Prevalence and factors associated with the severity of anaemia among patients on chronic haemodialysis in Lagos, Nigeria

Anaemia is a global public health problem with high mortality and morbidity. It is also a common consequence of chronic kidney disease (CKD). There is a paucity of data on the actual burden of anaemia among patients on chronic haemodialysis (CHD) in Lagos, Nigeria. Objectives: To determine the prevalence and factors associated with the severity of anaemia among Nigerian patients undergoing chronic haemodialysis. Methods: This was a retrospective analysis of adult patients with end-stage renal disease (ESRD) on maintenance haemodialysis at the Lagos State University Teaching Hospital, Ikeja, Lagos. The data extracted from the clinical case files included the bio-demographic and clinical parameters, including the treatment modalities. Results: A total of 92 patients comprising 69 (75%) males and 23 (25.0%) females with the overall mean age of 48.2±14.0 years were included. Hypertension was the commonest aetiology of CKD and the average duration of haemodialysis was 16.6 months. The commonest access route for haemodialysis was a central line while 96.7% and 81.5% received erythropoietin and intravenous iron sucrose respectively. Seventy-three (79.3%) patients have had intra-dialysis blood transfusions in the past. Mild, moderate, and severe anaemia were recorded in 17%, 67%, and 16% respectively. The use of erythropoietin, iron sucrose, and increased frequency of blood transfusions correlated with the severity of anaemia. Conclusion: Anaemia is highly prevalent among patients with CKD on chronic haemodialysis. Increased frequency of blood transfusions, inadequate utilization of erythropoietin, and iron sucrose administration are associated with anaemia severity.

Complications of pneumonia and its associated factors in a pediatric population in Osogbo, Nigeria

Introduction: Pneumonia is one of the leading causes of morbidity and mortality in underfive children. Nigeria still has a high burden of child death due to pneumonia. Many of these deaths result from the development of complications. This study was done to determine the pattern of pneumonia complications and its associated factors amongst underfive children with pneumonia.Methods: It was a hospital-based cross-sectional observational study involving 129 children aged 1 - 60 months with a diagnosis of pneumonia. The participants were recruited over a nine-month period. Clinical signs were recorded, and a confirmatory chest radiograph was obtained within 24 hours of admission.Result: Of the129 subjects studied, 70 (54.3%) had complications. Children less than 24 months had a higher frequency of complications at presentation. Heart failure and anemia occurred more commonly. Other complications were pleural effusion, empyema, pneumatocele and pneumothorax. More than half (57.1%) of those with complication were hypoxaemic at presentation. Complicated pneumonia was significantly associated with prolonged hospital stay and risk of mortality.Conclusion: Complication is common among children hospitalized for pneumonia in Osogbo. Heart failure was the most common complication. Presence of pneumonia complications and hypoxaemia are important contributors to mortality in this environment

Lipolytic Activity and Molecular Identification of Pseudomonas aeruginosa and Lysinibacillus sphaericus Isolated from Domestic Oil Rich Wastewater.

Microbial lipases have been heightened in bioremediation and various industries. Place and Duration of Study: Department of Microbiology, Ekiti State University, Ado-Ekiti, Ekiti State, Nigeria, between September 2010 and August 2011. To identify the lipolytic enzyme producing microbial strains in domestic oil rich wastewater, the 16S rRNA gene was amplified and sequenced. The sequences were used to identify the strains by comparing with related sequences in database using BLAST analysis. The enzyme activity was quantified by HPLC analysis. All the lipolytic bacteria showed appreciable growth rates in the wastewater (between 0.67 and 1.67 mg/day) within 5 days. The most effective lipolytic bacteria isolates in the oil-rich wastewater were two species of the genus Pseudomonas and one of Bacillus. Comparing the weights on the first day to the twelfth day values when lipolytic organisms were grown in palm oil, some appreciable increases in weight difference were recorded in some isolates: 28.3%, 7.84%, 4.44% and 6.98% for Pseudomonas, Staphylococcus, Bacillus and Klebsiella, respectively. The weight increase of each of the microbial cells in palm oil culture was usually lesser than what was obtained in the oil-rich wastewater culture. Two isolates showed high similar sequence (99%) to that of Pseudomonas aeruginosa and Lysinibacillus sphaericus, respectively. From palm oil, Lysinibacillus sp. produced various forms of fatty acids in the medium, including myristic acid (2.61%), palmitic acid (6.22%), stearic acid (5.18%) and arachidic (3.66%). These strains are versatile in utilizing the limited nutrient and had the ability to grow appreciably in the toxic condition (soap solution), suggesting that they may serve as candidates in treating dietary oil-rich wastewater.