Parasitological identification and histological examination of Fasciola gigantica sequel to occurrence of bovine Billiary fasciolosis in cattle slaughtered at Bodija abattoir, Ibadan

Fasciola gigantica is the parasitic fluke causing tropical fasciolosis leading to greateconomic losses in cattle production in Nigeria. One hundred and five (105) flukes werecollected and identified after careful examination of the bile ducts from twenty one (21)infected slaughtered cattle out of a total of two hundred (200) cattle examined fromBodija Municipal Abattoir. Semichon’s Acetic-Carmine staining technique and histologicalexamination was carried out for parasitic identification while simple faecal floatation andsedimentation techniques was done for parasite egg examination. Postmortemexamination showed enlarged and friable liver covered with fibrin tags while bile ductswere thickened, distended and packed with adult flukes when sliced open. Microscopicand histological examination revealed greyish-brown leaf-shaped adult Fasciola giganticaflukes, bearing a cone shaped projection and a pair of broad shoulders with the intestinalceca branched as well as the testes and the ovary. The vitelline follicles fill the lateralfields of the worm and the common genital pore just anterior to the acetabulum. LargeFasciola gigantica eggs which are oval, yellowish to greenish in colour and bears a polaroperculum. Public enlightenment especially among the butchers and abattoir workersshould be periodical on the public health importance of the parasite and howunwholesome abattoir practices can lead to accidental human infection. This will greatlyreduce the practice of selling infected organ that have been deemed unfit for humanconsumption.Keywords: Fasciola gigantica, Cattle, Semichon’s Acetic-Carmine technique, Histology, Bile duc

Carbapenem resistance expressed by Gram-negative bacilli isolated from a cohort of Libyan patients

Background and objectives: Carbapenem-resistant Enterobacteriaceae (CRE) and other Gram-negative bacteria are among the most common pathogens responsible for both community and hospital acquired infection. The global spread of cephalosporinases in Enterobacteriaceae has led to the increased use of carbapenems resulting in the emergence and rapid spread of CRE. This has become an alarming public health concern, yet the condition in Libya remains unclear. The aim of this study was to obtain a better understanding of CRE strains prevalent in Libyan patients by investigating their phenotypic characteristics and antibiograms. Methods: Gram-negative bacterial species were collected from Misrata Central Hospital, Misrata Cancer Centre and Privet Pathology Laboratories. Clinical samples and swabs were obtained from hospitalised and non-hospitalised patients and from mechanical ventilation and suction machines. Patients who had received antibiotic therapy for at least three days prior to the study were excluded. The identification and characterization of the isolated species were achieved using the growth characteristics on MacConkey and blood agar, spot tests and API 20E or API 20NE biochemical testing systems. Screening for carbapenem resistance was performed using the disk diffusion method with carbapenem 10 μg and cephalosporin 30 μg disks and minimum inhibitory concentrations (MIC) determined using the Sensititre Gram-negative Xtra plate format (GNX2F). All strains demonstrating resistance or reduced susceptibility to one of the four carbapenems were subjected to carbapenememase activity detection using the RAPIDEC CARBA NP test, Modified Hodge test and carbapenem inactivation methods. Results: A total of one hundred and forty isolates representing fourteen bacterial species were isolated from 140 non-duplicated specimens. Clinical specimens included urine samples (96/140, 68.57%), sputum (15/140, 10.71%), surgical wound swabs (18/140, 12.85%), foot swabs from diabetes mellitus (DM) patients (6/140, 4.29%), ear swabs (3/140, 2.14%) and wound swabs (2/140, 1.43%). Thirty-four (24.29%) isolates demonstrated resistance to at least one of the four carbapenems with Klebsiella pneumoniae representing 73.53% (25 isolates) of all carbapenem resistant species, followed by 8.82% for Pseudomonas aeruginosa (3 isolates), 5.88% for both Proteus mirabilis (2 isolates) and Escherichia coli (2 isolates) and 2.94% for both Citrobacter koseri (1 isolate) and Rahnella aquatilis (1 isolate). The other isolates were either susceptible or cephalosporinase producers. Conclusion: This study has revealed the high rate of carbapenem resistance amongst Libyan patients and emphasizes the crucial need for accurate screening, identification and susceptibility testing to prevent further spread of nosocomial and community acquired resistance. This may be achieved through the establishment of antibiotic stewardship programmes along with firm infection control practices.National Research Foundation of South Africa; Libyan GovernmentWeb of Scienc

Parasitic contamination and public health risk of commonly consumed vegetables in Ibadan-Nigeria

Introduction: vegetables form a major component of the human diet. However, poor agronomic practices may put consumers at risk of parasitic infections. This study evaluated the parasitic contamination of vegetables grown in selected farms in Ibadan, Nigeria. Methods: Two hundred and eigthy vegetable species: African eggplant (Solanum macrocarpon), lettuce (Lactuca sativa), cucumber (Brassica oleracea), spinach (Amaranthus cruentus), white jute (Corchorus olitorius), pumpkin (Telfaria occidentalis), green pepper (Capsicum sp.), okro (Abelmoschus esculentus), quill grass (Celosia argenta L), tomato (Lycopersicum sativus) were collected from farms within Ibadan. Samples were washed in water, and the resulting washing solution was filtered and centrifuged to concentrate the parasitic stages. Sediments were examined by iodine and modified Ziehl-Neelsen stained smears technique. Results: parasites were detected in 14 (5.0%, 95% CI 32.6%-67.3%) of samples. The highest contaminated vegetable was white jute 32.1 (95% CI 17.9%-50.6%), followed by pumpkin 7.1(95% CI 1.9-22.6), quill grass 7.1 (95% CI 1.9-22.6) and lettuce 3.5 (95% CI 0.6-17.7). The commonest parasites were Strongyloides stercoralis larvae 42.9 (95% CI 21.3-67.4), Entamoeba histolytica/E.dipaar 21.4 (95% CI 7.5-47.5), Trichostrongylus spp 21.4 (95% CI 21.3-67.4), and Ascaris sp. 14.3 (95% CI 4.0-39.9). Conclusion: these findings provide evidence of contamination of vegetables from farms in Ibadan with parasites of public health importance. Information on best practices should be designed, packaged and disseminated through appropriate channels to enhance positive behavior change among farmers