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
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 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