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Prevalence of Multidrug Resistant (MDR) Proteus spp. in Burn Wound Infection of a Tertiary Care Hospital, Rajshahi

Received: 29 April 2021    Accepted: 27 May 2021    Published: 4 June 2021
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Abstract

Background: Multidrug resistant (MDR) bacteria are an emerging public health issue in all over the world especially in developing countries like Bangladesh. Objective: This study was aimed to determine the prevalence of MDR Proteus species in burn wound infected patients admitted in Burn and Plastic Surgery Unit, Rajshahi Medical College Hospital (RMCH). Methodology: This cross sectional study was conducted at Microbiology Department of Rajshahi Medical College, Rajshahi, Bangladesh. A total of 212 wound swabs were collected and processed as per standard protocol from January to December 2016 for a period of one year. The isolation and identification of Proteus species was done by conventional microbiological process and antimicrobial susceptibility was performed by Modified Kirby-Bauer disk diffusion method. The Proteus species was further classified into MDR on the basis of standardised international criteria. Result: Among the 196 isolates from 212 wound swabs, Proteus spp. was the 2nd most frequent isolated organism (23.47%) following Pseudomonas aeruginosa (34.18%). Two species of Proteus were identified; Proteus mirabilis (65.22%) and Proteus vulgaris (34.78%). More than 75.0% Proteus spp. showed resistance to ciprofloxacin and ceftriaxone where meropenem was the highest sensitive drug (>93%). MDR Proteus spp. were 63.04% among which Proteus mirabilis and Proteus vulgaris were 60% & 68.75% MDR respectively. Conclusion: This study culminates the high prevalence of MDR Proteus spp. in Burn Unit of RMCH and decreased sensitivity to commonly used antibiotics. Therefore a greater emphasis on prevention of MDR bacterial colonization and antibiotic stewardship are imperative.

Published in International Journal of Infectious Diseases and Therapy (Volume 6, Issue 2)
DOI 10.11648/j.ijidt.20210602.14
Page(s) 65-68
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Burn Wound Infection, Multidrug Resistant (MDR), Proteus spp.

References
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[3] Al-Bassam WW, Al-Kazaz AK. (2013). The Isolation and Characterization of Proteus mirabilis from Different Clinical Samples. Journal of Biotechnology Research Center. 7 (2): 24-30.
[4] Mordi RM, Momoh MI. (2009). Incidence of Proteus species in wound infections and their sensitivity pattern in the University of Benin Teaching Hospital. African Journal of Biotechnology. 8 (5): 725-730.
[5] Abbas HA, El-Saysed MA, Ganiny AM, Fattah AA. (2018). Antimicrobial Resistance Patterns of Proteus mirabilis isolates from Urinary tract, burn wound and Diabetic foot Infections. Research Journal of Pharmacy and Technology. 11 (1): 249-252.
[6] Gallaher JR, Banda W, Lachiewicz AM, Krysiak R, Cairns BA, Charles AG. (2018). Colonization with Multidrug Resistant Enterobacteriaceae is Associated with Increased Mortality Following Burn Injury in Sub-Saharan Africa. World J Surg. 42 (10): 3089–3096.
[7] Magiorakos AP, Srinivasan A, Carey RB, Carmeli Y, Falagas ME, Giske CG et al. (2012). Multidrug-resistant, extensively drug-resistant and pandrug-resistant bacteria: an international expert proposal for interim standard definitions for acquired resistance. Clin Microbiol Infect Dis. 18: 268-281
[8] Pal N, Sharma N, Sharma R, Hooja S, Maheshwari RK. (2014). Prevalence of Multidrug (MDR) and Extensively Drug Resistant (XDR) Proteus species in a tertiary care hospital, India. Int. J. Curr. Microbiol. App. Sci. 3 (10): 243-252.
[9] CLSI. (2015). Performance Standards for Antimicrobial Susceptibility Testing; Twenty-Fifth Informational Supplement.
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[13] Lakshmi N, Koripella R, Manem J, Krishna PB. (2015). Bacteriological profile and Antibiogram of Burn wound infections in a tertiary care hospital. IOSR Journal of Dental and Medical Sciences. 14 (10): 1-4.
[14] Mehta M, Dutta P, Gupta V. (2007). Bacterial isolates from burn wound infections and their antibiograms: A eight-year study. Indian Journal of Plastic Surgery. 40 (1): 25-28.
[15] Perween N, Prakash SK, Bharara T. (2016). Prevalence of Multidrug-Resistant and Extensively Drug-Resistant Proteus, Providencia and Morganella Species in Burn Wound Infection. International Journal of Scientific Study. 3 (11): 154-156.
[16] Feglo PK, Gbedema SY, Quay SNA, Adu-Sarkodie Y, Opoku-Okrah C. (2010). Occurance, species distribution and case study at the Komfo Anokye Teaching Hospital (KATH) in Ghana. International Journal of Pharma Sciences and Research (IJPSR). 1 (9): 347-352.
[17] Pandey JK, Narayan A, Tyagi S. (2013). Prevalence of Proteus species in clinical samples, antibiotic sensitivity pattern and ESBL production. International Journal of Current Microbiology and Applied Sciences. 2 (10): 253-261.
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Cite This Article
  • APA Style

