Elite Research Journal of Biotechnology and Microbiology Vol. 2(1) pp. 1 - 3, August, 2014 Available online http://www.eliteresearchjournals.org/erjbm/index.htm Copyright © 2014 Elite Research Journals Full Length Research Paper SENSITIVITY PROFILE OF BACTERIAL FLORA ISOLATED FROM BATHROOM 1 2 Ajayi A *. and Ekozien M. I. Department of Microbiology, University of Lagos, Akoka, Lagos, Nigeria 2 Department of Microbiology, Ambrose Alli University Ekpoma Nigeria 1 Accepted 12 July, 2014 Several bacterial pathogens were isolated from the floor, door-handle and wall of bathrooms in four male and four female hostels. Seven isolated bacteria were areStaphylococcus aureus, Streptococcus pneumoniae, Bacillus subtilis, Enterococcus faecalis, Klebsiella pneumoniae, Escherichia coli and Proteus mirablis. Population density of bacteria was more on walls compared to other points analyzed. Most of the isolates were resistant to an array of antibiotics used for susceptibility test. Gram positive bacterial isolates obtained were more resistant toGentamycin, Augumentin (Amoxicillin Clavulanate) and Septrin (Co-trimoxazole). However some of these isolates were highly susceptible to Ciproxin, while most Gram positive bacterial isolates exhibited partial susceptibility. Keywords: Resistance, Susceptibility, Antibiotics, Zone of inhibition INTRODUCTION Sanitary conditions in public places have always been a major problem, especially in bathrooms. Health departments are continually checking the cleanliness and safety of these bacteria breeding places to prevent thespread of sickness and disease (Chris et al., 2002).Data on public washrooms contamination shows how often and easily high-contact washroom surfaces can be contaminated. Sherifa (2013) reported the high presence of bacteria in public female restroom at Taif Kingdom of Saudi Arabia (KSA). Although people may claim their personal hygiene and clean toilet facilities, a number of researches have shown different picture (Gerba, 1995). Bathroom is any building or room is made for people to have their bath, usually with soap and water. Most bathrooms comprise of integrated toilet facilities and sinks for other related washings. Droplets from flushing contain pathogen including faecal matter and aerosol, due to the mechanism of flushing these aerosol and faecal matter splatter onto floor, partitions, walls and air (Baker and Bloomfield, 2000). The public bathroom is suspected to have the highest concentration and variety of bacteria because of their use by a huge number of people. Antibiotic resistant microorganisms (ARM) are as much prevalent today in long-term care facilities as are in acute care facilities. These microorganisms include methicillin resistant Staphylococcus aureus(MRSA), aminoglycoside resistant Gram negative Bacilli such as Pseudomonas aeruginosa and emerging vancomycin resistant Enterococci (VRE). Corresponding Author E-mail: [email protected] The widespread use of antibiotics is strongly associated with the development of antibiotic resistantbacteria (Bennett and Brachman, 1992).This study was conducted to determine the presence of pathogenic bacteria that abound in bathroom environment and to determine their resistance to common antibiotics. MATERIALS AND METHODS SAMPLE COLLECTION: Samples were obtained from bathrooms of four male and four female hostels in Ambrose Alli University Ekpoma Nigeria. Sterile swab sticks were used to obtain samples from three points each (door-handle, wall and floor) of bathrooms. Samples were immediately transported to the laboratory for analysis. MICROBIOLOGICAL ANALYSIS: Swab sticks were dipped into 10 ml sterile peptone water. 1 ml of each stock was serially diluted into 9ml of sterile normal saline, from which 0.1 ml aliquots of 3 5 7 9 dilution 10 , 10 , 10 10 was inoculated into agar plates o and spread to dryness then incubated for 24 h 37 C. (Bello, 2002) ISOLATION AND IDENTIFICATION OF ISOLATES: Samples were cultured on blood agar, nutrient agar, and MacConkey agar plates (Oxoid, Basingstok, England). Bacteria isolates obtained were subjected to biochemical test for identification of pathogenic bacteria. Ajayi and Ekozien 2 ANTIBIOTIC SUSCEPTIBILITY TEST: RESULTS A light suspension (0.5 McFarland standard) of the test isolates were poured onto the surface of freshly prepared agar plates and the excess was gently drained off. The agar surface was allowed to air dry, and then the antibiotic discs were placed on the agar surface using sterile forceps. Plates were overturned 0 and incubated at 35 C for 24 h. Zone of inhibition measuring up to ≥ 20 mm indicated susceptibility (Bello, 2002). Enumeration of microbial populations: Total bacteria counts revealed that population density of bacteria varied from different sampling points (doorhandle, wall and floor). Bacteria population density on 5 11 walls ranged from 6.3×10 cfu/ml to 2.35×10 cfu/ml 9 compared to a maximum of 2.13×10 cfu/ml on floor of 8 female hosteland 1.12×10 cfu/ml on door handle of male hostel. Table 1: Average Population Densities of Bacteria Isolates on Sampling Points Sampling