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PHRP : Osong Public Health and Research Perspectives

OPEN ACCESS. pISSN: 2210-9099. eISSN: 2233-6052

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Original Articles
Assessment of healthcare workers’ knowledge and attitudes toward mpox and acceptance of its vaccine: a health belief model-based analysis in the Gulf region
Mona Gamal Mohamed, Eman Abdelaziz Ahmed Dabou, Fatma M. Ibrahim, Shaimaa Abdelsamad, Jibin Kunjavara, Kamaruddeen Mannethodi, Moayad Ahmad Wishah, Abdullah Y. Shihab, Khaled Mohammed Al-Sayaghi, Hammad Ali Fadlalmola, Mohammed Musaed Al-Jabri
Osong Public Health Res Perspect 2025;16(4):357-372.
Published online June 25, 2025
DOI: https://doi.org/10.24171/j.phrp.2025.0113
Assessment of healthcare workers’ knowledge and attitudes toward mpox and acceptance of its vaccine: a health belief model-based analysis in the Gulf region
Objectives
This study aimed to (1) assess healthcare workers’ (HCWs) knowledge and attitudes toward mpox across 3 Gulf countries, and (2) examine factors influencing their acceptance of the mpox vaccine using the health belief model (HBM). This model evaluated perceptions related to susceptibility, severity, benefits, barriers, cues to action, and self-efficacy. Additionally, the study explored the impact of prior coronavirus disease 2019 (COVID-19) vaccination history on mpox vaccine acceptance. Methods: A cross-sectional study was conducted among 764 HCWs from the United Arab Emirates (UAE), Saudi Arabia, and Qatar. Data were collected through a structured online questionnaire based on HBM constructs. Logistic regression and structural equation modeling were employed to analyze predictors of vaccine acceptance. Results: Knowledge levels varied across the countries, with the highest proportion of good knowledge reported in the UAE (59%). UAE HCWs also demonstrated higher perceived susceptibility, perceived benefits, and intention to vaccinate compared to those in Saudi Arabia and Qatar (p<0.001). Receiving 4 doses of the COVID-19 vaccine was associated with greater acceptance of the mpox vaccine. Among the HBM constructs, perceived benefits and self-efficacy were identified as the strongest predictors of vaccine acceptance. Perceived barriers, such as fear of side effects and concerns about vaccine safety, were more prominent among HCWs in Saudi Arabia and Qatar. Conclusion: The HBM effectively explains the factors influencing mpox vaccine acceptance among Gulf HCWs. Targeted interventions that improve perceived benefits, reduce barriers, and improve self-efficacy may facilitate greater vaccine uptake and preparedness for emerging infectious diseases.

Citations

Citations to this article as recorded by  Crossref logo
  • Determinants of Mpox vaccine uptake and hesitancy among healthcare workers in Port Harcourt, Nigeria
    Moore Ikechi Mike-Ogburia, Chiziyara Orluibna Obunwo, Elizabeth Efeelobari Letam, Ayebaemi Wilfred Dambo, Samuel Chima Agumagu, Tamunosaki Fubara-Manuel, Charles Henry Esukpa
    BMC Infectious Diseases.2026;[Epub]     CrossRef
  • Knowledge and attitudes toward mpox among the Lebanese population during the second wave and their attitudes toward vaccination
    Mohammad Tanashat, Nour Fakih, Nour El Bizri, Mohamed Saad Rakab, Mohamed Abouzid, Karen Sleiman, Hadi Hassan, Moetasem Al Sayed, Zahraa Zibara, Ahmad Afyouni, Pascale Salameh
    Scientific Reports.2026;[Epub]     CrossRef
