Detection of Aminoglycosides Resistance among Strains of Escherichia Coli Isolated From Patients with Urinary Tract Infection

Waseem Sameer Kwami, R. A. Dahab, Ayaat Badawi Merghani, Ruaa Hannan Gad-Alseed, M. Hamad
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Abstract

Background: Urinary tract infections attack about 150 million people each year globally and nowadays there is a high emergence of antibiotic resistance strains among E. Coli species that cause UTI. The objective of this study was to detect Aminoglycosides resistance among E. Coli strains isolated from patients with urinary tract infection. Method: A total of 70 urine specimens were collected from patient with symptoms of urinary tract infection in sterile urine containers, and then inoculated in CLED media, incubated at 37c for 24 hours. E. Coli species were identified according to their colonial morphology, indirect gram staining reaction, and biochemical tests. Identified species were tested for antimicrobial susceptibility against the following aminoglycosides: Amikacin, Kanamycin, Streptomycin, Gentamicin, and Tobramycin using Kirby-bauer disc diffusion method. Results: The study revealed that 55.7% of urinary tract infections were caused by E. Coli. The study also showed that 12.8% of isolated E. Coli species were resistant to Amikacin, 28.2% to Gentamicin, 43.6% to Streptomycin, 48.7% to Kanamycin, and 53.8% to Tobramycin. Conclusion: The study concluded that the overall resistance of isolated E. coli species to aminoglycosides was 37.4% the most powerful Aminoglycoside against E. Coli species was Amikacin.
尿路感染患者分离的大肠埃希菌氨基糖苷类药物耐药性检测
背景:全球每年约有1.5亿人感染尿路感染,目前在引起尿路感染的大肠杆菌物种中出现了大量抗生素耐药菌株。本研究的目的是检测尿路感染患者分离的大肠杆菌菌株对氨基糖苷类药物的耐药性。方法:采集有尿路感染症状的患者尿液标本70份,装入无菌尿液容器,接种于cle培养液中,37℃孵育24小时。根据菌落形态、间接革兰氏染色反应和生化试验鉴定大肠杆菌菌种。采用Kirby-bauer盘片扩散法检测鉴定的菌种对下列氨基糖苷类药物的敏感性:阿米卡星、卡那霉素、链霉素、庆大霉素和妥布霉素。结果:55.7%的尿路感染是由大肠杆菌引起的。研究还发现,12.8%的分离大肠杆菌对阿米卡星耐药,对庆大霉素耐药28.2%,对链霉素耐药43.6%,对卡那霉素耐药48.7%,对妥布霉素耐药53.8%。结论:分离的大肠杆菌对氨基糖苷类药物的总体耐药率为37.4%,其中对氨基糖苷类药物的耐药率最高的是阿米卡星。
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