scholarly journals Prevalence of Diarrhoeagenic Escherichia Coli and Associated Risk Factors in Dug Wells in Ile-Ife, Southwestern Nigeria

2021 ◽  
Author(s):  
Babatunde Odetoyin ◽  
Olawumi Ogundipe ◽  
Adebola Onanuga
Keyword(s):  
Risk Factors ◽  
Escherichia Coli ◽  
Drinking Water ◽  
Diversity Index ◽  
Shannon Diversity Index ◽  
Southwestern Nigeria ◽  
E Coli ◽  
Shannon Diversity ◽  
Dug Wells ◽  
Associated Risk Factors

Abstract BackgroundDiarrhoeagenic Escherichia coli (DEC) strains are common bacterial causes of morbidity and mortality in young children. Waterborne DEC could pose a potential health risk to humans through domestic use of contaminated water. However, epidemiological studies on DEC strains in drinking water are scarce in Nigeria. This study determined the prevalence, diversity and factors associated with the presence of DEC in dug wells in Ile-Ife, southwestern Nigeria.MethodsWe assessed 143 wells for safety by coliform count using the multiple tube technique. A standardized questionnaire was used to obtain relevant information about the wells and their owners. Contaminating isolates were identified as E. coli by amplifying their 16S rRNA gene. Five DEC pathotypes comprising enterotoxigenic E. coli (ETEC), enteroaggregative E. coli (EAEC) enteroinvasive E. coli (EIEC), enteropathogenic E. coli (EPEC) and Shiga-toxin producing E. coli (STEC) were detected using two sets of multiplex PCR assays. Isolates diversity was determined by (GTG)5 Repetitive element palindromic PCR and Shannon diversity index. Multivariate logistic regression analysis was used to identify associated risk factors. Results Fifty-eight (40.6%) wells were contaminated by diarrhoeagenic E. coli. Wells with dirty platforms, damaged by erosion and sited near septic tanks significantly harboured DEC (p<0.05). There was a preponderance of STEC among the isolates with nine isolates carrying multiple diarrhoeagenic genes and 10 (17.2%) wells contaminated by multiple DEC strains. The (GTG)5-PCR fingerprinting assigned all DEC strains into six clades, with an overall Shannon diversity index of 18.87. A diverse profile was obtained among and between the isolates recovered from different sources.ConclusionsThe presence of DEC strains in drinking water highlights the risk to human health associated with the use of untreated water. There was a high degree of genetic diversity among the isolates implying multiple sources of contamination. There is a need for periodic sanitation and inspection of wells for cracks to prevent seepages and possible outbreaks of waterborne diseases.

scholarly journals Molecular detection and antibiotic resistance pattern of extended-spectrum beta-lactamase producing Escherichia coli in a Tertiary Hospital in Enugu, Nigeria

2019 ◽  
Vol 18 (1) ◽  
Author(s):  
Ifeyinwa N. Nwafia ◽  
Martin E. Ohanu ◽  
Samuel O. Ebede ◽  
Uchenna C. Ozumba
Keyword(s):  
Risk Factors ◽  
Escherichia Coli ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Intensive Care Unit Admission ◽  
Beta Lactamase ◽  
Extended Spectrum Beta Lactamase ◽  
E Coli ◽  
Extended Spectrum ◽  
Associated Risk Factors

