A Cross Sectional Study of Antimicrobial Resistance in Medical College Affiliated Tertiary Health Care Hospital

Abstract

Background and Objectives: The study conducted involves reviewing the current scenario of antimicrobial resistance in the community by obtaining collected data from patients suffering from ongoing infective disorders andanalyzing their culture and sensitivity reports.Methods: We have collected the samples from 56 patients with infective disorders such as cellulitis, wound infection, pneumonia, cultured the samples and checked for the sensitivity of various different antibiotics using the disc diffusion methods according to CLSI standards. We have also checked for the morphology of the organism by routine microscopy using gram stain.Results: We have noted that the Gram-positive Cocci infections are more prevalent in our community settings and there was also a high level of resistance seen in both gram-negative and gram-positive organisms, towards the standard empirical antibiotic Cefotaxime used in such patients. Hence, we had to switch to a more effective antibiotic according to the patterns of resistance. The presence of resistance to other antibiotics was also noted.Interpretation & Conclusion: There is an increased level of resistance towards once considered highly effective broad-spectrum antibiotics in the community. This may be a result of inappropriate and overzealous usage of antibiotics by patients. This may be a result of improper supervision or no strict guidelines when it comes to the prescription of antibiotics. Hence many different strategies must be deployed in order to tackle the development of resistance to useful antibiotics