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Impact of COVID-19 on Biological Diagnosis of Malaria: Case of the Thierno Mouhamadoul Mansour Barro Hospital in Mbour, Senegal

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Advances in Infectious Diseases 2023年第1期13卷 31-40页

作者： isaac akhénaton manga Coura Seye Ameth Dramé Cheikh Binetou Fall Souleye Lélo Carole Pab Minlekib Marie Pierre Diouf Jean Louis Abdourahim Ndiaye Khadime Sylla Babacar Faye Service Parasitologie-Mycologie FMPO UCAD Dakar Senegal Ministry of Health and Social Action Dakar Senegal Hôpital Thierno Mouhamadoul Mansour Barro de Mbour Medical Region of Thiès Mbour Senegal Parasitology-Mycology Department UFR Santé Université Iba Der Thiam de Thiès Thiès Senegal

Background: In Africa, malaria-endemic regions have not been spared from COVID-19 outbreak which emerged in the first quarter of 2020. This pandemic has shown clinical and therapeutic similarities with malaria. This following study sought to determine the impact of COVID-19 on the malaria diagnosis. Method: A review of laboratory registers and an exploitation of the District Health Information Software 2 (DHIS2) to collect information on the diagnosis of malaria by microscopy and by rapid diagnostic test (RDT), but also that of COVID-19 was done from 2017 to 2021 at the Thierno Mouhamadoul Mansour Hospital in Mbour, Senegal. Results: In 2017, 199 Thick drops (TDs) and 1852 RDTs were performed for malaria diagnosis. In 2018, it was 2352 malaria tests with 2138 RDTs and 214 TDs, before reaching a peak of 3943 tests in 2019 including 3742 RDTs and 201 TDs. By 2020, 2263 tests were performed with 2097 malaria RDTs, 158 TDs and 8 COVID RDTs. The latter increased significantly in 2021, reaching 444 COVID RDTs, while TDs and malaria RDT kept decreasing to 147 and 1036 respectively. Positive TDs were higher in 2020 (11.4%) compared to 2017 (3.5%), 2018 (1.4%), 2019 (6.5%) and 2021 (6.8%). For malaria RDTs, a decrease in the number of positive tests was noted between 2017 (4.5%) and 2021 (1.3%). The COVID RDTs were all negative in 2020, 29.5% were positive and 4.1% were undetermined in 2021. Conclusion: COVID-19 has led to changes in efforts to diagnose malaria as well as an increase in malaria prevalence directed towards children under 5 years of age.

关键词： Impact COVID-19 Biological Diagnosis Malaria Senegal

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Prevalence and Risk Factors of Vaginal Trichomoniasis in Women: Study at the University Hospital of Pikine in the Suburbs of Dakar, Senegal

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Advances in Infectious Diseases 2023年第2期13卷 291-302页

作者： isaac akhénaton manga David Ngom Marie Pierre Diouf Carole Pab Minlekib Souleye Lelo Cheikh Binetou Fall Khadime Sylla Doudou Sow Jean Louis Ndiaye Magatte Ndiaye Roger Clément Tine Babacar Faye Parasitology-Mycology Department Faculty of Medicine-Pharmacy-Odontology Cheikh Anta Diop University Dakar Senegal Gynecology Department Keur Massar Health Centre Dakar Senegal Parasitology-Mycology Laboratory University Hospital of Pikine Dakar Senegal Parasitology-Mycology Department UFR Santé Gaston Berger University Saint Louis Senegal Parasitology-Mycology Department UFR Santé Iba Der Thiam University Thiès Senegal

Introduction: This study aimed to investigate the epidemiology of genital trichomoniasis in Senegal. It sought to determine the prevalence and risk factors associated with this condition in Senegal. Methodology: The study took place at the university hospital of Pikine in the suburbs of Dakar. For each of the women recruited, socio-demographic data, clinical examination data and the results of direct examination of the vaginal sample were collected in a questionnaire designed for this purpose. Results: A total of 312 women with a mean age of 31.13 (±8.41) years were recruited in this study. The majority of these women (59.94%;95% CI = 54.25 - 65.38), were seen for an infectious diseases assessment. Leucorrhea (58.33%;95% CI = 52.63 - 63.83) and genital discharge on vaginal touch (99.36%;95% CI = 97.45 - 99.89) were the predominant signs on clinical examination. The overall prevalence of vaginal trichomoniasis after direct examination of the specimens was 1.28% (95% CI = 0.41 - 3.47). Only the distribution of this prevalence by occupation was statistically significant (p = 0.0004). Conclusion: The low prevalence of genital trichomoniasis in women and the risk factors associated with it found in this study, which took place about ten years ago, should prompt an update of the data to better define the problem in Senegal.

