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Genital mycoplasmas and gynaecologic cancer: A systematic review

*1Ezeanya-Bakpa, C. C., 2Agbakoba, N. R., 2Udeogu, C. V., 2Uduchi, I. O., 3Oguejiofor, C. B., and 2Ekelozie, I. S.

 

1Department of Microbiology and Biotechnology, Caleb University, Lagos, Nigeria

2Department of Medical Laboratory Science, Nnamdi Azikiwe University, Awka, Nigeria

3Department of Obstetrics and Gynaecology, Nnamdi Azikiwe University Awka, Nigeria

*Correspondence to: cc.ezeanya@gmail.com; chinyere.bakpa@calebuniversity.edu.ng; +234 8068917612;     ORCID: //orcid.org/0000–0002–7844–7414  Abstract:  

Studies on genital mycoplasmas (GM) role in gynaecologic cancers (GC) such as cervical, endometrial, ovarian, vaginal, vulva and fallopian tube, is limited. This review was conducted to evaluate an association between GM and GC. The systematic study was conducted in accordance with PRISMA guidelines across online databases including Embase, Google Scholar, PubMed, Scopus, and Web of Science from inception to August, 2022. Continue reading “Genital mycoplasmas and gynaecologic cancer: A systematic review”

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Microbial menace to kidney health: A review of the role of infections in acute kidney injury

Medugu, N., and *Adegboro, B.

Department of Medical Microbiology and Immunology, Nile University of Nigeria, Abuja, Nigeria

*Correspondence to: boazadegboro@gmail.com; boaz.adegboro@nileuniversity.edu.ng; +234 80 33812348

Abstract:

Acute kidney injury (AKI) of infectious aetiology is a complex condition that requires a comprehensive microbiological evaluation. This includes sepsis workup, evaluation of urinary tract infection (UTI), assessment for viral, fungal, and bacterial infections, consideration of the patient’s microbiome, and vigilance towards antibiotic toxicity. Advanced molecular diagnostic tools such as metagenomic sequencing and rapid point-of-caretesting, may offer future advances in accurate and timely identification of infectious aetiologies in AKI. Continue reading “Microbial menace to kidney health: A review of the role of infections in acute kidney injury”

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A review of the role of infections in the aetiology of haemolysis in patients with sickle cell diseases: pathogenesis, management, and prevention

*1Ahmed, S. G., and 2Ibrahim, U. A.

1Department of Haematology, Aminu Kano Teaching Hospital, Kano, Nigeria

2Department of Paediatrics, Aminu Kano Teaching Hospital, Kano, Nigeria

*Correspondence to: drsagirahmed@yahoo.com

 

Abstract:

 Background: Sickle cell disease (SCD) is associated with chronic haemolysis, immuno-suppression and suscepti- bility to infections, which may trigger infection-associated haemolysis (IAH). SCD patients are vulnerable to anaemic effect of IAH due to vicious interaction between pre-existing ‘inherited’ chronic haemolysis and ‘acquired’ IAH. IAH in SCD manifests as febrile haemolytic crisis with clinical and laboratory features of severe anaemia or pancytopenia. Clinico-pathological perspectives of IAH in SCD are fragmented. This review presents a comprehen- sive but concise overview of pathogenesis, management and prevention of IAH in SCD. Continue reading “A review of the role of infections in the aetiology of haemolysis in patients with sickle cell diseases: pathogenesis, management, and prevention”

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Persistence of cervical human papillomavirus infection among cohort of women in Awka, Nigeria

*1Ezebialu, C. U., 2Ezebialu, I. U., and 2Ezenyeaku, C. C.

1Department of Applied Microbiology and Brewing, Nnamdi Azikiwe University, Awka, Nigeria

2Department of Obstetrics and Gynaecology, College of Medicine, Chukwuemeka Odumegwu Ojukwu University, Awka, Nigeria

*Correspondence to: nenyeume@yahoo.com; 08066528090

Abstract:

Background: Many women are known to contract human papilloma virus (HPV) infection in their lifetime but only a few develop cervical cancer. One of the major factors that contribute to development of cervical cancer is HPV persistence. Several other factors including viral load have been implicated in cervical cancer development. This work therefore intends to investigate the persistence of cervical HPV infection among cohort of women in Awka, Nigeria.

