Antibiotic sensitivity profile and resistance of microorganisms isolated from south Indian population, a hospital based study at Velappanchavady, Chennai, India

Background: Increasing rates of antibiotic drug resistance has been noted in recent times and this adversely affects the prognosis and outcomes of patients. There is a greater need for local resistance prevalence data in order to guide empirical prescription and to identify areas in which medical need for newer antimicrobial agents is greater.Methods: A prospective hospital based observational study was carried out to determine antibiotic sensitivity profile and resistance pattern of microorganisms. Samples were collected from urinary tract infections, while cultures from blood stream infections, sputum samples and Serology. Antibiotic susceptibility was determined by the standard disc diffusion method. Data interpretation was based on CLSI, 2017 guidelines for antimicrobial susceptibility testing.Results: The predominant isolates from the samples were, Staphylococcus aureus (16.7%) 67, K. pneumoniae (11.5%) 46, E. coli (29.4%) 118, P. aeruginosa (6%) 24. Escherichia coli, the most common causative organism showed high resistance to commonly used drugs such as Ampicillin (60.1%) 71, Amoxicillin (53.4%) 63, Amoxicillin-clavulanic acid (44.1%) 52 and Nalidixic acid (53.4%) 63. E. coli was found to be most sensitive to Amikacin (51.7%) 61, Piperacillin (69.5%) 82, Norfloxacin (61.9%) 73, Meropenem (76.3%) 90 and Imipenem (68.6%) 81. Klebsiella was most sensitive to 30 (65.2%) ofloxacin, 31 (67.4%) ciprofloxacin followed by 24 (52.2%) ceftriaxone and least sensitive to 7 (15.2%) Amoxicillin and 12 (26.1%) Ampicillin.Conclusions: Among commonly used antibiotics resistance to Penicillins (Ampicillin, Amoxicillin) was highest. Resistance to Fluoroquinolones (Ciprofloxacin) was seen in majority of the patients. Among broad spectrum antibiotics Imipenem, Meropenem resistance was seen in lesser proportion of the patients

A PROSPECTIVE STUDY OF THE PATTERN OF USE OF ANTIMICROBIAL AGENTS IN SURGICAL PROPHYLAXIS IN A TERTIARY CARE CENTRE

Objective: To evaluate the most common class of antimicrobial agents used in surgical prophylaxis. To evaluate the timing, dosage, route and duration of use of antimicrobial agents in surgical prophylaxis.Methods: The study subjects were 214 patients who underwent general surgical procedures at Vinayaka Missions Kirupananda Variyar Medical College from July 2013 to June 2014. The use of antimicrobial agents was noted from the first dose of antibiotic given before the induction of anaesthesia. After surgery was completed the duration of antibiotic in the post-operative ward was noted. Results: Majority of the patients were males of age group 50-60 y and the most common surgical procedure was hernioplasty. Combination therapy with two antimicrobial agents was more preferred regimen 126 (58.9%). Among the antimicrobial agent's cefotaxime 114 (24.8%) was the most commonly prescribed drug and it was followed by metronidazole 121 (21.9%). ceftriaxone 60 (13.1%) was the third most commonly prescribed antimicrobial agent. The mean duration of prescription of antimicrobial agents in the present study was 4.78 d and the mean cost of drug treatment was 787.54 rupees. The cost-effective regimen was that of aminoglycosides and imidazole.Conclusion: The choice of antimicrobial agent was based on the local prevalence pattern of microorganisms. The intravenous administration of antibiotic prophylaxis immediately before or after the induction of anaesthesia is the most reliable method for ensuring effective serum concentration at the time of surgery. The antimicrobial agent chosen must cover all the most likely contaminating organisms

Clumped isotope thermometry in earthworm carbonates

Earthworm-secreted calcium carbonate can store carbon derived from the soil-atmosphere interface on geological timescales [1]. The mechanism of calcification [2,3,4] is well understood based on multiple years of research conducted both under controlled and natural conditions. We analysed carbonate granules produced by the earthworm Lumbricus terrestris cultured in variable pH and temperature for δ18O to establish thermometry [2]. The governing equation proposed for the thermometry differed from the inorganic calcite precipitation relationship, capturing the signature of kinetic processes during carbonate growth. We have now analysed the granules for clumped isotope thermometry. This provides an opportunity to understand the role of kinetic processes in governing the relationship of clumped isotope in the carbonate system. The clumped isotopic composition of these carbonates yields the following relationship with varying temperature: The linear regression relationship obtained in this study has a similar slope as seen in case of inorganic calcite [5] and otolith carbonate [6]. However, the intercept of the governing equation varied significantly denoting carbonate growth rate. The study presented here provides the first experimental results of clumped isotope composition on carbonates precipitated under monitored disequilibrium conditions and thus, enables quantification of growth rate dependency on clumping. The intercept of the linear regression relationship differs from the line proposed for inorganic calcite precipitation and thus introduces a new parameter to quantify the kinetic process. In this study replicate experiments were performed on carbonate granules generated at controlled temperature and with a knowledge of water isotopic compositio

