Distribution of virulence determinants in Plesiomonas shigelloides and Vibrio species isolated from selected hospital wastewater effluents in the Eastern Cape Province, South Africa
- Authors: Mashudu, Mavhungu
- Date: 2018
- Subjects: Vibrio
- Language: English
- Type: Thesis , Masters , MSc (Microbiology)
- Identifier: http://hdl.handle.net/10353/14505 , vital:39996
- Description: Plesiomonas shigelloides and some Vibrio species are amongst the bacteria species classified into the emerging pathogenic bacteria grouping, and they portend increasing virulence and high resistance to some of the most potent antimicrobial agents used as most important and critical lines of defence against pathogenic infectious agents. Hospital wastewater has attracted significant attention as a pool for the regurgitation of pathogens into the environment which eventually becomes a problem to public health. It has been variously reported that hospital wastewater critically serves also as a puddle for microbial genetic interaction with outcomes including the development of resistance to antimicrobial agents among other pathogenic traits. And, in the same vein, exchanges and gene recombination may have been leading to the emergence of virulence determinants not previously known owing to the capacity of hospital wastewater to encompass a vast diversity of pathogenic bacteria and antimicrobial agents at the same material time. Hence, this research aimed at the evaluation of the prevalence of virulence and antibiotic resistance in Plesiomonas shigelloides and some human pathogenic Vibrio species isolated from selected hospital wastewater in the Eastern Cape Province of South Africa. Wastewater samples were collected at two weeks intervals throughout three months sampling duration from hospital wastewater facility in the Eastern Cape Province. The wastewater samples were from the secondary hospital and, tertiary hospital along with Limbede community wastewater facilities based in the Eastern Cape Province of South Africa. The wastewater samples were aseptically screened for the presence of presumptive Plesiomonas shigelloides and selected Vibrio species using the culture-based method. The identity of the presumptive Plesiomonas shigelloides and Vibrio species (Vibrio cholerae, V. fluvialis, V. parahaemolyticus, and V. vulnificus) isolates were confirmed using species specific primers. After that, the presence 14 of virulence determinants and the antimicrobial susceptibility profiles of the positive strains as well as the antimicrobial resistance factors were all determined. The distribution of the presumptive isolates was as follows; 322 Plesiomans shigelloides and 378 Vibrio species respectively. However, upon molecular confirmation studies, 85 out of 322; 26% of the total presumptive isolates, were confirmed as positive for Plesiomans shigelloides and, on the other hand, from the 378 presumptive Vibrio species, 71% (270) was as positive to Vibrio genus, and upon speciation of the positive isolates; 27% (73) was confirmed as Vibrio cholerae, 9% (24) as Vibrio parahaemolyticus, 4% (12) as Vibrio vulnificus and 3% (8) as Vibrio fluvialis. The remaining 57% (153) which was unaccounted for may belong to other Vibrio species not included in this studies. Various virulence determinants were shown to be present in the Vibrio species identified and the degree varied in line with the species. P. shigelloides showed high levels of resistance to impregnated antibiotics (18 different types). The antibiogram characteristics showed P. shigelloides to possess 100% resistance to Ciprofloxacin, Nalidixic acid, Trimethoprim, Ampicillin, Penicillin, Tetracycline, Doxycycline, Erythromycin, and Cephalothin. These findings are of crucial importance to public health and the science of infectology as it gives insight into the role of the hospital wastewater as a puddle for the recombination of antibiotic resistance determinants and virulence emergence in bacteria. On the strength of the finding of this research, it is essential to indicate that there is a need for an immediate review of hospital wastewater disposal process. Some form of treatment or pretreatment of the hospital wastewater is required before discharge into municipal wastewater treatment facilities. And, perhaps, continuous monitoring of hospital wastewater to reduce the risk posed to public health.
