Journal of
Medical Laboratory and Diagnosis

  • Abbreviation: J. Med. Lab. Diagn.
  • Language: English
  • ISSN: 2141-2618
  • DOI: 10.5897/JMLD
  • Start Year: 2010
  • Published Articles: 62

Full Length Research Paper

First report of urinary tract infections with multidrug resistant Alcaligenes faecalis and Staphylococcus cohnii in Enugu State, Nigeria

Adonu Cyril
  • Adonu Cyril
  • Department of Pharmaceutical Microbiology and Biotechnology, Faculty of Pharmaceutical Sciences, Enugu State University of Science and Technology, Enugu State, Nigeria.
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Okorie Hannah
  • Okorie Hannah
  • Department of Pharmaceutical Chemistry, Faculty of Pharmaceutical Sciences, Enugu State University of Science and Technology, Enugu State, Nigeria.
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Okpara Udochukwu
  • Okpara Udochukwu
  • Department of Pharmaceutical Microbiology and Biotechnology, Faculty of Pharmaceutical Sciences, Enugu State University of Science and Technology, Enugu State, Nigeria.
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Ezema James
  • Ezema James
  • Department of Medical Microbiology, College of Medicine. Enugu State University of Science and Technology, Enugu State, Nigeria.
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Imanyikwa Eucheria
  • Imanyikwa Eucheria
  • Department of Medical Microbiology, College of Medicine. Enugu State University of Science and Technology, Enugu State, Nigeria.
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Ujam Treasure
  • Ujam Treasure
  • Department of Pharmaceutical Microbiology and Biotechnology, Faculty of Pharmaceutical Sciences, Enugu State University of Science and Technology, Enugu State, Nigeria.
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Restus Onwusoba
  • Restus Onwusoba
  • Department of Pharmaceutical Microbiology and Biotechnology, Faculty of Pharmaceutical Sciences, University of Nigeria, Nsukka. Enugu State, Nigeria.
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Onyi Patrick
  • Onyi Patrick
  • Department of Pharmaceutical Microbiology and Biotechnology, Faculty of Pharmaceutical Sciences, University of Nigeria, Nsukka. Enugu State, Nigeria.
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Offiah Raymond
  • Offiah Raymond
  • Department of Pharmacology and Therapeutics, Faculty of Basic Clinical Sciences, College of Medicine. University of Nigeria, Nsukka. Enugu State, Nigeria.
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Omeh Romanus
  • Omeh Romanus
  • Department of Pharmaceutics, Faculty of Pharmaceutical Sciences, Enugu State University of Science and Technology, Enugu State, Nigeria.
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  •  Received: 08 March 2025
  •  Accepted: 07 May 2025
  •  Published: 31 May 2025

Abstract

Currently, many medical microbiology laboratories in Nigeria do not identify bacteria to the genotypic level, resulting in cases of missed diagnosis and incorrect identification of uncommon pathogenic microorganisms. This, in turn, affects the choice of treatment for infections caused by these bacteria. This study aimed to characterize rare uropathogens using phenotypic techniques and identify them using molecular methods. The isolation and characterization of uropathogens were done using standard microbiological methods, and their identities were confirmed by DNA sequencing using the Sanger DideoxyNT method. The antibiotic resistance profile of the test bacteria was determined against selected antibiotic discs using the disk diffusion method, following Clinical and Laboratory Standards Institute (CLSI) guidelines. Out of 375 bacterial strains cultured from 350 urine specimens, only three (0.8%) uncommon uropathogens were identified: one strain of Alcaligenes faecalis and two strains of Staphylococcus cohnii, with GenBank accession numbers KC295047.1, NR_037046.1, and JX 501706.1, respectively. These uropathogens were found to be multidrug-resistant. It is recommended that after cultivation and isolation of causative agents of urinary tract infections (UTIs), the isolated organisms should be subjected to molecular analysis for accurate identification. This will help choose the right drugs for treating infections caused by such bacteria and prevent their spread in the environment.

Key words:  Alcaligenes  faecalis,  Staphylococcus cohnii,  drug  resistance, Enugu State.