Research Article | | Peer-Reviewed

Occurrence and Antibiotic Susceptibility of Escherichia coli from Door Handles in the Faculty of Pharmacy, Nnamdi Azikiwe University, Agulu

Received: 13 October 2025     Accepted: 25 October 2025     Published: 11 December 2025
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Abstract

Door handles are high-contact surfaces that can serve as reservoirs for pathogenic microorganisms, including Escherichia coli, a significant cause of community- and hospital-acquired infections. Increasing antibiotic resistance among E. coli strains poses a public health challenge, necessitating local surveillance. This study investigated the prevalence of E. coli contamination on door handles within the Faculty of Pharmacy, Nnamdi Azikiwe University, Agulu, and assessed the antibiotic susceptibility patterns of the isolates. A total of 100 swab samples were collected from door handles across offices, classrooms, hostels, laboratories, clinic, and other locations. Samples were cultured in nutrient broth, subcultured on MacConkey agar, and pure isolates identified using Gram staining, cultural characteristics and biochemical tests. Antibiotic susceptibility testing was performed using the Kirby-Bauer disc diffusion method on Mueller-Hinton agar with 12 commonly used antibiotics. Data were analyzed using CLSI breakpoints and Multiple Antibiotic Resistance Index (MARI) was used to assess multidrug resistance. Seventeen E. coli isolates were recovered, with the highest prevalence from hostel door handles (59%). Antibiotic susceptibility testing revealed high resistance to β-lactams, including Ampicillin/Sulbactam (94%) and Piperacillin/Tazobactam (88%), as well as third- generation cephalosporins such as Cefotaxime (82%). Conversely, 100% susceptibility was observed for Gentamicin, Azithromycin, and Chloramphenicol, while Ofloxacin and Levofloxacin retained significant activity (88% susceptibility). Twelve isolates (71%) exhibited multidrug resistance, with MARI values >0.2, suggesting exposure to high antibiotic pressure. The findings highlight the role of fomites in harboring multidrug-resistant E. coli, underscoring the need for improved hygiene practices, routine surveillance, and rational antibiotic use within academic environments.

Published in American Journal of Biomedical and Life Sciences (Volume 13, Issue 6)
DOI 10.11648/j.ajbls.20251306.13
Page(s) 135-141
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), 2025. Published by Science Publishing Group

Keywords

Escherichia coli, Antibiotic Resistance, Fomites, Door Handles, Multidrug Resistance

References
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Cite This Article
  • APA Style

    Obidike, E. J., Ibezim, C. N., Ekpunobi, N. F., Obidi, N., Ugwu, M. C. (2025). Occurrence and Antibiotic Susceptibility of Escherichia coli from Door Handles in the Faculty of Pharmacy, Nnamdi Azikiwe University, Agulu. American Journal of Biomedical and Life Sciences, 13(6), 135-141. https://doi.org/10.11648/j.ajbls.20251306.13

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    ACS Style

    Obidike, E. J.; Ibezim, C. N.; Ekpunobi, N. F.; Obidi, N.; Ugwu, M. C. Occurrence and Antibiotic Susceptibility of Escherichia coli from Door Handles in the Faculty of Pharmacy, Nnamdi Azikiwe University, Agulu. Am. J. Biomed. Life Sci. 2025, 13(6), 135-141. doi: 10.11648/j.ajbls.20251306.13

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    AMA Style

    Obidike EJ, Ibezim CN, Ekpunobi NF, Obidi N, Ugwu MC. Occurrence and Antibiotic Susceptibility of Escherichia coli from Door Handles in the Faculty of Pharmacy, Nnamdi Azikiwe University, Agulu. Am J Biomed Life Sci. 2025;13(6):135-141. doi: 10.11648/j.ajbls.20251306.13

