Detection of Multidrug-Resistant Acinetobacter baumannii among Gram-Negative Bacteria Isolated from Clinical Samples

Acinetobacter baumannii is an aerobic, Gram -negative cocco-bacilli, non-fermentative, non-motile, and non-fastidious organism belonging to the genus Acinetobacter. The A. baumannii has emerged as a worldwide nosocomial pathogen causing about 80%25 of nosocomial infections comprising ventilator-acquired pneumonia, bacteremia, meningitis, urinary tract infections, skin and soft tissues infections associated with high mortality rate of approximately 63.3%25. Although literature shows sufficient information about the drug resistant A. baumannii, there has been inadequate reports on the antibiotic resistance level of this bacterium in the study area. The aim of this research was to detect Multidrug-resistant A. baumannii isolates among Gram-negative bacteria isolated from Federal Teaching Hospital, Gombe, Nigeria. A total of 1008 clinical samples were collected and cultured on MacConkey agar and Blood agar plates at 37o C for 18-24 hours. Following the incubation period, discrete colonies obtained were subjected to Gram staining. The Gram-negative isolates were identified based on conventional biochemical tests with further use of VITEK 2 COMPACT (BioMérieux, France) for confirmation of A. baumannii amongst the Gram-negative organisms. The results obtained showed that 263 Gram-negative organisms were isolated. A. baumannii accounted for 8.5%25 prevalence. Most of the A. baumannii isolated were from the male patients (75%25) within the age range of 33-48 years. Antibiotic susceptibility test using Kirby Bauer method in accordance with CLSI guidelines was done on 20 A. baumannii isolates. The isolates were more sensitive to levofloxacin (60%25), followed by Gentamicin (55%25), then Ciprofloxacin and Tetracycline (50%25) respectively. High level of resistance to Ceftriaxone (80%25), Cefepime (75%25), Ceftazidime (65%25), Piperacillin-Tazobactam (55%25), Ampicillin%252FSulbactam (60%25), Tigecycline (60%25), Meropenem (55%25) and Amikacin (60%25). This study revealed that 15 (75%25) of the A. baumannii were found to be multidrug-resistant. Therefore, antibiotic stewardship is necessary to combat further dissemination of this organism

Evaluation of Antibacterial Potency of Endophytic Fungi Isolated from Mentha piperita

The Mentha piperita is an aromatic perennial herb, a member of the family Lamiaceae (Labiatae) that produces creeping stolons, growing in the range of 45 to 80 cm tall. Fungal endophytes reside in the healthy plant tissues to produce several metabolic products such as plants growth hormones, anti-phagocytes to biological feeding, medicinal ingredients, and many products of biological activities. Hence, they are regarded as a reservoir of active metabolites for the development of novel drugs. Although, many endophytic fungi have been reported from different plants, reports on fungal endophytes from M. piperita are very limited. In this study, fungal endophytes from the leaf and stem of M. piperita were successfully evaluated for their potential antibacterial properties. Healthy leaves of the peppermint were prepared and cultured on potato dextrose agar (PDA) plates for 5 to 7 days at 28 oC until fungal colonies appeared. Fifteen (15) fungal isolates were identified based on cultural and morphological characteristics and had six (6) rapid growing species, namely Aspergillus fumigatus, Rhizopus arrhizus, Aspergillus flavus, Fusarium oxysporum, Aspergillus niger, Alternaria alternate which were selected and evaluated their crude metabolites against c using agar well diffusion method. The susceptibility study showed a remarkable in vitro antibacterial activity of the fungal crude metabolites against all the test bacteria which increased with an increased incubation time of 7, 14 and 21 days incubation. However, the fungi displayed maximal zone of growth inhibition after 21 days of incubation. In conclusion, fungal endophytes were isolated from M. piperita and evaluated in vitro antibacterial activity of their crude metabolites against the test bacterial isolates

