[1]
Tolulope Iorwuese Ade, Department of Microbiology, Faculty of Pure and Applied Sciences, Federal University, Wukari, Nigeria.
[2]
Ebuara Francis Ushie, Department of Microbiology, Faculty of Pure and Applied Sciences, Federal University, Wukari, Nigeria.
The emergence of antibiotic resistant bacteria has over the years risen to become a major and significant issue in public and community health. Urinary tract infection is one of the major causes of morbidity in humans especially in developing countries. The etiology of UTI and antibiotic sensitivity pattern varies with the widespread availability of antimicrobial agents. The research study was conducted to assess the sensitivity and resistance patterns of uropathogenic Escherichia coli and Klebsiella spp isolated from urine samples of patients suffering urinary tract infection in Wukari, Taraba State. Of the one hundred and twelve (112) patient-respondents, females represented the major part with 56.25% while the male gender was in the minority with 43.75%. From the collected urine specimen, E. coli and Klebsiella spp were recovered seventy-three (73) and fifty-four (54) times respectively and were tested against different concentrations of antibiotics. Of the tested antibiotics, the uropathogens were more sensitive to Tarivid, Nalidixic acid, Gentamicin, Augmentin, Ciprofloxacin, Streptomycin and Reflacine. While E. coli was resistant to Septrin, Klebsiella was sensitive. Both bacteria isolates were resistant to Ceporex and Ampicillin. In this study, females were the most affected with UTI and the most common organisms were E. coli and Klebsiella spp. It is therefore important to consider the sensitivity pattern of uropathogens to local antibiotics when it comes to the selection of treatment regimen for urinary tract infection.
[1]
Abdul, I. F., andOnile, B. A. (2001). Bacterial isolates from urine of women in Ilorin and their antibiotic susceptibility patterns. Tropical Journal of Obstetrics and Gynaecology, 18 (2): 61–65.
[2]
Akram, M., Shahid, M., and Khan, A. U. (2007). Etiology and antibiotic resistance patterns of community-acquired urinary tract infections in JNMC Hospital Aligarh, India. Annals of Clinical Microbiology and Antimicrobials, 6 (4): 1-7.
[3]
Aziz, M. K., Habib-Ullah, K., Ihsan-Ullah, M., Bushara, A., and Syed, H. S. (2006). Antimicrobial sensitivity pattern of urine isolates from asymptomatic bacteriuria during pregnancy. Biomedica. 22: 67–70.
[4]
Bano, S., Tunio, S. A., Menom, A. A., Detho, H., Bano, R., and Kumari, K. (2014). Evaluation of antibiotic susceptibility patterns of uropathogens circulating in Hydrabad, Pakistan. Khyber Medical University Journal, 6 (3): 110-115.
[5]
Bency, J. A. T., Priyanka, R., and Jose, P. (2017). A study on the bacteriological profile of urinary tract infection in adults and their antibiotic sensitivity pattern in a tertiary care hospital in central Kerala, India. International Journal of Research in Medical Sciences, 5 (2): 666-669.
[6]
Cheesbrough, M. (2004). Microbiological tests. In: District Laboratory Practice in Tropical Countries Part 2 (2nded.). Cambridge, UK: Cambridge University Press. Pp: 1–266.
[7]
Cunha, M. A., Assuncao, G. L. M., Medeiros, I. M., and Freitas, M. R. (2016). Antibiotic resistance patterns of urinary tract infections in a North-Eastern Brazilian capital. Revista do Instituto de Medicina Tropical de Sao Paulo, 58 (2): 1-4.
[8]
Delzell, J. E. and Leferre, M. L. (2000) Urinary tract infections in pregnancy. American Family Physician, 61: 713–721.
[9]
Ezechi, O. C., Fasubaa, O. B., and Dare, F. O. (2003). Antibiotic sensitivity patterns of microbial Isolates from urine of pregnant women with urinary tract infections. Tropical Journal of Obstetrics and Gynaecology, 20 (2): 113–115.
[10]
Jido, T. A., Nwankwo, E. O. K., and Magaji, N. (2006). Preliminary microbiologic observation in pregnant women with suspected urinary tract infection in Kano, Nigeria. Nigeria Journal of Basic and Clinical Sciences, 4 (1–2): 1–4.
[11]
Kolawole, A. S., Kolawole, O. M., Kandaki-Olukemi, Y. T., Babatunde, S. K., Durowade, K. A. and Kolawole, C. F. (2009). Prevalence of urinary tract infection (UTI) among patients attending DalhatuAraf Specialist Hospital, Lafia, Nasarawa State, Nigeria. International Journal of Medical Sciences, 1 (5): 163–167.
[12]
Prakasam, A. K. C., Kumar, K. G. D., and Vijayan, M. (2012). A cross sectional study on distribution of urinary tract infection and their antibiotic utilisation pattern in Kerala. International Journal of Pharm Tech Research, 4 (3): 1309-1316.
[13]
Saadeh, S. A., and Mattoo, T. K. (2011). Managing urinary tract infections. Pediatric Nephrology, 26 (11): 1967-1976.
[14]
Sharma, N., Gupta, A. K., Walia, G., and Bakhshi, R. (2016). A retrospective study of the changing trends of antimicrobial resistance of Klebsiella pneumoniae isolated from urine samples over last 3 years (2012-2014). Journal of Natural Science, Biology, and Medicine, 7 (1): 39-42.
[15]
Sood, S., and Gupta, R. (2012). Antibiotic resistance pattern of community acquired uropathogens at a tertiary care hospital in Jaipur, Rajasthan. Indian Journal of Community Medicine, 37 (1): 39-44.
[16]
Sundqvist, M., and Kahlmeter, G. (2009). ‘Pre-emptive culturing’ will improve the chance of ‘getting it right’ when empirical therapy of urinary tract infections fails. Journal of Antimicrobial Chemotherapy, 64 (2): 227-228.
[17]
Varghese, A., George, S., Gopalakrishnan, R., and Matthew, A. (2016). Antibiotic susceptibility pattern of Klebsiellapneumoniae isolated from cases of urinary tract infection in a tertiary care setup. Journal of Evolution of Medical and Dental Sciences, 5 (29): 1470-1474.
[18]
Farrell, D. J., Morrissey, I., De Rubeis, D., Robbins, M., and Felmingham, D. (2003). A UK multicentre study of the antimicrobial susceptibility of bacterial pathogens causing urinary tract infection. Journal of Infection, 46 (2): 94-100.
[19]
Beyene, G., and Tsegaye, W. (2011). Bacterial uropathogens in urinary tract infection and antibiotic susceptibility pattern in Jimma University Specialized Hospital, Southwest Ethiopia. Ethiopian Journal of Health Sciences, 21 (2): 141-146.
[20]
Katarzyna, H., Katarzyna, S., Agnieszka, S., Krzysztof, J., Katarzyna, B., and Waleria, H. (2001). Antibiotic susceptibility of bacterial strains isolated from urinary tract infections in Poland. Journal of Antimicrobial Chemotherapy, 47 (6): 773-780.
[21]
Mansour, A., Manijeh, M., and Zohreh, P. (2009). Study of bacteria isolated from urinary tract infections and determination of their susceptibility to antibiotics. Jundishapur Journal of Microbiology, 2 (3): 118-123.