Cefepime Resistance and Associated Risk Factors among Escherichia coli Strains Isolated from Clinical Specimens

Chemotherapy ◽  
2011 ◽  
Vol 57 (2) ◽  
pp. 134-137 ◽  
Author(s):  
Majid Mansouri ◽  
Rashid Ramazanzadeh ◽  
Parisa Norabadi
Keyword(s):  
Risk Factors ◽  
Escherichia Coli ◽  
Clinical Specimens ◽  
Associated Risk Factors

scholarly journals Prevalence, multidrug-resistance and risk factors for AmpC β-lactamases producing Escherichia coli from hospitalized patients

2020 ◽  
Vol 14 (12) ◽  
pp. 1466-1469
Author(s):  
Rosy Bala ◽  
Varsha A Singh ◽  
Nitin Gupta ◽  
Pue Rakshit
Keyword(s):  
Risk Factors ◽  
Escherichia Coli ◽  
Drug Resistance ◽  
Multidrug Resistance ◽  
Infection Control ◽  
Three Dimensional ◽  
Hospitalized Patients ◽  
Clinical Specimens ◽  
E Coli ◽  
Associated Risk Factors

Introduction: Multi-drug resistance among AmpC β-lactamases producing Escherichia coli isolates is alarming. The study aimed to know the prevalence and presumptive antibiogram of AmpC producing Escherichia coli isolates and to determine the associated risk factors. Methodology: Escherichia coli isolated from various clinical specimens from hospitalized patients during the study period (January 2018- December 2018) were taken for the study. Standard biochemical reactions were used for organism identification. Antibiotic susceptibility testing was done using Kirby-Bauer method as per CLSI guidelines. Cefoxitin resistance was taken as screening tool to detect AmpC producing strains. The phenotypic confirmation was done using modified three-dimensional test. Multiplex PCR was used to detect pAmpC. Results: A total non-duplicate consecutive 470 Escherichia coli were isolated from various clinical specimens of hospitalized patients during the study period. Cefoxitin resistance was observed in 51.9% (244/470). Modified three dimensional test was positive in 115/244 (47.1%) strains. Genotypic characterization of phenotypic positive AmpC strains showed presence of CIT and DHA genes among 33/115 and 19/115 isolates respectively. The overall prevalence of pAmpC producing E. coli was found to be 52/470 (11.1%). Multidrug resistance (MDR) was observed in 42/52 (80.7%) pAmpC strains. Antimicrobial use, prolonged hospitalization and interventions were associated risk factors for AmpC producing isolates. Conclusions: A high prevalence of multidrug resistance among AmpC producing strains suggests plasmid mediated spread of drug resistance in E. coli. Every hospital should formulate and implement infection control policies at-least for the risk group patients to control the dissemination of such microbes as infection prevention is better than infection control.

scholarly journals Prevalence of shigellosis and associated risk factors among undergraduate students of a private university in Ogun State, Nigeria

2021 ◽  
Vol 1 (1) ◽  
pp. 25-36
Author(s):  
Seyi Samson Enitan ◽  
Joan Odigie ◽  
Oluyemisi Ajike Adekunbi ◽  
Okondu Ogechukwu Emmanuel ◽  
Nwachi Idume Ogbonna ◽  
...  
Keyword(s):  
Risk Factors ◽  
Escherichia Coli ◽  
Staphylococcus Aureus ◽  
Hand Hygiene ◽  
Undergraduate Students ◽  
Salmonella Typhi ◽  
Enteric Infection ◽  
Ogun State ◽  
Associated Risk Factors ◽  
Study Participants

