Antimicrobial Susceptibility Pattern of Escherichia Coli Isolated From Urine Specimen of Urinary Tract Infection Patients

Authors

  • Iftikhar Ahmad Hayatabad Medical Complex,Peshawar
  • Syed Bilal Shah DHQ Hospital, Timargarah
  • Shafi Ullah DHQ Hospital, Landikotal

DOI:

https://doi.org/10.37762/jwmipt.11

Keywords:

E Coli, Antibiotics, Urinary Tract Infection, Susceptibility, Resistance

Abstract

The present study is designed to assess the development of E coli resistance against different antibiotics and to determine their antimicrobial susceptibility pattern.

METHODOLOGY:

This cross sectional study shows antimicrobial susceptibility of 100 isolates of Escherichia coli (E coli) from urine samples of urinary tract infection (UTI) patients. The samples were cultured on CLED agar, and susceptibility checked with 24 antimicrobial drugs by Disc Diffusion Method.

RESULTS:

UTI due to E coli was more frequent in females (67%) compared to males (33%). The antibiotic susceptibility pattern was Amikacin (92.9%), Chloramphenicol (83.8%), Colistin (82%), Ertapenem (95.2%), Fosfomycin (98.2%), Gentamycin (91%), Imipenem (94.6%), Meropenem (95.2%), Piperacillin (98.8%), Tigecyline (97.6%), Ceftazidime (53.9%). E coli showed resistance to the remaining 12 antibiotics including Moxifloxacin (68.3%), Cefobid (56.8%), Maxipime (61.7%), Levofloxacin (72.5%), Cotrimoxazole (64.7%), Co-amoxiclav (68.9%), Ciprofloxacin (71.3%), Cefuroxime (59.3%), Ceftriaxone (70.1%), Cefpirome (57.5%), Cefepime (59.3%) and Aztreonam (55.1%).

CONCLUSION:

These findings suggest that UTI due to E coli is more common in females than males and the bacterium showed highest sensitivity to Piperacillin and Fosfomycin and highest resistivity to Levofloxacin and Ciprofloxacin.

Author Biographies

Iftikhar Ahmad , Hayatabad Medical Complex,Peshawar

Lab Technician,
Hayatabad Medical Complex,Peshawar

Syed Bilal Shah, DHQ Hospital, Timargarah

Lab Technician,
DHQ Hospital, Timargarah

Shafi Ullah , DHQ Hospital, Landikotal

Technician,
DHQ Hospital, Landikotal

References

Sabir N, Ikram A, Zaman G, Satti L, Gardezi A, Ahmed A, et al. Bacterial biofilm-based catheter-associated urinary tract infections: causative pathogens and antibiotic resistance. Am J Infect Control. 2017;45(10):1101-5

Campos AC, Andrade NL, Ferdous M, Chlebowicz MA, Santos CC, Correal JC, et al. Comprehensive molecular characterization of Escherichia coli isolates from urine samples of hospitalized patients in Rio de Janeiro, Brazil. Front Microbiol. 2018;9:243

Ana L, Mireles F, Jennefier NW. UTI: epidemiology, mechanism of infection and treatment options. Nat Rev Microbiol. 2015;13:269-84.

Ye F, Shen H, Li Z, Meng F, Li L, Yang J, et al. Influence of the biliary system on biliary bacteria revealed by bacterial communities of the human biliary and upper digestive tracts. PLoS ONE. 2016;11(3):e0150519

Oli AN, Akabueze VB, Ezeudu CE, Eleje GU, Ejiofor OS, Ezebialu IU, et al. Bacteriology and antibiogram of urinary tract infection among female patients in a tertiary health facility in south eastern Nigeria. Open Microbiol J. 2017;11:292

Folliero V, Caputo P, Galdiero M. Prevalence and antimicrobial susceptibility pattern of bacterial pathogens in UTI in university hospital of Campania. Antibiotics. 2020;9(5):215

Keikha M, Rava M. Trend of antibiotic resistance of Escherichia coli strains isolated from urinary tract infections in outpatient patients from Zahedan. J Paramedical Sci Rehabil. 2017;6(4):73-8

Gachuhi GT. Antibiotic susceptibility pattern of bacterial uropathogens isolated from patients in Nakuru Level 5 Hospital, Kenya [thesis]. Kenya: School of Pure and Applied Sciences of Kenyatta University; 2017

Torimiro N. Extended-spectrum β-lactamase occurrence among gram-negative bacilli isolated from urine of apparently healthy individuals at Obafemi Awolowo University, Ile-Ife, Nigeria. J Adv Microbiol. 2018:1-6

Brzozowski M, Krukowska Ż, Galant K, Jursa-Kulesza J, Kosik-Bogacka D. Genotypic characterisation and antimicrobial resistance of pseudomonas aeruginosa strains isolated from patients of different hospitals and medical centres in Poland. BMC Infect Dis. 2020;20(1):1-9.

Ventola CL. The antibiotic resistance crisis. Pharm Ther. 2015;40(4):277-83

Ogbukagu C, Anakwenze V, Ekwealor C, Ezemba C, Ekwealor EIA. Incidence of urinary tract infections (UTI) amongst patients attending primary health centres in Anambra State. Adv Microbiol. 2016;6(7):537-47

Yelin I, Snitser O, Novich G, Katz R, Tal O, Parizade M, et al. Personal clinical history predicts antibiotic resistance of urinary tract infections. Nat Med. 2019;25(7):1143-52

Hussein NR, Daniel S, Salim K, Assafi MS. Urinary tract infections and antibiotic sensitivity patterns among women referred to Azadi teaching hospital, Duhok, Iraq. Avicenna J Clin Microbiol Infect. 2017;5(2):27-30

Streltsova O, Kuyarov A, Molvi MS, Zubova S, Lazukin V, Tararova E, et al. New approaches in the study of the pathogenesis of urethral pain syndrome. Diagnostics. 2020;10(11):860

Odongo I, Ssemambo R, Kungu M. Prevalence of E coli and its antimicrobial susceptibility profiles among patients with UTI at Mulanga Hospital, Kampala, Uganda. Interdiscip Perspect Infect Dis. 2020;8042540:1-5

Rahim MA, Samad T, Mitra P, Zaman S, Habib SH, Afroze SR, et al. Frequency, risk factors and antibiotic sensitivity pattern of extended-spectrum beta-lactamase producing escherichia coli and klebsiella pneumoniae causing urinary tract infection: experience from a tertiary care hospital of Bangladesh. BIRDEM Med J. 2017;7(2):155-9

Khan MT, Malik SI, Ali S, Khan AS, Nadeem T, Zeb MT, et al. Prevalence of pyrazinamide resistance in Khyber Pakhtunkhwa, Pakistan. Microbial Drug Resist. 2018;24(9):1417-21

Khamees SS, Ghafir KS. Resistance patterns of multi-drug resistant escherichia coli causing urinary tract infection. Int J Res-Granthaalayah. 2020;8(4):153-9

Asif A, Asghar M, Khan HU, Haq I, Shuaib SL, Khalid F, et al. Antibiotic susceptibility pattern of clinical isolates of methicillin resistant staphylococcus aureus in Peshawar, Pakistan. Ann Rom Soc Cell Biol. 2021;25(6):2116-31

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Published

2021-12-20

How to Cite

Ahmad , I. ., Shah, S. B. ., & Ullah , S. . (2021). Antimicrobial Susceptibility Pattern of Escherichia Coli Isolated From Urine Specimen of Urinary Tract Infection Patients. Journal of Wazir Muhammad Institute of Paramedical Technology, 1(2), 8–12. https://doi.org/10.37762/jwmipt.11