Plasmid Profiles of Resistant Strains of Escherichia coli in Men Attending Prostate Clinics in a Tertiary Hospital in Enugu State, Nigeria
DOI:
https://doi.org/10.46243/jst.2024.v9.i02.pp1-23Keywords:
Urinary tract infections, Escherichia coli, antimicrobials, Antibacterial resistance, PlasmidsAbstract
Multi-drug resistant Escherichia coli has become a major threat and cause of many urinary tract infections (UTI) in Enugu, Nigeria. The study was carried out to determine the resistant plasmids of multidrug resistant Escherichia coli isolated from men attending prostate clinics at 82 division Hospital, Enugu. A total of 50 urine samples were collected from patients attending prostate clinic at 82 division Hospital, Enugu, presenting UTI: with their biodata. The samples were inoculated on Eosin methylene blue agar and characterized by general microbiological standard. Antimicrobial susceptibility testing was performed using Kirby-bauer disk diffusion method on
Mueller-hinton agar. Multi drug resistant isolates were selected for plasmid profiling. Plasmids were extracted by the alkaline lysis method, electrophoresed on 0.8% agarose gel and profiled using a gel-photo documentation system gel. Escherichia coli were isolated at 72%. E. coli isolate showed high resistance to most of the test agents. E.coli strains were observed to resistant to more than nine antibiotics. The resistant plasmid DNA were detectable in all of the 11 multi drug resistant Escherichiacoli having single sized plasmids of the same weight 18kbp. 6 strains (lanes 6,7,8,9,10 and 11) had multiple sized plasmids at 9,8,8,8 and 9kbp respectively. They were all resistant to amoxycillin, ciproflox, nalidixic acid, reflaxine, pafloxacin and chloramphenicol. The study has highlighted the emergence of multidrug resistant plasmid among E.coli causing urinary tract infections in Enugu, Nigeria. There is a high level of resistance to many antimicrobials that are frequently used in Enugu, Nigeria.
References
Aibinu IE, Odogbemi TO. Emergence of Quinolone Resistance amongst E. coli Strains isolate from Clinical Infections in Some Lagos State Hospitals, in Nigeria. Nigerian. Journal of Health and Biomedical Sciences. 2004; 3: 73-78
Akingbade S, Balogun D, Ojo P, Akindun PO, Okoerentugba JC, Nwanze PO and Okonkwo. Resistant plasmid profile analysis of multidrug resistant Escherichia coli Isolated from urinary tract infections in Abeokuta, Nigeria. African Health Science Vol. 14 1ssue 4, December, 2014
Akinjogunla OJ, Odeyemi AT, Olasehinde GI. Epidemiological Studies of Urinary Tract Infection (UTI) among Post menopausal women in Uyo metropolis, south-south Nigeria, Journal of American Science.2010; 6(12): 1674-1681
Akram M, Shahid M, Khan A.U. Etiology and antibiotic resistance patterns of communityacquired urinary tract infections in J N M DOI:https://doi.org/10.46243/jst.2024.v9.i02.pp1-237 Kelechi Nkechinyere mbah-Omeje, Nebo Stephen Chinonso, Iloputaife Emmanuel Jaluchimike: Plasmid Profiles of Resistant Strains of Escherichia coli in Men Attending Prostate Clinics in a Tertiary Hospital in Enugu State, Nigeria C Hospital Aligarh, India. Annals Clinical of Microbiology and Antimicrobial 2007; 6:4
Al-Jiffri O, El-Sayed Z, Al-Sharif F. Urinary tract infection with Esherichia coli and antibacterial activity of some plants extracts. International Journal of Microbiology Review.[2011] 2:1-7
Aypak C, Altunsoy A, Duzgün, N. Empiric antibiotic therapy in acute uncomplicated urinary tract infections and fluoroquinolone resistance:A prospective observational study. Annals Clinical of Microbiology and Antimicrobials. 2009; 8:27
