title: Bacteriological profile and drug resistance patterns of blood culture isolates in a tertiary care nephrourology teaching institute.
abstract: Blood stream infections can lead to life threatening sepsis and require rapid antimicrobial treatment. The organisms implicated in these infections vary with the geographical alteration. Infections caused by MDR organisms are more likely to increase the risk of death in these patients. The present study was aimed to study the profile of organisms causing bacteremia and understand antibiotic resistance patterns in our hospital. 1440 blood samples collected over a year from clinically suspected cases of bacteremia were studied. The isolates were identified by standard biochemical tests and antimicrobial resistance patterns were determined by CLSI guidelines. Positive blood cultures were obtained in 9.2% of cases of which Gram-positive bacteria accounted for 58.3% of cases with staph aureus predominance; gram negative bacteria accounted for 40.2% with enterobactereciea predominence; and 1.5% were fungal isolates. The most sensitive drugs for Gram-positive isolates were vancomycin, teicoplanin, daptomycin, linezolid, and tigecycline and for Gram-negative were carbapenems, colistin, aminoglycosides, and tigecycline. The prevalence of MRSA and vancomycin resistance was 70.6% and 21.6%, respectively. ESBL prevalence was 39.6%. Overall low positive rates of blood culture were observed.
authors.affiliation: Muljibhai Patel Urological Hospital and Society for Research in Nephro-Urology, Dr. V. V. Desai Road, Nadiad, Gujarat 387001, India.
authors.forename: Kalpesh
authors.identifier: 0000-0002-4784-2438
authors.initials: K
authors.lastname: Gohel
authors.affiliation: Muljibhai Patel Urological Hospital and Society for Research in Nephro-Urology, Dr. V. V. Desai Road, Nadiad, Gujarat 387001, India.
authors.forename: Amit
authors.identifier: 0000-0002-4757-6870
authors.initials: A
authors.lastname: Jojera
authors.affiliation: Muljibhai Patel Urological Hospital and Society for Research in Nephro-Urology, Dr. V. V. Desai Road, Nadiad, Gujarat 387001, India.
authors.forename: Shailesh
authors.identifier: 0000-0003-4810-9139
authors.initials: S
authors.lastname: Soni
authors.affiliation: Muljibhai Patel Urological Hospital and Society for Research in Nephro-Urology, Dr. V. V. Desai Road, Nadiad, Gujarat 387001, India.
authors.forename: Sishir
authors.initials: S
authors.lastname: Gang
authors.affiliation: Muljibhai Patel Urological Hospital and Society for Research in Nephro-Urology, Dr. V. V. Desai Road, Nadiad, Gujarat 387001, India.
authors.forename: Ravindra
authors.initials: R
authors.lastname: Sabnis
authors.affiliation: Muljibhai Patel Urological Hospital and Society for Research in Nephro-Urology, Dr. V. V. Desai Road, Nadiad, Gujarat 387001, India.
authors.forename: Mahesh
authors.initials: M
authors.lastname: Desai
mesh_terms: D001419:Bacteria / Q000254:growth & development / Q000302:isolation & purification; D001424:Bacterial Infections / Q000097:blood / Q000382:microbiology; D002176:Candida albicans / Q000254:growth & development / Q000302:isolation & purification; D002177:Candidiasis / Q000097:blood*; D024881:Drug Resistance, Bacterial; D025141:Drug Resistance, Fungal; D005260:Female; D006784:Hospitals, Teaching; D006801:Humans; D008297:Male; D018805:Sepsis / Q000097:blood / Q000382:microbiology; D062606:Tertiary Care Centers