NEWS LETTER IAMM-UP UK CHAPTER ( APRIL 2017) Volume 4 Issue 1 NEWS LETTER INDAIN ASSOCIATION OF MEDICAL MICROBIOLOGISTS-UP UK STATE CHAPTER (REGISTRATION NO-1374/2015-2016) EXECUTIVE COUNCIL IAMM-UP UK CHAPTER(2017-2018) PRESIDENT: Dr Balram Ji Omar Dr K.N. Prasad B. Sc. (H), MBBS, D. Orth, MD, MAMS, PGDHM SGPGI Lucknow Associate Professor Department of Microbiology, AIIMS Rishikesh Virbhadra Marg, Rishikesh VICE PRESIDENT: Uttrakhand-249203 Dr Gopal Nath Mob: 8057322333, 9415026640 Email: [email protected] IMS BHU Varanasi [email protected] SECRETARY: Dear Members of IAMM UP UK Chapter Dr Ujjala Ghoshal SGPGI Lucknow It's a Privilege again for me, editing and publishing the newsletter of now thirteen-year-old association of IAMM UPUK state chapter. JOINT SECRETARY: Dr Rungmei SK Marak Antibiotics have transformed the practice of medicine, making once lethal SGPGI Lucknow infections readily treatable and making other medical advances, like cancer TREASURER: chemotherapy and organ transplants, possible. But on the other hand with Dr Vineeta Mittal indiscriminate and improper use, the Multi drug resistance has emerged bringing us RMLIMS Lucknow again near to status similar to Preantibiotic era. We are fighters and for survival of f ittest we are again adopting and developing new strategies to control and combat this menace. Antibiotic stewardship and Biomedical waste management are amongst Executive council one of these strategies . Members: Our Prime Minister vision of India i.e. Swachh Bharat Mission and Kayakalp schemes Prof MI Siddiqui- UP Rural is in fact the strategical tools for fighting with water & food borne infections and Institute of Medical Science & controlling the Nosocomial Infections /HAIs. Research, Safai, Etawah Dr Biswaroop Chatterjee-HIMS, A New team of office bearers & executive council is in place. The dynamic work done Jolly Grant, Dehradun by the previous team will be carried by the successors in a more strategical & digital Dr Ankur Goyal -SNMC, Agra Dr Rajesh K Verma-UP Rural way. With this hope, I am sharing this newsletter with you and wish I would be Institute of Medical Science & successful in contributing and sharing & updating knowledge and opportunities with Research, Safai, Etawah family of microbiologists of IAMM UP UK Chapter. Dr Amresh K Singh-BRDMC, Gorakhpur Regards Dr Adil Raza-JLNMC, AMU, Editor to Newsletter Aligarh Dr Tuhina Banerjee-IMS, BHU, Varanasi Dr Barnali Kakti- HIMS, Jolly Grant, Dehradun NEWS LETTER IAMM-UP UK CHAPTER ( APRIL 2017) Volume 4 Issue 1 FROM PRESIDENT DESK Dr Kashi Nath Prasad Professor Department of Microbiology SGPGI ,Lucknow Dear Friends, Greetings I feel honoured to be elected as the President of UP-UK Chapter of Indian Association of Medical Microbiologists. I extend my sincere thanks to all the members of the Association for bestowing faith in me. I am also grateful to all my predecessors and founder members for their hard work for bringing the Chapter to this level. We still have to share great responsibilities to let it blossom to its full strength. I have seen vast improvements and great changes in Microbiology during the last 33 years of my academic career. Information technology, molecular biology & automation have made great inroads in our speciality. Our commitment is to provide continuous updates to the younger generation in the field of all the subspecialties of Microbiology and we were successful to a large extent by organizing a grand annual event “UP-UK Microcon-2017” in Dehradun in February 2017, and the organizers deserve appreciation. I have felt that no free oral session is held during our state chapter conferences. Since, oral presentation helps in improving the communication skills for our post-graduates (PGs), we are therefore, going to devote time for such session for our PGs only. Moreover, there was demand for a separate best paper award session for MD students. The executive committee will examine the issue and place its recommendation before the general body. Hopefully, the first circular for “UP-UK MICROCON-2018” will come out shortly. As clinical microbiologists, we have lot of responsibilities to share with the clinical counterparts, especially in the areas of diagnostics, infection control and antibiotic stewardship programme. It is high time to introduce newer techniques to reduce the turnaround time without compromising the quality. There is a need to disseminate practical knowledge through organizing workshops and introducing hands-on-training programmes by the centres of excellence. I am confident that with the support