INTERNATIONAL JOURNAL OF HEALTH AND PHARMACEUTICAL RESEARCH (IJHPR )

E-ISSN 2545-5737
P-ISSN 2695-2165
VOL. 9 NO. 5 2024
DOI: 10.56201/ijhpr.v9.no5.2024.pg61.72


Antibiotic resistant Uropathogenic Klebsiella spp. and

E coli isolates and their Multidrug resistance pattern in three major Hospitals in Kano State Ishaq SA , Yusha’u M , Gambo S , Mohammed N , Abdullahi ZH :


Abstract


Many bacterial species have been reported to develop resistance to antibiotics commonly prescribed for urinary tract infections. Therefore, the need to search for natural alternative for remedy of this problem cannot be overemphasized. One hundred and thirty-one (131) suspected E. coli and Klebsiella sp. were collected from patients with suspected urinary tract infection from the three major hospitals in Kano State. Purification and identification of the bacterial isolates were carried out using standard microbiological methods. Basic biochemical tests and MicroGen identification kit were used identification of the isolates. The antibiotic susceptibilities of the E coli and Klebsiella sp. was determined using the modified Kirby-Bauer diffusion method and the multidrug resistant isolates, extended drug resistance as well as pandrug resistance were determined using standard microbiological methods. Multiple antibiotic resistance (MAR) index is a measure of the extent of antimicrobial agent resistance for the isolates in the group studied. It was calculated as a/b, where a represents the number of antibiotics to which the isolates were resistant and b represents the total number of antibiotics to which the isolate was exposed. Out of the 131 isolates collected from the three major hospitals, 42.8%, 24.4% and 32.8% were obtained from Murtala Muhammad specialist hospital, Aminu teaching hospital and Muhammad Abdullahi Wase teaching hospital respectively. The biochemical tests showed that 30 (30.9 %) E coli, 10 (10.3) % Klebsiella sp, 29 (29 %), other Enterobacteriaceae, 28 (28.9) % non- Enterobacteriaceae. Of the 10 Klebsiella sp, 8 (80 %) were K oxytoca while 2 (20 %) were K pneumoniae. All the Klebsiella sp. and E coli isolates (n=40) were susceptible to gentamicin (100%), 75 % susceptible to ciprofloxacin and 67% to amoxicillin-clavulanic acid. The proportion of the isolates resistant to cephalothin was 77.5%, 72.5% to cefpodoxi


keywords:

Multiple antibiotic index, E coli, Klebsiella sp, UTI.


References:


Agbagwa, O.E., Okorafor, O.N. and 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 8: 224.
Apun, K., Chong, Y.L., Abdullahi, M.T. and 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.
Asadi Karam, MR., Habibi, M., and Bouzari, S. (2019). Urinary tract infection: Pathogenicity,
antibiotic resistance and development of effective vaccines against Uropathogenic
Escherichia coli. Mol Immunol. 108: 56–67.
Bagheri, N.S., Allegranzi, B., Syed, S. B., Ellis, B., and Pittet, D. (2011). Healthcare-associated
infection in Africa: a systematic review aqnd meta-analysis. Bull World Health Organ, 89
(10): 757-765.
Bischoff, S., Walter, T., Gerigk, M., Ebert, M., and Vogelmann, R. (2018). Empiricantibiotic
therapy in urinary tract infection in patients with risk factors for antibiotic resistance in a
German emergency department. BMC Infect Dis; 18(1):56.
Bryce, A., Hay, A.D., Lane, I.F., Thornton, H.V., Wootton, M. and Costelloe, C. (2016). Global
Prevalence of Antibiotic Resistance in Pediatric Urinary Tract Infections Caused by
Escherichia coli and Association with Routine Use of Antibiotics in Primary Care:
Systematic Review and Meta-Analysis. British medical journal. 1:352-939.
Chapin, K.C. and Lauderable, T. (2007). Reagents, Stains and Media: Bacteriology. In: Manual of
Clinical Microbiology, 9th edition, vol.1. Eds P.R. Murray, E.J. Baron, J.H. Jorgensen,
M.L. Landry and M.A.Pfaller. ASM press, Washington, D.C. U.S.A. Pp351-354.
Cheesborough, M. (2012). Biochemical tests to identify bacteria in laboratory practice in tropical
countries. Cheesborough M. (ed). Cambridge Edition. pp. 63-87.
Christopher, AJ., Hora, S., and Ali, M. (2013). Investigation of Plasmid profile antibiotic
susceptibility pattern multiple antibiotic resistance index calculation of Escherichia coli
isolates obtained from different human clinical specimens at tertiary care hospital in
Bareilly-India. Annals of Tropical Mediicine and Public Health 6: 285-289
Clinical and Laboratory Standards Institute. (2022). Performance standards for antimicrobial
susceptibility testing. M100S. 26:1–129


