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Biomedical subjects

A Lamikanra

Publications and source records attributed to A Lamikanra.

33 records · Page 2Linked to original sources

Incidence of multiple antibiotic resistances in organisms isolated from cases of infantile diarrhoea in a Nigerian oral rehydration therapy clinic.

A total of 247 bacterial isolates were obtained from diarrhoeal patients aged 0-60 months in an oral rehydration therapy clinic in Ibadan and tested for sensitivity to 11 antibiotics using the disc diffusion method. Fifty isolates obtained from apparently healthy age-matched controls were similarly tested. The results show that 6(2.4%) of the isolates obtained from the diarrhoeal children were resistant to all the 11 antibiotics used in the test and that most of the others were resistant to several antibiotics. Similarly, a very considerable percentage of isolates obtained from children in the control group were found to be resistant to several antibiotics. It is therefore apparent that there is a high incidence of multiply-antibiotic-resistant isolates within the sample environment.

Anti-Bacterial Agents↗

Trimethoprim resistance in urinary tract pathogens in two Nigerian hospitals.

One hundred and twenty eight (63.3%) of 202 isolates of Gram-negative bacilli from urinary infections in patients in two Nigerian hospitals were found to be resistant to trimethoprim. Of the trimethoprim-resistant organisms, 111 (86.7%) showed MICs of trimethoprim in excess of 1000 mg/l. Trimethoprim resistance was found to be transferable from 65 (50.8%) of these highly resistant organisms into Escherichia coli EC1005. The trimethoprim-resistant strains obtained in the study were also resistant to at least one other antibiotic of the nine tested.

Anti-Bacterial Agents↗

A long-term study of the nasal carriage of Staphylococcus aureus in healthy Nigerian students.

892 nasal swabs were collected from 50 pharmacy students (25 male and 25 female) over a period of 15 months. 323 (36.2%) contained Staphylococcus aureus and analysis of the results showed that 19 (38%) of the subjects were true nasal carriers of S. aureus, 23 (46%) were non-carriers, and the other 8 (16%) were sporadic non-carriers. 84% of the 162 isolates tested were resistant to penicillin and 58% were resistant to tetracycline.

Adult↗

Ability of bacteria isolated from the hospital environment to proliferate in infusion fluids.

The ability of some bacteria isolated from environmental sources to grow in commonly administered infusion fluids was investigated. Infusion fluids may become contaminated with bacteria present in the environment in which they are being administered and the ability of such bacteria to proliferate within commonly used infusion fluids is therefore clinically significant. Bacteria present in the air and sink drains in wards at the Ife State Hospital were isolated, identified, and comprised fifteen Gram-positive and five Gram-negative organisms. Fourteen of the organisms obtained were introduced into sterile distilled water and five different infusion fluid preparations and were monitored over a 48 h period. It was found that, in general, Gram-positive organisms did not grow in the fluids used, while Gram-negative organisms were able to proliferate in the same fluids. Some Gram-positive organisms showed remarkable ability to remain viable in infusion fluids for more than 48 h.

Air Microbiology↗

Nasal carriage of Staphylococcus aureus in a population of healthy Nigerian students.

The nasal carrier-rate of Staphylococcus aureus in 548 Nigerians aged 9-32 years and attending various educational establishments was 56.4%. This rate decreased with increasing age. A significantly greater proportion of females (65.0%) than males (46.5%) were carriers, but the excess in females was apparent only in subjects aged greater than 20 years. Mucoid strains of S. aureus, which gave a negative slide-coagulase reaction, were found in 21.5% of carriers aged 10-15 years, but were absent from members of other age-groups. A considerable proportion of all the strains tested were resistant to commonly used antibiotics.

Adolescent↗

A study of the activity of soft soaps prepared from a homologous series of saturated fatty acids against cells of Escherichia coli NCTC 9001.

Soaps were prepared by direct neutralization of a homologous series of fatty acids with potassium hydroxide, the acids used being lauric, myristic palmitic and stearic acids. The antibacterial activity of these soaps were studied using Escherichia coli as the test organism. From the various phenomena examined it can be concluded that all the soaps used had a measure of antibacterial activity, the order of this activity being myristate, laurate, palmitate, and stearate. The antibacterial activity of both the palmitate and the stearate can only be described as marginal.

Acriflavine↗

Nasal carriers of coagulase-positive staphylococci in a Nigerian hospital community.

Nasal swabs taken from 324 subjects in a Nigerian hospital were examined for the presence of coagulase positive staphylococci. The subjects used in this study included the patients, staff and "auxiliaries" aged from one day to 70 years. The results obtained show that approximately 50% of all the subjects were nasal carriers of Staphylococcus aureus and that age, occupation and length of the subjects' stay in hospital had a significant effect on this figure. It was also found that there is no significant difference between the prevalence of nasal carriage of S. aureus amongst the hospital staff and the patients.

Adolescent↗

Antimicrobial sensitivity patterns of hospital and non-hospital strains of Staphylococcus aureus isolated from nasal carriers.