This cross-sectional, institutional-based study aimed to determine the prevalence of shigellosis and associated risk factors among Babcock University students in Ogun State, Nigeria. One hundred and twenty (120) undergraduate students, 80 females and 40 males, were asked to provide stool specimen in a sterile leak-proof single-use universal bottle with a screw-capped lid. Standard microbiological techniques were used to analyse the stool samples. A questionnaire was designed to collect demographic and clinical information from participants. The data obtained were statistically analysed using the SPSS Statistics software (version 18.0). The study showed that there was no occurrence of shigellosis among the study participants (0%), but other enteric pathogens infection were present in all participants (100%). The three most common mono-infections found among the study participants included Staphylococcus aureus (40%), followed by Escherichia coli (16.7%), and Salmonella typhi and Bacillus spp. (3.3%, each). While the most common prevalence of dual-infections included Staphylococcus aureus and Escherichia coli (33.3%), followed by Staphylococcus aureus and Salmonella typhi (3.3%). The proportion of participants who were asymptomatic (66.7%) was significantly higher than the symptomatic ones (33.3%). Identified risk factors of non-Shigella enteric infection included consumption of beef, vegetables, fruits, poultry/poultry products, as well as street foods, poor hand hygiene before eating, anal cleaning, and poor hand hygiene after toileting. Although shigellosis did not exist among undergraduate students of Babcock University, this study highlighted the existence of other enteric infections among the study participants. Therefore, the necessary preventive measures should be ensured and sustained.

scholarly journals Molecular detection and antibiotic resistance pattern of extended-spectrum beta-lactamase producing Escherichia coli in a Tertiary Hospital in Enugu, Nigeria

2019 ◽  
Vol 18 (1) ◽  
Author(s):  
Ifeyinwa N. Nwafia ◽  
Martin E. Ohanu ◽  
Samuel O. Ebede ◽  
Uchenna C. Ozumba
Keyword(s):  
Risk Factors ◽  
Escherichia Coli ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Intensive Care Unit Admission ◽  
Beta Lactamase ◽  
Extended Spectrum Beta Lactamase ◽  
E Coli ◽  
Extended Spectrum ◽  
Associated Risk Factors

Abstract Background The use of antibiotic agents in the treatment of infectious diseases has greatly contributed to the decrease in morbidity and mortality, but these great advances in treatment are being undermined by the rapidly increasing antimicrobial resistant organisms. Extended-spectrum beta-lactamases are enzymes hydrolyzing the beta lactam antibiotics, including third generation cephalosporins and monobactams but not cephamycins and carbapenems. They pose a serious global health threat and have become a challenge for health care providers. The aim of this research was to assess the prevalence of extended-spectrum beta-lactamase producing Escherichia coli in University of Nigeria Teaching Hospital Ituku-Ozalla Enugu and to detect the risk factors for acquisition of the resistant organism. To proffer advice on antibiotic stewardship in clinical practice and public health interventions, to curb the spread of the resistant organisms in the hospital. Results Out of the 200 E. coli isolates, 70 (35.00%) were confirmed positive for extended-spectrum beta-lactamase production. Fifty-three (75.7%) were from hospital acquired infections. All the isolates were resistant to ampicillin, tetracycline and chloramphenicol while 68 (97.14%) of the 70 isolates were susceptible to imipenem. BlaTEM, blaSHV and blaTEM were detected in 66 (94%) of the 70 isolates. The ESBL bla genes detected were blaCTX-M (n = 26; 37.14%), blaTEM (n = 7; 10.00%), blaSHV (n = 2; 2.86%), blaCTX-M/TEM (n = 7; 10.0%), blaCTX-M/SHV (n = 14; 20.0%) and blaCTX-M/TEM/SHV (n = 10; 14.29%). The three bla genes were not detected in 4 (5.71%) of the isolates. Recent surgery, previous antibiotic and intensive care unit admission were the associated risk factors to infections caused by extended-spectrum beta-lactamase producing E. coli. Conclusion There is a high rate of infections caused by extended-spectrum beta-lactamase producing E. coli. Recent surgery, previous antibiotic and intensive care unit admission were associated risk factors.

scholarly journals Prevalence of Diarrhoeagenic Escherichia Coli and Associated Risk Factors in Dug Wells in Ile-Ife, Southwestern Nigeria

