Ludwig’s Angina Following Self Application of an Acidic Chemical

Ludwig’s angina is a potentially life threatening diffuse cellulitis usually resulting from odontogenic infection. We report a case of Ludwig’s angina resulting from self administration of an acidic chemical to treat toothache.Keywords: Toothache, Acid chemical, Ludwig’s angin

A Study of the Organisational Input into the Industrial Design Postgraduate Programme of Ahmadu Bello University, Zaria

This paper attempted to examine the organisational input into the Industrial Design Postgraduate Programme of Ahmadu Bello University, Zaria. The specific input variables studied include the staff situation, enrolment of candidates, communications policies, plans, facilities and funding of the Postgraduate Programme. The paper attempted to find out if the quality of input into the Postgraduate Programme has helped it to achieve the development of its communications mechanisms and successes in its internal and external operations.  All the staff and students on the programme were included in the study. The data was collected using questionnaires and content analysis. Content analysis and descriptive statistics such as percentages and sums were used for computing the data. The data revealed inadequate staffing, lack of enrolment plans, non participation of staff and other stakeholders in enrolment of candidates, absence of cohesive internal and external communications policies and organisational plans, very poor state of facilities for training and research as well as dearth of funds. These conditions have adversely affected the development of relevant plausible organisational communications channels that could have directly fostered internal consistency, encouraged viability and sustained effective marketing approaches by the PG Programme to its targeted external environments. The study recommends a total overhaul of the input variables and regular auditing of all the formal communications mechanisms in order to increase relevant variety as well as eliminate conflicts emanating from scarcity of resources and the flourishing of the grapevine in the Postgraduate Programme. Keywords: Organisational input, Communication, Organisational viability, Internal environment, External environment, Innovation

Seroprevalence of Hepatitis C Virus Infection in Nigerians with Type 2 Diabetes Mellitus

Background: Several studies have suggested a strong epidemiologic association between Diabetes Mellitus (DM) and Hepatitis C Virus (HCV) infection in some populations. However, the reasons why chronic HCV infection is prevalent in DM remain unknown. Our aims were to determine the prevalence of HCV infection in a population of Nigerian diabetics compared with the general population as well as assess the influence of sex and age on HCV infection in the same diabetic population. Design and Methods: A total of 115 diabetic patients were compared with 2,301 blood donors matched by recognized risk factors to acquire HCV infection. Serologic testing for anti HCV was done using a commercial enzyme-linked immunosorbent assay (ELISA) kits. Results: Sixty (60) type 2 diabetic patients were males while fifty-five (55) were females. Their mean age was 55.4 ± 9 years and mean blood glucose level was 8.5mmol/l. One subject tested positive for HCV infection. The control group consisted of 2,031 adults recruited from the blood donor\'s clinic. Forty five of them (2.2%) tested positive for HCV. Conclusion: Our preliminary results suggest a low sero-prevalence of HCV infection among our patients with type 2 diabetes. Presently, routine screening for HCV infection in persons with diabetes may not be necessary. Keywords: HCV infection, type 2 diabetes mellitus Nigerian Journal of Clinical Practice Vol. 11 (3) 2008: pp. 199-20

Antibiotic resistance profile of staphylococci from clinical sources recovered from infants

Infants, children and the aged are among the groups most vulnerable to microbial infections more so when these microbial agents become resistant to antimicrobials. The antibiotic resistant profile of Staphylococcus aureus and selected coagulase negative staphylococci were determined by standard methods. Of the 178 staphylococcal isolates evaluated, 122 were S. aureus and the rest coagulase negative staphylococci. 68% of S. aureus isolates were resistant to amoxicillin, 69.8% to cloxacillin, 51% to augmentin and 71% to tetracycline. However, only 2.6% of the 116 S aureus isolates tested were resistant to gentamycin making the drug a reliable therapeutic agent in the event of failure of other antimicrobials in treating staphylococcal infections at least in this community. Resistance to the penicillin drugs was mediated by the elaboration of &#946-lactamase by both pathogenic and non-pathogenic staphylococci. The study shows a high rate of cloxacillin resistance and possibly the existence of methicillin resistance among these strains. 80% of the S aureus strains were multi-resistant with 25% of these resistant to three different antibiotics, 21% to 4 and 6.8% to 6 different drugs. Only 1.2% of these S aureus strains were resistant to 7 different antimicrobials underscoring the need to reduce the high incidence of multi-resistance in this community in the event of an epidemic caused by these strains. The study reveals prevalence of multi-resistance among both pathogenic and non-pathogenic staphylococci in the community.Key words: Staphylococci, Staphylococcus aureus, antibiotics, multi-resistance.African Journal of Biotechnology Vol. 4 (8), pp. 810-82

