PLASMID-MEDIATED ANTIBIOTIC RESISTANCE IN GRAM-NEGATIVE PATHOGENIC BACTERIA ISOLATED FROM RIVER SOSIANI AND WASTE WATER SYSTEMS IN UASIN GISHU COUNTY, KENYA

Abstract

The widespread of bacteria resistance to antibiotics poses an immense threat to the public health. Aquatic ecosystems receive waste water which invariably contain different bacteria, chemicals and antibiotic residues that induces bacterial resistance to antibiotics, resulting into several treatments failures and deaths. Plasmid-mediated antibiotic resistance of bacteria through horizontal gene transfer has been reported to significantly cause resistance in susceptible bacteria. The current study identified antibiotic resistance genes present in gram-negative bacterial plasmids, isolated from River Sosiani and wastewater systems in Uasin Gishu County, Kenya. The sampling sites included Outspan-Nairobi bridge, Pioneer bridge, Moi Teaching and Referral Hospital, Eldoret prison, Kipkaren bridge, Huruma quarry influent, Huruma quarry effluent, Kipkenyo boundary influent and Kipkenyo boundary effluent. The study entailed bacteria isolation, identification, antibiotic susceptibility testing, plasmid DNA extraction and polymerase chain reaction of the antibiotic-resistant genes. Mean and standard deviations were analyzed using Microsoft Excel while Chi square was used to determine significant relationship existing between the phenotypic and genotypic resistance in bacteria. Most of the bacteria coliforms obtained were too numerous to count. A total of 10 gram-negative pathogenic bacteria species were detected, including Escherichia coli, Enterobacter aerogenes, Citrobacter freundii, Klebsiella pneumoniae, Klebsiella oxytoca, Proteus vulgaris, Proteus mirabilis, Pseudomonas aeruginosa, Salmonella enteriditis and Yersinia enterocolitica. All the 10 bacteria conferred resistance to penicillin, ampicillin, amoxicillin-clavulanic acid, ceftazidime, tetracycline, streptomycin and sulfamethoxazole-trimethoprim. Multi antibiotic resistance index was higher in E. aerogenes (0.83) but lower in Y. enterocolitica (0.58). Out of the nine antibiotic-resistant genes investigated, qepA and qnrA genes were present in the plasmids of all the 10 bacteria species, 70% of the total bacteria species had dfrA5, 70% had aadA1, 50% had blaKPC, 40% had mphA, 30% of the bacteria species had blaSHV and sul 1 genes (P≥1) while none of the bacterial plasmid DNA had AmpC gene. The study findings suggested that River Sosiani and the sampled wastewater systems contained different pathogenic bacteria and their plasmid-mediated antibiotic resistance genes which confer resistance to commonly used antibiotics. Therefore, effective waste disposal, continuous monitoring and proper pretreatments of water from River Sosiani and the sampled wastewater systems may reduce bacteria contamination and antibiotic resistance inducers, addressing challenges associated with antibiotic resistance in bacteria.