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  • @article{10.11648/j.ajbls.20251306.13,
      author = {Ezinne Jennifer Obidike and Chidozie Ngozi Ibezim and Nzube Favour Ekpunobi and Nwasoluchukwu Obidi and Malachy Chigozie Ugwu},
      title = {Occurrence and Antibiotic Susceptibility of Escherichia coli from Door Handles in the Faculty of Pharmacy, Nnamdi Azikiwe University, Agulu},
      journal = {American Journal of Biomedical and Life Sciences},
      volume = {13},
      number = {6},
      pages = {135-141},
      doi = {10.11648/j.ajbls.20251306.13},
      url = {https://doi.org/10.11648/j.ajbls.20251306.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajbls.20251306.13},
      abstract = {Door handles are high-contact surfaces that can serve as reservoirs for pathogenic microorganisms, including Escherichia coli, a significant cause of community- and hospital-acquired infections. Increasing antibiotic resistance among E. coli strains poses a public health challenge, necessitating local surveillance. This study investigated the prevalence of E. coli contamination on door handles within the Faculty of Pharmacy, Nnamdi Azikiwe University, Agulu, and assessed the antibiotic susceptibility patterns of the isolates. A total of 100 swab samples were collected from door handles across offices, classrooms, hostels, laboratories, clinic, and other locations. Samples were cultured in nutrient broth, subcultured on MacConkey agar, and pure isolates identified using Gram staining, cultural characteristics and biochemical tests. Antibiotic susceptibility testing was performed using the Kirby-Bauer disc diffusion method on Mueller-Hinton agar with 12 commonly used antibiotics. Data were analyzed using CLSI breakpoints and Multiple Antibiotic Resistance Index (MARI) was used to assess multidrug resistance. Seventeen E. coli isolates were recovered, with the highest prevalence from hostel door handles (59%). Antibiotic susceptibility testing revealed high resistance to β-lactams, including Ampicillin/Sulbactam (94%) and Piperacillin/Tazobactam (88%), as well as third- generation cephalosporins such as Cefotaxime (82%). Conversely, 100% susceptibility was observed for Gentamicin, Azithromycin, and Chloramphenicol, while Ofloxacin and Levofloxacin retained significant activity (88% susceptibility). Twelve isolates (71%) exhibited multidrug resistance, with MARI values >0.2, suggesting exposure to high antibiotic pressure. The findings highlight the role of fomites in harboring multidrug-resistant E. coli, underscoring the need for improved hygiene practices, routine surveillance, and rational antibiotic use within academic environments.},
     year = {2025}
    }
    

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    T1  - Occurrence and Antibiotic Susceptibility of Escherichia coli from Door Handles in the Faculty of Pharmacy, Nnamdi Azikiwe University, Agulu
    AU  - Ezinne Jennifer Obidike
    AU  - Chidozie Ngozi Ibezim
    AU  - Nzube Favour Ekpunobi
    AU  - Nwasoluchukwu Obidi
    AU  - Malachy Chigozie Ugwu
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    JF  - American Journal of Biomedical and Life Sciences
    JO  - American Journal of Biomedical and Life Sciences
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    EP  - 141
    PB  - Science Publishing Group
    SN  - 2330-880X
    UR  - https://doi.org/10.11648/j.ajbls.20251306.13
    AB  - Door handles are high-contact surfaces that can serve as reservoirs for pathogenic microorganisms, including Escherichia coli, a significant cause of community- and hospital-acquired infections. Increasing antibiotic resistance among E. coli strains poses a public health challenge, necessitating local surveillance. This study investigated the prevalence of E. coli contamination on door handles within the Faculty of Pharmacy, Nnamdi Azikiwe University, Agulu, and assessed the antibiotic susceptibility patterns of the isolates. A total of 100 swab samples were collected from door handles across offices, classrooms, hostels, laboratories, clinic, and other locations. Samples were cultured in nutrient broth, subcultured on MacConkey agar, and pure isolates identified using Gram staining, cultural characteristics and biochemical tests. Antibiotic susceptibility testing was performed using the Kirby-Bauer disc diffusion method on Mueller-Hinton agar with 12 commonly used antibiotics. Data were analyzed using CLSI breakpoints and Multiple Antibiotic Resistance Index (MARI) was used to assess multidrug resistance. Seventeen E. coli isolates were recovered, with the highest prevalence from hostel door handles (59%). Antibiotic susceptibility testing revealed high resistance to β-lactams, including Ampicillin/Sulbactam (94%) and Piperacillin/Tazobactam (88%), as well as third- generation cephalosporins such as Cefotaxime (82%). Conversely, 100% susceptibility was observed for Gentamicin, Azithromycin, and Chloramphenicol, while Ofloxacin and Levofloxacin retained significant activity (88% susceptibility). Twelve isolates (71%) exhibited multidrug resistance, with MARI values >0.2, suggesting exposure to high antibiotic pressure. The findings highlight the role of fomites in harboring multidrug-resistant E. coli, underscoring the need for improved hygiene practices, routine surveillance, and rational antibiotic use within academic environments.
    VL  - 13
    IS  - 6
    ER  - 

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Author Information
  • Department of Pharmaceutical Microbiology and Biotechnology, Nnamdi Azikiwe University, Awka, Nigeria

  • Department of Pharmaceutical Microbiology and Biotechnology, University of Port Harcourt, Choba, Nigeria

  • Department of Pharmaceutical Microbiology and Biotechnology, Nnamdi Azikiwe University, Awka, Nigeria

  • Department of Parasitology and Entomology, Nnamdi Azikiwe University, Awka, Nigeria

  • Department of Pharmaceutical Microbiology and Biotechnology, Nnamdi Azikiwe University, Awka, Nigeria;Tetfund Centre of Excellence for Biomedical, Engineering, Agricultural and Translational Studies (TCE-BEATS), UNIZIK, Awka, Nigeria

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