Research Article
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Distribution, Phenotypic Characterisation and Antibiogram of bacterial Species from hospital environment in Nigeria: Public health implications.

Year 2018, Volume: 3 Issue: 2, 23 - 37, 01.06.2018

Abstract

Background: This
study was carried out to determine the distribution of antibiotic resistant
bacterial pathogens on surface samples from Federal Teaching Hospital,
Abakaliki (FETHA), Ebonyi State, Nigeria.



Materials and Methods: A total of 100 surface samples were collected from five (5)
different wards including laboratory unit, pediatric ward, post natal ward,
GOPD ward and children emergency ward. Isolation, phenotypic characterization
and antibiogram study were carried out.
Multiple Antibiotic Resistance Index (MARI) was determined
for all isolates.



Results: A
total of 156 organisms comprising of 40 (25.64%) Staphylococcus aureus, 40 (25.64%) Escherichia coli, 38 (24.36%) Vibrio
cholera
, 21 (13.46%) Shigella spp.
and 17 (10.90%) Salmonella spp. were
isolated and characterized. The result of the antibiotic susceptibility of
isolates indicated that all strains were resistant to penicillin, nalidixic
acid, cefotaxime, tetracycline, cefpirome, sulphamethoxazole, oxytetracycline
and cephalothin. In contrast, the strains were susceptible to gentamicin,
imipenem, streptomycin, and azithromycin. The five isolates had an average MARI
between the range of 0.81- 0.88.



Conclusions: This
investigation has revealed that all the different areas of the hospital harbor
appreciable numbers of pathogenic bacteria.

