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Waterborne Zoonotic Diseases and Antimicrobial Resistance: Indian Policy and Onehealth Approach 水传播人畜共患病与抗菌药耐药性:印度政策和 "统一健康 "方法
Pub Date : 2024-08-08 DOI: 10.9734/ijpr/2024/v13i4302
Rajashree Joshi, Poonam Patil, Utkarsh Ghate, Sandip Yadav, D. P. Raturi, Rishita Rawat, Avinash Deo, V. Viswadev
Waterborne zoonotic diseases such as Diarrhoea, gastroenteritis, Brucellosis cause heavy loss to the livestock farmers and cause growing health risk to the citizens and economy as exemplified by the recent COVID-19 pandemic. The global Onehealth initiative aims to map and reduce the risk of zoonotic i.e. animal borne microbial diseases through an integrated approach to the human & livestock health. Preventive strategies such as water, sanitation and hygiene (WASH) are vital and even herbal medicines can address the antimicrobial resistance (AMR), due to the overuse of the antibiotics. We studied such integrated approach in the India focussed on 2 bacterial pathogens- Escherichia coli & Salmonella enterica, causing diarrhoea and gastroenteritis respectively at Pune city and in Dehradun District, Uttarakhand state. Our study using stakeholder consultations and literature survey indicated that (a) India has established draft national Onehealth mission, and is gearing up to meet the challenge, including initiatives such as by the Kerala state, (b) surveillance mechanism needs to be improved especially animal and water testing, reporting and tracking, in the less developed states such as in the Himalayas or central and eastern Indian forests, (c) public awareness campaign on WASH and AMR is needed for enhanced biosecurity as is observed at Pune, (d) Ministry of Jal Shakti (Water power), Uttarakhand Jal Sansthan, Uttarakhand Renewable Energy Development Agency (UREDA) and Central Water Resource Ministry and biogas scheme/ non renewable energy department needs to be involved in livestock waste reuse for circular economy and reduce contamination risk.
腹泻、肠胃炎、布鲁氏菌病等水传播的人畜共患病给畜牧业者造成了重大损失,并给公民和经济带来了越来越大的健康风险,最近的 COVID-19 大流行就是一个很好的例子。全球 "同一健康 "倡议旨在通过对人类和牲畜健康采取综合方法,绘制人畜共患病(即动物传播的微生物疾病)地图并降低其风险。水、环境卫生和个人卫生(WASH)等预防策略至关重要,甚至草药也能解决因过度使用抗生素而产生的抗菌药耐药性(AMR)问题。我们在印度研究了这种综合方法,重点是普纳市和北阿坎德邦德拉敦地区分别引起腹泻和肠胃炎的两种细菌病原体--大肠埃希氏菌和肠炎沙门氏菌。我们利用利益相关者咨询和文献调查进行的研究表明:(a) 印度已经制定了 "一个健康 "国家任务草案,并正在准备迎接挑战,包括喀拉拉邦等地采取的举措;(b) 在喜马拉雅山脉或印度中部和东部森林等欠发达邦,需要改进监测机制,特别是动物和水的检测、报告和跟踪、(d) Jal Shakti(水电部)、Uttarakhand Jal Sansthan、Uttarakhand 可再生能源发展局(UREDA)和中央水资源部以及沼气计划/不可再生能源部门需要参与牲畜废物再利用,以促进循环经济并降低污染风险。
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引用次数: 0
Cross Sectional Study on the Prevalence of Tuberculosis among the District of Sudhnuti, Azad Jammu and Kashmir 关于阿扎德查谟和克什米尔苏德纳蒂地区肺结核发病率的横断面研究
Pub Date : 2024-03-29 DOI: 10.9734/ijpr/2024/v13i2278
Muhammad Shoaib, Muhammad Najeeb, Zahid Hussain Shah, Muhammad Hameed Khan, Muhammad Haroon, Nida Siraj
Globally, tuberculosis (TB) is a major health risk that is mostly caused by Mycobacterium tuberculosis, a member of the Mycobacterium Tuberculosis Complex (MTC). Ten million cases of tuberculosis and 1.3 million deaths from the disease occur each year, making Mycobacterium tuberculosis one of the leading causes of death globally. Pakistan is ranked fifth among high-burden countries for tuberculosis (TB) and is expected to rank fourth for the prevalence of multi-drug resistant (MDR) TB. As a result, tuberculosis poses a serious threat to public health in Pakistan. Tuberculosis is a common occurrence in Azad Jammu and Kashmir.Aims: The current study aimed to find out the prevalence of tuberculosis in the defined population. Study Design:  The study was conducted in the District and Tehsil Headquarters Hospitals of District Sudhnuti AJK.Place and Duration of Study: Samples were collected from all the District and Tehsil headquarters hospitals of Sudhnuti district from January 2019 to December 2019.Methodology: Samples of sputum from suspected cases were gathered from district Sudhnuti hospitals and TB centers from January 2019 to December 2019. All the suspected cases were examined by sputum smear microscopy and then bacteriologically positive cases were further confirmed by GeneXpert. All positive cases were examined for multi-drug resistance by using GeneXpert.Results: In the current study during the year 2019, 201 TB cases were reported from district Sudhnuti out of which 107 (53.23%) were males and 94 (46.76%) were females. The value of P=0.51 which is >0.05 is insignificant shows that Tuberculosis has no selective effect on a specific gender.  Pulmonary cases were 131 in number with 81 bacteriologically positive and 50 clinically diagnosed negative cases. Extra Pulmonary cases were 70 in number with 1 bacteriologically positive and 69 clinically diagnosed negative cases. Only 2 (0.99%) MDR cases were diagnosed and the case notification rate during 2019 was 66.Conclusion: The current study shows that males are slightly more prone to TB in district Sudhnuti AJK as compared to females. Individuals with age >64 are more susceptible to TB when compared to individuals with age <15. The CNR during 2019 is 66 which is far away from the WHO set criteria. The CNR indicates that there is a need for improvement in the surveillance system.
