Antibiotic resistance has become a serious global threat, mainly due to misuse, overuse of antibiotics and non-compliance with infection control protocol. Superbugs are multidrug-resistant (MDR) and extended drug-resistant (XDR) bacteria, mainly Klebsiella pneumoniae and Escherichia coli from the Enterobacteriaceae family, which cause opportunistic infections and raise death rates and hospital expenditures. The present study was conducted at a tertiary care teaching hospital to study the epidemiology and molecular detection of carbapenem-resistant K. pneumoniae isolated from various clinical specimens. 240 K. pneumoniae isolates were collected from January 2020 to December 2021 at the Bacteriology laboratory, Index Medical College and Hospital, Indore. All isolates were analyzed for carbapenem resistance by the conventional disc diffusion method. All carbapenem-resistant isolates were tested for carbapenemase production using the phenotypic double-disk synergy test (DDST) and modified Hodge test (MHT) as per 2020 CLSI guidelines. All isolates were negative by phenotypic methods, further confirmed by conventional PCR to detect the gene responsible for carbapenemase production. 240 isolates of K. pneumoniae were included during the study periods. Out of 240 isolates, 102 isolates were found resistant to carbapenem drugs. All 102 isolates were confirmed carbapenemase and MBL producers by MHT and DDST tests. Among 102, 60 isolates were found to be MBL producers negative by MHT and DDST tests. Sixty phenotypic negative carbapenem-resistant isolates were tested by conventional PCR. One or more carbapenemase genes were detected in 61.0% of isolates. The blaKPC was detected in 13/60 (21%) isolates, followed by blaNDM 10/60 (16%) isolates, followed by blaVIM in 6/60(10%), blaOXA-48 in 5/60 (8%) and blaIMP in 3/60(5%) isolates. K. pneumoniae produces carbapenemase, which enhances resistance to the carbapenem class of antibiotics. The simultaneous detection of these resistance genes expressed by Klebsiella pneumoniae might be managed by early detection and adhering to antibiotic policies that limit the use of antibiotics.
In today's modern world women face too many challenges in front of them and in an country like India. There is still old system in which women can’t work. They are kept at home and indulged in household activities and their dreams don’t matter. they are not aware of the changes in their own body due to complete negligence or illiteracy. India is still one of the most illiterate countries in the world and its economy is still very low and beyond advancement. India is a developing country and nowadays people are starting to get aware about problems of women. Now in today's society women are allowed to work and they are not kept at their household but are given an opportunity as equals. But still there are many places in India which are not aware about problems faced by women and they don’t know how to help them and we have to provide them education about their own healthy bodily practices. Women in the modern and ancient world were affected by many such diseases which causes harm not only to them but also to their young ones if untreated. In the modern culture, now a days a new trend of having multiple sexual partners have become common and therefore, due to unsafe and unprotected sex practices and poor awareness, a lot of diseases has been transmitted worldwide to both genders. Trichomoniasis vaginalis is one of the most common sexually transmitted disease in women caused by a parasite which transmitted during unsafe and unprotected during sexual practices.
The pathogenesis of C. trachomatis disease is a multi-step process that includes: (1) infectivity and exposure to the organism (2) Susceptibility to infection and sickness related to the host's genetic makeup. Recurrence and chronic infections are also common in at-risk teenage and young adult groups. Antibiotic resistance to the primary medications used to treat C. trachomatis is becoming increasingly widespread, even with the correct diagnosis. Chlamydial infection can prevent tumor necrosis factor (TNF)-an-induced physiological apoptosis. Failure to adequately prevent, identify, treat, and remove infection increases the risk of pathogenicity and illness. The plasmid glycoproteins 1–8 (pGP1–8) encode eight open reading frames and most Chlamydia species. In the United Kingdom, there has been a recent increase in the prevalence of such illnesses, whereas, in the Scandinavian nations, there has been a drop, albeit there has been a minor increase in recent years (owing to the development of nucleic acid testing technologies, to some extent). However, it should be noted that reliable monitoring systems and population-based data are Chlamydia trachomatis 4 gitis. Chlamydia trachomatis is made plasma or accessible; moreover, it’s weakened in the vaginal canal of the mouse and nonhuman primate ocular tissue. The plasmid-free organisms ‘in vivo but not in vitro traits were completely mimeographs when pGP3 was inadequate, demonstrating that plasmid-encoded pGP3 is a critical virulence factor in vivo. Moreover, leading to a shortage of cost-effective moment in time tests, including methodologies consistent with strain typing during therapeutic, and the overall degree underlying therapeutic failure is foreign. Those disadvantages were exacerbated because the rest of the genders’ infestations were undiagnosed, allowing continuous silence propagation and developmental defects. The popular medications C. tachometers are becoming more prevalent with proper identification.
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