References

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  • 2. Pereira da Fonseca TA, Pessôa R, Felix AC, Sanabani SS. Diversity of Bacterial Communities on Four Frequently Used Surfaces in a Large Brazilian Teaching Hospital. Mawson A, ed. Int J Environ Res Public Health. 2016;13(2):152.
  • 3. Samuel SO, Kayode OO, Musa OI, Nwigwe GC, Aboderin AO, Salami TAT, Taiwo SS. Nosocomial infections and the challenges of control in developing countries. Afri J Clin Exp Microb. 2010; 11(2): 102-110.
  • 4. Yusha’u A, Bukar BS, Abdulkareem A. Bacterial contamination of some hospital equipment in Kano, Nigeria, Inf Contr Hosp Epidem. 2012; 23: 274-276.
  • 5. Willey JM, Sherwood LM, Woolverton CJ. Prescott, Harley and Klein’s Microbiology, 7th Edn., Mc Graw Hill Companies, New York, USA. 2008; (12) 70317, 1473-3099.
  • 6. Bernard L, Kereveur A, Durand D, Gonat T. Bacterial contamination of hospital stethoscope. Infect Control Hosp. Epide. 1999; 20(9): 274-276.
  • 7. Bdareen KZ, Bacterial contamination in the hospital and its aggressive behaviours, Department of Medical Laboratories, College of Medical Science, Thamar University, Maber. 2009.
  • 8. Walsh F, Duff YB. The culturable soil antibiotic resistome: A community of multi-drug resistant bacteria. PLoS ONE, 2013; 8(6): e65567.
  • 9. Heuer H, Smalla K. Plasmids foster diversification and adaptation of bacterial populations in soil. FEMS Microbiol Rev. 2012; 36: 1083-1104.
  • 10. Szczepanowski R, Linke B, Krahn I, Gartemann K, Guetzkow T, Eichler W. Detection of 140 clinically relevant antibiotic-resistance genes in the plasmid metagenome of wastewater treatment plant bacteria showing reduced susceptibility to selected antibiotics. Microbiology. 155: 2306- 2319.
  • 11. Gaze WH, Zhang L, Abdouslam Na, Hawkey PM, Calvo-Bado L, Royle J. Impacts of anthropogenic activity on the ecology of class 1 integrons and integron-associated genes in the environment. ISME J. 2011; 5: 1253-1261.
  • 12. Nigro S. J., Hall R. M. Antibiotic resistance islands in A320 (RUH134), the reference strain for Acinetobacter baumannii global clone 2. J Antimicrob Chemother. 2012; 67: 335-338.
  • 13. D’Costa V.M, King C.E, Kalan L, Morar M, Sung WWL, Schwarz C. Antibiotic resistance is ancient. Nature. 2011, 477: 457-461.
  • 14. Toleman MA, Walsh TR. Combinatorial events of insertion sequences and ICE in Gram-negative bacteria. FEMS Microbiol Rev. 2011; 35, 912-935.
  • 15. Li D, Qi R, Yang M, Zhang Y, Yu T. Bacterial community characteristics under long-term antibiotic selection pressures. Water Res. 2011; 45: 6063–6073.
  • 16. Cheesbrough, M. District Laboratory Practice in Tropical Countries, Part 2, Cambridge University Press. 2006; 35-195.
  • 17. Clinical Laboratory Standard Institute (CLSI) . Performance Standards for Antimicrobial Disc Susceptibility Test; 8th ed. Approved Standards, m2A8, Wayne, Pa (USA), 2005; 11:64-68.
  • 18. Riaz S, Faisal M, Hasnain S. Antibiotic susceptibility pattern and multiple antibiotic resistances (MAR) calculation of extended spectrum β-lactamase (ESBL) producing Escherichia coli and Klebsiella spp. in Pakistan. Afri J Biotechnol. 2011; 10(33): 6325-6331.
  • 19. Mohiuddin MD, Ashraful Haq J, Mozammel Hoq MD, Farida H. Microbiology of nosocomial infection in Tertiary Hospitals of Dhaka city and its impact. Bangladesh J Med Microbiol. 2010; 4(2): 32-38.
  • 20. Emmanuel, N. Isolation of Pathogenic Bacteria from Fomites in the Operating Rooms of a Specialist Hospital in Kano, North-western Nigeria. The Pan African Medical Journal, 2012; 12:90.
  • 21. Cesar P., Garcia-Cruz, L., Maria J, and Omar E A. Fungal and bacterial contamination on indoor surfaces of a hospital in Mexico Jundishapur. J Microb. 2012; 5(3): 460-464.
  • 22. Helen Ojomachenwu Ocean, Emmanuel Aniebonam Eze, Chibuzor Nwadibe Eze and Matthew Chekwube Enebe. Drug resistance pattern of Salmonella and Shigella species isolated from selected hospitals in Anyigba, Kogi State, Nigeria. Afri J Microbi Res. 2015; 9(37): 2023-2036.
  • 23. Chrinius H., Edward D.J and Clement M.Z.. Prevalence and Antibiogram Pattern of Some Nosocomial Pathogens Isolated from Hospital Environment in Zaria, Nigeria. Int. J Sci Tech. 2014; 3(3): 131-139.
  • 24. Neely AN, Maley MP; Maley . Survival of enterococci and staphylococci on hospital fabrics and plastic. J Clin Microbiol. 2000; 38 (2): 724–726.
  • 25. Alabi MA, Olowokere T, Sunday RM, Salami ET, Osanaiye F, Afolabi J F . Antibiotic Sensitivity Pattern of Bacteria from Selected Hospitals in Akungba Akoko, Ondo State, Southwest Nigeria. Bact. Journal, 2014; 4 (1), 21-26.
  • 26. Inweregbu K, Dave J, Pittard. Nosocomial infections. Contin Educ Anaesth Crit Care Pain. 2005; 5(1): 4-17.
  • 27. Jalalpoor S, Kermanshahi RK, Nouhi AS, Esfahani ZH. Isolation of bacteria in hospital environment. Isfahan Med School, 2009; 27(100): 632-645.
  • 28. Anyadoh SO, Akerele J, Udum UI. Prevalence of multi drug resistant Escherichia coli among pregnant women in Owerri. IJMST, 2010; 3(3):17-20.
  • 29. Olalekan, AW, Asekun-Olarinmoye, EO, Bamidele JO, Abodunrin OL, Olowu, A. A Comparative study of awareness and attitude to nosocomial infections among levels of health care workers in Southwestern Nigeria. Cont J Trop Med. 2011; 5 (2): 5-10.
  • 30. Temitope O, Mutiu AA, Bamidele SF, Rita MS, Ekundayo TS, Folake O, Johnson F, A, Taiwo O. Antibiotic sensitivity pattern of bacteria from selected hospitals in Akungba Akoko, Ondo State, Southwest Nigeria. IOSR J of Pharm Biol Sci. 2013; (IOSR-JPBS) 8: 01-04.
  • 31. Aloma AA, Olonitola OS, Jatau ED. Isolation, characterization and antibiotic susceptibility patterns of Pseudomonas aeruginosa and Staphylococcus aureus from hospital environment in Kaduna Metropolis, Kaduna State. Inter J Scientific Res Publ. 2016; 6:141.
  • 32. Akindele AA, Adewuyi IK, Adefioye OA, Adedokun SA, Olaolu AO. Antibiogram and Beta- Lactamase production of Staphylococcus aureus isolates from different human clinical specimens in a tertiary health institute in Ile-Ife Nigeria. American-Eurasian J Sci Res. 2010; 5(4): 230-233.
  • 33. Mukhtar AM, Saeed HA. Profile of antibiotic sensitivity and resistance of some pathogenic bacteria isolated from clinical specimens in Sudan. J Sc Tech. 2011; 12(1): 14-19.
  • 34. Hassan SA, Jamal SA. Kamal M. Occurrence of multidrug resistant and ESBL producing E. coli causing urinary tract infections. J Basic Applied Sc. 2011; 7(1): 39–43.
  • 35. Olayinka BO, Olonitola OS, Olayinka AT, Agada EA. Antibiotic susceptibility pattern and multiple antibiotic susceptibility and multiple antibiotic resistance index of Pseudomonas aeruginosa urine isolates from a University Teaching Hospital. Afr J Clin Exp Microbiol. 2004; 5(2): 198-202.
  • 36. Hammuel C, Idoko MO, Migap HH, Ambrose N. Occurrence and antibiogram profile of Staphylococcus aureus isolated from some hospital environment in Zaria. Nigeria Afr J Microb Res. 2015; 9(19): 1304-1311.
Year 2018, Volume: 3 Issue: 2, 23 - 37, 01.06.2018

