scholarly journals Resistance to Cotrimoxazole and Other Antimicrobials among Isolates from HIV/AIDS and Non-HIV/AIDS Patients at Bugando Medical Centre, Mwanza, Tanzania

2015 ◽  
Vol 2015 ◽  
pp. 1-8 ◽  
Author(s):  
Karol J. Marwa ◽  
Martha F. Mushi ◽  
Eveline Konje ◽  
Paul E. Alele ◽  
Jeremiah Kidola ◽  
...  
Keyword(s):  
Antibiotic Resistance ◽  
Bacterial Resistance ◽  
Medical Centre ◽  
Hiv Positive ◽  
Hiv Patients ◽  
Aids Patients ◽  
Cotrimoxazole Prophylaxis ◽  
Bugando Medical ◽  
Bugando Medical Centre ◽  
Hiv Aids

Bacterial resistance has increased in the AIDS era and is attributed to the widespread use of cotrimoxazole prophylaxis against opportunistic infections in HIV/AIDS patients. In Tanzania, cotrimoxazole prophylaxis has been used for more than ten years. Little is known, however, about its impact on the spread of antibiotic resistance in HIV positive patients. This cross-sectional study was done to compare magnitude of bacterial resistance to cotrimoxazole and other antimicrobials among isolates from HIV infected patients on cotrimoxazole prophylaxis and those not on prophylaxis and non-HIV patients attending Bugando Medical Centre (BMC). Susceptibility testing on obtained urine and swab specimens followed Clinical Laboratory Standard Institute, 2010, Guidelines. Of 945 samples collected, 155 had positive bacterial growth after 24 hours of incubation. Of the positive samples (72), 46.4% were from HIV positive patients. The common isolates wereE. coli41.3% (64/155),Klebsiella pneumoniae17.5% (27/155), andStaphylococcus aureus16.1% (25/155). Overall, bacterial resistance to cotrimoxazole was 118 (76.1%); among isolates from HIV patients bacterial resistance was 54 (75%), and for isolates from HIV patients on prophylaxis bacterial resistance was 36 (81.3%). HIV seropositivity and cotrimoxazole prophylaxis are not associated with antibiotic resistance observed in bacteria infecting patients attending BMC, Mwanza, Tanzania.

scholarly journals Faecal Carriage and Antibiotics Resistance Patterns of Campylobacter Species from HIV/AIDS Patients in Ibadan, Southwest Nigeria

2020 ◽  
pp. 39-46
Author(s):  
Olutayo Israel Falodun ◽  
Emmanuel Adedapo Adesola ◽  
Ebenezer Adewuyi Ademola ◽  
Solomon A. Bakarey
Keyword(s):  
Antibiotic Resistance ◽  
Antibiotic Susceptibility ◽  
Diffusion Method ◽  
Susceptibility Pattern ◽  
Hiv Patients ◽  
Aids Patients ◽  
Faecal Carriage ◽  
Stool Samples ◽  
Campylobacter Species ◽  
Hiv Aids

Background: As a result of the low immunosuppressive condition of people living with Human Immunodeficiency Virus and Acquired Immune Deficiency Syndrome (HIV/AIDS), they are at greater risk of Campylobacter infections but the use of antibiotics tends to reduce incidence. However, though this has reduced the incidence of the infection, there is likely development of antibiotic resistance with them thereby becoming asymptomatic carriers of drug resistant Campylobacter species. Aim: This study was carried out to determine the faecal carriage and antibiotic susceptibility pattern of Campylobacter species isolated from HIV patients in Ibadan, Nigeria. Methods: One Hundred stool samples were collected from HIV patients attending two Antiretroviral Clinics in Ibadan between February and March, 2017. Campylobacter species were isolated and identified using standard methods. Antibiotic susceptibility test of the isolates to amikacin, gentamycin, chloramphenicol, amoxicillin/clavulanate, cefixime, aztreonam, ciprofloxacin, cephalothin, nalidixic acid and ertapenem was done using disk diffusion method.  Results: The prevalence of Campylobacter species in the stool samples of the HIV/AIDS patients was 68%. A total of one hundred and twenty isolates were identified as C. upsaliensis 32(26.7%), C. jejuni 30(25%), C. lari 23(19.2%), C. coli 20(16.7%), and C. fetus 15(12.5%). The antibiotics susceptibility pattern of these isolates showed that 97(80.8%), 88(73.3%), 82(68.3%), 9(7.5%), 9(7.5%) and 12 (10.8%) were resistant to gentamycin, chloramphenicol, cefixime, amikacin, ciprofloxacin and ertapenem respectively. Moreover, 102 (85.0%) of the isolates were found to be multidrug resistant. Conclusions: The faecal carriage and high prevalence of antibiotic resistance of Campylobacter strains among the HIV/AIDS patients therefore present them as asymptomatic carrier and reservoir for dissemination of the bacteria.

