Dr BLOODSTREAM INFECTIONS AND ITS ANTIBIOGRAM OF INTENSIVE CARE UNITS IN A TERTIARY CARE HOSPITAL OF CENTRAL INDIA

Authors

  • SHRUTI ASATI Department of Microbiology, NSCB Medical College, Jabalpur, Madhya Pradesh, India
  • MAMTA GAUR Department of Microbiology, NSCB Medical College, Jabalpur, Madhya Pradesh, India
  • VIJAYAKUMAR Department of School of Excellence in Pulmonary Medicine, NSCB Medical College, Jabalpur, Madhya Pradesh, India.
  • SONIA SHARMA BHARTY Department of Microbiology, School of Excellence in Pulmonary Medicine, NSCB Medical College, Jabalpur, Madhya Pradesh, India.

DOI:

https://doi.org/10.22159/ajpcr.2024v17i11.52068

Keywords:

Bacteremia, Multidrug resistant, Bacterial isolates

Abstract

Objective: To perform bacteriological analysis and to study drug susceptibility patterns of isolates from bloodstream infections.

Methods: This retrospective study was conducted in the microbiology department of NSCB Medical College, Jabalpur, spanning from July 2023 to December 2023. The study included blood culture samples from all adult intensive care unit patients of the medical college. Blood samples were collected with aseptic guidelines and cultured for 7 days. Growths were identified using standard biochemical tests and subjected to sensitivity testing according to Modified Kirby-Bauer’s disk diffusion method. Data for the source of blood collection and duration of incubation were noted and compared.

Results: A total of 100 (21.7%) pathogens were isolated from 460 bacteremia suspect patient blood specimens. Pseudomonas spp. Were predominant organisms recovered followed by Klebsiella spp. and Staphylococcus aureus, coagulase-negative staphylococci, and Acinetobacter spp. were the primary pathogens isolated. Carbapenems, glycopeptides, and aminoglycosides were the most effective drugs for treating bacteremia.

Conclusions: Early diagnosis and proper antimicrobial therapy lead to successful treatment of sepsis and decreased morbidity and mortality. Antibiogram of a particular area helps in rationalizing verified treatment strategies.

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References

Viscoli C. Bloodstream infections: The peak of the iceberg. Virulence. 2016;7(3):248-51.

Timsit JF, Soubirou JF, Voiriot G, Chemam S, Neuville M, Mourvillier B, et al. Treatment of bloodstream infections in ICUs. BMC Infect Dis. 2014;14:489.

Ammerlaan H, Harbarth S, Buiting A, Crook DW, Fitzpatrick F, Hanberger H, et al. Secular trends in nosocomial bloodstream infections: Antibiotic-resistant bacteria increase the total burden of infection. Clin Infect Dis. 2013;56(6):798-805.

Magiorakos AP, Srinivasan A, Carey R, Carmeli Y, Falagas ME, Giske CG, et al. Multidrug-resistant, extensively drug-resistant and pandrug-resistant bacteria: An international expert proposal for interim standard definitions for acquired resistance. Clin Microbiol Infect. 2012;18(3):268-81.

Vanitha RN, Kannan G, Venkata NM, Vishwakath D, Nagesh VD, Yogitha M. A retrospective study on blood stream infections and antibiotic susceptibility patterns in a tertiary care teaching hospital. Int J Pharm Pharm Sci. 2012;4(1):543-8.

Timsit JF, Soubirou JF, Voiriot G, Chemam S, Neuville M, Mourvillier B, et al. Treatment of bloodstream infections in ICUs. BMC Infect Dis. 2014;14:489.

Rosineide MR, Claudete F, Paulo P. Nosocomial bloodstream infections: Organisms, risk factors and resistant phenotypes in the Brazilian University Hospital. Braz J Infect Dis. 2007;11(3):351-4.