Abstract

References

  • 1. Rached I, Florence A, Valérie M, Isabelle L, Perrine G, Magdalena K, and Michel F . Methods for Recovering Microorganisms from Solid Surfaces Used in the Food Industry: A Review of the Literature. Int J Environ Res Public Health. 2013; 10(11): 6169–6183.
  • 2. Pereira da Fonseca TA, Pessôa R, Felix AC, Sanabani SS. Diversity of Bacterial Communities on Four Frequently Used Surfaces in a Large Brazilian Teaching Hospital. Mawson A, ed. Int J Environ Res Public Health. 2016;13(2):152.
  • 3. Samuel SO, Kayode OO, Musa OI, Nwigwe GC, Aboderin AO, Salami TAT, Taiwo SS. Nosocomial infections and the challenges of control in developing countries. Afri J Clin Exp Microb. 2010; 11(2): 102-110.
  • 4. Yusha’u A, Bukar BS, Abdulkareem A. Bacterial contamination of some hospital equipment in Kano, Nigeria, Inf Contr Hosp Epidem. 2012; 23: 274-276.
  • 5. Willey JM, Sherwood LM, Woolverton CJ. Prescott, Harley and Klein’s Microbiology, 7th Edn., Mc Graw Hill Companies, New York, USA. 2008; (12) 70317, 1473-3099.
  • 6. Bernard L, Kereveur A, Durand D, Gonat T. Bacterial contamination of hospital stethoscope. Infect Control Hosp. Epide. 1999; 20(9): 274-276.
  • 7. Bdareen KZ, Bacterial contamination in the hospital and its aggressive behaviours, Department of Medical Laboratories, College of Medical Science, Thamar University, Maber. 2009.
  • 8. Walsh F, Duff YB. The culturable soil antibiotic resistome: A community of multi-drug resistant bacteria. PLoS ONE, 2013; 8(6): e65567.
  • 9. Heuer H, Smalla K. Plasmids foster diversification and adaptation of bacterial populations in soil. FEMS Microbiol Rev. 2012; 36: 1083-1104.
  • 10. Szczepanowski R, Linke B, Krahn I, Gartemann K, Guetzkow T, Eichler W. Detection of 140 clinically relevant antibiotic-resistance genes in the plasmid metagenome of wastewater treatment plant bacteria showing reduced susceptibility to selected antibiotics. Microbiology. 155: 2306- 2319.
  • 11. Gaze WH, Zhang L, Abdouslam Na, Hawkey PM, Calvo-Bado L, Royle J. Impacts of anthropogenic activity on the ecology of class 1 integrons and integron-associated genes in the environment. ISME J. 2011; 5: 1253-1261.
  • 12. Nigro S. J., Hall R. M. Antibiotic resistance islands in A320 (RUH134), the reference strain for Acinetobacter baumannii global clone 2. J Antimicrob Chemother. 2012; 67: 335-338.
  • 13. D’Costa V.M, King C.E, Kalan L, Morar M, Sung WWL, Schwarz C. Antibiotic resistance is ancient. Nature. 2011, 477: 457-461.
  • 14. Toleman MA, Walsh TR. Combinatorial events of insertion sequences and ICE in Gram-negative bacteria. FEMS Microbiol Rev. 2011; 35, 912-935.
  • 15. Li D, Qi R, Yang M, Zhang Y, Yu T. Bacterial community characteristics under long-term antibiotic selection pressures. Water Res. 2011; 45: 6063–6073.
  • 16. Cheesbrough, M. District Laboratory Practice in Tropical Countries, Part 2, Cambridge University Press. 2006; 35-195.
  • 17. Clinical Laboratory Standard Institute (CLSI) . Performance Standards for Antimicrobial Disc Susceptibility Test; 8th ed. Approved Standards, m2A8, Wayne, Pa (USA), 2005; 11:64-68.
  • 18. Riaz S, Faisal M, Hasnain S. Antibiotic susceptibility pattern and multiple antibiotic resistances (MAR) calculation of extended spectrum β-lactamase (ESBL) producing Escherichia coli and Klebsiella spp. in Pakistan. Afri J Biotechnol. 2011; 10(33): 6325-6331.
  • 19. Mohiuddin MD, Ashraful Haq J, Mozammel Hoq MD, Farida H. Microbiology of nosocomial infection in Tertiary Hospitals of Dhaka city and its impact. Bangladesh J Med Microbiol. 2010; 4(2): 32-38.
