Multidrug resistant and extended spectrum β-lactamase producing gram negative bacterial uropathogens among females in a tertiary hospital, Pokhara Article Swipe
Raju Pandey
,
Samjhana Bhattarai
,
Binita Subedi
,
Rajan Paudel
,
Bipin Chapagain
,
Suresh Jaiswal
,
Bishnu Raj Tiwari
·
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.3126/jgmcn.v15i2.48508
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.3126/jgmcn.v15i2.48508
Introduction: Extended spectrum β-lactamase producing gram negative bacilli has emerged and spread worldwide as an important cause of urinary tract infections and indicates a major threat. The study aimed to determine the prevalence of multidrug resistant and extended spectrum beta-lactamase producing gram negative bacterial uropathogens among females in a tertiary level hospital. Methods: A hospital-based cross-sectional study was conducted in Pokhara Academy of Health Sciences, Pokhara from February to November, 2019. A total number of 301 midstream urine samples were collected and examined using MacConkey agar and blood agar medium. Antimicrobial susceptibility testing was done by Kirby Bauer disk diffusion method on Mueller Hinton agar using Clinical and Laboratory Standards Institute guidelines. Results: Out of 301 mid-stream urine samples, 99(33%) sample showed significant bacterial growth. Among them, 78(79%) were gram negative bacteria. Escherichia coli were the predominant organism. Multidrug resistant gram negative isolates were 65.4%. Among 78 Gram negative isolates, 31(39.7%) were extended spectrum β-lactamase producers. Among extended spectrum β-lactamase producers, 27(87.1%) were MDR. Highest frequency of extended spectrum β-lactamases production was seen in E. coli, 23(74.2%). Majority of gram negative bacteria showed susceptibility toward colistin and nitrofurantoin. Ampicillin was found to be highly resistant towards gram negative uropathogen. Conclusions: This study found that higher proportion of multi-drug resistants were among gram negative isolates and further more among extended spectrum β-lactamase producing gram negative isolates. Thus, there is urgent need to address the issue of antimicrobial resistant and promote rational use of the antibiotics in our region.
Related Topics
Concepts
MacConkey agar
Gram-negative bacteria
Microbiology
Colistin
Ampicillin
Nitrofurantoin
Gram
Biology
Multiple drug resistance
Acinetobacter
Agar diffusion test
Urine
Agar
Medicine
Antimicrobial
Antibiotics
Antibiotic resistance
Bacteria
Escherichia coli
Internal medicine
Antibacterial activity
Gene
Biochemistry
Genetics
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3126/jgmcn.v15i2.48508
- https://www.nepjol.info/index.php/JGMCN/article/download/48508/38767
- OA Status
- diamond
- Cited By
- 1
- References
- 20
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4318065302
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4318065302Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.3126/jgmcn.v15i2.48508Digital Object Identifier
- Title
-
Multidrug resistant and extended spectrum β-lactamase producing gram negative bacterial uropathogens among females in a tertiary hospital, PokharaWork title
- Type
-
articleOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2022Year of publication
- Publication date
-
2022-12-31Full publication date if available
- Authors
-
Raju Pandey, Samjhana Bhattarai, Binita Subedi, Rajan Paudel, Bipin Chapagain, Suresh Jaiswal, Bishnu Raj TiwariList of authors in order
- Landing page
-
https://doi.org/10.3126/jgmcn.v15i2.48508Publisher landing page
- PDF URL
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https://www.nepjol.info/index.php/JGMCN/article/download/48508/38767Direct link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
-
diamondOpen access status per OpenAlex
- OA URL
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https://www.nepjol.info/index.php/JGMCN/article/download/48508/38767Direct OA link when available
- Concepts
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MacConkey agar, Gram-negative bacteria, Microbiology, Colistin, Ampicillin, Nitrofurantoin, Gram, Biology, Multiple drug resistance, Acinetobacter, Agar diffusion test, Urine, Agar, Medicine, Antimicrobial, Antibiotics, Antibiotic resistance, Bacteria, Escherichia coli, Internal medicine, Antibacterial activity, Gene, Biochemistry, GeneticsTop concepts (fields/topics) attached by OpenAlex
- Cited by
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1Total citation count in OpenAlex
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2025: 1Per-year citation counts (last 5 years)
- References (count)
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20Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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