Bacterial contamination of Ugandan paper currency notes possessed by food vendors around Mulago Hospital complex, Uganda

Introduction: paper currency notes, exchangeable fomite, that is continuously contaminated because of the poor handling and storage practices. Objective: the general objective of the study was to determine the bacterial contamination of paper currency notes possessed by food vendors around Mulago National Referral Hospital Complex. Methods: a total of sixty paper notes of six denominations (1000, 2000, 5000, 10000, 20000, 50000) were collected from different food vendors. Each note was preserved in a sterile falcon tube and transported to the microbiology lab for bacteriological examination. Data from questionnaires was analyzed using SPSS version 23 (IBM SPSS Statistics). Results: all sampled paper notes had bacterial contamination. The bacterial counts ranged from 4×102 cfu/ml to 6.8×109 cfu/ml, with the Shs.1000 notes having the highest average total bacterial load of 2.17×109 cfu/ml and highest average total coli form counts of 21.5×102 cfu/ml. The fifty thousand shillings note had no coliform detected. Of the analysed 60 samples, 27(45%) samples contained <i>Staphylococcus aureus</i>. None of the sampled paper notes had <i>Escherichia coli</i>. Conclusion: the study revealed that most of Ugandan paper notes are contaminated with bacteria including potential pathogens that cause disease in healthy individuals and opportunistic pathogens that may cause disease in hospitalized and immunocompromised patients. This study showed that the most contaminated note denominations were those of low denomination (Shs.1000 and Shs.2000) which had the highest bacterial count. The study revealed the paper currency notes were stored in different places where the commonest was the drawer and kept with different items, the commonest being pens. Hence, great care must be taken while handling money during the preparation and handling of food to avoid cross contamination

A review of phage mediated antibacterial applications

Background: For over a decade, resistance to newly synthesized antibiotics has been observed worldwide. The challenge of antibiotic resistance has led to several pharmaceutical companies to abandon the synthesis of new drugs in fear of bacteria developing resistance in a short period hence limiting initial investment return. To this effect, alternative approaches such as the use of bacteriophages to treat bacterial infections are being explored. This review explores the recent advances in phage-mediated antibacterial applications and their limitations.Methods: We conducted a comprehensive literature search of PubMed, Lib Hub and Google Scholar databases from January 2019 to November 2019. The search key words used were the application of bacteriophages to inhibit bacterial growth and human phage therapy to extract full-text research articles and proceedings from International Conferences published only in English.Results: The search generated 709 articles of which 95 full-text research articles fulfilled the inclusion guidelines. Transmission Electron Microscopy morphological characterization conducted in 23 studies registered Myoviruses, Siphoviruses, Podoviruses, and Cytoviruses phage families while molecular characterization revealed that some phages were not safe to use as they harbored undesirable genes. All in vivo phage therapy studies in humans and model animals against multidrug-resistant (MDR) bacterial infection provided 100% protection. Ex vivo and in vitro phage therapy experiments exhibited overwhelming results as they registered high efficacies of up to 100% against MDR clinical isolates. Phage-mediated bio-preservation of foods and beverages and bio-sanitization of surfaces were highly successful with bacterial growth suppression of up to 100%. Phage endolysins revealed efficacies statistically comparable to those of phages and restored normal ethanol production by completely eradicating lactic acid bacteria in ethanol fermenters. Furthermore, the average multiplicity of infection was highest in ex vivo phage therapy (557,291.8) followed by in vivo (155,612.4) and in vitro (434.5)

The quality of water from protected springs in Katwe and Kisenyi parishes, Kampala city, Uganda

