Review Article

Bacterial Pathogens and Their Antimicrobial Resistance Patterns of Inanimate Surfaces and Equipment in Ethiopia: A Systematic Review and Meta-analysis

Table 4

Bacterial pathogens and their antimicrobial resistance patterns isolated from inanimate surfaces and equipment in Ethiopia (2013-2020).

Type of isolateStudyNo. of isolatesNumber of isolates resistant to
CIP (%)AMP (%)AMC (%)GEN (%)CRO (%)SXT (%)ERY (%)TE (%)C (%)

S. aureusShiferaw et al., 2016372 (5.4)12 (32.4)2 (5.4)19 (51.4)14 (37.8)17 (45.9)
Darge et al., 20194311 (23.9)10 (21.7)29 (63)10 (21.7)13 (28.2)23 (50)7 (15.2)10 (21.7)
Hailu et al., 20187116 (22.5)16 (22.5)19 (26.7)23 (32.4)35 (49.5)54 (75.5)29 (41)20 (28)
Workneh et al., 2019811 (1.2)14 (17)43 (53.1)49 (60.5)40 (49.4)16 (19.8)
Agersew et al., 2015494 (9)41 (74)39 (80)10 (21)1 (3)29 (60)11 (23)34 (70)35 (77)
Bodena et al., 2019316 (19.3)19 (61.3)8 (25.8)7 (22.6)6 (19.3)20 (64.5)10 (32.2)10 (32.3)
Mengistu et al., 20163616 (44.4)13 (36)20 (55.6)14 (38.9)16 (44.4)33 (47.2)27 (72.2)18 (50)
Mengistu et al., 20184010 (25)11 (27.5)21 (52.5)12 (30)7 (17.5)24 (60)26 (65)13 (32.5)
Girma et al., 20143311 (33.5)21 (63.6)7 (21.2)19 (55.6)33 (100)33 (100)
Shiferaw et al., 20137914 (17.7)21 (26.6)29 (36.2)22 (27.8)36 (45.6)35 (44.3)
Teshale et al., 20181913 (68.4)16 (89.5)
Solomon et al., 20176423 (31.9)21 (32.8)35 (54.7)56 (87.5)
Kahsay et al., 2019546 (11.1)17 (31.5)13 (24.1)6 (11.1)3 (5.6)37 (68.5)
Gebremariam et al., 20154419 (45.2)3 (7.1)16 (38.1)10 (23.8)
Asser et al., 20185212 (23.1)7 (13.5)3 (5.7)5 (10)17 (32.7)9 (17.3)
Shemse et al., 2020385 (13.2)21 (55.3)2 (5.3)3 (8)1 (2.6)
Diriba et al., 2014155 (33.3)2 (13.3)1 (6.7)1 (2.6)
Bethelhem et al., 20184718 (38.3)4 (8.5)12 (25.5)4 (8.5)1 (2.1)
CoNSShiferaw et al., 2016783 (3.8)12 (15.4)9 (11.5)31 (39.7)20 (25.6)35 (44.9)
Darge et al., 2019639 (13.5)6 (10.1)38 (62.7)6 (10.1)12 (20.3)30 (50)8 (11.8)15 (23.7)
Hailu et al., 20188420 (24)16 (19)26 (30.5)54 (64)48 (57.7)59 (70.2)45 (53.4)26 (31)
Workneh et al., 20191117 (6.3)17 (15)58 (15.3)56 (50.5)61 (55)28 (25.2)
Agersew et al., 20158361 (73)63 (76)39 (80)5 (7)53 (64)7 (8)62 (74)47 (57)
Bodena et al., 201912722 (17.3)67 (52.7)34 (26.8)24 (18.9)15 (11.8)80 (63)39 (30.7)31 (24.4)
Mengistu et al., 20163412 (35.4)14 (41.2)12 (35.3)15 (44.1)14 (41.2)19 (55.8)22 (64.7)13 (38.3)
Mengistu et al., 20183216 (50)13 (40.6)21 (65.6)13 (40.6)9 (28.1)19 (59.4)25 (78.1)15 (46.9)
Girma et al., 2014
Shiferaw et al., 201310310 (9.7)16 (15.5)30 (29.1)27 (26.2)33 (41.8)59 (57.3)
Teshale et al., 2018142 (14.3)10 (71)
Solomon et al., 20177225 (39.1)35 (48.6)48 (66.7)49 (68.1)
Gebremariam et al., 2015687 (10.3)30 (44.1)9 (13.2)8 (11.8)10 (11.7)11 (16.2)
Asser et al., 20183216 (50)8 (32)(9.4)2 (6.3)
Shemse et al., 2020256 (24)9 (36)2 (8)1 (4)1 (4)2 (8)
Diriba et al., 2014418 (19.5)1 (2.4)13 (31.7)3 (7.3)
Bethelhem et al., 2018309 (30)14 (46.7)3 (10)
E. coliShiferaw et al., 2016129 (75)11 (91.7)5 (41.7)7 (58.3)7 (58.3)
Darge et al., 2019112 (18.2)10 (90.9)1 (50)8 (72.7)3 (27.3)3 (27.3)
