Bacterial Isolates and their Antimicrobial Susceptibility Pattern from Tracheal Secretions and Sputum of Admitted and OutdoorPatients

Esculapio Pub Date : 2023-08-19 DOI:10.51273/esc23.251923
Omair Farooq, Nadia Wali, Zainab Yousaf, Shumaila Rashid, Asim Mumtaz, Maleeha Aslam
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Abstract

Objective: The purpose of study was to determine the frequent pathogens in tracheal secretions and sputum specimens along with the antimicrobial susceptibility pattern. Methods: This descriptive study was conducted in the department of Pathology and Microbiology, Farooq Hospital Lahore, Pakistan and data included was taken from 1st August 2022 to 31st December 2022. The specimens were inoculated on blood agar and MacConkey agar and incubated for 24 hours at 37 0 C. The Kirby Bauer disc diffusion method was employed to find out the antimicrobial susceptibility pattern. The SPSS was used to assess the data. Results: From the total 102 positive culture growths, Klebsiella species (35.2%) was frequently isolated followed by Pseudomonas species (25.4%), Acinetobacter species (23.5%), Escherichia coli (9.8%), Staphylococcus aureus(3.9%), Citrobacter species (0.9%), and Proteus species (0.9%). The doxycycline and linezolid were completely effective (100%) against the gram positive cocci. The Klebsiella species, Pseudomonas species, Acinetobacter species, and Escherichia coli, showed maximum sensitivity to tigecycline. Conclusion: The most commonly isolated gram negative rod was Klebsiella species and tigecycline was found to be the most effective antibiotic against it. Multidrug resistance among respiratory pathogens is the major issue so it is necessary to administer antibiotic therapy in a limited and objective manner
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住院患者及室外患者气管分泌物及痰液细菌分离株及其药敏特征
目的:研究气管分泌物和痰标本中常见的病原菌及其药敏规律。方法:本描述性研究在巴基斯坦拉合尔法鲁克医院病理和微生物科进行,数据采集时间为2022年8月1日至2022年12月31日。将标本分别接种于血琼脂和麦康基琼脂上,37℃孵育24 h,采用Kirby Bauer圆盘扩散法观察药敏规律。采用SPSS软件对数据进行分析。结果:在102株阳性培养菌中,检出最多的是克雷伯菌(35.2%)、假单胞菌(25.4%)、不动杆菌(23.5%)、大肠杆菌(9.8%)、金黄色葡萄球菌(3.9%)、柠檬酸杆菌(0.9%)和变形杆菌(0.9%)。强力霉素和利奈唑胺对革兰氏阳性球菌完全有效(100%)。克雷伯氏菌、假单胞菌、不动杆菌和大肠杆菌对替加环素最敏感。结论:革兰氏阴性棒以克雷伯氏菌最常见,替加环素是最有效的抗生素。呼吸道病原体的多药耐药是主要问题,因此有必要以有限和客观的方式给予抗生素治疗
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