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Antimicrobial susceptibility of isolated E.coli from different water sources in Nyala Town. (Sudan) 
Nada A. Elamin1, Mustafa S. koya2 Zeinab A.Elrabei3 
1department of Biology, faculty of education, University of Nyala, Sudan 
2department of Chemistry, faculty of education, university of Nyala Sudan 
3department of Chemistry, faculty of education, University of Nyala, Sudan 
اختبار حساسية بكتيريا القولون المعزولة من المصادر المختلفة 
لمياه مدينة نيالا للمضادات الحيوية 
مستخلص الدراسة : 
اجريت هذه الدراسة به دد اتبا د ر اس سدوة اوم او دة باباي د المال داو ا ال دة 
ون ا ص در ا خبلفة ود ه وديةدة اود ب لدا ض ا تد داو ا وايدة . اسدخدوت تمةودة ا ) disk diffusion ( بتبا راس سوة ا وم اوة عدد 23 ون ا ت داو ا واية الأكثدر اسدبخداو 
في ال لاج االتي اشبملت علد Cefotaxime (30 mcg) , Ampicillin / Sulbactam( 20 mcg ) , Co.Trimxazole(25mcg) , Piperacillin / Tazobatam(100/10 mcg) , Chloramphenicol(30 mcg) . Ciprofloxacin(5 mcg). Tetracycline(30 mcg) , Ofloxacin(5 mcg) , Gentamicin(10mcg) , Amikacin(30 mcg) , Pefloxcin (5 mcg) and Ceftizoxcime ( 30 mcg ). 
أاضحت الةب ئج أو جموع سدلابو باباي د المال داو ا ال دة لل وة د و ددت الدراسدة 
اس سددة لادد وددن ) Chloramphenicol ، Co-Trimoxazole ، (Ciprofloxacin و اوم اودة لاد ودن ) Ampicillin / Sulbactam ا Tetracycline ) بوةمد اس سدوبه 
اوم اوبه للمت داو الأترى ت د وباسطة. 
Abstract 
The prevalence of antimicrobial resistant among the faecal bacteria found in different water sources in Nyala town South Darfur was tested. Isolation and identification of E.coli was done by using standard methods. Presumptive isolates obtained were confirmed by
32 
culturing in Brilliant Green Bile lactose media (BGB) and IMVC test. Antimicrobial susceptibility testing by the disk diffusion method was conducted for 12 antimicrobial agents: Cefotaxime(30mcg) , Ampicillin / Sulbactam(20mcg) , Co-Trimxazole (25mcg), Piperacillin / Tazobatam(100/10mcg) Chloramphenicol(30mcg) . Ciprofloxacin(5mcg) . Tetracycline(30mcg) , Ofloxacin(5mcg) , Gentamicin(10mcg) , Amikacin(30mcg) , Pefloxcin(5mcg0 and Ceftizoxcime(30mcg) . 
The results indicate that all the studied E .coli strains were sensitive to Ciprofloxacin, Co-Trimoxazole and Chloramphenicol and resistant to Tetracycline and Ampicillin / Sulbactam . 
Key words:- Antimicrobial, susceptibility, Escherichia coli, Nyala, water sources 
Introduction 
Public and environmental health protection requires safe drinking water, which means that it must be free of pathogenic bacteria. E .coli is an organism that occurs universally in sewage and because it is a faecal coliform, it plays an important role in the sanitary analysis of water. (Zamxaka et al., 2004). According to the World Health Organization (WHO, 1981), 80% of all diseases are attributed to unsafe water. 
About one quarter of billion people in the world are suffering from major related diseases at any time (Odeyemi, 1998). 
Antibiotic resistance in E.coli has been globally identified in isolates from environmental, aninmal and human sources (Heike and Reinhard,2005) . This is a consequence of the use of antimicrobials in
32 
medicine and their application in animal husbandry , which have brought about phenotypic changes , often due to chromosomal mutations .(Walsh et.al .2005) . 
E.coli is resistant to a number of antibiotics. (Robert2003). In addition to the consequences of microbial resistance to antibiotics on human health, contamination of surface water bodies with resistant bacterial strains from human activities and livestock operations has also been reported (Harakeh et al., 2004). 
