Background: To better understand the frequency of E. coli and Klebsiella spp. among patients with urinary tract infections at the University of Benin Teaching Hospital, Benin City. Objective: This study aimed to analyze their patterns of antibiotic resistance. Methods: The Kirby-Bauer disk-diffusion method was employed to test the susceptibility of various microbes. Results: E. coli was the most prevalent pathogen in this study's 50 samples, with a prevalence of 64%, followed by Klebsiella spp. with a prevalence of 36%. Escherichia coli isolates were highly susceptible to imipenem (75%) and nitrofurantoin (65.6%), but showed high resistance to cefotaxime (100%), amoxicillin-clavulanate acid (100%), and nalidixic acid (96.9%). Klebsiella spp isolates were highly susceptible to Imipenem (50%) but showed 100% resistance to amoxicillin-clavulanate acid and cefotaxime, respectively. Therefore, these results should form the basis for preliminary decision-making about the best course of treatment for urinary tract infections (UTIs). Conclusion: This study demonstrated that the effectiveness of UTI therapy using available antibiotics is limited due to the increasing prevalence of antibiotic-resistant uropathogens.
| Published in | International Journal of Biomedical Science and Engineering (Volume 14, Issue 1) |
| DOI | 10.11648/j.ijbse.20261401.12 |
| Page(s) | 14-21 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2026. Published by Science Publishing Group |
Escherichia Coli, Klebsiella Spp, Urinary Tract Infection (UTI)
| [1] | Kunin, C. M., (2019). Urinary tract infections in females. Clinical Infectious Diseases, 18: 1-12. |
| [2] | Gupta, K., (2011). Increasing antimicrobial resistance and the management of uncomplicated community-acquired urinary tract infections. International Journal of Antimicrobial Agents, 135: 41-50. |
| [3] | Nwanze, P., L. M. Nwaru, S. Oranusi, U. Dimkpa, M. U. Okwu, B. B. Babatunde, T. A. Anke, W. Jatto and C. E. Asagwara. (2007). Urinary tract infection in Okada village: Prevalence and antimicrobial susceptibility pattern. Science and Resources Essays. 112-116. |
| [4] | El-Sweih, N., W. Jamal and V. O. Rotimi, (2008). Spectrum and antibiotic resistance of uropathogens isolated from hospital and community patients with urinary tract infections in two large hospitals in Kuwait. Medical Principle. Practice, 14: 401-407. |
| [5] | Kolawale, (2009). Prevalence of urinary tract infections among patients attending Dalhatu Araf Specialist Hospital, Lafia, Nasarawa State, Nigeria. 163-167. Asian Journal Medical Science., 3(2): 56-60. |
| [6] | Hvidberg, H., C. Struve, K. A. Krogfelt, N. Christensen, S. N. Rasmussen and N. Frimodt- M ler, (2000). Development of a long-term ascending urinary tract infection mouse model for antibiotic treatment studies. Antimicrobial Agents and Chemotherapy. 44: 156-163. |
| [7] | G. Vivekanandhan, K. Savithamani, A. A. M. Hatha, P. Lakshmanaperumalsamy, Antibiotic resistance of Aeromonas hydrophila isolated from marketed fish and prawn of South India, International Journal of Food Microbiology, Volume 76, Issues 1-2, 2002, Pages 165-168. |
| [8] | Goldman, D. A. and W. C. Huskins, 1997. Control of nosocomial antimicrobial-resistant bacteria: A strategy priority for hospitals worldwide. Clinical Infectious. Diseases., 24: 139-145. |
| [9] | The World Health Organization (WHO) released several publications. 2017. |
| [10] | Ogunsina Olabode Isaiah, Olusola Augustine Olusegun, Otitolaiye Catherine Adesola, Ayedogbon Oluremi Samson (2021). Anti-infective Properties and Time-Killing Assay of Lannea acida Extracts and Its Constituents; Bioscience and Bioengineering. Vol. 6, No. 1, pp. 1-9. |
