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SUMMARY
Escherichia coli is one of the most important food borne microorganisms that cause
disease in animals and humans worldwide. Not all strains cause disease, but they are
useful for testing of contamination of food and water and have been adopted as indicator
organism for antimicrobial drug resistance among commensal gram-negative organisms.
Antimicrobial drug resistance is associated with inappropriate use of veterinary
antimicrobials in food animals especially in poultry production. LBM is a place located in
markets in urban settlements where birds are housed and sold to the public. Poultry
vendors try to keep their birds healthy through the use of antimicrobials. Hence, the need
to study the resistance in E. coli isolated from these birds. Apparently healthy local
chickens sold for food at live bird markets in Yola North and Yola South LGAs were
examined for E. coli and their resistance to eight important antimicrobials. E. coli (n= 56)
were isolated using Eosine Methylene Blue (EMB) and identified with conventional
biochemical tests. Microbact 12 E was used to confirm 49 of the 56 isolates to be E. coli.
In addition, knowledge and practices of the poultry vendors in LBMs about
antimicrobials use was assessed. The results were as follows: 95.8% of the poultry
vendors in LBM had not attended any formal training on poultry production and health,
and 79.2% did not keep records of drugs they use. Hygiene score for cages showed 79%
of cages were mildly contaminated/ dusty, 54% of drugs they used were purchased from
the open markets without prescription and 68% of poultry vendors used their experience
to determine the dosage for treatment of their birds. Only 10.4% of vendors consulted a
veterinarian for the health needs of their poultry; 56% of poultry vendors did not practice
hand washing and 98% did not use protective clothing such as coveralls. All the 49 E.
coli isolates were resistant to Ceftiofur (100%), Erythromycin (100%) and
Sulfamethoxazole (100%). The Percent resistance to other drugs were as follows:
xii
Nalidixic acid (69.4%), Ciproflaxin (67.3%), Tetracycline (67.3%), Chloramphenicol
(49%), and Gentamicin (34.7%). All the isolates were multi drug resistant showing 16
different patterns with each isolate being resistant to at least four drugs. The high
prevalence of resistance among commensal E. coli in local chickens could be a significant
source of resistance genes to other bacteria that share the same environment which could
also be a source of direct contamination of poultry meat and LBM workers.
Key Words: Antimicrobial Resistance, E. coli, Poultry and Live bird Market
xiii
CHAPTER ONE
INTRODUCTION
1.1 Background
Antimicrobial Resistance (AMR) is a major global public health problem caused by
inappropriate use of antimicrobials. In veterinary medicine, AMR is considered both from
a human health perspective and from the perspective of protection of animal health and
welfare and the environment. This leads to concerns about a number of important impacts
in the area of public health, medical care, financial resources and food safety.1 Since the
introduction of antimicrobials as drugs against bacterial infections in humans and then
veterinary medicine, AMR has been recognized as an existing phenomenon.2,3 However,
there is an increased occurrence of AMR in bacteria4. These concerns have been raised
locally, nationally and internationally.5 During the past decade, the emergence of drug
resistant E. coli has dramatically increased. Consequently, the management of E. coli
infections in both humans and animals that was previously straight forward has become
more complicated. The risk of treatment failure is higher and cost of treatment
increasing.6,7
Inappropriate antimicrobial use in veterinary and human medicine is considered the most
important factor promoting the emergence, selection and dissemination of antimicrobial
resistant bacteria. 8 Antimicrobials usage selects for resistance not only in pathogenic
bacteria but also in non-pathogenic commensals. These commensals could serve as
reservoirs for resista
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