Prevalence of Multidrug Resistance in Enterococci Isolates from Different Clinical Sources in Al-Diwaniyah City

Zahraa Ali Motashar; Syoof Khoman Al-Ramahi

doi:10.17605/cajmns.v4i3.1618

Zahraa Ali Motashar Department of Biology, College of Science, University of Al-Qadisiyah, Al- Diwaniayh, Iraq
Syoof Khoman Al-Ramahi Department of Biology, College of Science, University of Al-Qadisiyah, Al- Diwaniayh, Iraq

DOI: https://doi.org/10.17605/cajmns.v4i3.1618

Keywords: Enterococci Isolates

Abstract

Background: Enterococcus spp is one of the most important pathogens, and it has shown great resistance in recent times, and this has become a concern for health in the world.The aim is to determine the prevalence of multidrug resistance in enterococcus spp isolates in Al-Diwaniyah city.Methods: 150 samples were collected in this study from multiple clinical sources ( urine, stool seminal fluid, vaginally swab, blood)) from patients in Al-Diwaniyah General Teaching Hospital and Maternity and Children Teaching Hospital and afaq General hospital. during the period from the first of September 2022 to January 2023, where the isolates were identified through microscopic examination, gram stain, biochemical assays, selective medium, and VITEK-2 system.Results: A total of 50(33.33%) isolates were identified as enterococcus spp from 150) clinical samples(40 E.faecalis,10 E.faecium) that collected from different sources, that distributed( urine:13(43%)E.faecalis, 7(28%) E.faecium, Stool:12(25%) E.faecalis,3(37.5%) E.faecium,seminal fluid:2(20%) E.faecalis,vaginally swab:11(31%) E.faecalis,blood:2(10%) E.faecalis). E.faecalis was resistance to antibiotic as as (vancomycine, pencillin, chloramphenicol, ciprofloxacin, levofloxacin, Norfloxacin, Nitrofurantion, Rifampin, Erthromycin, doxycycline)(3(7.5%), 10(25%), 16(40%), 31(77.5%) (,17(42.5%), 14(35%), 6(15%), 30(75%), 29(72.5%), 17(42.5%)) respectively while. E.faecium was resistance to antibiotic as (vancomycine, pencillin, chloramphenicol, ciprofloxacin, levofloxacin, Norfloxacin, Nitrofurantion, Rifampin, Erthromycin, doxycycline) (8(80%), 9(90%), 4(40%), 6(60%), 3(30%), 4(40%), 1(10%), 4(40%), 8(80%), 6(60%)), respectivelyConclusion: E.faecalis isolates showed high resistance to each of the-erythromycin, ciprofloxacin, rifampin, while E.faecium was highly resistant. to vankomycin, penicillin, erthromycin, as well as to ciprofloxacin, and this causes a problem of concern in this study.A high percentage of MDR among commonly isolated bacteria were found in this study would be a serious, alarming issue.

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