Volume : IX, Issue : V, May - 2020
A STUDY ON THE CLINICAL IMPLICATIONS OF ANTIBIOGRAM OBTAINED FROM BRONCHIAL WASHINGS IN PATIENTS WITH PERSISTENT PULMONARY INFILTRATES IN AN ICU OF A TERTIARY CARE HOSPITAL
Sinha Ansha, Singh Lalit, Tandon Rajeev, Nirala Pradeep
Abstract :
Background: Patients with persistent pulmonary infiltrates who are admitted in a hospital but do not respond to initial antimicrobial therapy pose a challenge to the attending physician. With increasing antimicrobial resistance worldwide, monitoring these resistance trends can be performed in health care facilities using an annual summary of susceptibility rates, known as a cumulative antibiogram report. Aims and Objectives: To study the spectrum of the bacterial isolates and to determine the antimicrobial sensitivity pattern obtained from the onchoalveolar washing of patients with persistent pulmonary infiltrates who did not respond to initial antimicrobial therapy. Materials and Methods: Observational and prospective study conducted in RICU of SRMS – IMS a tertiary care center in Rohilkhand region, Bareilly, India from 1st Feuary 2019 to December 2019. The study included microbiological reports collected from 50 onchial wash samples. Results : The commonest organisms isolated in the cultures was Klebsiella pneumoniae (13,26.0%) and E. coli (9, 18.0%), followed by Pseudomonas aeruginosa (6, 12.0%), Acinetobacter baumanii (4,8.0%), Staphylococcus aureus (3, 6.0%) Conclusion : With the knowledge of the commonest organism isolated along with their resistance pattern to the antibiotics, each institution can phrase their own antibiotic stewardship policy for early diagnosis and management of MDR pathogens to decrease morbidity and mortality
Keywords :
Antibiotic sensitivity bacterial isolates bronchoalveolar lavage bronchoscopy in intensive care unit.
Article:
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DOI : 10.36106/ijsr
Cite This Article:
A STUDY ON THE CLINICAL IMPLICATIONS OF ANTIBIOGRAM OBTAINED FROM BRONCHIAL WASHINGS IN PATIENTS WITH PERSISTENT PULMONARY INFILTRATES IN AN ICU OF A TERTIARY CARE HOSPITAL, SINHA ANSHA, SINGH LALIT, TANDON RAJEEV, NIRALA PRADEEP INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-9 | Issue-5 | May-2020
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A STUDY ON THE CLINICAL IMPLICATIONS OF ANTIBIOGRAM OBTAINED FROM BRONCHIAL WASHINGS IN PATIENTS WITH PERSISTENT PULMONARY INFILTRATES IN AN ICU OF A TERTIARY CARE HOSPITAL, SINHA ANSHA, SINGH LALIT, TANDON RAJEEV, NIRALA PRADEEP INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-9 | Issue-5 | May-2020
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