Uropathogens and antimicrobial susceptibility profiles of asymptomatic bacteriuria among pregnant women receiving antenatal care in traditional birth attendants homes in Ikono, Akwa- Ibom State, Nigeria

Background: Asymptomatic bacteriuria (ASB) in pregnancy is associated with adverse maternal and obstetric outcomes if untreated. The aim of this study was to determine the prevalence and susceptibility profile of ASB among pregnant women attending antenatal clinics in traditional birth attendant homes in Ikono, Akwa-Ibom State.Methods: The study was a cross sectional survey using 350 pregnant women with ASB. Mid-stream clean catch urine samples were collected from the women using sterile containers. The urine samples were cultured, bacterial colonies were identified and antibiotic sensitivity was done. Data was analyzed using SPSS version 20.0 and significant was set at ≤0.05.Results: The overall prevalence was 33.4% using 350 asymptomatic pregnant women. The mean age was 26.21±3.6 years and aged 27-32 have the highest prevalence (13.4) of ASB. 55.1% attained primary school, while 33.4% had informal education, monoparous (54%), 3rd trimester was 44.6% with 15.8% positive cases. Multigravidae was 71.1% with 19.4% positive cases. There was significant association of age, education, parity, occupation, monthly income, etc with ASB. The most common isolates were Escherichia coli (29.9%), then Klebsiella pneumonia (19.7%). Pseudomonas aeruginosa was susceptible to gentamicin (92%), Ciprofloxacin (83%) imipenam (83%) and azetronam (75%), while Staphylococcus saprophyticus was susceptible to imipenam (90%), then gentamicin at 80%. Multi-drug resistant were widespread in most of the isolates.Conclusions: Multi-drug resistant were observed in most of the isolates. Continuous and collaborative surveillance of ASB and antimicrobial resistance pattern are essential to reduce the consequence of asymptomatic bacteriuria in pregnant women

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

INTRODUCTION Investment in Africa over the past year with regard to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) sequencing has led to a massive increase in the number of sequences, which, to date, exceeds 100,000 sequences generated to track the pandemic on the continent. These sequences have profoundly affected how public health officials in Africa have navigated the COVID-19 pandemic. RATIONALE We demonstrate how the first 100,000 SARS-CoV-2 sequences from Africa have helped monitor the epidemic on the continent, how genomic surveillance expanded over the course of the pandemic, and how we adapted our sequencing methods to deal with an evolving virus. Finally, we also examine how viral lineages have spread across the continent in a phylogeographic framework to gain insights into the underlying temporal and spatial transmission dynamics for several variants of concern (VOCs). RESULTS Our results indicate that the number of countries in Africa that can sequence the virus within their own borders is growing and that this is coupled with a shorter turnaround time from the time of sampling to sequence submission. Ongoing evolution necessitated the continual updating of primer sets, and, as a result, eight primer sets were designed in tandem with viral evolution and used to ensure effective sequencing of the virus. The pandemic unfolded through multiple waves of infection that were each driven by distinct genetic lineages, with B.1-like ancestral strains associated with the first pandemic wave of infections in 2020. Successive waves on the continent were fueled by different VOCs, with Alpha and Beta cocirculating in distinct spatial patterns during the second wave and Delta and Omicron affecting the whole continent during the third and fourth waves, respectively. Phylogeographic reconstruction points toward distinct differences in viral importation and exportation patterns associated with the Alpha, Beta, Delta, and Omicron variants and subvariants, when considering both Africa versus the rest of the world and viral dissemination within the continent. Our epidemiological and phylogenetic inferences therefore underscore the heterogeneous nature of the pandemic on the continent and highlight key insights and challenges, for instance, recognizing the limitations of low testing proportions. We also highlight the early warning capacity that genomic surveillance in Africa has had for the rest of the world with the detection of new lineages and variants, the most recent being the characterization of various Omicron subvariants. CONCLUSION Sustained investment for diagnostics and genomic surveillance in Africa is needed as the virus continues to evolve. This is important not only to help combat SARS-CoV-2 on the continent but also because it can be used as a platform to help address the many emerging and reemerging infectious disease threats in Africa. In particular, capacity building for local sequencing within countries or within the continent should be prioritized because this is generally associated with shorter turnaround times, providing the most benefit to local public health authorities tasked with pandemic response and mitigation and allowing for the fastest reaction to localized outbreaks. These investments are crucial for pandemic preparedness and response and will serve the health of the continent well into the 21st century

Evaluation of Pollution Load: Heavy Metal Contents and Physiochemical Properties of the Great Kwa River, Calabar, Cross River State, Nigeria

Background and Objectives: Human activities can increase the amount of pollutants in the environment leading to water pollution. The contamination of surface water and sediments by heavy metals can result in adverse health conditions of humans, due to the bioaccumulation of metals. This study seeks to assess the pollution load of some heavy metals and physiochemical properties in Great Kwa River. Methods: Water samples were collected once a month from three stations within four selected months in wet and dry seasons. Samples were preserved by adding 10 ml of 6 N Nitric acid and stored at 5oC. Laboratory investigations were conducted and data analyzed statistically. Findings: The mean pH, dissolved O2, biological O2 demand, conductivity, NO3, NH4 and temperature were 7.44±1.24, 5.58±0.92, 0.957±0.002, 32.84±2.941, 0.1030±0.1701, 0.113±0.018 and 28.2±1.48, respectively during wet season. Mean concentration of Cu, Fe, Cr, Mn, Zn, Ni are 0.225±0.003, 0.489±0.009, 0.068±0.016, 0.102±0.006, 0.794±0.003, 0.031±0.001, respectively during the wet season. Mean concentration of metals in the river during the wet season were ranked in descending order as Zn > Fe > Cu > Mn > Cr > Ni. Iron (0.489±0.009 mg/l and 0.438±0.003 mg/l), chromium (0.068±0.016 mg/l and 0.055±0.008 mg/l), nickel (0.031±0.001 mg/l and 0.025±0.002 mg/l) were higher than Nigerian standard for drinking water in both seasons. The contamination factor of heavy metals in station 3 were 2.14, 1.56, 1.09, 0.89 for Fe, Cr, Ni, Zn, respectively, indicating moderate contamination. The pollution load index in stations 1, 2, 3 were 0.262, 0.537, 0.981, respectively. Conclusion: The present study provided base-line information on the pollution levels and physiochemical properties of the river. The river was not highly polluted by heavy metals except iron, chromium and nickel that were found above the recommended standards. However, drinking of water from the river over one’s lifetime is not advisable due to detrimental health hazards