Abstract
Introduction: Multidrug resistance among Enterobacteriaceae is in increasing trend these days. The objective of this study was to determine the antibiogram of clinical isolates of Enterobacteriaceae with special reference to multidrug resistance and extended spectrum beta-lactamases production.Materials and Methods: A descriptive cross sectional study was conducted over a period of six months (February -July, 2017) in the microbiology laboratory of Nepal Medical College Teaching Hospital, Kathmandu, Nepal. A total of 936 bacterial isolates of Enterobacteriaceae from clinical specimens were processed for antimicrobial susceptibility testing and screened for multidrug resistance. ESBL production was detected among potential isolates by combination disk diffusion test.Results: The rate of multidrug resistance and extended spectrum beta-lactamases production was 54.2% and 23.8% respectively. Of the total ESBL producers 92.4% were multidrug resistance. The rate of multidrug resistance and extended spectrum beta-lactamases production were higher in organisms isolated from clinical samples collected from inpatients. High rate of multidrug resistance and extended spectrum beta-lactamases production was seen in E. coli (54.4% & 27.7%), Klebsiella spp. (67.1% & 28.2%) and Citrobacter spp. (70.3% & 10.9%). The antimicrobial resistance rate was highest against ampicillin (76.7%) followed by cefixime (54. 0%), ceftazidime (51.5%), ceftriaxone (51.0%), cotrimoxazole (48.7%), ciprofloxacin (43.9%) and ofloxacin (41.1%).Conclusions: Multidrug resistance is common among Enterobacteriaceae. These bacteria have high rate of resistance against commonly used groups of antibiotics like cephalosporins and quinolones. Continuous monitoring, surveillance of antimicrobial resistance, proper infection control and practices are important to combat with these issues.
Highlights
Multidrug resistance among Enterobacteriaceae is in increasing trend these days
High rate of multidrug resistance and extended spectrum beta-lactamases production was seen in E. coli (54.4% & 27.7%), Klebsiella spp. (67.1% & 28.2%) and Citrobacter spp. (70.3% & 10.9%)
Multidrug resistance is common among Enterobacteriaceae
Summary
Multidrug resistance among Enterobacteriaceae is in increasing trend these days. The objective of this study was to determine the antibiogram of clinical isolates of Enterobacteriaceae with special reference to multidrug resistance and extended spectrum beta-lactamases production. Enterobacteriaceae, a large, diverse group of facultative Gramnegative rods, are common pathogens of healthcare and community-associated infections worldwide.[1] Emergence of multidrug resistance (MDR) in Enterobacteriaceae is a major public health threat which poses a great challenge to combat infections.[2] Infections by extended spectrum β- lactamase (ESBL) producing Enterobacteriaceae are the most important among the causes of infections in the community and hospital in the recent years and are in rising trends.[3,4]. ESBL producing organisms are usually MDR as the plasmids carrying ESBL genes can carry resistant genes to other antibiotics like aminoglycosides, sulfonamides etc. These plasmid borne genes can be spread from one organism to another as they are transferable. Widespread use of antibiotics like third generation cephalosporins is believed to be the major cause of the mutation in these genes.[4,5,6,7]
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