Bacterial profile of blood stream infections and their antibiograms

Background: Blood culture provides essential information for the evaluation of a variety of diseases like endocarditis, pneumonia, and pyrexia of unknown origin particularly, in patients with suspected sepsis. Septicaemia is one of the leading causes of neonatal mortality along with perinatal hypoxia. Objectives: To study the bacterial flora of blood stream infections in adults & pediatric patients including neonates. To study the risk factors and duration of incubation for obtaining positive cultures. To study their antibiotic resistant pattern and compare results with those of other investigators in this field.Methods: This prospective study was conducted in the department of microbiology, Narayana medical college and hospital, Nellore over a period of six months, from March 2014 to September 2014. During the six months period, 200 samples received from various departments were processed and relevant findings were noted.Results: Out of 200 blood samples growth was obtained in 34 samples (17%). Among them Gram positive bacteria were 11 (5.5%). Gram negative bacilli were 23 (11.6%). Among the gram positive bacteria maximum resistance was seen with methicillin and imipenum. No resistance was seen with vancomycin and erythromycin. Most of gram negative bacilli were multidrug resistant. Maximum resistance was seen with piperacillin, amikacin, ceftizoxime and amoxyclav.  Conclusion: Early diagnosis & appropriate treatment of bacterial infections can make difference between life & death. It would reduce mortality from septicaemia, reduce time & improve patient management.

Incidence of carbapenem resistant nonfermenting gram negative bacilli from patients with respiratory tract infections among intensive care units

Background: Non fermenting gram negative bacilli that were considered to be contaminants in the past have now emerged as important healthcare- associated pathogens. Pseudomonas aeruginosa and Acinetobacter species are now known to be the common nosocomial pathogens. Carbapenems are one of the essential antibiotics in the armamentarium against, serious nosocomial infections. Development of resistance against these is a cause of concern. Misuse and inappropriate duration of antibiotic therapy helps in development of resistance.Methods: A total of 200 endo tracheal aspirates and sputum samples were collected from patients of all age groups with clinical evidence of lower respiratory tract infection from Medical, surgical, pediatric ICUS. Non fermenting gram negative bacilli isolated and identified according to CLSI guidelines and antibiotic sensitivity test was performed by Kirby Bauer disc diffusion method.  Results: Out of 200 samples 50 Acinetobacter spp. and 38 Pseudomonas aeruginosa were isolated. Among 38 Pseudomonas isolates (42%) 16 were resistant to imipenem and 11 (29%) were resistant to meropenem. Among 50 Acinetobacter isolates 14 (28%) were resistant to imipenem and 12 (24%) were resistant to meropenem.Conclusions: Our study documents an increase in the carbapenem resistance. Reduction in antimicrobial resistance in the ICUS has been a goal for all ICUS as it improves outcome and cost of patient care. Carbapenem must be used judiciously to prevent further resistance or else this would erode the strength of life saving antibiotics.

Detection of vancomycin susceptibility among clinical isolates of MRSA by using minimum inhibitory concentration method

