Background
Rising incidences of antimicrobial resistance has become a major public health issue globally resulting in increasing health-care costs and severe and lethal diseases. Several reports have documented alarming increases of antimicrobial resistance in the Enterobacteriaceae family, hence, this study evaluated the occurrence and antibiogram signatures of Enterobacteriaceae isolates recovered from vegetables, hospital effluents and river water samples in two district municipalities in the Eastern Cape Province, South Africa.
Results
Out of 142 presumptive isolates, 105 were confirmed to belong to the Enterobacteriaceae family. From these, 45% were identified as E. coli, 24% as Enterobacter spp., 20% as Citrobacter spp. and 11% as Klebsiella spp. All the isolates demonstrated high resistance against ampicillin at a frequency of 91.4%, followed by nalidixic acid (86.7%), tetracycline (82.9%), cefuroxime (81.9%) and doxycycline (81.9%). The beta-lactam resistance gene blaTEM was detected in 77.8% of the E. coli isolates and 33.3% of the Klebsiella isolates. The sul1 gene was detected in 23.1% of the Enterobacter species, while sul2 gene was detected in 70% of the Klebsiella species. All the Enterobacter species were positive for the strB gene.
Conclusions
We conclude that the vegetables, hospital effluents and river water in the two District Municipalities are reservoirs of multidrug resistant members of the Enterobacteriaceae family and a potential health hazard for consumers.