Prevalence of Multi Drug Resistant Bacteria among Urinary Tract Infection Outpatients Visiting Madonna University Teaching Hospital, Elele, Nigeria

Background:Urinary tract infections (UTIs) are among the most common infections in outpatients in Nigeria. However, antimicrobial drug resistance is a challenge in the treatment of UTIs and therefore, there is need for drug resistance surveillance to guide treatment. Aim:This study assessed the prevalence and antimicrobial susceptibility patterns of UTIs in a Nigeria population.Study Design: This was a cross-sectional study involving hospital outpatients.Place and Date of Study: The study was conducted between September 2012 and February 2013 at Madonna University Teaching Hospital, Elele, Nigeria Methodology: Urine sample collected from 115 randomly selected patients was screened by microbial culture for the presence of microbial pathogens. Antimicrobial susceptibility testing was done for the identified isolates to assess the effectiveness of some selected routinely used antibiotics. Results:Among the 115 subjects, bacteria growth was observed in 49 subjects giving a prevalence of 42.6%. UTI was slightly higher in females (44.8%) than in males (40.4%). A total of 9 bacteria isolates of the following genus; staphylococcus, klebsiella, pseudomonas, Escherichia, enterococcus and proteus specieswere identified among which Staphyloccus aureuswas the most prevalent. Ampicillin was the most effective antibiotics, followed by ciprofloxacin and erythromycin. Staphylococcus aureus,other Staphylococcus speciesand Escherichia coliwere the most susceptible isolates. Most microbial pathogens were resistant toNitrofurantoin, amoxicillin-clavulanic acidand amoxicillin.Conclusion: Urinary tract infection showed a high prevalence of 42.6% which was predominant in females. Staphylococcus aureuswas the most prevalent bacterial isolate. Ampicillin was the most effective antibiotics followed by ciprofloxacin while most pathogens were resistant to nitrofurantoin, amoxicillin-clavulanic acidand amoxicillin.

Identification of microbiome with 16S rRNA gene pyrosequencing and antimicrobial effect of egg white in bovine mastitis

Bovine mastitis is an important microbial disease in the dairy industry. We investigated the frequencies of bacterial pathogens in 62 farms and pathogen antibiotic resistance from mastitis samples (n = 748). We tested the antimicrobial activity of chicken and duck egg white and lysozyme purified from chicken egg white. Moreover, we compared the microbiomes of normal and mastitic raw milk obtained by 16S rRNA gene pyrosequencing and culture methods. The results showed that the frequencies of Gram-positive pathogens (Enterococcus faecalis 37% and Staphylococcus aureus 36%) were higher than that of a Gram-negative pathogen (Escherichia coli 15%). Resistance frequencies to ampicillin and norfloxacin were lowest in Staphylococcus aureus (21%), Enterococcus faecalis (23%), and Escherichia coli (33%), and the antimicrobial activity of chicken egg white was higher than those of lysozyme and duck egg white. Pyrosequencing results revealed clear differences between the microbiomes of mastitic and normal raw milk samples and revealed a slightly similar, but clearly different, composition of pathogens compared to that from the culture method. Thus, pyrosequencing may be useful for elucidating changes in microbiomes during mastitis progression and treatment. A chicken egg white and antibiotic combination may help with mastitis treatment; however, further studies are needed.

Metagenome and detection of animal microbial pathogens / 中国比较医学杂志

Metagenomics ( metagenome) obtained all the microorganisms genome in specific biological environment from DNA samples directly from soil, water and skin, body cavity of human and animals.The metagenomic library was constructed by cloning them into alternative host cells using the vector, which is a discipline of screening new active substances and new genes by high-throughput sequencing.Therefore,using metagenomics not only can effectively detect the composition of microbial community of specific environment,but also greatly expanded the utilize the space of the microbial resources, developed of the next sequencing, enriched the content of bioinformatics. Based on the advantages of metagenomics,we summarized the major advances of metagenomics in human and animal pathogenic microorganisms in recent years,which might be used for the investigation and analysis of microbial pathogens of laboratory animal, animal epidemic monitoring and diagnosis of biological safety.

Antibacterial studies on leaves of clitoria ternatea linn. - a high potential medicinal plant.

The aim of the present study was to investigate the antibacterial properties of Clitoria ternatea. The organic solvent (Petroleum ether, Ethyl acetate and Methanol) extracts from the leaves of Clitoria ternatea (Papilionoideae) were tested against Bacillus cereus, Staphylococcus aureus, Klebsiella pneumonia, Proteus vulgaris and Salmonella typhi by agar disc and well diffusion methods. The results showed promising antibacterial activity against the tested microbial pathogens. Among these, methanol extract was found to possess a more potent inhibitory activity effect when compared to the other extracts (Petroleum ether and Ethyl acetate). The results of this study validate the use methanol extract of this species in ethnomedicine, favouring the isolation of antibacterial agents from the leaf extracts of Clitoria ternatea.

Analysis of the risk factors predisposing to fungal, bacterial & Acanthamoeba keratitis in south India.

Background & objectives: Infective keratitis is rare in the absence of predisposing factors. The pattern of risk factors predisposing to infective keratitis varies with geographical regions and also influences the type of infection that occurs. The present study was aimed to identify the specific risk factors that predispose the infective keratitis (non viral) and to determine the association between the risk factors identified and the microbial aetiology of infective keratitis in a geographic region (south India). Methods: A retrospective analysis of all patients clinically diagnosed infective keratitis (non viral) presenting between September 1999 and September 2002 was performed to identify risk factors. After diagnosing infective keratitis clinically, corneal scrapes were performed and subjected to microscopy and culture. Results: A total of 3295 patients with infective keratitis were evaluated, of whom, 1138 (34.5%) patients had fungal growth alone, 1066 (32.4%) had bacterial growth alone, 33 (1%) had Acanthamoeba growth alone, 83 (2.5%) had mixed microbial growth and the remaining 975 (29.6%) had no growth. Corneal injury was identified in 2356 (71.5%) patients and it accounted for 91.9 per cent in fungal keratitis (P<0.0001) (OR: 73.5; 95%CI: 61.3-98.5), 28.1 per cent in bacterial keratitis and 100 per cent in Acanthamoeba keratitis (P<0.0001). Injuries due to vegetative matter (61.2%) was identified as significant risk for fungal keratitis (P<0.0001) (OR: 15.73; 95%CI: 12.7-19.49) and mud (84.85%) for Acanthamoeba keratitis (P<0.0001) (OR: 16.52; 95%CI: 6.35-42.99). Co-existing ocular diseases predisposing to bacterial keratitis accounted for 724 (69%) patients (P<0.0001) (OR: 33.31; 95%CI: 26.98-41.12). Bacterial pathogens alone were recovered from all 35 patients with contact lens associated keratitis (100%). Co-existing ocular diseases (78.3%) were frequently documented among patients older than 50 yr (P<0.0001) (OR: 27.0; 95%CI: 25.0-28.0) and corneal injury (89.7%) was frequently recorded among patients younger than 51 yr (P<0.0001) (OR: 72.0; 95%CI: 70.0-73.0). Interpretation & conclusions: Corneal injury was found to be the principal risk factor for fungal and Acanthamoeba keratitis, while co-existing ocular diseases for bacterial keratitis. Corneal injury with vegetative matter was more often associated with fungal keratitis and injury with mud with Acanthamoeba keratitis.