However, bacteria have developed strategies for survival within the host during an infection and one of these strategies is the resistance of isolates to the antimicrobial drugs. Antibiotic resistance is a serious problem because it limits the therapeutic possibilities in the treatment of bacterial diseases in domestic animal species in general and poultry in particular (Nicole et al., 2000). According to Hussain et al., 1982, the numbers of multi-drug resistant E. coli are continuously increasing although various antimicrobial agents are being used. Considering the above facts, the present research work was undertaken to determine the current status of drug sensitivity and resistance pattern of the E. coli isolated from 10 different sources to select the drugs of choice for therapeutic use against various infections of man and animals caused by the organism. 
The aim of this study was to isolate E.coli organisms from water collected from different sources in Nyala town with the intention of testing their resistance to commonly used antibiotics
32 
Materials and Methods: 
Water samples were collected during the rainy season of 2009 from 50 sampling sites such as dug wells, boreholes along wadi Nyala and tap water in 250 ml bottles, according to procedure mentioned by WHO,1984. 
Samples were kept at 4ᵒC from different sites until their arrival to laboratory. 50 isolates of E.coli were collected and tested against 12 commonly used antimicrobial agents. Standard methods were used for the enrichment, isolation, identification and biochemical confirmation (indole,methyl, red , Voges - proskauer and Simmon citrate tests ) of E.coli (Drangan .2000) 
The bacterial isolates that were confirmed to be E.coli based on the results of the biochemical tests were selected for antimicrobial agent sensitivity testing. The antibiotic resistance was determined by a standard disc diffusion technique using Muller-Hinton agar (Difco) according to the recommendation of National Committee for Clinical Laboratory Standards NCCLs 2008. 
The fifty samples of E.coli mentioned above were cultured into peptone water medium incubated at 37ᵒC for 24 hours following according to methods mentioned by Nada, (2010), with a slight modification. In exposed to light the growth turbidity was matched with turbidity of a standard (Macforland 0.5). Small amount of the cultured liquid were transferred into Muller Hinton agar medium plates. The plates were left for 15 minuts to be absorbed, multi antimicrobial susceptibility disks of Gram negative bacteria were
32 
placed and the plates then incubated at 37ᵒC for 24hr and examined for evaluation of the inhibition zones. The names and concentrations of the used antibiotics is shown in (Table 1) 
Antimicrobial agent 
Code 
Concentration 
Amikacin 
AK 
30 mcg 
As 
20 mcg 
CF 
30 mcg 
Ceftizoxime 
CL 
30 mcg 
Chloramphenicol 
CH 
30 mcg 
Ciprofloxacin 
CP 
5 mcg 
Co-trimxazole 
BA 
25 mcg 
Gentamicin 
GM 
10 mcg 
Oflxacin 
OF 
5 mcg 
Pefloxacin 
PF 
5 mcg 
Piperacillin/Tazobatam 
TzP 
100/10 mcg 
Teteacycline 
TE 
30 mcg
32 
Results: 
Disk diffusion zones were used to show the difference among types of samples collected from several water sources. 
Significant differences were seen inhibition diffusion zones for all antimicrobial agents (Table 2) . 
Multi disk zones of E.coli isolated from water were examined to show the difference among types of antimicrobial agents. The largest zones (a) indicates greater susceptibility were shown by (Ciprofloxacin, 5mcg), but the smallest zones (f) indicating greater resistance to the antibiotic were shown by (Ampicillin/ Sulbatctam, 20 mcg). That means E.coli isolates were sensitive to Ciprofloxacin (CP), CO-Trimoxazole (BA, 25mcg) and chloramphenicol (CH 30 mcg). The superscript (a) is common and there were no significant differences among them, but (CP, 5 mcg) shows the largest inhibition zone Fig(1) . 
There were no significant differences among Co-Trimoxazole (BA, 25mcg) , Chloramphenicol (CH,30 mcg) , Ofloxacin (OF) and Pefloxacin (PF, 5mcg) (the superscript b is common ) . Tetracyclline (TE 30 mcg) , Ampicilln / sulbactam (AS,20 mcg) showed the smallest zones but these showed significant difference among CP, BA , CH, OF , PF , CL , AK , TZP , Gm and As . (The superscript is not common) .
