Urinary Tract Infections Associated with Escherichia Coli: A 2005 to 2009 Clinical Assessment of Trends in Fluoroquinolones Activities in Maiduguri-City, Nigeria

Urinary Tract Infections caused by Escherichia coli were investigated for infectivity patterns, trends in sensitivity to fluoroquinolones, multi-fluoroquinolone resistant pattern and the fluoroquinolonesa[tm] inter-activities relation. 1590 patients (785/805 male/female) with clinical symptoms sugge...

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Bibliographic Details
Published in:Journal of applied pharmaceutical science 2013-08, Vol.3 (8), p.84-091
Main Authors: OHIEKU, John David, MAGAJI, Rilwanu Aminu
Format: Article
Language:English
Subjects:
Escherichia coli
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Summary:Urinary Tract Infections caused by Escherichia coli were investigated for infectivity patterns, trends in sensitivity to fluoroquinolones, multi-fluoroquinolone resistant pattern and the fluoroquinolonesa[tm] inter-activities relation. 1590 patients (785/805 male/female) with clinical symptoms suggestive of UTI and confirmed with microbiological assay of the mid-stream of early morning urine specimens were surveyed. Isolated pathogens were cultured and sensitivity tests were performed. UTI cases increased by 17.7% between 2005 and 2009 with Escherichia coli accounting for 41% and showing an increase from 5.7% in 2005 to 28.0% in 2009 and a significant correlation (P< 0.05). E. coli-UTIs were higher in females (56.6%) than males (43.4%). Pathogena[tm]s susceptibility to agents varied but the activities of ciprofloxacin, ofloxacin, pefloxacin and nalidixic acid against E. coli recorded significant yearly decrease (P< 0.05). The overall susceptibilities of E. coli were 71%, 58%, 48%, 34% and 15% for ofloxacin, ciprofloxacin, pefloxacin, norfloxacin and nalidixic acid respectively. About 35% of ciprofloxacin-resistant E. coli indicated sensitivity to ofloxacin whereas only 20% was the converse. Multi-fluoroquinolones-resistant cases (282, 43.6%) were observed in E. coli which increased from 30.2% in 2006 to 57.5% in 2009. The study observed a rapid and progressive loss of activities of quinolones, increasing multi-fluoroquinolone-resistant, high resistance rates and poor inter-activities relations between the fluoroquinolones against E. coli in the region.
ISSN:2231-3354
DOI:10.7324/JAPS.2013.3815