Bacteriological Profile and Antibiotic Susceptibility Patterns in Lower Respiratory Tract Infection at a Tertiary Care Teaching Hospital

Aim: To study the bacterial profile, along with antibiotic susceptibility pattern of isolates from suspected cases of LRTIs attending the tertiary care study area. Materials and Methods: Respiratory samples like sputum, BAL & ET secretions from patients clinically suspected with LRTIs receive...

Full description

Saved in:
Bibliographic Details
Main Authors: Jitendra Singh, Arpita Shah, Hemali Parmar, Bithika Duttaroy
Format: Article
Language:English
Published: Gujarat Adani Institute of Medical Sciences 2025-02-01
Series:GAIMS Journal of Medical Sciences
Subjects:
Online Access:https://gjms.gaims.ac.in/index.php/gjms/article/view/321/195
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832573299441270784
author Jitendra Singh
Arpita Shah
Hemali Parmar
Bithika Duttaroy
author_facet Jitendra Singh
Arpita Shah
Hemali Parmar
Bithika Duttaroy
author_sort Jitendra Singh
collection DOAJ
description Aim: To study the bacterial profile, along with antibiotic susceptibility pattern of isolates from suspected cases of LRTIs attending the tertiary care study area. Materials and Methods: Respiratory samples like sputum, BAL & ET secretions from patients clinically suspected with LRTIs received from both in patient and OPD of a tertiary care teaching hospital, were processed as per standard protocol in Department of Microbiology. The bacterial isolates were identified using Gram’s stain, motility and sets of biochemical tests. Antimicrobial susceptibility testing was performed and interpreted as per CLSI guidelines. Results: This was a retrospective study based on the evaluation of data from January 2023 to June 2023. A total of 1943 respiratory samples (1709 sputum, 211 ET secretions and 23 BAL) were received during the study period. 669 sputum samples (39.14%), 102 ET secretion (48.34%) and 2 BAL fluid (8.69%) were positive for bacterial isolates. Out of these 773 culture positive samples, 855 microorganisms were isolated. Klebsiella spp. was the most common isolates being 39.5% (338 isolates) followed by E. coli 23.97% (205 isolates), Pseudomonas spp. 16.9% (145 isolates), Acinetobacter spp. 14.61% (125 isolates), S. aureus 3.04% (26 isolates) and Enterococcus spp. 1.87% (16 isolates). Conclusion: Culture and susceptibility test is vital for proper diagnosis and management of patients with LRTIs. 39.78% culture positivity was observed in all the samples received with predominance of Gram-negative isolates.
format Article
id doaj-art-847c748c053f40839f866f6cf726d9cc
institution Kabale University
issn 2583-1763
language English
publishDate 2025-02-01
publisher Gujarat Adani Institute of Medical Sciences
record_format Article
series GAIMS Journal of Medical Sciences
spelling doaj-art-847c748c053f40839f866f6cf726d9cc2025-02-02T04:59:41ZengGujarat Adani Institute of Medical SciencesGAIMS Journal of Medical Sciences2583-17632025-02-0151167174https://doi.org/10.5281/zenodo.14788464Bacteriological Profile and Antibiotic Susceptibility Patterns in Lower Respiratory Tract Infection at a Tertiary Care Teaching HospitalJitendra Singh0Arpita Shah1Hemali Parmar2Bithika Duttaroy3Department of Microbiology, Government Medical College, Baroda, Gujarat, IndiaDepartment of Microbiology, Government Medical College, Baroda, Gujarat, IndiaDepartment of Microbiology, Government Medical College, Baroda, Gujarat, IndiaDepartment of Microbiology, Government Medical College, Baroda, Gujarat, IndiaAim: To study the bacterial profile, along with antibiotic susceptibility pattern of isolates from suspected cases of LRTIs attending the tertiary care study area. Materials and Methods: Respiratory samples like sputum, BAL & ET secretions from patients clinically suspected with LRTIs received from both in patient and OPD of a tertiary care teaching hospital, were processed as per standard protocol in Department of Microbiology. The bacterial isolates were identified using Gram’s stain, motility and sets of biochemical tests. Antimicrobial susceptibility testing was performed and interpreted as per CLSI guidelines. Results: This was a retrospective study based on the evaluation of data from January 2023 to June 2023. A total of 1943 respiratory samples (1709 sputum, 211 ET secretions and 23 BAL) were received during the study period. 669 sputum samples (39.14%), 102 ET secretion (48.34%) and 2 BAL fluid (8.69%) were positive for bacterial isolates. Out of these 773 culture positive samples, 855 microorganisms were isolated. Klebsiella spp. was the most common isolates being 39.5% (338 isolates) followed by E. coli 23.97% (205 isolates), Pseudomonas spp. 16.9% (145 isolates), Acinetobacter spp. 14.61% (125 isolates), S. aureus 3.04% (26 isolates) and Enterococcus spp. 1.87% (16 isolates). Conclusion: Culture and susceptibility test is vital for proper diagnosis and management of patients with LRTIs. 39.78% culture positivity was observed in all the samples received with predominance of Gram-negative isolates.https://gjms.gaims.ac.in/index.php/gjms/article/view/321/195icuklebsiella spplrtimdr isolatessputum
spellingShingle Jitendra Singh
Arpita Shah
Hemali Parmar
Bithika Duttaroy
Bacteriological Profile and Antibiotic Susceptibility Patterns in Lower Respiratory Tract Infection at a Tertiary Care Teaching Hospital
GAIMS Journal of Medical Sciences
icu
klebsiella spp
lrti
mdr isolates
sputum
title Bacteriological Profile and Antibiotic Susceptibility Patterns in Lower Respiratory Tract Infection at a Tertiary Care Teaching Hospital
title_full Bacteriological Profile and Antibiotic Susceptibility Patterns in Lower Respiratory Tract Infection at a Tertiary Care Teaching Hospital
title_fullStr Bacteriological Profile and Antibiotic Susceptibility Patterns in Lower Respiratory Tract Infection at a Tertiary Care Teaching Hospital
title_full_unstemmed Bacteriological Profile and Antibiotic Susceptibility Patterns in Lower Respiratory Tract Infection at a Tertiary Care Teaching Hospital
title_short Bacteriological Profile and Antibiotic Susceptibility Patterns in Lower Respiratory Tract Infection at a Tertiary Care Teaching Hospital
title_sort bacteriological profile and antibiotic susceptibility patterns in lower respiratory tract infection at a tertiary care teaching hospital
topic icu
klebsiella spp
lrti
mdr isolates
sputum
url https://gjms.gaims.ac.in/index.php/gjms/article/view/321/195
work_keys_str_mv AT jitendrasingh bacteriologicalprofileandantibioticsusceptibilitypatternsinlowerrespiratorytractinfectionatatertiarycareteachinghospital
AT arpitashah bacteriologicalprofileandantibioticsusceptibilitypatternsinlowerrespiratorytractinfectionatatertiarycareteachinghospital
AT hemaliparmar bacteriologicalprofileandantibioticsusceptibilitypatternsinlowerrespiratorytractinfectionatatertiarycareteachinghospital
AT bithikaduttaroy bacteriologicalprofileandantibioticsusceptibilitypatternsinlowerrespiratorytractinfectionatatertiarycareteachinghospital