Abstract Background The use of antibiotic agents in the treatment of infectious diseases has greatly contributed to the decrease in morbidity and mortality, but these great advances in treatment are being undermined by the rapidly increasing antimicrobial resistant organisms. Extended-spectrum beta-lactamases are enzymes hydrolyzing the beta lactam antibiotics, including third generation cephalosporins and monobactams but not cephamycins and carbapenems. They pose a serious global health threat and have become a challenge for health care providers. The aim of this research was to assess the prevalence of extended-spectrum beta-lactamase producing Escherichia coli in University of Nigeria Teaching Hospital Ituku-Ozalla Enugu and to detect the risk factors for acquisition of the resistant organism. To proffer advice on antibiotic stewardship in clinical practice and public health interventions, to curb the spread of the resistant organisms in the hospital. Results Out of the 200 E. coli isolates, 70 (35.00%) were confirmed positive for extended-spectrum beta-lactamase production. Fifty-three (75.7%) were from hospital acquired infections. All the isolates were resistant to ampicillin, tetracycline and chloramphenicol while 68 (97.14%) of the 70 isolates were susceptible to imipenem. BlaTEM, blaSHV and blaTEM were detected in 66 (94%) of the 70 isolates. The ESBL bla genes detected were blaCTX-M (n = 26; 37.14%), blaTEM (n = 7; 10.00%), blaSHV (n = 2; 2.86%), blaCTX-M/TEM (n = 7; 10.0%), blaCTX-M/SHV (n = 14; 20.0%) and blaCTX-M/TEM/SHV (n = 10; 14.29%). The three bla genes were not detected in 4 (5.71%) of the isolates. Recent surgery, previous antibiotic and intensive care unit admission were the associated risk factors to infections caused by extended-spectrum beta-lactamase producing E. coli. Conclusion There is a high rate of infections caused by extended-spectrum beta-lactamase producing E. coli. Recent surgery, previous antibiotic and intensive care unit admission were associated risk factors.

scholarly journals Prevalence, multidrug-resistance and risk factors for AmpC β-lactamases producing Escherichia coli from hospitalized patients

2020 ◽  
Vol 14 (12) ◽  
pp. 1466-1469
Author(s):  
Rosy Bala ◽  
Varsha A Singh ◽  
Nitin Gupta ◽  
Pue Rakshit
Keyword(s):  
Risk Factors ◽  
Escherichia Coli ◽  
Drug Resistance ◽  
Multidrug Resistance ◽  
Infection Control ◽  
Three Dimensional ◽  
Hospitalized Patients ◽  
Clinical Specimens ◽  
E Coli ◽  
Associated Risk Factors

Introduction: Multi-drug resistance among AmpC β-lactamases producing Escherichia coli isolates is alarming. The study aimed to know the prevalence and presumptive antibiogram of AmpC producing Escherichia coli isolates and to determine the associated risk factors. Methodology: Escherichia coli isolated from various clinical specimens from hospitalized patients during the study period (January 2018- December 2018) were taken for the study. Standard biochemical reactions were used for organism identification. Antibiotic susceptibility testing was done using Kirby-Bauer method as per CLSI guidelines. Cefoxitin resistance was taken as screening tool to detect AmpC producing strains. The phenotypic confirmation was done using modified three-dimensional test. Multiplex PCR was used to detect pAmpC. Results: A total non-duplicate consecutive 470 Escherichia coli were isolated from various clinical specimens of hospitalized patients during the study period. Cefoxitin resistance was observed in 51.9% (244/470). Modified three dimensional test was positive in 115/244 (47.1%) strains. Genotypic characterization of phenotypic positive AmpC strains showed presence of CIT and DHA genes among 33/115 and 19/115 isolates respectively. The overall prevalence of pAmpC producing E. coli was found to be 52/470 (11.1%). Multidrug resistance (MDR) was observed in 42/52 (80.7%) pAmpC strains. Antimicrobial use, prolonged hospitalization and interventions were associated risk factors for AmpC producing isolates. Conclusions: A high prevalence of multidrug resistance among AmpC producing strains suggests plasmid mediated spread of drug resistance in E. coli. Every hospital should formulate and implement infection control policies at-least for the risk group patients to control the dissemination of such microbes as infection prevention is better than infection control.

scholarly journals Prevalence, Antimicrobial Susceptibility Pattern and Associated Risk Factors for Salmonella Species and Escherichia Coli from Raw Meat at butchery houses in Mekelle, Tigray, Northern Ethiopia

2020 ◽  
Author(s):  
HAFTAY Abraha TADESSE ◽  
Atsebaha Gebrekidan Kahsay ◽  
Dawit Gebreegziabiher Hagos
Keyword(s):  
Risk Factors ◽  
Escherichia Coli ◽  
Antimicrobial Susceptibility ◽  
Bacterial Contamination ◽  
Diffusion Method ◽  
Northern Ethiopia ◽  
Raw Meat ◽  
E Coli ◽  
Associated Risk Factors ◽  
Susceptibility Patterns

