CLINICOMICROBIOLOGICAL STUDY OF INFECTIONS CAUSED BY ACINETOBACTER SPECIES
DOI:
https://doi.org/10.22159/ajpcr.2017.v10i4.16596Abstract
Objectives: To study the rate of isolation of Acinetobacter species, its antibiogram and associated risk factors.
Methods: Retrospective time bound study for 6 months. The study included 191 consecutive clinical significant isolates of Acinetobacter species
isolated from various specimens. The identification and antibiotic susceptibility testing by modified Kirby Bauer and Vitek Compact system 2.
Results: Maximum isolation of Acinetobacter species was from suction tip (31.94%), sputum (19.89%), urine (14.66%), blood (10.47%), and others.
The species was most sensitive to colistin (97.87%) and polymyxin B (99.43%). The species was most resistant to imipenem (72.62%) and gentamicin
(66.66%). The common risk factors were invasive procedure, duration of intensive care unit stay, and malignancies.
Conclusion: Acinetobacter has emerged as a major nosocomial pathogen. Antibiotic resistance is on rise. Proper antibiotic stewardship is required
to curtail antibiotic resistance in this region.
Keywords: Acinetobacter spp., Antibiotic resistance, Health care associated pathogen
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References
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Table 1: Rate of isolation of Acinetobacter spp. isolated from different clinical specimen
Specimen Number of isolates (%) Sputum 38 (19.89) Wound swab 19 (9.95) Suction tip 61 (31.94) Blood 20 (10.47) Urine 28 (14.66) Others 25 (13.09) Table 2: Antibiotic resistance pattern of Acinetobacter spp.
Antibiotics Number of resistant isolates (%) Amikacin 65 (69.89) Cefotaxim 66 (92.95) Ceftazidime 65 (87.83)
Ceftriaxone 112 (81.15) Ciprofloxacin 138 (73.79) Colistin 4 (2.12) Gentamicin 124 (66.66) Imipenem 130 (72.62) Meropenem 73 (76.84) Piperacillin/tazobactum 120 (69.36) Polymyxin B 0 (0) Tigecycline 13 (8.72)
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