of all of you, we shall be able to take our specialty to a new height. With best wishes Prof K.N.Prasad Professor ,Department of Microbiology SGPGI, Lucknow President IAMM UP UK Chapter( 2017-18) NEWS LETTER IAMM-UP UK CHAPTER ( APRIL 2017) Volume 4 Issue 1 FROM SECRETORY DESK SECRETARY DESK Greetings to all the members of IAMM-UP & UK Chapter. As I have been entrusted with the responsibility of the Secretary of the Chapter. I feel honoured and would like to take this opportunity to thank all the members of the society for giving me this opportunity. I assure all the members that I will try my level best to take this association to a greater height. I would also like to congratulate all the others newly selected executive council members for the same. This chapter was started more than a decade ago, since then it has come a long way. With greater challenges emerging in the area of clinical microbiology, the society aims to provide a platform for the microbiologists to update themselves with the new technologies, novel ideas and innovations. The society also aims to empower our young medical professionals and researchers by providing them an opportunity to interact with experts and expand their knowledge. I would like to thank all my predecessors for their hard work and hope we all work harder to let it reach greater heights. XIII Annual Conference of the IAMM-UP & UK Chapter was hosted by Department of Microbiology, Himalayan Institute of Medical Sciences, Jolly Grant, Dehradun on 12th and 13th February 2017. We congratulate Prof RK Agarwal and his entire team for organizing a very interactive and informative conference. XIV Annual Conference of the IAMM-UP & UK Chapter will be hosted by Department of Microbiology, Uttar Pradesh University of Medical Sciences, Saifai, Etawah UP in Feb 2018 by Prof ME Siddique. You all are cordially invited for the same. I look forward with utmost zeal and commitment to take IAMM UP & UK Chapter to a greater height. Training programs, travel fellowships and collaborative research are underway. Valuable suggestions from all the members in this regard will be appreciated and may be sent to me at [email protected]/ [email protected]. Let’s work together, share our findings and stride forward to our ultimate mission of better and affordable management of microbial diseases of the mankind. Dr. Ujjala Ghoshal Secretary General Indian Association of Tropical Parasitology (IATP) Secretary IATP, UP & UK Chapter Secretary IAMM UP & UK Chapter NEWS LETTER IAMM-UP UK CHAPTER ( APRIL 2017) Volume 4 Issue 1 A meeting was held at Himalayan Institute of Medical Sciences (Dehradun) at 3 P.M.in February, 12 – 13, 2017 at UP-UK MICROCON-2017 .Following decision and suggestions were made 1. Venue for the next annual conference is Saifai Medical college: Prof M E Siddique 2. New Executive committee is: President- Prof K N Prasad Vice-president- Prof Gopal Nath Secretary- Prof Ujjala Ghoshal Joint secretary- Prof Rungmei S K Marak Treasurer- Dr. Vinita Mittal 3.Executive council members: Prof M E Siddique, UP Rural Institute of Medical Science & Research, Safai, Etawah Dr Biswaroop Chatterjee, HIMS, Jolly Grant, Dehradun Dr Ankur Goyal, SNMC, Agra Dr Rajesh K Verma, UP Rural Institute of Medical Science & Research, Safai, Etawah Dr Amresh K Singh, BRDMC, Gorakhpur Dr Adil Raza,JLNMC, AMU, Aligarh Dr Tuhina Banerjee, IMS, BHU, Varanasi Dr Barnali Kakti, HIMS, Jolly Grant, Dehradun 4. It was decided that audit of the society will be done and the treasurer will procure the pan card. 5. It was decided that during presentation for award, there will be prohibition for the display of Institute in their material to be presented title slide/material & methods section). Further, there should be a minimum of 2 judges for each award to avoid any bias. The judges will also be given with the name of presenter not the full address. 6.The society is maintaining its website; also an e journal will soon be launched. The money (around Rs. 20,000) for the same will be paid to the Editor Dr. Balram Ji Omar, AIIMS, Rishikesh, UK. 7.Society will provide a travel grant to one candidate for short term training in higher centre within Uttar Pradesh and Uttarakhand. Following is the committee to frame the guidelines : i. Prof. Ujjala Ghoshal (Chairperson) ii. Dr. Vinita Mittal (Member) iii. Dr. Ankur Goel (Member) 8. Oral presentation from the juniors will be encouraged and if required arrangements to be made for parallel sessions. 9.MCQ quiz will be organized in each annual conference by the Secretary. 