Abstract Background: Salmonella species and Escherichia coli (E. coli) are important foodborne pathogens affecting humans and animals. They are among the most important causes of infection that are associated with the consumption of contaminated food. This study was aimed to determine the prevalence, antimicrobial susceptibility patterns and associated risk factors for Salmonella species and E. coli in raw meat from butchery houses of Mekelle, Northern Ethiopia.MethodA cross-sectional study was conducted from January to December 2019. Socio-demographic data and risk factors were collected using a predesigned questionnaire. Meat samples were collected aseptically from the butchery houses and transported using icebox to Mekelle University, College of Veterinary Sciences for the isolation and identification of Salmonella species and E. coli. Antimicrobial susceptibility patterns were determined using Kirby disc diffusion method. Data obtained were cleaned and entered into Statistical Package for the Social Sciences version 22 and logistic regression models with odds ratio were calculated. P-value < 0.05 was considered as statistically significant.ResultsA total of 153 out of 384 (39.8%) of the meat specimens were found to be contaminated. The contamination of Salmonella species and E. coli were 15.6% (n=60) and 20.8%) (n=80), respectively. Mixed contamination (Salmonella species and E. coli) was observed in 13 (3.4 %) of the analyzed. Poor washing hands regularly (AOR = 8.37; 95% CI: 2.75-25.50) and not using gloves during meat handling (AOR=11. 28; 95% CI: (4.69‑27.10) were associated with an overall bacterial contamination About 95.5% of the tested isolates were sensitive to chloramphenicol and norfloxacin while the resistance of amoxyclav_amoxicillin and erythromycin were both isolated bacteria species. The overall multidrug resistance pattern for Salmonella and E. coli were 51.4% (n=19) and 31.8% (14), respectively.ConclusionOf the 153 (153/384) contaminated raw meat, 60 (15.6%) and 80 (20.8%) were contaminated by Salmonella species and E. coli, respectively. Poor handwashing practice and not using glove during meat handling showed significant association with bacterial contamination. Multidrug-resistant showed in Salmonella species and E. coli were 19 (51.4%) and 14 (31.8%), respectively.

scholarly journals On a Variational Definition for the Jensen-Shannon Symmetrization of Distances Based on the Information Radius

Entropy ◽  
2021 ◽  
Vol 23 (4) ◽  
pp. 464
Author(s):  
Frank Nielsen
Keyword(s):  
Diversity Index ◽  
Diversity Indices ◽  
Shannon Diversity Index ◽  
Probability Measures ◽  
Variational Optimization ◽  
Shannon Diversity ◽  
Concept Of Information ◽  
Jensen Shannon Divergence

We generalize the Jensen-Shannon divergence and the Jensen-Shannon diversity index by considering a variational definition with respect to a generic mean, thereby extending the notion of Sibson’s information radius. The variational definition applies to any arbitrary distance and yields a new way to define a Jensen-Shannon symmetrization of distances. When the variational optimization is further constrained to belong to prescribed families of probability measures, we get relative Jensen-Shannon divergences and their equivalent Jensen-Shannon symmetrizations of distances that generalize the concept of information projections. Finally, we touch upon applications of these variational Jensen-Shannon divergences and diversity indices to clustering and quantization tasks of probability measures, including statistical mixtures.

scholarly journals Species richness and diversity in shrub savanna using ordinary kriging

2016 ◽  
Vol 51 (8) ◽  
pp. 958-966 ◽  
Author(s):  
Anderson Pedro Bernardina Batista ◽  
José Márcio de Mello ◽  
Marcel Régis Raimundo ◽  
Henrique Ferraço Scolforo ◽  
Aliny Aparecida dos Reis ◽  
...  
Keyword(s):  
Spatial Distribution ◽  
Species Richness ◽  
Spatial Dependence ◽  
Ordinary Kriging ◽  
Diversity Index ◽  
Spatial Models ◽  
Shannon Diversity Index ◽  
Shannon Diversity ◽  
Species Richness And Diversity ◽  
Number Of Species