  • Decoding Vaccine Hesitancy in Mpox Across Multiple Middle Eastern Countries: Public Knowledge, Attitudes, Worry, Conspiracy Beliefs, and Acceptance
    Mona Gamal Mohamed, Huda Mohamed Ali Rasheed, Manjula G. Bhagavathy, Moayad Ahmad Wishah, Dibbo Protim Ghosh, Md. Rabiul Islam, Ramya Kundayi Ravi
    Health Science Reports.2026;[Epub]     CrossRef
  • Mpox Awareness and Infection Control Practices Among Hospital Nurses and Healthcare Workers in Bangladesh
    Hemayet Hossain, Md. Abdur Nur Sakib, Mostafizor Rahman, Zerin Tasnim Romana, Md. Hasan Ali, Snigdha Sharmin Binte Sayeed, Khadiza Akter Brishty, Md. Shahidur Rahman Chowdhury, Md. Mahfujur Rahman
    Public Health Challenges.2026;[Epub]     CrossRef
  • Artificial intelligence and biohealth: the Republic of Korea’s emerging priorities in health care R&D
    Jong-Koo Lee
    Osong Public Health and Research Perspectives.2025; 16(4): 309.     CrossRef
  • Nursing Students’ Knowledge, Attitudes, and Practices Toward Monkeypox Virus: A Cross-Sectional Survey at the University of Palermo, 2022
    Barbara Ravazzolo, Francesco Leonforte, Letizia Cascio, Clara Ferrara, Federico Li Causi, Francesco Armetta, Maria Lampasona, Rinaldo Stefano Miceli, Carlo Fantini, Klara Komici, Alberto Firenze
    Zoonotic Diseases.2025; 6(1): 1.     CrossRef
  • 3,801 View
  • 145 Download
  • 6 Web of Science
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Perceptions of the COVID-19 vaccine and willingness to receive vaccination among health workers in Nigeria
Oluseyi Ademola Adejumo, Olorunfemi Akinbode Ogundele, Cynthia Roli Madubuko, Rosena Olubanke Oluwafemi, Ogochukwu Chinedum Okoye, Kenechukwu Chukwuemeka Okonkwo, Sunday Samson Owolade, Oladimeji Adedeji Junaid, Olutoyin Morenike Lawal, Adenike Christianah Enikuomehin, Maureen Iru Ntaji, Aisha Sokunbi, Aina Omodele Timothy, Olatunji Sunday Abolarin, Emmanuel Olalekan Ali, John Oghenevwirhe Ohaju-Obodo
Osong Public Health Res Perspect 2021;12(4):236-243.
Published online July 19, 2021
DOI: https://doi.org/10.24171/j.phrp.2021.0023
Perceptions of the COVID-19 vaccine and willingness to receive vaccination among health workers in Nigeria
Objectives
The study aimed to examine health workers’ perceptions of the coronavirus disease 2019 (COVID-19) vaccine in Nigeria and their willingness to receive the vaccine when it becomes available.
Methods
This multi-center cross-sectional study used non-probability convenience sampling to enroll 1,470 hospital workers aged 18 and above from 4 specialized hospitals. A structured and validated self-administered questionnaire was used for data collection. Data entry and analysis were conducted using IBM SPSS ver. 22.0.
Results
The mean age of respondents was 40±6 years. Only 53.5% of the health workers had positive perceptions of the COVID-19 vaccine, and only slightly more than half (55.5%) were willing to receive vaccination. Predictors of willingness to receive the COVID-19 vaccine included having a positive perception of the vaccine (adjusted odds ratio [AOR], 4.55; 95% confidence interval [CI], 3.50−5.69), perceiving a risk of contracting COVID-19 (AOR, 1.50; 95% CI, 1.25–3.98), having received tertiary education (AOR, 3.50; 95% CI, 1.40−6.86), and being a clinical health worker (AOR, 1.25; 95% CI, 1.01−1.68).
Conclusion
Perceptions of the COVID-19 vaccine and willingness to receive the vaccine were sub-optimal among this group. Educational interventions to improve health workers' perceptions and attitudes toward the COVID-19 vaccine are needed.