10.Attempts will be made to conduct a multistep quiz in state medical colleges. Dr. Ankur Goel will be the co-ordinator for the purpose. 11.The venue for the next conference “IAMM-UP UK chapter-2018” will be at UP Rural Institute of Medical Science & Research, Safai, Etawah Thanks and Regards Dr. Ujjala Ghoshal Secretary, Indian Association of Medical Microbiology UP & UK Chapter NEWS LETTER IAMM-UP UK CHAPTER ( APRIL 2017) Volume 4 Issue 1 MINUTES OF MEETING –GENERAL BODY The XIII Annual Conference of the UP-UK Chapter of IAMM -UP-UK MICROCON – 2017 was organized by Dr. R.K. Agarwal, President, UP-UK Chapter of IAMM and Professor & Head, Department of Microbiology, Himalayan Institute of Medical Sciences, Jolly Grant, Dehradun during February, 12 – 13, 2017. It was inaugurated by Dr. Vijay Dhasmana, Hon’ble Vice Chancellor of Swami Rama Himalayan University, Dehradun. The theme of the conference was Vector Borne Diseases in honour of Sir Ronald Ross who was born in Almora District of Uttarakhand and who was the first Noble Laureate from India and the only Noble laureate from the state of UK. The main conference was preceded by two parallel workshops on TB Diagnostics and Application of Flow Cytometry in Microbiology. A CME on Vector Borne Diseases was also held where Dr. T.N. Dhole (SGPGI, Lucknow), Dr. Gopal Nath (BHU, Varanasi), Dr. Iqbal Kaur (UCMS, Delhi) and Dr. B. Chatterjee (HIMS, Dehradun) delivered their talks on various common vector borne diseases. The U.C. Chaturvedi Oration was delivered by Prof. Amita Jain of KGMU, Lucknow on ‘Viral Infections in UP’. Invited Guest Lectures included ‘Optimizing Microbiology from Collection to Care’ by Dr. Suhas Nirkhiwale from Kailash Hospital, Indore; ‘Role of Rapid Molecular Diagnosis in Antibiotic Stewardship’ by Dr. Naveen Kumar of Medanta Hospital and ‘16s rRNA methyltranferases NDM variants and Colistin Resistances’ by Dr. K.N. Prasad of SGPGI, Lucknow. The rich scientific programme also included P.C. Sen Junior Scientist Best Paper Award and Archana Ayyagari Junior Scientist Best Paper on Antimicrobial Resistance Award Sessions. Ample time was allotted for oral papers and Gold Medals were awarded for best poster in each category. 1. Prof. P C Sen Junior Scientist best oral paper award: J Khatoon (SGPGI, Lucknow) 2. Prof. Archana Ayyagiri Junior Scientist best paper award on antimicrobial resistance: Sanjay Singh (SGPGI, Lucknow) 3. Best Poster in Bacteriology: Dr Shalini Gupta (HIMS, Dehradun) 4. Best Poster in Mycology: Dr Richa Pandey (UPUMS, Saifai, Etawah) 5. Best Poster in Virology: Dr Charu Kalra (HIMS, Dehradun) 6. Best Poster in Parasitology: Prof (Dr) Ujjala Ghoshal (SGPGI, Lucknow) About 30 oral presentations and 70 posters presentations were made in various categories. The conference was attended by about 150 delegates from UP and UK. NEWS LETTER IAMM-UP UK CHAPTER ( APRIL 2017) Volume 4 Issue 1 EXECUTIVES & ORGANISING MEMBERS VICE CHANCELLOR SHRU-DR DHASMANA RELEASE OF NEWSLETTER NEWS LETTER IAMM-UP UK CHAPTER ( APRIL 2017) Volume 4 Issue 1 Event Report –from Uttar Pradesh Department of Microbiology, Dr. Ram Manohar Lohia Institute of Medical Sciences (Dr RMLIMS) Theme: The Department of Microbiology, Dr. Ram Manohar Lohia Institute of Medical Sciences (Dr RMLIMS), organized a CME on “Transplant Associated infections” on 8th April 2017 at mini auditorium, ground floor, Dr. RMLIMS, Lucknow. The CME was targeted for clinicians & lab physicians involved in diagnosis & management of organ transplants. Inaugural Session The CME was inaugurated by the Chief Guest Prof. Deepak Malviya, Director, DrRMLIMS, Lucknow;. The welcome address was given by the Dr Malay Ranjan Sen, Professor, Department of Microbiology, Dr RMLIMS. The dignitaries also released the fourth Newsletter from the Department of Microbiology for the year 2016. The Newsletter contains Microbiological data including annual antibiogram, which shall aid the clinicians in choosing appropriate empirical antimicrobial therapy. The vote of thanks was delivered by Dr Vineeta Mittal, Head Department of Microbiology Dr.RMLIMS, Lucknow. Scientific Sessions The first Guest speaker, Dr Lalit Dar, Professor Department of Microbiology, AIIMS, New Delhi discussed the epidemiology, etiology and diagnosis of transplant associated infections. The Second Guest speaker was Prof. R K Sharma, Ex Director, DrRMLIMS & SGPGIMS, Lucknow, presently Professor and Head Department of Nephrology, SGPGIMS, Lucknow, who elaborated on clinical aspects and management of transplant associated infections. NEWS LETTER IAMM-UP UK CHAPTER ( APRIL 2017) Volume 