尼日利亚奥约州伊巴丹选定地点地表水和地下生活水源中多重耐药革兰氏阴性菌的细菌学质量和流行情况

O. Alabi, O. Fatoyinbo
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引用次数: 0

摘要

目的:了解地表水和地下生活水源中革兰氏阴性多药耐药菌的细菌学质量及流行情况,采用标准方法和药敏试验。结果:第一次采集水样总活菌数平均值为3.1×10 2 ~ 6.2×10 4 cfu/mL,第二次采集水样总活菌数平均值为2.4×10 2 ~ 6.1×10 4 cfu/mL, AJR、DDR、ADM、EDM、WW-B和WW-G地点的平均值差异有统计学意义(P > 0.05)。检出大肠杆菌属、克雷伯氏菌属、变形杆菌属、假单胞菌属、沙雷氏菌属、普罗维登氏菌属和肠杆菌属7属。对氨苄西林耐药率为100%,对阿莫西林、阿莫西林-克拉维酸、头孢呋辛、头孢噻肟耐药率为80%以上,对头孢他啶耐药率为60%以上,对环丙沙星、氨曲南耐药率为50%以上,对氧氟沙星、呋喃妥因、庆大霉素耐药率<40%,对碳青霉烯类耐药率为100%。90.9%的人表现出耐多药表型。结论:在本研究中,伊巴丹市国内使用的地表水和地下水中存在高水平的耐多药表型大肠菌群,表明存在需要紧急关注的公共卫生危害。
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Bacteriological Quality and Prevalence of Multidrug Resistant Gram-negative Bacteria from Surface and Underground Domestic Water Sources in Selected Locations in Ibadan, Oyo State, Nigeria
Aim: To examine the bacteriological quality and prevalence of multidrug resistant (MDR) Gram-negative bacteria in surface and underground domestic water sources standard methods and antibiotic susceptibility testing was by disc-diffusion method. Results: The mean values of the total viable counts for the first water sample collection ranged from 3.1×10 2 to 6.2×10 4 cfu/mL and 2.4×10 2 to 6.1×10 4 cfu/mL for the second collection with the mean difference statistically significant for samples from sites AJR, DDR, ADM, EDM, WW-B and WW-G (P > .05). Most Probable Number of Coliforms ranged from 20 to >180/100 mL. A total of 7 bacteria genera including E. coli , Klebsiella spp., Proteus spp., Pseudomonas spp., Serratia spp., Providencia spp. and Enterobacter spp. were isolated. Among the isolates, 100% showed resistance to ampicillin, over 80% to amoxicillin, amoxicillin-clavulanic acid, cefuroxime and cefotaxime, 60% to ceftazidime, over 50% to ciprofloxacin and aztreonam, <40% to ofloxacin, nitrofurantoin and gentamicin while 100% were susceptible to the carbapenems. A total of 90.9% exhibited MDR phenotype. Conclusion: In this study, the presence of high level of coliforms with MDR phenotype in surface and underground water used domestically in Ibadan signifies a public health hazard that requires urgent attention.
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