Abstract: The objective of this work was to analyze the spatial distribution and the behavior of species richness and diversity in a shrub savanna fragment, in 2003 and 2014, using ordinary kriging, in the state of Minas Gerais, Brazil. In both evaluation years, the measurements were performed in a fragment with 236.85 hectares, in which individual trees were measured and identified across 40 plots (1,000 m2). Species richness was determined by the total number of species in each plot, and diversity by the Shannon diversity index. For the variogram study, spatial models were fitted and selected. Then, ordinary kriging was applied and the spatial distribution of the assessed variables was described. A strong spatial dependence was observed between species richness and diversity by the Shannon diversity index (<25% spatial dependence degree). Areas of low and high species diversity and richness were found in the shrub savanna fragment. Spatial distribution behavior shows relative stability regarding the number of species and the Shannon diversity index in the evaluated years.

scholarly journals Drinking water and diarrhoeal disease due to Escherichia coli

2003 ◽  
Vol 1 (2) ◽  
pp. 65-72 ◽  
Author(s):  
Paul R. Hunter
Keyword(s):  
Escherichia Coli ◽  
Drinking Water ◽  
Clinical Presentation ◽  
Diarrhoeal Disease ◽  
Central Place ◽  
E Coli ◽  
Related Disease ◽  
Direct Damage ◽  
Water Microbiology

Escherichia coli has had a central place in water microbiology for decades as an indicator of faecal pollution. It is only relatively recently that the role of E. coli as pathogen, rather than indicator, in drinking water has begun to be stressed. Interest in the role of E. coli as a cause of diarrhoeal disease has increased because of the emergence of E. coli O157:H7 and other enterohaemorrhagic E. coli, due to the severity of the related disease. There are enterotoxigenic, enteropathogenic, enterohaemorrhagic, enteroinvasive, enteroaggregative and diffusely adherent strains of E. coli. Each type of E. coli causes diarrhoeal disease through different mechanisms and each causes a different clinical presentation. Several of the types cause diarrhoea by the elaboration of one or more toxins, others by some other form of direct damage to epithelial cells. This paper discusses each of these types in turn and also describes their epidemiology, with particular reference to whether they are waterborne or not.

scholarly journals Spread of Antibiotic Resistance in Aquatic Environments: E. coli as a Case Study

Proceedings ◽  
2018 ◽  
Vol 2 (11) ◽  
pp. 693 ◽  
Author(s):  
Maria Adamantia Efstratiou ◽  
Marina Bountouni ◽  
Efthimios Kefalas
Keyword(s):  
Escherichia Coli ◽  
Drinking Water ◽  
Antibiotic Resistance ◽  
Rural Communities ◽  
Ground Water ◽  
Aquatic Environments ◽  
Multiple Resistance ◽  
E Coli ◽  
Of Greece

The aim of this study was to gather information on the spread of antibiotic resistance in Escherichia coli isolates from wells, boreholes and untreated drinking water in islands of Greece. We analyzed for antibiotic resistance 235 E. coli strains isolated from untreated drinking water of small rural communities, and ground water from 4 islands. Resistance was tested against Norfloxacin, Ciprofloxacin, Levofloxacin, Amoxicillin and Cefaclor. More than half (54.9%) were resistant to at least one of the antibiotics tested. Of these 26.3% showed multiple resistance (to two or more antibiotics). Strains from drinking water sources were overall more sensitive. Frequent resistance was observed for Amoxicillin (38.3%) and Levofloxacin (28.5%), low for Norfloxacin (5.5%).

scholarly journals Impact of Extended-Spectrum β-Lactamase Production on Treatment Outcomes of Acute Pyelonephritis Caused by Escherichia coli in Patients without Health Care-Associated Risk Factors

2015 ◽  
Vol 59 (4) ◽  
pp. 1962-1968 ◽  
Author(s):  
Sun Hee Park ◽  
Su-Mi Choi ◽  
Dong-Gun Lee ◽  
Sung-Yeon Cho ◽  
Hyo-Jin Lee ◽  
...  
Keyword(s):  
Risk Factors ◽  
Escherichia Coli ◽  
Health Care ◽  
Treatment Outcomes ◽  
Acute Pyelonephritis ◽  
Esbl Production ◽  
Content Type ◽  
E Coli ◽  
Extended Spectrum ◽  
The Impact

