Antibiotic Susceptibility Patterns of Bacterial Isolates from Routine Clinical Specimens from Referral Hospitals in Tanzania: A Prospective Hospital-Based Observational Study.

AMR MRSA antibiotic susceptibility testing antibiotics antimicrobial resistance bacterial isolates methicillin-resistant Staphylococcus aureus

Journal

Infection and drug resistance
ISSN: 1178-6973
Titre abrégé: Infect Drug Resist
Pays: New Zealand
ID NLM: 101550216

Informations de publication

Date de publication:
2021
Historique:
received: 01 12 2020
accepted: 22 01 2021
entrez: 10 3 2021
pubmed: 11 3 2021
medline: 11 3 2021
Statut: epublish

Résumé

Antimicrobial resistance is one of the biggest threats of modern public health. Although sub-Saharan Africa is highly burdened with infectious diseases, current data on antimicrobial resistance are sparse. A prospective study was conducted between October 2018 and September 2019 to assess the antibiotic susceptibility patterns of clinical bacterial isolates obtained from four referral hospitals in Tanzania. We used standard media and Kirby-Bauer disc diffusion methods as per Clinical and Laboratory Standards Institute (CLSI) standards. We processed a total of 2620 specimens of which 388 (14.8%) were culture-positive from patients with a median (IQR) age of 28 (12-44) years. Of the positive cultures, 52.3% (203) were from females. Most collected specimens were ear pus 28.6% (111), urine 24.0% (93), wound pus 20.6% (80), stool 14.9% (58), and blood 8.3% (32). Predominant isolates were Antibiotic resistance to commonly prescribed antibiotics was alarmingly high. Our findings emphasize the need for comprehensive national control programs to combat antibiotic resistance.

Identifiants

pubmed: 33688222
doi: 10.2147/IDR.S294575
pii: 294575
pmc: PMC7937390
doi:

Types de publication

Journal Article

Langues

eng

Pagination

869-878

Subventions

Organisme : Wellcome Trust
Pays : United Kingdom

Informations de copyright

© 2021 Mnyambwa et al.

Déclaration de conflit d'intérêts

The authors declare no conflicts of interest for this work.

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Auteurs

Nicholaus P Mnyambwa (NP)

National Institute for Medical Research, Muhimbili Research Centre, Dar es Salaam, Tanzania.

Coline Mahende (C)

National Institute for Medical Research, Muhimbili Research Centre, Dar es Salaam, Tanzania.

Amani Wilfred (A)

National Institute for Medical Research, Muhimbili Research Centre, Dar es Salaam, Tanzania.

Erica Sandi (E)

National Institute for Medical Research, Muhimbili Research Centre, Dar es Salaam, Tanzania.

Nicodem Mgina (N)

Central Tuberculosis Reference Laboratory (CTRL), Dar es Salaam, Tanzania.

Clara Lubinza (C)

National Institute for Medical Research, Muhimbili Research Centre, Dar es Salaam, Tanzania.

Amos Kahwa (A)

National Institute for Medical Research, Muhimbili Research Centre, Dar es Salaam, Tanzania.

Pammla Petrucka (P)

School of Life Science and Bioengineering, Nelson Mandela African Institution of Science and Technology, Arusha, Tanzania.
University of Saskatchewan, Saskatoon, Canada.

Sayoki Mfinanga (S)

National Institute for Medical Research, Muhimbili Research Centre, Dar es Salaam, Tanzania.
School of Life Science and Bioengineering, Nelson Mandela African Institution of Science and Technology, Arusha, Tanzania.
Department of Epidemiology and Statistics, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.

Esther Ngadaya (E)

National Institute for Medical Research, Muhimbili Research Centre, Dar es Salaam, Tanzania.

Godfather Kimaro (G)

National Institute for Medical Research, Muhimbili Research Centre, Dar es Salaam, Tanzania.

Classifications MeSH