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Aerobic vaginitis in women seen at the laboratory of the university hospital of Befelatanana, Antananarivo, Madagascar

*1Rakotovao-Ravahatra, Z. D., 2Razanadrakoto, I. I., 2Rafaramalala, S. S., 3Rakotovao, A. L., and 3Rasamindrakotroka, A.

1Laboratory of Joseph Raseta Befelatanana, University Hospital, Antananarivo, Madagascar

2Malagasy Medical Analysis Laboratory, Androhibe, Antananarivo, Madagascar

3Medical Biology Department, Faculty of Medicine, University of Antananarivo, Madagascar

*Correspondence to: ravahatradomoina@yahoo.fr; +261 34 09 301 20

Abstract:
Background: Vaginitis is common in women. The present study aims to identify the factors associated with aerobic vaginitis (AV) in women and evaluate the antibiotic resistance of bacteria responsible for this vaginitis.

Methodology: This was a retrospective cross-sectional study of 840 patients and analysis of the results of their cytobacteriological examinations of cervicovaginal samples from January 01, 2020 to December 31, 2022 at the Centre Hospitalier Universitaire Joseph Raseta Befelatanana (CHUJRB) laboratory, Antananarivo, Mada- gascar. Continue reading “Aerobic vaginitis in women seen at the laboratory of the university hospital of Befelatanana, Antananarivo, Madagascar”

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Antimicrobial resistance in Madagascar: a review of the current situation and challenges

Rasamiravaka, T.

Laboratory of Biotechnology and Microbiology, Department of Applied and Fundamental Biochemistry, Faculty of Sciences, University of Antananarivo (UA), BP 906, Antananarivo 101, Madagascar
Correspondence to: travaka@yahoo.fr

Abstract:
Antimicrobial resistance (AMR) is a growing public health threat worldwide occurring in a wide range of pathogenic bacteria. It is encouraging that governments of countries around the world are beginning to pay attention to the issue of AMR that serves to undermine the future of modern medicine. However, each country solution approaches to this issue will differ in terms of magnitude and response capacity. Madagascar is a low-income country and one of the poorest countries in the world with poor environmental hygiene practices and easy availability of antimicrobial drugs without medical prescription. These particular contexts certainly influence the spread of multi-drug resistant bacteria. This review presents reported data on AMR from 2001 to 2018 in Madagascar among the World Health Organization (WHO) priority human pathogens, and determined the scope and magnitude of the AMR problems in the particular context of this low-income country, which could help in formulating effective response strategies for control of AMRs in Madagascar.

Key words: Antimicrobials, Madagascar, Multi-drug resistance, Prevalence

Received December 3, 2019; Revised April 10, 2020; Accepted April 11, 2020
Copyright 2020 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.

Résistance aux antimicrobiens à Madagascar: bilan de la situation actuelle et des défis

Rasamiravaka, T.

Laboratoire de biotechnologie et de microbiologie, Département de biochimie appliquée et fondamentale, Faculté des sciences, Université d’Antananarivo (UA), BP 906, Antananarivo 101, Madagascar Continue reading “Antimicrobial resistance in Madagascar: a review of the current situation and challenges”

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Evaluation of methicillin-resistant Staphylococcus aureus nasal carriage in Malagasy veterinary students

T Rasamiravaka, A.J. Nirinarimanana, A Rasamindrakotroka

 

Abstract

Purpose: Populations that are frequently in contact with animals such as veterinary students have been demonstrated to be at risk of MRSA carriage.Thus, it is relevant to generate baseline data in MRSA nasal carriage and multidrug resistance among Malagasy veterinary students (Madagascar).

Method: A cross-sectional study was carried out among veterinary students coming for laboratory training. After their wise consent, nasal swabs of the anterior nares were carried out; and S. aureus was isolated by selective chromogenic culture. They were then assessed for antimicrobial susceptibility.

Results: Nasal swabs of 155 Malagasy veterinary students (Sex-ratio M/F: 0.91), enabled to isolate 30 (19, 35%) S. aureus strains, among which 14 (46, 66 %) were méthicillin-resistant (MRSA). Risk factors analysis revealed that history of hospitalization, recent antibiotic intake and frequent contact with animals and livestock workers/veterinarians increase the risk of MRSA nasal carriage. Among MRSA nasal isolates, a high rate of multidrug resistance and particularly an intriguing resistance to gentamycin (20%) and vancomycin (7.14%) were observed.

Conclusion: These results suggest that MRSA is spreading in Malagasy community requiring a strategic policy against multidrug resistant strains.

Keywords: Madagascar, MRSA, Risk factors, Veterinary

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Evaluation of methicillin-resistant Staphylococcus aureus nasal carriage in Malagasy veterinary students