| خلاصه مقاله | BACKGROUND AND OBJECTIVES
Escherichia coli (E. coli) as a gut commensal bacteria, is a common candidate for most gramnegative infections of humans. Unplanned administration of antibiotics to control or treat E.
coli infection leads to the activation of microbial resistance mechanisms and insufficient
effect of therapeutic antibiotics. This epidemiological study was conducted to investigate the
sensitivity of a wide range of antibiotics against E. coli isolates from Tabriz, Iran.
MATERIALS AND METHODS
From July 2019 to June 2020, 219 samples of urine, blood, wound, respiratory tract, and
peritonea were collected from different hospital wards such as surgery, internal, intensive
care unit, and pediatrics. E. coli isolates were obtained by culture on sheep blood agar and
MacConkey agar and microbial detection tests. To determine the antibiotic sensitivity or
resistance of the isolates, disk diffusion agar and minimum inhibitory concentration tests
were selected.
RESULTS AND DISCUSSION
E. coli isolates were the most resistant to ampicillin (99%) and the least resistant to imipenem
and fosfomycin (3%). The trend of the highest antibiotic resistance continued with
sulfamethoxazole (87%) and trimethoprim (78%). The resistance of E. coli isolates to the
combination of these two antibiotics in the form of co-trimoxazole was also a high
percentage (70%). The isolates from the internal and then surgical wards were high
resistance. There was no significant correlation between age or gender and resistance of E.
coli isolates.
CONCLUSION
This study indicated that E. coli has become a potential pathogen in Eastern Azerbaijan, Iran.
E.coli isolates were remarkably resistant to a large number of antibiotics. Antimicrobial
resistance prevalence was associated with hospital wards. If consumed wisely, fosfomycin is
the current appropriate choice for controlling E. coli infection. |