32 
Antibiotic 
Code 
Susceptibility according to manufacture standard (NCCLS) 
Statistical analysis 
Mean  SD (mm) 
Superscript significant 
Amikacin 
AK 
I 
15.88C as  2.07 
c 
Ampicillin /Sulbactam 
AS 
R 
9.98f as 2.14 
f 
Cefotaxime 
CF 
R 
15.56C as  3.67 
c 
Ceftizoxime 
CL 
I 
16.44cd as  2.90 
c 
Chloramphenicol 
CH 
I 
17.92ab as 3.25 
ab 
Ciprofloxacin 
CP 
S 
21.02a as 2.65 
a 
Co-Trimoxazole 
BA 
S 
18.02ab as  4.02 
ab 
Gentamycin 
GM 
S 
15.78C as  1.66 
c 
Ofloxacin 
OF 
S 
17.60bc as  3.19 
bc 
Pefloxacin 
PF 
I 
17.48bc as  3.03 
cd 
Piperacillin/Tazobactam 
TzP 
R 
15.88C as  2.98 
c 
Tetracycline 
TE 
R 
8.94e as  3.24 
e 
S: Sensitive R: Resistant I: Intermediate 
*: means with the same superscript are not significantly different.
23 
antibiotic 
Discussion : 
The Enterobacteiaceae family has been linked to well known as antibiotic gene pools. These genes are transferred into the normal flora of humans and animals (Lin and Biyela,2005) . 
In this study all strains of E.coli showed resistance against the activity of Tetracycline and Ampicillin / Sulbactam . The highest inhibition zones were found with Ciprofloxacin followed by co- Trimxazole and chloramphenicol . These findings are in accordance with (Erwa.1975; Hassan , 1985, Omer,1986; Shers et.al;1988 Kawjok,1992;Musa ,1994; Altaib,1997 and Raida etal,2005), who 
Antibiotic
22 
found that the highest levels of resistance were observed for tetracycline in E.coli isolated from different sources of water. 
Angela (2004) reported that the highest rates of resistance were towards Ampicillin (21.8%) and tetracycline (14.1%) The results of the present study confirm the work done by. 
Conclusion: 
On the basis of the observations recorded and findings obtained on various biochemical properties of the microorganisms, it is clearly concluded that the water bodies of the study area revealed the occurrence of multiple antibiotic resistant E.coli in the water sources which in turn contributes in making it unsafe for drinking. Good hygienic practices including sanitary water handling, safe use of antibiotics, adequate water source protection mechanisms should be implemented in the area of water points in order to protect the surrounding community and livestock in general from water borne diseases. 
References: 
1. Angela N., Regine H., Dalia R., Andrew M., Gizele P., Grace N. (2004). Faecal pollution in water from storm sewers and adjacent sea shores in Natal. Rio Grande de Norte, Brazil. International microbiology, 7: 213-218. 
2. Drangan – Bularda M. (2000)General Microbiology a laborotary manual 3rd ed. , university Press Napoca – Romania (in roumanian),PP100-106.
23 
3. El Taib E. I. (1997) Comparison between the antimicrobial resistance of E. coli and other Coliforms isolated from animals and human in contact. 
A thesis of M. V. Sc. UK. 
4. Erwa H. H. (1975). Bacterial enteritis in Sudanese children. A thesis of M.D. UK. 
5. Harakeh S., Yassine H., El-Fadel M.(2006)Antimicrobial resistant patterns of Escherichia coli and Salmonnella strains in the aquatic Lebanesnese environments .Env.Pol .143(2):269- 277. 
6. Hassan S.H. (1985). Sensitivity of salmonella and Shigella to antibiotics and chemotherapeutic agent in Sudan. Trop. Med. 88: 243-242. 
7. Heike von B.., Reinhard M ,(2005) Antimicrobial resistant of Escherichia Coli and their poutic Implication .Int.J .Med. Microbiol .109 (3) :173 – 178. 
8. Hussain MM, Glass RJ and Khan MR (1982). Antibiotic used in a rural community in Bangladesh. International Journal of Epidemiology 11: 402-405 9. Kawjok V. L. (1992). Genetic and molecular studies on multiple antibiotic resistance of bovine mastitis bacteria .A thesis of M. V. Sc. UK. 
10. Line J. Biyela P.T.(2005). Convergent acquisition of antibiotic resistance determinants amongst the Enterobacteriaceae isolates of the Mhlathuze River, Kwazulu – Natal (RsA) .Water SA., 31(2):25-260.
