Background and Objective: In developing countries, the steep increase in septicaemia cases is a major health problem that creates the biggest challenge for clinicians in the selection of appropriate antimicrobial agents. This is further complicated by the development of resistance in organisms to antimicrobial agents, which is the mainstay of treatment. The aim of this study was
Aim: The aim of this work was to carry out a screen for methicillin-resistant Staphylococcus aureus (S. aureus) in nasal cavity of patients in the intensive care units of the University Hospital Center (UHC) and the Central Hospital of Yaounde (CHY) in Cameroon.
Study Design: A cross-sectional descriptive study was carried out.
Pace and Duration of the Study: Collection of nasal swab was done in Intensive Care Unit of University Teaching Hospital of Yaounde, and Intensive Care Unit of Central Hospital of Yaounde. Identification and susceptibility test were done in bacteriology laboratory of University Hospital Center, Yaounde between August 2018 and March 2019.
Methods: Nasal swabs were collected from patients by performing rotation in each nose. The identification of bacteria was carried out by observation of mannitol fermentation on Chapman agar, catalase, coagulase and DNAse tests. The susceptibility test was carried out by the method of diffusion of the discs in Mueller-Hinton agar.
Results: A total of 29 S. aureus were identified from 127 patients of which 44.10% were women and 55.90% were men. The antibiotic resistance profile showed cross-resistance of S. aureus between cefoxitin and others antibiotics with high resistance of amoxicillin, Amoxi / Clavulanic, fusidic acid, gentamycin and tetracycline with rates ranging from 62% to 82%. We detected 58.62% resistant species to cefoxitin and 51.72% were resistant to vancomycin. Statistical analysis found that there was not association between age groups, gender with nasal carriage of S. aureus. However there was an association (P=0,0060) between the hospital attended and the portage of S. aureus.
Conclusion: The prevalence of Methicillin-resistant S. aureus (MRSA) is quite high in intensive care patients. Staphylococcus aureus isolated from carriers also shows resistance to others antibiotics. This can increase the incidence of nosocomial infections. There is a need to implement effective control strategies to prevent infection cross transmission in intensive care Units.
Aims:The main objective of this study was to determine the resistance phenotype of β-lactamines by Klebsiella in three hospitals in Yaoundé. Study Design: A cross-sectional descriptive study.
Background: Enterobacteriaceae causes many types of infections which are often treated with quinolones and fluoroquinolone (Q/FQ). The resistance mechanisms to Q/FQ are usually associated with mutations in the quinolone resistance determining region which alter the conformation of target amino acid residues within the protein and in the qnr genes. This study aimed at determining the antimicrobial resistant profile of a sample of Enterobacteriaceae from Cameroon and the genetic diversity in quinolone-resistant isolates in view of implementing a better management, treatment, control and prevention of the transmission of these resistant strains. Methods: Identification and antimicrobial susceptibility testing was done using VITEK 2. The detection of plamid-mediated quinolone resistance (PMQR) genes was carried out using the conventional PCR method. Sequencing was done using the Applied Biosystem 3500 genetic analyser. DNA fingerprint was obtained using Pulsed-Field Gel electrophoresis. Results: Among 440 Enterobacteriaceae, the most prevalent genera were: Escherichia 178/440 (39.5%); Klebsiella 148/440 (33.6%); Enterobacter 35/440 (8%); Pantoea 28/440 (6.4%); Proteus 14/440 (3.2%) Salmonella 13/440 (3%). Ampicillin resistance showed the highest prevalence with 371/440 (81%) and Imipenem the lowest resistance 9/440 (2.1%). The ciprofloxacin resistance rate was 161/440 (36.6%). The detected plasmid mediated quinolone resistance (PMQR) genes were: qnrA, 2/161 (1.2%); qnrB, 31/161 (19.3%); qnrS, 13/161 (8.
Background and Purpose: Klebsiella species are amongst the most common causes of a variety of community-acquired and hospital-acquired infections (HAI), characterized by high morbidity and mortality rates. Most infections caused by Klebsiella species are usually treated using antibiotics. The aim of this study was to determine the antimicrobial resistance profile of Klebsiella species isolated from in-patients and out-patients at the Yaounde University Teaching Hospital. The data generated will go a long way to improve on the choice of an adequate empiric antibiotic treatment for infections caused by Klebsiella species. Methodology: A cross-sectional descriptive study was carried out over a period of 6 months, spanning from February 2019 to July 2019 with a sample size of 37 isolates, obtained from 6 different clinical specimens. Identification of isolates was done using API 20E identification system (Biomerieux SA, Lyon, France). Susceptibility to antibiotics was tested as described by Kirby-Bauer in 1956. Inhibition diameters were interpreted according to recommendations from the European Committee on Antimicrobial Susceptibility Testing (EUCAST, 2019). Results and Conclusion: Among the 37 Klebsiella isolates identified, Klebsiella pneumoniae was the most prevalent species isolated with a percentage of 54.1%, followed by Klebsiella rhinoscleromatis 18.9%, Klebsiella ozaenae 16.2% and Klebsiella oxytoca, 10.
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