    Anika Tasnim, Md. Shah Alam, Md. Abdullah Yusuf, Fazlay Akbar Khan, Jannatul Ferdose, et al. (2021). Prevalence of Multidrug Resistant (MDR) Proteus spp. in Burn Wound Infection of a Tertiary Care Hospital, Rajshahi. International Journal of Infectious Diseases and Therapy, 6(2), 65-68. https://doi.org/10.11648/j.ijidt.20210602.14

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    ACS Style

    Anika Tasnim; Md. Shah Alam; Md. Abdullah Yusuf; Fazlay Akbar Khan; Jannatul Ferdose, et al. Prevalence of Multidrug Resistant (MDR) Proteus spp. in Burn Wound Infection of a Tertiary Care Hospital, Rajshahi. Int. J. Infect. Dis. Ther. 2021, 6(2), 65-68. doi: 10.11648/j.ijidt.20210602.14

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    AMA Style

    Anika Tasnim, Md. Shah Alam, Md. Abdullah Yusuf, Fazlay Akbar Khan, Jannatul Ferdose, et al. Prevalence of Multidrug Resistant (MDR) Proteus spp. in Burn Wound Infection of a Tertiary Care Hospital, Rajshahi. Int J Infect Dis Ther. 2021;6(2):65-68. doi: 10.11648/j.ijidt.20210602.14

