Scholarly open access journals, Peer-reviewed, and Refereed Journals, Impact factor 8.14 (Calculate by google scholar and Semantic Scholar | AI-Powered Research Tool) , Multidisciplinary, Monthly, Indexing in all major database & Metadata, Citation Generator, Digital Object Identifier(DOI)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License
Published Paper Details
Paper Title:
Impact of HIV sero status on the prevalence and antibiotic susceptibility patterns of Enterobacteriaceae isolates from gastroenteritis patients in the Dschang Regional Hospital Annex, West Region of Cameroon
Authors Name:
Djomgoue Gerda Ngangoum
, Jude Fonbah Leinyuy , Ousenu Karimo , Innocent Mbulli Ali , Christopher B. Tume
Background: Resistance in pathogenic and opportunistic bacteria, including Enterobacteriaceae, is associated with increased mortality rates in HIV/AIDS patients. This study aimed to evaluate the effects of diverse risk factors on the prevalence and antibiotic resistance of Enterobacteriaceae in HIV-positive compared to HIV-negative gastroenteritis patients. Methods: HIV-positive and HIV-negative patients presenting symptoms of bacterial gastroenteritis were recruited in two groups of 200 each. Enterobacteriaceae isolates were obtained from stool samples by agar culture, and their antibiotic susceptibilities were tested by disk diffusion. Socio-demographic data and risk factors gathered and sero status were correlated with gastroenteritis; the occurrences of isolates were correlated with viral loads for HIV positive patients; and the resistance outcomes were compared between HIV positive and negative patients. Results: 152 and 173 Enterobacteriaceae were obtained from HIV-positive and HIV-negative patients, respectively. E. coli was the main Enterobacteriaceae associated with gastroenteritis in both groups: 31.00% in HIV-negative subjects and 30.50% in HIV-positive subjects. Non-washing of hands before meals (OR 4.16, p = 0.0049) and HIV-positive status (OR 0.38, p = 0.0018) were associated with gastroenteritis. Resistance levels were generally high in isolates from HIV-negative patients. However, isolates in the genera Salmonella, Citrobacter, Enterobacter, and Proteus from HIV-positive patients systematically showed higher resistance to antibiotics across the classes tested. Conclusion: This study revealed a high prevalence of Enterobacteriaceae in both HIV-positive and HIV-negative gastroenteritis patients. Despite the general high prevalence of resistance in isolates from HIV-negative patients, the resistance in clinically important genera isolated from HIV-positive patients could be a problem for HIV-AIDS management.
Keywords:
Enterobacteriaceae, gastroenteritis, HIV sero status, antibiotic resistance
Cite Article:
"Impact of HIV sero status on the prevalence and antibiotic susceptibility patterns of Enterobacteriaceae isolates from gastroenteritis patients in the Dschang Regional Hospital Annex, West Region of Cameroon", International Journal of Science & Engineering Development Research (www.ijrti.org), ISSN:2455-2631, Vol.8, Issue 10, page no.672 - 680, October-2023, Available :http://www.ijrti.org/papers/IJRTI2310090.pdf
Downloads:
000205179
ISSN:
2456-3315 | IMPACT FACTOR: 8.14 Calculated By Google Scholar| ESTD YEAR: 2016
An International Scholarly Open Access Journal, Peer-Reviewed, Refereed Journal Impact Factor 8.14 Calculate by Google Scholar and Semantic Scholar | AI-Powered Research Tool, Multidisciplinary, Monthly, Multilanguage Journal Indexing in All Major Database & Metadata, Citation Generator