Bacterial contamination of toilet door handles on Baze University campus Abuja Nigeria

O.O Alonge, B.M Auwal, M.I. Aboh

 

Abstract

Aim: Contracting infectious diseases from microbial contaminated toilet door handles is a potential threat to public health and safety. Therefore we performed microbiological screening of toilet door handles in twelve рublic toilets on Baze University campus for bacterial contamination.
Methodology and Results: Biochemical analysis of bacterial isolates from entrance toilet door handles in six building blocks on Baze University camрus, revealed a general contamination by mainly seven bacterial species associated with human gut and skin flora in order of decreasing frequency as follows: Staphylococcus aureus 42.9%; Salmonella typhimurium 21.4%; Escherichia coli 14.3%; Pseudomonas aeruginosa 9.5%; Proteus mirablis 4.8%; Klebsiella oxytoca 4.8%; and Klebsiella pneumoniae with 2.3% prevalence. Results of the total aerobic mesophillic count showed A-Block with the highest amount of contamination – 768*105CFU/ml, while B-Block had the least amount of bacterial contamination – 473*105CFU/ml. The levels of bacterial contamination in the other blocks were as follows: C-Block – 710*105CFU/ml, D-Block – 695*105CFU/ml, E-Block – 567*105CFU/ml, and FBlock – 743*105 CFU/ml.
Conclusion: Overall of the seven isolated bacterial sрecies five were mainly gut-associated bacteria, suggesting feacal contamination. The others were skin-associated bacteria (Staphylococcus aureus), suggesting routine touch by hands, and soil-associated bacteria (Pseudomonas aeruginosa) suggesting contamination from settling dust рarticles. This study is relevant for public health and safety, as its findings reveal the presence of bacterial pathogens on toilet door handles, which is vital in preventing the spread of infectious disease.

Keywords: Toilet door handles, bacterial pathogens, fecal contamination, antibiotic resistance.

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Bacterial contamination of toilet door handles on Baze University campus Abuja Nigeria

Elimination of mother-to-child transmission of HIV (eMTCT) in Western Nigeria: how far have we gone?

S.O. Usman, G.B. Agboola, A.J. Afe, G.P. Olubayo, T. Akinmurele, O.T Oluwaniyi, O.O Abodunde, O. Adeola, M. Onyema

 

Abstract

Background: HIV pandemic has continued to be a huge challenge in Nigeria, with the problem of stigmatization reducing the chances of early determination of the HIV status of pregnant women, which may increase the chances of transmission to the child from the mother. Hypotheses tested were the influence of maternal antiretroviral therapy (ART) use and infant’s feeding option on baby’s final early infant diagnosis (EID) outcome. The study was aimed at determining the trend as well as diagnosis of HIV infection in exposed infants. It will also determine among infants the factors associated with the transmission of the infection from their mothers.
Methods: This study was a prospective cohort study of HIV-exposed infants conducted in Ekiti State, South Western Nigeria, between June 2015 and June 2017. Dried Blood Spots (DBS) were analyzed using polymerase chain reaction technique. All data were statistically analyzed, using statistical package for the social sciences (SPSS) and statistical test of significance was performed with Chi-Square test.
Results: A total of 200 infants were included in the study, 91 (45.5%) female and 109 (54.5%) male. Three (1.5%) babies were confirmed positive after cessation of all exposures. Maternal antiretroviral therapy (ART) use has significant effect on baby early infant diagnosis (EID) outcome (χ² = 65.40, df = 2, P = 0.001). Infant feeding option has significant effect on baby early infant diagnosis (EID) outcome (χ² = 132.67, df = 2, P = 0.001). Baby’s mode of delivery have higher association with the final EID outcome of the baby (OR: 1.018, 95% CI: 0.998 – 1.038).
Conclusion: ART administration to both HIV-infected mothers and their babies has demonstrated an effective mechanism in the elimination of mother-to-child transmission (eMTCT), as this is evident in the very low positivity outcome. However, the degree to which Cuba, Armenia, Belarus, and Thailand have eliminated HIV transmission from mother-to-baby is achievable in Nigeria through provision of universal access to health care.

