PHENOTYPIC DETECTION OF METALLO BETA LACTAMASE PRODUCING PSEUDOMONAS AERUGINOSA IN WOUNDS
Sandhya Rani, S. Jeya Lakshmi, Pondicherry India
Abstract
Sandhya Rani, S. Jeya Lakshmi, Pondicherry India
Abstract
Pseudomonas aeruginosa, an important opportunistic pathogen causing a wide range of acute and chronic infections.The present study was undertaken to detect the Metallo β lactamase in isolated of Pseudomonas aeruginosa which was isolated from wound infection and evaluated their susceptibility patterns.The presence of the MBL enzyme was detected by phenotypic confirmatiory tests are IMIPENEM-EDTA combined disc synergy test and Imipenem EDTA double disk synergy test .Out of 161 sample which were culture 39(24.2%)yielded the growth of Pseudomonas aeruginosa. Among the 39 Pseudomonas aeruginosa isolates 14(35.8%) were MBL produced P.aeruginosa and were also resistant to Ceftazidime/Clavulonic acid (CAC),Ceftazidime(CAZ), Amikacin(AK),Ciprofloxacin(CIP),Gentamicin(GEN).In our study out of 39 isolates, 14(35.4%) isolates are resistant to carbapenem and confirmed by disk potentiation test. The early detection may help in appropriate antimicrobial therapy and avoid the multidrug resistant strains.we recommend a routine surveillance on antibiotic resistance in every clinical microbiology laboratory in order to aid infection control.
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Pseudomonas aeruginosa, an important opportunistic pathogen causing a wide range of acute and chronic infections.The present study was undertaken to detect the Metallo β lactamase in isolated of Pseudomonas aeruginosa which was isolated from wound infection and evaluated their susceptibility patterns.The presence of the MBL enzyme was detected by phenotypic confirmatiory tests are IMIPENEM-EDTA combined disc synergy test and Imipenem EDTA double disk synergy test .Out of 161 sample which were culture 39(24.2%)yielded the growth of Pseudomonas aeruginosa. Among the 39 Pseudomonas aeruginosa isolates 14(35.8%) were MBL produced P.aeruginosa and were also resistant to Ceftazidime/Clavulonic acid (CAC),Ceftazidime(CAZ), Amikacin(AK),Ciprofloxacin(CIP),Gentamicin(GEN).In our study out of 39 isolates, 14(35.4%) isolates are resistant to carbapenem and confirmed by disk potentiation test. The early detection may help in appropriate antimicrobial therapy and avoid the multidrug resistant strains.we recommend a routine surveillance on antibiotic resistance in every clinical microbiology laboratory in order to aid infection control.
Key concepts: Pseudomonas aeruginosa, Ceftazidime, Amikacin, Microbiology, Ciprofloxacin, Imipenem, Gentamicin, Biology