22 
11. Musa H.A.(1994). The antibiotic resistance carried by plasmids in E.coli and its relation to the enteric pathogenic . M.D Thesis . U.of K. 
12. Nada A.M.E.(2010) . Identification and confirmation of Escherichia coli causing diarrhea in children under five years isolated from water sources in Nyala town . Ph.D thesis University of Alneelain . 
13. NCCLs(2008)National Committee for Clinical Laboratory Standards NCCLs 2008. 
14. Nicole L, Musangu N, Gabriel B and Joseph R (2000). Retrospective study on Escherichia coli infection in broiler subjected to postmortem examination and antibiotic resistance of isolates in Trinidad. Avian Diseases 44: 155-160. 
15. Odeyem 1 O(1998). Effect of sewage lagoon effluents on the water quality of receiving stream . Environ . Pollut ., 37 : 71 -86 
16. Omer M. E. A. 1986. Patterns of drug resistance of some clinical isolates of enterobacteria and Staphylococci isolated from Sudanese patients. A thesis of M. Sc. UK. 
17. Raida S.Johan .B.k., Yvette J. and rose Annm. (2005) Patterns of Antimicrobial Resistanc Observed in E.coli isolates obtained from domestic and wild animal faecal samples , Human secpage and surface water Applied and Environmental Microbiology pp.1394-1404. 
18 . Roberts Me.tetra cycline therapy :up date .Clin. Infect . Dis .36:462-467.
22 
19. Shears P.Sulinan G. and hard C.A.(1988)Occurrence of multiple resitance and plasmidsin enterobacteriaceas isolatded from children with diarrhea in Sudan . Epidemiol.100:73-81. 
20. Walsh C., Duffy G., O. Mahony R., Fanning S., Mlain is Mc Dowell DA(2005) Antimicrobial resitance Irish Isolates of Verocytoxigenic Escherichia coli – VTEC.lnt.J.Food Microbiol.,109 (3) :173-178. 
21. Word Health Organization (1984) .Internationl Standard for drinking water ,. Expert committee of international standard for drinking water . Geneva 32 , Switzerland. 
22. World Heatth Organization (1981) . Drinking water and sanitation WLTO ,211,Geneva 27,Swizerland . 
23. Zamxaka M,Prioncheva G,Zamxaka Nyo.(2004). Bacterial community patterns of domestic water sources in the Gogogo and Nkon kobe areas of the Eastern cape province ,South Africa . Water SA.30 (3):341-346 .

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Antimicrobial susceptibility of isolated E.coli from different water sources in Nyala Town. (Sudan)

  • 1. 32 Antimicrobial susceptibility of isolated E.coli from different water sources in Nyala Town. (Sudan) Nada A. Elamin1, Mustafa S. koya2 Zeinab A.Elrabei3 1department of Biology, faculty of education, University of Nyala, Sudan 2department of Chemistry, faculty of education, university of Nyala Sudan 3department of Chemistry, faculty of education, University of Nyala, Sudan اختبار حساسية بكتيريا القولون المعزولة من المصادر المختلفة لمياه مدينة نيالا للمضادات الحيوية مستخلص الدراسة : اجريت هذه الدراسة به دد اتبا د ر اس سدوة اوم او دة باباي د المال داو ا ال دة ون ا ص در ا خبلفة ود ه وديةدة اود ب لدا ض ا تد داو ا وايدة . اسدخدوت تمةودة ا ) disk diffusion ( بتبا راس سوة ا وم اوة عدد 23 ون ا ت داو ا واية الأكثدر اسدبخداو في ال لاج االتي اشبملت علد Cefotaxime (30 mcg) , Ampicillin / Sulbactam( 20 mcg ) , Co.Trimxazole(25mcg) , Piperacillin / Tazobatam(100/10 mcg) , Chloramphenicol(30 mcg) . Ciprofloxacin(5 mcg). Tetracycline(30 mcg) , Ofloxacin(5 mcg) , Gentamicin(10mcg) , Amikacin(30 mcg) , Pefloxcin (5 mcg) and Ceftizoxcime ( 30 mcg ). أاضحت الةب ئج أو جموع سدلابو باباي د المال داو ا ال دة لل وة د و ددت الدراسدة اس سددة لادد وددن ) Chloramphenicol ، Co-Trimoxazole ، (Ciprofloxacin و اوم اودة لاد ودن ) Ampicillin / Sulbactam ا Tetracycline ) بوةمد اس سدوبه اوم اوبه للمت داو الأترى ت د وباسطة. Abstract The prevalence of antimicrobial resistant among the faecal bacteria found in different water sources in Nyala town South Darfur was tested. Isolation and identification of E.coli was done by using standard methods. Presumptive isolates obtained were confirmed by