Points Floor Door-handle Wall Bacteria population density (cfu/ml) Male Hostel Female Hostel 8 9 2.32×10 2.13×10 8 6 1.12×10 2.63×10 10 11 6.3×10 2.35×10 prevalent(43%) followed by Enterococcus faecalis(21%) as shown in Table 2. Klebsiella pneumoniaeand Bacillus subtilis showed the lowest percentage (1%) of occurrence. Characterization and identification of bacteria isolates: The isolates were identified using colonial morphology, and biochemical tests. Results showed isolates as Staphylococcus aureus, Streptococcus pneumoniae, Bacillus subtilis, Enterococcus faecalis, Klebsiella pneumoniae, Escherichia coli and Proteus mirablis. Staphylococcus aureuswas found to be the most Table 2: Frequency of occurrence of bacteria isolates Bacteria isolates Staphylococcus aureus Escherichia coli Proteus mirablis Enterococcus faecalis Bacillus substilis Klebsiella pneumonia Streptococcus pneumonia Frequency of occurrence/% 53 43% 41 12% 37 18% 43 21% 16 1% 16 1% 19 4% Streptomycin with the exception of Bacillus subtilis which was partially sensitive to Streptomycin as indicated in Table 4. Streptococcus pneumoniae was resistant to Ciprofloxacin and Enterococcus faecalis was partially susceptible to Ciprofloxacin, while Bacillus subtilisand Staphylococcus aureuswere susceptible to Ciprofloxacin. Antibiotic susceptibility test revealed that Gram negative bacteria isolates were resistant to Zinnat (Cefuroxime axetil) and Augumentin (Amoxicillin Clavulanate). Though they were also resistant to Nalidixic acid and Ampicillin Escherichia coli was partially susceptible to both antibiotics Table 3. All Gram positive bacterial isolates were resistant to Augumentin (Amoxicillin Clavulanate), Cloxacillin, Septrin (Co-trimoxazole), Ampicillin, Gentamycin and Erythromycin. All Gram positive bacterial isolates were not susceptible to Table 3: Susceptibility ofGram negative bacterial isolates to antibiotics (zone of inhibition in mm) Bacteria Proteus mirablis OFX 23 CXM 0 CPX 24 AU 0 CN 21 S 16 COL 21 NA 0 SXT 21 PN 0 Klebsiella pneumonia 24 2 24 1 14 12 15 5 22 2 Escherichia coli 21 0 26 2 15 0 1 16 2 14 ≥ 20 = Susceptible, ≤ 11 = Resistant 3 Elite Res J. Bio M. Table 4: Susceptibility ofGram Positive bacterial isolates to antibiotics (zone of inhibition in mm) Bacteria Staphylococcus aureus Bacillus substilis Enterococcus faecalis Streptococcus pneumoniae AU 0 0 0 0 CXL 0 0 0 0 SXT 0 0 0 0 CRO 3 21 0 0 OFX – Ofloxacin CPX – Ciprofloxacin CN – Gentamycin COL- Colimycin SXT – Septrin (Co-trimoxazole) E – Erythromycin CRO – Ceftriaxone The zone of inhibition ranged from 1mm to 26 mm for Gram negative bacteria and 1 mm to 22 mm for Gram positive bacteria isolates. DISCUSSION Except for an operating room or other sterile environments, bacteria can be found almost everywhere, which is because they are very resilient. Public bathrooms are the perfect place for bacteria to strive because these facilities are designed to dispose of large volume of human waste, which consist of 30% bacteria (Cassidy, 1987). This study corroborates this fact as high population densities of bacteria were recorded from the different places of bathrooms sampled. Chris et al., (2002) also reported the presence of bacteria isolates such as Staphylococcus aureus, Escherichia coli and Salmonellaspp. from the bathrooms of students at the university of Miami USA. Also Opere et al., (2013) reported the isolation of Bacillus spp., Staphylococcus aureus, Staphylococcus epidermidis, Micrococcus spp., Pseudomonas spp., Enterococcus faecalis, Salmonella typhi and Shigella dysenteriae with varying resistance to a range of antibiotics from public toilets. The presence of organisms such as Staphylococcus aureus, Klebsiella pneumoinae, Escherichia coli, Streptococcus pneumonia and Salmonellaspp. have been reported to have cause diseases which is a source of concern. Though according to Bennett and Brachmen (1992) the role of the environment in the transmission of antibiotic resistant microorganism(ARM) has not been well established.Results of this study revealed that antibiotic resistant microorganism contaminates environmental surfaces such as bathrooms. Most isolates obtained in this study were resistant to most commonly used antibiotics such as Septrin, Agumentin, Cloxacillin, Gentamycin and Ampicillin.This concurs with the findings of Adewoyin et al., (2013) and this may be attributed to misuse of antibiotics by students. PN 0 0 1 0 S 5 16 2 0 CN 3 4 2 0 CTX 0 20 0 0 E 0 0 0 0 CPX 19 20 16 0 CXM – Zinnat (Cefuroxime axetil) AU – Augumentin S- Streptomycin NA – Nalidixilic acid PN – Ampicillin CTX – Cefotaxime CXL – Cloxacillin CONCLUSION The presence of antibiotic resistant bacteria (ARB) in the bathrooms of student is a matter of concern, since they generally pose health risk to individuals. This implies that transmission of ARB through bathrooms is possible; therefore proper sanitary practice should be adopted by all where necessary to prevent the spread of pathogenic bacteria. REFERENCES Ajibade, V. A., Aboloma, R . I and Oyebode, J. A. (2010). 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