Ndugulile F, Jureen R, Harthug S, Urassa W, Langeland N. Extended spectrum beta-lactamases among gram-negative bacteria of nosocomial origin from an intensive care unit of a tertiary health facility in Tanzania. BMC Infect Dis. 2005;5:86.

Jadhav S, Gandham N, Paul R, Misra RN, Ujagare MT, Angadi K, et al. Bacteriological profile of septicaemia and antimicrobial susceptibility of isolates from tertiary care hospital in India. Res J Pharm Biol Chem Sci. 2012;3:1100-8.

Karunakaran R, Raja NS, Ng KP, Navaratnam P. Etiology of blood culture isolates among patients in a multidisciplinary teaching hospital in Kuala Lumpur. J Microbiol Immunol Infect. 2007;40:432-7.

Vasudeva N, Nirwan PS, Shrivastava P. Bloodstream infections and antimicrobial sensitivity patterns in a tertiary care hospital of India. Ther Adv Infect Dis. 2016;3:119-27.

Wattal C, Raveendran R, Goel N, Oberoi JK, Rao BK. Ecology of blood stream infection and antibiotic resistance in intensive care Unit at a tertiary care hospital in North India. Braz J Infect Dis. 2014;18:245-51.

Rajeevan S, Ahmed SM, Jasmin PT. Study of prevalence and antimicrobial susceptibility pattern in blood isolates from a tertiary care hospital in North Kerala, India. Int J Curr Microbiol Appl Sci. 2014;3:655-62.

Sharma R, Sharma R, Gupta S. Bacteriological analysis of blood culture isolates with their antibiogram from a tertiary care hospital. Int J Pharm Sci Res. 2015;6:4847-51.

Gupta S, Kashyap B. Bacteriological profile and antibiogram of blood culture isolates from a tertiary care hospital of North India. Trop J Med Res. 2016;19:94-9.

Tariq TM. Bacteriologic profile and antibiogram of blood culture isolates from a children’s hospital in Kabul. J Coll Physicians Surg Pak. 2014;24:396-9.

Iregbu KC, Elegba OY, Babaniyi IB. Bacteriological profile of neonatal septicaemia in a tertiary hospital in Nigeria. Afr Health Sci. 2006;6:151-4.

Mehdinejad M, Khosravi AD, Morvaridi A. Study of prevalence and antimicrobial susceptibility pattern of bacteria isolated from blood cultures. J Biol Sci. 2009;9:249-53.

Sharma M, Goel N, Chaudhary U, Aggarwal R, Arora DR. Bacteraemia in children. Indian J Pediatr. 2002;69:1029-32.

Lee A, Mirrett S, Reller LB, Weinstein MP. Detection of bloodstream infections in adults: How many blood cultures are needed? J Clin Microbiol. 2007;45:3546-8.

Mangaraj J, Barkataki D. Microbiological profile of blood stream infection in neutropenic patient in a tertiary care centre. Int J Curr Microbiol App Sci. 2017;6(3):1137-45.

Tak H, Kanne P, Teja VD. Bloodstream infections in cardiac intensive care units from a tertiary care center. Indian J Microbiol Res. 2023;10(4):222-30.

Banik A, Bhat SH, Kumar A, Palit A, Snehaa K. Bloodstream infections and trends of antimicrobial sensitivity patterns at Port Blair. J Lab Physicians. 2018;10:332-7.

Published

07-11-2024

How to Cite

SHRUTI ASATI, MAMTA GAUR, VIJAYAKUMAR, and SONIA SHARMA BHARTY. “Dr BLOODSTREAM INFECTIONS AND ITS ANTIBIOGRAM OF INTENSIVE CARE UNITS IN A TERTIARY CARE HOSPITAL OF CENTRAL INDIA”. Asian Journal of Pharmaceutical and Clinical Research, vol. 17, no. 11, Nov. 2024, pp. 105-8, doi:10.22159/ajpcr.2024v17i11.52068.

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