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  • @article{10.11648/j.ijidt.20210602.14,
      author = {Anika Tasnim and Md. Shah Alam and Md. Abdullah Yusuf and Fazlay Akbar Khan and Jannatul Ferdose and Mahmuda Sultana},
      title = {Prevalence of Multidrug Resistant (MDR) Proteus spp. in Burn Wound Infection of a Tertiary Care Hospital, Rajshahi},
      journal = {International Journal of Infectious Diseases and Therapy},
      volume = {6},
      number = {2},
      pages = {65-68},
      doi = {10.11648/j.ijidt.20210602.14},
      url = {https://doi.org/10.11648/j.ijidt.20210602.14},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijidt.20210602.14},
      abstract = {Background: Multidrug resistant (MDR) bacteria are an emerging public health issue in all over the world especially in developing countries like Bangladesh. Objective: This study was aimed to determine the prevalence of MDR Proteus species in burn wound infected patients admitted in Burn and Plastic Surgery Unit, Rajshahi Medical College Hospital (RMCH). Methodology: This cross sectional study was conducted at Microbiology Department of Rajshahi Medical College, Rajshahi, Bangladesh. A total of 212 wound swabs were collected and processed as per standard protocol from January to December 2016 for a period of one year. The isolation and identification of Proteus species was done by conventional microbiological process and antimicrobial susceptibility was performed by Modified Kirby-Bauer disk diffusion method. The Proteus species was further classified into MDR on the basis of standardised international criteria. Result: Among the 196 isolates from 212 wound swabs, Proteus spp. was the 2nd most frequent isolated organism (23.47%) following Pseudomonas aeruginosa (34.18%). Two species of Proteus were identified; Proteus mirabilis (65.22%) and Proteus vulgaris (34.78%). More than 75.0% Proteus spp. showed resistance to ciprofloxacin and ceftriaxone where meropenem was the highest sensitive drug (>93%). MDR Proteus spp. were 63.04% among which Proteus mirabilis and Proteus vulgaris were 60% & 68.75% MDR respectively. Conclusion: This study culminates the high prevalence of MDR Proteus spp. in Burn Unit of RMCH and decreased sensitivity to commonly used antibiotics. Therefore a greater emphasis on prevention of MDR bacterial colonization and antibiotic stewardship are imperative.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Prevalence of Multidrug Resistant (MDR) Proteus spp. in Burn Wound Infection of a Tertiary Care Hospital, Rajshahi
    AU  - Anika Tasnim
    AU  - Md. Shah Alam
    AU  - Md. Abdullah Yusuf
    AU  - Fazlay Akbar Khan
    AU  - Jannatul Ferdose
    AU  - Mahmuda Sultana
    Y1  - 2021/06/04
    PY  - 2021
    N1  - https://doi.org/10.11648/j.ijidt.20210602.14
    DO  - 10.11648/j.ijidt.20210602.14
    T2  - International Journal of Infectious Diseases and Therapy
    JF  - International Journal of Infectious Diseases and Therapy
    JO  - International Journal of Infectious Diseases and Therapy
    SP  - 65
    EP  - 68
    PB  - Science Publishing Group
    SN  - 2578-966X
    UR  - https://doi.org/10.11648/j.ijidt.20210602.14
    AB  - Background: Multidrug resistant (MDR) bacteria are an emerging public health issue in all over the world especially in developing countries like Bangladesh. Objective: This study was aimed to determine the prevalence of MDR Proteus species in burn wound infected patients admitted in Burn and Plastic Surgery Unit, Rajshahi Medical College Hospital (RMCH). Methodology: This cross sectional study was conducted at Microbiology Department of Rajshahi Medical College, Rajshahi, Bangladesh. A total of 212 wound swabs were collected and processed as per standard protocol from January to December 2016 for a period of one year. The isolation and identification of Proteus species was done by conventional microbiological process and antimicrobial susceptibility was performed by Modified Kirby-Bauer disk diffusion method. The Proteus species was further classified into MDR on the basis of standardised international criteria. Result: Among the 196 isolates from 212 wound swabs, Proteus spp. was the 2nd most frequent isolated organism (23.47%) following Pseudomonas aeruginosa (34.18%). Two species of Proteus were identified; Proteus mirabilis (65.22%) and Proteus vulgaris (34.78%). More than 75.0% Proteus spp. showed resistance to ciprofloxacin and ceftriaxone where meropenem was the highest sensitive drug (>93%). MDR Proteus spp. were 63.04% among which Proteus mirabilis and Proteus vulgaris were 60% & 68.75% MDR respectively. Conclusion: This study culminates the high prevalence of MDR Proteus spp. in Burn Unit of RMCH and decreased sensitivity to commonly used antibiotics. Therefore a greater emphasis on prevention of MDR bacterial colonization and antibiotic stewardship are imperative.
    VL  - 6
    IS  - 2
    ER  - 

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Author Information
  • Department of Microbiology, Parkview Medical College, Sylhet, Bangladesh

  • Department of Microbiology, Rajshahi Medical College, Rajshahi, Bangladesh

  • Department of Microbiology, National Institute of Neurosciences and Hospital, Dhaka, Banglades

  • Department of Orthopedic Surgery, Sylhet MAG Osmani Medical College, Sylhet, Bangladesh

  • Pathology and Microbiology Department, National Institute of Diseases of Chest and Hospital, Mohakhali, Dhaka, Bangladesh

  • Department of Anatomy, Parkview Medical College, Sylhet, Bangladesh

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