Clinical Audit on Antibiogram: Insights from 1win, Tennur

Clinical audit on antibiogram

T. Rajarajan¹, Mohammed Ibrahim², Suganya³

¹Consultant Nephrologist, 1win, Tennur

²Intensivist, Department of Critical care, 1win, Tennur

³HICC Nurse, 1win, Tennur

Background

An antibiogram is a collection of antimicrobial susceptibility test results from cultures performed over a specific period. A table shows how susceptible a group of organisms is to different antimicrobials. Antiprograms are typically generated for a specific health care facility or health system.

Hospital-Acquired Organism Details

Overall Flow Chart

Community-Acquired

Hospital Acquired

Critical Care

Non Critical Care

*Xone sensitive – suspected to most of the cephalosporins

ESBL – resistant to Ceftriaxone (=III gen cephalosporin)

CRE – resistant to Carbapenem (Meropenem)

Hospital Acquired (UTI)

Among the hospital-acquired UTI- only 4 critical cases reported

2 – Candida (Flu sensitive)
1 – E.coli (xone sensitive)
1 – Proteus mirabilis (pan sensitive).

Conclusion

Majority were related to UTI

Enterobacterale especially E.coli and Klebsiella were dominating followed by candida.

UTI-CA-CC	E-coli Pseudomonas
UTI-HA-CC	Candida
UTI-CA-NC	E-coli ESBL More than Candida
UTI-HA-NC	E-Coli (VRE)
SSTI-CA-CC	Pseudomonas more than E-coli Klebsiella
SSTI-CA-NC	Klebsiella more than E-coli, more than stap-pyrogens
Sepsis-CA-CC	Staph aureus more than E-coli, Acintobactors Salmonella
Sepsis-HA-CC	Klebsiella CRE.
LRTI-CA-CC	E-coli, Klebsiella
LRTI-HA-CC	Acintobactor

Abbreviation
UTI - Urinary Tract Infection
SSTI - Superficial soft Tissue Infection
LRTI - Lower Respiratory Tract Infection
GI - Gastrointestinal

Kauverian Bookshelf

Applied Medical Statistics

Clinical audit on antibiogram