Antimicrobial Resistance Profile of Different Clinical Isolates against Augmentin, Imipenem and Ceftriaxone
Miftah S. M. Nag
Faculty of Medicine and Oral Surgery, University of Benghazi, Libya.
Noor-Alhooda Milood Al-Awkally
Department of Medical Laboratory, Higher Institute of Science and Technology, Suluq, Libya.
Ahmed Abouserwel *
Hywel Dda University Health Board Foundation Trust, Wales, UK.
Fathia Masoud Senossi
Department of Zoology, College of Art and Science, Benghazi University, Libya.
Sara El-Warred
Department of Statistic, Faculty of Art and Science, Benghazi University, Libya.
Mareei Al Douakali Ali
Department of Medical Laboratory, Higher Institute of Science and Technology, Suluq, Libya.
*Author to whom correspondence should be addressed.
Abstract
Background: Antibiotic resistance is a growing global public health concern because it jeopardizes the effective control and treatment of bacterial infections. The purpose of this study was to determine the bacterial profiles and susceptibility patterns to Imipenem, Augmentin, and Ceftriaxone in various clinical specimens from Al Saleem laboratory in Benghazi, Libya.
Methods: Two separate studies were carried out. Each experiment lasted three months. The patients' clinical samples included wound swabs, urine, sperm, blood, high vaginal swabs, and cerebrospinal fluid. Bacterial species were isolated and identified using standard microbiological methods in each study. Kirby-Bauer disc diffusion was used to conduct antimicrobial susceptibility tests from September 2020 to November 2020.
Results: There were 711 isolates obtained from 535 female and 503 male patients. The most common organisms isolated from specimens were E. coli spp, Klebsiella spp, and Staph aureus.
Conclusion: Bacterial resistance levels to various antibiotics varied greatly. We found that Augmentin has less activity against gram negative bacteria isolated from clinical specimens, whereas Imipenem has a much stronger effect on isolates than Augmentin. Appropriate monitoring of prevalent pathogenic organisms and their sensitivities will assist clinicians in making appropriate antibiotic treatment choices to avoid the spread of antimicrobial resistance.
Keywords: Augmentin, E. coli spp, imipenem, Klebseilla spp, wound swab, urine