Type | Journal Article - Science Journal of Public Health |
Title | Prevalence and antimicrobial susceptibility patterns of Shigella and Salmonella Species among patients with diarrhea attending Gondar town health institutions, Northwest Ethiopia |
Author(s) | |
Volume | 2 |
Issue | 5 |
Publication (Day/Month/Year) | 2014 |
Page numbers | 469-475 |
URL | http://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20140205.24.pdf |
Abstract | Background: Shigellosis and salmonellosis are still global health problems, especially, in developing countries where poor sanitation, lack of clean water supply a nd proper sewage disposal system exist. The emergen ce of increased antimicrobial resistance of Shigella and Salmonella species are global challenges, particularly in dev eloping countries like Ethiopia where increased misuse of antimicrobial ag ents by human beings occur. Objectives: To determin e the prevalence and antimicrobial susceptibility patterns of Shigella and Salmonella isolates from patients with diarrhea attending the health institutions in Gondar town, Northwest Ethiopia. Ma terials and Methods: Health institutional based cro ss sectional study was carried out on diarrheic patients attending Gondar town health institutions, February 29, 2014 to May 20, 2014. Systematic random sampling technique was used and stool sample s were collected from 372 study subjects. Samples w ere cultured onto MacConkey and Salmonella - Shigella agars and drug susceptibility patterns of the isola tes were determined following standard bacteriological method. Data were coded an d entered for statistical analysis using SPSS versi on 20. Data were presented using tables and chi-square. Result: Of t he total of 372 stool cultures, 17(4.57%) Shigella spp. and 4(1.08%) Salmonella spp. were isolated. Most commonly isolated strains of Shigella were S. flexneri 11(64.7%) followed by S. dysenteriae 3(17.65%), S. boydii 2(11.77%) and S. sonnei 1(5.88%). Shigella isolates presented high resistance rate to ampicilin (94.1%), amoxicillin (88.2), tetracycline (88.2%) and Salmonella species were highly resistance to tetracycline (100%), amoxicillin (100%), and ampicillin (75%). H owever, all isolates of Shigella and Salmonella were 100% susceptible to ciprofloxacin and norfloxacin. Conclusion and re commendation: This study revealed that isolates of Shigella and Salmonella showed high rate of drug resistance to the commonl y used antibiotics. However, all the isolates were susceptible to ciprofloxacin, and norfloxacin. Therefore, cipro floxacin and norfloxacin can be used as drugs of ch oice for the treatment of Shigellosis and Salmonellosis. |
» | Ethiopia - Demographic and Health Survey 2011 |