Antimicrobial Susceptibility Pattern of Pseudomonas aeruginosa isolated from Clinical and Environmental Sources in Punjab, Pakistan
Antimicrobial Susceptibility Pattern of Pseudomonas Aeruginosa
DOI:
https://doi.org/10.54393/pbmj.v5i3.349Keywords:
Pseudomonas aeruginosa, Antimicrobial Resistance, CiproAbstract
The increasing incidence of antimicrobial resistance is a public health concern, and Pseudomonas aeruginosa is known to be resistant to a variety of antibiotics. Antimicrobial resistance and the multiple antibiotic resistance (MAR) index of P. aeruginosa from environmental and clinical sources were studied in the current study. A total of 170 samples were evaluated, with 85 samples each from environmental sources and clinical settings. The isolates were subjected to microbial analysis and antimicrobial sensitivity testing. The findings revealed that 45.88 % (39) of the 85 clinical isolates tested for the presence of P. aeruginosa were positive. In terms of prevalence, there were significant variations (p 0.05) between the clinical samples. Wound samples had the highest isolation rate of 28.2%, while urine samples had the lowest (12.8%). P. aeruginosa was found in 38.8 % (33/85) of the samples isolated from environmental sources. In terms of prevalence, there was a highly significant difference (p 0.01) between the isolates. All of the positive isolates were completely resistant to cefuroxime and amoxicillin (100 %). The majority were also resistant to, cotrimoxazole (82%), nalidixic acid (82%), ciprofloxacin (86%), and tobramycin (69%). There was a substantial variation in the resistance patterns of isolates. The current study demand comprehensive measure to combat antimicrobial resistance in P. aeruginosa.
References
Pachori P, Gothalwal R, Gandhi P. Emergence of antibiotic resistance Pseudomonas aeruginosa in intensive care unit; a critical review. Genes & diseases. 2019;6(2):109-19.
https://doi.org/10.1016/j.gendis.2019.04.001
Pang Z, Raudonis R, Glick BR, Lin T-J, Cheng Z. Antibiotic resistance in Pseudomonas aeruginosa: mechanisms and alternative therapeutic strategies. Biotechnology advances. 2019;37(1):177-92.
https://doi.org/10.1016/j.biotechadv.2018.11.013
Crone S, Vives‐Flórez M, Kvich L, Saunders AM, Malone M, Nicolaisen MH, et al. The environmental occurrence of Pseudomonas aeruginosa. Apmis. 2020;128(3):220-31.
https://doi.org/10.1111/apm.13010
Ilham HHJKT, Banyan A. Isolation of Pseudomonas aeruginosa from clinical cases and environmental samples, and analysis of its antibiotic resistant spectrum at hilla teaching hospital. 2011.
Pericolini E, Colombari B, Ferretti G, Iseppi R, Ardizzoni A, Girardis M, et al. Real-time monitoring of Pseudomonas aeruginosa biofilm formation on endotracheal tubes in vitro. BMC microbiology. 2018;18(1):1-10.
https://doi.org/10.1186/s12866-018-1224-6
Karampatakis T, Antachopoulos C, Tsakris A, Roilides E. Molecular epidemiology of carbapenem-resistant Pseudomonas aeruginosa in an endemic area: comparison with global data. European Journal of Clinical Microbiology & Infectious Diseases. 2018;37(7):1211-20.
https://doi.org/10.1007/s10096-018-3244-4
Merchant S, Proudfoot EM, Quadri HN, McElroy HJ, Wright WR, Gupta A, et al. Risk factors for Pseudomonas aeruginosa infections in Asia-Pacific and consequences of inappropriate initial antimicrobial therapy: A systematic literature review and meta-analysis. Journal of global antimicrobial resistance. 2018;14:33-44.
https://doi.org/10.1016/j.jgar.2018.02.005
Peekate LP, BatomBari S, Nice P. Research Article Comparing the Efficacy of Kings B, Cetrimide and Chloramphenicolnutrient Agar Medium in the Isolation of Pseudomonas Species. Asian J Biol Sci. 2018;11:145-51.
https://doi.org/10.3923/ajbs.2018.145.151
Bruins MJ, Bloembergen P, Ruijs GJ, Wolfhagen MJ. Identification and susceptibility testing of Enterobacteriaceae and Pseudomonas aeruginosa by direct inoculation from positive BACTEC blood culture bottles into Vitek 2. Journal of clinical microbiology. 2004;42(1):7-11.
https://doi.org/10.1128/JCM.42.1.7-11.2004
Ekkelenkamp MB, Cantón R, Díez-Aguilar M, Tunney MM, Gilpin DF, Bernardini F, et al. Susceptibility of Pseudomonas aeruginosa recovered from cystic fibrosis patients to murepavadin and 13 comparator antibiotics. Antimicrobial agents and chemotherapy. 2019;64(2):e01541-19.
https://doi.org/10.1128/AAC.01541-19
Kusuma SAF, Rostinawati T, Hendriani R, Budiman MF, Parwati I. Effect of water reservoirs types on the prevalence and antibiotic resistance profiles of Pseudomonas aeruginosa isolated from bathroom water in hospitals. Journal of advanced pharmaceutical technology & research. 2021;12(1):52-6.
https://doi.org/10.4103/japtr.JAPTR_103_20
Xie Y, Shao X, Deng X. Regulation of type III secretion system in Pseudomonas syringae. 2019;21(12):4465-77.
https://doi.org/10.1111/1462-2920.14779
Anjum F, Mir A. Susceptibility pattern of Pseudomonas aeruginosa against various antibiotics. African Journal of Microbiology Research. 2010;4(10):1005-12.
El-Demerdash AS, Bakry NR. Evaluation of the Synergistic Effect of Amikacin with Cefotaxime against Pseudomonas aeruginosa and Its Biofilm Genes Expression. Gene Expression and Phenotypic Traits: IntechOpen; 2020.
https://doi.org/10.5772/intechopen.91146
Doughari J, Ahmad A. Characterization and Antimicrobial Resistance Profile of Pseudomonas Aeruginosa Isolated from Clinical and Environmental Samples. Journal of Diseases. 2018;5(1):24-32.
https://doi.org/10.18488/journal.99.2018.51.20.28
Odjadjare EE, Igbinosa EO, Mordi R, Igere B, Igeleke CL, Okoh AI. Prevalence of multiple antibiotics resistant (MAR) Pseudomonas species in the final effluents of three municipal wastewater treatment facilities in South Africa. International journal of environmental research and public health. 2012;9(6):2092-107.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Pakistan BioMedical Journal
This work is licensed under a Creative Commons Attribution 4.0 International License.
This is an open-access journal and all the published articles / items are distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. For comments editor@pakistanbmj.com