Background: Staphylococcus aureus is considered as a major pathogen causing a diversity of infections including bacteremia, pneumonia, skin and soft tissue including osteoarticular infections. Since 1961, Methicillin Resistant Staphylococci aureus (MRSA) emerged has one of the major and common cause of hospital acquired infection. However, due to wide spread usage of vancomycin for MRSA infections resulted in reduced susceptibility of S. aureus to vancomycin has been identified as a serious public health concern. The aim of the study is to identify the Methicillin Resistant Staphylococcus aureus (MRSA) from various clinical samples and to detect vancomycin susceptibility by Minimum Inhibitory Concentration (MIC) method.Methods: This study was conducted over period of one year December 2013 to November 2014. Clinical samples like pus, blood, sputum, urine and cerebrospinal fluid were collected from various clinical departments in Narayana General Hospital for selective isolation of Staphylococcus aureus. A total of 100 Staphylococcal aureus isolates were isolatedby using standard laboratory procedures. MRSA were detected using Oxacillin Disc on Muller Hinton Agar with 4% NaCl. Sensitivity pattern for vancomycin (30 µg) disc and for other recommended antibiotics was determined by Kirby-Bauer’s disk diffusion method. Minimum Inhibitory Concentration (MIC) was done for vancomycin sensitive isolates by standard agar dilution method.Results: Out of 100 S. aureus isolates, all were susceptible to vancomycin (30 µg) by disk diffusion method. But, 82 isolates of MRSA were susceptible to vancomycin at the concentration of 0.5-2 μg/ml of agar. 17 isolates showed intermediate sensitivity to vancomycin, in which 13 isolates with MIC 4μg/ml and 4 isolates with MIC 8 μg/ml and one isolate was resistant to vancomycin even with MIC of 16 μg/ml.Conclusions: The present study reveals the emergence of Vancomycin Intermediate Sensitive Staphylococcus aureus (VISA) and Vancomycin Resistant Staphylococcus aureus (VRSA). Disc diffusion method should not be employed for detection of vancomycin sensitivity for MRSA stains. The major cause may be attributed to unawareness and irrational usage of broad spectrum antibiotics.

Different Omics Approaches in Cereals and Their Possible Implications for Developing a System Biology Approach to Study the Mechanism of Abiotic Stress Tolerance

Cereals comprise a number of crops including rice, wheat, maize, barley, rye and sorghum. In the form of starch and proteins, the cereal grains provide nearly 60 % of the calories consumed globally as food and fodder. There is a growing challenge to meet the global demand of food security for a human population of 9 billion expected by the year 2050

Lie Group Analysis for Boundary Layer Flow of Nanofluids near the Stagnation-Point over a Permeable Stretching Surface Embedded in a Porous Medium in the Presence of Radiation and Heat Generation/Absorption

This study investigates the influence of thermal radiation and heat generation/absorption on a two dimensional steady boundary layer flow near the stagnation-point on a permeable stretching sheet in a porous medium saturated with nanofluids. The governing partial differential equations with the appropriate boundary conditions are reduced to a set of ordinary differential equations via Lie-group analysis. The resultant equations are then solved numerically using Runge - Kutta fourth order method along with shooting technique. Two types of nanofluids, namely, copper-water and alumina-water are considered. The velocity and temperature as well as the shear stress and heat transfer rates are computed. The influence of pertinent parameters such as radiation parameter Nr, nanofluid volume fraction parameter , the ratio of free stream velocity and stretching velocity parameter a/c , the permeability parameter K1, suction/blowing parameter S, and heat source/sink parameter on the flow and heat transfer characteristics is discussed. The present study helps to understand the efficiency of heat transfer transport in nanofluids which are likely to be the smart coolants of the next generation

Detection of Antibodies Against Trypanosoma evansi in Sheep by Indirect ELISA in Rayalaseema Region of Andhra Pradesh

The present research was carried out with an objective to improve the diagnostic tools for detection of antibodies against Trypanosoma evansi infection using indirect enzyme-linked immunosorbent assay (ELISA) in sheep. In this study standardized the Indirect ELISA for detection of T. evansi in sheep. The optimum concentration of antigen, test sera and conjugate were determined as 5µg per well, 1:10 and 1: 4000 dilutions, respectively. 464 serum samples were collected from sheep in different parts of the Rayalaseema region of Andhra Pradesh for screening of T. evansi infection. Out of 464 serum samples 46 (9.91%) were found positive by indirect ELISA

Chemical Reaction Effects on an Unsteady MHD Mixed Convective and Radiative Boundary Layer Flow over a Circular Cylinder

