Model: Open Access/Peer Reviewed
DOI: 10.31248/JNDM
Start Year: 2020
Email: jndim@integrityresjournals.org
https://doi.org/10.31248/JNDM2023.013 | Article Number: 29038EEA2 | Vol.2 (2) - April 2024
Received Date: 26 September 2023 | Accepted Date: 06 February 2024 | Published Date: 30 April 2024
Authors: Shamsu I Abdullahi* , Adeshina GO , Onaolapo GA , Yusha’u M and Ali M
Keywords: antibiotics, Escherichia coli, Klebsiella, Kano, susceptibility pattern
The emergence of antibiotic resistance in the management of urinary tract infection (UTI) is a serious public health issue worldwide particularly in the developing countries. The study was aimed to determine antibiotic susceptibility pattern and multidrug resistance uropathogenic isolates of E. coli and Klebsiella sp against the commonly prescribed antibiotics. A total of one hundred and thirty-one (131) suspected Klebsiella sp. and E coli isolates were collected from the Microbiology laboratory of all the 3 study sites i.e., Murtala Muhammad Specialist Hospital (MMSH), Muhammad Abdullahi Wase Teaching Hospital (MAWTH) and Aminu Kano teaching hospital (AKTH) all in Kano State, North West Nigeria. Isolates were subjected to Gram staining, morphological and biochemical characterization as well as MicrogenTM Gram negative Identification A system. Antibiotic susceptibility testing was conducted using modified Kirby-Bauer disc- diffusion method. Result showed that all the isolates were susceptible to gentamicin (100%), 75% and 67% susceptible to ciprofloxacin and amoxicillin-clavulanic acid respectively. The resistance pattern of the isolates was observed to be cephalothin (77.5%), cefpodoxime (72.5%), ampicillin (57.5 %), tetracycline (52.5%), sulfamethoxazole-trimethoprim (50%), ceftriaxone (40%), amoxicillin-clavulanic acid (32.5%) and ciprofloxacin (25%). Klebsiella sp. showed higher resistance to cephalexin (90%), ampicillin (90%), cefpodoxime (80%), and then tetracycline (60%) while resistance of E. coli to cephalexin, cefpodoxime, and tetracycline were 73.3%, 70%, and 50% respectively. Out of the 22 MDR isolates, 14 (63.6%) were E. coli and 8 (36.4%) were Klebsiella sp. Eight (8) (20 %) were XDR with no PDR strain detected. Eight (8) of these XDR were E. coli while 6 were Klebsiella sp.
Adrizain, R., Suryaningrat, F., Alam, A., & Setiabudi, D. (2018, March). Incidence of multidrug-resistant, extensively drug-resistant and pan-drug-resistant bacteria in children hospitalized at Dr. Hasan Sadikin general hospital Bandung Indonesia. In IOP Conference Series: Earth and Environmental Science (Vol. 125, p. 012077). IOP Publishing. Crossref |
||||
Agbagwa, O. E., Okorafor, O. N., & Horsfall, S. J. (2022). Multidrug Resistant Pattern and Plasmid Detection of Escherichia coli from Various Sources within the University of Port Harcourt. Open Journal of Medical Microbiology, 12(1), 11-23. Crossref |
||||
Agyepong, N., Govinden, U., Owusu-Ofori, A., & Essack, S. Y. (2018). Multidrug-resistant gram-negative bacterial infections in a teaching hospital in Ghana. Antimicrobial Resistance & Infection Control, 7, 1-8. Crossref |
||||
Amador, P., Fernandes, R., Prudêncio, C., & Duarte, I. (2019). Prevalence of antibiotic resistance genes in multidrug-resistant Enterobacteriaceae on Portuguese livestock manure. Antibiotics, 8, 23. Crossref |
||||
Apun, K., Chong, Y. L., Abdullahi, M. T., & Micky, V. (2018). Antimicrobial susceptibilities of Escherichia coli Isolates from food animals and wildlife animals in Sarawak, East Malaysia. Asian Journal of Animal and Veterinary Advances, 3(6) 409-416. Crossref |
||||
Bajpai, T., Pandey, M., Varma, M., & Bhatambare, G. S. (2014). Prevalence of extended spectrum beta-lactamase producing uropathogens and their antibiotic resistance profile in patients visiting a tertiary care hospital in central India: Implications on empiric therapy. Indian Journal of Pathology and Microbiology, 57(3), 407-412. Crossref |
||||
Basak, S., Singh, P., & Rajurkar, M. (2016). Multidrug resistant and extensively drug resistant bacteria: a study. Journal of pathogens, Volume 2016, Article ID 4065603, 5 pages. Crossref |
||||
