Superbugs-related prolonged admissions in three tertiary hospitals, Kano State, Nigeria

  • Alkali Bashir Department of Science Laboratory Technology, School of Technology Kano State Polytechnic, Nigeria; Department of Microbiology and Immunology, Faculty of Biomedical Science Kampala International University Bushanyi, Uganda
  • Iliyasu Garba Department of Medicine, Faculty of Clinical Sciences, Bayero University Kano State, Nigeria
  • Adamu Almustapha Aliero Department of Microbiology and Immunology, Faculty of Biomedical Science Kampala ;Department of Biological Sciences, Faculty of Life Sciences, Kebbi State University of Science and Technology Aliero, Kebbi State, NigeriaInternational University Bushanyi, Uganda
  • Abdurrazak Kibiya Department of medical Microbiology and Parasitology, Faculty of clinical science, College of Health science, Bayero University Kano, Kano State Nigeria
  • Muhammad Hassan Abubakar Microbiology Unit, Murtala Muhammed Specialist Hospital, Hospital Management Board, Kano State, Nigeria
  • Ibrahim Ntulume Department of Microbiology and Immunology, Faculty of Biomedical Science Kampala International University Bushanyi, Uganda
  • Faruk Sarkinfada Department of Medical Microbiology, College of Health Sciences, Bayero University Kano State, Nigeria; Department of Health and Medical Sciences Khawarizimi International College, Abu Dhabi, United Arab Emirates
  • Agwu Ezera Department of Microbiology and Immunology, Faculty of Biomedical Science Kampala International University Bushanyi, Uganda; Department of Health and Medical Sciences Khawarizimi International College, Abu Dhabi, United Arab Emirates
Keywords: Superbugs; prolonged admission; tertiary hospitals; Kano

Abstract

Introduction: superbugs are pathogenic micro-organism and especially a bacterium that has developed resistance to the medications normally used against it. As the superbug family increases, the need for appropriate diagnostic, treatment, prevention and control strategies cannot be over emphasized. Therefore, this work determined the distribution of superbug bacteria among patients on prolonged hospital admissions in three tertiary hospitals of Kano state, Nigeria.

Methods: a descriptive cross sectional study was undertaken among 401 patients from medical, surgery, orthopedic and burn Centre wards in a three tertiary hospitals in Kano state. A sample collected comprises wound/pus, urine, urine catheter and nasal intubation and were analysed using standard microbiological methods for Acinetobacter spp and other related nosocomial bacterial pathogens. Antibiotic susceptibility testing was done using Kirby-Bauer disc diffusion method.

Results: one hundred and thirty eight (138) isolates were recovered, from the studied participants. More than 80% of the nosocomial infections (Nis) were caused by Gram-negative bacteria, predominantly Escherichia coli, Klebseilla sppProteus sppPseudomona spp and Acinetobacter spp. In-vitro antibiotic susceptibility test revealed that acinetobacter were 100% resistant to amoxicillin, co-trimoxazole, perfloxacin and imipenem.

Conclusion: the results of this study reported higher antibiotic resistant among Acinetobacter spp isolated from three studied hospitals. The healthcare managers of these hospitals and ministry health need to take measures against this resistant bacteria (Acinetobacter spp) especially on prescribing antibiotics that showed 100% resistant from these studied hospitals.

Published
2019-04-09
Section
Articles

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eISSN: 1937-8688