Johnson SC. Global burden of bacterial antimicrobial resistance in 2019: A systematic analysis. The Lancet. 2022 Jan 19.
Dixit A, Kumar N, Kumar S, Trigun V. Antimicrobial resistance: Progress in the decade since emergence of New Delhi metallo-β-lactamase in India. Indian journal of community medicine: official publication of Indian Association of Preventive & Social Medicine. 2019;44(1):4.
O’neill J. Antimicrobial resistance. Tackling a crisis for the health and wealth of nations. 2014.
Gandra S, Joshi J, Trett A, Lamkang AS, Laxminarayan R. Scoping report on antimicrobial resistance in India. Washington, DC: Center for Disease Dynamics. Economics & Policy. 2017:1- 30.
MoHFW. National Programme on Containment of Anti-Microbial Resistance (AMR); 2016.
Available: https://www.nhp.gov.in/national-programme-on-containment-of-anti-microbial-resistance-(amr)_pg#:~:text=Healthy%20India&text=India%20has%20given%20due%20cognizance,plan%20(2012%2D2017;%20https://www.nature.com/articles/s41598-021-84293-8.pdf
Mohammed ZA, Mukhopadhyay C, Varma M, Eshwara VK. Identifying opportunities for antimicrobial stewardship through a point prevalence survey in an Indian tertiary-care teaching hospital. Journal of global antimicrobial resistance. 2020; 23:315-20.
Patel JB, Cockerill FR, Bradford PA. Performance standards for antimicrobial susceptibility testing: Twenty- fifth informational supplement.
Vaithiyam VS, Rastogi N, Ranjan P, Mahishi N, Kapil A, Dwivedi SN, Soneja M, Wig N, Biswas A. Antimicrobial Resistance Patterns in Clinically Significant Isolates from Medical Wards of a Tertiary Care Hospital in North India. Journal of laboratory Physicians. 2020;12(03):196-202.
Schwab F, Gastmeier P, Meyer E. The warmer the weather, the more gram-negative bacteria-impact of temperature on clinical isolates in intensive care units. PloS one. 2014;9(3):e91105.
Veeraraghavan B, Jesudason MR, Prakasah JA, Anandan S, Sahni RD, Pragasam AK, Bakthavatchalam YD, Selvakumar RJ, Dhole TN, Rodrigues C, Roy I. Antimicrobial susceptibility profiles of gram-negative bacteria causing infections collected across India during 2014–2016: Study for monitoring antimicrobial resistance trend report. Indian Journal of Medical Microbiology. 2018;36(1):32-6.
Gandra S, Tseng KK, Arora A, Bhowmik B, Robinson ML, Panigrahi B, Laxminarayan R, Klein EY. The mortality burden of multidrug-resistant pathogens in India: A retrospective, observational study. Clinical Infectious Diseases. 2019;69(4):563- 70.
Cilloniz C, Martin-Loeches I, Garcia-Vidal C, San Jose A, Torres A. Microbial etiology of pneumonia: epidemiology, diagnosis and resistance patterns. International Journal of Molecular Sciences. 2016;17(12):2120.
Basak S, Singh P, Rajurkar M. Multidrug resistant and extensively drug resistant bacteria: a study. Journal of pathogens. 2016;2016.
Mogasale VV, Saldanha P, Pai V, Rekha PD, Mogasale V. A descriptive analysis of antimicrobial resistance patterns of WHO priority pathogens isolated in children from a tertiary care hospital in India. Scientific reports. 2021;11(1):1-7.
Javiya VA, Ghatak SB, Patel KR, Patel JA. Antibiotic susceptibility patterns of Pseudomonas aeruginosa at a tertiary care hospital in Gujarat, India. Indian journal of pharmacology. 2008;40(5): 230.
Bhat Y R, Lewis LE, KE V. Bacterial isolates of early-onset neonatal sepsis and their antibiotic susceptibility pattern between 1998 and 2004: an audit from a center in India. Italian journal of pediatrics. 2011;37(1):1-6.
Saha S, Nayak S, Bhattacharyya I, Saha S, Mandal A, Chakraborty S, Bhattacharyya R, Chakraborty R, Franco OL, Mandal SM, Basak A. Understanding the patterns of antibiotic susceptibility of bacteria causing urinary tract infection in West Bengal, India. Frontiers in microbiology. 2014;5:463.
Mir AR, Bashir Y, Dar FA, Sekhar M. Identification of genes coding aminoglycoside modifying enzymes in E. coli of UTI patients in India. The Scientific World Journal. 2016;2016.
Padmini N, Ajilda AA, Sivakumar N, Selvakumar G. Extended spectrum β‐lactamase producing Escherichia coli and Klebsiella pneumoniae: critical tools for antibiotic resistance pattern. Journal of Basic Microbiology. 2017;57(6):460- 70.
Chandane P, Gandhi A, Bowalekar S. Study of antibiotic susceptibility pattern of Salmonella typhi in children suffering from enteric fever. Annals of Tropical Medicine & Public Health. 2017;10(2).
-
Abstract View: 98 times
PDF Download: 25 times