Key words: infant, mother, dried blood spot, polymerase chain reaction

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Elimination of mother-to-child transmission of HIV (eMTCT) in Western Nigeria how far have we gone Elimination of mother-to-child transmission of HIV (eMTCT) in Western Nigeria how far have we gone

Surveillance of anti-HCV antibody amongst in-school youth in a Nigeria university

M A Muhibi, M O Ifeanyichukwu, A O Olawuyi, A A Abulude, M O Adeyemo, M O Muhibi

 

Abstract

Infection with Hepatitis C Virus (HCV) is a public health problem. Worldwide, there are about 170 million people infected with HCV. HCV is transmitted through sex and use of contaminated sharp objects during tattooing or intravenous drug abuse. These routes make youth to be more vulnerable. Transfusion and mother to child transmissions are also documented modes. This study was carried out to determine sero-prevalence of hepatitis C virus infection among in school youth at Achievers University, Owo in southwest Nigeria. Samples of blood were collected from 70 undergraduate students and sera harvested were tested for the presence of antibodies against hepatitis C virus by Enzyme Immunoassay Technique. Most participants fall within age range 21-25 (91.4%). The study showed that none of the subjects was positive for anti- HCV antibodies. Education and awareness level might have impacted positively on this outcome. Thus routine screening for HCV and sustained awareness creation activities to eradicate HCV and its attendant consequences from our society is of paramount importance.

Key words: HCV, prevalence, in-school youth, education.

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Surveillance of anti-HCV antibody amongst in-school youth in a Nigeria university

Screening of selected medicinal plants for their antifungal properties

M. I. Aboh, P. Oladosu, G.O. Adeshina, B. O. Olayinka, S Olonitola, N.H. Atasie

 

Abstract

Background: The rising incidence of fungal infections has created the need for the next generation of antifungal agents, as many of the currently available ones either have adverse effects, or are not active against emerging or re-emerging fungi, leading to the fast progression of resistant strains. Objectives: This study aims at evaluating the antifungal activities of some medicinal plants used traditionally for treating skin infections in Nigeria. Methods: In vitro antifungal activities of seven indigenous plants (Leptadenia hastate, Lawsonia inermis, Hyptis suaveolens, Luffa cylindrica, Jatropha curcas, Pterocarpus erinaceous and Afromaxia laxiflora) were screened against Candida albicans ATCC 10231, Candida tropicalis ATCC 13803, clinical strains of Candida albicans, Candida tropicalis, Trichophyton rubrum, Microsporum canis and Epidermophyton floccosum using agar dilution and micro broth dilution methods. Terbinafine and fluconazole were used as reference standards for comparism. Results: The results showed that the ethanol and ethyl acetate extracts of the plants produced better antifungal effects than the hexane and water extracts. Luffa cylindrica and H. suaveolens exhibited the strongest inhibitory activity against all the fungi tested with minimum inhibitory concentration values ranging between 250 and 1000 ag/mL. Conclusion: The plants screened could serve as leads for the development of new antifungal drugs.

Key words: Antifungal, agar dilution, micro broth dilution, minimum inhibitory concentration.

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Screening of selected medicinal plants for their antifungal properties

Tube method and Congo red agar versus tissue culture plate method for detection of biofilm production by uropathogens isolated from midstream urine: Which one could be better?

A. M. Sultan, Y. Nabiel

 

Abstract

Background: Bacteria tend to live in assemblies called biofilms that aid bacterial virulence. Biofilms contribute to the development of antibiotic resistant urinary tract infection. Therefore, detection of biofilm production by urinary pathogens can assist the physicians to initiate the proper antimicrobial treatment.
Methods: We conducted a prospective study that included patients with suspected urinary tract infection. Collected midstream urine samples were processed by standard microbiological techniques. Detection of biofilm production by the isolated uropathogens was conducted by tissue culture plate method (TCPM), tube method (TM) and Congo red agar (CRA).
Results: A total of 43 (29.7%) isolated uropathogens showed positive biofilm formation by TCPM which was considered the gold standard for biofilm detection. When compared with the TCPM, TM truly identified 40 biofilm producers and 83 non-biofilm producers showing sensitivity and specificity of 93.0% and 81.4% respectively. The CRA truly identified 38 biofilm producers and 77 non-biofilm producers with sensitivity and specificity of 88.4% and 75.5% respectively.
Conclusion: The TM was superior to CRA in biofilm detection and demonstrated better sensitivity and specificity results. Out of the investigated three phenotypic biofilm detection methods, the TCPM was the ideal method for detection of biofilm formation by uropathogens isolated from midstream urine samples. It can be used routinely in the microbiology laboratory with good specificity results and less subjectivity errors.

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Tube method and Congo red agar versus tissue culture plate method for detection of biofilm production by uropathogens isolated from midstream urine Which one could be better?