Methodology: A cohort of 58 women with normal Papanicolaou (Pap) test but positive HPV DNA selected from a population of 410 women at baseline were followed up over a period of 6 months from April to October 2015. Cervical specimens collected were subjected to HPV DNA test and viral quantification using TaqMan Real Time PCR and cervical cytology. Risk factors were obtained using semi structured interviewer administered questionnaires. Variables were analysed using descriptive statistics and T-test on IBM SPSS statistics version 21.0 and EPI INFOTM 7.0

Results: At the 6-month follow up, cervical HPV infection persisted in 29 women, representing 50% of the women followed up. Among the 29 women, 7 (24.1%) developed abnormal Pap smear (Low grade Squamous Intraepithelial Lesion). Factors significantly associated with persistence at bivariate analysis of HPV include previous sexually transmitted infection (STI) (p=0.005), HIV positivity (p=0.04), HIV positivity but no anti-retroviral drugs (p=0.014), HPV 16 infection (p<0.0001) and age less than 40 years (p<0.0001). At multinomial logistic regression, only age above 17 years at first sexual intercourse (p=0.003, CI=0.012-0.392) and multiple lifetime sexual partners (p=0.021, CI=0.20-0.726) were statistically significant.

Conclusion: High risk HPV infection, in addition to other factors peculiar to an individual may influence HPV persistence

Key words: cervical cancer, human papillomavirus, persistence, cytology, risk factors, infection

Received Sept 28, 2020; Revised Jan 14, 2021; Accepted Mar 27, 2021
Copyright 2021 AJCEM Open Access. This article is licensed and distributed under the terms of the Creative Commons Attrition 4.0 International License <a rel=”license” href=”//creativecommons.org/licenses/by/4.0/”, which permits unrestricted use, distribution and reproduction in any medium, provided credit is given to the original author(s) and the source.

Editor-in-Chief: Prof. S. S. Taiwo

Persistance de l’infection cervicale par le papillomavirus humain parmi une cohorte de femmes à Awka, Nigéria

*1Ezebialu, C.U., 2Ezebialu, I.U., et 2Ezenyeaku, C. C.

1Département de microbiologie appliquée et brassage, Université Nnamdi Azikiwe, Awka, Nigéria

2Département d’obstétrique et de gynécologie, Collège de médecine, Université Chukwuemeka Odumegwu Ojukwu, Awka, Nigéria

*Correspondance à: nenyeume@yahoo.com; 08066528090

Abstrait:

Contexte: De nombreuses femmes sont connues pour contracter une infection au virus du papillome humain (VPH) au cours de leur vie, mais seules quelques-unes développent un cancer du col de l’utérus. L’un des principaux facteurs qui contribuent au développement du cancer du col de l’utérus est la persistance du VPH. Plusieurs autres facteurs, y compris la charge virale, ont été impliqués dans le développement du cancer du col de l’utérus. Ce travail vise donc à étudier la persistance de l’infection cervicale au VPH parmi la cohorte de femmes à Awka, au Nigeria.

Méthodologie: Une cohorte de 58 femmes avec un test de Papanicolaou (Pap) normal mais un ADN HPV positif sélectionné parmi une population de 410 femmes au départ ont été suivis sur une période de 6 mois d’avril à octobre 2015. Les échantillons cervicaux collectés ont été soumis à l’ADN HPV. test et quantification virale à l’aide de la PCR en temps réel TaqMan et de la cytologie cervicale. Les facteurs de risque ont été obtenus à l’aide de questionnaires semi-structurés administrés par les intervieweurs. Les variables ont été analysées à l’aide de statistiques descriptives et d’un test T sur IBM SPSS statistics version 21.0 et EPI INFOTM 7.0

Résultats: Au suivi de 6 mois, l’infection cervicale au VPH persistait chez 29 femmes, soit 50% des femmes suivies. Parmi les 29 femmes, 7 (24,1%) ont développé un test Pap anormal (lésion squameuse intraépithéliale de bas grade). Les facteurs significativement associés à la persistance lors de l’analyse bivariée du VPH comprennent les antécédents d’infection sexuellement transmissible (IST) (p=0,005), la positivité au VIH (p=0,04), la positivité au VIH mais pas d’antirétroviraux (p=0,014), l’infection au VPH 16 (p<0,0001) et moins de 40 ans (p<0,0001). Lors de la régression logistique multinomiale, seuls les âges supérieurs à 17 ans lors du premier rapport sexuel (p=0,003, IC=0,012-0,392) et les multiples partenaires sexuels à vie (p=0,021, IC=0,20-0,726) étaient statistiquement significatifs.

