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<article article-type="research-article" dtd-version="1.0" xml:lang="en"
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    <front>
        <journal-meta>
            <journal-id journal-id-type="issn">0973-7510</journal-id>
            <journal-title-group>
                <journal-title>Journal of Pure and Applied Microbiology</journal-title>
            </journal-title-group>
            <issn pub-type="epub">2581-690X</issn>
            <publisher>
                <publisher-name>DR. M.N. Khan</publisher-name>
            </publisher>
        </journal-meta>
        <article-meta>
            <article-id pub-id-type="doi">10.22207/JPAM.15.1.14</article-id>
            <title-group>
                <article-title>Aerobacterial Vaginosis among Women Attending an Infertility Clinic at a Tertiary Care Hospital in Chennai, India and Susceptibility Pattern of Isolates</article-title>
            </title-group>
            <contrib-group>
				
				
				<contrib contrib-type="author">
                    <name>
                        <surname>R. Sopia</surname>
                        <given-names>Abigail</given-names>
                    </name>
                    <xref ref-type="aff" rid="aff-1"/>
					<xref ref-type="aff" rid="aff-2"/>
                </contrib>
									
				
						<contrib contrib-type="author">
                    <name>
                        <surname>D. Joseph</surname>
                        <given-names>Pushpa Innocent</given-names>
                    </name>
                    <xref ref-type="aff" rid="aff-3"/>
                </contrib>
				
						<contrib contrib-type="author">
                    <name>
                        <surname>Kalyani</surname>
                        <given-names>M</given-names>
                    </name>
                    <xref ref-type="aff" rid="aff-2"/>
                </contrib>
				
						<contrib contrib-type="author">
                    <name>
                        <surname>Ananthi</surname>
                        <given-names>B</given-names>
                    </name>
                    <xref ref-type="aff" rid="aff-1"/>
                </contrib>
				
						<contrib contrib-type="author">
                    <name>
                        <surname>Dhanaraj</surname>
                        <given-names>Suresh</given-names>
                    </name>
                    <xref ref-type="aff" rid="aff-4"/>
                </contrib>
				
						<contrib contrib-type="author">
                    <name>
                        <surname>John Henry</surname>
                        <given-names>Allen</given-names>
                    </name>
                    <xref ref-type="aff" rid="aff-4"/>
                </contrib>
						
								            		
            </contrib-group>
			
			
          <aff id="aff-1">A.C.S. Medical College and Hospitals, Chennai - 600077, Tamil Nadu, India.</aff>
			<aff id="aff-2">Saveetha Institute of Medical and Technical Sciences, Chennai - 600077, Tamil Nadu, India.</aff>
			<aff id="aff-3">Karpaga Vinayaga Medical Sciences and Research Center, Kanchipuram - 603308, Tamil Nadu India.</aff>
			<aff id="aff-4">Vels Institute of Science Technology and Advanced Studies, Chennai - 600117, Tamil Nadu, India.</aff>
			
			
            <pub-date publication-format="electronic" date-type="pub" iso-8601-date="2021-02-09">
                <day>09</day>
				<month>02</month>
				<year>2021</year>
            </pub-date>
            <volume>15</volume>
            <issue>1</issue>
            <fpage>194</fpage>
            <lpage>200</lpage>
            <permissions>
                <copyright-statement>Copyright &#x00A9; 2021 The Author(s)</copyright-statement>
                <copyright-year>2021</copyright-year>
                <license license-type="open-access"
                    xlink:href="https://creativecommons.org/licenses/by/4.0/">
                    <license-p>This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International License which permits unrestricted use, sharing, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.<uri 
					xlink:href="https://creativecommons.org/licenses/by/4.0/"
                            >https://creativecommons.org/licenses/by/4.0/</uri></license-p>
                </license>
            </permissions>
            <self-uri xlink:href="https://microbiologyjournal.org/aerobacterial-vaginosis-among-women-attending-an-infertility-clinic-at-a-tertiary-care-hospital-in-chennai-india-and-susceptibility-pattern-of-isolates"/>
            <abstract>
                <p>Genital infections and subsequent vaginosis diagnosed through high vaginal swab in women is caused due to fungi or bacteria. The presented study focused on determining the types, numbers and antibacterial susceptibility pattern of aerobic bacteria causing vaginosis in 147 female patients attending infertility centre in Chennai, Tamil Nadu, India. Candida spp. caused 17% of infections with 15.7% of vaginosis caused by E.coli, Klebsiella spp., Acinetobacter spp., Citrobacter spp. and Gram positive cocci - Methicillin Sensitive Staphylococcus aureus (MSSA), Coagulase Negative Staphylococci(CONS), Staphylococcus aureus and Enterococcus spp. causing 12.9% of vaginitis in the study population. A total of 20 different antibiotics - cell wall inhibitors, protein synthesis inhibitors and nucleic acid synthesis inhibitors; were tested to determine the response of bacterial isolates by Kirby-Bauer disc diffusion method. The study result determined that the most effective drug for treating Gram positive bacterial vaginitis as per CLSI guidelines based on susceptibility pattern as: Linezolid(100%), Gentamycin(91.6%), Amikacin(87.5%),Erythromycin(79.2%), Co-Trimoxazole(72.2%), Ciprofloxacin(65.6%) and least Chloramphenicol(44.3%). High level gentamycin(83.3%) was found to be effective in treating Enterococci. The descending order of susceptibility of Gram negative aerobacteria causing vaginitis as per CLSI guidelines are: Amikacin(87.5%), Gentamycin(82.5%), Cefoperazone sulbactam (76.3%), Ciprofloxacin(68.5%), Ceftazidime(62.5%) and least Amoxyclav(25%).All Gram negative bacteria tested were susceptible to– Imipenem and Meropenem as well as Chloramphenicol. Ceftriaxone (87.5%) and Nitrofurantoin(72.3%) among other antibiotics was effective against Gram negative bacteria while all Enterobacteriaceae members were found to be resistant to tetracycline.
</p>
		</abstract>
		<kwd-group>
        <title>Keywords</title>
        <kwd>Vaginitis</kwd>
        <kwd>Antibiotic Susceptibility pattern</kwd>
		<kwd>Imipenem</kwd>
		<kwd>Meropenem</kwd>
			<kwd>Amikacin</kwd>
			<kwd>CLSI guidelines</kwd>
			<kwd>Nitrofurantoin</kwd>
			</kwd-group>
        </article-meta>
    </front>
    </article>
