Open AccessCharacterization of Campylobacter associated gastric enteritis among patients with Human Immunodeficiency Virus (HIV) in a hospital in Accra, Ghana
Author(s) -
Audrey Forson,
David Nana Adjei,
Michael Olu-Taiwo,
Marjorie Ntiwaa Quarchie,
Harry Asmah
Publication year - 2020
Publication title -
plos one
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.99
H-Index - 332
ISSN - 1932-6203
DOI - 10.1371/journal.pone.0240242
Subject(s) - campylobacter , ampicillin , tetracycline , enteritis , erythromycin , antibiotic resistance , ciprofloxacin , biology , campylobacter jejuni , drug resistance , campylobacter coli , microbiology and biotechnology , antibiotics , medicine , genetics , bacteria
Background Campylobacter infections in HIV positive patients often present with substantial mortality and morbidity when compared to HIV negative patients. Aim This study assessed the prevalence of Campylobacter , antibiotic resistance phenotypes and genetic factors, and risk of Campylobacter infection associated with living in close proximity to domestic animals in HIV patients with gastric enteritis at Korle-Bu Teaching Hospital, Accra, Ghana. Methods Resistance to different antibiotics was assessed with Kirby–Bauer disk diffusion method. In addition, all the Campylobacter isolates were tested for ampicillin ( bla OXA-61 ), erythromycin ( aph -3-1), tetracycline tet (O), streptomycin ( aad E), and the energy-dependent multi-drug efflux pump ( cme B) resistance genes using multiplex polymerase chain reaction. Results Out of a total of 140 (97 females and 43 males) tested patients, 71 (50.7%) patients were positive for Campylobacter coli . Female patients aged within 31–40 years (31.6%) and 41–50 years (31.6%) had high frequency of Campylobacter infection. Most of the infected patients lived in close proximity to chickens (53.5%), however, some patients (14.1%) lived in close proximity to goats. Phenotypic resistance evaluation revealed widespread resistance to ampicillin (100%), tetracycline (100%), ciprofloxacin (71.8%), erythromycin (69%), and gentamicin (49.3%). However, limited no of isolates contained bla OXA-61 (1.41%), cme B (7.0%) and tet (O (7.0%) resistance genes. Conclusion HIV patients with gastric enteritis were infected with resistant Campylobacter coli . Further studies are required to examine correlation of infected patients with C . coli and risk of living in close proximity to poultry birds. There is the need for routine investigation of Campylobacter in patients with gastroenteritis in order to assist in the development of strategies for combating diseases involving resistant zoonotic bacteria strains.