Conclusion: Une infection au VPH à haut risque, en plus d’autres facteurs propres à un individu, peut influencer la persistance du VPH

Mots clés: cancer du col de l’utérus, papillomavirus humain, persistance, cytologie, facteurs de risque, infection

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Persistence of cervical human papillomavirus infection among cohort of women in Awka, Nigeria

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Prevalence and factors associated with Helicobacter pylori infection among treatment naïve dyspeptic adults in University of Benin Teaching Hospital, Benin City, Nigeria

1Odigie, A. O., *2Adewole, A. J., and 2Ekunwe, A. A.
1Department of Family Medicine, Central Hospital, Health Management Board, Benin City, Nigeria

2Department of Family Medicine, University of Benin Teaching Hospital, PMB 1111, Benin City, Nigeria *Correspondence to: afolabi.adewole74@gmail.com; +2348037222755

Abstract:

Background: Infectious diseases such as malaria, HIV/AIDS and tuberculosis have received tremendous attention globally but inspite of the widespread nature of infections caused by Helicobacter pylori, little attention has been paid to it especially in the developing countries. The objective of this study was to determine the prevalence of and factors associated with H. pylori infection among dyspeptic patients attending the University of Benin Teaching Hospital, Benin City, Nigeria.

Methodology: This was a hospital based descriptive cross-sectional study of 354 treatment naive dyspeptic patients aged 18 to 44 years, recruited consecutively after obtaining institutional ethical approval and subjects’ informed consent. A pre-tested interviewer administered questionnaire was used to obtain subjects’ data. The stool antigen test was used to detect H. pylori infection. Continue reading “Prevalence and factors associated with Helicobacter pylori infection among treatment naïve dyspeptic adults in University of Benin Teaching Hospital, Benin City, Nigeria”

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A survey on urinary tract infection associated with two most common uropathogenic bacteria

R.O. Okojie, V.O. Omorokpe

 

Abstract

The aim of this study was to determine the prevalence of urinary tract infection (UTI) caused by the uropathogens – Escherichia coli and Klebsiella pneumoniae among outpatients attending a hospital in Benin and the  antibiotic susceptibility pattern of both isolates. Mid-stream urine samples were collected from 96 patients, analysed microscopically and streaked on the surface of prepared plates of blood and MacConkey Agar. Isolates resulting from incubated plates were identified by standard microbiological techniques. Susceptibility testing was done using the disk diffusion  technique on Mueller Hinton Agar. The prevalence of UTI was 22.9%. It was significantly more prevalent in females (30.6%) than males (8.8%) (p < 0.05) and in age group 31 – 40 years (45.5%). Escherichia coli was the most commonly isolated and more prevalent (14.6%) followed by Klebsiella pneumoniae (5.2%). High level resistance (100%) to amoxycillin/clavulanic acid, ampicillin and ceftazidime was observed among the isolates. The active drugs against the bacteria were nitrofurantoin, ofloxacin and imipenem. Routine diagnostic procedure/screening is necessary to avoid complications.

Keywords: Infection, prevalence, resistance, uropathogens.

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Public health implications of Salmonella species contamination of naira notes obtained from butchers in Abakaliki meat market, Ebonyi state

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The bacteria profiles of wounds in diabetic patients hospitalized in northern Kwazulu-Natal, South Africa

W. Mthembu, D Penduka, R Mosa, B Shoba, A Zobolo, A Opoku

 

Abstract

Diabetic wound infections still remain a health concern such that correct identification of bacteria is essential in monitoring the spread of the infections as well as in the administration of the correct treatment. This study therefore focuses on isolating and identifying bacteria present in diabetic wounds of hospitalized patients in northern KwaZulu-Natal and assessing their distribution.The wound specimen were collected and swabbed onto selective and differential media. The bacteria identities were presumptively ascertained through biochemical characterization (Gram-stain, catalase test, oxidase test and API) and then confirmed through 16S rDNA sequencing.A total of 42 isolates were recovered from 83% of the patients sampled from the three participating hospitals (X, Y, and Z). Gram-negative bacilli from Enterobacteriaceaewere predominant followed by Staphylococci spp and Enterococcus faecaliswith 43% polymicrobial cases from hospital Z and 29% from hospital X. Distribution of some opportunistic pathogens and nosocomially-acquired pathogens were also observed across the patients with five bacterial identities distributed among hospital X and Z. The adverse effects associated with the recovered bacteria in diabetic wounds pose a serious health concern and preventive measure should be taken.

