Burden of disease and circulating serotypes of rotavirus infection in sub-Saharan Africa: systematic review and meta-analysis.

Two new rotavirus vaccines have recently been licensed in many countries. However, their efficacy has only been shown against certain serotypes commonly circulating in Europe, North America, and Latin America, but thought to be globally important. To assess the potential impact of these vaccines in sub-Saharan Africa, where rotavirus mortality is high, knowledge of prevalent types is essential because an effective rotavirus vaccine is needed to protect against prevailing serotypes in the community. We did two systematic reviews and two meta-analyses of the most recent published data on the burden of rotavirus disease in children aged under 5 years and rotavirus serotypes circulating in countries in sub-Saharan Africa. Eligible studies were selected from PubMed/Medline, Cochrane Library, EmBase, LILACS, Academic Search Premier, Biological Abstracts, ISI Web of Science, and the African Index Medicus. Depending on the heterogeneity, DerSimonian-Laird random-effects or fixed-effects models were used for meta-analyses. Geographical variability in rotavirus burden within countries in sub-Saharan Africa is substantial, and most countries lack information on rotavirus epidemiology. We estimated that annual mortality for this region was 243.3 (95% CI 187.6-301.7) deaths per 100,000 under 5 years (ie, a total of 300,000 children die of rotavirus infection in this region each year). The most common G type detected was G1 (34.9%), followed by G2 (9.1%), and G3 (8.6%). The most common P types detected were P[8] (35.5%) and P[6] (27.5%). Accurate information should be collected from surveillance based on standardised methods in these countries to obtain comparable data on the burden of disease and the circulating strains to assess the potential impact of vaccine introduction

AIDS-related mycoses: the way forward.

The contribution of fungal infections to the morbidity and mortality of HIV-infected individuals is largely unrecognized. A recent meeting highlighted several priorities that need to be urgently addressed, including improved epidemiological surveillance, increased availability of existing diagnostics and drugs, more training in the field of medical mycology, and better funding for research and provision of treatment, particularly in developing countries

Antimicrobial Resistance Profile of Salmonella Typhimurium Isolated from Commercial Poultry and Poultry Farm Handlers in Nasarawa State, Nigeria

Aim: This study was designed to investigate the antimicrobial resistance profile of Salmonella Typhimurium isolated from commercial poultry and handlers in Nasarawa State, Nigeria.&#x0D; Study Design: Investigative.&#x0D; Place and Duration of Study: Microbiology Laboratory, Nasarawa State University, Keffi, Nigeria, from 1st November 2017 to 31th April 2018.&#x0D; Methodology: A total of 1500 samples (poultry droppings, poultry flesh, feeds, handlers’ faeces and hand swabs) were screened for the presence of Salmonella Typhimurium using pre-enrichment and selective enrichment culture media. Subculture of inoculated samples was done on Salmonella-Shigella agar and Xylose Lysine Deoxycholate agar. Presumptive Salmonella colonies were confirmedas serovar Typhimurium using both the conventional biochemical screening tests and Microgen Bio product GN identification system and slide agglutination test using polyvalent antisera. Antimicrobial susceptibility testing and interpretation were carried out as described by the Clinical Laboratory and Standards Institute guidelines.&#x0D; Results: Resistance was highest to Augmentin (98.1%) and lowest to Imipenem (1.0%). No resistance was observed in all the isolates from poultry handlers to Ceftriaxone, Ceftazidime, Gentamicin and Streptomycin; but all were resistant to Ampicillin and Augmentin. The resistance of isolates from poultry and handlers to all the antibiotics is significant (χ 2 = 13.037; P = 0.01). Most (86.7%, 92/106) resistant isolates belong to the multiple drug resistance class.The distribution of classes of resistance of isolates from poultry and handlers is significant (χ2 = 318; P = 0.00). MARI is greater than 0.2.&#x0D; Conclusion: Salmonella Typhimurium with increasing multidrug resistance to antibiotics especially the β-lactam antibiotics has emerged in poultry.</jats:p