Prevalence of Multidrug Resistant Pseudomonas aeruginosa Isolated from Clinical Specimens in Tertiary Care Hospital

  • Samikshya Sharma Central Department of Microbiology, Tribhuvan University, Kirtipur, Kathmandu 44618, Nepal,
  • Madhu Dixit Devkota Upendra Devkota Memorial National Institute of Neurological and Allied Sciences, Bansbari, Kathmandu, Nepal
  • Bharat Mani Pokhrel Upendra Devkota Memorial National Institute of Neurological and Allied Sciences, Bansbari, Kathmandu, Nepal
  • Megha Raj Banjara Central Department of Microbiology, Tribhuvan University, Kirtipur, Kathmandu 44618, Nepal,
DOI: https://doi.org/10.33314/jnhrc.v20i3.4265

Abstract

Background: Pseudomonas aeruginosa is an opportunistic pathogen, which causes nosocomial infections in human. The rapid increase in drug resistance of this pathogen is a global concern. The aim of this study was to determine the clinical burden of P.aeruginosa, its antibiotic susceptibility pattern along with metallo-β-lactamase (MBL) detection.
Methods: The descriptive cross-sectional study was conducted in Upendra Devkota Memorial National Institute of Neurological and Allied Sciences from January to August 2021. Isolation and identification of P. aeruginosa from clinical specimens was performed by using standard laboratory procedure. All bacterial isolates were phenotypically screened for multidrug resistance using Kirby Bauer disc diffusion method. All the multidrug resistant P.aeruginosa were phenotypically screened for MBL producer by Imipenem-EDTA combined disc diffusion test (CDDT).
Results: A total of 770 samples were processed of which 36 isolates of P. aeruginosa were obtained. P.aeruginosa was isolated mainly from tracheal aspirates, sputum, blood and urine. Among 36 isolates, 50% were found to be multidrug resistant (MDR). More percentage of P.aeruginosa isolates were found resistant to aztreonam, ofloxacin and levofloxacin (52.8%). Furthermore, this study reveals antibiotics like piperacillin/tazobactam and carbapenem were found to be good choice for the treatment of infection caused by this organism. Among MDR isolates 66.7% were found to be MBL producer.
Conclusions: The data in this study highlights the prevalence of multidrug resistant, MBL producer, and colistin resistant P.aeruginosa in clinical specimens. In this study, carbapenems and piperacillin/tazobactam were found to be most effective antimicrobial drugs for empirical therapy in P.aeruginosa infections.
Keywords: Metallo-β-lactamase; multidrug resistant; prevalence; Pseudomonas aeruginosa.

Author Biography

Bharat Mani Pokhrel, Upendra Devkota Memorial National Institute of Neurological and Allied Sciences, Bansbari, Kathmandu, Nepal

Professor of Microbiology

Published
2023-03-07
How to Cite
SharmaS., DevkotaM. D., PokhrelB. M., & BanjaraM. R. (2023). Prevalence of Multidrug Resistant Pseudomonas aeruginosa Isolated from Clinical Specimens in Tertiary Care Hospital. Journal of Nepal Health Research Council, 20(3), 586-592. https://doi.org/10.33314/jnhrc.v20i3.4265
Issue
Vol. 20 No. 3 (2022): Issue 56 july-Sep, 2022
Section
Original Article

Copyright (c) 2023 Samikshya Sharma, Madhu Dixit Devkota, Bharat Mani Pokhrel, Megha Raj Banjara

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