Bhatt, P., Tandel, K., Shete, V., Rathi, K. (2011). Burden of extensively drug resistant and pandrug-Monitoring System for Enteric Bacteria (NARMS): Human Isolates Final Reports. 2011. Atlanta, Georgia: U.S. Department of health and Human Services, CDC; 2013. | ||||
Center for Disease Control and Prevention (CDC) (2013). Antibiotic resistance threats in the United States. Retrieved 1st December 2013 from http://www.cdc.gov/drugresistance/threat-report-2013/ | ||||
Cheesbrough, M. (2012). Biochemical tests to identify bacteria in laboratory practice in tropical countries. Cheesbrough M. (ed). Cambridge Edition. Pp. 63-87. | ||||
CLSI (2016). Clinical and Laboratory Standards Institute. Performance standards for antimicrobial susceptibility testing. M100S. 26:1-129 | ||||
Ezekiel, C. N., Olarinmoye, A. O., Oyinloye, J. M. A., Olaoye, O. B., & Edun, A. O. (2011). Distribution, antibiogram and multidrug resistance in Enterobacteriaceae from Commercial Poultry Feeds in Nigeria. African Journal of Microbiology Research, 5(3)294-301. | ||||
Farasat, T., Bilal, Z., & Yunus, F. (2012). Isolation and biochemical identification of Escherichia coli from wastewater effluents of food and beverage industry. Journal of Cell and Molecular Biology, 10(1), 13-18. | ||||
Folgori, L., Livadiotti, S., Carletti, M., Bielicki, J., Pontrelli, G., Degli Atti, M. L. C., Bertaina, C., Lucignano, B., Ranno, S., Carretto, E., & Bernaschi, P. (2014). Epidemiology and clinical outcomes of multidrug-resistant, gram-negative bloodstream infections in a European tertiary pediatric hospital during a 12-month period. The Pediatric infectious Disease Journal, 33(9), 929-932. Crossref |
||||
Kothari, A., & Sagar, V. (2008). Antibiotic resistance in pathogens causing community-acquired urinary tract infections in India: a multicenter study. The Journal of Infection in Developing Countries, 2(05), 354-358. Crossref |
||||
Ling, L. L., Schneider, T., Peoples, A. J., Spoering, A. L., Engels, I., Conlon, B. P., Mueller, A., Schäberle, T.F., Hughes, D.E., Epstein, S., & Lewis, K. (2015). A new antibiotic kills pathogens without detectable resistance. Nature, 517(7535), 455-459. Crossref |
||||
Magiorakos, A., Srinivasan, A., Carey, R. B., Carmeli, Y., Falagas, M. E., Giske, C. G., Harbarth, S., Hindler, J. F., Kahlmeter, G., & Olsson-Liljequist, B. (2011). Bacteria: an international expert proposal for interim standard definitions for acquired resistance. Microbiology, 18(3), 268-281. Crossref |
||||
Manges, A. R. (2016). Escherichia coli and urinary tract infections: the role of poultry-meat. Clinical Microbiology and Infection, 22(2), 122-129. Crossref |
||||
Oli, A. N., Obaji, M., & Enweani, I. B. (2019). Combinations of Alchornea cordifolia, Cassytha filiformis and Pterocarpus santalinoides in diarrhoegenic bacterial infections. BMC Research Notes, 12, Article number 649. Crossref |
||||
B., & Pitout, J. D. (2012). Molecular epidemiology of extended-spectrum-β-lactamase-producing Klebsiella pneumoniae over a 10 year period in Calgary, Canada. Journal of Antimicrobial Chemotherapy, 67(5), 1114-1120. Crossref |
||||
Peirano, G., Hung King Sang, J., Pitondo-Silva, A., Laupland, K., Ramadan, H., Jackson, C. R., Frye, J. G., Hiott, L. M., Samir, M., Awad, A., & Woodley, T. A. (2020). Antimicrobial resistance, genetic diversity and multilocus sequence typing of Escherichia coli from humans, retail chicken and ground beef in Egypt. Pathogens, 9(5), 357. Crossref |
||||
Thapa Shrestha, U., Shrestha, S., Adhikari, N., Rijal, K. R., Shrestha, B., Adhikari, B., Banjara, M. R., & Ghimire, P. (2020). Plasmid profiling and occurrence of β-lactamase enzymes in multidrug-resistant uropathogenic Escherichia coli in Kathmandu, Nepal. Infection and drug resistance, 1905-1917. Crossref |
||||
Yusuf, I., Yusha'u, M., Sharif, A. A., Getso, M.I., Yahaya, H., Bala, J. A., Aliyu, I. A., & Haruna, M. (2012). Detection of Metallo beta lactamases among Gram negative bacterial isolates from Murtala Muhammad Specialist Hospital, Kano and Almadina Hospital Kaduna, Nigeria. Bayero Journal of Pure and Applied Sciences, 5(2), 84-88. Crossref |