Objectives: Metallo-beta lactamase (MBL) producing non fermenter Gram negative bacilli is an emerging warning and cause of worry as they have established as one of the most feared resistance mechanisms and are the foremost cause of nosocomial infections worldwide. Carbapenem, including Imipenem, Meropenem and Doripenem are often used as a last remedy for treatment of infections caused by Pseudomonas aeruginosa, Acinetobacter and other Gram-negative. The present study was designed to explore the distribution of imipenem resistant non-fermenter Gram-negative bacilli isolates in different age groups. Study Design: Cross sectional Descriptive study. Setting: Microbiology laboratory, PGMI, Lahore. Period: January 2015 to December 2015. Material & Methods: 53 imipenem resistant NFGNB that were isolated from appropriate sampling of patients suffering from several infections were analyzed by using different standard microbiological techniques like microscopy, culture methods, biochemical reactions and antibiotic susceptibility using Kirby-Bauer method. MBL recognition was performed by imipenem-2MPA double disc synergy test (DDST). Results: This study shows the frequency of imipenem resistant non-fermenter Gram-negative bacilli isolated from various clinical wards. Maximum NFGNB were recovered from surgery/surgical allied 35.84% followed by ICU 28.3%, medicine /medicine allied 20.75%, pediatrics 9.4% and gynae/ obs 5.6% respectively. MBL production was identified among different imipenem resistant non-fermenter Gram-negative bacilli isolates by DDST using 2-MPA. Out of total 53 imipenem resistant non-fermenter Gram Negative Bacilli 37 Pseudomonas aeruginosa 20(54.05%) were MBL positive. Out of 13 Acinetobacter baumannii and 2 Pseudomonas luteola, 11(84.61%) Acinetobacter baumannii and 1(50%) Pseudomonas luteola were positive for MBL production. None of the Acinetobacter junii indicated MBL production. Conclusion: Double disc synergy test is operational for detection of MBL producers among NFGNB. It can be established in our routine clinical microbiology laboratories, for the MBL recognition especially in imipenem resistant isolates as of its cost efficiency.

The study was conducted to determine bacterial contamination of stethoscopes used by doctors before and after disinfecting with isopropyl alcohol and analyze their practices of disinfecting stethoscopes. Samples from stethoscopes were taken before and after disinfecting with 70% isopropyl alcohol swab with the help of a sterile swab. All swabs were inoculated on Blood and MacConkey agar plates and were examined for growth. Stethoscopes of 78 doctors were sampled which included 45 (58%) males and 33 (42%) females. Before decontamination of diaphragms with isopropyl alcohol, 27 (34.6%) diaphragms had “growth” while 51 (65.4%) had “no growth.” After decontamination with isopropyl alcohol, 5 (6.4%) had “growth” while 73 (93.6%) had “no growth.” The most common microorganism isolated from stethoscopes’ diaphragms was methicillin-resistant Staphylococcus epidermidis (MRSE), that is, 14 out of 78 (17.9%). The survey also evaluated factors associated with contamination of stethoscopes. Most doctors 71(91%) believe that stethoscopes can be a source of infection and 55.1% (N = 43) responded that both diaphragm and bell of stethoscopes can transmit infections. Many doctors (41%, N = 32) reported that “forgetfulness/laziness” was the barrier which they faced regarding stethoscope hygiene followed by “lack of time” (21.8%, N = 17). The contamination rate (66.6%) is highest in those doctors who are using their stethoscopes for 3–5 years. Of them, 30 doctors (38.5%) never decontaminated their stethoscopes among which 17 had growth in their stethoscopes before cleaning with isopropyl alcohol, while three had growth even after decontamination. Most doctors used sanitizer (29.5%) and isopropyl alcohol (25.6%) as cleaning agents.

Numerous ectoparasites of people and domestic cattle remain a chronic concern in the contemporary world, despite many attempts at eradication. For many years, pesticide medications such as organophosphates, organochlorides, and synthetic pyrethroids were efficient in controlling these parasites; however, widespread use of these treatments has resulted in resistance in many target species. Domestic animals play a vital role in food production, producing meat, milk, and money. The agricultural communities raze livestock’s as an insurance and investment in contradiction of risk. Animals with short generation intervals and high fertility offer economic, managerial, and biological benefits, since milk production can start five or six months after mating and the first corpse can be sold in less than a year. Livestocks are also a main source of manure, which helps to fertilize the soil, as well as skin, which is one of the most significant products that generates foreign cash for the country. However, the combined effects of sickness, inadequate food, and bad management limit animal output. Parasitic sickness is one of the most common disorders in domestic animals and human, and it has a significant economic impact. Ectoparasites of livestocks are extensively dispersed with varying degrees of incidence, and are crucial in causing considerable economic damage to the agricultural community, the tanning and leather sector even throughout the wolrd, necessitating efficient control methods. Scabies mites, head lice, and bed bugs are important medical ectoparasites that pose a considerable public health threat, hence effective management strategies are required. Alternative management approaches have been developed in a number of ways, but more study is needed before they can be utilized to effectively regulate the ectoparasitic illnesses in the forthcoming. Keywords: Human; Livestocks; Parasites; Biological control; Chemical control