关键词： Vaginal Trichomoniasis Prevalence Risk Factors Dakar Suburb Senegal

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Virologic Response among Children and Adults in an Antiretroviral Therapy Programme in Northern Nigeria: A Cross-Sectional Descriptive Study

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World Journal of AIDS 2023年第4期13卷 178-192页

作者： Elon Warnow isaac Ayomikun Ajani Mohammed manga Abubakar Joshua Difa Oyeniyi Christianah Oluwaseun Mohammed Hassan Danlami Department of Paediatrics College of Medical Sciences Gombe State University Gombe Nigeria Kettering General Hospital University Hospitals of Northamptonshire Northamptonshire UK Department of Medical Microbiology College of Medical Sciences Gombe State University Gombe Nigeria Department of Community Medicine College of Medical Sciences Gombe State University Gombe Nigeria Infectious Disease Training and Research Group Gombe Nigeria Department of Molecular Microbiology Federal Teaching Hospital Gombe Nigeria

Introduction: Viral load suppression is a key determinant of successful anti-retroviral therapy. The study aimed to determine virologic response to Antiretroviral therapy in the large cohort of children and adults living with Human Immune deficiency Virus. Materials and Methods: Viral Load results from the HIV Ribonucleic Acid Polymerase Chain Reaction register of 10,887 children and adults on cART in 4 states in Northern Nigeria between 2017 and 2019 were retrieved and analyzed in the PCR Molecular Laboratory of the Federal Teaching Hospital, Gombe. Results: 10,887 children and adults were analyzed. Males were 28.4% (3094) and 71.6% (7793) females. 2.9% (311);3.5% (386);7.3% (797);65.2% (7098);14.5% (1583);5.2% (562) and 1.3% (150) were aged 0 - 9 years, 11 - 18 years;19 - 25 years, 26 - 45 years;46 - 55 years;56 - 65 years and 10 years. The most recent CD4count before viral load request was ≥1000/μL in 7.4% (810/10887);500 -999/μL in 39.0% (4240);350 - 499 μL in 22.7% (2466) and 1000 c/mL in 26.5% (821/3094) males and 24.1% (1876/7793) females. Viral load was significantly lower among females (p-value 0.007). 50.5% (157/311);52.1% (201/386);28.5% (227/797);23.5% (1670/7098);19.9% (315/1583);17.8% (100/562) and 18.0% (27/150) aged 0 - 9 years, 11 - 18 years;19 - 25 years, 26 - 45 years;46 - 55 years;56 - 65 years and 1000 c/mL respectively. Viral load was >1000 c/mL in 28.2% (229/811) for those on HAART for 6 months - 1 year and 23.6% (1243/5275) after receiving Highly Active Antiretroviral Therapy (HAART) for 1 - 5 years. 26.3% (1072/4075) and 21.1% (153/726) had viral load > 1000 c/mL after receiving HAART for 6 - 10 and >10 years respectively (p-value 0.001). Conclusion: HIV viral suppression was below the WHO recommended threshold.

