Drug sensitivity of clinical isolates of Mycobacterium tuberculosis and its association with bacterial genotype in the Somali region, Eastern Ethiopia

Background: Drug resistance is becoming a major bottleneck for tuberculosis (TB) control programs in countries with high TB burdens. Although several studies were conducted on the drug sensitivity of Mycobacterium tuberculosis (M. tuberculosis) in central Ethiopia, there is a lack of data on the drug sensitivity of M. tuberculosis in the peripheral regions of the country including in the Somali region. Therefore, the objective of this study was to evaluate the drug sensitivity of M. tuberculosis and its association with bacterial genotype and evaluate the performance of Xpert MTB/RIF (Xpert) in detecting resistance to rifampicin (RIF). Methods: A total of 302 M. tuberculosis were tested using the BD BACTEC-Mycobacteria Growth Indicator Tube 960 (MGIT 960) system for their drug sensitivity to the first-line anti-TB drugs. Besides, the drug sensitivity of 10 multidrug-resistant (MDR) M. tuberculosis isolates was evaluated for the second-line anti-TB drugs. Additionally, 177 of the 302 isolates were tested for genotypic drug resistance using Xpert. Chi-square and Fisher's exact tests were used for the evaluation of the association between variables and drug sensitivity. Results: The overall prevalence of resistance to at least one drug was 11.6% (95% CI: 7.9-15.2%), while the prevalence of MDR was 3.3% (95% CI: 1.3-5.3%). Two of the 10 MDR isolates were resistant to capreomycin. The spoligotype Shared International Type (SIT) 149 was significantly associated with either monoresistance or MDR (p < 0.05). Of the 177 isolates tested by Xpert, 6.2% (11/177) were RIF-resistant. Discordant between Xpert and MGIT 960 was observed in one isolate and linked with probe-binding delay (DeltaCT max = 5.8). The sensitivity and specificity of the Xpert assay were 100 and 99.4%, respectively, while its positive and negative predictive values were 90.9 and 100%, respectively. Conclusion: The magnitude of MDR M. tuberculosis in the Somali region of Ethiopia was higher than the national prevalence of MDR-TB warranting the strengthening of the TB control program in the Somali region. Besides, drug resistance was associated with SIT 149 spoligotype (genotype). The Xpert assay was observed to have high sensitivity and specificity in detecting RIF-resistant M. tuberculosis, which is encouraging for its application widely

Evaluation of shallow ground water recharge and its potential for dry season irrigation at Brante Watershed, Dangila, Ethiopia

The estimation of crop water demand and understanding groundwater use is an essential component for managing water effectively. Groundwater is the main source of irrigation in Dangila. However, there is a lack of information in the study area on amount of irrigated land, irrigation water use and demand, groundwater recharge. Consequently, the objective of this study is to determine the groundwater recharge and its potential for dry season irrigation. The study was conducted in Brante watershed of 5678 ha located in Dangila woreda, Ethiopia. Water table data from twenty-five wells and discharge data at the outlet of the watershed used to assess recharge amount in 2017. To calculate irrigation water demand, CROPWAT model was used. Questionnaires were undertaken to assess groundwater use. A KOMPSAT-2 image was used to map shallow groundwater irrigated vegetables in February 2017. From the soil water balance method, the annual groundwater recharge was 17,717,690 m3 which is 15.8% of annual rainfall, and recharge amount of 14,853,339 m3 was obtained using water table fluctuation method. From satellite image classification the area coverage of dry season irrigated vegetables (onion, tomato, pepper) below the main road was 4.02 ha. From CROPWAT result, seasonal irrigation water demand for onion, Tomato, and pepper was 333,314, and 261 mm respectively. However, the questioners result indicates that farmers apply in average 20% more water than crop water demand. In the watershed 60,150 m3, 62,750 m3 and 41,603 m3 of water was abstracted for irrigation, domestic and livestock use respectively. The ratio of groundwater use to groundwater recharge at the watershed scale was found to be only 1%. This study indicates that the current use of groundwater was sustainable. For better improvement of household livelihood irrigation can be further expand using ground water. Future work should be performed to determine if the method outlined in this research could be used to accurately estimate available water potential