Amadu, D., Nwabuisi, C., Yunusa, T., Nasir, I., Oladejo, J., Seibu, E., Fadeyi, A., Usman, Y., Aliyu, D. (2019). Prevalence and associated factors associated with Uropathogenic Escherichia coli isolates from catheterized persons at Ilorin Tertiary Hospital, Nigeria. test, 9(2), 119-128. doi: 10.21608/aeji.2019.11367.1019
Dele Ohinoyi Amadu; Charles Nwabuisi; Thairu Yunusa; Idris Abdullahi Nasir; Janet Mosunmola Oladejo; Ezeikel Seibu; Abayomi Fadeyi; Yahaya Usman; Dorcas Aliyu. "Prevalence and associated factors associated with Uropathogenic Escherichia coli isolates from catheterized persons at Ilorin Tertiary Hospital, Nigeria". test, 9, 2, 2019, 119-128. doi: 10.21608/aeji.2019.11367.1019
Amadu, D., Nwabuisi, C., Yunusa, T., Nasir, I., Oladejo, J., Seibu, E., Fadeyi, A., Usman, Y., Aliyu, D. (2019). 'Prevalence and associated factors associated with Uropathogenic Escherichia coli isolates from catheterized persons at Ilorin Tertiary Hospital, Nigeria', test, 9(2), pp. 119-128. doi: 10.21608/aeji.2019.11367.1019
Amadu, D., Nwabuisi, C., Yunusa, T., Nasir, I., Oladejo, J., Seibu, E., Fadeyi, A., Usman, Y., Aliyu, D. Prevalence and associated factors associated with Uropathogenic Escherichia coli isolates from catheterized persons at Ilorin Tertiary Hospital, Nigeria. test, 2019; 9(2): 119-128. doi: 10.21608/aeji.2019.11367.1019

Prevalence and associated factors associated with Uropathogenic Escherichia coli isolates from catheterized persons at Ilorin Tertiary Hospital, Nigeria

Afro-Egyptian Journal of Infectious and Endemic Diseases
Article 2, Volume 9, Issue 2, June 2019, Pages 119-128    PDF (426.98 K)
Document Type: Original Article
DOI: 10.21608/aeji.2019.11367.1019
Authors
Dele Ohinoyi Amadu1; Charles Nwabuisi1; Thairu Yunusa2; Idris Abdullahi Nasir* 3; Janet Mosunmola Oladejo1; Ezeikel Seibu1; Abayomi Fadeyi1; Yahaya Usman4; Dorcas Aliyu5
1Department of Medical Microbiology and Parasitology, University of Ilorin Teaching Hospital, Ilorin, Kwara State, Nigeria
2Department of Medical Microbiology and Parasitology, University of Abuja, Nigeria
3Department of Medical Laboratory Science, College of Medical Sciences, Ahmadu Bello University, Zaria
4Department of Medical Laboratory Science Ahmadu Bello University, Zaria, Nigeria
5Department of Medical Laboratory Services. Family Health International 360, Abuja, Nigeria
Abstract
Background and study aim: Urinary tract infection (UTI) is among the most common complications of catheterized persons in hospital settings especially, those caused by extended spectrum beta lactamase (ESBL) and biofilm producing Escherichia coli.This hospital based, cross sectional study was carried out to determine the prevalence and associated factors associated with Uropathogenic Escherichia coli (UPEC) isolates from catheterized persons (inpatients and outpatients) attending Ilorin Tertiary hospital, Nigeria
Materials and Methods: Between 2nd April and 30th June 2016, urine samples from 113 catheterized inpatient and outpatients were evaluated. Female subjects accounted for 47(41.6%) of the study population. Standard microbiological methods and Analytical Profile Index (API) 20E system were used for the isolation and identification of UPEC, respectively. Tissue culture plate (TCP) technique was used to demonstrate biofilm production potentials.
Results: The prevalence of catheter associated urinary tract infection (CA-UTI) in this study was 70.8% most of which are Gram negative bacilli belonging to the Enterobacteriaceae family with Escherichia coli 44(55.0%) being the most predominant pathogen.Extended spectrum beta lactamase (ESBL) E coli in this study was 27.2% of which all (100%) were strong biofilm producers. Female subjects had relatively higher prevalence of UPEC isolates, 29 (65.9%) than the male counterparts. Whereas, the highest cases of UPEC was in 61-70 years age group, 29.5%. There was significant association between UPEC and age and gender of subjects (p<0.05).
Conclusion: Findings from this study shows that E. coli is still the most common uropathogenic bacteria isolate in catheterized persons. Biofilm production confers some degree of ESBL production and antibiotic resistance.
Keywords
Antimicrobial resistance; risk factors; ESBL; Biofilm
Statistics
Article View: 723
PDF Download: 713