Bolon MK, Wright SB, Gold FLS, Cermeli, Y. The magnitude of the association between fluoroquinolone use and quinolone resistant Escherichia coli and Klebsiella pneumonie may be lower than previously reported. Antimicrobial Agents Chemotherapy.2004; 48:1934-1940
Clinical and Laboratory Standards Institute (CLSI). Performance Standards for Antimicrobial Disk. Approved Standard M2-A10. Wayne,PA, USA: Clinical and Laboratory Standards Institute, 2007
Danbara H, Komase K, Ivli Y, Shinohawa M, Arita II, Makino A, Yoshikawa M. Analysis of the plasmids of Escherichia coli 0148:1128 from travelers with diarrhea. Microbial pathology.1987;3(4): 269-278
Ebie MY, Kandakar-Olukemi YT, Anyanbadepo J, Tanyigna KH. Urinary tract infections in a Nigerian military hospital. Nigeria Journal of Microbiology. 2001;15,31-37
Ehinmidu, J.O. (2003) Antibiotics susceptibility patterns of urine bacterial isolates in Zaria, Nigeria, Tropical Journal of Pharmaceautical Research, 2 (2): 223-228
Elder JS. (2007). Urinary tract infections. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BE, editors. Nelson Textbook of Pediatrics. 18” ed.,Vol. 2. Philadelphia, USA: Saunders Elsevier, p. 2224-5
Eshwarappa M, Dosegowda R, Aprameya IV, Khan MW, Kumar PS, Kempegowda P. Clinicomicrobiological profile of urinary tract Infection in South India. Indian Journal Nephrology. 2011;21:30-6
Faroogi BJ, Shareeg F, Rizvi QK, Qureshi HS, Ashfag MK. Changing pattern of antimicrobial sus-ceptibility of organisms causing community acquired urinary tract infections. Journal of Pakistan Medical Association. 2000;50:369-373
Fink R, Gilmartin H, Richard A, Capezuti E, Boltz M, Wald H. Indwelling urinary catheter management and catheter-associated urinary tract infection prevention practices in nurses improving care for health System Elder’s Hospital. American Journal of Infectious Control. 2012; 40: 715-20
Gupta V, Yadav A, Joshi RM. Antibiotic resistance pattern in uropathogens. Indian Journal of Medical Microbiology. 2002; 20:96-8
Hasan AS, Nair D, Kaur J, Baweja G, Deb M, Aggarwal P. Resistance patterns of urinary isolates in a tertiary Indian hospital. Journal of Ayub Medical Collage Abbottabad.2007;19:39-41
Humayun T, Iqbal, A. (2012). The culture and sensitivity pattern of urinary tract infections in females of reproductive age group. Annals of Pakistan Institute of Medical Sciences, 2012;8:19-22
Iqbal T, Navi R, Akhter SF (2010). Frequency of urinary tract infection in renal transplant recipients and effect on graft function. Journal of Pakistan Medical Association,2010;60:826-9
Kalsoom, B.A., Jafar, K.H., Begum H., Munir S., Ansari, J.A. and Anees, M. Patterns of antibiotic sensitivity of bacterial pathogens among urinary tract infections (UTI) patients in a Pakistani population. African Journal of Microbiology Research. 2012;16;6:414-20
Khan, S.W. and Ahmed, A. Uropathogens and theSusceptibility, Pattern:A Retrospective Analysis. Pakistan Medical Association.2001; 5 1:98-100
Kolawole AS, Kolawole OM, Kandaki-Olukemi YI, Babatunde SK, Durowade KA, Kolawole CR. Prevalence of urinary tract infections (UTI) among patients attending Dalhatu, Araf Specialist Hospital, Lafia, Nasarawa State, Nigeria. International Journal of Medicinal, Science.2009; 1(5): 163-167
Kothari A, Sagar V. Antibiotic resistance in pathogens causing community-acquired urinary tract infections in India: A multicenter study. Journal of Infection in Developing Countries, 2008;2:354-8
Lee PY, Costumbrado J, Hsu CY, Kim YH. (2012) Agarose gel electrophoresis for the separation of DNA fragments. Journal of visualized DOI:https://doi.org/10.46243/jst.2024.v9.i02.pp1-238 Kelechi Nkechinyere mbah-Omeje, Nebo Stephen Chinonso, Iloputaife Emmanuel Jaluchimike: Plasmid Profiles of Resistant Strains of Escherichia coli in Men Attending Prostate Clinics in a Tertiary Hospital in Enugu State, Nigeria experiments,2012;62: 3923. https://doi. org/10.3791/3923