Background: In the sub-urban areas of Kampala city, springs are a major source of water for domestic use. Though spring water is considered to be aesthetically acceptable for domestic use, presence of poorly designed pit latrines, poor solid waste management as well as poor and inadequate spring protection, may lead to contamination of spring water with pathogenic bacteria. Objectives: The objectives of the study were to examine the bacteriological quality of water from ten springs in Katwe and Kisenyi parishes of Kampala, and to identify and quantify risks for spring water contamination with faecal bacteria. Methods: A cross-sectional sanitary risk assessment using a standardised format was carried out in ten randomly selected springs in the parishes of Katwe and Kisenyi parishes in Kampala. A total of 80 samples of water from these springs were collected from December 2001 to March 2002. The samples were analysed for indicators of faecal contamination: total coliforms, faecal coliforms and faecal streptococci. Physico-chemical parameters were measured. Results: Aggregate qualitative sanitary risk scores ranged from medium to high. The total coliform counts in 90% of the samples exceeded the WHO guideline for drinking water. All the samples had faecal coliform counts above the WHO guideline. A strong correlation (r2= 887) was observed between the median faecal coliform counts and the sanitary risk score. Sixty percent of the samples had nitrate levels above the WHO recommended limit. There was no correlation between the levels of chlorides and nitrates and levels of indicators of faecal bacterial contamination. Conclusions: The sanitary risk assessment score is a reliable tool for predicting the likely levels of bacterial contamination of spring water. Water from the ten protected springs studied is unsuitable for drinking without treatment. African Journal of Health Sciences Vol.5(1) 2005: 14-2

The quality of water from protected springs in Katwe and Kisenyi parishes, Kampala city, Uganda

BACKGROUND: In the sub-urban areas of Kampala city, springs are a major source of water for domestic use. Though spring water is considered to be aesthetically acceptable for domestic use, presence of poorly designed pit latrines, poor solid waste management as well as poor and inadequate spring protection, may lead to contamination of spring water with pathogenic bacteria. OBJECTIVES: The objectives of the study were to examine the bacteriological quality of water from ten springs in Katwe and Kisenyi parishes of Kampala, and to identify and quantify risks for spring water contamination with faecal bacteria. METHODS: A cross-sectional sanitary risk assessment using a standardised format was carried out in ten randomly selected springs in the parishes of Katwe and Kisenyi parishes in Kampala. A total of 80 samples of water from these springs were collected from December 2001 to March 2002. The samples were analysed for indicators of faecal contamination: total coliforms, faecal coliforms and faecal streptococci. Physico-chemical parameters were measured. RESULTS: Aggregate qualitative sanitary risk scores ranged from medium to high. The total coliform counts in 90% of the samples exceeded the WHO guideline for drinking water. All the samples had faecal coliform counts above the WHO guideline. A strong correlation (r2= 887) was observed between the median faecal coliform counts and the sanitary risk score. Sixty percent of the samples had nitrate levels above the WHO recommended limit. There was no correlation between the levels of chlorides and nitrates and levels of indicators of faecal bacterial contamination. CONCLUSIONS: The sanitary risk assessment score is a reliable tool for predicting the likely levels of bacterial contamination of spring water. Water from the ten protected springs studied is unsuitable for drinking without treatment

Supply Chain and Delivery of Antimicrobial Drugs in Smallholder Livestock Production Systems in Uganda.

This study assessed the veterinary drug supply chain in Uganda, the constraints faced by the actors, and how the challenges influence the use of antimicrobial (AMs) by livestock farmers. We carried out stakeholder consultation workshops, key informant interviews and a knowledge, practices, and awareness survey with actors of the veterinary drug supply chain. We also profiled drugs stored in 23 urban and peri-urban drug shops in Lira and Mukono districts to record the commonly sold drugs. The veterinary drug supply chain is made of several actors including wholesalers, retailers, Animal Health Service Providers (AHSP) and farmers. Nearly ninety per cent of drug retailers and veterinary practitioners did not receive specialized training in veterinary medicine, and most of veterinary practitioners have been in the drug business market for more than 10 years. Antibiotics and anti-helminthics were the most stocked drugs by retailers, with antibiotics ranking highest in terms of contribution to annual financial profits, accounting for 33%. The choice of a drug by veterinary practitioners was mainly informed by past success with efficacy of the drug, and financial capacity of the client (the farmer) to meet the treatment cost. Many veterinary practitioners were not conversant with veterinary drug policies of the country, with Mukono having a higher number (72%) compared to Lira (37%). Veterinary practitioners from Lira district compared to Mukono and those mainly serving small scale farmers relative to large scale smallholders were more knowledgeable about antibiotics and AMR. Several supply chain constraints were identified as potential drivers of misuse of antibiotics that could contribute to AMR. These included low level of education of supply chain actors, particularly drug retailers, poor handling of drugs at purchase and administration practices, low enforcement of policies and regulations, and lack of awareness of stakeholders about policies that regulate drug use. Thus, future interventions to reduce misuse of AM drugs in livestock production systems in Uganda such as capacity building, should also target veterinary input suppliers, and deliberately involve a strong policy advocacy component