在全球范围内,结核病(TB)是一种主要的健康风险,主要由结核分枝杆菌(MTC)引起。每年有 1000 万例结核病病例,130 万人死于结核病,结核分枝杆菌已成为全球主要死因之一。巴基斯坦在结核病(TB)高负担国家中排名第五,预计在耐多药(MDR)结核病流行率方面将排名第四。因此,结核病对巴基斯坦的公共卫生构成严重威胁。结核病是阿扎德查谟和克什米尔地区的常见病。研究设计: 研究在查谟和克什米尔苏德纳蒂区的区和乡总部医院进行:从 2019 年 1 月至 2019 年 12 月,从苏德努蒂区的所有区和县总部医院收集样本:从2019年1月至2019年12月,从苏德努蒂区医院和结核病中心收集疑似病例的痰液样本。对所有疑似病例进行痰涂片显微镜检查,然后用 GeneXpert 进一步确认细菌学阳性病例。所有阳性病例均通过 GeneXpert 进行多重耐药性检查:在本次研究中,2019 年苏德努蒂区报告了 201 例肺结核病例,其中 107 例(53.23%)为男性,94 例(46.76%)为女性。P=0.51 的值大于 0.05,说明结核病对特定性别没有选择性影响。 肺部病例有 131 例,其中 81 例细菌学阳性,50 例临床诊断阴性。肺外病例为 70 例,其中 1 例细菌学阳性,69 例临床诊断为阴性。仅诊断出 2 例(0.99%)MDR 病例,2019 年的病例通报率为 66.结论:目前的研究表明,在阿富汗苏德纳蒂区,男性比女性更容易感染结核病。与年龄小于 15 岁的人相比,年龄大于 64 岁的人更容易感染结核病。2019 年的 CNR 为 66,与世界卫生组织设定的标准相去甚远。CNR 表明需要改进监测系统。
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引用次数: 0
Investigation of the Multidrug Resistance Pattern of Bacteria Isolated from Car and Office Door Handles in a Tertiary Institution 调查从一所高等院校的汽车和办公室门把手中分离出的细菌的多重耐药性模式
Pub Date : 2024-03-27 DOI: 10.9734/ijpr/2024/v13i2277
Testimonies C. Adebayo-Olajide, Goodhead, A. Dakoru, Ekeneokot E. Uche, Usman-Wali Maryam
Multidrug-resistant bacteria have posed a public health concern over the years, especially with the difficulty and cost of treatment of infections they cause. Fomites such as door handles are thus potent means through which pathogens are transmitted from one person to another as contact with them is made. This study thus involves isolating antibiotic-resistant bacteria from car and office door handles in a university environment. Using the simple random sampling method, twenty samples (20) from car door handles and twenty samples (20) from office door handles were collected, the isolation of bacteria was done using standard microbiological procedures and identification of the isolates was done using cultural, microscopic and biochemical characterization. Determination of the antibiotic sensitivity pattern of the isolates was done using the Kirby-Bauer disc diffusion method on Muller Hinton agar. Antibiotics used included Ofloxacin (5 µg), Gentamicin (10 µg), Ceftriaxone (30 µg), Augmentin (30 µg), Ciprofloxacin (5 µg), Erythromycin (5 µg), Streptomycin (30 µg) and Cloxacillin (30 µg). The results showed a significant frequency of occurrence of Staphylococcus aureus at 35% and Klebsiella pneumoniae having least at 5%. From car door handles, S. epidermidis recorded 37% while K. pneumoniae recorded the least with 17.4%. The isolates exhibited resistance to antibiotics including Augmentin and Ceftriaxone (≤22 mm) while they were more susceptible to Ofloxacin (≥16 mm). All the K. pneumoniae isolated from car door handles exhibited resistance to Augmentin and Ceftriaxone. These results show that these surfaces could be a possible reservoir of infections caused by resistant bacteria, leading to difficulty in the treatment of infections caused by them.
