Experience with Hepatitis B viral load testing in Nigeria

Background: Quantification of the viral burden is an important laboratory tool in the management of hepatitis B virus (HBV)-infected patients. However, widespread use of assays is still hampered by the high cost. Treatment reduces viral load to undetectable levels. HBV infected patients tend to have high HBV DNA levels, and severe liver disease.Objectives: This study was carried out to determine the pattern of HBV viral load levels of patients assessing management in Nigeria.Method: Variables included sociodemographics like age, sex, religion, income, educational background and residence. The COBAS Amplicor automated Analyzer (PCR based) was used to assay the virus quantitatively.Results: 594 patients were tested from 2008 to 2009. Statistical analysis was done using Epi info version 2002 and test of significance by Kruskal-Wallis. Mean age of the patients was 36.8 (ranging from 9 to 69) years. HBV viral titre ranged between 4,145 and 68,011,800 DNA copies/ml.Conclusion: There was a high occurrence of viral titre in the population studied. High viral load is a risk factor for hepatocellular carcinoma. A policy earmarked to combat this virus in Nigeria is hereby solicited.Key words: HBV infection, HBV DNA, Nigeriadoi: 10.4314/ajcem.v12i3.

Lipid profile of drug naive HIV patients in a tertiary health facility in Lagos, Nigeria

Aim: To determine the effect of HIV syndrome on lipid profile in a cohort of Nigerians.Objective: To determine the concentrations of total cholesterol (Tchol), triglyceride (TGL), high density lipoprotein (HDL), and low density lipoprotein (LDL) in HIV positive drug naive patients as against HIV negative people.Methods: This study examined the lipid profiles of 50 HIV positive individuals (test group), and 50 HIV negative individuals (control group) at the Human Virology Laboratory of Nigerian Institute of Medical Research (NIMR), Lagos, Nigeria. Informed consent was obtained and the Institutional Review Board (IRB) of NIMR approved the study. A questionnaire based assessment was provided for the individuals to complete, before 5 ml of blood was taken by venopuncture. Blood collected in plain tubes was centrifuged at 3500 rpm for 10 minutes and the serum obtained, used for the various lipid profile tests mentioned above.Statistical analysis on data from the questionnaire was done using Epi info 2000 (CDC).Results: The median lipid profile values for the control group were 168, 85, 99 and 58 mg/dl for Tchol, TGL, HDL and LDL respectively. Conversely, median lipid profile values for the HIV positive patients were 145, 98, 53, and 67 mg/dl for Tchol, TGL, HDL and LDL respectively. P values greater than 0.05 were taken to indicate an insignificant difference between the lipid profiles of the two groups.Conclusion: Based on results obtained, there were significant differences in the Tchol and HDL values between the two groups, indicating a possible effect of HIV on lipid profile for drug naive patients.Key words: lipid profile, HIV, TGL, HDL, LDL, Tchol

Selenium as adjunct to HAART in the management of HIV/Hepatitis B Virus coinfection: A Randomized open label study

Objective: Management of viral hepatitis in patients with HIV disease is quite challenging and  complex. With effective HIV treatment, people with HIV/HBV co-infection are living longer. HBV  epidemiologic surveys showed an inverse association between selenium (Se) level and regional cancer incidence, as well as viral infection. This study assessed effect of selenium as adjunct to HAART in management of HIV/HBV co-infection.Methods: A randomized open label study with participants allocated into three treatment groups: – HAART-only, Se-only and HAART-plus-Se. HIV viral load, HBV viral load, CD4 cell count, and alanine aminotransaminase (ALT), were analyzed at baseline and 18th month, analyzed using SPSS 5 v11. Ethical approval was obtained from Institute’s Ethical Review Board.Results: Sample size was 149 HIV/HBV patients. Rate of HBV clearance was higher among those on HAART-plus-Se at 18th month when compared with rate of clearance among those on HAART-only (p=0.046). CD4 count increment among HAARTplus- Se group compared with HAART-only group was higher (p=0.133), though not statistically significant. On comparison of baseline and 18th month ALT, there was significant decline for HAART-plus-Se (p=0.002) compared with HAART-only group.Conclusion: Selenium seems to have protective effect on liver cells; may be beneficial as adjunct to HAART in HIV/HBV management.Key words: HIV/HBV co-infection, Selenium adjunct, HAAR

Intestinal helminthiasis in children in a suburb of Lagos, Nigeria: Evaluation of risk factors and habits

Various risk factors have been known to predispose children to intestinal helminths infections. We evaluated the impact of multisectoral risk factors on infection prevalence in school children using questionnaire and stool examination. Pupils' hawking habits, schools, classes, antihelminthic prophylaxis, parents' occupation and mothers' educational status were the significant risk factors identified. Logistic regression identified four of the aforementioned factors, age, sex, disposal of excreta and/or septic tanks overflow into open drainages as factors influencing prevalence in this population. Irregular deworming probably reduced the effect of prophylactic use of antihelminthic on prevalence. Hawkers (odds ratio = 3.78) and pupils living in faeces contaminated environs were identified as at risk groups. Public enlightenment campaigns on worms' infestation control strategies, including the reduction of environmental contamination with faeces should reduce intestinal helminthiasis in these children. African Journal of Clinical Experimental Microbiology Vol. 8 (2) 2007: pp. 107-11

Preliminary investigation of the antibacterial activity of Acalypha hispida leaf extracts against local bacterial isolates from skin infections

Acalypha hispida leaf extracts are used locally for the treatment of skin infections. We sought to obtain laboratory-based evidence for this practice by evaluating the antibacterial activity of this extract against local isolates of bacteria obtained from skin lesions and wounds. Aqueous and ethanolic extracts were evaluated using the agar well diffusion method against Staphylococcus aureus, Pseudomonas aeruginosa, Streptococcus pyogenes, Escherichia coli, Klebsiella species, and Salmonella typhimurium. S. aureus (ATCC standard and local) and Ps. Aeruginosa isolates were sensitive to all the extracts but one. E. coli (ATCC standard and local), S. enterica serovar typhimurium and Klebsiella species were only sensitive to the soxhlet leaf extracts while S. pyogenes was sensitive to only the ethanolic soxhlet extract. Though there was no statistically significant difference in the antibacterial activity of the 5-days and 14-days neat extracts obtained by soaking in water (p = 0.13) and ethanol (p = 0.08), their antibacterial activity decreased with longer soaking periods. Likewise, there was no significant difference in the antibacterial activity of the neat water and ethanolic soxhlet extracts (p = 0.48). The results show that A. hispida leaf extracts showed some in vitro antibacterial activity and that aqueous extraction using heat would be the preferred option. Keywords: Acalypha hispida, antibacterial, skin infections, aqueous extract, ethanolic extract Nigerian Journal of Health and Biomedical Sciences Vol. 5 (2) 2006: 12-1

The evolving SARS-CoV-2 epidemic in Africa: Insights from rapidly expanding genomic surveillance

The past 2 years, during which waves of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) variants swept the globe, have starkly highlighted health disparities across nations. Tegally et al. show how the coordinated efforts of talented African scientists have in a short time made great contributions to pandemic surveillance and data gathering. Their efforts and initiatives have provided early warning that has likely benefited wealthier countries more than their own. Genomic surveillance identified the emergence of the highly transmissible Beta and Omicron variants and now the appearance of Omicron sublineages in Africa. However, it is imperative that technology transfer for diagnostics and vaccines, as well the logistic wherewithal to produce and deploy them, match the data-gathering effort