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International Journal of Current Microbiology and Applied Sciences (IJCMAS)
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Original Research Articles                      Volume : 14, Issue:12, December, 2025

PRINT ISSN : 2319-7692
Online ISSN : 2319-7706
Issues : 12 per year
Publisher : Excellent Publishers
Email : editorijcmas@gmail.com /
submit@ijcmas.com
Editor-in-chief: Dr.M.Prakash
Index Copernicus ICV 2018: 95.39
NAAS RATING 2020: 5.38

Int.J.Curr.Microbiol.App.Sci.2025.14(12): 134-139
DOI: https://doi.org/10.20546/ijcmas.2025.1412.014


Antibiotic Resistance of Pathogenic Enterobacteria strains Isolated from Stool and Urine at Al-Shifa Clinic in 2023
Mbainadji Lodoum1*Nan-arabe Lodoum1, Djelassem Ferdinand1, Ramadane Arabi Djimet2, Mekoulnodji Lodoum1 and Nodjioroum Ngam-ASRA1,2,3
1Université de N'Djamena, BP: 1117 N'Djamena, Tchad 2Université Toumai, BP: 1784 N’Djamena, Tchad 3Centre Hospitalier Universitaire de Référence Nationale, BP: N’Djamena, Tchad
*Corresponding author
Abstract:

Antimicrobial resistance is defined as the ability of a bacterial strain that is normally susceptible to an antibiotic to acquire partial or complete resistance to it. The objective of this study was to contribute to reducing antimicrobial resistance in pathogenic Enterobacteriaceae strains isolated from stool and urine samples at the AL-SHIFA Clinic in N’Djamena. This descriptive cross-sectional study was conducted on stool and urine samples collected between November 2023 and January 2024. Samples were cultured and subjected to antimicrobial susceptibility testing at the clinic’s laboratory. Of the 137 stool samples and 35 urine samples analyzed, 27 were positive for Enterobacteriaceae—representing 13.87% of stool specimens and 22.86% of urine specimens. A predominance of male patients was observed, with 62.5% in urine samples and 63.16% in stool samples, particularly in the 21–40 and 41–60 age groups. Klebsiella spp. was the most frequent genus, accounting for 33.33% (n=09) of isolates. Resistance levels were recorded as follows: β-lactams 37%, cephalosporins 23%, aminoglycosides 50%, tetracyclines 31%, macrolides 18%, and quinolones 16%. Enterobacteriaceae infections represent a significant public health issue. Appropriate management is essential to prevent the escalation of antibiotic resistance.


Keywords: Prevalence, Antimicrobial resistance, Pathogenic Enterobacteriaceae, Patients, AL-SHIFA Clinic.


References:

Amrani AA, Bechiri R. Algeria. 2018. Urinary tract infections. Master’s Thesis, University of Frères Mentouri Constantine, 67 p.

Aubry P. Infectious diarrheas, updates 2013. Available online: medecinetropicale.free.fr/cours/diarrhees_infectieuses (Accessed February 22, 2022).

Bonkoungou IJ, Lienemann T, Martikainen O, Dembelé R, Sanou I, Traoré AS, et al., Burkina Faso, 2012. Diarrhoeagenic Escherichia coli detected by 16-plex PCR in children with and without diarrhoea. Clinical Microbiology and Infection, 18: 901–906.

Cissé F. Bamako/Mali. 2019. Urinary tract infections caused by extended-spectrum β-lactamase–producing Enterobacteriaceae: symptomatology and management in the nephrology department of CHU Point G. Doctoral Thesis, University of Sciences, Techniques and Technologies, 76 p.

Das R, Chandrashekhar T, Joshi H, Gurung M, Shrestha N, Shivananda P. 2006. Frequency and susceptibility profile of pathogens causing urinary tract infections at a tertiary care hospital in western Nepal. Singapore Medical Journal, 47(4): 281.

Durand-Gasselin B, Haber N. 2001. Urinary infections in the elderly. La Revue de Gériatrie, 26(7): A17–A21.

Geetha VK, Yugendran T, Srinivasan R, Harish BN. India. 2014. Plasmid-mediated quinolone resistance in typhoidal Salmonella: a preliminary report from southern India. Journal of Medical Microbiology, 32: 31–34.

Holt KE, Phan MD, Baker S, Duy PT, Nga TVT, Nair S, Turner AK, Walsh C, Fanning S, Farrell-Ward S, Dutta S, Kariuki S, Weill FX, Parkhill J, Dougan G, Wain J. 2011. Emergence of a globally dominant IncHI1 plasmid type associated with multidrug-resistant typhoid fever. PLoS Neglected Tropical Diseases, 5: e1245. Available at: http://dx.doi.org/10.1371/journal.pntd.0001245 (Accessed March 25, 2022).

Kansaye HC. Bamako/Mali. 2020. β-lactam resistance phenotypes in Enterobacteriaceae strains isolated from pus, blood cultures, and stool samples at CHU Point G. Doctoral Thesis, University of Sciences, Techniques and Technologies, 69 p.

Lacheheub L, Bendagha Y. Algeria. 2016. Urinary tract infections. Master’s Thesis, University of Frères Mentouri Constantine, 44 p.

Maghraoui K, Malki A, Yahiaoui AK. Algeria. 2022. Bacteriological study of pathological specimens at Dr. Benzardjeb Hospital in Ain Témouchent. Master’s Thesis, University Belhadj Bouchaib of Ain Témouchent, 56 p.

Maïworé J, Baane M-P, Youssouf D, Bole J, Nango NFY. 2021. Digestive carriage of extended-spectrum β-lactamase–producing Enterobacteriaceae among patients at the National Social Insurance Fund Hospital, Maroua (Cameroon). European Scientific Journal, 17(10): 107–120.

Nascimento GG, Locatelli J, Freitas PC, Silva GL. 2000. Antibacterial activity of plant extracts and phytochemicals on antibiotic-resistant bacteria. Brazilian Journal of Microbiology, 31(4): 247–256.

Sani A, Onaolapo JA, Ibrahim YKE, Idris HW, Igwe JC, Nworie A. Nigeria. 2015. Prevalence of Escherichia coli pathotypes among children with diarrhea in Zaria. British Journal of Medical and Health Research, 7(1): 17–24.

Traoré H, Emal V, Fongoro S. 2015. Urinary tract infections in the nephrology department. Nephrology & Therapeutics, 11: 338–406.

WHO. 2019. What is antimicrobial resistance? [Internet]. Available at: http://www.who.int/features/qa/75/en/  

Yombi JC, Marot JC. 2015. Rational use of antibiotics in general medicine: Focus on respiratory and urinary infections in adults. Louvain Médical, 134(7): 363–371.

Zomahoun CINP. Bamako. 2004. Evaluation of antibiotic susceptibility of bacteria isolated from urinary tract infections at the bacteriology laboratory of the National University Hospital Centre – Hubert Koutoukou Maga (C.N.H.U.-H.K.M.), Cotonou. Doctoral Thesis, University of Sciences, Techniques and Technologies, 49 p.

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How to cite this article:

Mbainadji Lodoum, Nan-arabe Lodoum, Djelassem Ferdinand, Ramadane Arabi Djimet, Mekoulnodji Lodoum and Nodjioroum Ngam-ASRA. 2025. Antibiotic Resistance of Pathogenic Enterobacteria strains Isolated from Stool and Urine at Al-Shifa Clinic in 2023.Int.J.Curr.Microbiol.App.Sci. 14(12): 134-139. doi: https://doi.org/10.20546/ijcmas.2025.1412.014
Copyright: This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike license.

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