多年来,耐多药细菌已成为公共卫生的一个问题,尤其是在治疗由它们引起的感染时,治疗难度大、费用高。因此,像门把手这样的传播媒介是病原体在人与人之间传播的有效途径。因此,本研究从大学环境中的汽车和办公室门把手中分离抗生素细菌。采用简单随机抽样法,从汽车门把手和办公室门把手各采集了 20 个样本,使用标准微生物学程序分离细菌,并通过文化、显微镜和生化鉴定对分离物进行鉴定。采用柯比-鲍尔盘扩散法在 Muller Hinton 琼脂上确定分离菌的抗生素敏感性模式。使用的抗生素包括氧氟沙星(5 微克)、庆大霉素(10 微克)、头孢曲松(30 微克)、奥门新(30 微克)、环丙沙星(5 微克)、红霉素(5 微克)、链霉素(30 微克)和氯霉素(30 微克)。结果显示,金黄色葡萄球菌的出现率为 35%,肺炎克雷伯菌的出现率最低,为 5%。在车门把手中,表皮葡萄球菌占 37%,肺炎克雷伯菌最少,占 17.4%。分离出的菌株对抗生素有抗药性,包括奥克门汀(Augmentin)和头孢曲松(Ceftriaxone)(≤22 mm),而对氧氟沙星(Ofloxacin)的敏感性较高(≥16 mm)。从汽车门把手中分离出的所有肺炎双球菌都对奥克门汀和头孢曲松表现出抗药性。这些结果表明,这些表面可能是耐药细菌引起的感染的贮藏库,从而导致治疗由其引起的感染的困难。
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引用次数: 0
Molecular Characterization of Plasmid-mediated Quinolone Resistant Salmonella typhi From Patients Attending Federal Medical Center, Jabi, Abuja, Nigeria 尼日利亚阿布贾贾比联邦医疗中心就诊患者中质粒介导的耐喹诺酮伤寒沙门氏菌的分子特征描述
Pub Date : 2024-03-21 DOI: 10.9734/ijpr/2024/v13i2275
Fasema, R, Ngwai, Y. B, Ishaleku, D, Nkene, I. H, Abimiku, R. H, Tama, S. C, Igbawua, I. N
Aims: This study investigates and reports the detection of qnr genes (plasmid-mediated quinolone resistance PMQR) in S.typhi isolated from stool of patients with suspected typhoid fever, in Federal Medical Center, Jabi, Abuja, Nigeria.Study Design:  Cross sectional study.Place and Duration of Study: Department of Microbiology, Nasarawa State University, Keffi, between October 2022 and November 2023.Methodology: Salmonella typhi was isolated from stool of patients with suspected typhoid fever using standard culture and microbiological methods. Antibiotic susceptibility testing were performed  using  the  disc  diffusion method  to  investigate  the  ability  of  S.  typhi to resist some antibiotics. Qnr genes (qnrC,qnrD,qnrS) were detected by PCR and amplification.Results: 17 out of 150 (11.3%) of the samples collected had S.typhi. Antibiotic resistance in the isolates in decreasing order were as follows: cefotaxime (100.0%), amoxicillin/ clavulanic acid (94.1%), nalidixic acid (94.1%), cefuroxime (94.1%), imipenems (88.2%), ceftriaxone/sulbactam (82.4%), ciprofloxacin (82.4%), gentamicin (58.8%), levofloxacin (47.1%) and ofloxacin (29.4%).The commonest antibiotic resistant phenotype was AUG- CTX-IMP-OFX-CN-NA-CXM-CRO-CIP-LBC at 29.4%. Multiple antibiotic resistance (MAR) was observed in 100% (17/17) of the isolates with the common MAR indices being 1.0 (29.4%), 0.7 (23.5%), 0.8 (17.6%) and 0.5 (17.6%). 33.3% of the isolates in FMCJ were positive for qnrC,qnrD,qnrS,qnrA+qnrC and qnrS+ aac(6′)-Ib-cr as all of qnrC qnrD,and qnrS genes were all expressed in the isolates.Conclusion: The S.  typhi isolates showed lower resistances to ofloxacin, levofloxacin, and gentamicin, and all isolates were MAR, with resistance to 10 antibiotics being the most predominant. In addition, qnrC,qnrD, and qnrS resistance genes were all expressed in the isolates.