A mathematical model is presented for an optically dense fluid past an isothermal circular cylinder with chemical reaction taking place in it. A constant, static, magnetic field is applied transverse to the cylinder surface. The cylinder surface is maintained at a constant temperature. New variables are introduced to transform the complex geometry into a simple shape and the boundary layer conservation equations, which are parabolic in nature, are normalized into non-similar form and then solved numerically with the well-tested, efficient, implicit, Crank-Nicolson finite difference scheme. Numerical computations are made and the effects of the various material parameters on the velocity, temperature and concentration as well as the surface skin friction and surface heat and mass transfer rates are illustrated graphs and tables. Increasing magnetohydrodynamic body force parameter (M) is found to decelerate the flow but enhance temperatures. Thermal radiation is seen to reduce both velocity and temperature in the boundary layer. Local Nusselt number is also found to be enhanced with increasing radiation parameter

Kloniranje, ekspresija i karakterizacija paraflagelarnog gena Rod 2 bičaša Trypanosoma evansi

Paraflagellar rod is the major structural component of the trypanosomatid flagellum and is identified as a complex lattice of filaments which runs parallel to the axoneme throughout most of the flagellar length. The present study was carried out to investigate the existence of the paraflagellar rod (PFR 2) gene in Trypanosoma evansi infecting Indian cattle. Local isolates of T. evansi collected from naturally infected cow were multiplied in Wistar rats. Complementary DNA (cDNA) was synthesized from the RNA of host cell free T. evansi parasites by reverse transcription. The gel purified PCR product (PFR 2 gene of T. evansi) was cloned into the pTZ57R/T vector system. The nucleotide sequence of the PFR 2 gene of the T. evansi S.V.V.U. isolate (Accession No. KT277497) obtained in the present study revealed 100% homology with T. evansi China isolate and 99% homology with T. evansi Izatnagar and Bikaner isolates. The recombinant protein was sub-cloned into pET 32a and expressed in the BL21 (DE3) pLysS expression system. The PFR 2 gene of T. evansi S.V.V.U. isolate was further characterized by determination of its protein profile with SDS-PAGE and western blotting. Indirect ELISA was optimized for detection of the specific antibody titre against the recombinant protein of the PFR 2 gene of T. evansi. In the kinetoplastid species the PFR 2 gene is highly conserved. Therefore the PFR 2 gene was suggested as a vaccine candidate, as well as a diagnostic antigen.Paraflagelarni štapić glavna je strukturna komponenta tripanosomskog biča i dio je kompleksa filamenaza koji teku paralelno s aksonemom duž biča. Istraživanje je provedeno kako bi se ispitalo postojanje paraflagelarnog gena Rod 2 (PFR2) u bičaša Trypanosoma evansi koji invadira goveda u Indiji. Lokalni izolat T. evansi prikupljen od prirodno invadiranih krava umnožen je u Wistar štakora. Komplementarna DNA (cDNA) sintetizirana je iz RNA obrnutom transkripcijom iz stanica neinvadiranih nositelja T. evansi parazita. Pročišćeni PCR produkt (gen PFR2 bičaša T. evansi) kloniran je u vektorski sustav pTZ57R/T. Nukleotidna sekvencija gena PFR2 bičaša T. evansi, izolat S.V.V.U. (pristupni broj KT277497) dobivena u ovom istraživanju pokazala je 100 %-tnu sličnost s izolatom T. evansi China i 99 %-tnu s izolatom T. evansi Izatnagar i Bikaner. Rekombinantni protein ponovno je kloniran u sustavu pET 32a i prikazan u sustavu BL21 (DE3) pLysS. Gen PFR2 bičaša T. evansi, izolat S.V.V.U. dalje je karakteriziran određivanjem proteinskog profila metodama SDS-PAGE i Western blotting. Indirektni test ELISA optimiziran je za dokaz titra specifičnih protutijela za rekombinantni protein gena PFR2 bičaša T. evansi. U kinetoplastida gen PFR2 izrazito je očuvan. Stoga bi se gen PFR2 mogao upotrijebiti za cjepivo te kao dijagnostički antigen