What is it about?

We tested bacteria from patients at a local clinic in Accra, Ghana, to see how well antibiotics could treat them. We found that many of these bacteria were able to survive several commonly used antibiotics, meaning those medicines would not work. Some of the bacteria also produced special enzymes that break down certain antibiotics, making them even harder to treat. This is worrying because it means infections could last longer, be harder to cure, and spread more easily. Our findings show that we need to use antibiotics more carefully and improve infection control to keep people safe.

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Why is it important?

This research is unique because it examines antibiotic resistance in a setting often overlooked, a small community clinic where most people initially seek treatment when they feel unwell. Until now, most studies in Ghana have focused on big hospitals, but our work shows that serious resistance is already happening at the local level. The timing matters because antibiotic-resistant infections are rising quickly around the world, and knowing that the problem is present in everyday clinics means action can’t wait. These findings provide health workers and policymakers with the evidence they need to improve testing, guide treatment choices, and protect patients before the problem worsens.

Perspectives

I see this study as a real wake-up call. We often think of antibiotic resistance as something that happens far away or only in big hospitals, but this research shows it’s already right here in everyday clinics where people go for help. That’s what makes it so important; it pulls the problem out of the background and puts it squarely in front of us. The fact that these resistant bacteria are showing up at the very first point of care means we have less time than we thought to act. As a scientist, the difference this work makes is that it gives hard evidence from the community level, where public health efforts can have the biggest impact. It’s a chance to rethink how we use antibiotics, improve basic infection control, and protect people before these infections spread even further.

Frank Twum Aboagye
CSIR - Water Research Institute, Accra, Ghan

Read the Original

This page is a summary of: High prevalence of multidrug-resistant and ESBL-producing bacteria in a primary healthcare facility in Accra, Ghana: A cross-sectional study, PLOS Global Public Health, August 2025, PLOS,
DOI: 10.1371/journal.pgph.0004991.
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