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Moreover, they are poorly responsive oxiuros y dolor abdominal cephalosporins in vivo.

Preparate pentru îndepărtarea viermilor din corpul uman order to detect resistance in Enterococcus species, a total of Enterococcus species samples were included in the study.

Although Enterococcus faecalis There were also isolated enterococci from mixture of two or three bacteria. In plus, raspund slab la cefalosporinele administrate in vivo. O suta doua prelevate din genul Enterococcus au fost incluse in studiu.

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De menționat că au fost izolati enterococi și din culturi polimicrobiene 2 sau 3 bacterii. The main sites of colonization in the hospitalized patients are soft tissue wounds and ulcers and the gastrointestinal tract 2. They were traditionally regarded as low grade pathogens, but have emerged as second leading cause of nosocomial infections and third most common cause of bacteraemia 3.

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Urinary tract infection UTI is the most common cause of nosocomial infection among hospitalised patients 4. In spite of the fact that enterococci are one of the most frequent aetiology identified, there are still a lot of characteristics that need to be established 5.

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Intra-abdominal and intra-pelvic abscesses or post surgery wound infections 5 and blood stream infections 3 are also commonly caused by Enterococcus next to UTIs.

Enterococci are classified in five goups, of which only a small part are responsible for producing different pathologies 6the most frequent identified species being Enterococcus faecalis and Enterococcus faecium 7.

Enterococci are considered important especially for their ability of acquiring antibiotic resistance 7. Enterococcal infections are frequently identified in patients with bacteremia, surgical site infections or others, requiring combinations of antibiotics such as aminoglycosides with beta lactam 9.

Since enterococci that show a HLAR phenotype are not susceptible to aminoglycosides, this antibiotic could not be used for the combination therapy Resistance to β lactam was first reported in early s.

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Therefore it necessitates the higher dosage of β lactam and related drugs 1. So, detection of β lactam resistant enterococci should be reported. Resistance to tetracycline, erythromycin and chloramphenicol is well known nowadays.

This study was aimed to determine the prevalence of multidrug-resistant uropathogenic Enterococcus. Table 1; Patterns of Enterococcus spp. A total of enterococcal isolates were included in the study.

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Standard microbiological techniques were used. The identification of Enterococcus spp. Then speciation was performed by sugar fermentation, reduction of tellurite in tellurite blood agar plate and analysis on API Strep kit. All tests were carried out and interpreted as described by Facklam and Collins Resistance profile Antibiotic susceptibility pattern: antimicrobial susceptibility test was performed by Kirby-Bauer disc diffusion method.

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The peptone water culture standardized to 0. After plates were dried, antibiotic discs were placed over the medium and incubated at 37°C for 24 hours. Then the results were recorded according to National Committee for Clinical Laboratory Standards 13 for the following antibiotic discs: vancomycin 30 μgampicillin 10 μgpenicillin 10 unitshigh level gentamycin μgciprofloxacin 5 μglevofloxacin 5 μgchloramphenicol 30 μgtetracycline 30 μgnitrofurantoin μglinezolid 30 μg.

In order to detect High Level Gentamicin resistance HLGRminimum inhibitory concentration MIC of gentamicin was detected for the 27 isolates which showed resistance to high bacteria 1 urine gentamycin discs μg.

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The bacterial inoculums of 1. One control culture broth without antibiotic was also kept. After overnight incubation at 37°C with ambient air, the tubes were examined.

The point at which there was no visible growth was taken as the minimum inhibitory concentration of gentamycin Results and discussions It is important to know the changing trends of the Enterococcus infections and their antimicrobial susceptibility pattern. In our study, enterococcal strains were recovered from urine specimen.

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Out of isolates, 44 were from male and 58 were from female patients. About In a study fromKafayat et al. This was supported by a survey done by Centers for Disease Control and Prevention CDC on nosocomial infections, in which Enterococcus accounted for Although the recent studies stated that there is an increase in the isolation of E.

Similar findings were revealed by Facklam et al Enterococcus spp.

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Enterococcus faecalis was associated with other enterobacterial species Table 1. Two strains E. On the other hand, Sreeja S et al.

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A study by Kapoor et al. Prakash et al. Although E. Thus, bacteria 1 urine identification of enterococci at species level is mandatory to assess their variable sensitivity pattern and to treat accordingly.

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Conclusions In our study, the most frequent species of Enterococcus was E. So, infections with E. Taking into account their fast capacity of acquiring antibiotic resistance, enterococci may become the most frequent isolated bacteria in hospitalized patients.

Edwards DD. Enterococci attract attention of concerned microbiologists. ASM News.

Bacteria 1 urine. How effective are antibiotics?

Major trends in the microbial etiology of nosocomial infection. Am J Med. The natural history of urinary infection in adults.

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Med Clin North Am ; 75 Clinical prevalence, antimicrobial susceptibility, and geographic resistance patterns of enterococci: results from the SENTRY Antimicrobial Surveillance Program, Clin Infect Dis ; 32 2 :Suppl Enterococcus gilvus sp. J Clin Microbiol ; Murray BE. The life and times of the enterococcus. Clin Microbiol Rev. Sinjee S. Vancomycin bacteria 1 urine enterococci faecium isolated from canine urinary tract infections.

Antibiotic therapy of bacterial endocarditis. Subacute enterococcal endocarditis; clinical, pathologic and therapeutic consideration of 33 cases. Vancomycin-resistant enterococcal infections.

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N Engl J Med. Cheesbrough M. Microbiology II. Medical laboratory manual for tropical countries. Cambridge University Press, Identification of Enterococcus species isolated from human infections by a conventional test scheme. J Clin Microbiol. Clinical and Laboratory Standards Institute. National Committee for Clinical Laboratory Standards.

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Performance standards for antimicrobial disk susceptibility test. Antibiotic susceptibility testing by standardized single disc method. Am J Clin Pathol.

The prevalence, identification and the distribution of various species of enterococci which were isolated from clinical samples, with special reference to the urinary tract infections in catheterized patients. India J Med Microbial ; The clinico-epidemiological profile and the highlevel aminoglycoside resistance in enterococcal septicemia at a tertiary care hospital in east Delhi. Manual of Clinical Microbiology, 7th ed. The prevalence and characterization of the Enterococcus species from various clinical samples in a tertiary care hospital.

J Clin Diagn Res. Antimicrobial resistance of enterococcal blood isolates at a pediatric care hospital in India. J Infect Dis. Emergence of unusual species bacteria 1 urine enterococci causing infections, South India.

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BMC Infectious Diseases. Vancomycin resistance in Gram-positive cocci.

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Clin Infect Dis ; 42 Suppl 1 :S Nosocomial urinary tract infections due to enterococcus. Arch Intern Med ; Lemoine L, Hunter PR. Enterococcal urinary tract infections in a teaching hospital.

Eur J Clin Microbiol ; Urinary tract infection in Norway: bacterial etiology and susceptibility.

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A retrospective study of clinical isolates. Clin Microbiol Infect ; Orrett FA, Connors E. Enterococcal urinary tract infections: eight years experience at a regional hospital in Trinidad, West Indies. Chin Med J. Diagn Microbiol Infect Dis. Multiple-drug resistant enterococci: the nature of the problem and an agenda for the future. Boston: Massachusetts Eye and Ear Infirmary.