目的:本研究调查并报告了尼日利亚阿布贾贾比联邦医疗中心从疑似伤寒患者粪便中分离出的伤寒杆菌中qnr基因(质粒介导的喹诺酮耐药性PMQR)的检测情况: 横断面研究:研究地点和时间:2022 年 10 月至 2023 年 11 月,位于凯菲的纳萨拉瓦州立大学微生物学系:使用标准培养和微生物学方法从疑似伤寒患者的粪便中分离出伤寒沙门氏菌。采用盘扩散法进行抗生素药敏试验,以研究伤寒沙门氏菌对某些抗生素的耐药性。通过 PCR 和扩增法检测 Qnr 基因(qnrC、qnrD、qnrS):结果:在采集的 150 份样本中,有 17 份(11.3%)检出伤寒杆菌。抗生素耐药性依次为:头孢他啶(100.0%)、阿莫西林/克拉维酸(94.1%)、萘啶酸(94.1%)、头孢呋辛(94.1%)、亚胺培南(88.最常见的抗生素耐药表型是 AUG- CTX-IMP-OFX-CN-NA-CXM-CRO-CIP-LBC ,占 29.4%。在 100%(17/17)的分离物中观察到多重抗生素耐药性(MAR),常见的 MAR 指数为 1.0(29.4%)、0.7(23.5%)、0.8(17.6%)和 0.5(17.6%)。33.3%的 FMCJ 分离物对 qnrC、qnrD、qnrS、qnrA+qnrC 和 qnrS+ aac(6′)-Ib-cr 呈阳性,因为所有的 qnrC qnrD 和 qnrS 基因都在分离物中表达:结论:伤寒杆菌分离物对氧氟沙星、左氧氟沙星和庆大霉素的耐药性较低,所有分离物均为MAR,其中对10种抗生素的耐药性最为突出。此外,分离物中还表达了 qnrC、qnrD 和 qnrS 抗性基因。
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引用次数: 0
The Use of Immersion Oil in Parasitology Light Microscopic Examination 在寄生虫学光学显微镜检查中使用浸泡油
Pub Date : 2024-02-22 DOI: 10.9734/ijpr/2024/v13i2274
F. E. Siagian
Aims: to briefly review the history of application of immersion oil and specifically in some Parasitology Microscopic examination. Discussion: One way of increasing the optical resolving power of the microscope is to use immersion liquids between the front lens of the objective and the cover slip. The application of immersion oil in microscopic examination began in the mid-17th century. The principle of immersion oil in microscopic examination is to improve the resolution and clarity of the image by reducing the refractive index mismatch between the specimen and the objective lens. In the context of micro-sized parasitic agent, adding this oil will greatly enhanced visualization and in turn will have a direct impact on improving the characteristic morphological image/appearance, thereby enabling observers to optimize microscopic assessment for parasitological examination. Protozoan parasites such as Plasmodium spp, Entamoeba histolytica, Giardia lamblia, Microsporidia spp., Trichomonas vaginalis, Toxoplasma spp, Trypanosoma spp, Babesia spp, Leishmania spp, Cyclospora cayetanensis, and Blastocystis hominis are some examples of parasitic organisms that should be viewed at great magnification to see detailed morphology; and for that it means you need to add immersion oil. Conclusion: The addition of immersion oil in Paarasitology microscopic examination is surely improve optical resolution and clarity of the image and positively support Parasitologist to make correct diagnosis.
目的:简要回顾浸油的应用历史,特别是在一些寄生虫学显微镜检查中的应用。讨论:提高显微镜光学分辨能力的一种方法是在物镜前透镜和盖玻片之间使用浸液。在显微镜检查中应用浸油始于 17 世纪中期。显微镜检查中使用浸油的原理是通过减少标本和物镜之间的折射率失配来提高图像的分辨率和清晰度。就微小寄生虫而言,加入这种油会大大提高可视度,进而对改善特征形态图像/外观产生直接影响,从而使观察者能够优化寄生虫学检查的显微评估。原生动物寄生虫,如疟原虫属、组织溶解恩塔米巴虫、蓝氏贾第鞭毛虫、小孢子虫属和阴道毛滴虫、阴道毛滴虫、弓形虫属、锥虫属、巴贝斯虫属、利什曼原虫属、卡耶坦环孢子虫属和人吸虫都是寄生生物的一些例子,需要放大到很高的倍数才能看到详细的形态;为此,需要添加浸泡油。结论在寄生虫学显微镜检查中添加浸泡油肯定会提高光学分辨率和图像清晰度,并有助于寄生虫学家做出正确诊断。
{"title":"The Use of Immersion Oil in Parasitology Light Microscopic Examination","authors":"F. E. Siagian","doi":"10.9734/ijpr/2024/v13i2274","DOIUrl":"https://doi.org/10.9734/ijpr/2024/v13i2274","url":null,"abstract":"Aims: to briefly review the history of application of immersion oil and specifically in some Parasitology Microscopic examination. \u0000Discussion: One way of increasing the optical resolving power of the microscope is to use immersion liquids between the front lens of the objective and the cover slip. The application of immersion oil in microscopic examination began in the mid-17th century. The principle of immersion oil in microscopic examination is to improve the resolution and clarity of the image by reducing the refractive index mismatch between the specimen and the objective lens. In the context of micro-sized parasitic agent, adding this oil will greatly enhanced visualization and in turn will have a direct impact on improving the characteristic morphological image/appearance, thereby enabling observers to optimize microscopic assessment for parasitological examination. Protozoan parasites such as Plasmodium spp, Entamoeba histolytica, Giardia lamblia, Microsporidia spp., Trichomonas vaginalis, Toxoplasma spp, Trypanosoma spp, Babesia spp, Leishmania spp, Cyclospora cayetanensis, and Blastocystis hominis are some examples of parasitic organisms that should be viewed at great magnification to see detailed morphology; and for that it means you need to add immersion oil. \u0000Conclusion: The addition of immersion oil in Paarasitology microscopic examination is surely improve optical resolution and clarity of the image and positively support Parasitologist to make correct diagnosis.","PeriodicalId":129993,"journal":{"name":"International Journal of Pathogen Research","volume":"50 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140440284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Influence of Covid-19 Social Restriction Measures on Sexual Behaviours and Reproductive Health Outcomes of Young Adults in Rivers State, Nigeria Covid-19 社会限制措施对尼日利亚河流州年轻人性行为和生殖健康结果的影响
