Publication: Antimicrobial Resistance of Acinetobacter Species and Pseudomonas Species in a Tertiary Care Center in Gandaki Province, Nepal
Date
2025
Article Type
Original Article
Journal Title
Journal ISSN
1999-6217
Volume Title
Pages
Pages: 335 - 342
Publisher
Nepal Health Research Council
Abstract
Abstract:
Background: This study aimed to assess the antimicrobial resistance rates of Acinetobacter species and Pseudomonas species isolated from clinical samples in an Antimicrobial Resistance (AMR) surveillance site in Gandaki Province, Nepal.
Methods: A retrospective analysis of data from an AMR surveillance site was extracted and analyzed, covering the time period from January 2020 to June 2024. A total of 575 Acinetobacter species and 687 Pseudomonas species were identified, with varying numbers tested for susceptibility against different antibiotics. Resistance rates were calculated for each pathogen-antibiotic combination.
Results: Resistance in Acinetobacter species was observed in 49.9% of isolates to amikacin and 42.7% to gentamicin, whereas Pseudomonas species showed resistance rates of 21.2% and 18.5%, respectively. Resistance to piperacillin–tazobactam was identified in 54.0% of Acinetobacter species and 24.6% of Pseudomonas species. Notably, 80.3% of Acinetobacter species and 62.6% of Pseudomonas species were resistant to ceftazidime, while carbapenem resistance was observed in 59.3% of Acinetobacter species and 14.8% of Pseudomonas species. Norfloxacin resistance was observed in 38.3% of Acinetobacter species and 43.5% of Pseudomonas species, whereas only 4.0% of Acinetobacter species and 11.4% of Pseudomonas species isolates were resistance to tigecycline. Resistance rates varied across sample types, with Acinetobacter species from respiratory samples and Pseudomonas species from urine samples exhibiting the highest resistance.
Conclusions: The study underscores alarming levels of antimicrobial resistance in Acinetobacter species and Pseudomonas species. Acinetobacter species demonstrated higher resistance to most antibiotics compared to Pseudomonas species. The variation in resistance patterns across sample types highlights the need of infection site and pathogen-specific antibiotic stewardship strategies.
Description
Bimala Sharma
1 Department of Community Medicine and Public Health, Gandaki Medical College Teaching Hospital and Research Center, Pokhara, Kaski, Nepal.
Simrin Kafle
Ministry of Health, Gandaki Province, Nepal.
Krishna Koirala
Department of ENT, Manipal College of Medical Science, Pokhara, Kaski, Nepal.
Dhurba Giri
School of Health and Allied Science, Pokhara University, Kaski Nepal.
Shivahari Ghimire
School of Health and Allied Science, Pokhara University, Kaski Nepal.
Bhudev Singh Rajput
School of Health and Allied Science, Pokhara University, Kaski Nepal.
Bishnu Raj Tiwari
School of Health and Allied Science, Pokhara University, Kaski Nepal.
Keywords
Acinetobacter species, AMR surveillance, Antimicrobial resistance, Pseudomonas species
Identifier
https://doi.org/10.33314/jnhrc.v23i02.4737