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nd
               The 2  International Seminar of Science and Technology
               “Accelerating Sustainable innovation towards Society 5.0”
               ISST 2022 FST UT 2022
               Universitas Terbuka
               E. coli that produce toxins associated with Crohn's disease, diarrhea,
               and  bleeding.  While  E.  coli  ExPEC  is  associated  with  urinary  tract
               infections, neonatal sepsis (blood infection in newborns), meningitis,
               mastitis, etc [9]. E. coli is also known to cause infections in medical
               devices  such  as  prosthetic  grafts  and  joints,  shunts,  and  catheters
               [10]. Usually, E. coli infection is treated with antibiotic, but it is known
               that E. coli has the ability to be resistant to antibiotics which leads to
               problems to in treating infectious diseases caused by E. coli.
               According to Poirel et al., [11], E. coli is a bacterium that can resist
               with  many  groups  of  antibiotics.  Below  is  Table.  1  that  shows  the
               resistance of E. coli to various types of antibiotics:
                        Table 1. Antibiotic Resistance in Escherichia coli.
                No.                Antibiotic                  References
                 1.   Ampicilin,  amoxicillin,  clavulanic  acid,   [12]
                      norfloxacin,cefuroxime,  ceftriaxone,  dan
                      co-trimoxazole.
                 2.   Tetracycline,  phenicol,  sulphonamide,     [11]
                      trimetoprim, and fosfomycin
                3.    Ciprofloxacin, beta-lactam, quinolone,      [13]
                      aminoglycoside, sulphonamide, dan
                      fosfomycin.

               E. coli is resistant to many antibiotics such as ampicillin, norfloxacin,
               tetracycline,  ciprofloxacin,  etc  (Table.  1).  Olorunmola  et  al.,  [14]
               reported, from 137 isolates of E. coli that cause urinary tract infection,
               some  of  them  had  resistance  to  the  following  antibiotics:  ofloxacin
               (51.1%),  ciprofloxacin  (65.7%),  nalidixic  acid  (67.2%),  gentamicin
               (82.5%),  tmp  (85.4%),  Augmentin  (88.3%),  norfloxacin  (86.9%),
               erythromycin (93.4%), amoxicillin (94.2%), and tetracycline (96.4%).
               The  antibiotics  resistance  can  be  caused  by  extrinsic  and  intrinsic
               factors. Extrinsic factors are related to over-used and over-prescribed
               of antibiotics [15] [13]. Intrinsic factors include the structure of the outer
               membrane of E. coli as a gram-negative bacteria that is impermeable
               to  molecules  that  enter  the  cell  [13],  horizontal  gene  transfer


               ISST 2022 – FST Universitas Terbuka, Indonesia             87
               International Seminar of Science and Technology “Accelerating Sustainable
               Towards Society 5.0
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