- Full Text:
- Authors: Mashudu, Mavhungu
- Date: 2018
- Subjects: Vibrio
- Language: English
- Type: Thesis , Masters , MSc (Microbiology)
- Identifier: http://hdl.handle.net/10353/14505 , vital:39996
- Description: Plesiomonas shigelloides and some Vibrio species are amongst the bacteria species classified into the emerging pathogenic bacteria grouping, and they portend increasing virulence and high resistance to some of the most potent antimicrobial agents used as most important and critical lines of defence against pathogenic infectious agents. Hospital wastewater has attracted significant attention as a pool for the regurgitation of pathogens into the environment which eventually becomes a problem to public health. It has been variously reported that hospital wastewater critically serves also as a puddle for microbial genetic interaction with outcomes including the development of resistance to antimicrobial agents among other pathogenic traits. And, in the same vein, exchanges and gene recombination may have been leading to the emergence of virulence determinants not previously known owing to the capacity of hospital wastewater to encompass a vast diversity of pathogenic bacteria and antimicrobial agents at the same material time. Hence, this research aimed at the evaluation of the prevalence of virulence and antibiotic resistance in Plesiomonas shigelloides and some human pathogenic Vibrio species isolated from selected hospital wastewater in the Eastern Cape Province of South Africa. Wastewater samples were collected at two weeks intervals throughout three months sampling duration from hospital wastewater facility in the Eastern Cape Province. The wastewater samples were from the secondary hospital and, tertiary hospital along with Limbede community wastewater facilities based in the Eastern Cape Province of South Africa. The wastewater samples were aseptically screened for the presence of presumptive Plesiomonas shigelloides and selected Vibrio species using the culture-based method. The identity of the presumptive Plesiomonas shigelloides and Vibrio species (Vibrio cholerae, V. fluvialis, V. parahaemolyticus, and V. vulnificus) isolates were confirmed using species specific primers. After that, the presence 14 of virulence determinants and the antimicrobial susceptibility profiles of the positive strains as well as the antimicrobial resistance factors were all determined. The distribution of the presumptive isolates was as follows; 322 Plesiomans shigelloides and 378 Vibrio species respectively. However, upon molecular confirmation studies, 85 out of 322; 26% of the total presumptive isolates, were confirmed as positive for Plesiomans shigelloides and, on the other hand, from the 378 presumptive Vibrio species, 71% (270) was as positive to Vibrio genus, and upon speciation of the positive isolates; 27% (73) was confirmed as Vibrio cholerae, 9% (24) as Vibrio parahaemolyticus, 4% (12) as Vibrio vulnificus and 3% (8) as Vibrio fluvialis. The remaining 57% (153) which was unaccounted for may belong to other Vibrio species not included in this studies. Various virulence determinants were shown to be present in the Vibrio species identified and the degree varied in line with the species. P. shigelloides showed high levels of resistance to impregnated antibiotics (18 different types). The antibiogram characteristics showed P. shigelloides to possess 100% resistance to Ciprofloxacin, Nalidixic acid, Trimethoprim, Ampicillin, Penicillin, Tetracycline, Doxycycline, Erythromycin, and Cephalothin. These findings are of crucial importance to public health and the science of infectology as it gives insight into the role of the hospital wastewater as a puddle for the recombination of antibiotic resistance determinants and virulence emergence in bacteria. On the strength of the finding of this research, it is essential to indicate that there is a need for an immediate review of hospital wastewater disposal process. Some form of treatment or pretreatment of the hospital wastewater is required before discharge into municipal wastewater treatment facilities. And, perhaps, continuous monitoring of hospital wastewater to reduce the risk posed to public health.
