Multidrug-resistant acinetobacter infection and their susceptibility patterns in a tertiary care hospital

Kalidas Rit1, Rajdeep Saha

  • 1Department of Microbiology, Institute of Post-Graduate Medical Education and Research, Malda Medical College and Hospital, Kolkata, West Bengal, India.

Abstract

Insights

Antibiotic-resistant Acinetobacter infections, particularly Acinetobacter baumannii, are a significant hospital concern. This study highlights Acinetobacter baumannii

Area of Science:

  • Medical Microbiology
  • Infectious Diseases
  • Antimicrobial Resistance

Background:

  • Antibiotic-resistant Acinetobacter infections pose a major challenge in healthcare settings.
  • Acinetobacter species are opportunistic pathogens causing diverse infections like pneumonia, meningitis, and bacteremia.
  • Multidrug-resistant Acinetobacter infections present significant difficulties in hospitals.

Purpose of the Study:

  • To investigate the distribution and antimicrobial resistance profiles of Acinetobacter species in clinical specimens.
  • To identify the predominant Acinetobacter species causing nosocomial infections.
  • To assess the resistance patterns of Acinetobacter against commonly used antibiotics.

Main Methods:

  • Standard microbiological techniques were employed to analyze clinical specimens from various hospital wards and ICUs.
  • Antimicrobial susceptibility testing was performed using the modified Kirby Bauer disk diffusion method.
  • The Clinical and Laboratory Standards Institute (CLSI) protocol was followed for resistance testing.

Main Results:

  • Acinetobacter baumannii was the most prevalent species (74.02%), followed by A. lowfii (14.2%), A. haemolyticus (7.79%), and A. junii (3.8%).
  • High resistance rates were observed against ceftazidime (74.1%), gentamicin (70.13%), and ofloxacin (42.21%).
  • Lower resistance was noted for imipenem (5.2%), meropenem (9.75%), and piperacillin-tazobactum (18.2%).

Conclusions:

  • Acinetobacter baumannii is frequently associated with urinary tract infections, respiratory tract infections, septicemia, bacteremia, meningitis, and wound infections.
  • Acinetobacter baumannii exhibited greater resistance to multiple antibiotics compared to other nosocomial pathogens in the ICU.
  • The findings underscore the urgent need for effective antimicrobial stewardship and infection control strategies against multidrug-resistant Acinetobacter.

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