MICROBIAL DIVERSITY AND ANTIBIOTIC RESISTANCE OF BACTERIA ON WASHROOM FOMITES IN A PUBLIC UNIVERSITY
DOI:
https://doi.org/10.47672/ejhs.497Keywords:
Diversity, antibiotics, fomites, contamination, floraAbstract
Purpose: To determine the diversity and distribution of bacteria contaminants on washroom fomites in a public university and their resistance to common antibiotics.
Methodology: A sanitation audit was conducted on 21 selected washrooms on seven different blocks in a university. Swabs were collected from 68 washroom fomites for bacterial isolation and biochemical identification. Antimicrobial susceptibility testing was performed for 22 Gram positive and 41 Gram negative bacteria species.
Findings: Of 21 washrooms none had toiletries, 71% did not have flowing water and 90% were in the category of generally unclean. Of 169 bacteria isolated Staphylococcus aureus and Escherichia coli were the predominant species. Of 68 fomites all had bacterial contaminants with 83.8% having 2 to 3 co-occurring species. Gram positive bacteria isolated were resistant to augmentin (100%), meropenem (94%), penicillin (91%), cefuroxime (86%), vancomycin (86%), erythromycin (67%), cloxacillin (64%), tetracyclin (64%), ciprofloxacin (59%), cotrimoxazole (59%), ampicillin (50%) and gentamicin (36%). Gram negative bacteria isolated were resistant to meropenem (97%), ceftriaxone (95%), ampicillin (93%), cefuroxime (91%), cefotaxime (84%), vancomycin (82%), tetracyclin (80%), cotrimoxazole (78%), chloramphenicol (50%), ciprofloxacin (71%), amikacin (40%) and gentamicin (24%).
Unique contribution to theory, practice and policy: Previous studies on bacteria on fomites in Ghana have focused on healthcare settings. This study focused on a university campus which is a non-healthcare setting with a high human presence and pressure on existing washroom facilities leading to contamination. The diversity of bacteria on the fomites are representative of clinically significant antibiotic resistant human enteric and skin flora carried by a seemingly healthy population and provide an indication of the potential antibiotic resistance burden in the user community.
Downloads
References
Alonge, O.O., Auwal, B.M., Aboh, M.I. (2019). Bacterial contamination of toilet door handles
on Baze University Campus Abuja Nigeria. African Journal of Clinical and Experimental Microbiology. doi: 10.4314/ajcem.v20i1.5
Infection Control Today. (2006). Fomites and infection transmission. Retrieved April 3, 2020 from
https://www.infectioncontroltoday.com/hand-hygiene/fomites-and-infection-transmission
Margas, E., Maguire, E., Berlan, C.R., Welander, F. (2013). Assessment of the environmental
microbiological cross contamination following hand drying with paper hand towels or an air blade dryer. Journal of Applied Microbiology, 115,572-582. doi:10.1111/jam.12248
McGinnis, S., Marini, D., Amatya, P., Murphy, H. M. (2019). Bacterial contamination on atrine
surfaces in community and household latrines in Kathmandu, Nepal. International Journal of Environmental Research and Public Health, 16, 257. doi:10.3390/ijerph16020257
Ogba, O. M, & Obio, O. M. (2018). Microbial spectrum on public toilet seats. Annals of
Microbiology and Infectious Diseases, 1, 58-62. Retrieved from https://www.sryahwapublications.com/annals-of-microbiology-and-infectious-diseases/volume-1-issue-1/9.php
Julian, T.R. (2011). Fomites in infectious disease transmission: a modeling, laboratory, and field
study on microbial transfer between skin and surfaces (Unpublished). Retrieved from http://purl.stanford.edu/cf347cn1097
Shanks, C. R. & Peteroy-Kelly, A. (2009). Analysis of antimicrobial resistance in bacteria found
at various sites on surfaces in an urban university. Bios, 80, 105-113. Retrieved from
https://doi.org/10.1893/011.080.0301
Suen, L.K.P., Siu, G.K.H., Guo, Y.P., Yeung S.K.W., Lo, K.Y.K., O'Donoghue, M. (2019). The
public washroom - friend or foe? An observational study of washroom. Antimicrobial Resistance and Infection Control, 48,1-6. doi: 10.1186/s13756-019-0500-z
World Health Organization (2017). Prioritization of pathogens to guide discrepancy, research
and development of new antibiotics for drug-resistant bacterial infections, including tuberculosis. Retrieved from
https://www.who.int/medicines/areas/rational_use/prioritization-of-pathogens/en/
Downloads
Published
How to Cite
Issue
Section
License
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution (CC-BY) 4.0 License that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.