 

 

A two year old infected with Dicrocoelium dendriticum: a case report

J.O Okwuzu, T.A Gbaja-Biamila, A. E. Wapmuk, P.C Austin-Akaigwe, O.O Odubela, A.N, David, O.C. Ezechi

 

Abstract

Dicrocoelium dendriticum infection is rare in human and generally non-fatal unless infection of liver is severe. The disease could lead to biliary colic, digestive disturbances that include bloating and diarrhea. In heavy infections, bile ducts and the biliary epithelium may become enlarged with the generation of fibrous tissues around the ducts leading to hepatomegaly or inflammation of the liver (cirrhosis). This is a case presentation of a two-year old male child who is infected with Human Immune deficiency virus (HIV). BMI was 10.3kg/m2, which is below the fifth percentile. Child lost 1.5kg on retrospective review of case file and another 0.5kg after presentation with loss of appetite, cough and fever. Patient was reportedly fed with liver on several occasion. Stool examination revealed many Dicrocoelium dendriticum and Ascaris lumbricoidesova. Albendazole treatment was instituted and after three months, body weight improved to 10.5kg. It becomes important to screen underweight children for helminthiasis, particularly HIV/AIDS patients whose HIV treatment plan might be of priority to the physician.

KeywordsDicrocoelium dendriticum, Child, Ascaris lumbricoides, HIV/AIDS, Albendazole.

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A two year old infected with Dicrocoelium dendriticum a case report

High prevalence of extended-spectrum β-lactamase (blaCTX-M-15) and New Delhi metallo-β-lactamase-1 (NDM-1) genes among high-level carbapenem resistance Klebsiella pneumonia: an alarm for our health system

S. Yaghoubi, Z Baseri, A. Rasti, M. Gharani, Y. Erfani

 

Abstract

Background: The extended-spectrum β-lactamase (ESBL) carbapenems-resistant Klebsiella isolates are considered one of the most significant challenging in the treatment of patients in hospitals. The aim of this study was to determine the prevalence of important carbapenem resistance genes ESBL subtypes and between K. pneumoniae from patients at hospital in Tehran, Iran.
Methods: Fifty-four isolates of K. pneumoniae were isolated from Shariatee Hospital in Tehran from February 2013 to July 2016. Antibiotic testing was done by using the standard disk diffusion method and E-test MIC. The confirmation of carbapenemase activity was performed using an MHT and a new method called the carbapenem inactivation method test (CIM). Finally, a polymerase chain reaction (PCR) and sequencing of related genes was performed.
Results: Our PCR data demonstrate that blaCTX-M group’s 40 (81.4%) genes were the most prevalent in our hospital followed by group genes blaCTX-M-3 (18.51%) and blaCTX-M-2 (20.38%). The distribution of the CTX-M group revealed that blaCTX-M-15 23 (42.6%) was the dominant subtype. The coexistence of multiple genes included blaTEM, CTX-M and blaSHV, and CTX-M The presence of blaNDM1, blaOXA-48, and blaKPC were identified in the carbapenem-resistant isolates, 22 (40.7%), 10 (18.5%), and 7 (12.9%) respectively.
Conclusion: Our research showed that a CIM test for the first time in Iran is possible and has a high facility for the fast identification of carbapenem-resistant Klebsiella (CRK). We are encountered with the emergence of CTX-M, OXA-48, KPC, and NDM1 harboring CRK strains in our hospitals. Therefore, the treatment of patients infected with these isolates will be an important future concern in our clinical settings.

Running Head: Resistance genes among carbapenem-resistant Klebsiella pneumonia

Keywords: New Delhi metallo-beta-lactamase-1, Klebsiella pneumoniae, Carbapenem, Extended-spectrum ß-lactamase

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High prevalence of extended-spectrum β-lactamase (blaCTX-M-15) and New Delhi metallo-β-lactamase-1 (NDM-1) genes among high-level carbapenem resistance Klebsiella

Etiologic agents of lower respiratory tract infections among patients attending tuberculosis clinic in Benin City, Nigeria

E.E. Ibadin, H.O. Ogefere, T.O. Ehondor

 