The nasal carriage rate of Staphylococcus aureus was significantly higher in hospitalized persons (children, adult females and staff) - 53.8%, - than in similar persons at a local clinic - 29.8% (P less than 0.001) - in Ile-Ife, Nigeria. However, unlike studies carried out elsewhere, a higher proportion of S. aureus strains obtained from persons at the clinic were resistant to commonly used antimicrobial agents than were strains isolated in the hospital. This has been attributed to the ease at which these drugs can be obtained by the general population and used unsupervised and indiscriminately. Methicillin was the most effective antimicrobial agent against pathologic staphylococci (2.2% resistance), followed by erythromycin (16.5% resistance), co-trimaxozole (28.0% resistance), chloramphenicol (76.9% resistance), tetracycline (78.6% resistance) and penicillin and ampicillin (97.8% resistance). The widespread resistance of S. aureus to penicillin and ampicillin (and other antimicrobial agents) is of clinical significance in the treatment of post-operative infections, since carriers are reportedly more prone to such infections than are non-carriers.

Adult↗

Socioeconomic and behavioral factors leading to acquired bacterial resistance to antibiotics in developing countries.

In developing countries, acquired bacterial resistance to antimicrobial agents is common in isolates from healthy persons and from persons with community-acquired infections. Complex socioeconomic and behavioral factors associated with antibiotic resistance, particularly regarding diarrheal and respiratory pathogens, in developing tropical countries, include misuse of antibiotics by health professionals, unskilled practitioners, and laypersons; poor drug quality; unhygienic conditions accounting for spread of resistant bacteria; and inadequate surveillance.

Anti-Bacterial Agents↗

Antibiotic resistance in Escherichia coli from Nigerian students, 1986 1998.

We tested 758 fecal Escherichia coli isolates, recovered from Nigerian students in 1986, 1988, 1990, 1994, and 1998, for susceptibility to seven antimicrobial drugs. The prevalences of strains resistant to tetracycline, ampicillin, chloramphenicol, and streptomycin were 9% to 35% in 1986 and 56% to 100% in 1998. These findings demonstrate that resistance gene reservoirs are increasing in healthy persons.

Adolescent↗

Helicobacter pylori in the dental plaque and gastric mucosa of dyspeptic Nigerian patients.

BACKGROUND: Presence of helicobacter pylori (H.Pylori) in the dental plaques may be associated with the presence of the same organism in gastric mucosa. OBJECTIVES: To assess and compare the prevalence of H. pylori in dental plaques and gastric mucosa of dyspeptic Nigerians. METHODS: Sixty-six consecutive patients undergoing endoscopy for investigation of dyspepsia were included in the study. A predesigned questionnaire was used to collect information on socio-demographic and other factors. Each patient also had clinical dental examination. Dental plaque scrapping was collected before endoscopy for helicobacter pylori culture, and at endoscopy, two gastric biopsy specimens were taken for culture and histology. RESULTS: The mean age (+/- SD) of the patients was 44.8 (+/- 17.4) years (range 5 to 80 years). The positivity rate of helicobacter pylori in gastric biopsy was 35 of 66 (53.0%) while the same for dental plaque was 46 of 66 (69.7%). The correlation (Spearman's) between gastric mucosa and dental plaque colonization with helicobactor pylori was significant (R = 0.30, P = 0.01). When concordant positivity of gastric biopsy culture and histology was taken as diagnostic, the sensitivity of dental plaque culture was found to be 82.9% and the specificity was 45.2%. CONCLUSIONS: This study revealed that helicobactor pylori has a high prevalence in the dental plaque of the population that we have studied and may therefore be of potential relevance in screening for such infection.

Adolescent↗

Quality and bioavailability of ampicillin capsules dispensed in a Nigerian semi-urban community.

Five samples of ampicillin capsules with a label claim of 250 mg were purchased from different dispensing points in a small town in Nigeria. The pharmaceutical quality of the products and a sample from a batch produced by a local manufacturer was evaluated and five of the capsule samples were employed in an in vivo bioavailability study. Three of the five capsule samples from dispensing points were found to be of lower quality than the officially prescribed standards of pharmaceutical quality. The quality lapses observed were sufficient to bring about determinable differences in biological availability. The results demonstrate that ampicillin capsules of sub-standard chemical quality are being dispensed within the study sources from authorised and unauthorised sources and that this may have biological, clinical and epidemiological consequences.

Ampicillin↗

Antimicrobial susceptibility of Helicobacter pylori isolates of dyspeptic Nigerian patients.

The resistance of Helicobacter pylori to antibiotic treatment is a growing global concern, but this has not been well studied in our environment. This study sought to determine: the susceptibility of the organism to common antimicrobial agents used in its eradication therapy. Twenty H. pylori isolates from dyspeptic patients were subjected to standard procedures for sensitivity testing and the determination of minimum inhibitory concentration against amoxycillin, ciprofloxacin, clarithromycin, erythromycin, metronidazole, rifampicin and tetracycline. The study showed marked in vitro multiple antimicrobial resistance to the commonly used eradication agents. All twenty isolates were however sensitive to ciprofloxacin. The findings of marked antimicrobial resistance may affect the effectiveness of currently recommended eradication regimes. In our environment, incorporating ciprofloxacin into the existing H. pylori antimicrobial therapy may improve the outcome of eradication.

Adult↗