Phenotypic detection of Metallo-β-Lactamase in imipenem-resistant Pseudomonas aeruginosa and Stenotrophomonas maltophilia at Schiphra Hospital of Ouagadougou in Burkina Faso

Background: Epidemic of carbapenemase-producing bacteria has become worldwide. Thus, during the last decade, the prevalence of carbapenem-resistant Enterobacteriaceae and non fermentative Gram-negative bacteria in human patients have increased. Carbapenemase-producing bacteria are usually multidrug resistant. Therefore, early recognition of carbapenemase producers is critical to prevent their spread. Objectives: The aim of this study was to contribute establishing the prevalence of isolates producing Metallo-β-Lactamase isolated from patients admitted to Schiphra Hospital of Ouagadougou. Methods: Susceptibility of bacteria to antimicrobial agents was evaluated by disc diffusion method using imipenem as screening antibiotic. The combination of imipenem-EDTA was used after detection the resistance to imipenem. Results: A total of 52 isolates resisting one of the third generation cephalosporins were collected. Five isolates showed an intermediary resistance to imipenem (9.61%). Two isolates were resistant to imipenem-EDTA (3.85%). The test of imipenem-EDTA was done to confirm to production of Metallo-β-Lactamase. The hydrolysis of bacterial extract by meropenem was confirmed by production with a kinetic activity at spectrophotometer V0=4.77x10–5µM/min for Pseudomonas aeruginosa and V0=1.183x10-4 µM/min for Stenotrophomonas maltophilia. Conclusion: This study showed that bacterial resistances by production to metallo-β-lactamases are a reality in Burkina Faso

Spread and antibiotic resistance profile of pathogens isolated from human and hospital wastewater in Ouagadougou

Background: The discharge of improperly treated hospital landfill presents an enormous public health risk. In Burkina Faso, the management of hospital’s wastewaters and the current antibiotic susceptibility of clinically relevant isolates need to be determined, because the multi-drug resistant isolates have been previously described in hospital settings. The aim of this study was to determine antibiotic resistance profile of isolates circulating in Ouagadougou.Methods: The biochemical characterization of the isolates was carried out by tests from the API 20E test and completed with molecular characterization by simple PCR. Antibiotic susceptibility of the isolates was determined using the recommendations of CA-SFM 2019.Results: The hospital wastewaters do not undergo any treatment before been discharged into the environment. A total of 171 presumed isolates of Salmonella spp < /em>, Pseudomonas spp < /em>., and Escherichia coli were identified in this study. These isolates derived from environment (n=19) and clinical (n=152). These isolates were resistant to Amoxicillin + clavulanic acid (95.32%), Cefoxitin (72.51%), Ceftazidime (78.94%), Cefepime (80.71%), Tobramycin (59.64%), Gentamicin (42.10%), Nalidixic acid (68.42%), Norfloxacin (59.06%), Ciprofloxacin (56.14%), imipenem (0.00%), Chloramphenicol (26.31%), and Colistin (77.77%). Somewhere else, 46 presumptive Staphylococcus aureus were resistant to Vancomycin (30.43%), Oxacillin (13.04%), Penicillin G (89.13%), Ceftriaxone (15.21%), Cefoxitin (2.73%), Tobramycin (36.95%), Kanamycin (30.43%), Ciprofloxacin (15.21%), Norfloxacin (43.47%), Tetracycline (56.52%), Chloramphenicol (13.04%), and Fosfomycin (2.73%). Conclusion: the hospital wastewaters harbour a variety of pathogens, most of which are resistant to several families of antibiotics

Emergence of New Delhi Metallo-β-Lactamase (NDM) Genes Detected from Clinical Strains of Escherichia coli Isolated in Ouagadougou, Burkina Faso

The emergence and spread of carbapenem resistance in Gram-negative bacilli such as Klebsiella pneumoniae, Escherichia coli, Acinetobacter baumannii, and Pseudomonas aeruginosa through the production of carbapenemases is a global phenomenon. It threatens patient care and leads to therapeutic impasses. This study aims to genotypically determine the prevalence of the most frequent carbapenemase genes among multidrug-resistant E. coli strains isolated from patients at a biomedical analysis laboratory. A total of fifty-three unduplicated E. coli strains isolated from patient samples with a multidrug-resistant (MDR) profile were subjected to polymerase chain reaction (PCR) testing for carbapenem resistance genes. This study allowed us to identify fifteen strains carrying resistance genes among the fifty-three E. coli strains. All fifteen strains produced the metallo-β-lactamase enzymes; this represents a rate of 28.30% of study strains. Among these strains, ten carried the NDM resistance gene, NDM and VIM genes were detected in three strains and VIM was identified in two strains of E. coli. However, carbapenemases A (KPC and IMI), D (OXA-48), and IMP were not detected in the strains studied. Thus, NDM and VIM are the main carbapenemases detected in the strains in our study

