Frequency and Antibiogram of Vancomycin Resistant Enterococcus in a Tertiary Care Hospital

被引:0
作者
Babar, Nazish [1 ,2 ]
Usman, Javaid [1 ,2 ]
Munir, Tehmina [1 ,2 ]
Gill, Maria Mushtaq [1 ,2 ]
Anjum, Rabia [1 ,2 ]
Gilani, Mehreen [1 ,2 ]
Latif, Mehwish [1 ,2 ]
机构
[1] Army Med Coll, Dept Microbiol, Rawalpindi, Pakistan
[2] NUST, Islamabad, Pakistan
来源
JCPSP-JOURNAL OF THE COLLEGE OF PHYSICIANS AND SURGEONS PAKISTAN | 2014年 / 24卷 / 01期
关键词
Enterococcus; Glycopeptide resistance; Linezolid; Vancomycin resistant Enterococcus; SUSCEPTIBILITY; INFECTIONS; EMERGENCE; VRE;
D O I
暂无
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objective: To determine the frequency of Vancomycin Resistant Enterococcus (VRE) in a tertiary care hospital of Rawalpindi, Pakistan. Study Design: Observational, cross-sectional study. Place and Duration of Study: Department of Microbiology, Army Medical College, Rawalpindi, from May 2011 to May 2012. Methodology: Vancomycin resistant Enterococcus isolated from the clinical specimens including blood, pus, double lumen tip, ascitic fluid, tracheal aspirate, non-directed bronchial lavage (NBL), cerebrospinal fluid (CSF), high vaginal swab (HVS) and catheter tips were cultured on blood agar and MacConkey agar, while the urine samples were grown on cystine lactose electrolyte deficient agar. Later the antimicrobial susceptibility testing of the isolates was carried out using the modified Kirby-Bauer disc diffusion method on Mueller Hinton agar. Results: A total of 190 enterococci were isolated. Of these, 22 (11.57%) were found to be resistant to vancomycin. The antimicrobial sensitivity pattern revealed maximum resistance against ampicillin (86.36%) followed by erythromycin (81.81%) and gentamicin (68.18%) while all the isolates were 100% susceptible to chloramphenicol and linezolid. Conclusion: The frequency of VRE was 11.57% with the highest susceptibility to linezolid and chloramphenicol.
引用
收藏
页码:27 / 29
页数:3
相关论文
共 25 条
[1]  
Aamer Ikram Aamer Ikram, 1999, JCPSP, Journal of the College of Physicians and Surgeons - Pakistan, V9, P100
[2]  
Abdulla F. E., 2006, Pakistan Journal of Medical Sciences, V22, P286
[3]  
Akhi MT, 2009, PAK J MED SCI, V25, P211
[4]  
Centers for Disease Control and Prevention (CDC), 2004, MMWR Morb Mortal Wkly Rep, V53, P322
[5]   Infection with vancomycin-resistant Staphylococcus aureus containing the vanA resistance gene [J].
Chang, S ;
Sievert, DM ;
Hageman, JC ;
Boulton, ML ;
Tenover, FC ;
Downes, FP ;
Shah, S ;
Rudrik, JT ;
Pupp, GR ;
Brown, WJ ;
Cardo, D ;
Fridkin, SK .
NEW ENGLAND JOURNAL OF MEDICINE, 2003, 348 (14) :1342-1347
[6]   GROUP D STREPTOCOCCI [J].
DEIBEL, RH .
BACTERIOLOGICAL REVIEWS, 1964, 28 (03) :330-+
[7]  
deVera ME, 1996, ARCH SURG-CHICAGO, V131, P338
[8]   EMERGENCE OF VANCOMYCIN-RESISTANT ENTEROCOCCI IN NEW-YORK-CITY [J].
FRIEDEN, TR ;
MUNSIFF, SS ;
LOW, DE ;
WILLEY, BM ;
WILLIAMS, G ;
FAUR, Y ;
EISNER, W ;
WARREN, S ;
KREISWIRTH, B .
LANCET, 1993, 342 (8863) :76-79
[9]   Multiple-drug resistant Enterococci: The nature of the problem and an agenda for the future [J].
Huycke, MM ;
Sahm, DF ;
Gilmore, MS .
EMERGING INFECTIOUS DISEASES, 1998, 4 (02) :239-249
[10]   Vancomycin-resistant enterococci (VRE) colonization of high-risk patients in tertiary care Canadian hospitals [J].
Karlowsky, JA ;
Zhanel, GC ;
Hoban, DJ .
DIAGNOSTIC MICROBIOLOGY AND INFECTIOUS DISEASE, 1999, 35 (01) :1-7