Pub Date : 2024-01-29 DOI: 10.9734/ijpr/2024/v13i1271
Chiazor Nneamaka Ezeanya, Chigozirim Ogubuike
Introduction: The COVID-19 social restriction measures, a strategy to curb the spread of the COVID-19 virus influenced people’s general well-being worldwide especially their sexual health. The study examined the influence of Covid-19 social restriction measures on sexual behaviours and reproductive health outcomes of young adults in Rivers State, Nigeria Methods: This study is a descriptive online-based cross-sectional design conducted among young adults aged 18-25 years.  A structured questionnaire was designed using Google form and the link shared online for completion via Facebook and WhatsApp group platforms with a request to forward the link to their peers.  The data was subjected to descriptive analysis using SPSS version 22. Results: More than half 65% of the respondents were female, and 68.7% were between the ages of 21-25 years. The majority 76.3% of the respondents had sexual experience. There was a decrease in satisfaction with sex life (from 65.9% to 47.9%) and decline in condom non-usage (from 39.8% to 45%) before and during the COVID-19 social restriction measures respectively. There was an increase in sexual activities (from 11.9% to 19.4% 2-3 times a week), increase in masturbation (from 12.1% to 31.7%) and in pornography (from 45% to 59.2%) before and during the COVID-19 social restriction measures respectively. About 47.4% were pregnant or impregnated someone and 19.2% of the young adults reported being infected with STI or HIV during the COVID-19 social restriction measures. The young adults experienced difficulties accessing contraceptives and STI management services. Conclusion: The COVID-19 social restriction measures impacted sexual behaviours, reproductive health outcomes, and the availability, accessibility and utilization sexual and reproductive services by young adult
简介COVID-19 社会限制措施是一种遏制 COVID-19 病毒传播的策略,它影响着全世界人民的总体福祉,尤其是他们的性健康。本研究探讨了 COVID-19 社会限制措施对尼日利亚河流州青壮年性行为和生殖健康结果的影响:本研究是一项基于网络的横断面描述性研究,研究对象为 18-25 岁的年轻人。 使用谷歌表格设计了一份结构化问卷,并通过 Facebook 和 WhatsApp 群组平台在线分享链接供填写,同时要求将链接转发给同伴。 使用 SPSS 22 版本对数据进行了描述性分析。结果65%以上的受访者为女性,68.7%的受访者年龄在 21-25 岁之间。76.3%的受访者有过性经历。在采取 COVID-19 社会限制措施之前和期间,受访者对性生活的满意度有所下降(从 65.9% 降至 47.9%),不使用安全套的比例也有所下降(从 39.8% 降至 45%)。在采取 COVID-19 社会限制措施之前和期间,性活动增加(从 11.9%增加到 19.4%,每周 2-3 次),手淫增加(从 12.1%增加到 31.7%),色情增加(从 45%增加到 59.2%)。在 COVID-19 社会限制措施期间,约有 47.4%的青壮年怀孕或受孕,19.2%的青壮年报告感染了性传播疾病或艾滋病毒。青壮年很难获得避孕药具和性传播感染管理服务。结论COVID-19 社会限制措施影响了年轻人的性行为、生殖健康结果以及性和生殖服务的可用性、可及性和利用率。
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引用次数: 0
Microscopic and Molecular Diagnosis of Intestinal Schistosomiasis among Patients in Primary Healthcare Centres in Keffi, Nigeria 尼日利亚凯菲初级保健中心患者肠血吸虫病的显微镜诊断和分子诊断
Pub Date : 2024-01-11 DOI: 10.9734/ijpr/2024/v13i1270
Rosemary Edward, David Ishaleku, Ismaila Ibrahim, H. I. Mohammed, Bawonda Ene Omenyi
Aims: This study was conducted to detect Schistosoma mansoni among patients in primary healthcare centres in Keffi, Nigeria using microscopic and molecular techniques. Study Design: The study was a cross sectional study. Place and Duration of Study: Keffi, Nasarawa State, between March 2021 and September 2021. Methodology: Stool samples were collected from 200 (29 each from Gidan Zakara, Sabon Gida, Jigwada, Angwan Jaba and 28 each from Kowa, Kaibo Mada and Yarkadai PHCs) patients and information were obtained by structured questionnaires. The ova of S. mansoni were microscopically detected from the samples using the formol ether stool sedimentation technique. The S. mansoni DNA was extracted from the samples and detected by conventional PCR technique using type-specific primers. Data collected were analysed using Smith’s Statistical Package (version 2.8, California, USA) and P value of ≤ 0.05 was considered statistically significant. Results: Of the 200 patients screened, 2(1.0%) and 11(5.5%) were positive for intestinal schistosomiasis using microscopy and PCR respectively. Although age, gender and occupation of the patients were not significantly associated with the parasitic infection (P>0.05), however, higher prevalence was recorded among males (12.8%) pupils/students (22.7%) aged ≤14 (20.0%).  