  • 2. 32 culturing in Brilliant Green Bile lactose media (BGB) and IMVC test. Antimicrobial susceptibility testing by the disk diffusion method was conducted for 12 antimicrobial agents: Cefotaxime(30mcg) , Ampicillin / Sulbactam(20mcg) , Co-Trimxazole (25mcg), Piperacillin / Tazobatam(100/10mcg) Chloramphenicol(30mcg) . Ciprofloxacin(5mcg) . Tetracycline(30mcg) , Ofloxacin(5mcg) , Gentamicin(10mcg) , Amikacin(30mcg) , Pefloxcin(5mcg0 and Ceftizoxcime(30mcg) . The results indicate that all the studied E .coli strains were sensitive to Ciprofloxacin, Co-Trimoxazole and Chloramphenicol and resistant to Tetracycline and Ampicillin / Sulbactam . Key words:- Antimicrobial, susceptibility, Escherichia coli, Nyala, water sources Introduction Public and environmental health protection requires safe drinking water, which means that it must be free of pathogenic bacteria. E .coli is an organism that occurs universally in sewage and because it is a faecal coliform, it plays an important role in the sanitary analysis of water. (Zamxaka et al., 2004). According to the World Health Organization (WHO, 1981), 80% of all diseases are attributed to unsafe water. About one quarter of billion people in the world are suffering from major related diseases at any time (Odeyemi, 1998). Antibiotic resistance in E.coli has been globally identified in isolates from environmental, aninmal and human sources (Heike and Reinhard,2005) . This is a consequence of the use of antimicrobials in
  • 3. 32 medicine and their application in animal husbandry , which have brought about phenotypic changes , often due to chromosomal mutations .(Walsh et.al .2005) . E.coli is resistant to a number of antibiotics. (Robert2003). In addition to the consequences of microbial resistance to antibiotics on human health, contamination of surface water bodies with resistant bacterial strains from human activities and livestock operations has also been reported (Harakeh et al., 2004). However, bacteria have developed strategies for survival within the host during an infection and one of these strategies is the resistance of isolates to the antimicrobial drugs. Antibiotic resistance is a serious problem because it limits the therapeutic possibilities in the treatment of bacterial diseases in domestic animal species in general and poultry in particular (Nicole et al., 2000). According to Hussain et al., 1982, the numbers of multi-drug resistant E. coli are continuously increasing although various antimicrobial agents are being used. Considering the above facts, the present research work was undertaken to determine the current status of drug sensitivity and resistance pattern of the E. coli isolated from 10 different sources to select the drugs of choice for therapeutic use against various infections of man and animals caused by the organism. The aim of this study was to isolate E.coli organisms from water collected from different sources in Nyala town with the intention of testing their resistance to commonly used antibiotics
  • 4. 32 Materials and Methods: Water samples were collected during the rainy season of 2009 from 50 sampling sites such as dug wells, boreholes along wadi Nyala and tap water in 250 ml bottles, according to procedure mentioned by WHO,1984. Samples were kept at 4ᵒC from different sites until their arrival to laboratory. 50 isolates of E.coli were collected and tested against 12 commonly used antimicrobial agents. Standard methods were used for the enrichment, isolation, identification and biochemical confirmation (indole,methyl, red , Voges - proskauer and Simmon citrate tests ) of E.coli (Drangan .2000) The bacterial isolates that were confirmed to be E.coli based on the results of the biochemical tests were selected for antimicrobial agent sensitivity testing. The antibiotic resistance was determined by a standard disc diffusion technique using Muller-Hinton agar (Difco) according to the recommendation of National Committee for Clinical Laboratory Standards NCCLs 2008. The fifty samples of E.coli mentioned above were cultured into peptone water medium incubated at 37ᵒC for 24 hours following according to methods mentioned by Nada, (2010), with a slight modification. In exposed to light the growth turbidity was matched with turbidity of a standard (Macforland 0.5). Small amount of the cultured liquid were transferred into Muller Hinton agar medium plates. The plates were left for 15 minuts to be absorbed, multi antimicrobial susceptibility disks of Gram negative bacteria were
