Purpose:
To determine the
frequency of occurrence of Enterobacter species and
their antibiogram from clinical specimens of blood,
cerebrospinal fluid, urine and wound obtained from
University of Benin Teaching Hospital, Benin City,
Nigeria.
Methods:
Specimens were
obtained from patients who were seen at the various
units of the hospital during the period January 2008 to
June 2010. The total number of specimens was 6632, and
were obtained from 1678 adult males, 2010 adult females
and 2944 children. The specimens were collected prior to
commencement of antibiotic therapy, and cultured
immediately using standard bacteriological methods.
Growths were identified by colonial morphology and
characteristics, and biochemical reactions.
Antimicrobial sensitivity test was performed according
to Kirby-Bauer disc diffusion method as per Clinical and
Laboratory Standards Institute (CLSI) recommendation.
The control organism was a sensitive strain of
Eschrichia coli (NCTC 10418)
Results: Two
species of Enterobacter, namely, E. aerogenes (104; 97.2
%) and E. sakazakii (3; 2.8 %) were isolated from the
four types of clinical specimens, accounting for 1.6 %
of all the samples. Sensitivity to antibacterials was as
follows: ceftazidime (55.0 %), ofloxacin (53.3 %) and
amoxicillin clavulanate (48.3 %). They were strongly
resistant to the other antibiotics used in the study,
especially the cephalosporins. There was no significant
difference in infection rate among the age groups (p >
0.05). However, there was significant difference (p <
0.05) between isolates from cerebrospinal fluid, on the
one hand, and those from wound, urine and blood, on the
other hand.
Conclusion:
The rate of
isolation of Enterobacter species in the health facility
was low. Remarkable drug resistance of the organisms
make them clinically significant pathogens.
Keywords:
β-Lactam antibiotics, Opportunistic infections,
Bacterial resistance, Enterobacter species