ISOLATION AND IDENTIFICATION OF ENTEROCOCCUS SPP. COLLECTED FROM CENTRAL REFERRAL HOSPITAL, MANIPAL FOR CLINICAL SAMPLES AS WELL AS ENVIRONMENTAL SAMPLE COLLECTED FROM GANGTOK REGION

The emergence of Vancomycin registant enterococcus (VRE) has become a major problem particularly among immunocompromisied patients. In the normal healthy host enterococci seldom are causes urinary tract infections, abdominal infections followed by bacteremia, endocarditis and meningitis rarely. The treatment of enterococcal affliction has become more challenging due to increasing resistance against VRE strain. The entire collected 50 samples were identified by gram staining, MacConkey agar, Bile esculin agar, M- Enterococcus agar, blood agar and among all of them Enterococcus spp. was found to become the predominant species in the studied region. To speculate the antibiotic susceptibility pattern for vancomycin, the minimum inhibitory test (MIC) was done for enterococcal species which having the resistivity against vancomycin was 22.8%. This finding may indicates that increasing resistivity associated with significant increase in consumption of greater amount of antibiotics for severe bacterial infection. The increase in resistance patterns reflects that limited treatment options might create a risk in future prospects for managing complicated cases.