Conclusion: Our findings indicated a notable discrepancy between the two diagnostic methods, with PCR identifying a higher prevalence of intestinal schistosomiasis suggesting it to be a more sensitive tool for detecting this infection. However, the choice between these methods should consider their respective strengths and limitations, as well as the practical implications for disease control and treatment.
目的:本研究采用显微镜和分子技术检测尼日利亚凯菲初级保健中心患者体内的曼氏血吸虫。研究设计:本研究为横断面研究。研究地点和时间:纳萨拉瓦州凯菲,2021 年 3 月至 2021 年 9 月。研究方法:从 200 名(吉丹-扎卡拉、萨本-吉达、吉格瓦达、安格万-贾巴各 29 名,科瓦、凯博-马达和亚尔卡代初级保健中心各 28 名)患者中采集粪便样本,并通过结构化问卷调查获得相关信息。采用甲醇醚粪便沉淀技术,在显微镜下检测样本中的曼氏沙门氏菌卵。从样本中提取曼氏沙门氏菌 DNA,并使用特异性引物通过传统 PCR 技术进行检测。收集到的数据使用史密斯统计软件包(2.8 版,美国加利福尼亚州)进行分析,P 值≤ 0.05 视为具有统计学意义。结果在接受筛查的 200 名患者中,分别有 2 人(1.0%)和 11 人(5.5%)通过显微镜检查和 PCR 检测发现肠血吸虫病阳性。虽然患者的年龄、性别和职业与寄生虫感染无明显关系(P>0.05),但男性(12.8%)、小学生/学生(22.7%)和 14 岁以下(20.0%)的感染率较高。 结论我们的研究结果表明,这两种诊断方法之间存在明显差异,PCR 检测出的肠血吸虫病感染率更高,表明它是检测这种感染的更灵敏的工具。然而,在选择这两种方法时应考虑它们各自的优势和局限性,以及对疾病控制和治疗的实际影响。
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引用次数: 0
Campylobacter Species: New Insight, Clinical Diagnosis and Laboratory Approach 弯曲杆菌:新见解、临床诊断和实验室方法
Pub Date : 2024-01-08 DOI: 10.9734/ijpr/2024/v13i1269
Christopher Ifunanya Chukwu, R. Nwalozie, B. A. Nnokam, R. Esiere
Campylobacter, a prevalent cause of global gastroenteritis, has exhibited an escalating impact worldwide, affecting both industrialized and developing nations. Even though Campylobacter jejuni and C. coli are the main causes of infection, new pathogens make it imperative to comprehend the disease mechanisms, dynamics of transmission, and evolution of less-studied species. Accessible whole-genome sequences obtained through high-throughput sequencing have made it easier to conduct in-depth pathogenomic studies, particularly on species such as C. fetus and C. concisus. These studies have shown novel applications in clinical microbiology by revealing genomic traits associated with pathogenicity and offering insights into the evolutionary mechanisms shaping their genomes. Effective pathogen management urgently requires deeper understanding of the evolution of pathogenicity in emerging Campylobacter species are urgently required for effective pathogen management. This comprehensive review synthesizes existing knowledge and outlines future research directions in this crucial field. The Gram-negative, non-spore-forming, curved or spiral rods known as campylobacters include a "thermophilic group" that is important to the water industry and includes C. jejuni, C. coli, and C. upsaliensis. Acute diarrhea is the usual symptom of a human Campylobacter infection, and key virulence factors have been identified as antibiotic resistance genes and flagellar DNA. Many campylobacters are frequently found in sewage and treated sewage effluents, whereas surface waters are less contaminated. Testing for Campylobacter prevalence through epidemiological methods requires a careful balance between phenotypic and genotypic data. Campylobacters are sensitive to oxygen, but they have strong survival strategies that may involve the formation of biofilms. Methods of inactivation that work well for coliforms are thought to be appropriate for Campylobacter. In addition to providing a synthesis of current knowledge and identifying future research directions to advance strategies for the effective management and mitigation of Campylobacter-related infections, this thorough review highlights the urgent need for additional research to deepen our understanding of these pathogens. The investigation of genetic features linked to pathogenicity, dynamics of transmission, and survival strategies highlights the complex character of Campylobacter infections. The dynamic nature of Campylobacter as a primary cause of gastroenteritis necessitates continued research endeavors to guide focused interventions and lessen the worldwide impact of this grave public health issue.
