Hospital Antibiogram: A Necessity in Monitoring Sensitivity of Isolates and Rationale Use of Antibiotics’
Ishtiaq Ahmend
Department of Surgery, Al Nafees Medical College, Islamabad, Pakistan.
Humaira Zafar *
Department of Microbiology, Al Nafees Medical College, Islamabad, Pakistan.
Noor Khan Lakhnana
Department of Pathology, Al Nafees Medical College, Islamabad, Pakistan.
Sundas Ishtiaq
Department of Surgery, Fauji Foundation Hospital, Rawalpindi, Pakistan.
Kiran Tauseef
Department of Haematology, Al Nafees Medical College, Islamabad, Pakistan.
Mudassira Zahid
Department of Histopathology, Al Nafees Medical College, Islamabad, Pakistan.
Ahsan Kazmi
Department of Chemical Pathology, Al Nafees Medical College, Islamabad, Pakistan.
*Author to whom correspondence should be addressed.
Abstract
Background: The laid protocols by CDC (center for disease control) narrated the dire need of local anti-biograms. Therefore the current study had been planned to acquire the knowledge about sensitivity pattern of various isolates in different specimens.
Objectives: To identify the local antibiotic sensitivity data against various isolates from different specimens.
Materials and Methods: A descriptive cross sectional study was conducted at the Pathology department of Al Nafees Medical College & Hospital, Islamabad, Pakistan. The duration of study was 04 months i.e 01st June to 01st Oct. 2015. Frequencies and percentages were the numerical variables extracted by using the SPSS version 16.
Results: A total of 336 different specimens were received during study period. E. coli is commonest organism isolated from urine, high vaginal swabs (HVS) and Pus i.e. 60.60%, 100% and 25% respectively. Klebsiella species is the second most common organism (12.12%) followed by Pseudomonas (9.09%) isolated from urine. E. coli, Klebsiella, Pseudomonas and Staphylococcus aureus were isolated at same frequency (25%) from pus. Salmonella typhi was isolated from blood (100%).
The drugs of choice for E. coli are quinolones and aminoglycosides by showing the sensitivity of about 75% each. For Klebsiella pneumoniae, the ideal antibiotics are aminoglycosides (85.1%) and 2nd generation cephalosporins (85%). For Pseudomonas aeruginosa, extended spectrum penicillin, quinolones, 2nd and 3rd generation cephalosporins are the most suitable ones showing the sensitivity of 100% each.
Conclusion: Quinolones, aminoglycosides, 2nd and 3rd generation cephalosporins are the drugs of choices for the treatment of many gram positive and gram negative infections.
Keywords: Antibiogram culture and sensitivity, quinolones, aminoglycosides, 2nd and 3rd generation cephalosporins.