PRESENCE OF EFFLUX PUMP MEDIATED ANTIBIOTIC RESISTANCE IN GRAM NEGATIVE BACTERIA ISOLATED FROM PRIMARY SCHOOL PUPILS IN AGO-IWOYE, OGUN STATE, NIGERIA
DOI:
https://doi.org/10.46881/ajsn.v5i0.134Keywords:
Carbonyl Cyanide m-Chlorophenyl hydrazone (CCCP), Efflux Pump System, (EPS), Gram Negative Bacteria.Abstract
This study determined the prevalence of efflux pump mediated antibiotic resistance in Gram negative bacteria from primary school pupils in Ago-Iwoye, Ogun State, Nigeria due to the global concerns of such mechanism in antibiotic extrusion. The isolation, characterization and identification of the isolated organisms were performed using standard techniques while the susceptibility patterns of the organisms was carried out following the recommended procedure of NCCLS. The resistant isolates were screened for active efflux pump system in the presence of an efflux pump inhibitor (EPI) (CCCP) and interpreted following standard procedure. Results obtained displays the prevalence rate of the isolated organisms in the following increasing order respectively: Serratia marcescens (3.4%), Enterobacter aerogenes (5.1%), Proteus mirabilis (6.7%), Klebsiella pneumoniae (16.9%), Pseudomonas aeruginosa (18.5%) and Escherichia coli (49.4%) for male subject while that of female subject were Serratia marcescens(3.1%), Enterobacter aerogenes(4.6%), Proteus mirabilis(7.2%), Klebsiella pneumoniae (17.0%), Pseudomonas aeruginosa (18.6%) and Escherichia coli (49.4%). The frequency of the isolated organisms differs according to gender but the variation was found not to be statistically significant (P>0.05). Pseudomonas aeruginosa, Proteus mirabilis and Escherichia coli demonstrated 100% efflux mediated resistance to all the tested antibiotics. In conclusion, Gram negative bacteria isolated in this study engineered their resistance mostly through efflux pump system.References
Awah, F. (2007). T test (2-tailed), analysis of variance (ANOVA) and Pearson's coefficient. The statistical package for social science (SPSS) for windows.
Bagge, N., Ciofu, O., Hentzer, M., Campbell, J. I., Givskov, M. & Hoiby, N. (2002). Constitutive high expression of chromosomal b lactamase in Pseudomonas aeruginosa caused by a new insertion sequence (IS1669) located in ampD. Antimicrob Agents Chemother 46, 3406-3411.
Bambeke, V. F., Balzi, E. & Tulkens, P. M. (2000). Antibiotic efflux pumps. Biochemical Pharmacology 60, 457-70.
Beyen, G. & Tsegaye, W. (2011). Bcterial uropathogens in urinary tract infection and antibiotic susceptibility pattern in Jamma university specialized hospital, South west Ethiopia. Journal of Ethiop J Health Sci. 21(2).
Centers for Disease Control and Prevention. (2013). Office of Infectious Disease Antibiotic resistance threats in the United States.
Clinical and Laboratory Standard Institute. (2005). Performance standards for antimicrobial disk susceptibility tests. NCCLS documents M 100 S15. Wayne, PA, USA:
Clinical and Laboratory Standard Institute. Ehinmidu, J. O. (2003). Antibiotics susceptibility patterns of urine bacterial isolates in Zaria, Nigeria. Tropical Journal of Pharmaceutical Research; 2: 223-228.
Fawole, M.O. & Oso, B.A. (2001). Laboratory manual of microbiology. 5th edition. Ibadan:Spectrum Books Ltd.;15-22.
Higgins, C.F. (2007). Multiple molecular mechanisms for multidrug resistance transporters. Nature. ;446(7137):749-757.
Johnson, J.R., Sannes, M.R., Croy, C., Johnston, B., Clabots, C., Kuskowski, M.A., Bender,J., Smith, K.E., Winokur, P.L. & Belongia, E.A (2007). Antimicrobial Drug Resistant Escherichia coli from Humans and Poultry Products. Emerging Infectious Disease. 13(6): 838-846.
Li, X.Z. and Nikaido, H. (2004). Efflux-mediated drug resistance in bacteria. Drugs; 64(2):159-204.
Livermore, D.M. (2004). The need for new antibiotics. Clin. Microbiol. Infect . 10 (Suppl 4):1-9.
Lubelski, J., Konings, W.N. & Driessen, A.J. (2007). Distribution and physiology of ABC-type transporters contributing to multidrug resistance in bacteria. Microbiol Mol Biol Rev. ;71(3):463-76.
Mamuye, Y. (2016). Antibiotic resistance pattern of common Gram negative uropathogens in St. Paul Hospital millennium medical college. Ethiop J Health Sci. 26 (2).
Nikaido, H. & Takatsuka, Y. (2009). Mechanisms of RND multidrug efflux pumps. Biochim Biophys Acta .;1794(5):769-81.
Nikaido, H. (2009). Multidrug resistance in bacteria. Ann Rev Biochem.;78:119-46. Okeke, I.N., Fayinka, S.T. & Lamikanra, A. (2000).
Antibiotic resistance trends in Escherichia coli from apparently healthy Nigerian students (1986-1998). Emerg Infect Dis;6:393-396.
Okonkwo, I.O., Nkag, E.A., Fajobi, O.K., Mejeha, A.O., Udeze, B.O., Motayo, A.A., Ogun, T.A. & Ogunnusi, T.A. (2010). Incidence of Multi-Drug Resistant (MDR) Organisms in Some Poultry Feeds Sold In Calabar Metropolis, Nigeria. Electronic Journal of Environmental, Agricultural and food chemistry. 9(3): 514-532.
Read, A.F. & Woods, R.J. (2014). Antibiotic resistance management. Evol Med Public Health.; 2014(1):147.
Webber, M.A. & Piddock, L.J.V. (2003). The importance of efflux pumps in bacterial antibiotic resistance. Journal of antimicrobial chemotherapy.; 51,9-11.