Frequency and resistance patterns of bacterial isolates from surgical patients in a teaching hospital in Addis Ababa

Trop Geogr Med. 1983 Jun;35(2):133-8.

Abstract

Specimens from surgical patients in a teaching hospital in Addis Ababa were processed for aerobic culture; 2654 isolates were tested for their sensitivities to 11 antibiotics using the Kirby-Bauer technique. Proteus, E. coli, S. aureus, Klebsiella and Pseudomonas comprised over 80% of the isolates. Only gentamicin, polymyxin B, kanamycin and trimethoprim-sulphamethoxazole were effective against the majority (over 70%) of the Gram-negative isolates. Over 85% of the S. aureus strains were susceptible to gentamicin, kanamycin, trimethoprim-sulphamethoxazole, cephalothin and lincomycin. All B-haemolytic streptococci were susceptible to penicillin and 77% to tetracycline. Between 70% and 90% of the Gram-negatives were multiple resistant, with greatly varied resistance patterns. A few types occurred more frequently. The findings of high rates of resistance to the many antibiotics underscore the need for a policy that should promote a more rational use of antibiotics.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anti-Bacterial Agents / pharmacology*
  • Bacteria / drug effects*
  • Bacterial Infections / microbiology*
  • Cross Infection / microbiology*
  • Drug Resistance, Microbial
  • Enterobacteriaceae / drug effects
  • Enterobacteriaceae / isolation & purification
  • Escherichia coli / drug effects
  • Escherichia coli / isolation & purification
  • Humans
  • Klebsiella / drug effects
  • Klebsiella / isolation & purification
  • Postoperative Complications
  • Pseudomonas / drug effects
  • Pseudomonas / isolation & purification
  • Staphylococcus aureus / drug effects
  • Staphylococcus aureus / isolation & purification
  • Surgical Procedures, Operative*
  • Surgical Wound Infection / microbiology

Substances

  • Anti-Bacterial Agents