Original Articles

Pseudomonas in a Hospitalized Patients: The Notorious Nosocomial Pathogen

Abstract

Background:   Pseudomonas spp. is one of the major threat of nosocomial infections in hospitalized patients due to combination of various virulence factors and weakened host defense. Even more problematic is the development of resistance during the course of therapy, a complication which has been shown to double the length of hospitalization and overall cost of patient care So, it is important to know prevalence of Pseudomonas spp.in various clinical infections.

Methods:   This hospitalized based prospective study includes 250 Pseudomonas isolates subjected to identification by microscopy, culture, speciation and Antibiotic Sensitivity tests with standard guidelines.

Results:   In this study out of 2051 clinical samples, the most common was E. coli (38.23%), followed by Klebsiella (15.94%) and 250 (12.19%) Pseudomonas spp. were isolated. Of them,233 were of P. aeruginosa,141(56.4%) were from pus. Diabetes mellitus and post operative infections each 33(13.2%) were the most commonly known predisposing factors for  patients from whom Pseudomonas were isolated, P. aeruginosa isolates were most resistant to Piperacillin (78%) while  least resistant to Meropenem and Imipenem with resistance of 28% and 22% respectively.

Conclusion:   The study underlines the importance of preventing the spread of the resistant bacteria. For this, it is critically important to have strict antibiotic policies while surveillance programmes for multidrug resistant organisms and infection control procedures need to be implemented. In the meantime, it is desirable that the antibiotic susceptibility pattern of Pseudomonas in specialized clinical units to be continuously monitored and the results readily made available to clinicians so as to minimize the resistance. 