C18- Analyse phytochimique et évaluation de l’activité larvicide contre le vecteur de la dengue (Aedes aegypti) d’extraits de feuilles de Calotropis procera R. br (Apocynaceae) en vue de leur utilisation comme bio-insecticide

La résistance des moustiques aux insecticides chimiques conventionnels demeure une préoccupation majeure pour les programmes de lutte anti-vectorielle. Les recherches s’orientent actuellement vers l’utilisation d’alternatives naturelles, les bio insecticides. L’activité insecticide de certaines plantes comme le Calotropis procera (Ait.) R.br (Apocynaceae) pourrait avoir un grand intérêt dans ce domaine. Dans cette étude, nous avons effectués un criblage des extraits de feuilles de C. procera (aqueux, hydro- éthanolique, méthanolique et éthanolique) par HPTLC, puis mesurer leur teneur en stérol, triterpène et en cardénolides. Nous avons étudié également l’activité larvicide des extraits aqueux et hydro- éthanolique contre le vecteur de la dengue Aedes aegypti selon la méthodologie décrite par l’OMS. Le profil chimique des différents extraits montre la présence de flavonoïdes, tanins, stérols et triterpènes, coumarines, alcaloïdes et cardénolides. La plus grande activité larvicide a été obtenue avec l’extrait hydro-éthanolique provenant de feuilles récoltées en saison sèche dans la localité de Kombissiri (partie Centre Sud du Burkina) avec une DL50 de (1,58 mg/ml ± 1,51 ; 1,66 mg/ml) Les résultats obtenus indiquent que l’extrait hydro-éthanolique de C. procera pourrait servir à la formulation d’un bio-insecticide écologique et peu coûteux pour lutter contre les larves d'Aedes aegypti.

Phytochemical profile, acute oral toxicity, antioxidant, and antispasmodic effects of ethyl acetate and aqueous residual fractions of Diospyros mespiliformis Hochst. ex A. DC (Ebenaceae) leaves on isolated duodenum of rat

Introduction: Diospyros mespiliformis Hochst. ex A. Rich (Ebenaceae) is a nutritional, artisanal and medicinal plant. It is used in alternative medicine in Burkina Faso for the treatment of conjunctivitis, menorrhagia, dysentery, and especially diarrhea. Aims: Our study aimed to evaluate the chemical profile, the antioxidant and anti-inflammatory activities, the safety of use, and the spasmolytic effects of the fractions obtained from the aqueous decoction of the leaves of Diospyros mespiliformis. Methods: Phytochemical screening by HPTLC and the determination of compounds of interest were carried out. The antioxidant activity was evaluated according to the ABTS, DPPH, FRAP, and LPO methods. The inhibitory activity of Phospholipase A2 and 15-lipoxygenase was evaluated. Acute oral toxicity was carried out on female mice (NMRI). The ex vivo spasmolytic effect of the fractions was tested on isolated rat duodenum using ACh and BaCl2 as contracting agents.  Results: At the end of these tests, the fractions contain flavonoids, tannins, sterols, triterpenes, and saponosides. The content of total phenolics was respectively for the ethyl acetate fraction (EAF) and the residual aqueous fraction (RAF) 84.15±1.73 mg EAT/g and 89.67±2.35 mg EAT/g. That of flavonoids was respectively 45.91 ± 0.98 mg EQ/g and 10.46±0.28 mg EQ/g for the two fractions. The 50% inhibitory concentrations (IC50) of EAF for the ABTS, DPPH, and FRAP tests were 2.26±0.16 μg/mL, 22.34±7.23 μg/mL and 1136.25±0.90 mol EAA/g respectively, and an inhibition % of 43.80 ± 6.31% for LPO. For RAF, the IC50 were in the same range as EAF of 16.82±0.23 μg/mL, 18.58±2.91 μg/mL, 1138.4±1.27 mol EAA/g and an inhibition of 45.14±10.35% for LPO. The fractions had an inhibitory effect on phospholipase A2 compared to Betamethasone. Finally, the most active EAF caused a spasmolytic effect with Emax of 87.4±15.71% and 90.40±7.84%, respectively, during contractions induced by BaCl2 and ACh. Conclusion: Finally, this work provided scientific data and could justify the use of D. mespiliformis leaves in the treatment of diarrhea. Keywords: Diospyros mespiliformis, Leaves, Antioxidants, Anti-inflammatory, Safety of use, Spasmolyti