International Journal of Health and Pharmaceutical Research E-ISSN 2545-5737
P-ISSN 2695-2165 Vol. 9. No. 5 2024 www.iiardjournals.org Online Version





IIARD – International Institute of Academic Research and Development

Page 71
Effah, C.Y., Sun, T., Liu, S., and Wu, Y. (2020). Klebsiella pneumoniae: An increasing threat to
public health. Ann. Clin. Microbiol. Antimicrob.19: 1.
Farasat, T., Bilal, Z. and 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.
Flament-Simon, S.C., Nicolas-Chanoine, M.H.; García, V.; Duprilot, M.; Mayer, N.; Alonso,
M.P.; García-Meniño, I.; Blanco, J.E.; Blanco, M.; Blanco, J (2020). Clonal structure,
virulence factor-encoding genes and antibiotic resistance of Escherichia coli causing
urinary tract infections and other extraintestinal infections in humans in Spain and France
during 2016. Antibiotics. 9:161.
Jain, A. and Mondal, R. (2008). TEM and SHV genes in Extended Spectrum ?-lactamase
producing Klebsiella species and their Antimicrobial Resistance Pattern. Indian Journal of
Medical Research 128: 759-764.
Marr, CM. and Russo, TA. (2018). Hypervirulent Klebsiella pneumoniae: a new public health
threat. Expert review of anti-infective therapy. 17(2):71–73.
Micali, S., Isgro, G., Bianchi, G., Miceli, N., Calapai, G., and Navarra, M. (2014). Cranberry and
recurrent cystitis: more than marketing? Crit Rev Food Sci Nutr. 54 (8):1063–1075.
Obaidat, M.M., Bani, A.E., Davis, M.A. and Roess, A.A. (2018). Major Diseases, Extensive
Misuse, and High Antimicrobial Resistance of Escherichia coli in Large- and Small-Scale
Dairy Cattle Farms in Jordan. Journal of Dairy Science, 101:2324-2334.
Ogunshe, A.A.O., Iheanacho, N.I. and Oduyoye, O.M. (2006). Characterization and Recovery
Rates of Food-indicator Microorganisms from Home-made Oral Rehydration Solutions in
Nigeria. African Journal of Biotechnology. 5(8):603-608.
Olayinka, B.O., Olonitola, O.S., Olayinka, A.T. and Agada, E.A. (2004). Antibiotic Susceptibility
Pattern and Multiple Antibiotic Resistance Index of Pseudomonas aeruginosa Urine
isolates from a University Teaching Hospital. African Journal of Clinical and
Experimental Microbiology, 5 (2): 198-200.
Rodrigues, C., Passet, V., Rakotondrasoa, A. and Brisse, S. (2018). Identi?cation of Klebsiella
pneumoniae, Klebsiella quasipneumoniae, Klebsiella variicola and related phylogroups by
MALDI-TOF mass spectrometry. Frontiers in microbiology. 9:3000.
Yang, J.H., Wright, S.N., Hamblin, M., McCloskey, D., Alcantar, M.A., Schrübbers, L., Lopatkin,
A.J., Satish, S., Nili, A., and Palsson, B.O.(2018). A White-Box Machine Learning
Approach for Revealing Antibiotic Mechanisms of Action. 177:1649–1661.


International Journal of Health and Pharmaceutical Research E-ISSN 2545-5737
P-ISSN 2695-2165 Vol. 9. No. 5 2024 www.iiardjournals.org Online Version





IIARD – International Institute of Academic Research and Development

Page 72
Walker, E., Lyman, A., Gupta, K., Mahoney, MV., Snyder, GM. and Hirsch, EB. (2016). Clinical
management of an increasing threat: outpatient urinary tract infections due to multidrug-
resistant uropathogens. Clin Infect Dis. 63(7): 960–965.
World Health Organisation. (2021). Global action plan on antimicrobial Resistance. http://www.
wpro.who.int/entity/drug_resistance/resources/global_action_plan_eng.pdf. Accessed 14
Oct 2021


DOWNLOAD PDF

Back


Google Scholar logo
Crossref logo
ResearchGate logo
Open Access logo
Google logo