ABSTRACT
OBJECTIVES: To describe the emergence of Neisseria meningitidis (Nm) W135 in Côte d'Ivoire and its characteristics compared to NmA.METHODS: Data on Nm samples isolated at the National Reference Center for meningitis in Côte d'Ivoire between 2007 and 2012 were analyzed. Socio-demographic data and biological information on the samples were extracted from the database. Categorical variables, such as sex and the serotype of the bacteria, were compared using the Fisher exact test, while the distribution of continuous variables, such as age, was compared using the Wilcoxon test.RESULTS: Among the 175 Nm samples, 57 were NmA, 4 were NmB, 13 were NmC, and 99 were NmW135. The geographical distribution of NmA and NmW135 did not show a significant difference according to age or sex. NmW135 was more common than NmA in the northern health districts of Cote d'Ivoire (85.9 vs. 45.5%; p < 0.001). No sample of NmA has been isolated since 2009, while 95% of the type W135 samples were isolated between 2010 and 2012.CONCLUSION: This study highlighted the emergence of NmW135 in Côte d'Ivoire, as well as the simultaneous disappearance of NmA. It is important to improve laboratory-based surveillance of meningitis to assess trends in the circulation of bacteria and to detect the emergence of new serogroups earlier.
Subject(s)
Bacteria , Cote d'Ivoire , Meningitis , Meningitis, Bacterial , Neisseria meningitidis , Neisseria , Public Health Surveillance , SerogroupABSTRACT
OBJECTIVES: To describe the emergence of Neisseria meningitidis (Nm) W135 in Côte d'Ivoire and its characteristics compared to NmA. METHODS: Data on Nm samples isolated at the National Reference Center for meningitis in Côte d'Ivoire between 2007 and 2012 were analyzed. Socio-demographic data and biological information on the samples were extracted from the database. Categorical variables, such as sex and the serotype of the bacteria, were compared using the Fisher exact test, while the distribution of continuous variables, such as age, was compared using the Wilcoxon test. RESULTS: Among the 175 Nm samples, 57 were NmA, 4 were NmB, 13 were NmC, and 99 were NmW135. The geographical distribution of NmA and NmW135 did not show a significant difference according to age or sex. NmW135 was more common than NmA in the northern health districts of Cote d'Ivoire (85.9 vs. 45.5%; p < 0.001). No sample of NmA has been isolated since 2009, while 95% of the type W135 samples were isolated between 2010 and 2012. CONCLUSION: This study highlighted the emergence of NmW135 in Côte d'Ivoire, as well as the simultaneous disappearance of NmA. It is important to improve laboratory-based surveillance of meningitis to assess trends in the circulation of bacteria and to detect the emergence of new serogroups earlier.
Subject(s)
Bacteria , Cote d'Ivoire , Meningitis , Meningitis, Bacterial , Neisseria meningitidis , Neisseria , Public Health Surveillance , SerogroupABSTRACT
OBJECTIVES@#To describe the emergence of Neisseria meningitidis (Nm) W135 in Côte d'Ivoire and its characteristics compared to NmA.@*METHODS@#Data on Nm samples isolated at the National Reference Center for meningitis in Côte d'Ivoire between 2007 and 2012 were analyzed. Socio-demographic data and biological information on the samples were extracted from the database. Categorical variables, such as sex and the serotype of the bacteria, were compared using the Fisher exact test, while the distribution of continuous variables, such as age, was compared using the Wilcoxon test.@*RESULTS@#Among the 175 Nm samples, 57 were NmA, 4 were NmB, 13 were NmC, and 99 were NmW135. The geographical distribution of NmA and NmW135 did not show a significant difference according to age or sex. NmW135 was more common than NmA in the northern health districts of Cote d'Ivoire (85.9 vs. 45.5%; p < 0.001). No sample of NmA has been isolated since 2009, while 95% of the type W135 samples were isolated between 2010 and 2012.@*CONCLUSION@#This study highlighted the emergence of NmW135 in Côte d'Ivoire, as well as the simultaneous disappearance of NmA. It is important to improve laboratory-based surveillance of meningitis to assess trends in the circulation of bacteria and to detect the emergence of new serogroups earlier.
ABSTRACT
Background: Viral hemorrhagic fevers are emergent and endemic in Africa and in South America. In Côte d’Ivoire, Yellow fever cases were reported yearly and the distribution of mosquitoes in the country are the main factors for high incidence of Flaviviruses. The poorly reporting of viral hemorrhagic fever cases in some regions, the lack of international interest land and the underestimation of molecular surveillance method contribute to increase the risk for public health. Objectives: To evaluate the performance of molecular diagnostic methods in national surveillanceof two emergent Flaviviruses, Yellow fever virus and Dengue virus in Côte d’Ivoire. Study Design: 63 sera from suspected cases in 2010-2011 of viral hemorrhagic fevers were analyzed to detect viral RNA of Flaviviruses and to compare the results in three different methods. Results and Conclusion: The Flavivirus RT-PCR has showed the high molecular detection by12% and 6% for real time PCR. The methods are specific and high sensitive for the screening of tick and mosquito-borne Flaviviruses in clinical samples. This study confirms the high circulation of Flaviviruses and the introduction of Dengue virus in Côte d’Ivoire. The combination of real time PCR and the Flavivirus RT-PCR contribute to ameliorate the detection panel of molecular detection in Côte d’Ivoire and was a suitable method for the National Laboratory Reference.