| [11] | Bauer AW, Kirby WM, Sherris JC, Turck M. Antibiotic susceptibility testing by a standardized single disk method. American Journal of Clinical Pathology. 1966 Apr; 45(4): 493-6. |
| [12] | Demir, M.; Kazanasmaz, H. (2020). Uropathogens and antibiotic resistance in the community and hospital-induced urinary tract infected children. Journal of Global Antimicrobial Resistance. 20, 68-73. |
| [13] | Ahmed, S. S.; Shariq, A.; AlSalloom, A. A.; Babikir, I. H.; Alhomoud, B. N. (2019). Uropathogens and their antimicrobial resistance patterns: Relationship with urinary tract infections. International. Journal of Health Science.13, 48-55. |
| [14] | August, S. L.; De Rosa, M. J. (2012). Evaluation of the prevalence of urinary tract infection in rural Panamanian women. pneumonia upper urinary tract infections in renal transplant patients. 382-394. |
| [15] | Kot, B.; Wicha, J.; Gruzewska, A.; Piechota, M.; Wolska, K.; Obrebska, M. (2016). Virulence factors, biofilm-forming ability, and antimicrobial resistance of urinary Escherichia coli strains isolated from hospitalized patients. Turkish Journal of Medical Science. 1908-1914. |
| [16] | Mahony, M.; McMullan, B.; Brown, J.; Kennedy, S. E. (2020). Multi-drug resistant organisms in urinary tract infections in children. 1563-1573. |
| [17] | Beksac, A. T.; Orgul, G.; Tanacan, A.; Uckan, H.; Sancak, B.; Portakal, O.; Beksac, M. S. (2019). Uropathogens and gestational outcomes of urinary tract infections in pregnancies that necessitate hospitalization. 70-73. |
| [18] | Tan, M.; Mannath, K.; Ng, L.; Hu, P.; Moey, K.; Tan, K.; Koong, Y.; Tan, T.; Wong, C.; Tan, N. (2016). Uropathogens and antimicrobial susceptibility patterns in urinary tract infections diagnosed in the primary care setting in Singapore. |
| [19] | Gołe˛biewska, J. E.; Krawczyk, B.; Wysocka, M.; Ewiak, A.; Komarnicka, J.; Bronk, M.; Rutkowski, B.; De˛bska-´Slizien´, A (2019). Host and pathogen factors in Klebsiella. |
| [20] | Ndzime, Y. M.; Onanga, R.; Kassa, R. F. K.; Bignoumba, M.; Nguema, P. P. M.; Gafou, A.; Lendamba, R. W.; Moghoa, K. M.; Bisseye, C. (2021). Epidemiology of community origin of Escherichia coli and Klebsiella pneumoniae uropathogenic strains resistant to antibiotics in Franceville, Gabon. 585-594. |
| [21] | Cheung, A.; Karmali, G.; Noble, S.; Song, H. (2017). Antimicrobial stewardship initiative in treatment of urinary tract infections at a rehabilitation and complex continuing care hospital. 144-149. |
| [22] | Bora, A.; Sanjana, R.; Jha, B. K.; Mahaseth, S. N.; Pokharel, K. (2014). Incidence of metallo-beta-lactamase producing clinical isolates of Escherichia coli and Klebsiella pneumoniae in central Nepal. 1-7. |
| [23] | Bonkat, G.; Pickard, R.; Bartoletti, R.; Bruyère, F.; Geerlings, S. E.; Wagenlehner, F.; Wullt, B. (2017). Guidelines on Urological Infections. European Association of Urology. |
APA Style
Isaiah, O. O. (2026). Antimicrobial Resistance Pattern of Escherichia Coli (E. coli) and Klebsiella Spp Isolated from Patients with Urinary Tract Infection. International Journal of Biomedical Science and Engineering, 14(1), 14-21. https://doi.org/10.11648/j.ijbse.20261401.12
ACS Style
Isaiah, O. O. Antimicrobial Resistance Pattern of Escherichia Coli (E. coli) and Klebsiella Spp Isolated from Patients with Urinary Tract Infection. Int. J. Biomed. Sci. Eng. 2026, 14(1), 14-21. doi: 10.11648/j.ijbse.20261401.12
@article{10.11648/j.ijbse.20261401.12,