  • 5. 32 placed and the plates then incubated at 37ᵒC for 24hr and examined for evaluation of the inhibition zones. The names and concentrations of the used antibiotics is shown in (Table 1) Antimicrobial agent Code Concentration Amikacin AK 30 mcg As 20 mcg CF 30 mcg Ceftizoxime CL 30 mcg Chloramphenicol CH 30 mcg Ciprofloxacin CP 5 mcg Co-trimxazole BA 25 mcg Gentamicin GM 10 mcg Oflxacin OF 5 mcg Pefloxacin PF 5 mcg Piperacillin/Tazobatam TzP 100/10 mcg Teteacycline TE 30 mcg
  • 6. 32 Results: Disk diffusion zones were used to show the difference among types of samples collected from several water sources. Significant differences were seen inhibition diffusion zones for all antimicrobial agents (Table 2) . Multi disk zones of E.coli isolated from water were examined to show the difference among types of antimicrobial agents. The largest zones (a) indicates greater susceptibility were shown by (Ciprofloxacin, 5mcg), but the smallest zones (f) indicating greater resistance to the antibiotic were shown by (Ampicillin/ Sulbatctam, 20 mcg). That means E.coli isolates were sensitive to Ciprofloxacin (CP), CO-Trimoxazole (BA, 25mcg) and chloramphenicol (CH 30 mcg). The superscript (a) is common and there were no significant differences among them, but (CP, 5 mcg) shows the largest inhibition zone Fig(1) . There were no significant differences among Co-Trimoxazole (BA, 25mcg) , Chloramphenicol (CH,30 mcg) , Ofloxacin (OF) and Pefloxacin (PF, 5mcg) (the superscript b is common ) . Tetracyclline (TE 30 mcg) , Ampicilln / sulbactam (AS,20 mcg) showed the smallest zones but these showed significant difference among CP, BA , CH, OF , PF , CL , AK , TZP , Gm and As . (The superscript is not common) .
  • 7. 32 Antibiotic Code Susceptibility according to manufacture standard (NCCLS) Statistical analysis Mean  SD (mm) Superscript significant Amikacin AK I 15.88C as  2.07 c Ampicillin /Sulbactam AS R 9.98f as 2.14 f Cefotaxime CF R 15.56C as  3.67 c Ceftizoxime CL I 16.44cd as  2.90 c Chloramphenicol CH I 17.92ab as 3.25 ab Ciprofloxacin CP S 21.02a as 2.65 a Co-Trimoxazole BA S 18.02ab as  4.02 ab Gentamycin GM S 15.78C as  1.66 c Ofloxacin OF S 17.60bc as  3.19 bc Pefloxacin PF I 17.48bc as  3.03 cd Piperacillin/Tazobactam TzP R 15.88C as  2.98 c Tetracycline TE R 8.94e as  3.24 e S: Sensitive R: Resistant I: Intermediate *: means with the same superscript are not significantly different.
  • 8. 23 antibiotic Discussion : The Enterobacteiaceae family has been linked to well known as antibiotic gene pools. These genes are transferred into the normal flora of humans and animals (Lin and Biyela,2005) . In this study all strains of E.coli showed resistance against the activity of Tetracycline and Ampicillin / Sulbactam . The highest inhibition zones were found with Ciprofloxacin followed by co- Trimxazole and chloramphenicol . These findings are in accordance with (Erwa.1975; Hassan , 1985, Omer,1986; Shers et.al;1988 Kawjok,1992;Musa ,1994; Altaib,1997 and Raida etal,2005), who Antibiotic
  • 9. 22 found that the highest levels of resistance were observed for tetracycline in E.coli isolated from different sources of water. Angela (2004) reported that the highest rates of resistance were towards Ampicillin (21.8%) and tetracycline (14.1%) The results of the present study confirm the work done by. Conclusion: On the basis of the observations recorded and findings obtained on various biochemical properties of the microorganisms, it is clearly concluded that the water bodies of the study area revealed the occurrence of multiple antibiotic resistant E.coli in the water sources which in turn contributes in making it unsafe for drinking. Good hygienic practices including sanitary water handling, safe use of antibiotics, adequate water source protection mechanisms should be implemented in the area of water points in order to protect the surrounding community and livestock in general from water borne diseases. References: 1. Angela N., Regine H., Dalia R., Andrew M., Gizele P., Grace N. (2004). Faecal pollution in water from storm sewers and adjacent sea shores in Natal. Rio Grande de Norte, Brazil. International microbiology, 7: 213-218. 2. Drangan – Bularda M. (2000)General Microbiology a laborotary manual 3rd ed. , university Press Napoca – Romania (in roumanian),PP100-106.