scholarly journals Toxoplasmosis Among HIV Patients and Healthy Volunteers in Port Harcourt, Rivers State, Nigeria

2020 ◽  
Vol 7 (2) ◽  
Author(s):  
Evelyn O Onosakponome ◽  
Austin E Abah ◽  
Michael Wogu
Keyword(s):  
Risk Factors ◽  
Healthy Volunteers ◽  
Hiv Positive ◽  
Hiv Patients ◽  
Aids Patients ◽  
Cell Counts ◽  
Cd4 Cell Counts ◽  
Port Harcourt ◽  
Cd4 Cell ◽  
Hiv Aids

Background: Toxoplasmosis is a serious infection, especially among the immune-compromised people such as HIV/AIDS patients. Objectives: This study assessed the seroprevalence and associated risk factors of toxoplasmosis among HIV patients and healthy volunteers or immuno-competent persons (IP) in Port Harcourt. Methods: A total of 400 (200 per group) randomly-selected sera were tested for IgG and IgM T. gondii antibodies using ELISA technique. CD4 cell counts were also determined. Demographic and risk factors were determined using a well-structured questionnaire. Results: Overall seroprevalence for HIV and IP using IgG and IgM toxoplasma antibodies was 36.0%, 21.5%, and 1.5%, 7.0%, respectively. The age group f 40 years and above had the highest seroprevalence of 25.3% among the HIV positive persons, while the age groups 25 - 29 years had the highest seroprevalence of 20.0% among the IP. Traders’ positive with HIV had the highest seroprevalence of 30.0% and 0.9% for IgG and IgM toxoplasma antibodies, respectively. HIV subjects with a secondary education showed the highest seroprevalence of 20.0%. More HIV positive females were infected with toxoplasmosis 18.5%. In all, 6.7% (P > 0.05) of the seropositive patients had CD4 cell counts of less than 200 cells/µL, indicating no correlation between seroprevalence and CD4 cell counts of HIV/AIDS patients. Risk factors in this study included the history of living with pets, farming and eating improperly-washed fruits and vegetables. Conclusions: Seroprevalence of Toxoplasmosis was high among HIV patients in Port Harcourt. It is suggested that the institutions included the Toxoplasmosis test as one of the routine tests for HIV patients.

scholarly journals Point Mutations in thefolPGene Partly Explain Sulfonamide Resistance ofStreptococcus mutans

2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
W. Buwembo ◽  
S. Aery ◽  
C. M. Rwenyonyi ◽  
G. Swedberg ◽  
F. Kironde
Keyword(s):  
Escherichia Coli ◽  
Drug Resistance ◽  
Streptococcus Mutans ◽  
Bacterial Resistance ◽  
Point Mutations ◽  
Aids Patients ◽  
Recombinant Plasmids ◽  
Cotrimoxazole Prophylaxis ◽  
Sulfonamide Resistance ◽  
Hiv Aids

Cotrimoxazole inhibits dhfr and dhps and reportedly selects for drug resistance in pathogens. Here,Streptococcus mutansisolates were obtained from saliva of HIV/AIDS patients taking cotrimoxazole prophylaxis in Uganda. The isolates were tested for resistance to cotrimoxazole and theirfolPDNA (which encodes sulfonamide-targeted enzyme dhps) cloned in pUC19. A set of recombinant plasmids carrying different point mutations in cloned folP were separately transformed intofolP-deficientEscherichia coli. Using sulfonamide-containing media, we assessed the growth offolP-deficient bacteria harbouring plasmids with differingfolPpoint mutations. Interestingly, clonedfolPwith three mutations (A37V, N172D, R193Q) derived fromStreptococcus mutans8 conferred substantial resistance against sulfonamide tofolP-deficient bacteria. Indeed, change of any of the three residues (A37V, N172D, and R193Q) in plasmid-encodedfolPdiminished the bacterial resistance to sulfonamide while removal of all three mutations abolished the resistance. In contrast, plasmids carrying four other mutations (A46V, E80K, Q122H, and S146G) infolPdid not similarly confer any sulfonamide resistance tofolP-knockout bacteria. Nevertheless, sulfonamide resistance (MIC = 50 μM) offolP-knockout bacteria transformed with plasmid-encodedfolPwas much less than the resistance (MIC = 4 mM) expressed by chromosomally-encodedfolP. Therefore,folPpoint mutations only partially explain bacterial resistance to sulfonamide.