author = {Ogunsina Olabode Isaiah},
title = {Antimicrobial Resistance Pattern of Escherichia Coli (E. coli) and Klebsiella Spp Isolated from Patients with Urinary Tract Infection},
journal = {International Journal of Biomedical Science and Engineering},
volume = {14},
number = {1},
pages = {14-21},
doi = {10.11648/j.ijbse.20261401.12},
url = {https://doi.org/10.11648/j.ijbse.20261401.12},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijbse.20261401.12},
abstract = {Background: To better understand the frequency of E. coli and Klebsiella spp. among patients with urinary tract infections at the University of Benin Teaching Hospital, Benin City. Objective: This study aimed to analyze their patterns of antibiotic resistance. Methods: The Kirby-Bauer disk-diffusion method was employed to test the susceptibility of various microbes. Results: E. coli was the most prevalent pathogen in this study's 50 samples, with a prevalence of 64%, followed by Klebsiella spp. with a prevalence of 36%. Escherichia coli isolates were highly susceptible to imipenem (75%) and nitrofurantoin (65.6%), but showed high resistance to cefotaxime (100%), amoxicillin-clavulanate acid (100%), and nalidixic acid (96.9%). Klebsiella spp isolates were highly susceptible to Imipenem (50%) but showed 100% resistance to amoxicillin-clavulanate acid and cefotaxime, respectively. Therefore, these results should form the basis for preliminary decision-making about the best course of treatment for urinary tract infections (UTIs). Conclusion: This study demonstrated that the effectiveness of UTI therapy using available antibiotics is limited due to the increasing prevalence of antibiotic-resistant uropathogens.},
year = {2026}
}
TY - JOUR T1 - Antimicrobial Resistance Pattern of Escherichia Coli (E. coli) and Klebsiella Spp Isolated from Patients with Urinary Tract Infection AU - Ogunsina Olabode Isaiah Y1 - 2026/01/27 PY - 2026 N1 - https://doi.org/10.11648/j.ijbse.20261401.12 DO - 10.11648/j.ijbse.20261401.12 T2 - International Journal of Biomedical Science and Engineering JF - International Journal of Biomedical Science and Engineering JO - International Journal of Biomedical Science and Engineering SP - 14 EP - 21 PB - Science Publishing Group SN - 2376-7235 UR - https://doi.org/10.11648/j.ijbse.20261401.12 AB - Background: To better understand the frequency of E. coli and Klebsiella spp. among patients with urinary tract infections at the University of Benin Teaching Hospital, Benin City. Objective: This study aimed to analyze their patterns of antibiotic resistance. Methods: The Kirby-Bauer disk-diffusion method was employed to test the susceptibility of various microbes. Results: E. coli was the most prevalent pathogen in this study's 50 samples, with a prevalence of 64%, followed by Klebsiella spp. with a prevalence of 36%. Escherichia coli isolates were highly susceptible to imipenem (75%) and nitrofurantoin (65.6%), but showed high resistance to cefotaxime (100%), amoxicillin-clavulanate acid (100%), and nalidixic acid (96.9%). Klebsiella spp isolates were highly susceptible to Imipenem (50%) but showed 100% resistance to amoxicillin-clavulanate acid and cefotaxime, respectively. Therefore, these results should form the basis for preliminary decision-making about the best course of treatment for urinary tract infections (UTIs). Conclusion: This study demonstrated that the effectiveness of UTI therapy using available antibiotics is limited due to the increasing prevalence of antibiotic-resistant uropathogens. VL - 14 IS - 1 ER -