  • 20. Emmanuel, N. Isolation of Pathogenic Bacteria from Fomites in the Operating Rooms of a Specialist Hospital in Kano, North-western Nigeria. The Pan African Medical Journal, 2012; 12:90.
  • 21. Cesar P., Garcia-Cruz, L., Maria J, and Omar E A. Fungal and bacterial contamination on indoor surfaces of a hospital in Mexico Jundishapur. J Microb. 2012; 5(3): 460-464.
  • 22. Helen Ojomachenwu Ocean, Emmanuel Aniebonam Eze, Chibuzor Nwadibe Eze and Matthew Chekwube Enebe. Drug resistance pattern of Salmonella and Shigella species isolated from selected hospitals in Anyigba, Kogi State, Nigeria. Afri J Microbi Res. 2015; 9(37): 2023-2036.
  • 23. Chrinius H., Edward D.J and Clement M.Z.. Prevalence and Antibiogram Pattern of Some Nosocomial Pathogens Isolated from Hospital Environment in Zaria, Nigeria. Int. J Sci Tech. 2014; 3(3): 131-139.
  • 24. Neely AN, Maley MP; Maley . Survival of enterococci and staphylococci on hospital fabrics and plastic. J Clin Microbiol. 2000; 38 (2): 724–726.
  • 25. Alabi MA, Olowokere T, Sunday RM, Salami ET, Osanaiye F, Afolabi J F . Antibiotic Sensitivity Pattern of Bacteria from Selected Hospitals in Akungba Akoko, Ondo State, Southwest Nigeria. Bact. Journal, 2014; 4 (1), 21-26.
  • 26. Inweregbu K, Dave J, Pittard. Nosocomial infections. Contin Educ Anaesth Crit Care Pain. 2005; 5(1): 4-17.
  • 27. Jalalpoor S, Kermanshahi RK, Nouhi AS, Esfahani ZH. Isolation of bacteria in hospital environment. Isfahan Med School, 2009; 27(100): 632-645.
  • 28. Anyadoh SO, Akerele J, Udum UI. Prevalence of multi drug resistant Escherichia coli among pregnant women in Owerri. IJMST, 2010; 3(3):17-20.
  • 29. Olalekan, AW, Asekun-Olarinmoye, EO, Bamidele JO, Abodunrin OL, Olowu, A. A Comparative study of awareness and attitude to nosocomial infections among levels of health care workers in Southwestern Nigeria. Cont J Trop Med. 2011; 5 (2): 5-10.
  • 30. Temitope O, Mutiu AA, Bamidele SF, Rita MS, Ekundayo TS, Folake O, Johnson F, A, Taiwo O. Antibiotic sensitivity pattern of bacteria from selected hospitals in Akungba Akoko, Ondo State, Southwest Nigeria. IOSR J of Pharm Biol Sci. 2013; (IOSR-JPBS) 8: 01-04.
  • 31. Aloma AA, Olonitola OS, Jatau ED. Isolation, characterization and antibiotic susceptibility patterns of Pseudomonas aeruginosa and Staphylococcus aureus from hospital environment in Kaduna Metropolis, Kaduna State. Inter J Scientific Res Publ. 2016; 6:141.
  • 32. Akindele AA, Adewuyi IK, Adefioye OA, Adedokun SA, Olaolu AO. Antibiogram and Beta- Lactamase production of Staphylococcus aureus isolates from different human clinical specimens in a tertiary health institute in Ile-Ife Nigeria. American-Eurasian J Sci Res. 2010; 5(4): 230-233.
  • 33. Mukhtar AM, Saeed HA. Profile of antibiotic sensitivity and resistance of some pathogenic bacteria isolated from clinical specimens in Sudan. J Sc Tech. 2011; 12(1): 14-19.
  • 34. Hassan SA, Jamal SA. Kamal M. Occurrence of multidrug resistant and ESBL producing E. coli causing urinary tract infections. J Basic Applied Sc. 2011; 7(1): 39–43.
  • 35. Olayinka BO, Olonitola OS, Olayinka AT, Agada EA. Antibiotic susceptibility pattern and multiple antibiotic susceptibility and multiple antibiotic resistance index of Pseudomonas aeruginosa urine isolates from a University Teaching Hospital. Afr J Clin Exp Microbiol. 2004; 5(2): 198-202.
  • 36. Hammuel C, Idoko MO, Migap HH, Ambrose N. Occurrence and antibiogram profile of Staphylococcus aureus isolated from some hospital environment in Zaria. Nigeria Afr J Microb Res. 2015; 9(19): 1304-1311.
There are 36 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Research Articles
Authors