1. Williams EP, Cameron K. Infection by the Bacillus pyocyaneus a Cause of Infantile Mortality. Public Health Pap Rep 1894; 20:355-60.
2. Pollack M. Pseudomonas aeruginosa. Mandell GL, Bennett JE, Dolin R, eds.
3. Principles and Practice of Infectious Diseases. 5th ed. New York, NY: Churchill Livingstone; 2000; 2310-27.
4. Illgner U, Uekoetter A, Runge S, et al. Infections with Pseudomonas aeruginosa in Charcot arthropathy of the foot. Foot Ankle Int 2013; 34(2):234-7.
5. National Nosocomial Infections Surveillance (NNIS) System. National Nosocomial Infections Surveillance (NNIS) System Report, data summary from January 1992-2004, issued October 2004. Centers for Disease Control and Prevention. Available at http://www.cdc.gov/nhsn/pdfs/datastat/nnis_2004.pdf.
6. Winn WJ, Alien S, JAnda V, et al. Guidelines for the collection, transport, processing, analysis and reporting of cultures, In: Konemans Color Atas and Textbook of Diagnostic Mirobiology, 6th edition, Lippincott Williams and Wilkins, p 68-110.
7. Winn WJ, Alien S, JAnda V, et al. The nonfermenting Gram Negative Bacilli, In: Konemans Color Atas and Textbook of Diagnostic Mirobiology, 6th edition, Lippincott Williams and Wilkins, p 303-391.
8. Gowan RW. Pseudomonas, Stenostrophomonas, Burkholderia. In: Collee JG, Fraser AG, Marmion BP, Simmons A eds. Mackey and Mackartney Practical Medical Microbiology. 14th edition Churchill Livingstone.p.423-4.
9. Sailaja BSG, Prasad PD. Antibiotic resistance pattern of bacteria isolated from various clinical specimens in a tertiary care hospital. Trop J Path Micro 2019; 5(9):714-8.
10. Juyal D, Prakash R, Shanakarnarayan SA, et al. Prevalence of non-fermenting gram negative bacilli and their in vitro susceptibility pattern in a tertiary care hospital of Uttarakhand: A study from foothills of Himalayas. Saudi J Health Sci 2013; 2:108-1
11. Jamshaid AK, Zafar I, Saeed UR, et al. Prevalence and resistance patterns of Pseudomonas aeruginosa against various antibiotics. Pak J Pharm Sci 2008; 21(3):311-5.
12. Shenoy S, baliga S, Saldanha DR, et al. Antibiotic sensitivity patterns of Pseudomonas aeruginosa strains isolated from various clinical specimens. Indian J Med Sci 2002; 56(9):427-30.
13. Syed A, Thakur M, Shafiq S, et al. In-vitro sensitivity patterns of Pseudomonas aeruginosa strains isolated from patients at skims - role of antimicrobials in the emergence of multiple resistant strains. JK-Practitioner 2007; 14(1):31-4.
14. Murase M, Miyamoto H, Handa T, et al. Activity of antipseudomonal agent against clinical isolates of Pseudomonas aeruginosa. Jpn J Antibiot 1995; 48(10):1581-9.
15. Stark RP, Maki Dg (1984) Bacteriuria in the catheterized patient. New Engl Med 1984; 311:560-4.
16. Gad GF, El-Domany RA, Zaki S, et al. Characterization of Pseudomonas aeruginosa isolated from clinical and environmental samples in Minia, Egypt: prevalence, antibiogram and resistance mechanisms. J Antimicrob Chemother 2007; 60:1010-17.
17. Malini A, Deepa E, Gokul B, et al. Nonfermenting gram-negative bacilli infections in a tertiary care hospital in kolar, karnataka. J Lab Physicians 2009; 1(2):62-6.
18. Henwood CJ, Livermore DM, James D, et al. Antimicrobial susceptibility of Pseudomonas aeruginosa:results of a UK survey and evaluation of the British society for Antimicrobial chemotherapy disc susceptibility test. J Antimicrobial chemother 2001; 47:789-9.
19. Ergin C, Mutlu G. Clinical distribution and antibiotic resistance of Pseudomonas species. Eastern J Med 1999; 4:65-9.
20. Yan JJ, Hsueh PR, Ko WC, et al. Metallo-beta- lactamases in clinical Pseudomonas isolates in Taiwan and identification of VIM- 3, a novel variant of the VIM-2 enzyme. Antimicrob Agents Chemother 2001; 45(8):2224-8.
21. Patel HK, Suárez-Moreno ZR, Degrassi G, et al. Bacterial LuxR solos have evolved to respond to different molecules including signals from plants. Front Plant Sci 2013; 4:447.
22. Sidhu AS. Dynamics of potassium and their bioavailability for plant nutrition. In: Meena VS, Maurya BR, Verma JP, Meena RS (eds) Potassium solubilizing microorganisms for sustainable agriculture. Springer, New Delhi, pp 187-201.
23. Aggarwal R, Chaudhary U, Bala K. Detection of extended-spectrum β- lactamase in Pseudomonas aeruginosa. Indian J Pathol Microbiol 2008; 51:222-4.
24. Variya A, Kulkarni N, Kulkarni M, et al . The incidence of metallo beta lactamase producing Pseudomonas aeruginosa among ICU patients. Indian J Med Res 2008; 127:398-402.
25. Attal RO, Basak S, Mallick SK, et al. Metallobetalactamase producing Pseudomonas aeruginosa: An emerging threat to clinicians. J Clin Diag Res 2010; 4:2691-6.
26. Javiya VA, Ghatak SB, Patel KR, et al. Antibiotic susceptibility patterns of Pseudomonas aeruginosa at a tertiary care hospital in Gujarat, India. Indian J Pharmacol 2008; 40:230-4.
27. Rashid A, Chowdhury A, Rahman S, et al. Infections by Pseudomonas aeruginosa and antibiotic resistance pattern of the isolates from dhaka medical college hospital. Bangladesh J Med Microbiol 2016; 1(2):48-51.
28. Rajat Rakesh M, Ninama Govind L, Mistry Kalpesh, et al. Antibiotic resistance pattern in Pseudomonas aeruginosa species isolated at a tertiary care hospital, Ahmadabad. National J Med Res 2012; 2:156-9.
29. Kaur A, Singh S. Prevalence of extended spectrum betalactamase (esbl) and metallobetalactamase (mbl) producing Pseudomonas aeruginosa and Acinetobacter baumannii isolated from various clinical samples. J Pathog 2018; 24;6845985.
30. Cho CH, Lee SB. Comparison of clinical characteristics and antibiotic susceptibility between Pseudomonas aeruginosa and P. putida keratitis at a tertiary referral center: a retrospective study. BMC Ophthalmol 2018; 204.
31. Trivedi MK, Patil S, Shettigar H, et al. antimicrobial sensitivity pattern of Pseudomonas fluorescens after biofield treatment. J Infect Dis Ther 2015; 3(3):222.
32. Bisharat N, Gorlachev T, Keness Y. 10-Years hospital experience in Pseudomonas stutzeri and literature review. Open Infect Dis J 2012; 6(1): 21-4.
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IssueVol 13 No 1 (2025) QRcode
SectionOriginal Articles
DOI https://doi.org/10.18502/jmb.v13i1.18043
Keywords
Antibiotic sensitivity test Nosocomial infections Peudomonas species.

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How to Cite
1.
Mohod S, Khadse R, Raut S, Chavan S. Pseudomonas in a Hospitalized Patients: The Notorious Nosocomial Pathogen. J Med Bacteriol. 2025;13(1):16-27.