ABSTRACT
Background: Buruli ulcer (BU) is neglected skin disease caused by Mycobacterium ulcerans. The lack of early diagnosis and treatment causes severe disability. In Central and in West Africa, BU is endemic and its control is difficult because the most cases occur in rural regions. The molecular particularity of M. ulcerans was the acquisition of the virulence plasmid pMUM001. Genetic analyses have demonstrated the high diversity with variable number tandem repeats (VNTR) and Mycobacterial Interspersed Repetitive Units (MIRU) in M. ulcerans and in mycolactone producing Mycobacteria (MPMs) Objective: The objective of this study was to investigate the molecular diversity by using MIRUVNTR method in clinical samples of BU patients in Côte d’Ivoire. Study Design: 21 clinical samples were collected from BU patients in different sites and were first analyzed in molecular diagnosis of BU using two targets insertion sequence IS2404 and keto reductase-B-domain (KR). In a second step, we have analyzed the strains by PCR typing for four specific and sensitive markers MIRU1, VNTR6, ST-1 and VNTR19. Results and Conclusion: 100% of clinical samples were positive in molecular tests for IS2404 and 95% for KR and confirm M. ulcerans in the samples. By PCR typing, we have found 61.9 % positive for MIRU1 and 52%, 85.7%, and 61.9% for VNTR6, ST-1 and VNTR19 respectively. One of sample was negative for all genotyping markers. Two different genetic profiles were identified by MIRU1 and ST-1 loci by gel-analyzed of the amplified products. The VNTR profile C (3,1,1) corresponding of 3 copies MIRU1, 1 copy VNTR6 and 1 copy ST-1 was detected in 28.5% of samples and confirms the West African genotype in Côte d’Ivoire. Different genetic strains of M. ulcerans were co-circulated in the same endemic region in the country. This study has described first the circulating of different genetic strains of M. ulcerans in Côte d’Ivoire.
ABSTRACT
Background: Recent studies have shown that wastewater is contaminated by salmonella sp., pathogenic antibiotics-resisting bacteria. Using wastewater in periurban agriculture in Abidjan is likely to be the source of food-borne diseases such as salmonellosis. However, what we know about these resistant salmonella spp. in wastewater is limited in the country. Aims: This study aims to establish the susceptibility profile of Salmonella spp., isolated from wastewater to antibiotics and to antimetabolite commonly used by medical practitioners. Study Design: Spatio-temporal variation was taken into account. Place and Duration of Study: The study took place from August 2008 to January 2009 at the main campus of the university of Cocody in Abidjan. Methodology: Sampling was done on a weekly basis. Wastewater samples were collected at four different sewers in the campus area. Salmonella sp was isolated by a standard method of laboratory. The resistance of these isolated species to antibiotics was determined according to the disk diffusion method of Kirby-Baeur. The serotypes of salmonella were identified with the Kauffman-White table Results: Five serotypes of eleven strains, which consist of 4 Hato, 3 Farmsen, 2 Derby, 1 Essen and 1 Ovonmouth, were isolated and tested in order to determine their resistance to antibiotics. Amongst the various classes of antibiotics, high resistance was found to sulfonamid (100%), followed by cefotaxime (46.67%) and tetracycline (9.1%). Ampicillin, amoxicillin and clavulanic acid, gentamicin, kanamycin, amikacin, ciprofloxacine, nalidixic acid and chloramphenicol had a high potentiality: their efficacity in the elimination of the Salmonella sp was proved at a level of 100%. Although the majority of strains tested (85.94%) were eliminated by the antibiotics, the serotypes Derby, Hato and Farmsen showed resistance. Conclusion: The Wastewater in the area of the main campus of the University of Cocody contains the antibiotic-resisting strains of salmonella sp. In spite of the fact that the efficacity of some antibiotics in the elimination of Salmonella sp. is proved, the resistance of these strains to third generation of cephalosporin and sulfamid is worrisome. Further studies should be carried out to determine the effects of this antibiotic-resisting salmonella species on humain health.
ABSTRACT
OBJECTIVES: We established a Wistar rat model of asthma caused by toluene diisocyanate (TDI) exposure, and investigated the relationship between TDI exposure concentrations and respiratory hypersensitivity, airway inflammation, and cytokine secretions in animals, to better understand the mechanism of TDI induced occupational asthma. METHODS: Wistar rats were exposed to two different concentrations of TDI vapor four hours a day for five consecutive days. Bronchoalveolar lavage (BAL) was performed, and differential leucocytes from the BAL fluid were analyzed. Lung histopathological examination was carried out to investigate the inflammatory status in the airways. Production of cytokines interleukin (IL)-4 and IL-5 productions in the BAL fluid in vivo was determined with enzyme-linked immunosorbent assay kits. RESULTS: The TDI-exposed rats exhibited greater airway hypersensitivity symptoms than the control rats. The BAL differential cell count and lung histopathological examination demonstrated that inflammation reactions were present in both the central and peripheral airways, characterized with marked infiltration of eosinophils in the TDI-exposed rats. The cytokine assay showed that IL-4 and IL-5 were predominantly produced in the BAL fluid in vivo. CONCLUSIONS: These findings imply that TDI exposure concentrations may greatly affect the occurrence and extent of inflammatory events and that Th2 type cytokines may play an important role in the immunopathogenesis of TDI-induced occupational respiratory hypersensitivity.