2021 ◽  
Author(s):  
Babatunde Odetoyin ◽  
Olawumi Ogundipe ◽  
Adebola Onanuga
Keyword(s):  
Risk Factors ◽  
Escherichia Coli ◽  
Drinking Water ◽  
Diversity Index ◽  
Shannon Diversity Index ◽  
Southwestern Nigeria ◽  
E Coli ◽  
Shannon Diversity ◽  
Dug Wells ◽  
Associated Risk Factors

Abstract BackgroundDiarrhoeagenic Escherichia coli (DEC) strains are common bacterial causes of morbidity and mortality in young children. Waterborne DEC could pose a potential health risk to humans through domestic use of contaminated water. However, epidemiological studies on DEC strains in drinking water are scarce in Nigeria. This study determined the prevalence, diversity and factors associated with the presence of DEC in dug wells in Ile-Ife, southwestern Nigeria.MethodsWe assessed 143 wells for safety by coliform count using the multiple tube technique. A standardized questionnaire was used to obtain relevant information about the wells and their owners. Contaminating isolates were identified as E. coli by amplifying their 16S rRNA gene. Five DEC pathotypes comprising enterotoxigenic E. coli (ETEC), enteroaggregative E. coli (EAEC) enteroinvasive E. coli (EIEC), enteropathogenic E. coli (EPEC) and Shiga-toxin producing E. coli (STEC) were detected using two sets of multiplex PCR assays. Isolates diversity was determined by (GTG)5 Repetitive element palindromic PCR and Shannon diversity index. Multivariate logistic regression analysis was used to identify associated risk factors. Results Fifty-eight (40.6%) wells were contaminated by diarrhoeagenic E. coli. Wells with dirty platforms, damaged by erosion and sited near septic tanks significantly harboured DEC (p<0.05). There was a preponderance of STEC among the isolates with nine isolates carrying multiple diarrhoeagenic genes and 10 (17.2%) wells contaminated by multiple DEC strains. The (GTG)5-PCR fingerprinting assigned all DEC strains into six clades, with an overall Shannon diversity index of 18.87. A diverse profile was obtained among and between the isolates recovered from different sources.ConclusionsThe presence of DEC strains in drinking water highlights the risk to human health associated with the use of untreated water. There was a high degree of genetic diversity among the isolates implying multiple sources of contamination. There is a need for periodic sanitation and inspection of wells for cracks to prevent seepages and possible outbreaks of waterborne diseases.

scholarly journals Carriage of antimicrobial resistant Escherichia coli in dogs: Prevalence, associated risk factors and molecular characteristics

2017 ◽  
Vol 199 ◽  
pp. 23-30 ◽  
Author(s):  
Amy L. Wedley ◽  
Susan Dawson ◽  
Thomas W. Maddox ◽  
Karen P. Coyne ◽  
Gina L. Pinchbeck ◽  
...  
Keyword(s):  
Risk Factors ◽  
Escherichia Coli ◽  
Molecular Characteristics ◽  
Associated Risk Factors

scholarly journals Prevalence of CTX-M beta-Lactamases in Escherichia coli from community-acquired urinary tract infections and associated risk factors among women in Cameroon

2017 ◽  
Vol 3 (1) ◽  
pp. 51 ◽  
Author(s):  
Ingrid Cecile Djuikoue ◽  
Omer Njajou ◽  
Hortense Gonsu Kamga ◽  
Charles Fokunang ◽  
Adamo Bongoe ◽  
...  
Keyword(s):  
Risk Factors ◽  
Escherichia Coli ◽  
Developing Countries ◽  
Urinary Tract ◽  
Urinary Tract Infections ◽  
Intestinal Flora ◽  
Beta Lactamase ◽  
Sample Collection ◽  
Associated Risk Factors ◽  
Tract Infections