- Full Text:
Incidence and antibiogram fingerprints of members of the Enterobacteriaceae family recovered from river water, hospital effluents and vegetables in Chris Hani and Amathole District Municipalities in the Eastern Cape Province
- Authors: Mpaka, Lindelwa
- Date: 2018
- Subjects: Enterobacteriaceae
- Language: English
- Type: Thesis , Masters , MSc (Microbiology)
- Identifier: http://hdl.handle.net/10353/14549 , vital:40003
- Description: The worldwide problem of antimicrobial resistance has limited the spectrum of the current affordable and effective antimicrobials. Infections associated with resistant microorganisms impose a major threat to public health and economic stability. Globally, about 700 000 deaths every year can be accredited to antimicrobial resistance. The leading mechanism of resistance amid bacterial pathogens is the extended spectrum beta-lactamases production, which inhibits spectrum activity of several antimicrobial agents. The rise in antimicrobial resistance has compelled an urgent need of developing means of combatting resistance issue amid diseasecausing microbes. The main aim of this study is to evaluate the incidence and antibiogram fingerprints of Enterobacteriaceae recovered from hospital effluents, river water and vegetables in the Eastern Cape Province. A total of eighteen antibiotics from ten different antimicrobial classes were used to determine antibiogram profiles of the MALDI-TOF confirmed isolates. From the MALDI-TOF confirmed isolates, 60% of Enterobacter spp. and E. coli isolates displayed resistance against colistin, while Citrobacter spp. and Klebsiella spp. displayed 90% and 60% resistance against this antimicrobial respectively. These findings outline the need for the development of new antimicrobials. About 75.5% (25/33) of the presumptive Enterobacter spp. were confirmed by MALDI-TOF with 79.2% (19/24), 66.7% (2/3), 66.7% (4/6) been confirmed vegetables, hospital effluents and river water samples respectively. Likewise, about 77.8% (21/27) were confirmed as Citrobacter spp. of which 92.3% (12/13), 66.7% (2/3) and 63.6% (7/11) were from vegetables, hospital effluents and river water samples respectively. These results show that the selected vegetables were highly contaminated with resistant bacteria and thus unsafe to consume uncooked vegetable. Also river water was higly contaminated with resistant microbes, which also shows that these rivers are not fit to be used 17 as drinking water sources and recreational activities. Colistin is an antimicrobial used as a last resort of antibiotics because it exhibits broad-spectrum activity. However from the findings of the work at present, this is no longer the case. The spectrum of this antimicrobial is now reduced by Enterobacteriaceae members. To the best of my knowledge; relatively few resources have been provided to understanding, preventing, and controlling increasing antimicrobial resistance on global, national and local levels.
- Full Text:
- Authors: Mpaka, Lindelwa
- Date: 2018
- Subjects: Enterobacteriaceae
- Language: English
- Type: Thesis , Masters , MSc (Microbiology)
- Identifier: http://hdl.handle.net/10353/14549 , vital:40003
- Description: The worldwide problem of antimicrobial resistance has limited the spectrum of the current affordable and effective antimicrobials. Infections associated with resistant microorganisms impose a major threat to public health and economic stability. Globally, about 700 000 deaths every year can be accredited to antimicrobial resistance. The leading mechanism of resistance amid bacterial pathogens is the extended spectrum beta-lactamases production, which inhibits spectrum activity of several antimicrobial agents. The rise in antimicrobial resistance has compelled an urgent need of developing means of combatting resistance issue amid diseasecausing microbes. The main aim of this study is to evaluate the incidence and antibiogram fingerprints of Enterobacteriaceae recovered from hospital effluents, river water and vegetables in the Eastern Cape Province. A total of eighteen antibiotics from ten different antimicrobial classes were used to determine antibiogram profiles of the MALDI-TOF confirmed isolates. From the MALDI-TOF confirmed isolates, 60% of Enterobacter spp. and E. coli isolates displayed resistance against colistin, while Citrobacter spp. and Klebsiella spp. displayed 90% and 60% resistance against this antimicrobial respectively. These findings outline the need for the development of new antimicrobials. About 75.5% (25/33) of the presumptive Enterobacter spp. were confirmed by MALDI-TOF with 79.2% (19/24), 66.7% (2/3), 66.7% (4/6) been confirmed vegetables, hospital effluents and river water samples respectively. Likewise, about 77.8% (21/27) were confirmed as Citrobacter spp. of which 92.3% (12/13), 66.7% (2/3) and 63.6% (7/11) were from vegetables, hospital effluents and river water samples respectively. These results show that the selected vegetables were highly contaminated with resistant bacteria and thus unsafe to consume uncooked vegetable. Also river water was higly contaminated with resistant microbes, which also shows that these rivers are not fit to be used 17 as drinking water sources and recreational activities. Colistin is an antimicrobial used as a last resort of antibiotics because it exhibits broad-spectrum activity. However from the findings of the work at present, this is no longer the case. The spectrum of this antimicrobial is now reduced by Enterobacteriaceae members. To the best of my knowledge; relatively few resources have been provided to understanding, preventing, and controlling increasing antimicrobial resistance on global, national and local levels.
- Full Text:
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