Abstract

The emergence of HIV has reawakened the tuberculosis (TB) scourge and infected patients are prone to opportunistic infections, this study was carried out to determine the HIV status and etiologic agents of Lower respiratory tract infections (LRTI) among tuberculosis suspected patients in Benin City, Nigeria. The study was cross sectional. A total of 276 patients attending tuberculosis clinic were recruited. Questionnaires were filled for each patient. Blood and sputum specimens were collected in plain and sterile containers respectively and transported immediately to the laboratory. Blood samples were screened for the presence of HIV antibodies. The sputum specimens were then cultured following standard microbiological procedure, and thereafter processed using the GeneXpert MTB/RIF assay. Emergent bacterial colonies were identified and susceptibility testing was carried out following standard microbiological techniques. A total of 118 (42.8%) non-mycobacterial bacterial agents were recovered from the patients. Patients were more likely to be culture positive for LRTI in comparison with TB infection (p < 0.0001). There was no association between TB and HIV status (OR = 0.6161, 95%CI = 0.226, 1.648, p = 0.4474). HIV positive patients were more likely to be culture positive for bacterial agents and Klebsiella pneumoniae was more likely to be recovered (p = 0.0338). The fluoroquinolones, gentamicin and ceftriaxone-sulbactam were the most active antibacterial agents against bacterial isolates. The prevalence of LRTI in this study was 52.2%. The study draws attention on the need for physicians to request for bacteriological culture (non-mycobacterial) alongside the TB diagnostic algorithm in suspected TB cases.

Keywords: Tuberculosis, HIV, opportunistic infections, patients, bacteria

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Etiologic agents of lower respiratory tract infections among patients attending tuberculosis clinic in Benin City, Nigeria

The prevalence of non-tuberculous recurrent cough in-patients within Cross River State, Nigeria

M.M. Akpan, A.A. Adegoke

 

Abstract

Introduction: Nontuberculous recurrent cough is becoming rampant among hospitalized patients.

Aim: Hospitalized patients and out-patients in some hospitals in Cross River State were studied for the prevalence of nontuberculous recurrent cough in the state

Methods: This was carried out using standard procedures in Microbiology.

Results: The bacterial isolates from the sputum samples were Staphylococcus aureusStreptococcus pneumoniaeStreptococcus pyogenesHaemophilus influenzaeEscherichia coliKlebsiella pneumoniae, and Corynebacterium diphtheriae. The patients’ age group 20 – 39 years had the highest prevalence of non – tuberculous recurrent cough (46.7%) while the least prevalence of 1.0% was among the age group ≥ 80 years. The prevalence rate of 33.7% was the highest among the social class and businessmen, while the least prevalence rate of 8.2% was found among students. Out of a total of 1466 samples studied, 93.6% was nontuberculous cases.

Conclusion: Mycobacterium tuberculosis is therefore not the predominant cause of cough in the study area as at the time of this study

Keywords: non-tuberculosis, recurrent cough, Ziehl-Neelsen, Mycobacterium tuberculosis

The prevalence of non-tuberculous recurrent cough in-patients within Cross River State, Nigeria

Molecular study of Helicobacter pylori virulence genes CagA, Hpa and BabA2 in Egyptian patients

M.E.S. Zaki, M.A. Rizk, A.O. Bakr, Mahmoud Mahmoud, M.A. Ali, A Shehta

 

Abstract

Objective: The objective of this study was to detect virulence genes of Helicobacter pylori (H.pyloricagAbabA2 and hpa in gastric biopsies from patients with different stages of gastritis by polymerase chain reaction to correlate the presence of genes with the severity of the diseases.

Method: A total of 80 non repetitive gastric biopsies from antrum of the stomach were obtained from the patients and subjected to study for histological examination, unease activity, culture for H.pylori, and polymerase chain reaction studies of virulence genes cagAbabA2 and hpa.

Results: The most frequent detected gene by PCR was hpa (66.7%) and followed by cagA and babA2 (61.6%) for each. There was significant association between the three genes (P=0.0001). The study of the association between the virulence gene of H.pylori and different clinical symptoms revealed significant association of dyspepsia with cagA(P=0.001) babA2 and hpa (P=0.0001), regurgitation with cagA and babA2( P=0.002),vomiting with cagA and babA2 (P=0.01, P=0.002, respectively) and nausea with cagA and babA2 (P=0.0001, P=0.03, respectively). The virulence genes were detected in gastric ulcer. The degree of inflammation in histopathological examination was also statistically significant associated with the presence of virulences genes cagA (P=0.01), babA2 (p=0.0001) and hpa (P=0.0001)

The present study highlights the presence of virulence genes in H.pylori associated with gastric ulcer. The genes cagAbabA2 and hpa are prevalent among the strains affecting the patients. Moreover, these genes are associated with marked clinical and pathological severity. The genes are significantly associated with each other. Further studies are recommended to validate these findings.

Keywords: Gastritis, Genotypes, H.pyloricagAbabA2hpa, PCR

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Molecular study of Helicobacter pylori virulence genes CagA, Hpa and BabA2 in Egyptian patients