Status report on hypertension in Africa - Consultative review for the 6th Session of the African Union Conference of Ministers of Health on NCD’s

Hypertension has always been regarded as a disease of affluence but this has changed drastically in the last two decades with average blood pressures now higher in Africa than in Europe and USA and the prevalence increasing among poor sections of society. We have conducted a literature search on PubMed on a broad range of topics regarding hypertension in Africa, including data collection from related documents from World Health Organization and other relevant organizations that are available in this field. We have shared the initial results and drafts with international specialists in the context of hypertension in Africa and incorporated their feedback. Hypertension is the number one risk factor for CVD in Africa. Consequently, cardiovascular disease (CVD) has taken over as number one cause of death in Africa and the total numbers will further increase in the next decades reflecting on the growing urbanization and related lifestyle changes. The new epidemic of hypertension and CVD is not only an important public health problem, but it will also have a big economic impact as a significant proportion of the productive population becomes chronically ill or die, leaving their families in poverty. It is essential to develop and share best practices for affordable and effective  community-based programs in screening and treatment of hypertension. In order to prevent and control hypertension in the population, Africa  needs policies developed and implemented through a multi-sectoral  approach involving the Ministries of Health and other sectors including education, agriculture, transport, finance among others

Lectins, Mitogenicity and Seed Germination: A Comparative Study with the Seeds of Telfairia occidentalis (Hook, F.) (Curcurbitaceae), Carica papaya (Linn) (Caricaceae) and Artocarpus communis (J.R. & G. Forst) (Moraceae)

The fate of lectins contained in the seeds of T. occidentalis, C. papaya and A. communis have been followed during the germinative process. Under the same culture conditions, the emergence of both the radicle and the plumule (the 3rd and 5th day; 18th and 20th and 12th and the 15th day respectively for T. occidentalis, C. papaya and A. communis) was preceded, 24 hours earlier, by the appearance of lectin in the developing tissues. The data suggest that the mitogenic lectins: Telfairia occidentalis Agglutinin (TOA) and Artocarpin accelerates the process of germination relative to that observed for seeds (C. papaya) containing the non-mitogenic lectins, Carici

Regional Dissemination of a Trimethoprim-Resistance Gene Cassette via a Successful Transposable Element

Antimicrobial resistance is a growing international problem. We observed a 50% increase in the prevalence of trimethoprim resistance among fecal Escherichia coli from healthy Nigerian students between 1998 and 2005, a trend to increase that continued in 2009.A PCR-based screen revealed that 131 (43.1%) of isolates obtained in Nigeria in 2005 and 2009 carried integron-borne dfrA cassettes. In the case of 67 (51.1%) of these isolates, the cassette was a class 1-integron-borne dfrA7 gene, which has been reported at high prevalence from E. coli isolates from other parts of Africa. Complete sequencing of a 27 Kb dfrA7-bearing plasmid from one isolate located the dfrA7 gene within a Tn21-type transposon. The transposon also contained an IS26-derived bla/sul/str element, encoding resistance to β-lactams, sulphonamides and streptomycin, and mercury resistance genes. Although the plasmid backbone was only found in 12 (5.8%) of trimethoprim-resistant isolates, dfrA7 and other transposon-borne genes were detected in 14 (16.3%) and 32 (26.3%) of trimethoprim resistant isolates collected in Nigeria in 2005 and 2009, respectively. Additionally, 37 (19.3%) of trimethoprim-resistant E. coli isolates collected between 2006 and 2008 from Ghana were positive for the dfrA7 and a transposon marker, but only 4 (2.1%) harbored the plasmid backbone.Our data point to transposition as a principal mechanism for disseminating dfrA7 among E. coli from Nigeria and Ghana. On-going intensive use of the affordable broad-spectrum antibacterials is likely to promote selective success of a highly prevalent transposable element in West Africa

High Incidence of Forest Fires and Preventive Measures in Cocoa Research Institute Plantations Ibadan, Oyo State