Socioeconomic and Demographic Statuses as Determinants of Adherence to Antiretroviral Treatment in HIV Infected Patients: A Systematic Review of the Literature

2019 ◽  
Vol 17 (3) ◽  
pp. 161-172 ◽  
Author(s):  
Nuredin Nassir Azmach ◽  
Temam Abrar Hamza ◽  
Awel Abdella Husen
Keyword(s):  
Systematic Review ◽  
Occupational Status ◽  
Original Research ◽  
Positive Trend ◽  
Hiv Patients ◽  
Aids Patients ◽  
Pubmed Database ◽  
Education And Employment ◽  
Socio Economic Factors ◽  
Hiv Aids

Background: Socioeconomic and demographic statuses are associated with adherence to the treatment of patients with several chronic diseases. However, there is a controversy regarding their impact on adherence among HIV/AIDS patients. Thus, we performed a systematic review of the evidence regarding the association of socioeconomic and demographic statuses with adherence to antiretroviral therapy (ART) among HIV/AIDS patients. Methods: The PubMed database was used to search and identify studies concerning about socioeconomic and demographic statuses and HIV/AIDS patients. Data were collected on the association between adherence to ART and varies determinants factors of socioeconomic (income, education, and employment/occupation) and socio-demographic (sex and age). Findings: From 393 potentially-relevant articles initially identified, 35 original studies were reviewed in detail, which contained data that were helpful in evaluating the association between socioeconomic/ demographic statuses and adherence to ART among HIV patients. Two original research study has specifically focused on the possible association between socioeconomic status and adherence to ART. Income, level of education, and employment/occupational status were significantly and positively associated with the level of adherence in 7 studies (36.8%), 7 studies (28.0%), and 4 studies (23.5%) respectively out of 19, 25, and 17 studies reviewed. Sex (being male), and age (per year increasing) were significantly and positively associated with the level of adherence in 5 studies (14.3%), and 9 studies (25.7%) respectively out of 35 studies reviewed. However, the determinant of socioeconomic and demographic statuses was not found to be significantly associated with adherence in studies related to income 9(47.4%), education 17(68.0%), employment/ occupational 10(58.8%), sex 27(77.1%), and age 25(71.4%). Conclusion: The majority of the reviewed studies reported that there is no association between socio- demographic and economic variables and adherence to therapy. Whereas, some studies show that age of HIV patients (per year increasing) and sex (being male) were positively associated with adherence to ART. Among socio-economic factors, the available evidence does not provide conclusive support for the existence of a clear association with adherence to ART among HIV patients. There seems to be a positive trend between socioeconomic factors and adherence to ART in some of the reviewed studies.

scholarly journals Incidence and predictors of surgical site infections following caesarean sections at Bugando Medical Centre, Mwanza, Tanzania

2014 ◽  
Vol 3 (1) ◽  
pp. 25 ◽  
Author(s):  
Filbert J Mpogoro ◽  
Stephen E Mshana ◽  
Mariam M Mirambo ◽  
Benson R Kidenya ◽  
Balthazar Gumodoka ◽  
...  
Keyword(s):  
Surgical Site Infections ◽  
Medical Centre ◽  
Bugando Medical ◽  
Bugando Medical Centre

scholarly journals AWARENESS OF CHEMOTHERAPY SIDE EFFECTS AND ATTITUDE TOWARDS CHEMOTHERAPY USE AMONG CANCER PATIENTS ATTENDING ONCOLOGY CLINIC AT BUGANDO MEDICAL CENTRE, IN MWANZA, NORTHERN TANZANIA

2018 ◽  
Vol 8 (5) ◽  
pp. 448-454 ◽  
Author(s):  
Deogratias M Katabalo ◽  
Raphael Matinde ◽  
Stanley Mwita ◽  
Karoli Marwa ◽  
Nestory Masalu
Keyword(s):  
Side Effects ◽  
Cancer Cells ◽  
Cancer Patients ◽  
Cross Section ◽  
Positive Attitude ◽  
Medical Centre ◽  
Bugando Medical ◽  
Northern Tanzania ◽  
Chemotherapy Side Effects ◽  
Bugando Medical Centre

Background: Chemotherapy is the use of drugs to kill cancer cells. Because cancer cells generally grow and divide faster than normal cells, they are more susceptible to the action of these drugs. However, damage to healthy cells is unavoidable, and this damage accounts for the side effects linked to these drugs. Methodology: A cross section study was conducted at oncology department in Bugando Medical Centre. A sample of 216 people was recruited into the study. The data was collected by using the pre-constructed questionnaire. After data collection, the data was transferred into SPSS version 20 and analyzed. Results: The study found that 88 (40.7%) of the respondents were aware of the chemotherapy side effects whereby majority, 68 (77.3%) of these had been informed by the doctor. Most of the respondents, 197 (92.1%) had a positive attitude towards the use of chemotherapy. Conclusion: There is still poor awareness of the chemotherapy side effects among the cancer patients attending and receiving chemotherapy in oncology department at Bugando Medical Centre. However, most of the respondents had positive attitude towards the use of chemotherapy Keywords: Awareness, attitude, chemotherapy, side effects and Tanzania.

Sign in / Sign up

Export Citation Format

Share Document