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不同临床样本中肠球菌属的流行情况及其抗菌药敏模式。

Prevalence of Enterococcus Species in Various Clinical Samples and Their Antimicrobial Susceptibility Pattern.

作者信息

Mahajan Manasi, Shinde Ravindra, Karande Geeta S, Patil Satish

机构信息

Department of Microbiology, Krishna Vishwa Vidyapeeth (Deemed to be University), Karad, IND.

出版信息

Cureus. 2024 Nov 1;16(11):e72836. doi: 10.7759/cureus.72836. eCollection 2024 Nov.

Abstract

Background and aim Gram-positive enterococci, which are normally prevalent in the intestine as commensals, have become important pathogens that cause serious illnesses such as meningitis, bacteremia, and endocarditis, especially in people with impaired immune systems. Due to the presence of resistance genes such as van A, B, and C, which lead to multidrug resistance, the two prevalent species, and , are causing increasing concerns. In order to effectively combat these dangerous infections, there is an urgent need for improved surveillance, infection control measures, and antimicrobial stewardship. Research on the genetic features of enterococci is still lacking in India. The purpose of this work is to assess the frequency of isolates from different clinical samples and to examine the patterns of antibiotic resistance in these isolates. Materials and methods The purpose of this cross-sectional observational study was to assess the prevalence of isolates from various clinical specimens. Based on information from previous studies, a sample size of 114 was chosen. Urine, blood, sputum, wound swabs, and sterile body fluids were all used for the isolation of bacteria. Through the use of biochemical tests such as bile esculin hydrolysis and salt tolerance, gram staining, and cultural traits, enterococci were identified. The Kirby-Bauer disc diffusion method was utilized to evaluate antibiotic susceptibility, with a specific focus on resistance patterns. The findings show that in order to address the increasing problems that these pathogens are posing in hospital settings, there is an urgent need for improved surveillance and efficient infection control strategies. Results The results of the investigation showed that different clinical specimens had different distributions of species. The majority of isolates (69.16%) came from urine samples, with blood samples making up the remaining 12.5%. The age group between 41 and 50 years old had the highest occurrence, with a notable male predominance. The majority of isolates (96.66%) came from inpatient settings, specifically from the critical care units (CCU) and intensive care units (ICU). Teicoplanin sensitivity was highest among the isolates (79.16%). Conclusion In our study, 120 isolates in all, mostly of and , were isolated from different clinical specimens for our investigation. Teicoplanin showed the highest sensitivity among the isolates. The study of species prevalence and antimicrobial susceptibility is vital for informing infection control and treatment strategies, enhancing antibiotic stewardship, and guiding public health policies.

摘要

背景与目的 革兰氏阳性肠球菌通常作为共生菌在肠道中普遍存在,但已成为引起严重疾病(如脑膜炎、菌血症和心内膜炎)的重要病原体,尤其是在免疫系统受损的人群中。由于存在导致多药耐药的van A、B和C等耐药基因,两种常见的肠球菌物种引起了越来越多的关注。为了有效对抗这些危险感染,迫切需要加强监测、采取感染控制措施和实施抗菌药物管理。印度对肠球菌的遗传特征研究仍然不足。这项工作的目的是评估不同临床样本中肠球菌分离株的频率,并检查这些分离株的抗生素耐药模式。

材料与方法 这项横断面观察性研究的目的是评估各种临床标本中肠球菌分离株的流行情况。根据以往研究的信息,选择了114个样本量。尿液、血液、痰液、伤口拭子和无菌体液均用于细菌分离。通过胆汁七叶苷水解和耐盐性等生化试验、革兰氏染色和培养特性来鉴定肠球菌。采用 Kirby-Bauer 纸片扩散法评估抗生素敏感性,特别关注耐药模式。研究结果表明,为了解决这些病原体在医院环境中日益严重的问题,迫切需要加强监测和采取有效的感染控制策略。

结果 调查结果显示,不同临床标本中肠球菌物种的分布不同。大多数分离株(69.16%)来自尿液样本,其余12.5%来自血液样本。41至50岁年龄组的发生率最高,男性占明显优势。大多数肠球菌分离株(96.66%)来自住院患者,特别是来自重症监护病房(CCU)和重症监护室(ICU)。替考拉宁敏感性在分离株中最高(79.16%)。

结论 在我们的研究中,总共从不同临床标本中分离出120株肠球菌,主要是粪肠球菌和屎肠球菌,用于我们的调查。替考拉宁在分离株中显示出最高的敏感性。研究肠球菌物种的流行情况和抗菌药物敏感性对于指导感染控制和治疗策略、加强抗生素管理以及指导公共卫生政策至关重要。

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