4 Issue 1 LAMP LIGHTENING BY DIGNITARIES RELEASE OF DEPARTMENTAL NEWSLETTER PROF LALIT DAR DELIVERING HIS TALK PROF R K SHARMA DELIVERING HIS TALK NEWS LETTER IAMM-UP UK CHAPTER ( APRIL 2017) Volume 4 Issue 1 Event Report –from Uttar pradesh or g a n i z e d b y : Department of Microbiology, at Subharti Medical College, Meerut Report Speaker: Dr. V. Anil Kumar MD Topic : The top 10 things Microbiologists wish, every clinician knew. 1 ) A CME was held on 25 th March 2017, at Subharti Medical College on an interesting topic, “ The Top 10 Things Microbiologists Wish, Every Clinician knew.” By Dr V. Anil Kumar It was well attended by about 100 post graduate students and 50 faculty members of different clinical departments of Subharti Medical College. There was very useful interactive interaction between the speaker and the clinicians of the college, after the presentation. Topics discussed included: clinical significance of skin commensal in blood culture, value of follow-up blood culture, fungemia and sepsis, futility of regular anaerobic blood culture, and clinicians ignorance about inherent drug resistance among common bacterial blood isolates. 2) After the CME Dr V. Anil Kumar also gave a talk about “Basics of blood culture” in the department of Microbiology. Apart from 8 faculty member and the post graduate students; 7 pursuing MD(Micro.), 12 MSc (Medical Micro.) and 13 PhD (Medical Micro.) also attended and interacted with Dr Anil, in the department of Microbiology, SMC, Meerut. His presentation covered why and when to advice blood culture and how to go about it for better patient care. He discussed pre-analytical, analytical and post analytical phases and precautions to be taken during each phase. The Dos and DONTs during collection and transport as well as phrasing of reports and comments to follow different reports were also discussed at length, for the benefit of postgraduates. \ DR ANIL, DELIVERING LECTURE IN CME, IN COUNCIL HALL OF SUBHARTI MEDICAL COLLEGE NEWS LETTER IAMM-UP UK CHAPTER ( APRIL 2017) Volume 4 Issue 1 ELIZABETHKI NGIA -AN EMERGING PATHOGEN Author- DR BALRAM JI OMAR (AIIMS,RISHIKESH) DR UPASANA BHUMBLA (GEETANJALI MC,UDAIPUR) HISTORICAL INTRODUCTION Elizabethkingia meningoseptica is a gram-negative rod-shaped bacterium widely distributed in nature (e.g. fresh water, salt water, or soil). It may be normally present in fish and frogs but is not normally present in human microflora. In 1959, the American bacteriologist Elizabeth (who isolated Kingella kingae in 1960) was studying unclassified bacteria associated with Pediatric meningitis at the Centers for Disease Control and Prevention in Atlanta, when she isolated an organism (CDC group IIa) that she named Flavobacterium meningosepticum (Flavobacterium means "the yellow bacillus" in Latin; meningosepticum likewise means "associated with meningitis and sepsis"). In 1994, it was reclassified in the genus Chryseobacterium and renamed Chryseobacterium meningosepticum (chryseos = "golden" in Greek, so Chryseobacterium means a golden/yellow rod similar to Flavobacterium). I n 2005, a 16S rRNA phylogenetic tree of Chryseobacterium showed that C. meningosepticum along with C. miricola (which was reported to have been isolated from Russian space station Mir in 2001 and placed in the genus Chryseobacterium in 2003 were close to each other but outside the tree of the rest of the Chryseobacterium and were then placed in a new genus Elizabethkingia named after the original discoverer of F. meningosepticum.  It is an emerging nosocomial pathogen among immunocompromised patients. It is a gram negative rod, non-fermenter, non-motile, oxidase positive and is widely distributed in nature, particularly in soil and water.1-2  The organism has tendency to survive at places apart from water supplies, sinks, taps, saline solutions, disinfectants. It can also survive in chlorine treated municipal water supplies, often colonising sink basins, intubation tubes, humidifiers, incubators of new borns, where it has become a competent threat for infections in the hospital set up.3-5  Elizabethkingia meningoseptica is multidrug resistant organism including extended spectrum beta lactams and aminoglycosides, acting as a serious challenge for the clinicians to treat. Elizabethkingia spp. possess two different types of beta lactamases, namely class A extended spectrum beta lactamases (ESBLs) and class B metallo beta lactamases (MBLs); the latter confers resistance to carbapenems, which are widely used to treat infections caused by multidrug resistant gram negative bacteria. 4