关键词： HIV cART Viral Load Viral Suppression Children Adults Nigeria

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Deoxyribonucleic Acid-Polymerase Chain Reaction Status of HIV Exposed Infants in a Sub Regional Prevention of Mother-to-Child Transmission of HIV Programme during the Period 2009-2020

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Open Journal of Epidemiology 2023年第4期13卷 328-341页

作者： Elon Warnow isaac Ayomikun Ajani Jalo Iliya Mohammed manga Abubakar Joshua Difa Oyeniyi Christianah Oluwaseun Muhammad Danlami Hassan Department of Paediatrics College of Medical Sciences Gombe State University Gombe Nigeria Infectious Disease Training and Research Group Gombe Gombe Nigeria Kettering General Hospital University Hospitals of Northamptonshire Kettering United Kingdom Department of Medical Microbiology College of Medical Sciences Gombe State University Gombe Nigeria Department of Community Medicine College of Medical Sciences Gombe State University Gombe Nigeria Department of Molecular Microbiology Federal Teaching Hospital Gombe Gombe Nigeria

Introduction: Transitioning to more efficacious Antiretrovirals for HIV infected pregnant women and infant prophylaxis has reduced Mother to child transmission of HIV significantly. This study aimed to determine HIV infection status in HIVexposed infants who had their first DNA polymerase chain reaction test in our molecular Laboratory. Subjects, Materials and Methods: Dried Blood Spots for HIV DNA results from 5 states between 2009 and 2020 were analyzed in the PCR laboratory of the Federal Teaching Hospital, Gombe. Results: Nine thousand eight hundred and twenty-three Human Immunodeficiency Virus Deoxyribonucleic acid polymerase Chain Reaction results were analysed;4937 (50.2%) were males. During the study period, there was an overall declining trend in the mother-to-child transmission rate from 3.8% in 2009 to 1.0% in 2020. 6120 (62.3%) of HIV + mothers received Highly active antiretroviral therapy HAART before pregnancy. 7845 (76.2%) of the infants received Nevirapine prophylaxis. Dried blood spot samples were collected from 4077 (41.5%) at 6 - 8 weeks. 8438 (85.9%) received cotrimoxazole. 9469 (96.4%) were ever breastfed. Of the 9823 HIV DNA PCR results, 255 (2.6%) were positive while 69/4077 (1.7%) and 109/2662 (4.1%) were positive for HIV DNA at 6 - 8 weeks and > 12 weeks respectively. (p = 0.001). 86/747 (11.5%) of infants whose HIV-positive mothers received no ARVS were HIV DNA positive. (p = 0.001). 106/884 (12.0%) of infants who had no Antiretroviral prophylaxis had positive HIV DNA results;7/413 (1.7%) with Zidovudine/Nevirapine prophylaxis had positive results. (p = 0.001). 246/9469 (2.6%) of infants that were ever breastfed were positive for HIV DNA;11/354 (3.0%) that never breastfed had positive HIV DNA. Conclusion: Lack of maternal/infant ARVs and prolonged breastfeeding increased the risk of infant HIV infection.

关键词： Mother to Child Transmission of HIV Antiretrovirals HIV Exposed Infants Deoxyribonucleic Acid Polymerase Chain Reaction Early Infant Diagnosis

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Bacterial Blood Isolates in Children: Conventional vs. Bactec Automated Blood Culture System in a Tertiary Health Centre in Gombe, North East Nigeria

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Open Journal of Medical Microbiology 2022年第3期12卷 101-116页

作者： Elon Warnow isaac Iliya Jalo Abubakar Joshua Difa Mercy Raymond Poksireni Oyeniyi Christianah Muhammad Saminu Charanci Ibrahim Mohammed Mohammed Mohammed manga Department of Paediatrics College of Medical Sciences Gombe State University and Federal Teaching Gombe Nigeria Infectious Disease Training and Research Group Gombe Nigeria Department of Community Medicine College of Medical Sciences Gombe State University and Federal Teaching Gombe Nigeria Department of Medical Microbiology and Immunology Federal Teaching Hospital Gombe Nigeria Department of Medical Microbiology and Immunology College of Medical Sciences Gombe State University Gombe Nigeria