弯曲杆菌是全球肠胃炎的主要病因,对全球的影响不断升级,同时影响着工业化国家和发展中国家。尽管空肠弯曲菌和大肠杆菌是感染的主要原因,但新病原体的出现使得了解疾病机制、传播动态以及研究较少的物种的进化成为当务之急。通过高通量测序获得的全基因组序列使深入病原组学研究变得更加容易,尤其是对胎儿肠杆菌和大肠杆菌等物种的研究。这些研究揭示了与致病性相关的基因组特征,并提供了对形成其基因组的进化机制的见解,从而在临床微生物学中显示出新的应用前景。有效的病原体管理迫切需要对新出现的弯曲杆菌物种致病性的进化有更深入的了解。本综述综合了这一关键领域的现有知识,并概述了未来的研究方向。被称为弯曲杆菌的革兰氏阴性、无芽孢、弯曲或螺旋杆状菌包括对水行业非常重要的 "嗜热菌群",其中包括空肠弯曲杆菌、大肠弯曲杆菌和上皮弯曲杆菌。急性腹泻是人类感染弯曲杆菌的常见症状,关键的致病因子已被确定为抗生素耐药基因和鞭毛 DNA。许多弯曲杆菌经常出现在污水和经过处理的污水中,而地表水受到的污染较少。通过流行病学方法检测弯曲杆菌的流行情况需要在表型数据和基因型数据之间取得谨慎的平衡。弯曲杆菌对氧气很敏感,但它们有很强的生存策略,可能会形成生物膜。对大肠菌群有效的灭活方法被认为也适用于弯曲杆菌。这篇详尽的综述除了综述当前的知识和确定未来的研究方向,以推进有效管理和缓解弯曲杆菌相关感染的策略外,还强调了我们迫切需要开展更多的研究来加深对这些病原体的了解。对与致病性、传播动态和生存策略有关的遗传特征的研究突出了弯曲杆菌感染的复杂性。弯曲杆菌作为肠胃炎的主要致病菌,其动态特性要求我们继续开展研究工作,以指导有针对性的干预措施,减轻这一严重公共卫生问题对全球的影响。
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引用次数: 0
Case Study for Hepatic Involvement of Children with Malaria 疟疾患儿肝脏受累病例研究
Pub Date : 2023-12-28 DOI: 10.9734/ijpr/2023/v12i6267
R. A. Ikpeama, C. Okeke, B. Okolonkwo, Evelyn O. Onosakponome, C. O. Ezenwaka
Background: Malaria has a significant impact on public health and economic development in affected regions such as Sub-Saharan Africa. It is a global problem affecting people every year leading to a substantial number of deaths especially among children under the age of 5. Aim: A cross sectional study of Evaluation of hepatic involvement of children with malaria among the middle age children (6-10years) attending some hospitals and schools in South South region of Nigeria was conducted.  Methodology: Following ethical approval from the institutions as well as concrete consent from the children’s families, 418 randomly selected children aged 6 to 10 years participated in the study. Out of this number, 298 children had malaria and 120 children who had no malaria were taken to be the control. Blood was collected through the vein using syringe into ethylene diaminetetracetic acid and lithium bottles. Giemsa stain was used to stain the blood films. Aspartate aminotransferase (AST), alanine aminotransferase (ALT), alkaline phosphatase (ALP), gamma glutamyltransferase (GGT), albumin and total protein were analysed with the conventional biochemical methods.  Results: Analysis of the data obtained showed that Aspartate aminotransferase (AST) 18.12±0.47, alanine aminotransferase (ALT) 8.56±0.12, alkaline phosphatase (ALP) 69.55± 0.87 and gamma glutamyltransferase (GGT) 21.41±0.29 values increased (P<0.05) in malaria subjects significantly when compared with the control 5.58±18, 4.62±0.17, 16.58±0.57 and 16.64±0.29 respectively. The study equally revealed that the test group showed significant (P<0.5) decrease of albumin 30.40±0.37 values when compared with the control group54.87±0.90. Conclusion: The changes in these liver parameters go on to suggest that plasmodiasis might have adverse effect on the hepatic functionality (integrity) as well as the function. Therefore, this should not be neglected as such neglect might result to mortality.
