Antibiotic susceptibility pattern of bacteria isolated from patients of respiratory tract infection in a tertiary care hospital of Central India

Respiratory tract infections are one of the commonest types of infections affecting the Indian population with prevalence rates ranging around 52%. Respiratory infections, particularly those affecting the lower respiratory tract, are significant causes of morbidity and mortality. The majority of antibiotics prescribed in general practice are for respiratory tract infections (RTIs). The incidence, etiology and prognosis vary depending on age, concurrent illness and predisposing risk factors as well as on whether such infections are community or hospital acquired. To add to the trouble, statistical data and evidences from researches prove that multidrug resistance bacteria are rapidly emerging across the world and pose a big challenge to health care. Multidrug resistant bacteria cause serious nosocomial and community acquired infections that are hard to eradicate using available antibiotics. Extensive and non-specific use of broad spectrum antibiotics in hospitalized patients has led to both increased carriage and the development of multidrug resistant strains that produce extended spectrum beta-lactamase (ESBL).

[1]  Hammad Arshad,et al.  Acute Pneumonia , 2016, Critical care nursing quarterly.

[2]  Dhammraj M Borade,et al.  Ampicillin: rise fall and resurgence. , 2014, Journal of clinical and diagnostic research : JCDR.

[3]  R. Jakribettu,et al.  Lower Respiratory Tract Infections (LTRIs): An Insight into the Prevalence and the Antibiogram of the Gram Negative, Respiratory, Bacterial Agents. , 2013, Journal of clinical and diagnostic research : JCDR.

[4]  Parul Goel,et al.  A Cross Sectional Study on Prevalence of Acute Respiratory Infections (ARI) in Under-Five Children of Meerut District, India , 2012 .

[5]  E. Agafonova,et al.  Cytomorphological Characteristics and Cytokine Profile of Induced Sputum and Nasal Secretions of Children with Community-Acquired Pneumonia and Acute Bronchitis , 2012 .

[6]  S. Jenkins,et al.  Current concepts in laboratory testing to guide antimicrobial therapy. , 2012, Mayo Clinic proceedings.

[7]  J. Ramos,et al.  Mechanisms of Resistance to Chloramphenicol in Pseudomonas putida KT2440 , 2011, Antimicrobial Agents and Chemotherapy.

[8]  S. Onuoha,et al.  Prevalence and antibiotic sensitivity of bacterial agents involved in lower respiratory tract infections , 2011 .

[9]  S. Parija,et al.  Ventilator-associated pneumonia in a tertiary care hospital in India: role of multi-drug resistant pathogens. , 2010, Journal of infection in developing countries.

[10]  E. Maltezos,et al.  A prospective study of the diagnostic utility of sputum Gram stain in pneumonia. , 2009, The Journal of infection.

[11]  K. Bala,et al.  Antibiotic sensitivity pattern of gram negative bacilli isolated from the lower respiratory tract of ventilated patients in the intensive care unit , 2009, Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine.

[12]  N. Samat,et al.  Antimicrobial susceptibility of clinical isolates of Pseudomonas aeruginosa from a Malaysian Hospital. , 2009, The Malaysian journal of medical sciences : MJMS.

[13]  M. Szilasi [Hospital-acquired pneumonia]. , 2007, Orvosi hetilap.

[14]  J. Powers,et al.  Trends in antimicrobial drug development: implications for the future. , 2004, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[15]  S. Mölstad Reduction in antibiotic prescribing for respiratory tract infections is needed! , 2003, Scandinavian journal of primary health care.

[16]  M. André,et al.  Upper Respiratory Tract Infections in General Practice: Diagnosis, Antibiotic Prescribing, Duration of Symptoms and Use of Diagnostic Tests , 2002, Scandinavian journal of infectious diseases.

[17]  D. Murdoch,et al.  Community-acquired pneumonia in Christchurch and Waikato 1999-2000: microbiology and epidemiology. , 2001, The New Zealand medical journal.

[18]  Marilyn Roberts,et al.  Tetracycline Antibiotics: Mode of Action, Applications, Molecular Biology, and Epidemiology of Bacterial Resistance , 2001, Microbiology and Molecular Biology Reviews.

[19]  C. Kibbler Current Clinical Topics in Infectious Diseases , 1997 .

[20]  G. Town,et al.  Community acquired pneumonia: aetiology and usefulness of severity criteria on admission. , 1996, Thorax.

[21]  B. Cunha,et al.  Bacteremic Escherichia coli pneumonia. , 1982, Archives of internal medicine.

[22]  P. Srivastava,et al.  Respiratory Tract Infection ( RTI ) and its Treatment , 2015 .

[23]  A. Acharya,et al.  Sensitivity pattern of bacteria causing respiratory tract infections in a tertiary care centre , 2013 .

[24]  J. Hughes Epidemiology and prevention of nosocomial pneumonia. , 1988, Current clinical topics in infectious diseases.

[25]  John E. Bennett,et al.  Principles and practice of infectious diseases. Vols 1 and 2. , 1979 .