Multidrug Resistant Enteric Bacterial Pathogens in a Psychiatric Hospital in Ghana: Implications for Control of Nosocomial Infections
Open accessAbstract
Enteric bacteria are commonly implicated in hospital-acquired or nosocomial infections. In Ghana, these infections constitute an important public health problem but little is known about their contribution to antibiotic resistance. The aim of the study was to determine the extent and pattern of antibiotic resistance of enteric bacteria isolated from patients and environmental sources at the Accra Psychiatric Hospital. A total of 265 samples were collected from the study site including 142 stool and 82 urine samples from patients, 7 swab samples of door handle, and 3 samples of drinking water. Enteric bacteria were isolated using standard microbiological methods. Antibiograms of the isolates were determined using the disc diffusion method. Overall, 232 enteric bacteria were isolated. Escherichia coli was the most common (38.3%), followed by Proteus (19.8%), Klebsiella (17.7%), Citrobacter (14.7%), Morganella (8.2%), and Pseudomonas (1.3%). All isolates were resistant to ampicillin but sensitive to cefotaxime. The resistance ranged from 15.5% to 84.5%. Multidrug resistance was most prevalent (100%) among isolates of Proteus and Morganella and least prevalent among isolates of Pseudomonas (33.3%). Multidrug resistance among enteric bacteria at the study hospital is high and hence there is a need for screening before therapy to ensure prudent use of antibiotics.
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In many sub-Saharan African countries such as Ghana, antimicrobial agents are easily obtained over the counter, facilitating their abuse.
“In many sub-Saharan African countries such as Ghana, antimicrobial agents are easily obtained over the counter, facilitating their abuse [7,8].”
From A Systematic Review on Antimicrobial Resistance in Ghana from a One Health Perspective (2024) · cites this paper as [8]
The Discussion (page unavailable) reports high rates of self-medication in Ghana and says long-used antibiotics contribute to the resistance observed. It does not say that antimicrobials are easily obtained over the counter or establish the claim for many sub-Saharan African countries. (LLM, conf=0.84)
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- Authors
- Duedu, K. O., Offei, G., Codjoe, F. S., & Donkor, E. S.
- Affiliations
- University of Health and Allied Sciences (GH)
- University of Ghana (GH)
- Corresponding author
- Donkor, Eric S.
- Venue
- International Journal of Microbiology
- Publisher
- Wiley
- Published
- 2017
- Volume
- 2017
- Pages
- 1-6
- ISSN
- 1687-918X (ISSN-L)
- 1687-9198
- PMC
- PMC5606046
- OpenAlex
- W2751252016
- Cited by
- 28
- References
- 41
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 7 · 2023: 4 · 2022: 8 · 2021: 1 · 2020: 1 · 2019: 1 · 2018: 2 · 2017: 1
- FWCI
- 0.53
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- International Journal of Microbiology (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Medicine › Antibiotic Resistance in Bacteria
- Life Sciences › Immunology and Microbiology › Applied Microbiology and Biotechnology › Antibiotic Use and Resistance
- Life Sciences › Agricultural and Biological Sciences › Food Science › Salmonella and Campylobacter epidemiology
- Keywords
- multidrug resistance, enteric bacteria, nosocomial infections, psychiatric hospitals, antibiotic resistance, Escherichia coli, Proteus, Morganella, Klebsiella, Citrobacter, environmental contamination, door handles, drinking water, rational antibiotic use, Ghana
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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