背景:疟疾对撒哈拉以南非洲等受影响地区的公共卫生和经济发展有着重大影响。疟疾是一个全球性问题,每年都会影响许多人,导致大量死亡,尤其是 5 岁以下儿童。 目的:在尼日利亚南部地区的一些医院和学校就诊的中年儿童(6-10 岁)中开展了一项横断面研究,评估疟疾患儿的肝脏受累情况。 研究方法:在获得相关机构的伦理批准和儿童家庭的具体同意后,随机选取了 418 名 6-10 岁的儿童参与研究。其中,298 名儿童患有疟疾,120 名未患疟疾的儿童作为对照。研究人员用注射器通过静脉采集血液,分别装入乙二胺四乙酸瓶和锂瓶中。使用吉氏染色法对血片进行染色。用常规生化方法分析天门冬氨酸氨基转移酶(AST)、丙氨酸氨基转移酶(ALT)、碱性磷酸酶(ALP)、γ 谷氨酰转移酶(GGT)、白蛋白和总蛋白。 结果显示数据分析显示,天门冬氨酸氨基转移酶(AST)为(18.12±0.47),丙氨酸氨基转移酶(ALT)为(8.56±0.12),碱性磷酸酶(ALP)为(69.55±0.87),γ-谷氨酰转移酶(GGT)为(8.56±0.12)。与对照组相比,疟疾受试者的丙氨酸氨基转移酶(ALT)8.56±0.12、碱性磷酸酶(ALP)69.55±0.87 和γ谷氨酰转移酶(GGT)21.41±0.29 的值明显增加(P<0.05),分别为 5.58±18、4.62±0.17、16.58±0.57 和 16.64±0.29。研究还发现,与对照组(54.87±0.90)相比,试验组的白蛋白值(30.40±0.37)明显下降(P<0.5)。 结论这些肝脏参数的变化表明,浆细胞吸虫病可能会对肝功能(完整性)和功能产生不利影响。因此,这一点不容忽视,否则可能导致死亡。
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引用次数: 0
Understanding the Association between Selected Agama agama Characteristics and Intestinal Parasitic Infection in Otuoke, Nigeria 了解尼日利亚奥图奥克 Agama agama 某些特征与肠道寄生虫感染之间的关系
Pub Date : 2023-12-28 DOI: 10.9734/ijpr/2023/v12i6266
C. O. Ezenwaka
Lizards (Agama agama) are the most widely distributed reptiles and has shown to be a means of transport and reservoir host to a number of protozoan and helminth parasites. The aim of this study is to determine the association between parasitic infection of Agama agama and selected characteristics (age and sex). The observational study was carried out at Otuoke community where 50 Agama agama comprising both male and females were randomly obtained. The lizards were sacrificed and their feaces were collected from their intestines and studied in the laboratory for parasite presence using light microscope. The results showed the identification of four parasites in the lizards namely; nematode (Strongyluris brevicaudata and Parapharyngodon colonensis), cestode (Oochoristica truncate), trematode (Mesocoelium monas) and Conoidasida (Toxoplasma gondii). There was no association between age (described as length of the animal) and prevalence of parasitic infection. Also, there was no association between sex and prevalence of the parasitic infection and finally, there was no association between weight and prevalence of the parasitic infection. This study has shown that although parasites are present in Agama agama, there was no gender, age and weight variations or dependence of the rate of their infection.
蜥蜴(Agama agama)是分布最广的爬行动物,已被证明是多种原生动物和蠕虫寄生虫的运输工具和贮存宿主。本研究的目的是确定无尾蜥的寄生虫感染与所选特征(年龄和性别)之间的关联。这项观察性研究在奥图克社区进行,随机获取了 50 只雌雄阿加玛蜥蜴。蜥蜴被处死,从其肠道中收集粪便,并在实验室中使用光学显微镜研究是否存在寄生虫。结果显示,在蜥蜴体内发现了四种寄生虫,即线虫(Strongyluris brevicaudata 和 Parapharyngodon colonensis)、绦虫(Oochoristica truncate)、吸虫(Mesocoelium monas)和类锥体虫(Toxoplasma gondii)。年龄(动物体长)与寄生虫感染率之间没有关联。此外,性别与寄生虫感染率之间也没有关联,最后,体重与寄生虫感染率之间也没有关联。这项研究表明,虽然褐马鸡体内存在寄生虫,但其感染率并不存在性别、年龄和体重上的差异或依赖关系。
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引用次数: 0
期刊
International Journal of Pathogen Research
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