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Citrobacter spp. Isolated from Pus Samples in a Tertiary Care Hospital and its Antibiogram in Sonepat, Haryana, India
Artigo | IMSEAR | ID: sea-209315
ABSTRACT

Introduction:

Citrobacter infection occurs in a hospital setting in patients with multiple comorbidities and it occasionally causes disease in general population. Neonates and immunocompromised are highly susceptible to Citrobacter infections which are mainly caused by Citrobacter freundii and Citrobacter koseri, the incidence of nosocomial infections caused by antibioticresistant Gram-negative pathogens is increasing. This study was done to know the development of drug resistance in emerging pathogen Citrobacter.

Methods:

The study was conducted in the department of microbiology in a tertiary care hospital for a period of 1 year. Bacterial identification was performed by routine conventional microbial culture and biochemical tests using standard recommended techniques. The antimicrobial susceptibility testing was performed by the Kirby–Bauer disk diffusion technique on Mueller‑Hinton agar, as per the Clinical and Laboratory Standards Institute guidelines.

Results:

In the present study, 1788 pus samples were processed for a period of 1 year, out of which in 808 pus samples, organisms were isolated. Staphylococcus aureus was isolated in 234 (28.96%) cases. Escherichia coli was isolated in 168 (20.79%) cases, Pseudomonas was isolated in 125 (15.47%) cases, and Proteus was isolated in 32 (3.96%) cases. Enterobacter spp. was isolated in 51 (6.31%) cases. Acinetobacter was isolated in 16 (1.98%) cases. Candida spp. was 17 (2.10%). Citrobacter spp. was isolated in 85 (10.52%) cases. In 85 cases of Citrobacter spp., 58 (68.23%) were C. freundii and 27 (31.76%) were C. koseri. In the present study, Citrobacter spp. was sensitive to amikacin in 36.47% of cases, gentamycin in 48.88% of cases, and levofloxacin in 29.41% of cases.

Conclusion:

Citrobacter species is an emerging pathogen developing drug resistance. Drug options are limited in the current scenario; hence, injudicious and inadequate use of antibiotics should be avoided.

Texto completo: Disponível Contexto em Saúde: Doenças Negligenciadas Problema de saúde: Zoonoses Base de dados: IMSEAR Tipo de estudo: Guia de prática clínica Ano de publicação: 2020 Tipo de documento: Artigo
Texto completo: Disponível Contexto em Saúde: Doenças Negligenciadas Problema de saúde: Zoonoses Base de dados: IMSEAR Tipo de estudo: Guia de prática clínica Ano de publicação: 2020 Tipo de documento: Artigo
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