Commonly Consumed Vegetables as a Potential Source of Multidrug-Resistant and β-Lactamase-Producing Bacteria in Debre Berhan Town, Ethiopia

Tsegahun Asfaw, Deribew Genetu, Demissew Shenkute, Tassew Tefera Shenkutie, Berhanu Yitayew Department of Medical Laboratory Science, Debre Berhan University, Debre Berhan, EthiopiaCorrespondence: Tsegahun Asfaw, Email tsegahun.asfaw12@gmail.comBackground: Recently, antibiotic resistance of bacteria...

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Main Authors: Asfaw T, Genetu D, Shenkute D, Shenkutie TT, Yitayew B
Format: Article
Language:English
Published: Dove Medical Press 2023-06-01
Series:Infection and Drug Resistance
Subjects:
Online Access:https://www.dovepress.com/commonly-consumed-vegetables-as-a-potential-source-of-multidrug-resist-peer-reviewed-fulltext-article-IDR
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author Asfaw T
Genetu D
Shenkute D
Shenkutie TT
Yitayew B
author_facet Asfaw T
Genetu D
Shenkute D
Shenkutie TT
Yitayew B
author_sort Asfaw T
collection DOAJ
description Tsegahun Asfaw, Deribew Genetu, Demissew Shenkute, Tassew Tefera Shenkutie, Berhanu Yitayew Department of Medical Laboratory Science, Debre Berhan University, Debre Berhan, EthiopiaCorrespondence: Tsegahun Asfaw, Email tsegahun.asfaw12@gmail.comBackground: Recently, antibiotic resistance of bacteria contained in foods such as vegetables has become a public health problem. In Ethiopia, the diversity of bacterial contamination and level of antibiotic resistance in vegetables are poorly understood. Local analysis of vegetable contamination and its contribution to the spread of antibiotic resistance are therefore essential for One Health interventions. Therefore, the aim of this study was to investigate the level of bacterial contamination of commonly consumed vegetables and their antimicrobial resistance patterns.Methods: A cross-sectional research was conducted in Debre Berhan town from February to August 2022. Questionnaires were used to collect data on sociodemographic variables, hygiene practices, and market hygiene. Six carefully selected vegetables (30 each, 180 in total) were purchased at a local market. Bacterial isolation and identification, multidrug-resistant (MDR) screening and confirmation, extended-spectrum β-lactamase (ESBL) screening and confirmation, and antibiotic susceptibility tests were performed using standard operating procedure. The data were analysed statistically using SPSS software version 25.Results: The contamination rate of vegetables was 119 (66.1%). Of the 176 bacteria isolates, E. coli (26.1%; 46/176), S. aureus (18.8%; 176), S. epidermidis (10.8%; 19/176), Klebsiella spp. (9.1%; 16/179) and Acinetobacter spp. (6.8%; 12/176) were the most frequently detected isolates. Of the 180 samples tested, (66.1%; 119/180) were contaminated with at least one type of bacteria. Lettuce (22.7%; 40/176), spinach (18.6%; 33/176), and cabbage (19.2%; 32/176) were the most contaminated vegetables. Of the 176 bacteria isolates, (64.8%; 114/176) were MDR, and (18.5%; 23/124) isolates were ESBL producers. The kind of vegetables, vendor/seller finger-nail status, medium of display, market type, and not cleaned before to display were all significantly associated with bacterial contamination.Conclusion: This study found that commonly consumed vegetables are contaminated with antibiotic-resistant bacteria. Vegetables were also notable for the incidence of multidrug-resistant, extended β-lactamase-resistant, and methicillin-resistant bacterial isolates. Therefore, we urge local health authorities to develop and implement effective control strategies to reduce vegetable contamination.Keywords: foodborne bacteria, multidrug-resistant, extended β-lactamase-resistant, risk factors, vegetables
