Abstract
PREVALENCE AND CHARACTERIZATION OF ENTEROCOCCI IN HOSPITAL INFECTION

Seema Akhta Kazmi* and Suryottam Kumar

ABSTRACT

Introduction: Enterococci are emerging as a significant cause of nosocomial infections accounting for approximately 10% of hospital acquired infections. Hospital infection due to Gram negative bacilli have decreased in incidence while those due to gram positive have increased. Aims and Objectives: 1.Find out the prevalence of enterococci in hospital infection. 2.To characterize enterococci isolated from various infection. 3.Find out antibiotic drug resistance pattern in enterococci. Material and Methods: Material for this study was collected from patients who had acquired infections while admitted in the hospital and also from the patients acquiring infections outside the hospital. During the study period 300 entercoccal isolates were obtained from same number of patients from various clinical specimens. Each specimen was subjected to various laboratory procedures for isolation, identification and characterization of enterococci. Results: Data were collected and statistical analysis was done using Student t test and Chi square test. Discussion: 1) Among different types of enterococci, E. faecalis (61%) and E. faecium (20.4%) are the commonest type causing infection. 2) Isolation rate of E. faecalis and E. faecium in the hospital acquired infections varied from place to place, majority from pus. 3) No age is immune to infection with enterococci infections. They can cause infection in all the age group of 21-30 years. 4) They can cause infections in both sexes. Males were 52% and comparatively more affected than females 48%. 5) Only 6.3% isolates of enterococci were sensitive to all 13 drugs tested, whereas 92.3% and 96.7% strains of E. faecalis and E. faecium were resistant to one or more drugs respectively. Conclusion: In view of multidrug resistance in septic cases, efforts should be made to eradicate enterococci resistant strains by taking strict aseptic precautions, dressing using chlorohexidine cream and local applications of antibiotics.

Keywords: Enterococci, Nosocomial infections, Hospital infections.


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