ABSTRACTExtended-spectrum β-lactamase-producingEscherichia coli(ESBL-EC) is increasingly identified as a cause of acute pyelonephritis (APN) among patients without recent health care contact, i.e., community-associated APN. This case-control study compared 75 cases of community-associated ESBL-EC APN (CA-ESBL) to 225 controls of community-associated non-ESBL-EC APN (CA-non-ESBL) to identify the risk factors for ESBL-EC acquisition and investigate the impact of ESBL on the treatment outcomes of community-associated APN (CA-APN) caused byE. coliat a Korean hospital during 2007 to 2013. The baseline characteristics were similar between the cases and controls; the risk factors for ESBL-EC were age (>55 years), antibiotic use within the previous year, and diabetes with recurrent APN. The severity of illness did not differ between CA-ESBL and CA-non-ESBL (Acute Physiology and Chronic Health Evaluation [APACHE] II scores [mean ± standard deviation], 7.7 ± 5.9 versus 6.4 ± 5.3;P= 0.071). The proportions of clinical (odds ratio [OR], 1.76; 95% confidence interval [CI], 0.57 to 5.38;P= 0.323) and microbiological (OR, 1.16; 95% CI, 0.51 to 2.65;P= 0.730) cures were similar, although the CA-ESBL APN patients were less likely to receive appropriate antibiotics within 48 h. A multivariable Cox proportional hazards analysis of the prognostic factors for CA-APN caused byE. colishowed that ESBL production was not a significant factor for clinical (hazard ratio [HR], 0.39; 95% CI, 0.12 to 1.30;P= 0.126) or microbiological (HR, 0.49; 95% CI, 0.21 to 1.12;P= 0.091) failure. The estimates did not change after incorporating weights calculated using propensity scores for acquiring ESBL-EC. Therefore, ESBL production did not negatively affect treatment outcomes among patients with community-associatedE. coliAPN.

scholarly journals Intestinal Parasitic Infections and Associated Risk Factors Among School-going Children of Age 1-5 years in Dharan, Eastern Nepal

2021 ◽  
Vol 5 (01) ◽  
pp. 26-35
Author(s):  
Dhiren Subba Limbu ◽  
Samana Shrestha ◽  
Kamana Bantawa ◽  
Ramesh Majhi ◽  
Milan Kharel
Keyword(s):  
Risk Factors ◽  
Drinking Water ◽  
Rural Areas ◽  
Laboratory Data ◽  
Parasitic Infections ◽  
Plastic Container ◽  
Intestinal Parasitic Infections ◽  
Public Health Burden ◽  
Stool Samples ◽  
Associated Risk Factors

 Intestinal parasitic infections have been a major public health burden of developing countries, especially in children. Higher prevalence has been reported among school children, mostly in rural areas of Nepal where water, toilets, hygiene, and sanitation facilities are insufficient. This cross-sectional study was carried out from April to September 2019 to determine the prevalence of intestinal parasitic infections among school-going children1-5 years of Dharan, Nepal, and to assess the associated risk factors. Stool samples were collected in a clean, dry, screw-capped, and wide-mouthed plastic container, kept in an icebox, and transported to the laboratory. Data relating to different risk factors were collected from the parents of 116 participants using a structured questionnaire. The parasites were identified by using the direct wet mount method and formal-ether concentration method. Pearson’s chi-square test was carried out to establish associations between dependent and independent variables using SPSS version 20, and the test considered a greater than < 0.05% as statistically significant with a 95% confidence level. Out of the 116 stool samples, 9 (7.75%) tested positive for the parasitic infections in which 5 (55.5%) were protozoa and 4 (44.45%) were helminths. The prevalent parasites, were Entamoeba histolytica (23%), Hyamenolepis nana (22%), Giardia lamblia (11%), Hookworm (11%), Entamoeba coli (11%), Ascaris lumbricoides (11%), and Intestinal parasitic infections had a significant association with drinking water, bowel syndrome, bathing habit, toilet facility, and washing hands after toilets (p<0.05). Lack of toilets, poor hygiene, and unsafe drinking water were the main risk factors. Improved hygienic practices, safe drinking water, and the use of latrines could lower the rate of parasitic infections.

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