Hospital wastewater: reservoir of antibiotic resistant Pseudomonas strains in Ibadan, Nigeria

Authors

  • Olutayo Israel Falodun Department of Microbiology, Faculty of Science, University of Ibadan, Ibadan, Nigeria
  • Tomilola Feyikemi Akinbamiro Department of Microbiology, Faculty of Science, University of Ibadan, Ibadan, Nigeria
  • Akeem Ganiyu Rabiu Department of Microbiology, Faculty of Science, University of Ibadan, Ibadan, Nigeria

DOI:

https://doi.org/10.31783/elsr.2019.5117

Keywords:

antibiotics resistance, environment, hospital wastewater, Pseudomonas species

Abstract

Transmission of nosocomial infections becomes debilitating when caused by multiple antibiotics resistant bacteria such as Pseudomonas species. Pseudomonas aeruginosa, notorious for both opportunistic and original infections, has multiple drug resistant (MDR) characteristics and thus a persistent threat to public health. This study was therefore carried out to determine the patterns of antibiotic resistance in Pseudomonas species isolated from the wastewater samples of a specialized private hospital. Wastewater samples were collected from four different points within and outside the hospital environment; namely, theater, laboratory, drainage and the receiving river. Isolation of Pseudomonas species was performed using the standard pour plate method. The isolates were identified using standard biochemical and sugar fermentation tests while the antibiotic susceptibility test was done using the disc diffusion method. A total of 97 strains of Pseudomonas species were isolated comprising 44 (45.4%) Pseudomonas aeruginosa, 41 (42.2%) P. fluorescens and 12 (12.3%) other Pseudomonas species. While all the isolates were resistant to piperacillin, 96 (99%) of the isolates were resistant to tetracycline, 93 (95.9%) to nitrofurantoin and 92 (94.8%) were resistant to aztreonam with cumulative total resistance of 4.1%. This study showed that antibiotics resistant Pseudomonas strains were present in hospital wastewater. Therefore, Federal/State Hospital Management Board and other regulatory government agencies should ensure that hospital effluents are properly treated before its disposal into the environment.

References

[1] E. Emmanuel, Y. Pemodin, G. Keck, J. M. Blanchard and P. Vermande (2005). Ecotoxicological risk assessment of hospital wastewater: a proposed framework for raw effluents discharging into urban sewer network. J. Hazard Mater., 117:1-11.

[2] C. Boillot , C. Bazin, F. Tissot-Guerraz, J. Droguet, M. Perraud, J. C. Cetre and D. Trepo et al., (2008). Daily physicochemical, microbiological and ecotoxicological pluctuations of a hospital effluent according to technical and care activities. Sci. Total Environ., 403:113-129.

[3] J. J. Hawkshead (2008). Hospital wastewater containing pharmaceutically active compds and drug resistant organisms: a source of environmental toxicity and increased antibiotic resistance. Journal of Residuals of Science and Technology, 5: 51-60.

[4] S. B. Levy (2002). Factors impacting on the problem of antibiotic resistance. J. Antimicrob. Chemother., 49: 25-30

[5] A. P. Magiorakos, A. Srinivasan, R. B. Carey, Y.Carmeli, M. E. Falagas, C. G. Giske, S. Harbarth et al., (2012). Multidrug-resistant, extensively drug-resistant and pandrug-resistant bacteria: an international expert proposal for interim standard definitions for acquired resistance. Clin. Microbiol. Infect., 18: 268-281.

[6] K. Oberlé, M. J. Capdeville, T. Berthe, H. Budzinski, F. Petit. (2012). Evidence for a complex relationship between antibiotics and antibiotic-resistant Escherichia coli: from medical center patients to a receiving environment. Environ. Sci. Technol., 46: 1859-1868.

[7] R. A. Luna, L. A. Millecker, C. R. Webb, S. K. Mason, E. M. Whaley, J. R. Starke, P. W. Hiatt (2013). Molecular epidemiological surveillance of multidrug-resistant Pseudomonas aeruginosa isolates in a pediatric population of patients with cystic fibrosisand determination of risk factors for infection with the Houston-1 strain. J. Clin. Microbiol., 51:1237-1240.

[8] J. P. Allen, E. A. Ozer, A. R. Hauser (2014). Different paths to pathogenesis. Trends Microbiol., 22:168-169.

[9] K. Poole (2011). Pseudomonas aeruginosa: resistance to the max. Front. Microbiol., 2: 1-13.

[10] K. G. Kerr, A. M. Snelling (2009). Pseudomonas aeruginosa: a formidable and ever- present adversary. J. Hosp. Infect., 73: 338-344.

[11] S. Hota, Z. Hirji, K. Stockton, C. Lemieux, H. Dedier, G. Wolfaardt and M. A. Gardam (2009). Outbreak of multidrug Pseudomonas areuginosa colonization and infection secondary to imperfect intensive care unit room design. Infect. Control Hosp. Epidemiol., 30: 25-33.