This study was carried out to ascertain the high incidence of forest fire and its preventive measures in Cocoa Research Institute of Nigeria(CRIN) plantations Ibadan, Oyo state. Fire is used as work tool by rural population, it serves as land clearing method for agricultural land, flushes management for livestock, wastes disposal, honey gathering, animal tracking and hunting. A multistage sampling approach was used to select 120 respondents. Data were collected using interview schedule on socioeconomics characteristics, perceived causes of forest fire, effect of forest fire and preventive measures to forest fire. Data were analyzed using descriptive and inferential statistic. The result revealed that the mean age was 44.9 years and majority (72.7%) were male, 83.0% of them were married. Also a very good number of respondents (97.7%) has various level of education. Bush burning to eradicate weed as a perceived cause of forest fire was ranked 1st with the mean value of 1.36. Destruction of CRIN mandate crops parent materials as the effect of forest fire was ranked 1st with the mean value of 1.42 and controlled bush burning was ranked 1st with mean value of 1.64 among the preventive measure of forest fire. It was revealed that significant relationships were observed between sex (?2= 6.000, p = 0.014), Religion (?2= 8.693, p= 0.013) on the preventive measures of forest in CRIN plantations

A systematic review of healthcare-associated infections in Africa: An antimicrobial resistance perspective

Background: Healthcare-associated infection (HCAI) is a global health challenge, not only as an issue of patient safety but also as a major driver of antimicrobial resistance (AMR). It is a major cause of morbidity and mortality with economic consequences. Objective: This review provides an update on the occurrence of HCAI, as well as the contribution of emerging AMR on healthcare delivery in Africa. Methods: We searched PubMed, Cochrane database, African Journals Online and Google Scholar for relevant articles on HCAI in Africa between 2010 and 2017. Preferred reporting items of systematic reviews and meta-analyses guidelines were followed for selection. Thirty-five eligible articles were considered for the qualitative synthesis. Results: Of the 35 eligible articles, more than half (n = 21, 60%) were from East Africa. Klebsiella spp., Staphylococcus aureus, Escherichia coli and Pseudomonas spp. were the common pathogens reported in bloodstream infection, (catheter-associated) urinary tract infection, surgical site infection and healthcare-associated pneumonia. Among these various subtypes of HCAI, methicillin-resistant S. aureus (3.9% – 56.8%) and extended-spectrum beta-lactamase producing Gram-negative bacilli (1.9% – 53.0%) were the most reported antimicrobial resistant pathogens. Conclusion: This review shows a paucity of HCAI surveillance in Africa and an emergence of AMR priority pathogens. Hence, there is a need for a coordinated national and regional surveillance of both HCAI and AMR in Africa

Cluster analysis and geospatial mapping of antibiotic resistant Escherichia coli O157 in southwest Nigerian communities

serotypes causing severe complications leading to high intestinal morbidity and occasional mortality in several communities in southwest Nigeria, were evaluated. Biotyped Escherichia coli strains (n = 508) from subjects with diarrhea and related intestinal infections, various domestic water sources and food animal products were evaluated for antibiotic resistance relatedness, conjugative activity, virulence factor and biofilm production. Antibiotic resistance of Escherichia coli O157 encoded with stx was mapped for geospatial spread. Detected stx-encoded Escherichia coli O157 (7.56%) of human strains were significantly higher compared to water and food animal strains (p = 0.001) with high conjugative and transformative activity (OR(95%CI) = 34.65(94.5); p = 0.023). Water- Escherichia coli O157 reveal significant median resistance to ciprofloxacin, gentamycin (p 60% resistance to doxycycline (MIC50 8 μg/mL and MIC90 128 μg/mL; p = 0.018), tetracycline (MIC50 4 μg/mL and MIC90 64 μg/mL), ciprofloxacin (MIC50 2 μg/ mL and MIC90 128 μg/mL) and gentamycin (MIC50 4 μg/mL and MIC90 256 μg/mL). Strains from human diarrhea, UTI, colitis, cattle, fish, sheep, ground waters, streams, and rivers characterized with biofilm, hemolysin, protease productions, R-plasmid (≈14.30kbp) and MARI (0.84) were highly related. Principal component analysis (score plot) revealed a significant association between resistant human diarrheic strains with cattle and poultry strains. A high population of heterogeneous stx-encoded diarrheagenic and colitis strains was predominant in urban settings spreading with food animal and water Escherichia coli O157 strains. Human diarrheagenic Escherichia coli O157 were highly related to antibiotic resistance and virulence pattern with water and animal products strains. Strategic interventions through the implementation of One Health approach and population-target antimicrobial stewardship are needed to mitigate the increasing intestinal morbidity and reduction of mortality impact. Regular application of spatial data on clonal dissemination is important for monitoring, surveillance of antimicrobial resistance and transmission of zoonotic food-borne Escherichia coli O157 pathogens