Livermore DM, Brown DF. Detection of3lactamase-mediated Resistance. Journal of Antimicrobial Chemotherapy, 2001;48:59-64
Manjula NG, Math GC, Patil A, Gaddad SM, Shivannavar CT. Incidence of urinary tract infections and its aetiological agents among pregnant women in Karnataka region. Advances in Microbiology,2013;3:473-8
Obaseiki-Ebor EE. Trimethoprim sulphamethazole resistance in the Escherichia coli and Klebsiella spp of urinary isolates. African Journal of Medical Sciences. 1988;17: 175-179
Obiogbolu CH, Okonkwo IO, Anyamere AO, Adedeji AO, Akanbi AA, Ogun J, Ejembi, T, Faleye, O.C. Incidence of Urinary Tract Infectious (UTI) among Pregnant women in Akwa Metropolis. Southeastern Nigeria. Scientific Research and Essay.2009;4(8) 820-824
Okonkwo IO, Ijandipe IA, Ilusanya AO, Dombraye-Emmanuel OB, Ejemba J, Udeze AO, Egun OC, Fowotade A, Nkang AO. Incidence of Urinary Tract Infection (UTI) among Pregnant women in Ibadan, South-western Nigeria. African Journal of Biotechnology.2009; 8 (23):6649-6657
Olanipekun KA, Montefiore D. Bacterial infections, sensitivity pattern and chemotherapy among hospital patients in the tropics. Scandinavian Journal of Infectious Diseases.1978;10:295-302
Omonigbo SE, Obasi EE, Akukualia RN. In Vitro Resistance of Urinary isolates of Escherichia coli and Kiebbstella species to Nalidixic Acid. Nigerian Journal of Microbiology.2001; 15(1) 25-29
Piddock IJV. Clinically relevant chromosomally encoded multi drug resistance efflux pumps in bacteria. Clinical Microbiology Review. 2006;19(2): 382-402
Roos V, Schembri MA, Ulett GC, Klemm P. (2006) Asymptomatic bacteria Escherichia coli strain 83972 carries mutations in the fore locus an is unable to express ELC fimbrae. Microbiology. 2007;152:1799-1806
Roos V, Ulett GC, Schembria MA, Klemm P. The asymptomatic bacteriuria Escherichia coli strain 83972 out-competes UPEC strains in human urine. Infection and Immunity. 2006;74:615-
Salm DFC, Thomsberry DC, May field ME, Jones JA, Karlowsky (2001) Antimicrobial Agents and chemotherapy.2001; 41, 15-22
Sherley M, Gardon DM, Collingnon, PJ. Evolution of multi-resistance plasmids in Australia clinical isolates of Escherichia coli. Microbiology.2004;150:1539-1546
Salm K, Heuer H, Gotz A, Niemyer D, Krogerrecklenfort E, Tietze E. Exogenous isolation of antibiotic plasmids from piggery manure slurries reveals a high prevalence and diversity of Inc Q-like plasmids. Applied and Environmental Microbiology, 66:4854-4862. DOI: 10.1128/AM.66.11.4854-4862.2000
Sobel JD, Kaye D. Urinary tract infections. In: Mandell GL, Bennet JE, Dolin R, editors. Mandell, Douglas and Bennett’s Principles and Practice of Infectious Diseases.2010; 7th ed., Vol. 1. Philadelphia, USA: Churchill Livingstone Elsevier Publication; p. 958-72
Ullah F, Malik SA, Ahmed J. Antibiotic susceptibility pattern and ESBL prevalence in nosocomial Escherichia coli from urinary tract infections in Pakistan. African Journal of Biotechnology.2009; 8.3921-6
Paryani JP, Memon SR, Rajpar ZH, Shah SA. Pattern and Sensitivity of Microorganisms causing Urinary Tract Infection at Teaching Hospital. Journal Liaquat University Medical and Health Sciences.2006;11(02):97-100
Umolu P, Idia OO, Tatfeng Y, Omorogbe FI, Aisabokhale F, Ubgodagah OP. Antimicrobial Susceptibility and Plasmid Plasmid Profiles of Escherichia coli Isolates Obtained from Different Human Clinical Specimens in Lagos Nigeria. The Journal of American Science, 2006; 2(4):70-75