Citations

Citations to this article as recorded by  Crossref logo
  • Acceptance, hesitancy, and ethical challenges of the COVID-19 vaccine in sub-Saharan Africa: a systematic review and meta-analysis
    Denise P. Ilboudo, Abibou Simpore, Joseph Sawadogo, Abdoul Karim Ouattara, Alice R. Ouedraogo, Luc Zongo, Albert T. Yonli, Abdou Azaque Zouré, Théodora M. Zohoncon, Florencia W. Djigma, Dorcas Obiri-Yeboah, Charlemagne M. Ouedraogo, Jacques Simpore
    Vaccine.2026; 69: 127966.     CrossRef
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    Arslan Austin, Imran Ur Rahman, Naveed Nelson
    SSRN Electronic Journal.2025;[Epub]     CrossRef
  • Prevalence of COVID-19 Vaccine Hesitancy Among Healthcare Workers in Nigeria: A Systematic Review and Meta-Analysis
    Taagbara Jolly Abaate, Dabota Yvonne Buowari, Utchay A. Agiri, Tamunodiepiriye Inimgba, Vivian Ifeoma Ogbonna, Chizaram Onyeaghala, Glory Ovunda Worgu, Abiye Somiari, Emmanuella I. Ezebuiro, Ibe Arthur Onuah
    International Journal of Public Health.2025;[Epub]     CrossRef
  • Sağlık Algısı ve COVID-19 Aşısına Yönelik Tutumların İncelenmesi: Sağlık Çalışanları Örneği
    Melek Seyhan Demir, Ozcan Aygun
    Sağlık Akademisi Kastamonu.2025; 10(1): 27.     CrossRef
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    Sunday Iphierohor Asasah, Emmanuel Edoghogho Imade, Ben Jesuorsemwen Enagbonma
    Journal of Public Health.2025; 47(3): 487.     CrossRef
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    Israel Abebrese Sefah, Perry Ofori, Araba Hutton-Nyameaye, Peter Yamoah, Frank Baiden, Varsha Bangalee, Mubarick Nungbaso Asumah
    PLOS One.2025; 20(9): e0333412.     CrossRef
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    Jonas Lotanna Ibekwe, Victor Oluwafemi Femi-Lawal, Jolly Akor Thomas, Faith Uzoamaka Okei, Moses Ojomakpenen Ojile, Oluwatobiloba Oladipupo Akingbulugbe
    Journal of Medicine, Surgery, and Public Health.2024; 2: 100066.     CrossRef
  • Knowledge, attitudes, and factors determining the willingness for COVID-19 vaccination among students in Bangladesh: An online-based cross-sectional study
    Ashis Talukder, Soheli Sharmin, Chuton Deb Nath, Iqramul Haq, Md. Ismail Hossain, Md. Jakaria Habib, Sabiha Shirin Sara
    Journal of Public Health.2024; 32(4): 663.     CrossRef
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    Abakundana Nsenga Ariston Gabriel, Xiao-Yang Wang, Laila Jamil, Mulugeta Shegaze Shimbre, Gerard Bikorimana, Lin Zhao, Wu-Chun Cao
    BMC Public Health.2024;[Epub]     CrossRef
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    Augustine Ngmenemandel Balegha, Suburu Abdul-Aziz, Louis Mornah, Pracheth Raghuveer
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    Sohail Agha, Ifeanyi Nsofor, Drew Bernard, Sarah Francis, Nandan Rao
    Interactive Journal of Medical Research.2024; 13: e47817.     CrossRef
  • COVID-19 and COVID-19 vaccination experiences and perceptions among health workers during the pandemic in Ebonyi state, Nigeria: An analytical cross-sectional study
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    Saheed Gidado, Melton Musa, Ahmed Ibrahim Ba’aba, Lilian Akudo Okeke, Patrick M. Nguku, Isa Ali Hassan, Ibrahim Muhammad Bande, Rabi Usman, Gideon Ugbenyo, Idris Suleman Hadejia, J. Pekka Nuorti, Salla Atkins, Sylvester Maleghemi Maleghemi
