{"title":"一家三甲医院从临床标本中分离出的凝固酶阴性葡萄球菌的菌种分布和抗菌药敏感性模式","authors":"S. Tamboli, S. Tamboli","doi":"10.55010/imcjms.18.010","DOIUrl":null,"url":null,"abstract":"Background and objectives: Coagulase-negative staphylococci (CoNS) are considered important causative agents of hospital acquired infection. These organisms are found in various clinical specimens from hospitalized patients. Present study was carried out to determine the species distribution and antimicrobial susceptibility pattern of CoNS isolated from clinical specimens at a tertiary care hospital. Materials and methods: CoNS isolated from various clinical samples were included in this study. The isolates were identified by colony morphology, Gram’s staining, catalase and coagulase tests. Further differentiation of species was performed by susceptibility to novobiocin, urease activity and ornithine decarboxylase test. Antibiotic susceptibility testing was performed according to the Clinical and Laboratory Standard Institute (CLSI) guidelines. Results: Total 108 isolates of CoNS were included and analysed. Out of 108 CoNS, S. epidermidis was the most common species (36.1%) followed by S. saprophyticus (23.1%), S. hemolyticus (17.6%), S. hominis (13%) and S. lugdunensis (10.2%). Most of the isolates showed resistance to penicillin, oxacillin, amoxycillin, erythromycin, ciprofloxacin and ofloxacin. All the isolates were sensitive to vancomycin. Conclusions: CoNS emerged as an important nosocomial pathogen and should not be neglected as contaminant. High rate of antimicrobial resistance warrants susceptibility testing prior to the treatment of CoNS. IMC J Med Sci. 2024; 18(1):010. DOI: https://doi.org/10.55010/imcjms.18.010 *Correspondence: Sabiha S Tamboli, Department of Microbiology, Parbhani Medical College and RP Hospital Research Institute, Pathri Road, Parbhani, Maharashtra, India. Email: sabihatamboli77@gmail.com","PeriodicalId":55816,"journal":{"name":"IMC Journal of Medical Science","volume":"107 12","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Species distribution and antimicrobial susceptibility pattern of coagulase-negative staphylococci isolated from clinical specimens at a tertiary care hospital\",\"authors\":\"S. Tamboli, S. Tamboli\",\"doi\":\"10.55010/imcjms.18.010\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Background and objectives: Coagulase-negative staphylococci (CoNS) are considered important causative agents of hospital acquired infection. These organisms are found in various clinical specimens from hospitalized patients. Present study was carried out to determine the species distribution and antimicrobial susceptibility pattern of CoNS isolated from clinical specimens at a tertiary care hospital. Materials and methods: CoNS isolated from various clinical samples were included in this study. The isolates were identified by colony morphology, Gram’s staining, catalase and coagulase tests. Further differentiation of species was performed by susceptibility to novobiocin, urease activity and ornithine decarboxylase test. Antibiotic susceptibility testing was performed according to the Clinical and Laboratory Standard Institute (CLSI) guidelines. Results: Total 108 isolates of CoNS were included and analysed. Out of 108 CoNS, S. epidermidis was the most common species (36.1%) followed by S. saprophyticus (23.1%), S. hemolyticus (17.6%), S. hominis (13%) and S. lugdunensis (10.2%). Most of the isolates showed resistance to penicillin, oxacillin, amoxycillin, erythromycin, ciprofloxacin and ofloxacin. All the isolates were sensitive to vancomycin. Conclusions: CoNS emerged as an important nosocomial pathogen and should not be neglected as contaminant. High rate of antimicrobial resistance warrants susceptibility testing prior to the treatment of CoNS. IMC J Med Sci. 2024; 18(1):010. DOI: https://doi.org/10.55010/imcjms.18.010 *Correspondence: Sabiha S Tamboli, Department of Microbiology, Parbhani Medical College and RP Hospital Research Institute, Pathri Road, Parbhani, Maharashtra, India. 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引用次数: 0
摘要
背景和目的:凝固酶阴性葡萄球菌(CoNS)被认为是医院感染的重要致病菌。在住院病人的各种临床标本中都能发现这些微生物。本研究旨在确定一家三级医院从临床标本中分离出的 CoNS 的种类分布和抗菌药敏感性模式。 材料和方法:本研究包括从各种临床样本中分离出的 CoNS。通过菌落形态学、革兰氏染色、过氧化氢酶和凝固酶试验对分离物进行鉴定。通过对新生物菌素的敏感性、尿素酶活性和鸟氨酸脱羧酶试验进一步区分物种。抗生素药敏试验是根据临床和实验室标准研究所(CLSI)指南进行的。 结果共纳入并分析了 108 株 CoNS 分离物。在 108 株 CoNS 中,表皮葡萄球菌是最常见的菌种(36.1%),其次是溶血性葡萄球菌(23.1%)、溶血性链球菌(17.6%)、同种异体葡萄球菌(13%)和卢格登氏葡萄球菌(10.2%)。大多数分离菌株对青霉素、氧西林、阿莫西林、红霉素、环丙沙星和氧氟沙星具有抗药性。所有分离株都对万古霉素敏感。 结论CoNS 已成为一种重要的院内病原体,不应被视为污染源而受到忽视。高抗菌药耐药率要求在治疗 CoNS 前进行药敏测试。 IMC J Med Sci.DOI: https://doi.org/10.55010/imcjms.18.010 *通讯:Sabiha S Tamboli,印度马哈拉施特拉邦帕尔巴哈尼路帕尔巴哈尼医学院和 RP 医院研究所微生物学系。电子邮件:sabihatamboli77@gmail.com
Species distribution and antimicrobial susceptibility pattern of coagulase-negative staphylococci isolated from clinical specimens at a tertiary care hospital
Background and objectives: Coagulase-negative staphylococci (CoNS) are considered important causative agents of hospital acquired infection. These organisms are found in various clinical specimens from hospitalized patients. Present study was carried out to determine the species distribution and antimicrobial susceptibility pattern of CoNS isolated from clinical specimens at a tertiary care hospital. Materials and methods: CoNS isolated from various clinical samples were included in this study. The isolates were identified by colony morphology, Gram’s staining, catalase and coagulase tests. Further differentiation of species was performed by susceptibility to novobiocin, urease activity and ornithine decarboxylase test. Antibiotic susceptibility testing was performed according to the Clinical and Laboratory Standard Institute (CLSI) guidelines. Results: Total 108 isolates of CoNS were included and analysed. Out of 108 CoNS, S. epidermidis was the most common species (36.1%) followed by S. saprophyticus (23.1%), S. hemolyticus (17.6%), S. hominis (13%) and S. lugdunensis (10.2%). Most of the isolates showed resistance to penicillin, oxacillin, amoxycillin, erythromycin, ciprofloxacin and ofloxacin. All the isolates were sensitive to vancomycin. Conclusions: CoNS emerged as an important nosocomial pathogen and should not be neglected as contaminant. High rate of antimicrobial resistance warrants susceptibility testing prior to the treatment of CoNS. IMC J Med Sci. 2024; 18(1):010. DOI: https://doi.org/10.55010/imcjms.18.010 *Correspondence: Sabiha S Tamboli, Department of Microbiology, Parbhani Medical College and RP Hospital Research Institute, Pathri Road, Parbhani, Maharashtra, India. Email: sabihatamboli77@gmail.com