Retrospective analysis of patterns of drug resistant bacteria isolated from swabs and discharges of patients at Saint Paul Hospital Millennium Medical College, Addis Ababa, Ethiopia

Authors

  • Berhanu Abera Abib Department of Zoological Sciences, College of Natural and Computational Sciences, Addis Ababa University, Insect Science Stream, Ethiopia.
  • Mulatu Gashaw Abiyselassie Ethiopian Biodiversity Institute, Genetic Resources Access and Benefit Sharing Directorate, Addis Ababa, Ethiopia.

DOI:

https://doi.org/10.30574/gscbps.2019.7.3.0047

Keywords:

Bacterial isolates, Bacterial pathogens, Discharges, Susceptibility pattern, Swabs

Abstract

The incidence of multidrug resistant bacteria is threatening our globe nowadays, of which Staphylococcus aureus, Escherichia coli, Proteus species, Pseudomonas species and Klebsiella species are the most frequent. Diseases such as tuberculosis have become increasingly difficult to treat as drugs become less effective. This study aims to assess drug resistance and susceptibility patterns of bacterial isolates of swabs and discharges of patients. Retrospective analysis was conducted on 290 bacterial isolates of swabs and discharges with their antimicrobial susceptibility pattern at Microbiology Department of Saint Paul’s Hospital. Twenty-seven different species of bacteria have been obtained from two hundred and ninety patients who were infected with bacteria among which S. aureus is the most frequent followed by Con’s (Staphylococcus species other than S. aureus), E. coli and Klebsiella spp. Staphylococcus aureus was isolated in 51(17.6%) from the total isolates while Con’s, E. coli and Klebsiella were isolated from 27, 25 and 7, respectively. Out of these isolates, Con’s were the most highly resistant among the isolates followed by S. aureus and E. coli. Klebsiella was the most sensitive of all isolates, while the rest showed intermediate pattern of drug susceptibility to the commonly prescribed drugs. Careful surveillance of infection along with appropriate laboratory data, good isolation techniques, procedures, appropriate sensitivity techniques, restrictive antimicrobial policy and rich supply of different antibiotics are critical if the drug resistant bacteria are sustained.

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References

Kollef MH, Sherman G, Ward S and Fraser VJ. (1999). Inadequate antimicrobial treatment of infections: a risk factor for hospital mortality among critically ill patients. Chest, 115(2), 462–474.

Livermore DM. (2011). Discovery research: the scientific challenge of finding new antibiotics. Journal of Antimicrobial Chemotherapy, 66(9), 1941–1944.

Davies J. (1994). Inactivation of antibiotics and the dissemination of resistance genes. Science, 264 (5157), 375–382.

Davies J. (1996). Origins and evolution of antibiotic resistance. PubMed, 12(1), 9–16.

Mazel D, Dychinco B, Webb VA and Davies J. (2000). Antibiotic Resistance in the ECOR Collection: Integrons and Identification of a Novel and Gene. Antimicrobial Agents and Chemotherapy, 44 (6), 1568–1574.

Alekshun MN and Lew SB. (1997). The MAR region: Multiple resistance to antibiotics and other toxic chemicals. Antimicrobial Agents and Chemotherapy, 41(10), 2067–2075.

George AM and Levy SB. (1983). Gene in the major cotransduction gap of the Escherichia coli K-12 linkage map required for the expression of chromosomal resistance to tetracycline and other antibiotics. Journal of Bacteriology, 155(2), 541–548.

Hachler H, Cohen SP and Levy SB. (1991). Mar A, a regulated locus which controls expression of chromosomal multiple antibiotic resistance in Escherichia coli. Journal of Bacteriology, 173(17), 5532–5538.

Shittu A, Lin J, Morrison D and Kolawole D. (2004). Isolation and molecular characterization of multiresistant Staphylococcus sciurs and Staphylococcus hemoliticus associated with skin and tissue infections. Journal of Medical Microbiology, 53(1), 51–55.

Gedebo G, Kibru G and Tassew H. (2013). Multidrug-resistant bacterial isolates in infected wounds at Jimma University Specialized Hospital, Ethiopia. Annals of Clinical Microbiology and Antimicrobials, 12-17.

Pondei K, Fente BG and Oladapo O. (2013). Current Microbial Isolates from Wound Swabs, Their Culture and Sensitivity Pattern at the Niger Delta University Teaching Hospital, Okolobiri, Nigeria. Tropical Medicine and Health, 41(2), 49–53.

Divyashanthi CM, Adithiyakumar S and Bharathi N. (2014). Study of prevalence and antimicrobial susceptibility pattern of bacterial isolates in a tertiary care hospital. International Journal of Pharmacy and Pharmaceutical Sciences, 7(1), 185–190.

Abera B and Kibret M. (2011). Bacteriology and Antimicrobial Susceptibility of Otitis Media at Dessie Regional Health Research Laboratory, Ethiopia. Ethiopian Journal of Health Development, 25(2), 161–167.

Abraham Y and Wamisho BL. (2009). Microbial Susceptibility of bacterial isolated from open fracture wounds presenting to the err of Black Lion Hospital. African Journal of Microbiology Research, 3(12), 939–951.

Muluye D, Wondimeneh Y, Ferede G, Moges F and Nega T. (2013). Bacterial isolates and drug susceptibility patterns of ear discharge from patients with ear infection at Gondar University Hospital, Northwest Ethiopia. BMC Ear, Nose and Throat Disorders 13, 10.

Gaur RS, Mathew J, Varghese AM, Mathew GA, Chandrasekharan R and Anandan S. (2013). Microbiological pattern of ear swabs in chronically discharging ears in a Tertiary care hospital in India. Indian Journal of Otology 19(2), 51–54.

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Published

2019-06-30

How to Cite

Abib, . B. A., & Abiyselassie, M. G. (2019). Retrospective analysis of patterns of drug resistant bacteria isolated from swabs and discharges of patients at Saint Paul Hospital Millennium Medical College, Addis Ababa, Ethiopia. GSC Biological and Pharmaceutical Sciences, 7(3), 056–063. https://doi.org/10.30574/gscbps.2019.7.3.0047

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Original Article