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    Vaccine.2024; 42(23): 126225.     CrossRef
  • COVID-19 hand hygiene practices and its barriers among health care workers in a low-resource setting: a cross-sectional study in Nigeria
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    Advances in Infectious Diseases.2024; 14(01): 260.     CrossRef
  • COVID-19 vaccine hesitancy in Latin America and Africa: a scoping review
    Bruna Aparecida Gonçalves, Camila Carvalho de Souza Amorim Matos, Jonathan Vicente dos Santos Ferreira, Renata Fortes Itagyba, Vinicius Rocha Moço, Marcia Thereza Couto
    Cadernos de Saúde Pública.2023;[Epub]     CrossRef
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    Uchechukwu M. Agbo, George C. Nche
    Journal of Asian and African Studies.2023; 58(5): 725.     CrossRef
  • Access to COVID-19 vaccines and testing in Africa: the importance of COVAX - Nigeria as a case study
    Rafaella Fortini Queiroz Grenfell, Oyetunde Timothy Oyeyemi
    Pathogens and Global Health.2023; 117(2): 152.     CrossRef
  • COVID-19 vaccine acceptance prediction: The roles of students’ attitude towards science and mathematics and knowledge of COVID-19 pandemic
    Sunday Ogbu, Ogochukwu Ebere Emenike, Amaka Loretta Nwankwo
    Electronic Journal of Medical and Educational Tech.2023; 16(2): em2304.     CrossRef
  • Factors associated with COVID-19 vaccine hesitancy among healthcare workers in Cameroon and Nigeria: a web-based cross-sectional study
    Jerry Brown Aseneh, Valirie Ndip Agbor, Benjamin Momo Kadia, Elvis Anyaehiechukwu Okolie, Chinelo Janefrances Ofomata, Christie Linonge Etombi, Domin Sone M Ekaney, Yvonne Walburga Joko Fru
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    Heliyon.2023; 9(5): e15776.     CrossRef
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    International Journal of Public Health.2022;[Epub]     CrossRef
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    Oche Mansur Oche, Habibullah Adamu, Musa Yahaya, Hudu Garba Illo, Abdulaziz Mohammad Danmadami, Adamu Ijapa, Asmau Mohammad Wali, Hamza Yusuf, Hafsat Muhammad, Abba Aji, Harapan Harapan
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  • COVID-19 vaccination acceptance among community members and health workers in Ebonyi state, Nigeria: study protocol for a concurrent-independent mixed method analyses of intention to receive, timeliness of the intention to receive, uptake and hesitancy to
    Ugwu I Omale, Osarhiemen Iyare, Richard L Ewah, Chidinma I Amuzie, Onyinyechukwu U Oka, Victor U Uduma, Azuka S Adeke, Cordis O Ikegwuonu, Olaedo O Nnachi, Okechukwu O Ukpabi, Ifeyinwa M Okeke, Glory E Nkwo, Ugochi IA Nwali
    BMJ Open.2022; 12(12): e061732.     CrossRef
  • Drivers of COVID-19 Vaccine Uptake amongst Healthcare Workers (HCWs) in Nigeria
    Sohail Agha, Adaobi Chine, Mathias Lalika, Samikshya Pandey, Aparna Seth, Alison Wiyeh, Alyssa Seng, Nandan Rao, Akhtar Badshah
    Vaccines.2021; 9(10): 1162.     CrossRef
  • 18,137 View
  • 494 Download
  • 47 Web of Science
  • Crossref
Health Problems Among Workers Who Recycle Electronic Waste in Southern Thailand
Somsiri Decharat, Peeranart Kiddee
Osong Public Health Res Perspect 2020;11(1):34-43.