Keywords: Diabetes mellitus, wounds, bacteria, infection

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The bacteria profiles of wounds in diabetic patients hospitalized in northern Kwazulu-Natal, South Africa

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Reproductive Health Issues and Incidence of Some Reproductive Tract Infections among Muslim Women in Purdah In Jos-Nigeria

KB Tanyigna, JK Tanyigna, F Aremu, JO Adisa

 

Abstract

Candidiasis and Trichomoniasis are the commonest Reproductive Tract Infections (RTIs) amongst women in purdah in the capital city of Jos- Nigeria. Majority of these women (>68%) have primary education as the highest educational qualification and majority of them (>92%) are full time house wives. The study has also revealed that there is a high level (57%) delay in seeking for reproductive health needs , which were only remedied due to persistence of symptoms. This gives us the inference as to the myriad of sequalae that might have resulted in cases of asymptomatic RTIs. The most reproductive health needs of women in purdah are inadequate facilities in clinics/hospitals. This factor as well as other factors such as poor education, unilateral decision making by some men in purdah in matters of reproductive needs, misunderstanding and misinterpretation of the Qu’ran have immensely contributed to the increasing cases of RTIs among these women. These problems can be reduced to the minimum by educating both the men and the women in purdah with the best medium being the radio/television programs.

KEY WORDS: Purdah, Reproductive Health, Infection, Women.

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Reproductive Health Issues and Incidence of Some Reproductive Tract Infections among Muslim Women in Purdah In Jos-Nigeria

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Prevalence of hepatitis B surface antigen, hepatitis C and Human Immunodeficiency Virus antibodies in a population of students of tertiary institution in Nigeria

V.O Mabayoje, P.O Akinwusi, O.O Opaleye, B.E Egbewale, A.H Fagbami, A.O Aboderin

 

Abstract

Objective: Human immunodeficiency virus (HIV), hepatitis B virus, and hepatitis C viruses (HCV) are major causes of mortality and morbidity worldwide. They are also among the commonest transfusiontransmissible infectious agents. Students of higher institutions are often used as voluntary unpaid donors by many hospitals in Nigeria. In this study, the prevalence of HIV and HCV and HBsAg is determined in a population of students attending Ladoke Akintola University of Technology in south west Nigeria, to provide background information on the burden of these infections in this population. Materials and Methods: Serum samples were obtained from students of the Pre-degree Science programme of Ladoke Akintola University of Technology, Ogbomosho and tested for antibodies to HIV, HCV and HBsAg using the ELISA procedure. Results: The prevalence rates of antibodies to HIV and HCV in the student population were 0% and 4.8%, respectively and that of HBsAg was 9.5%. Conclusion: The findings of this study which showed that the prevalence of antibodies to HIV and of HBsAg in this group of students is somewhat similar to those carried out in similar populations. This strongly suggests that the viral burden amongst this population of students is similar and that probably similar factors (demographic) are responsible for maintaining this level of viral load. Further studies would be needed to elucidate the reasons why this is the case. Also it would be necessary to reemphasize the methods of prevention of transmission of these viruses, and to ensure their implementation in order to reduce the viral levels and therefore avoid the long term sequalae.

Key words: Transfusion, Infection, Blood Donation

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Prevalence of hepatitis B surface antigen, hepatitis C and Human Immunodeficiency Virus antibodies in a population of students of tertiary institution in Nigeria

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EPIDEMIOLOGICAL STUDY OF URINARY SCHISTOSOMIASIS AMONG PRIMARY SCHOOL PUPILS IN EKITI STATE, NIGERIA

O Ariyo, LK Olofintoye, RA Adeleke, O Famurewa

 

Abstract

The prevalence of Schistosoma haematobium infection was investigated among primary school pupils in Ekiti State by questionnaire survey in 601 schools between 1997 and 1998. A total of 9,551 (24.4%) were positive by the survey. 3483 (22.4%) of the girls and 6,069 (25.7%) of the boys were infected. The prevalence of this infection between girls and boys shows a significant difference (x215 = 59.5; p<0.05). Ekiti South West local government had the highest prevalence of S. haematobium infection of 69.0% while Ikole local government had the lowest prevalence of infection of 2.0%. Out of 1,049 pupils with clinical and laboratory examination, 280 (50.9%) of the 550 boys and 184 (36.9%) of the 499 girls were infected. Chi-square analysis shows a significant difference of S. haematobium infection between the girls and boys (X211 = 86.2; p<0.05). Chi square analysis also showed that questionnaire survey could be used to predict the laboratory epidemiological data (X21= 3.84; p<0.05).

Key Words: Schistosomiasis, Epidemiology, Infection, Bulinus globosus

African Journal Of Clinical And Experimental Microbiology Jan 2004 Vol.5 No.1 20-29

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