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Not AvailableBrucellae are Gram-negative cocccobacilli, facultative intracellular bacterial pathogens of both humans and animals. Brucellosis is an important disease that is difficult to diagnose and treat that causes heavy economic losses and human suffering. Diagnosis of brucellosis plays a vital role for control and prevention of the disease. Lipopolysaccharide (LPS) based Enzyme Linked Immuno Sorbent Assay (ELISA) shows false positivity due to cross-reactivity with other gram-negative bacteria LPS. The present investigation was undertaken to assess the diagnostic potential of the recombinant P17 protein of Brucella. P17 gene of Brucella abortus (B. abortus) was amplified, cloned and subcloned into pQE 30 vector yielding high levels of protein expression. The purified recombinant P17 (rP17) protein was used to develop an indirect ELISA (i-ELISA) test for brucellosis. The rP17-ELISA was compared with RBPT (Rose Bengal Precipitation Test) and LPS-ELISA using 530 cattle sera. The concordance percentage and kappa statistics of P17-ELISA is greater in compression with LPS-ELISA. Relative sensitivity and relative specificity of P17-ELISA shows a positive trend with RBPT. The data suggest that P17-ELISA can be a useful method for Brucella diagnosis and recombinant P17 protein is a potential antigen for diagnosis of cattle brucellosisICAR-Indian Veterinary Research Institut

Clumped isotope thermometry in earthworm carbonates

Earthworm-secreted calcium carbonate can store carbon derived from the soil-atmosphere interface on geological timescales [1]. The mechanism of calcification [2,3,4] is well understood based on multiple years of research conducted both under controlled and natural conditions. We analysed carbonate granules produced by the earthworm Lumbricus terrestris cultured in variable pH and temperature for δ18O to establish thermometry [2]. The governing equation proposed for the thermometry differed from the inorganic calcite precipitation relationship, capturing the signature of kinetic processes during carbonate growth. We have now analysed the granules for clumped isotope thermometry. This provides an opportunity to understand the role of kinetic processes in governing the relationship of clumped isotope in the carbonate system. The clumped isotopic composition of these carbonates yields the following relationship with varying temperature: The linear regression relationship obtained in this study has a similar slope as seen in case of inorganic calcite [5] and otolith carbonate [6]. However, the intercept of the governing equation varied significantly denoting carbonate growth rate. The study presented here provides the first experimental results of clumped isotope composition on carbonates precipitated under monitored disequilibrium conditions and thus, enables quantification of growth rate dependency on clumping. The intercept of the linear regression relationship differs from the line proposed for inorganic calcite precipitation and thus introduces a new parameter to quantify the kinetic process. In this study replicate experiments were performed on carbonate granules generated at controlled temperature and with a knowledge of water isotopic compositio

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Not AvailableA study was carried out to assess the effect of sequestration of PDC-109 protein, a majority constituent of heparin binding proteins (HBP) of seminal plasma, on freezability and in vitro fertilizing ability of crossbred bull spermatozoa after cryopreservation. The study consisted of isolation and characterization of PDC-109 protein to raise anti-sera against it in rabbits. Following which, raised antibodies against PDC-109 protein was quantitated and coated in tubes used for collection of ejaculates. Semen ejaculates thus collected were cryopreserved using EYTG extender. Physico-morphological characteristics, viz, motility, viability, acrosomal integrity and HOS response as an indicator of freezability of cryopreserved spermatozoa were determined at pre freeze as well as post thaw stage. At pre freeze stage, a significant (p < 0.05) improvement in viability (83.83 +/- 2.18 vs 75.17 +/- 2.42) and acrosome integrity (81.33 +/- 2.38 vs 72.83 +/- 2.39) in antibodies treated group than control was observed. Similarly, increase in HOS responsive spermatozoa was highly significant (p < 0.01) than control (78.83 +/- 1.69 vs 67.5 +/- 1.75). At post thaw stage, significant (p < 0.05) improvement in viability (69.50 +/- 2.16 vs 60.33 +/- 2.19) and HOS responsive spermatozoa (68.67 +/- 1.62 vs 58.50 +/- 1.32) and highly significant (p < 0.01) increase in individual motility (56.17 +/- 1.83 vs 47.00 +/- 1.86) and acrosome integrity (75.17 +/- 2.38 vs 61.83 +/- 2.1) was observed in antibodies treated group when compared to control was observed. The results from the study revealed that sequestration of PDC-109 protein from semen samples leads to significant improvement in pre-freeze and post-thaw values of above parameters in cryopreserved spermatozoa. It is thus concluded that sequestration of PDC-109 protein from ejaculates improves freezability of crossbred bull spermatozoa. (C) 2012 Elsevier B.V. All rights reserved.Not Availabl