Published online February 28, 2020
DOI: https://doi.org/10.24171/j.phrp.2020.11.1.06
<sec> <title>Objectives</title> <p>This study evaluated the prevalence of adverse health effects among recycling facility workers, and described their socioeconomic situation, health symptoms and work characteristics.</p></sec> <sec> <title>Methods</title> <p>A cross-sectional study was conducted by interviewing 71 workers in 20 electronic waste (e-waste) recycling facilities in southern Thailand. Data were collected by questionnaire. Risk factors were evaluated using multiple logistic regression analysis.</p></sec> <sec> <title>Results</title> <p>Recycling facility workers with blurred vision were significantly associated with being male (<italic>p</italic> = 0.035), over 40 years old (<italic>p</italic> = 0.020), and having ≤ secondary school education (<italic>p</italic> = 0.017). Rash/itching was associated with being male (<italic>p</italic> = 0.011), over 40 years (<italic>p</italic> = 0.018), having ≤ secondary school education (<italic>p</italic> = 0.012). not using a cloth mask (<italic>p</italic> = 0.019), not using gloves (<italic>p</italic> = 0.028), not washing hands before lunch (<italic>p</italic> = 0.005), not cleaning clothes daily (<italic>p</italic> = 0.025), and not having established ventilation systems in the place of work (<italic>p</italic> = 0.018). Hand-and-feet numbness were associated with being male (<italic>p</italic> = 0.025), and being over 40 years (<italic>p</italic> = 0.023). Headaches were associated with being male (<italic>p</italic> = 0.028).</p></sec> <sec> <title>Conclusion</title> <p>Personal hygiene is important for this occupational group, and it should be emphasized in education programs.</p></sec>

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Study on Seroprevalence and Leptospiral Antibody Distribution among High-risk Planters in Malaysia
J. Mohd Ridzuan, B.D. Aziah, W.M. Zahiruddin
Osong Public Health Res Perspect 2016;7(3):168-171.
Published online June 30, 2016
DOI: https://doi.org/10.1016/j.phrp.2016.04.006
Objectives
To determine the leptospirosis seroprevalence and to identify the predominant infecting serovars among oil palm plantation workers.
Methods
The cross-sectional study involved 350 asymptomatic oil palm plantation workers in Melaka and Johor. A serological test using the microscopic agglutination test was conducted in the Institute of Medical Research with a cut-off titre for seropositivity of ≥1:100.
Results
The overall seroprevalence of leptospiral antibodies was 28.6%. The job category with the highest seroprevalence was the fruit collector with 59.2%. The predominant serovar identified was serovar Sarawak (Lepto 175) (62%).
Conclusion
A high seroprevalence of leptospiral antibodies was detected among oil palm plantation workers and specifically among fruit collectors. The predominant infecting serovar among the workers was serovar Sarawak (Lepto 175). The findings suggest that more studies are needed to determine the reasons for the high seroprevalence and the transmission and pathogenicity of the local serovar Sarawak (Lepto 175).

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  • Development of a Mobile App (MyLepto App) to Improve Knowledge, Attitude, and Practice Regarding Leptospirosis Among Wet Market Workers in Selangor, Malaysia: Protocol for a Quasi-Experimental Study
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    Nurul Syazwani Ahmad Sabri
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    Joy Siang Xin Lea, Mohd Farhan Hanif Reduan, Siew Shean Choong, Intan Noor Aina Kamaruzaman, Peck Toung Ooi, Sazaly AbuBakar, Shih Keng Loong, Mohammad Sabri Abdul Rahman
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    Ekaterina V. Radyuk, Natalia V. Breneva, Sofia E. Budaeva, Marat T. Makenov, Olga А. Stukolova, Victoria P. Bulanenko, Lan Anh T. Le, Manh N. Dao, Chau V. Nguyen, Nga T. Bui Thi, Mo T. Luong, Tan N. Nguyen, Sergei V. Balakhonov, Lyudmila S. Karan
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  • Study on Seroprevalence and Leptospiral Antibody Distribution Among Livestock Breeders and Farmers in Golestan Province
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    Van Dinh Tran, Le Thi Phuong Mai, Nguyen Thi Thu, Bui Kim Linh, Phan Dang Than, Nguyen Tu Quyet, Luu Phuong Dung, Tran Ngoc Phuong Mai, Nguyen Thi My Hanh, Hoang Hai, Tran Nhu Duong, Dang Duc Anh
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  • Cross-sectional survey for sheep leptospirosis in the northeast region of Brazil
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  • Seroprevalence of leptospirosis in an endemic mixed urban and semi-urban setting—A community-based study in the district of Colombo, Sri Lanka
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    Bruno Ribeiro Rocha, Gabriel Martins, Walter Lilenbaum
    Comparative Immunology, Microbiology and Infectiou.2020; 73: 101532.     CrossRef
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    Aznida Mohamad Zaki, Rozita Hod, Nadia Aqilla Shamsusah, Zaleha Md Isa, Siti Khairani Bejo, Hani Kartini Agustar
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Prevalence of Antimicrobial Resistance in Escherichia coli Strains Isolated from Fishery Workers
Hyun-Ho Shin, Seung-Hak Cho
Osong Public Health Res Perspect 2013;4(2):72-75.
