Diversity and antibiotic resistance of uropathogenic bacteria from Abidjan

Moroh, J.-L.A.; Fleury, Yannick; Tia, H.; Calixte, Bahi; Liétard, Claire; Coroller, Louis; Edoh, V.; Coulibaly, Adama; Labia, Roger; Leguérinel, Ivan

doi:10.1016/j.afju.2013.11.005

Cited by 29 publications

(26 citation statements)

References 18 publications

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“…The most predominant uropathogen that causes UTI among outpatients at Shaafi Hospital was E. coli, as it had concurred with previous studies from different geographic areas [14,[16][17][18][19] However, this was inconsistent with a study from the southwest of Nigeria, which reported Klebsiella spp to be the most prevalent uropathogen, and these might have contributed by the differences in the study design, environmental factors, and also patient selection criteria [12]. S. aureus being the second most frequent uropathogen was not a unique case only to this study [20,5] and this might be due to complicated UTI since it is known to cause bacteremia which could disseminate to urinary to urinary tract [20] also pseudomonas aeruginosa is also considered to be among organisms responsible for urinary tract infections [5]. The majority of the respondents of the study were females 91 (71.1%) in comparison to males, which were 37 (28.9%).…”

Section: Discussionsupporting

confidence: 66%

“…The factors associated with the high prevalence of UTI within the population include age, gender, sexual activity, contraceptive use, previous history of UTI, indwelling catheter equipment and hygiene problems [1,3,4]. Amongst the uropathogenic bacteria known to cause urinary tract infection, Escherichia coli is the predominant bacteria in both community and hospital environments [1,5,6]. However, the diversity of bacterial uropathogens that cause UTI varies geographically [5,7].…”

Section: Introductionmentioning

confidence: 99%

“…Amongst the uropathogenic bacteria known to cause urinary tract infection, Escherichia coli is the predominant bacteria in both community and hospital environments [1,5,6]. However, the diversity of bacterial uropathogens that cause UTI varies geographically [5,7]. The emergence of antibiotic resistance is also a significant problem in sub-Saharan Africa, particularly Somalia, a country crippling with inadequate laboratory facilities for microbiological investigation, despite this being an inevitable part of decision-making in antibiotic prescription to patients, clinicians mainly prescribe antibiotics empirically.…”

Section: Introductionmentioning

confidence: 99%

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Antibiotic resistance pattern of Escherichia coli isolates from outpatients with urinary tract infections in Somalia

Mohamed

Omar

Hussein

et al. 2020

J Infect Dev Ctries

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Introduction: Several studies suggest increasing rates of antibiotic resistance among adult populations with Urinary tract infections (UTI). Escherichia coli (E. coli), is the predominant bacterium both in the community and in hospital environments causing uropathogenic infections. This study aimed to estimate the common uropathogen bacteria that cause UTI among outpatients as well as to determine the antibiotic resistance pattern of E. coli isolates among outpatients with UTI infections at Shaafi hospital, Mogadishu, Somalia. Methodology: A cross-sectional study was conducted at Shaafi Hospital, Mogadishu, Somalia. A total of 128 samples were collected from outpatients suspected of UTI and tested through bacteriological investigations and antimicrobial susceptibility tests following the Kirby-Bauer agar disc diffusion method. Results: E. coli was isolated in 34 (41%) out of the total 83 samples that showed growth followed by Staphylococcus aureus 22 (26.5%), Pseudomonas aeruginosa, 13 (15.7%), Klebsiella pneumoniae 8 (9.6 %) and Proteus spp. 6 (7.2%). E. coli was highly sensitive to nitrofurantoin, 29 (85.3%), and ciprofloxacin (n = 23, 67.6%), and had the highest resistance rate of ceftriaxone, 33 (97.1%). The odds of having UTI were higher in patients with a history of UTI (Odds ratio OR = 0.211, 95% confidence interval CI: 0.080, 0.553) and history of antibiotic use (OR = 0.322, 95% CI: 0.113, 0.917). Increased resistance rate of E. coli against cephalosporins could be due to its excessive use as empirical therapy. Conclusion: The study indicates that outpatients with UTI could be at high risk of antibiotic resistance, suggesting regular surveillance and monitoring of antibiotics.

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Section: Discussionsupporting

confidence: 66%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Antibiotic resistance pattern of Escherichia coli isolates from outpatients with urinary tract infections in Somalia

Mohamed

Omar

Hussein

et al. 2020

J Infect Dev Ctries

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“…It is a first study on urinary infection in the municipality of Abobo. All infected patients had a community-acquired UTI with a high overall prevalence up to 31.1% but not significantly different than reported elsewhere in Côte d'Ivoire, at Treichville Teaching Hospital (25%) (Moroh et al, 2014). However, the obtained UTI prevalence was higher than those recorded in some West African countries: 9.5% in Ghana (Obirikorang et al, 2012) and 13.1% in Nigeria (Iregbu and Princewill, 2013).…”

Section: Discussioncontrasting

confidence: 48%

“…Gram negative bacilli accounted for 54.3% of the total number of bacterial isolated. E. coli and Klebsiella spp were the most predominant (Habte et al, 2009;Bao et al, 2013;Moroh et al, 2014;Ebongue et al, 2015). This high prevalence of E. coli and Klebsiella spp.…”

Section: Discussionmentioning

confidence: 98%

Assessment of drugs pressure on Escherichia coli and Klebsiella spp. uropathogens in patients attending Abobo-Avocatier Hospital, North of Abidjan (Cte dIvoire)

Abe¹,

Koffi²,

Sokouri³

et al. 2019

Afr. J. Microbiol. Res.

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The problem of antibiotic resistance of uropathogens appears in Abobo municipality to be worsening because of the overuse and misuse of antibiotics. This study aims to assess the impact of drugs pressure on uropathogenic Escherichia coli and Klebsiella spp. strains isolated from patients attending Abobo-Avocatier Hospital. The study was conducted in patients suffering from urinary tract infection. Urine samples of patients were collected; culture and antibiogram using the Kirby-Bauer disc diffusion method were performed. The overall prevalence was 31.1% with a significant difference between males and females (p = 0.01). The highest susceptible age group of patients to UTI was 21-45 years (33%). E. coli and Klebsiella spp were the predominant bacteria among isolated Gram negative. Up to 70% of the isolates of both uropathogens were resistant to Penicillins, Tetracyclines and Ampicillin-Sulbactam. Imipenem was the most active antibiotic on these uropathogens. Quinolones showed a better activity on Klebisiella spp. strains than those of E. coli. The high value of the Multiple Antibiotic Resistance Index and the rate of multi-resistance from this site suggest the need for continuous monitoring of antibiotic susceptibility profile of bacteria implicated in UTI prior to antibiotic prescription in order to ensure optimal and desired treatment.

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Antibiotics Use in African Aquaculture: Their Potential Risks on Fish and Human Health

Limbu

2020

Current Microbiological Research in Africa

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Diversity and antibiotic resistance of uropathogenic bacteria from Abidjan

Cited by 29 publications

References 18 publications

Antibiotic resistance pattern of Escherichia coli isolates from outpatients with urinary tract infections in Somalia

Antibiotic resistance pattern of Escherichia coli isolates from outpatients with urinary tract infections in Somalia

Assessment of drugs pressure on Escherichia coli and Klebsiella spp. uropathogens in patients attending Abobo-Avocatier Hospital, North of Abidjan (Cte dIvoire)

Antibiotics Use in African Aquaculture: Their Potential Risks on Fish and Human Health

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