  • 10. 23 3. El Taib E. I. (1997) Comparison between the antimicrobial resistance of E. coli and other Coliforms isolated from animals and human in contact. A thesis of M. V. Sc. UK. 4. Erwa H. H. (1975). Bacterial enteritis in Sudanese children. A thesis of M.D. UK. 5. Harakeh S., Yassine H., El-Fadel M.(2006)Antimicrobial resistant patterns of Escherichia coli and Salmonnella strains in the aquatic Lebanesnese environments .Env.Pol .143(2):269- 277. 6. Hassan S.H. (1985). Sensitivity of salmonella and Shigella to antibiotics and chemotherapeutic agent in Sudan. Trop. Med. 88: 243-242. 7. Heike von B.., Reinhard M ,(2005) Antimicrobial resistant of Escherichia Coli and their poutic Implication .Int.J .Med. Microbiol .109 (3) :173 – 178. 8. Hussain MM, Glass RJ and Khan MR (1982). Antibiotic used in a rural community in Bangladesh. International Journal of Epidemiology 11: 402-405 9. Kawjok V. L. (1992). Genetic and molecular studies on multiple antibiotic resistance of bovine mastitis bacteria .A thesis of M. V. Sc. UK. 10. Line J. Biyela P.T.(2005). Convergent acquisition of antibiotic resistance determinants amongst the Enterobacteriaceae isolates of the Mhlathuze River, Kwazulu – Natal (RsA) .Water SA., 31(2):25-260.
  • 11. 22 11. Musa H.A.(1994). The antibiotic resistance carried by plasmids in E.coli and its relation to the enteric pathogenic . M.D Thesis . U.of K. 12. Nada A.M.E.(2010) . Identification and confirmation of Escherichia coli causing diarrhea in children under five years isolated from water sources in Nyala town . Ph.D thesis University of Alneelain . 13. NCCLs(2008)National Committee for Clinical Laboratory Standards NCCLs 2008. 14. Nicole L, Musangu N, Gabriel B and Joseph R (2000). Retrospective study on Escherichia coli infection in broiler subjected to postmortem examination and antibiotic resistance of isolates in Trinidad. Avian Diseases 44: 155-160. 15. Odeyem 1 O(1998). Effect of sewage lagoon effluents on the water quality of receiving stream . Environ . Pollut ., 37 : 71 -86 16. Omer M. E. A. 1986. Patterns of drug resistance of some clinical isolates of enterobacteria and Staphylococci isolated from Sudanese patients. A thesis of M. Sc. UK. 17. Raida S.Johan .B.k., Yvette J. and rose Annm. (2005) Patterns of Antimicrobial Resistanc Observed in E.coli isolates obtained from domestic and wild animal faecal samples , Human secpage and surface water Applied and Environmental Microbiology pp.1394-1404. 18 . Roberts Me.tetra cycline therapy :up date .Clin. Infect . Dis .36:462-467.
  • 12. 22 19. Shears P.Sulinan G. and hard C.A.(1988)Occurrence of multiple resitance and plasmidsin enterobacteriaceas isolatded from children with diarrhea in Sudan . Epidemiol.100:73-81. 20. Walsh C., Duffy G., O. Mahony R., Fanning S., Mlain is Mc Dowell DA(2005) Antimicrobial resitance Irish Isolates of Verocytoxigenic Escherichia coli – VTEC.lnt.J.Food Microbiol.,109 (3) :173-178. 21. Word Health Organization (1984) .Internationl Standard for drinking water ,. Expert committee of international standard for drinking water . Geneva 32 , Switzerland. 22. World Heatth Organization (1981) . Drinking water and sanitation WLTO ,211,Geneva 27,Swizerland . 23. Zamxaka M,Prioncheva G,Zamxaka Nyo.(2004). Bacterial community patterns of domestic water sources in the Gogogo and Nkon kobe areas of the Eastern cape province ,South Africa . Water SA.30 (3):341-346 .