Saudi Journal of Biomedical Research (SJBR)
Volume-3 | Issue-02 | 23-32
Original Research Article
Current Antibiotic Sensitivity Pattern of Clinically Isolated Klebsiella pneumonia
Tawfique K AlZubiery, Talal Alharazi, Hafez Alsumairy, Adel Al-Zubeiry, Anwar Yusr, Huda Al-shami, Linda Alsaqqaf
Published : March 30, 2018
Abstract
An increasing antimicrobial resistance among Klebsiella pneumoniae (K.
pneumoniae) has been rapidly growing. The cross-sectional, analytical and
descriptive study was conducted to investigate the current in vitro susceptibility
pattern of clinically isolated K. pneumoniae. Patient data for 700 different clinical
specimens were collected from the case records during October 2016 to March
2017. Following isolation and identification of 113 isolates of K. pneumoniae to the
species level, antibiotic susceptibility pattern for all isolates was examined using
standard Kirby-Bauer disk diffusion method. Among113 K. pneumoniae isolates, 25
(12.6%) and 88 (39.5%) were isolated from outpatients and inpatients respectively
were considered for the study. The isolates showed high levels of resistance to
Penicillin (100.0%), Ampicillin (96.5), first-generation cephalosporins (>92.0%),
Nalidixic acid (93.8%), Erythromycin (96.5), Roxithromycin (99.1%). The isolates
were less resistant to Amikacin (27.4%), Imipenem (29.2%). Good antibiotics
activity against community-acquired (CA) compared to hospital-acquired (HA)
isolates and the difference in resistant rate between them was found statistically
significant for several antibiotics. A general increase in the resistance pattern of K.
pneumoniae was detected to all the antibiotics that confirm the greatest and
frightening problem in our country. Mechanisms for HA infection control measures
must be evaluated to reduce pathogenic resistant bacterial strains spreading. Also,
strike regulation of the antibiotics buying and intake by the public need to be
applied.