Antibiotic resistant airborne bacteria and their multidrug resistance pattern at University teaching referral Hospital in South Ethiopia

Abstract Background Hospitals provide a reservoir of microorganisms, many of which are multi-resistant to antibiotics. Emergence of multi-drug resistant strains in a hospital environment, particularly in developing countries is an increasing problem to infection treatment. This study aims at assessi...

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Main Authors: Fithamlak Bisetegen Solomon, Fiseha Wada Wadilo, Amsalu Amache Arota, Yishak Leka Abraham
Format: Article
Language:English
Published: BMC 2017-04-01
Series:Annals of Clinical Microbiology and Antimicrobials
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12941-017-0204-2
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author Fithamlak Bisetegen Solomon
Fiseha Wada Wadilo
Amsalu Amache Arota
Yishak Leka Abraham
author_facet Fithamlak Bisetegen Solomon
Fiseha Wada Wadilo
Amsalu Amache Arota
Yishak Leka Abraham
author_sort Fithamlak Bisetegen Solomon
collection DOAJ
description Abstract Background Hospitals provide a reservoir of microorganisms, many of which are multi-resistant to antibiotics. Emergence of multi-drug resistant strains in a hospital environment, particularly in developing countries is an increasing problem to infection treatment. This study aims at assessing antibiotic resistant airborne bacterial isolates. Methods A cross-sectional study was conducted at Wolaita Sodo university teaching and referral Hospital. Indoor air samples were collected by using passive air sampling method. Sample processing and antimicrobial susceptibility testing were done following standard bacteriological techniques. The data was analyzed using SPSS version 20. Results Medically important bacterial pathogens, Coagulase negative staphylococci (29.6%), Staphylococcus aureus (26.3%), Enterococci species, Enterococcus faecalis and Enterococcus faecium (16.5%), Acinetobacter species (9.5%), Escherichia coli (5.8%) and Pseudomonas aeruginosa (5.3%) were isolated. Antibiotic resistance rate ranging from 7.5 to 87.5% was detected for all isolates. Acinetobacter species showed a high rate of resistance for trimethoprim-sulfamethoxazole, gentamicin (78.2%) and ciprofloxacin (82.6%), 28 (38.9%) of S. aureus isolates were meticillin resistant, and 7.5% Enterococci isolates of were vancomycin resistant. 75.3% of all bacterial pathogen were multi-drug resistant. Among them, 74.6% were gram positive and 84% were gram negative. Multi-drug resistance were observed among 84.6% of P. aeruginosa, of 82.5% Enterococcii, E. coli 78.6%, S. aureus 76.6%, and Coagulase negative staphylococci of 73.6%. Conclusions Indoor environment of the hospital was contaminated with airborne microbiotas, which are common cause of post-surgical site infection in the study area. Bacterial isolates were highly resistant to commonly used antibiotics with high multi-drug resistance percentage. So air quality of hospital environment, in restricted settings deserves attention, and requires long-term surveillance to protect both patients and healthcare workers.
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spelling doaj.art-b24354d717134cdc8d17b700d9a11de82022-12-22T02:04:15ZengBMCAnnals of Clinical Microbiology and Antimicrobials1476-07112017-04-011611710.1186/s12941-017-0204-2Antibiotic resistant airborne bacteria and their multidrug resistance pattern at University teaching referral Hospital in South EthiopiaFithamlak Bisetegen Solomon0Fiseha Wada Wadilo1Amsalu Amache Arota2Yishak Leka Abraham3School of Medicine, College of Health Sciences, Wolaita Sodo UniversitySchool of Medicine, College of Health Sciences, Wolaita Sodo UniversitySchool of Medicine, College of Health Sciences, Wolaita Sodo UniversitySchool of Medicine, College of Health Sciences, Wolaita Sodo UniversityAbstract Background Hospitals provide a reservoir of microorganisms, many of which are multi-resistant to antibiotics. Emergence of multi-drug resistant strains in a hospital environment, particularly in developing countries is an increasing problem to infection treatment. This study aims at assessing antibiotic resistant airborne bacterial isolates. Methods A cross-sectional study was conducted at Wolaita Sodo university teaching and referral Hospital. Indoor air samples were collected by using passive air sampling method. Sample processing and antimicrobial susceptibility testing were done following standard bacteriological techniques. The data was analyzed using SPSS version 20. Results Medically important bacterial pathogens, Coagulase negative staphylococci (29.6%), Staphylococcus aureus (26.3%), Enterococci species, Enterococcus faecalis and Enterococcus faecium (16.5%), Acinetobacter species (9.5%), Escherichia coli (5.8%) and Pseudomonas aeruginosa (5.3%) were isolated. Antibiotic resistance rate ranging from 7.5 to 87.5% was detected for all isolates. Acinetobacter species showed a high rate of resistance for trimethoprim-sulfamethoxazole, gentamicin (78.2%) and ciprofloxacin (82.6%), 28 (38.9%) of S. aureus isolates were meticillin resistant, and 7.5% Enterococci isolates of were vancomycin resistant. 75.3% of all bacterial pathogen were multi-drug resistant. Among them, 74.6% were gram positive and 84% were gram negative. Multi-drug resistance were observed among 84.6% of P. aeruginosa, of 82.5% Enterococcii, E. coli 78.6%, S. aureus 76.6%, and Coagulase negative staphylococci of 73.6%. Conclusions Indoor environment of the hospital was contaminated with airborne microbiotas, which are common cause of post-surgical site infection in the study area. Bacterial isolates were highly resistant to commonly used antibiotics with high multi-drug resistance percentage. So air quality of hospital environment, in restricted settings deserves attention, and requires long-term surveillance to protect both patients and healthcare workers.http://link.springer.com/article/10.1186/s12941-017-0204-2AirborneBacteriaAntibioticResistanceMulti-drug resistance
spellingShingle Fithamlak Bisetegen Solomon
Fiseha Wada Wadilo
Amsalu Amache Arota
Yishak Leka Abraham
Antibiotic resistant airborne bacteria and their multidrug resistance pattern at University teaching referral Hospital in South Ethiopia
Annals of Clinical Microbiology and Antimicrobials
Airborne
Bacteria
Antibiotic
Resistance
Multi-drug resistance
title Antibiotic resistant airborne bacteria and their multidrug resistance pattern at University teaching referral Hospital in South Ethiopia
title_full Antibiotic resistant airborne bacteria and their multidrug resistance pattern at University teaching referral Hospital in South Ethiopia
title_fullStr Antibiotic resistant airborne bacteria and their multidrug resistance pattern at University teaching referral Hospital in South Ethiopia
title_full_unstemmed Antibiotic resistant airborne bacteria and their multidrug resistance pattern at University teaching referral Hospital in South Ethiopia
title_short Antibiotic resistant airborne bacteria and their multidrug resistance pattern at University teaching referral Hospital in South Ethiopia
title_sort antibiotic resistant airborne bacteria and their multidrug resistance pattern at university teaching referral hospital in south ethiopia
topic Airborne
Bacteria
Antibiotic
Resistance
Multi-drug resistance
url http://link.springer.com/article/10.1186/s12941-017-0204-2
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AT amsaluamachearota antibioticresistantairbornebacteriaandtheirmultidrugresistancepatternatuniversityteachingreferralhospitalinsouthethiopia
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