Incidence of Metallo Betalactamases Producing Pseudomonas aeruginosa in Burn Ward of a Tertiary Care Rural Hospital

Bose, Seema; Ghosh, Atindra Krishna; Barapatre, Rekha

doi:10.7439/ijbr.v3i5.457

Cited by 3 publications

(2 citation statements)

References 22 publications

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“…A similar higher proportion of non-inflammatory types of TC has been reported in the past by Geetha et al ,[ 11 ] Kamalam et al ,[ 12 ] and Bose et al . [ 13 ] Among the non-inflammatory clinical variants, the gray patch is the most commonly observed type in our study (57.8%), which concurs with the studies by Aldayel et al . [ 14 ] and Sehgal et al .…”

Section: Discussionsupporting

confidence: 93%

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Trichoscopic and Clinico-Morphological Evaluation of Tinea Capitis

Meghwal,

Mehta,

Gupta

et al. 2024

Indian Dermatology Online Journal

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Introduction: Tinea capitis (TC) is a common fungal infection of the scalp, especially in children. Trichoscopy is a noninvasive technique that allows rapid and magnified in vivo observation of the hair with the visualization of morphologic features that are often imperceptible to the naked eye. Aim: This study aimed to evaluate the usefulness of trichoscopy in clinical diagnosis and to study various clinico-morphological patterns of TC. Materials and Methods: This cross-sectional, observational study included 140 clinically diagnosed cases of TC seen during a period of 1 year (April 2021 to March 2022). All patients were evaluated using a dermoscope (DermLite DL4 Multispectral 3 Gen, San Juan Capistrano, CA, USA,10×). Results: The prevalence rate of TC in this study was 2.69 per thousand population. The most common clinical variant was gray patch followed by kerion and black dot, and the most common etiological agent was Trichophyton tonsurans. The characteristic trichoscopic features were as follows: comma hairs (80%), followed by corkscrew hairs (68.6%), bent hairs (54.2%), zigzag hairs (35.7%), and morse code-like hairs (15%). Other findings included scaling (89.2%), followed by black dot (67.1%), broken hairs (42.8%), and crusting and pustules (32.1% each). Comma and corkscrew-shaped hairs were most common in the black dot type, whereas zigzag, bent hairs, and morse code hairs were common in the gray patch type of TC. There was a significant association between trichoscopic findings and type of TC. Conclusion: Trichoscopy can be considered a novel tool for rapid diagnosis and selection of the appropriate therapy and in the monitoring of treatment efficacy in TC.

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Section: Discussionsupporting

confidence: 93%

“…The seborrheic type of clinical presentation was the most common type of TC in studies by Bose et al . [ 13 ] and Samarai et al . [ 17 ] which is not consistent with our study.…”

Section: Discussionmentioning

confidence: 99%

Trichoscopic and Clinico-Morphological Evaluation of Tinea Capitis

Meghwal,

Mehta,

Gupta

et al. 2024

Indian Dermatology Online Journal

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A Study of Metallo-Beta-Lactamase Producing Pseudomonas Aeruginosa in Blood Samples of Burned Patients

Datta¹,

Saha²,

Mitra³

et al. 2014

jemds

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BACKGROUND: Septicaemia is a life threatening complication of severely burned patients. Among many organisms invading blood stream Pseudomonas aeruginosa is a well-known for its powerful antibiotic resistance mechanisms which increasingly limit the choices for treatment. Among many such resistance mechanisms it is the metallo-beta-lactamase (MBL) which confers resistance to Carbapenem group of antibiotics, one of the final resorts to fight them. The present study was undertaken to detect MBL producing P. aeruginosa using phenotypic method from blood samples of burned patients as well as to know their drug sensitivity pattern. MATERIALS AND METHODS: For this purpose 67 Pseudomonas aeruginosa isolates from blood samples of admitted burned patients were subjected to susceptibility testing to antipseudomonal drugs by disc diffusion test and those found to be Carbapenem resistant were subjected to Imipenem-EDTA combined disk synergy test for MBL detection. RESULT: Out of 67 isolates of P.aeruginosa, 19 (28.4%) were found to be Carbapenem resistant and 11 (16.4%) were MBL producers. A particularly important feature was that the MBL producers were highly resistant to the antibiotics tested than the non-producers. However all of them were susceptible to Colistin and Polymixin B. CONCLUSION: This study has made us to think that a constant vigil and careful selection of antibiotics are necessary to keep prevalence of MBL producing P.aeruginosa in check. The accurate identification and reporting of MBL producing P. aeruginosa will aid infection control practitioners in preventing the spread of these multidrug-resistant isolates.

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Identification of Enterococcus.faecalis and E.faecium among Enterococci isolated from clinical samples in a teaching hospital Mandya Institute of Medical Sciences, Mandya

Sumangala¹,

Sharlee²,

S³

2020

IJMR

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are common commensal of gastrointestinal tract of human beings. They stand as one of the major causative agent in Nosocomial infections. has gained clinical importance due to their intrinsic and multidrug resistance. Speciation of is important as faecalis being sensitive to vancomycin whereas faecium remains to be resistant, so isolating and treating has become an important task. 1). To determine the species of Enterococci. 2). To determine the antibiogram of A Prospective study was conducted at a tertiary care hospital in MIMS, Mandya. Standard protocols were followed for isolating & speciation of Enterococcus. As per CLSI guidelines antibiotic susceptibility testing was done.Out of 42 isolates majority were isolated from urine (59.52%) followed by pus (26.19%), blood (9.52%) and sterile body fluids (4.77%).were (88.1%) andwere (11.9%). Among gender distribution, majority (54.77%) were females and (45.23%) were males. All the isolates were susceptible to Linezolid. Maximum resistance was seen against Penicillin and Tetracycline. The appropriate infection control measures, use of antibiotics prescribed based on sensitivity obtained and avoid the empiric use of antimicrobials by clinicians can prevent the burden of drug resistance in

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Incidence of Metallo Betalactamases Producing Pseudomonas aeruginosa in Burn Ward of a Tertiary Care Rural Hospital

Cited by 3 publications

References 22 publications

Trichoscopic and Clinico-Morphological Evaluation of Tinea Capitis

Trichoscopic and Clinico-Morphological Evaluation of Tinea Capitis

A Study of Metallo-Beta-Lactamase Producing Pseudomonas Aeruginosa in Blood Samples of Burned Patients

Identification of Enterococcus.faecalis and E.faecium among Enterococci isolated from clinical samples in a teaching hospital Mandya Institute of Medical Sciences, Mandya

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