Hailu et al., 201866 (100)3 (50)4 (66.7)1 (12.7)6 (100)4 (66.7)4 (66.7)
Workneh et al., 201987 (87.5)3 (37.5)7 (87.5)6 (75)4 (50)
Agersew et al., 20151410 (84)4 (33)4 (33)11 (92)8 (67)
Bodena et al., 2019142 (14.3)11 (78.6)5 (35.8)4 (28.6)4 (28.6)8 (57.1)
Mengistu et al., 2016142 (14.2)2 (14.2)2 (14.2)2 (14.2)2 (14.2)5 (35.7)3 (21.4)
Shiferaw et al., 201321 (50)1 (50)1 (50)
Teshale et al., 20181410 (71.4%)4 (28.6)6 (42.8)
Solomon et al., 2017147 (50)2 (15.4)5 (35.6)5 (35.7)
Kahsay et al., 201983 (37.5)13 (24.1)6 (75)6 (75)
Gebremariam et al., 201521 (50)1 (50)
Asser et al., 201881 (12.5)4 (50)2 (25)
Diriba et al., 20142913 (44.8)8 (27.6)1 (3.4)2 (6.9)
Bethelhem et al., 201882 (25)3 (37.5)1 (12.5)
P. aeruginosaShiferaw et al., 20161915 (78.9)14 (73.7)9 (75)6 (31.6)
Hailu et al., 201876 (86%)2 (28.6)7 (100)5 (71.6)4 (57.2)
Workneh et al., 201911 (100)1 (100)1 (100)1 (100)1 (100)
Agersew et al., 201541 (25)3 (75)3 (75)1 (25)3 (75)3 (75)3 (75)
Bodena et al., 201985 (62.5)8 (100)8 (100)1 (12.5)3 (37.5)8 (100)8 (100)4 (50)
Mengistu et al., 2016184 (22.2)4 (22.2)5 (27.7)3 (16.7)5 (27.7)7 (38.9)5 (27.7)5 (27.7)
Mengistu et al., 2018153 (89)6 (82)6 (90)5 (80.4)2 (76.7)9 (60)15 (100)6 (78)
Shiferaw et al., 201331 (50)3 (100)3 (100)3 (100)3 (100)3 (100)3 (100)
Teshale et al., 2018104 (40)3 (30)3 (30)
Solomon et al., 2017138 (61.5)8 (61.5)8 (61.5)9 (69.2)
Gebremariam et al., 201513
Asser et al., 201831 (33.3)2 (66.7)
Shemse et al., 20205521 (38.2)10 (18.2)7 (12.7)1 (1.8)5 (9.1)
Diriba et al., 201462 (33.3)2 (33.3)
Bethelhem et al., 2018124 (33.3)5 (41.7)2 (16.7)1 (8.3)
K. pneumoniaeShiferaw et al., 201693 (33.3)11 (91.7)2 (22.2)5 (55.6)2 (22.2)5 (55.6)6 (66.7)
Darge et al., 201911 (9)2 (100)9 (81.8)6 (54.5)3 (27.2)5 (45.4)
Hailu et al., 2018225 (23)12 (54.6%)5 (23)9 (41)9 (41)8 (36.4)7 (32)7 (32)
Workneh et al., 2019271 (3.7)3 (11.1)27 (100)8 (29.6)5 (18.5)18 (67)15 (56)13 (48.1)
Agersew et al., 2015217 (33)20 (95)21 (100)3 (14)13 (62)17 (81)16 (77)17 (81)
Bodena et al., 2019156 (40) 54 (33.3)4 (21.4)10 (66.6)7 (46.7)3 (20)
Mengistu et al., 201671 (14.3)2 (28.6)1 (14.3)2 (28.6)2 (28.6)3 (42.8)2 (28.6)
Mengistu et al., 201872 (88.6)1 (74.3)3 (42.9)2 (78.6)1 (64.3)4 (57.1)6 (85.7)4 (57.1)
Shiferaw et al., 20131208 (66.7)5 (41.6)9 (75)5 (41.7)5 (41.7)6 (50)
Teshale et al., 2018135 (38.5)3 (23.1)3 (20)
Asser et al., 201851 (20)2 (40)
Shemse et al., 20204216 (38.1)10 (23.8)5 (12)8 (19.5)
Diriba et al., 2014176 (35.3)3 (17.6)
Bethelhem et al., 201893 (33.3)1 (11.1)3 (33.3)
Citrobacter spp.Darge et al., 2019151 (6.6)2 (80)13 (86.6)
Agersew et al., 2015272 (29)27 (100)27 (100)6 (21)20 (75)20 (75)20 (75)20 (75)
Asser et al., 201894 (44.4)2 (22.2)1 (11.1)
Shemse et al., 202063 (50)1 (16.7)
Diriba et al., 20144017 (42.5)6 (15)3 (7.5)11 (27.5)9 (22.5)1 (2.5)
Bethelhem et al., 20184319 (44.2)15 (34.9)3 (7)5 (11.6)

—: not tested; AMP: ampicillin; AMC: amoxicillin-clavulanic acid; SXT: cotrimoxazole; CRO: ceftriaxone; CIP: ciprofloxacin; GEN: gentamicin; ERY: erythromycin; TE: tetracycline; C: chloramphenicol; CoNS: Coagulase-negative Staphylococci.