Background/Aim: Blood culture is critical in the diagnosis and treatment of blood stream infections (BSIs) especially in children. BSIs are among the most common cause of morbidity/mortality and blood culture has remained the gold standard for diagnosis. We sought to compare Blood Culture Isolates (BCI) from conventional and Bactec automated blood culture system (ABCS) among paediatric patients at the Federal Teaching Hospital Gombe (FTHG) Nigeria. Methods: BCI in children (0 - 18 years) by conventional method from 2008-2012 and Bactec Automated culture system from 2015-2020 were retrieved from the clinical microbiology laboratory register. Information analyzed included, age, sex, month, and year and blood culture isolates. Results: There were 5276 (56.9% males, 43.1% females) and 1169 (54% males, 46% females) Blood Culture Isolates by CM and ABCS respectively. Overall positive culture isolates were 9.7% (515/5276) in CM and 45.9% (536/1169) in ABCS (p = 0.01). Positivity rate in newborn was 13.3% (282/2114) by CM and 40.9% (219/263) by ABCS p = 0.01;under-5 was 10.5% (448/4253) vs. 37% (359/873) (p = 0.01);Gram positive 32.6% (172) vs. 65% (759) (p = 0.01;Gram negative 55% (2910) vs. 34% (397) (p = 0.01). Staph aureus 22% (114/515) by CM vs. 61.9% (332/536)) by ABCS (p = 0.01);Klebsiella 24.9% (128/515) by CM vs. 7.5% (40/536) p = 0.01) in ABCS, E. coli 8.9% (46/515) vs. 2.1% (11/536) p = 0.01;Proteus vs. 1.1% (6/515) by ABCS, Pseudomonas 3.3% (17/515) vs. 5.6% (30/536) p = 0.05, Alkaligenes 1% (5/515) vs. 8.2% (44/536) p = 0.01 and Citrobacter 1% (5/515) vs. 8.4% (45/536) p = 0.01. Conclusion: Blood culture yield was five times higher with Bactec compared with Conventional method.

关键词： Children Blood Culture Isolates Manual Automated

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Transitioning to Automated Microbiologic Era: Blood Culture Isolates in Children and Adults in Federal Teaching Hospital in Gombe, North East Nigeria 2016-2020

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Open Journal of Medical Microbiology 2022年第4期12卷 184-203页

作者： Elon Warnow isaac Iliya Jalo Mohammed M. manga Abubakar Joshua Difa Mercy Raymond Poksireni Oyeniyi Christianah Ibrahim Mohammed Muhammad Saminu Charanci Department of Paediatrics College of Medical Sciences Gombe State University Tudun Wada Gombe Nigeria Department of Medical Microbiology College of Medical Sciences Gombe State University Tudun Wada Gombe Nigeria Department of Community Medicine College of Medical Sciences Gombe State University Tudun Wada Gombe Nigeria Infectious Disease Training and Research Group Gombe Gombe Nigeria Microbiology Laboratory Federal Teaching Hospital Gombe Gombe Nigeria

Introduction: Automated blood culture systems for incubation and growth monitoring have become the standard in high-income countries (HICs), but are still relatively expensive and not universally available for implementation in most low- and middle-income countries (LMIC). We aimed to report blood culture isolates using Automated technique in children and adults admitted into the Federal Teaching Hospital Gombe from 2016 to 2020. Materials and Methods: Blood Culture Isolates in children (0 - 18 years) and adults (>19 yrs) by Bactec 9050 Automated culture system from 2016-2020 were retrieved from the medical and laboratory register. Information analyzed included, age, sex, month, and year and culture growth and reported antibiotic sensitivity. A Bactec Blood culture tests is $20 in this facility. In Nigeria, the minimum monthly wage is $70 (Official currency exchange rate is N423/US Dollar). Results: Of the 1713 blood cultures performed, children 0 - 18 years were 1322 (77.2%) and adult (19 years above) (22.8%). Overall positivity was 733 (42.2%) with males 385 (52.5%). Of the 1322 Blood cultures (BC) in children 615 (46.5%) were positive for isolates and adults 118 (30.2)%. Blood culture positivity decreased with increasing age with newborns 251 (34.5%) and adults > 65 years 18 (2.5%). Staphylococcus aureus constituted 61.3% of all isolates and was the leading isolates in all age groups;Alkaligenes (9.1%);Citrobacter 8.1%, Klebsiella 6.7%;Pseudomonas 6.1%;E. coli 2.7%;Enterococcus 2%;Proteus 1%. Of the Antimicrobial resistance priority isolates E. coli susceptibility ranged from 71% to Gentamycin and 100% to Cefixime;Klebsiella from 25% sensitivity to Amikacin to 78% each to chloramphenicol and ciprofloxacin;Salmonella was 100% sensitive to chloramphenicol, ciprofloxacin and cefuroxime. Klebsiella was 100% sensitive to Cefoxitin;Proteus sensitivity ranged from 35% to ampicillin and 100% to ciprofloxacin and cefuroxime. Staph aureus sensitivity was 35% to cefoxitin,

