Antimicrobial susceptibility patterns of bacteria that commonly cause bacteremia at a tertiary hospital in Zambia

Author:

Kasanga Maisa12ORCID,Mudenda Steward34,Siyanga Makomani5,Chileshe Misheck6,Mwiikisa Mark J7,Kasanga Maika2,Solochi Benjamin B2,Gondwe Theodore1,Kantenga Timothy2,L Shibemba Aaron28,Chitalu Mwansa2,Nakazwe Ruth2,Wu Jian1

Affiliation:

1. Zhengzhou University, College of Public Health, 100 Kexue Avenue, Zhengzhou, Henan, 450001, China

2. University Teaching Hospitals, P/Bag RW1X, Lusaka, Zambia

3. The University of Zambia, School of Health Sciences, Department of Pharmacy, PO Box 50110, Lusaka, Zambia

4. The University of Zambia, School of Veterinary Medicine, Department of Disease Control, PO Box 32379, Lusaka, Zambia

5. Zambia Medicines Regulatory Authority, Plot No. 2350/M, Off KK International Airport Road, PO Box 31890 Lusaka

6. Mary Begg Health Services, 56 Chintu Avenue, Northrise, PO Box 72221, Ndola

7. Lusaka Trust Hospital, Plot 2190, Nsumbu Rd, Woodlands, PO Box 35852, Lusaka Main, Lusaka, Zambia

8. Directorate of Clinical Pathology & Laboratory Services, Ministry of Health, Lusaka

Abstract

Background: Bloodstream infections and antimicrobial resistance cause global increases in morbidity and mortality. Aim: We evaluated the antimicrobial susceptibility patterns of bacteria that commonly cause bacteremia in humans. Materials & methods: We conducted a retrospective cross-sectional study at the University Teaching Hospitals in Lusaka, Zambia, using Laboratory Information Systems. Results: The commonest isolated bacteria associated with sepsis were Klebsiella pneumoniae. The distribution of bacteria associated with bacteremia in different wards and departments at University Teaching Hospitals was statistically significant (χ2 = 1211.518; p < 0.001). Conclusion: K. pneumoniae, Escherichia coli, Pantoea agglomerans and Enterococcus species have developed high resistance levels against ampicillin, cefotaxime, ciprofloxacin, gentamicin and trimethoprim/sulfamethoxazole and a very low resistance levels against imipenem and Amikacin.

Publisher

Future Medicine Ltd

Subject

Microbiology (medical),Microbiology

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