- Title
- Antibiotics combination therapy option for the control of antimicrobial-resistant non-cholera causing Vibrio species recovered from environmental niches of Eastern Cape, South Africa
- Creator
- Ayodele, Oluwakemi Victoria
- Subject
- Drug resistance in microorganisms
- Subject
- Vibrio cholerae
- Date
- 2021-04
- Type
- Master's theses
- Type
- text
- Identifier
- http://hdl.handle.net/10353/20396
- Identifier
- vital:45661
- Description
- Increased rate of antibiotic resistance (AR) poses a serious threat with a resultant notion of a possible end of the antibiotics era, making it a problem of concern to public health and a great implication on the world economy and human society. Despite many approaches developed to curb this menace, antibiotics resistance is still a challenge worldwide. This has made the use of combined therapy as one of the options in many cases. This study was conducted to assess antibiotics combination therapy as an option for the control of antimicrobial-resistant non-cholera causing Vibrio species that were recovered from the environment in the Eastern Cape, South Africa. Two hundred and twenty-eight Vibrio species were recovered from the environment in the Province, and these were deposited in the archive of AEMREG. PCR was used to identify target Vibrio species. Disc diffusion method was used to evaluate the antibiotic susceptibility profile of the confirmed isolates against 11 antibiotics commonly used against infections. MIC and MBC were determined using antibiotics (imipenem, tetracycline, and nalidixic acid) that high resistance was discovered. Checkerboard assay was used to carry out antibiotics combination assay, and the FICI was calculated. Rate of kill was also determined using ½ × MIC, 1 × MIC, and 2 × MIC concentrations of the combined antibiotics at 2 hr intervals. One hundred of the isolates were confirmed to be Vibrio parahaemolyticus, 82 were Vibrio vulnificus and 46 were Vibrio fluvialis. Twenty-two (22) percent of the Vibrio parahaemolyticus isolates showed resistance against tetracycline and their resistance against other antimicrobials is as follows; nalidixic acid (16 percent), ampicillin (14 percent), cefotaxime (14 percent), chloramphenicol (12 percent) and amikacin (11 percent). For Vibrio vulnificus, prevalence of resistance was as follows: imipenem (40 percent), tetracycline (22 percent), ampicillin (18 percent), meropenem (15 percent), and chloramphenicol (11 percent). Vibrio fluvialis showed the following resistance profile: nalidixic acid (28 percent), tetracycline (28percent), ampicillin (20 percent), chloramphenicol (15 percent), amikacin (11 percent) and cefotaxime (11 percent). About 38 multiple antibiotic resistance phenotypes (MARP) were recorded in all species that were evaluated. About 23 percent were resistant to over 3 antibiotics used. The multiple antibiotic resistant indices (MARI) ranged between 0.3 and 0.8. MIC and MBC were carried against isolates that were resistant to the two most common antibiotics tested. MIC and MBC were determined in the following order: tetracycline and nalidixic acid at concentrations ranging from 16 μg/ml to 1024 μg/ml for Vibrio parahaemolyticus and 32 μg/ml to 2048 μg/ml for Vibrio fluvialis. Also, the MIC and MBC of imipenem and tetracycline at concentrations ranging from 8 μg/ml to 256 μg/ml for Vibrio vulnificus were determined. Antibiotics combination therapy was carried out and synergistic activity was observed in 3 of the 16 resistant V. parahaemolyticus isolates, 3 of the16 resistant V. vulnificus isolates and 2 of the 13 resistant V. fluvialis isolates. Antagonism was not observed across all the drug combinations. Rate of kill was also determined and at 6 hr exposure time, the highest concentration (2 × MIC) exhibited bactericidal effect across all three Vibrio species. The result derived in this research, therefore, propose that combination therapy is a promising solution to antimicrobial resistance in Vibrio species.
- Description
- Thesis (MSc) -- Faculty of Science and Agriculture, 2021
- Format
- computer
- Format
- online resource
- Format
- application/pdf
- Format
- 1 online resource (103 pages)
- Format
- Publisher
- University of Fort Hare
- Publisher
- Faculty of Science and Agriculture
- Language
- English
- Rights
- University of Fort Hare
- Rights
- All Rights Reserved
- Rights
- Open Access
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UFH Department of Biochemistry & Microbiology
| Thumbnail | File | Description | Size | Format | |||
|---|---|---|---|---|---|---|---|
| View Details | SOURCE1 | Ayodele's final writeup.pdf | 1018 KB | Adobe Acrobat PDF | View Details |