关键词： Children Adults Blood Culture Isolates Bactec Sensitivity

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Trends in Bacterial Blood Culture Isolates and Resistance in Children in Two Microbiologic Eras from a Tertiary Health Facility in North East Nigeria

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Open Journal of Medical Microbiology 2023年第2期13卷 159-182页

作者： Elon Warnow isaac Iliya Jalo Mohammed M. manga Abubakar Joshua Difa Mercy Raymond Poksireni Oyeniyi Christianah Ibrahim Mohammed Muhammad Saminu Charanci Department of Paediatrics College of Medical Sciences Gombe State University Tudun Wada Nigeria Infectious Disease Training and Research Group Gombe (INDITREGO) Gombe Nigeria Department of Medical Microbiology College of Medical Sciences Gombe State University Tudun Wada Nigeria Department of Community Medicine College of Medical Sciences Gombe State University Tudun Wada Nigeria Microbiology Laboratory Federal Teaching Hospital Gombe Gombe Nigeria

Introduction: Antimicrobial Resistance surveillance is predicated on blood culture as a priority clinical specimen in especially resource limited settings. Establishing trends in blood stream infections and resistance patterns can inform institutional and national policy on antimicrobial stewardship, surveillance, infection prevention and control. Methodology: Blood Culture isolates in children (0 - 18 years) by conventional method from 2008-2012 and Bactec Automated culture system from 2015-2020 were retrieved. Information analyzed included age, sex, month, and year and culture growth/identity of microorganisms and their sensitivity/resistance patterns. Clinical and Laboratory Standards Institute (CLSI) guideline for antibiotic susceptibility testing was used. Results: 20,540 children were admitted: 8964 (44.6%) and 11,630 (55.4%) in the Manual and Bactec blood culture era respectively. Blood cultures were done in 5271 in the manual culture era and 1077 in the Bactec culture era;of these cultures, 514 (9.7%) and 461 (42.8%) were positive for isolates in the respective era (p = 0.01). There were no statistically significant differences in trend between positive and negative blood cultures in males and females. Newborns, followed by children 1 - 5 years had more blood culture performed on them than other age categories. In general, there is no significant relationship in blood culture outcomes between the age categories and sex of the patients. The isolation of Staph aureus, Citrobacter and Alkaligenes increased two-fold with Bactec automated system. Resistance to the quinolones and the penicillin was high. Resistance trend to Genticin, an aminoglycoside was less than 40%. Resistance to Ceftazidime was high. Conclusion: Antimicrobial resistance surveillance is critical to reduce AMR related morbidity and mortality.

关键词： Trend Blood Culture Isolates Children Manual Bactec Resistance

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Prevalence of Intestinal Parasitic Infection among Pre-School and School-Aged Children Attending to Fann University Hospital, Dakar: Results from Retrospective Analysis

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Advances in Infectious Diseases 2022年第4期12卷 847-860页

作者： Khadime Sylla Doudou Sow Souleye Lelo Cheikh B. Fall isaac akhenaton manga Magatte Ndiaye Babacar Faye Thérèse Dieng Roger Clement Tine Département de Parasitologie-Mycologie Faculté de Médecine Pharmacie et Odontologie Université Cheikh Anta Diop Dakar Sénégal Laboratoire de Parasitologie-Mycologie Centre National Hospitalier Universitaire Fann Dakar Sénégal Service de Parasitologie-Mycologie UFR Sciences de la Santé Université Gaston Berger Saint-Louis Sénégal Laboratoire de Parasitologie-Mycologie Centre National Hospitalier d’enfant Albert Royer Dakar Sénégal