Background: In recent years, a worldwide dissemination of CTX-M beta-lactamase-type in Escherichia coli strains isolates from community-acquired urinary tract infections (CA-UTI) has been observed. However little is known on the prevalence and risk factors of this global threat in developing countries. Objective: The aim of this study was to study the prevalence and risk factors for CA-UTI in Yaoundé, Cameroon. Methods: Eighty six patients with urinary E.coli infection recruited from 10 health structures in the town of Yaoundé, Cameroon. After taking the first urine, faeces were collected from the patients for the study of the intestinal flora. The sample collection of faeces was done on a selected gel of enterobacteria resistant to third generation of cephalosporin. The molecular typing of extended-spectrum -lactamase (ESBL) was carried out. Results: Eighty-six strains of E. coli from 86 patients were included. We found that 39 (45.3%) strains produced an extendedspectrum beta-lactamase. Among risk factors, previous use of antibiotic and the dry season were associated with the presence of an ESBL-producing strain in the urine. All ESBL were identified as CTX-M. The production of CTX-M was found to be significantly associated with resistance to fluoroquinolones, aminoglycosides and to the association of trimethoprim-sulfamethazole. Conclusions: The prevalence of CTX-M ESBL in Yaoundé, Cameroon, provides new evidence on the global dissemination of CTX-M and the extent of this phenomenon in developing countries.

scholarly journals Prevalence, Antimicrobial Susceptibility Pattern and Associated Risk Factors for Salmonella Species and Escherichia Coli from Raw Meat at butchery houses in Mekelle, Tigray, Northern Ethiopia

2020 ◽  
Author(s):  
HAFTAY Abraha TADESSE ◽  
Atsebaha Gebrekidan Kahsay ◽  
Dawit Gebreegziabiher Hagos
Keyword(s):  
Risk Factors ◽  
Escherichia Coli ◽  
Antimicrobial Susceptibility ◽  
Bacterial Contamination ◽  
Diffusion Method ◽  
Northern Ethiopia ◽  
Raw Meat ◽  
E Coli ◽  
Associated Risk Factors ◽  
Susceptibility Patterns

Abstract Background: Salmonella species and Escherichia coli (E. coli) are important foodborne pathogens affecting humans and animals. They are among the most important causes of infection that are associated with the consumption of contaminated food. This study was aimed to determine the prevalence, antimicrobial susceptibility patterns and associated risk factors for Salmonella species and E. coli in raw meat from butchery houses of Mekelle, Northern Ethiopia.MethodA cross-sectional study was conducted from January to December 2019. Socio-demographic data and risk factors were collected using a predesigned questionnaire. Meat samples were collected aseptically from the butchery houses and transported using icebox to Mekelle University, College of Veterinary Sciences for the isolation and identification of Salmonella species and E. coli. Antimicrobial susceptibility patterns were determined using Kirby disc diffusion method. Data obtained were cleaned and entered into Statistical Package for the Social Sciences version 22 and logistic regression models with odds ratio were calculated. P-value < 0.05 was considered as statistically significant.ResultsA total of 153 out of 384 (39.8%) of the meat specimens were found to be contaminated. The contamination of Salmonella species and E. coli were 15.6% (n=60) and 20.8%) (n=80), respectively. Mixed contamination (Salmonella species and E. coli) was observed in 13 (3.4 %) of the analyzed. Poor washing hands regularly (AOR = 8.37; 95% CI: 2.75-25.50) and not using gloves during meat handling (AOR=11. 28; 95% CI: (4.69‑27.10) were associated with an overall bacterial contamination About 95.5% of the tested isolates were sensitive to chloramphenicol and norfloxacin while the resistance of amoxyclav_amoxicillin and erythromycin were both isolated bacteria species. The overall multidrug resistance pattern for Salmonella and E. coli were 51.4% (n=19) and 31.8% (14), respectively.ConclusionOf the 153 (153/384) contaminated raw meat, 60 (15.6%) and 80 (20.8%) were contaminated by Salmonella species and E. coli, respectively. Poor handwashing practice and not using glove during meat handling showed significant association with bacterial contamination. Multidrug-resistant showed in Salmonella species and E. coli were 19 (51.4%) and 14 (31.8%), respectively.

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