Stanley Chukwudozie Onuoha 0000-0002-6076-3910

Ude Ude Ibiam This is me

Publication Date June 1, 2018
Published in Issue Year 2018 Volume: 3 Issue: 2

Cite

APA Onuoha, S. C., & Ibiam, U. . U. (2018). Distribution, Phenotypic Characterisation and Antibiogram of bacterial Species from hospital environment in Nigeria: Public health implications. Journal of Immunology and Clinical Microbiology, 3(2), 23-37.
AMA Onuoha SC, Ibiam UU. Distribution, Phenotypic Characterisation and Antibiogram of bacterial Species from hospital environment in Nigeria: Public health implications. J Immunol Clin Microbiol. June 2018;3(2):23-37.
Chicago Onuoha, Stanley Chukwudozie, and Ude Ude Ibiam. “ Phenotypic Characterisation and Antibiogram of Bacterial Species from Hospital Environment in Nigeria: Public Health Implications”. Journal of Immunology and Clinical Microbiology 3, no. 2 (June 2018): 23-37.
EndNote Onuoha SC, Ibiam UU (June 1, 2018) Distribution, Phenotypic Characterisation and Antibiogram of bacterial Species from hospital environment in Nigeria: Public health implications. Journal of Immunology and Clinical Microbiology 3 2 23–37.
IEEE S. C. Onuoha and U. . U. Ibiam, “ Phenotypic Characterisation and Antibiogram of bacterial Species from hospital environment in Nigeria: Public health implications”., J Immunol Clin Microbiol, vol. 3, no. 2, pp. 23–37, 2018.
ISNAD Onuoha, Stanley Chukwudozie - Ibiam, Ude Ude. “ Phenotypic Characterisation and Antibiogram of Bacterial Species from Hospital Environment in Nigeria: Public Health Implications”. Journal of Immunology and Clinical Microbiology 3/2 (June 2018), 23-37.
JAMA Onuoha SC, Ibiam UU. Distribution, Phenotypic Characterisation and Antibiogram of bacterial Species from hospital environment in Nigeria: Public health implications. J Immunol Clin Microbiol. 2018;3:23–37.
MLA Onuoha, Stanley Chukwudozie and Ude Ude Ibiam. “ Phenotypic Characterisation and Antibiogram of Bacterial Species from Hospital Environment in Nigeria: Public Health Implications”. Journal of Immunology and Clinical Microbiology, vol. 3, no. 2, 2018, pp. 23-37.
Vancouver Onuoha SC, Ibiam UU. Distribution, Phenotypic Characterisation and Antibiogram of bacterial Species from hospital environment in Nigeria: Public health implications. J Immunol Clin Microbiol. 2018;3(2):23-37.

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