ABSTRACT
Background: Traditional and complimentary health care is inarguably the system most close to homes, accessible and affordable. It is also culturally acceptable and trusted by large numbers of people. The affordability of most traditional medicines makes them all the more attractive at a time of soaring health-care costs, neglect of orphaned/non profitable diseases and nearly universal austerity. Aim: Aqueous leaf, stem bark and root bark extracts were evaluated for their anti trypanosomal effect in experimental trypanosomiasis with a view to come up with a phytomedicine that is efficacious, available, accessible and non-toxic to both humans and animals. Study Design: Complete randomized clinical trial design was used in the experiment. Methodology: Ninety five (95) mice were grouped into three (I, II, III) of thirty mice each (with sub groups A, B, C, D, E, and F consisting of five mice each) to which the leaf, stem bark and root bark extracts were administered at a dose of 100, 200, 300, 400 mg/Kgbw, while the remaining five mice served as the control for all the groups. Results: The aqueous leaves extract at doses of 100, 200 and 300 mg/Kg bw portrayed very low activities except for the 400 mg/Kg bw that displayed a sustained Trypanostatic effect. The aqueous stem bark extract, at doses of 100 and 200 mg/Kg bw portrayed trypanostatic effect while doses of 300 and 400 mg/Kg bw effectively cleared the parasites from circulation on the 13th and 17th days into the treatment respectively. Three and two of treated mice survived and remained apparasitaemic for up to 120 days and beyond in the group treated with 300 and 400 mg/kg bw respectively. In the group treated with the root bark extract, the mice on a dose of 100 mg/Kg bw died some few days into the experiment (6th day) while the dose of 200 mg/Kgbw sustained the animals until the 19th day. Doses of 300 and 400 mg/Kg bw were observed to clear the parasites in circulation after sustained administration for 23 and 16 days respectively. Conclusion: This study has demonstrated the potency of the stem bark and root bark crude extracts of Afzelia africana in treating experimental trypanosomiasis and can thus be further purified and packaged as phytomedicine against this dreaded but neglected disease.
ABSTRACT
Background: One of the major causes of death in the current era is the infectious diseases. Aerobic bacteria are one of the most commonly isolated organisms from hospitalised patients. Objectives: The aim of the present study was to observe the infections caused by aerobic bacteria and their antibiotics susceptibility pattern. Methods: This retrospective study was carried out in the National Institute of Cardiovascular Diseases (NICVD) from January 2012 to December 2012 for a period of one year. Patients who were admitted in medical wards and medical ICU suffering from different infections were undertaken for this study. Proper thoroughly clinical examination, routine and specific investigations were done in each case. Microbiological samplings were tried on day 1, after completion of antibiotic therapy or in between as required. Aerobic bacterial culture and sensitivity tests were done according to clinical laboratory standard institute (CLSI) standard. Result: A total of 660 samples were studied of which male (70.0%) were predominant than female (30.0%). The highest number of patients was in the age group of 30-60 years (54.0%) followed by 15-30 years (21.5%) and less than 15 years (13.0%). The mean age with standard deviation was 38.61±19.236 years. The most common isolated bacteria was Escherichia coli (40.1%) followed by Pseudomonas species (30.4%), coagulase negative Staphylococcus (19.0%) and coagulase positive Staphylococcus (5.9%); however, beta-haemolytic Streptococcus (4.2%) was detected. Urine culture has yielded Pseudomonas species (13.3%), E. coli (71.1%) and CNS (15.0%). From pus Pseudomonas species (37.3%) was isolated mostly which was 62 cases followed by E. coli (31.3%), CNS (19.3%) and CPS (7.2%). Pseudomonas species was resistant to penicillin, amoxycillin and vancomycin and ~50% resistant to cotrimoxazole, cefuroxim, ceftriaxone, piperacillin, azythromycin, cephalexin, netelmycin and pfloxacillin. Conclusion: In the conclusion, majority bacteria are resistant to commonly used antibiotics.
ABSTRACT
Background: Infectious diseases are among the leading causes of death and sometimes curable. Bacteria are the most common etiology in hospitalized patients. The objective of this study was to evaluate the incidence of bacterial infections and their pattern of susceptibility to antibiotics in moderate and severe infections in patients admitted at NICVD hospital. Methodology: The study was performed in the apical teaching hospital of Bangladesh situated at Dhaka in the first half of 2012. Patients admitted in medical wards and medical ICU, suffering from moderate and severe infections were studied. Clinical evaluation, routine and specific investigations were done in each case. Microbiological samplings were tried on day 1, after completion of antibiotic therapy or in between as required. Aerobic bacterial culture and sensitivity tests were done. Result: A total of 274 cases were studied of which male (67.5%) were predominant than female (32.5%). The highest number of patients were in the age group of 30-60 years (53.6%) followed by 10- 30 years (24.5%) and more than 60 years (12.8%). The mean age with standard deviation was 39.15±19.07 years (range 1-90 years). Most common isolated bacteria was the Pseudomonas species (14.2%) followed by Escherichia coli (13.5%), Staphylococcus saprophyticus (6.9%) and Staphylococcus aureus (2.2%). From these specimens Pseudomonas species (31.5%) was isolated mostly from pus. E. coli was found most commonly in pus (16.3%) and urine (14.1%). Staph saprophyticus (13.0%) and Staphylococcus aureus (4.3%) were both found most commonly in pus. Pseudomonas species was 100% resistant to Penicillin, Amoxycillin and Vancomycin. It was found that Pseudomonas species was still more than 90% sensitive only to Imipenem. Escherichia coli was more than 80% sensitive to only Imipenem and Amikacin. Staphylococcus aureus was sensitive to only Imipenem and Cephalexin. Conclusion: In this study Pseudomonas species and Escherichia coli are the most common isolated bacteria in this Institution. Most of the antibiotics are resistant to these two bacteria.
ABSTRACT
The study was under taken to detect mecA gene of methicillin resistant Staphylococcus aureus (MRSA) by PCR. It was carried out in the department of Microbiology, Mymensingh Medical College in collaboration with the Department of Medicine under the Faculty of Veterinary Science, Bangladesh Agricultural University, Mymensingh between the periods from July 2006 to June 2007. A total of 40 S. aureus strains were used in this study. Isolates of S. aureus were identified by standard microbiology technique and their antimicrobial susceptibility test was done by disk diffusion method according to NCCLS. Minimum inhibitory concentration (MIC) of oxacillin was determined for all isolates by standard agar plate dilution method. All strains were tested for mecA gene by PCR. Out of 40 S. aureus strains 15(37.5%) were detected as MRSA by disk diffusion and agar dilution method but 10(25%) yielded mecA gene by PCR. Detection rate of MRSA by disk diffusion and agar dilution test showed significant difference to that by PCR (p<0.001).