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spelling doaj.art-55305b51fbf242f187f8d44bcdfc8a382023-07-02T19:49:16ZengDove Medical PressInfection and Drug Resistance1178-69732023-06-01Volume 163693370584366Commonly Consumed Vegetables as a Potential Source of Multidrug-Resistant and β-Lactamase-Producing Bacteria in Debre Berhan Town, EthiopiaAsfaw TGenetu DShenkute DShenkutie TTYitayew BTsegahun Asfaw, Deribew Genetu, Demissew Shenkute, Tassew Tefera Shenkutie, Berhanu Yitayew Department of Medical Laboratory Science, Debre Berhan University, Debre Berhan, EthiopiaCorrespondence: Tsegahun Asfaw, Email tsegahun.asfaw12@gmail.comBackground: Recently, antibiotic resistance of bacteria contained in foods such as vegetables has become a public health problem. In Ethiopia, the diversity of bacterial contamination and level of antibiotic resistance in vegetables are poorly understood. Local analysis of vegetable contamination and its contribution to the spread of antibiotic resistance are therefore essential for One Health interventions. Therefore, the aim of this study was to investigate the level of bacterial contamination of commonly consumed vegetables and their antimicrobial resistance patterns.Methods: A cross-sectional research was conducted in Debre Berhan town from February to August 2022. Questionnaires were used to collect data on sociodemographic variables, hygiene practices, and market hygiene. Six carefully selected vegetables (30 each, 180 in total) were purchased at a local market. Bacterial isolation and identification, multidrug-resistant (MDR) screening and confirmation, extended-spectrum β-lactamase (ESBL) screening and confirmation, and antibiotic susceptibility tests were performed using standard operating procedure. The data were analysed statistically using SPSS software version 25.Results: The contamination rate of vegetables was 119 (66.1%). Of the 176 bacteria isolates, E. coli (26.1%; 46/176), S. aureus (18.8%; 176), S. epidermidis (10.8%; 19/176), Klebsiella spp. (9.1%; 16/179) and Acinetobacter spp. (6.8%; 12/176) were the most frequently detected isolates. Of the 180 samples tested, (66.1%; 119/180) were contaminated with at least one type of bacteria. Lettuce (22.7%; 40/176), spinach (18.6%; 33/176), and cabbage (19.2%; 32/176) were the most contaminated vegetables. Of the 176 bacteria isolates, (64.8%; 114/176) were MDR, and (18.5%; 23/124) isolates were ESBL producers. The kind of vegetables, vendor/seller finger-nail status, medium of display, market type, and not cleaned before to display were all significantly associated with bacterial contamination.Conclusion: This study found that commonly consumed vegetables are contaminated with antibiotic-resistant bacteria. Vegetables were also notable for the incidence of multidrug-resistant, extended β-lactamase-resistant, and methicillin-resistant bacterial isolates. Therefore, we urge local health authorities to develop and implement effective control strategies to reduce vegetable contamination.Keywords: foodborne bacteria, multidrug-resistant, extended β-lactamase-resistant, risk factors, vegetableshttps://www.dovepress.com/commonly-consumed-vegetables-as-a-potential-source-of-multidrug-resist-peer-reviewed-fulltext-article-IDRfoodborne bacteriamultidrug-resistantextended β-lactamase-resistantrisk factorsvegetables.
spellingShingle Asfaw T
Genetu D
Shenkute D
Shenkutie TT
Yitayew B
Commonly Consumed Vegetables as a Potential Source of Multidrug-Resistant and β-Lactamase-Producing Bacteria in Debre Berhan Town, Ethiopia
Infection and Drug Resistance
foodborne bacteria
multidrug-resistant
extended β-lactamase-resistant
risk factors
vegetables.
title Commonly Consumed Vegetables as a Potential Source of Multidrug-Resistant and β-Lactamase-Producing Bacteria in Debre Berhan Town, Ethiopia
title_full Commonly Consumed Vegetables as a Potential Source of Multidrug-Resistant and β-Lactamase-Producing Bacteria in Debre Berhan Town, Ethiopia
title_fullStr Commonly Consumed Vegetables as a Potential Source of Multidrug-Resistant and β-Lactamase-Producing Bacteria in Debre Berhan Town, Ethiopia
title_full_unstemmed Commonly Consumed Vegetables as a Potential Source of Multidrug-Resistant and β-Lactamase-Producing Bacteria in Debre Berhan Town, Ethiopia
title_short Commonly Consumed Vegetables as a Potential Source of Multidrug-Resistant and β-Lactamase-Producing Bacteria in Debre Berhan Town, Ethiopia
title_sort commonly consumed vegetables as a potential source of multidrug resistant and beta lactamase producing bacteria in debre berhan town ethiopia
topic foodborne bacteria
multidrug-resistant
extended β-lactamase-resistant
risk factors
vegetables.
url https://www.dovepress.com/commonly-consumed-vegetables-as-a-potential-source-of-multidrug-resist-peer-reviewed-fulltext-article-IDR
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