Pramod E Jadhav, S. Meshram, R. Borkar, Satyanarayana, M. Hemanthrao less
Published 1 March 2013
Medicine, Biology
Background: A pathogen is defined as an organism that has potential to cause disease. Sore throat is one of the commonest complaint of the patients in ENT OPDs. The prevalent cause of sore throat in India is group A streptococci (GSA). But the physicians across the country underestimate the real cause of the sore throat and prescribe the irrational use of antibiotic leading to development of resistance towards the antibiotics by the pathogens.
Aims: The present research is taken to estimate the pattern of pathogens and their sensitivity to different antibiotics in the patients of sore throat in Adilabad, a tribal region of Andhra Pradesh.
Material & Methods: The study was conducted at RIMS, Adilabad Medical college and hospital. 375 throat swab samples were collected with all aseptic precautions from the sore throat patients in ENT OPD from April 2010 to May 2012 and were sent to Microbiology department for throat swab culture & sensitivity reporting.
Results: Out of 375 reports, 125 cases showed no pathogenic organism growth, no growth was obtained in 40 cases. Thirty Coagulase staphylococcus and 87 staphylococcal aureus pathogenic organism were isolated. 62 cultures revealed group Alpha haemolytic streptococcus . Pseudomonas aeruginosa were grown in 9 cases and Klebsiella pneumoniae were seen in 16 reports. Escheresia Coli was grown in only 6 culture. Bimodal peak of more pathogenic growth was observed in the month of May and July. Culture sensitivity reports showed high sensitivity of various pathogens towards erythromycin and resistance towards Ciprofloxacin, ceftrixone, ampicillin.
Conclusion: Klebsiella pneumoniae and Pseudomonas aeruginosa are both resistant organisms and an important cause for hospital acquired infections. Emerging resistance to some newer antibiotics is a matter of concern and hence author advocate the formulation of effective antibiotic policy at the national and loco- regional levels.