The Antibiotics Susceptibility Profile of Acinetobacter spp Isolated from Clinical Specimens in University Teaching Hospital

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Abstract

The genus Acinetobacter currently contains 34 species, the vast majority of which are not regularly implicated in causing infection. However, Carbapenems have long been thought of as the agents of choice for serious Acinetobacter baumannii infections. The objective of this study is to determine the Antibiotics susceptibility profile of Acinetobacter spp Isolated from clinical specimen University of Ilorin Teaching Hospital, Ilorin. The descriptive cross-sectional study is conducted in UITH located in North Central Nigeria. 10 strains of Acinetobacter spp. were isolated from clinical samples between February to July 2018. The isolated strains were identified using standard microbiological methods, API20NE. Antimicrobial susceptibility was performed using the Modified Kirby Bauer method with the organism tested against Amoxicillin, Amoxicillin-Clavulanate, Ceftriaxone, Cefixime, Cefuroxime, Streptomycin, Perfloxacin, Gentamicin, Imipenem, Nitrofurantoin. Most of the antibiotics used in this study are mostly multi-drug resistant. Amoxicillin (100%), Cefixime, Amoxicillin Clavulanate (100%), Cefuroxime (100%), Gentamicin (100%), Nitrofurantoin (100%), Ceftriaxone (100%) but 80% are susceptible to Imipenem. Carbapenems are the best antibiotic treatment option for infections arising from these organisms although a coordinated rational usage is desired along with a functional antibiotic prescription policy to avoid treatment failures. Continuous monitoring of resistance patterns is necessary to strengthen infection control policies.
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大学附属医院临床分离不动杆菌的抗生素敏感性分析
不动杆菌属目前包含34种,其中绝大多数不经常涉及引起感染。然而,碳青霉烯类药物长期以来一直被认为是严重鲍曼不动杆菌感染的首选药物。本研究的目的是确定临床标本分离的不动杆菌spp的抗生素敏感性。描述性横断面研究在尼日利亚中北部的UITH进行,2018年2月至7月从临床样本中分离出10株不动杆菌。采用标准微生物学方法API20NE对分离菌株进行鉴定。采用改良Kirby Bauer法测定菌体对阿莫西林、阿莫西林-克拉维酸酯、头孢曲松、头孢克肟、头孢呋辛、链霉素、环氟沙星、庆大霉素、亚胺培南、呋喃妥英的药敏。本研究中使用的抗生素多为多重耐药抗生素。阿莫西林(100%)、头孢克肟、阿莫西林克拉维酸酯(100%)、头孢呋辛(100%)、庆大霉素(100%)、呋喃妥因(100%)、头孢曲松(100%),但80%对亚胺培南敏感。碳青霉烯类是由这些微生物引起的感染的最佳抗生素治疗选择,尽管需要协调合理的使用以及功能性抗生素处方政策,以避免治疗失败。持续监测耐药性模式对于加强感染控制政策是必要的。
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