Antibiotic susceptibility test results were showed in table (2): The highest level of resistance were to Amoxiclav
(95.2%), Ampicillin (95.2%), Sulfa-Trimethoprim (92.9%) followed by Tetracycline (85.7%), Cephalthin (85.7%) Ceftriaxone (81%) Cefotaxime/clavulanicacid 71.4%.
The discs used were ampicillin (AMP) 10 [micro]g, amoxicillin (AMX) 25 [micro]g, amoxiclav
(AMC) 30 [micro]g, cephalexin (CN) 30 [micro]g, cefuroxime (CXM) 30 [micro]g, ceftriaxone (CTR) 30 [micro]g, ceftazidime (CAZ) 30 [micro]g, gentamicin (GEN) 10 [micro]g, amikacin (AK) 30 [micro]g, co-trimoxazole (COT) 25 [micro]g, penicillin-G (P) (10IU), erythromycin (E) 5 [micro]g, azithromycin (AZM) 15 [micro]g, ciprofloxacin (CIP) 30 [micro]g, levofloxacin (LE) 5 [micro]g, nitrofurantoin (NIT) 200 [micro]g, chloramphenicol (C) 30 [micro]g, and meropenem (MEM) 10 [micro]g.
We started an antibiotic treatment with Amoxiclav
(Amoxicillin and Clavulanic Acid) intravenously.
Ciprofloxaciv/ dexamethasone (CIPIDEX) otic suspension to oral amoxicillin/clavulanic acid (AMOXICLAV
) suspension Foxlee Design: Systemic review (2006) Interventions: Anesthetic U.S.
 In our study Gram positive cocci showed highest resistance to Azithromycin (87.2%) followed by Cefotaxime, Cefuroxime and Amoxiclav
at 83.6%, 83.6% and 63.6% respectively.
As we had a predominantly Gram-negative bacterial population, we chose to test antibiotic susceptibility to beta-lactam drugs with a broader spectrum of activity such as ampicillin, ceftiofur, and amoxiclav
. High prevalence of resistance to ampicillin and amoxiclav
was found in studies on antibiotic resistance in bacteria from aquaculture sources in Australia (54.8% of isolates resistant to ampicillin) , from wild loggerhead turtles in the Mediterranean Sea (77.8% of isolates resistant to amoxicillin) , and from nesting green turtle in the Oman Sea (~65% of isolates resistant to ampicillin) .
MSSA in our study were sensitive to linezolid (92.5%), amoxiclav
(90%), vancomycin (90%), cefuroxime (80%), and amikacin (45%), while most of the MRSA were sensitive to linezolid (97%), clindamycin (94%), vancomycin (94%), and amikacin (76%).
Bacterial Antibiotic susceptibility test results species Amikacin Amoxiclav
Sulbactam Ampicillin Pseudomonas S - - - fluorescens Pasteurella - - - - multocida Serratia S S S S spp.
Overall antibiotic resistance pattern of the isolates showed a high degree of resistance towards Ampicillin (86%), Piperacillin (80%), Amoxiclav
(70%) and third generation Cephalosporins (50%).
10cc pus was aspirated from Submental region that grew Klebsiella Pneumoniae on pus culture being sensitive to Amoxiclav
, Amikacin, Cefixime, Trimethoprin-sulphamethoxazole, Cefuroxime, Ciprofloxacin, Piperacilline-tazobactam and Imipenem.