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Original Research Open Access

A Review of Antibiotic Resistance in India: Trends and Emerging Role of EDTA (D-EDTA)

  • 1Consultant- Intensive Care Unit, Nem care Hospital, Guwahati, Assam, India
  • 2Senior Registrar, Department of Anaesthesiology, KB Bhabha Municipal General Hospital, Mumbai, India
+ Affiliations - Affiliations

Corresponding Author

Aparup Sharma, aparup_sharma@yahoo.co.in

Received Date: November 16, 2024

Accepted Date: February 13, 2025

Abstract

Background: Antibiotic therapy remains the gold standard for the management of bacterial infections. However, the indiscriminate use of antibiotics has resulted in the emergence of resistant pathogens. Ethylene diamine tetra acetic acid (EDTA) is a well-known chelating agent that also acts as a potentiating and sensitizing agent when combined with antibiotics. The objective of the current study was to examine the antibacterial activity of commonly used beta-lactamases in Intensive Care Units (ICUs) with addition of EDTA to it against pathogens isolated from urine, blood, and sputum, and compare it with other antibiotics. The study also aimed to review antimicrobial resistance in India.

Methods: This retrospective study was conducted across various parts of India. We reviewed both published and unpublished data from different hospitals. Many Indian hospitals were approached to gather information on the sensitivity patterns of organisms prevalent in patients in their ICUs.

Results: In the present study, out of 2,977 isolates, 884 were ESBL, 1,772 were MBL, and 321 were ESBL+MBL. Among the MBL isolates, 29 were pan-drug resistant.

Conclusion: This novel antibiotic-adjuvant combination is a promising approach to tackling MDR bacterial infections. The combination of Ceftriaxone, Sulbactam, and Disodium EDTA was effective even against pathogens isolated from blood, urine, and sputum that were resistant to other antibiotics. The enhanced susceptibility may be due to the synergistic effect of all three molecules in the combination.

Keywords

Sepsis, MDR, ESBL, MBL, PDR, D-EDTA, Anti-microbial resistance

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