Published online April 30, 2013
DOI: https://doi.org/10.1016/j.phrp.2013.03.001
Objectives
This study aimed to characterize the prevalence of antibiotic resistance in <i>Escherichia coli</i> isolates from the fecal samples of fishery workers who work in fish farms and often use antibiotics for the feeding fishes.
Methods
Seventy-three <i>E. coli</i> strains isolated from the fecal samples of fishery workers and 180 isolates from a control group of restaurant workers were tested for antibiotic resistance by agar disk diffusion with 16 antimicrobial agents.
Results
About 30% of isolates from each group showed antimicrobial resistance to ampicillin, and 60% of isolates from fishery workers and 41% from restaurant workers were resistant to tetracycline. The isolates showed higher resistance to cephalothin and cefoxitin than to other cephem antibiotics and to gentamicin than to other aminogycosides. Our data indicated that fecal <i>E. coli</i> isolates from fishery workers showed higher antibiotic resistance than those of non-fishery workers (restaurant workers), especially to cephalothin, tetracycline, and trimethoprim–sulfamethoxazole (<i>p</i> < 0.05). However, rates of multidrug resistance were similar among the fishery workers and restaurant workers.
Conclusion
Frequent use of antibiotics may cause increased antibiotic resistance in the human microbiome.

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Comparison of Antimicrobial Resistance in Escherichia coli Strains Isolated From Healthy Poultry and Swine Farm Workers Using Antibiotics in Korea
Seung-Hak Cho, Yeong-Sik Lim, Yeon-Ho Kang
Osong Public Health Res Perspect 2012;3(3):151-155.
Published online June 30, 2012
DOI: https://doi.org/10.1016/j.phrp.2012.07.002
Objectives
The aim of this study is to compare the antibiotic resistance of <i>Escherichia coli</i> isolates from faecal samples of workers who often use antibiotics.
Methods
A total of 163<i>E coli</i> strains isolated from faecal samples of livestock workers (poultry and swine farm workers) and restaurant workers in the same regions as a control group were analyzed by agar disc diffusion to determine their susceptibility patterns to 16 antimicrobial agents.
Results
Most of the tested isolates showed high antimicrobial resistance to ampicillin and tetracycline. The isolates showed higher resistance to cephalothin than other antibiotics among the cephems. Among the aminoglycosides, the resistance to gentamicin and tobramycin occurred at higher frequencies compared with resistance to amikacin and netilmicin. Our data indicated that faecal <i>E coli</i> isolates of livestock workers showed higher antibiotic resistances than nonlivestock workers (restaurant workers), especially cephalothin, gentamicin, and tobramycin (<i>p</i> < 0.05). Moreover, the rates of the livestock workers in the association of multidrug resistance were also higher than the rates of the restaurant workers.
Conclusion
This study implies that usage of antibiotics may contribute to the prevalence of antibiotic resistance in commensal <i>E coli</i> strains of humans.

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