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344430

Occurrence of extremely drug-resistant <i>Klebsiella</i> and multidrug-resistant <i>Enterobacter</i> species in chronic wound patients

Article

Last updated: 01 Feb 2025

Subjects

-

Tags

Antimicrobial resistance

Abstract

Background: Multidrug resistance in Gram-negative pathogens like Klebsiella pneumoniae and Enterobacter species (spp.) poses a major challenge in the management of chronic wounds, especially in diabetic patients. This study aimed to isolate and identify Klebsiella and Enterobacter spp. from chronic wound patients in a tertiary hospital in Southwest Nigeria and determine the antibiotic resistance pattern of the recovered isolates. Methods: A total of 165 diabetic and other chronic wound swabs were collected and analyzed. Bacterial isolates were identified using API 20E identification kit and confirmed by polymerase chain reaction (PCR) using genus and species-specific primers. Antibiotic susceptibility testing (AST) was done using the Kirby-Bauer disc diffusion method. Results: Diabetic foot ulcers were the most prevalent at 32.7%; followed by traumatic wounds (23.6%). Eighty-seven isolates were identified as either Klebsiella or Enterobacter spp. The predominant species recovered was Klebsiella spp. at 75.9% (66/87); while Enterobacter spp. was 24.1%. The highest resistance rate was towards nitrofurantoin, ampicillin, and amoxicillin at 97.7% each while the least resistance was to amikacin at 18.4%. Sixteen Klebsiella species, six of them pneumoniae were found to be extremely drug-resistant (XDR). The multiple antibiotics resistance indices revealed that 98.9% of the isolates were ≥ 0.2. Conclusions: The presence of MDR and even XDR strains in chronic wounds is extremely bothersome and is a cause of impending catastrophe in therapeutic options open to clinicians. Hence, an urgent need for a continuous search for viable alternative therapies and a dynamic surveillance program to monitor and tackle this challenge is required.

DOI

10.21608/mid.2024.259210.1740

Keywords

Diabetic-foot-infections (DFU), ESKAPE pathogen, Extremely-drug-resistant (XDR), Multidrug-resistance (MDR)

Authors

First Name

Olaoniye

Last Name

Ajigbewu

MiddleName

Habeebat

Affiliation

Department of Microbiology, Faculty of Basic and Applied Sciences, Osun State University, 230212, Osogbo, Nigeria

Email

olaoniye.ajigbewu@pgc.uniosun.edu.ng

City

Osogbo

Orcid

0000-0003-4642-8486

First Name

Folasade

Last Name

Adeyemi

MiddleName

Muibat

Affiliation

Department of Microbiology, Faculty of Basic and Applied Sciences, Osun State University, 230212, Osogbo, Nigeria

Email

folasade.adeyemi@uniosun.edu.ng

City

-

Orcid

0000-0002-4811-6278

First Name

Abideen

Last Name

Wahab

MiddleName

Akinkunmi

Affiliation

Department of Microbiology, Faculty of Basic and Applied Sciences, Osun State University, 230212, Osogbo, Nigeria

Email

abideen.wahab@uniosun.edu.ng

City

Osogbo

Orcid

0000-0003-0278-9036

First Name

Omotayo

Last Name

Oyedara

MiddleName

Opemipo

Affiliation

Department of Microbiology, Faculty of Basic and Applied Sciences, Osun State University, 230212, Osogbo, Nigeria

Email

omotayo.oyedara@uniosun.edu.ng

City

Osogbo

Orcid

0000-0002-6815-6162

First Name

Nana

Last Name

Yusuf-Omoloye

MiddleName

Aishat

Affiliation

Department of Microbiology, Faculty of Basic and Applied Sciences, Osun State University, 230212, Osogbo, Nigeria

Email

nana.yusuf@pgc.uniosun.edu.ng

City

Osogbo

Orcid

0000-0002-5238-4742

First Name

Fiyinfolu

Last Name

Ajigbewu

MiddleName

Abdulraheem

Affiliation

Department of Community Medicine, Osun State University Teaching Hospital, Osogbo, Nigeria

Email

f.ajigbewu21@gmail.com

City

Osogbo

Orcid

0009-0003-3565-1532

Volume

6

Article Issue

1

Related Issue

53078

Issue Date

2025-02-01

Receive Date

2023-12-29

Publish Date

2025-02-01

Page Start

342

Page End

354

Print ISSN

2682-4132

Online ISSN

2682-4140

Link

https://mid.journals.ekb.eg/article_344430.html

Detail API

http://journals.ekb.eg?_action=service&article_code=344430

Order

33

Type

Original Article

Type Code

1,157

Publication Type

Journal

Publication Title

Microbes and Infectious Diseases

Publication Link

https://mid.journals.ekb.eg/

MainTitle

Occurrence of extremely drug-resistant <i>Klebsiella</i> and multidrug-resistant <i>Enterobacter</i> species in chronic wound patients

Details

Type

Article

Created At

01 Feb 2025