A systematic review: the current status of carbapenem resistance in East Africa

Abstract Objective In this systematic review, we present the molecular epidemiology and knowledge gaps of the carbapenem resistance in East Africa as well as the future probable research interventions that can be used to address the emergence of carbapenem resistance in the region. Results The 17 articles which presented concrete information about the prevalence of carbapenem resistance in East Africa were reviewed. Tanzania exhibited the highest level of carbapenem resistance at 35% while DRC had the lowest level at 0.96%. Uganda was the only country with studies documenting CR obtained amongst hospital environment isolates with incidence ranging from 21% in Pseudomonas aeruginosa to 55% in Acinetobacter baumannii. Carbapenem resistance was more exhibited in A. baumannii (23%), followed by P. aeruginosa (17%), Klebsiella pneumoniae (15%), Proteus mirabilis (14%) and Escherichia coli (12%) mainly isolated from respiratory tract, blood, urine and wound/pus. The regional genetic determinants of carbapenem resistance detected were blaIMP, blaVIM-1 blaSPM-l, blaNDM-1, blaOXA-23 blaOXA-24, blaOXA-58 and blaKPC

An International Experiential Learning Program: A Study Abroad Experience in Uganda

An international experience helps create anawareness of international perspectives and preparesstudents for a global workforce. Creating an effectivestudy abroad experience requires strong collaborationand active involvement of local and foreign host partnerinstitutions. This paper describes a one month summerstudy abroad experience in Uganda developed jointly byNorth Dakota State University (NDSU) and MakerereUniversity in Kampala, Uganda to offer internationaleducational experiences with an emphasis on animalproduction and health. The elements shared in thispaper include: course overview and objectives; courserequirements, content and evaluation, management andfunding; student participation; the experiential learningexperience in Uganda; impact; benefits; challenges;student comments; and future directions in promotinginternational learning experiences. The course supportsNDSU’s mission to “address the needs and aspirationsof people in a changing world,” its vision to “be globallyidentified as a contemporary metropolitan land grantinstitution” and its core values to “reflect and servegeographically and culturally diverse populations,”“remain committed to serving people globally” and “valuecollaboration with colleges and universities around theworld.” When considering a study abroad experience,students should be encouraged to broaden their choiceof place and include non-traditional destinations such asdeveloping countries in Africa

Use of sulfonamides in layers in Kampala district, Uganda and sulfonamide residues in commercial eggs

BACKGROUND: Use of antimicrobials like sulfonamides in production of layers is a public health risk since it inevitably results in sulfonamide residues in eggs. The presence of the residues may be influenced by knowledge, attitudes and practices of farmers regarding use of sulfonamides (and other antimicrobials) in poultry. OBJECTIVE: The study aimed at assessing the possible contribution of the knowledge, attitudes and practices of poultry farmers to the presence/levels of sulfonamide residues in hen eggs. METHODS: A descriptive cross sectional study was done in the 5 political divisions (and surroundings) of Kampala district. Sixty farmers were systematically sampled from a list of poultry farmers in Kampala and a semi-structured questionnaire administered. Each farmer provided sixty eggs for analysis of sulfadiazine and sulfamethazine residues. Whole eggs were homogenized in acetonitrile and centrifuged twice, extracts evaporated and residues dissolved in mobile phase (32:68, methanol: potassium dihydrogen phosphate). Fats were removed using hexane while anhydrous sodium chloride was added to break emulsions. Extracts were analyzed by reverse phase high performance liquid chromatography with photodiode array detector. RESULTS: Ninety-five percent of the farmers never observed withdrawal periods although 80% of them knew the importance of withdrawal periods. However, farmers noted that they play a great role in ensuring a safe food supply. Most farmers attributed the non-observance of withdrawal periods to poverty and fear to lose their investments. Ninety-eight percent of the samples had detectable levels of the sulfonamides. Meanwhile, 98.3% of the samples that had detectable sulfonamide residues came from farmers who applied antimicrobials in feeds/ water. CONCLUSION: Consumers of hen eggs in Kampala district are at high risk of sulfonamide residue exposure due to poor farming/regulatory practices