Synthesis, characterization and antimicrobial studies of metal complexes of mixed ligands : citric acid and amodiaquine

A range of d-block transition metals complexes of mixed amodiaquine and citric acid have been synthesized and characterised using microanalytical technique, elemental analysis, FT-IR spectroscopy and magnetic measurement. The results of the analytical and spectroscopic data revealed that both amodiaquine and citric acid acted as bidentate ligands in their mode of coordination with the metal ions.The citric acid bound through the carbonyl (C=O) and hydroxyl groups to the metal ions while, amodiaquine coordinated through the nitrogen atom of the amine and oxygen donor atom of hydroxyl group; resulted in structures with octahedral geometry. Percentage composition and magnetic Bohr moment data indicated that all metal complexes were paramagnetic. Molar conductance measurement indicates that the complexes are non-electrolytes in nature. The antimicrobial activity of the ligands and their mixed complexes was carried out against g(+)Pseudomonas aeruginosa, g(+)E. coli, g(+)Klebsiella pneumonia, g(+)Staphylococcus aureus and g(+)Candida using Muller Hinton diffusion method. The citric acid and amodiaquine result showed low or moderate value from (0.6-0.8) for all the metal complexes with the exception of the Cu (II) complex having inhibitory zones ranging from 1-0-1.3, 0.7-0.9 at 200 ppm respectively. Moreover, the free ligands were found being less active compared with their mixed complexes.Keywords: Citric acid, Amodiaquine, Complexes, Antimicrobial studie

Management of Open-Cervix Pyometra in a Four-Year-Old German Shepherd-Cross Bitch

No Abstract

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Suppression of damaging effects of Callosobruchus maculatus (F.) (Coleoptera: Chrysomelidae) by plant powders

Powders prepared from plant species available in Nigeria are reported to possess ovicidal, larvicidal, pesticidal, antifeedant and repellent properties against various insect pests and are regarded as environmentally compatible pesticides. This study evaluated the action of Azadirachta indica A. Juss, Hyptis suaveolens Poit. Piper guineense Thonn. & Schum and Cymbopogon citratus Gaern against the damaging effects of Callosobruchus maculatus (F.) in stored cowpea. The experiment was carried out at temperature of 30 ± 1oC and relative humidity of 72 ± 3%. The plant powders were compared at the rate of 2.5 g per 50 g cowpea seeds including the untreated control. The experiment was laid out in a completely randomized design with three replications. The results showed that all the botanicals gave protection to the stored cowpea seeds and significantly (p<0.05) reduced mean adult emergence and seed weight loss (3.75-4.06%) caused by C. maculatus when compared with the untreated control (6.07%). The number of emerged adults from untreated seeds progressively increased with time of exposure compared to the treated seeds. The increasing order of effectiveness of the botanicals in terms of their insecticidal activities against C. maculatus was P. guineense, C. citratus, H. suaveolens, and A. indica. The study, therefore, shows that the botanicals could serve as protectants against C. maculatus in stored cowpea seeds.Keywords: Botanicals, Callosobruchus maculatus, Cowpea, Damage, Mortality, Protectant

Synthesis, Characterization and Antimicrobial Activities of Some Nicotinamide \u2013 metal

Some transition metal complexes of nicotinamide have been prepared and characterized using melting point, conductivity measurement, infrared, electronic, HNMR and atomic absorption spectroscopic methods. The antibacterial and antifungal studies of the metal complexes and the ligand have been evaluated against Escherichia coli , Staphylococcus and Bacillus subtilis , Aspergillus flavus , Aspergillus niger and penicillum species. It was found that nicotinamide formed stable metal complexes with these metal ions. The analysis of the spectroscopic data shows that nicotinamide act as monodentate, coordinating through the nitrogen atom of the pyridine ring. All the complexes exhibit 4- coordinate geometry. The results of the antimicrobial studies showed that the metal complexes have higher inhibitory activity than the original nicotinamide against the tested bacteria and fungi species