Background: Intestinal parasitic infections represent a major public health problem worldwide. Pre-school and school children have a high risk of infection. The study aimed to determine the epidemiological aspects of intestinal parasitic infections in preschool and school-aged children in Dakar, Senegal. Methods: A retrospective analysis of laboratory records from preschool and school-aged children referred to the Laboratory of Parasitology at the Fann University Hospital in Dakar, Senegal, was carried out. The analysis of the period from 2016 to 2020. Stool samples were examined for the presence of parasites using direct, formal-ether concentration method and the Modified Ziehl Neelsen staining technique. Descriptive and analytic analysis was performed with Stata MP 16.1 software. Results: The overall prevalence of intestinal parasitic infection was 26.8% (429/1603). Blastocystis sp. (34%), Entamaeba coli (28%), Giardia intestinalis (9.6%), Endolimax nana (4.9%) and Ascaris lumbricoides (3.5%) were the common parasites found. Out of the 429 children positive for intestinal parasites, protozoa parasites represent 93.9%. Single infection and mixed infection represent 83.7% and 16.3%. The most prevalent associations were E. coli + Blastocystis sp. (6.3%), E. coli + E. nana (3.3%), and G. intestinalis + Blastocystis sp. (1.9%). Children between the ages of 5 - 10 years and those over 10 years had the most parasitic infections with 28.1% [aOR = 1.91;95% CI (1.25 - 2.89)] and 27.4% [aOR = 11.92 (1.07 - 3.07)]. According to the year of sample collection, the prevalence was higher in 2017, 32.6% [aOR = 1.49 (1.11 - 2.01]. The prevalence of intestinal parasitic infection was not significantly related to gender (p = 0.87), season (p = 0.85) and symptomatology (p = 0.19). The main clinical symptoms were dysenteric syndrome, dyspeptic disorders, constipation and abdominal pain. Intestinal parasite carriage in patients with acute diarrhea was 20.4%. In HIV positive with chronic

关键词： Intestinal Parasites Children Epidemiology Senegal

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Study of the Frequency of Superficial Candidiasis at the Fann National Hospital: Search for Candida auris

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Advances in Infectious Diseases 2023年第4期13卷 536-549页

作者： Carole Pab Minlekib Doudou Sow isaac akhenaton manga Mamadou Dia Marie Pierre Fatou Diouf Aminata Lam Cheikh Binetou Fall Souleye Lelo Magatte Ndiaye Khadim Sylla Jean Louis Abdourahim Ndiaye Roger Clement Kouly Tine Thèrèse Dieng Babacar Faye Department of Parasitology and Mycology Cheikh Anta Diop University Dakar Senegal Department of Parasitology and Mycology Gaston Berger University Saint Louis Senegal Laboratory of Parasitology and Mycology CHNU of Fann Dakar Senegal

Background: Superficial candidiasis is a very frequent opportunistic disease caused by yeasts of the genus Candida. Among Candida types, some, such as Candida auris, have developed resistance to several antifungal agents. The objective of this study was to determine the hospital frequency of superficial candidiasis diagnosed at the CHU Fann and to investigate the presence of C. auris among the identified Candida strains. Methods: A cross-sectional study was conducted from February to June 2019. It involved all patients received at the Parasitology-Mycology laboratory of the CHU of Fann for suspected superficial candidiasis. Nails, skin, and vaginal specimens were subjected to direct examination and culture to identify yeasts of the genus Candida. The Candida strains were then tested by molecular biology targeting the specific C. auris ITS2 region. Results: A total of 1196 patients were examined. One thousand two hundred and five specimens (1205) were collected, including 1042 vaginal specimens, 92 nail specimens, and 71 skin specimens. Superficial candidiasis was diagnosed in 408 patients (37%). Women (34.52%) and patients under 30 years of age (39.60%) were the most affected. Yeasts of the genus Candida were found in 411 specimens (349 vaginal swabs, 36 nail fragments, and 26 skin flakes) by routine mycological techniques. The Candida albicans complex (C. albicans, C. dubliniensis, and C. africana) represented 75.91% of the Candida strains isolated. Molecular biology did not identify C. auris. Conclusion: Superficial candidiasis remains very common in hospitals in Senegal. Candida auris was not found in our study. Due to its rapid spread, surveillance is necessary to prevent epidemics in our hospitals.

关键词： Superficial Candidiasis C. auris Frequency Senegal

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