Antimicrobial susceptibility profile of selected Enterobacteriaceae in wastewater samples from health facilities, abattoir, downstream rivers and a WWTP in Addis Ababa, Ethiopia

被引：35

作者：

Tesfaye, Hemen ^{[1
]}

Alemayehu, Haile ^{[2
]}

Desta, Adey F. ^{[3
]}

Eguale, Tadesse ^{[2
]}

机构：

[1] Dire Dawa Univ, Dept Food Proc Engn, POB 1362, Dire Dawa, Ethiopia

[2] Addis Ababa Univ, Aklilu Lemma Inst Pathobiol, POB 1176, Addis Ababa, Ethiopia

[3] Addis Ababa Univ, Coll Nat & Computat Sci, Dept Microbial Cellular & Mol Biol, POB 1176, Addis Ababa, Ethiopia

来源：

ANTIMICROBIAL RESISTANCE AND INFECTION CONTROL | 2019年 / 8卷 / 01期

关键词：

Antimicrobial resistance; Enterobacteriaceae; Wastewater; Hospital; Abattoir; River; CARBAPENEMASE-PRODUCING ENTEROBACTERIACEAE; SPECTRUM BETA-LACTAMASE; ANTIBIOTIC-RESISTANCE; KLEBSIELLA-PNEUMONIAE; SALMONELLA; PREVALENCE; BACTERIA; CLOACAE;

D O I：

10.1186/s13756-019-0588-1

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Background Evaluation of antimicrobial susceptibility profile of various bacterial pathogens in the health facilities, abattoirs and related environment is important to assess potential risk of dissemination of resistant pathogens to the environment. There is limited information about antimicrobial susceptibility profile of common Enterobacteriaceae in waste water samples from hospitals, abattoirs and the downstream water bodies in Addis Ababa. The present study assessed antimicrobial susceptibility of bacteria belonging to the family Enterobacteriaceae isolated from wastewater samples (WWS) of two hospitals: Tikur Anbessa Specialized Hospital (TASH) and Minilik II hospital, a wastewater treatment plant (WWTP) and an abattoir, and downstream rivers in Addis Ababa. Results A total of 54 bacterial isolates belonging to 6 species were identified: E.coli (32%), Salmonella 23%), Klebsiella pneumonia (15%), Enterobacter aerogenes (11%), Citrobacter (7%), Klebsiella oxytoca (6%) and Enterobacter cloacae (6%), respectively. Two strains of Citrobacter spp. isolated from TASH wastewater sample (WWS) were resistant to all 12 antimicrobials tested whereas an E. coli isolate from the same source was resistant to 11 antimicrobials. All isolates were resistant to 2 or more antimicrobials tested. Multi-drug resistance (MDR) to several antimicrobials was recorded, particularly in isolates obtained from hospital WWS and it was more common in Citrobacter and E. coli isolates. Extended spectrum betalactamase (ESBL) production was detected in 27.3% of MDR isolates, all of them obtained from hospital effluents whereas none of the isolates were carbapenemase producers. Conclusion The present study revealed that Enterobacteriaceae in wastewater from hospitals, abattoir and downstream water bodies are resistant to commonly used antimicrobials. Hospital effluents contained more of MDR bacteria, posing significant public health threat through dissemination to the downstream water bodies.

引用

页数：11