[12] T. Kathiravan, J. Marykala, A. Sundaramanickam, S. Kumaresan and T. Balasubramanian (2012). Studies on nutritional requirements of Pseudomonas aeruginosa for lipase production. Adv Appl Sci Res., 3: 591-598

[13] F. R. Cockerill and Clinical and Laboratory Standards Institute (2010). Performance standards for antimicrobial susceptibility testing: twentieth informational supplement; [provides updated tables for M02-A10 and M07-A8]. National Committee for Clinical Laboratory Standards.

[14] M. Wootton (2013). BSAC methods for antimicrobial susceptibility testing. Version 12 May 2013.

[15] A. H. Al-Hinai, A. M. Al-Sadi, S. N. AL-Bahry, A. S. Motheishaw, F. A. AI-said, S. A. Al-Harthi and M. L. Deadman (2010). Isolation and Characterization of Pseudomonas aeruginosa with antagonistic activity against pythium aphanidermatum. J. Plant Pathology 92: 653-660.

[16] L. Franzetti and M. Scarpellini (2007). Characterization of Pseudomonas spp. Isolatd from foods. Ann. Microbiol., 57: 39-47.

[17] S. C. Onuorah, N. Ezeukwu, P. E. Okonkwo, N. S. Awah and M. Ugwu (2013). Prevalence of Bacterial flora in major hospital sewages in Awka, Nigeria. Int. J. Agri. Biosci., 2: 57-59.

[18] N. O. Ezenobi and G. C. Okpokwasili (2004). Bacterial flora and physic-chemical characteristics of hospital sewage in Port-Harcourt city, Nigerian. J. Microbiol., 18: 277-283.

[19] F. Moges, M. Endris, Y. Belyhun and W. Worku (2014). Isolation and characterization of multiple drug resistance bacterial pathogens from wastewater in hospital and non-Biomedical Centre hospital environments Northwest Ethiopia. BMC Res. Notes, 7: 215. doi: 10.1186/1756-0500-7-215.

[20] Ç. Ergin and G. Mutlu (1999) Clinical distribution and antibiotic resistance of Pseudomonas specis. East. J. Med., 4: 65-69.

[21] B. O. Olayinka, O. S. Olonitola, A. T. Olayinka and E. A. Agada (2004). Antibiotic succeptibility pattern and multiple antibiotic resistance index of Pseudomonas aeruginosa urine isolates from A University Teaching Hospital. Afr. J. Clin. Exper. Microbiol., 5: 198-202.

[22] A. G. Rabiu, and O. I. Falodun (2017). Multi-drug resistant Pseudomonas species isolated from the wastewater of an abattoir in Ibadan, Nigeria. J. Applied Life Sciences International 13: 1-9.

[23] V. A. Javiya, S. B. Ghatak, K. R. Patel and J. A. Patel (2008). Antibiotic susceptibility patterns of Pseudonamas aeruginosa at a tertiary care hospital in Gigarat, India. Indian J. Pharmacol., 40: 230-234.

[24] J. A. AL-Tawfiq (2007). Occurrence and antimicrobial resistance pattern of inpatient and outpatient isolates of Pseudomonas aeruginosa in Saudi Arabian hospitals. Int. J. Infect. Dis., 11: 109-114.

[25] A. Ullah, R. Dumani, G. Ali and S. Ahmed (2012). Prevalence of antimicrobial resistant Pseudomenas aeruginosa in fresh water spring contaminated with domestic sewage. J. Biol. Food Sci. Res., 1: 19-22.

[26] F. Anjum and A. Mir (2009). Susceptibility pattern of Pseudomonas aeruginosa against various antibiotras. Afr. J. Microbiol. Res., 4: 1005-1012.

[27] A.T. Akinpelu, O. M. Akinloye, B. C. Olufemi, A. E. Adegoke and S. Olayinka (2014). Antibiotic resistant pattern of isolated bacteria fom Obere River in onle-Igbon, Oyo State. Nigeria. Afr. J. Microbiol. Res., 8: 1318-1321.

[28] S. M. Ahmed, R. P. Jakribeltu, S. Kottakutty, B. Arya, V. P. A. Shakir (2012). An emerging Multi-drug resistant pathogen in a tertiary care centre in North Kerala. Annals Biol. Res., 3: 2794-2799.

[29] A. Ansari, S. M. Salman and S. Yaqoob (2015). Antibiotic resistance pattern in Pseudomonas aenegines strains isolated at Era’s Lucknow Medical College and Hospial, Luknow, India. Int. J. Curr. Microbiol. App. Sci., 1: 48-58.

[30] E. Kirecci, and R. D. Kareem (2014). Antibiotic susceptibility patterns of Pseudomonas aeruginosa strains isolated from various clinical specimens. Sky J. Microbiol. Res., 2: 13-17.

[31] E. B. Hirsch and V. H. Tam (2010). Impact of Multi-drug resistant. Pseudomonas aeruginosa infection on patient outcoms. Expert Rev. Pharmaceecon. Outcomes Res., 10: 441-451.

Downloads

Published

2019-02-07

Issue

Section

Articles

How to Cite

Hospital wastewater: reservoir of antibiotic resistant Pseudomonas strains in Ibadan, Nigeria . (2019). Emergent Life Sciences Research, 1-7. https://doi.org/10.31783/elsr.2019.5117