Bacterial profile and drug susceptibility pattern of urinary tract infection in pregnant women at University of Gondar Teaching Hospital, Northwest Ethiopia

ABSTRACT: BACKGROUND: Urinary tract infection (UTI) is a common health problem among pregnant women. Proper investigation and prompt treatment are needed to prevent serious life threatening condition and morbidity due to urinary tract infection that can occur in pregnant women. Recent report in Addis Ababa, Ethiopia indicated the prevalence of UTI in pregnant women was 11.6 % and Gram negative bacteria was the predominant isolates and showed multi drug resistance. This study aimed to assess bacterial profile that causes urinary tract infection and their antimicrobial susceptibility pattern among pregnant women visiting antenatal clinic at University of Gondar Teaching Hospital, Northwest Ethiopia. METHODS: A cross-sectional study was conducted at University of Gondar Teaching Hospital from March 22 to April 30, 2011. Mid stream urine samples were collected and inoculated into Cystine Lactose Electrolyte Deficient medium (CLED). Colony counts yielding bacterial growth of 105/ml of urine or more of pure isolates were regarded as significant bacteriuria for infection. Colony from CLED was sub cultured onto MacConkey agar and blood agar plates. Identification was done using cultural characteristics and a series of biochemical tests. A standard method of agar disc diffusion susceptibility testing method was used to determine susceptibility patterns of the isolates. RESULTS: The overall prevalence of UTI in pregnant women was 10.4 %. The predominant bacterial pathogens were Escherichia coli 47.5 % followed by coagulase-negative staphylococci 22.5 %, Staphylococcus aureus 10 %, and Klebsiella pneumoniae 10 %. Gram negative isolates were resulted low susceptibility to co-trimoxazole (51.9 %) and tetracycline (40.7 %) whereas Gram positive showed susceptibility to ceftriaxon (84.6 %) and amoxicillin-clavulanic acid (92.3 %). Multiple drug resistance (resistance to two or more drugs) was observed in 95 % of the isolates. CONCLUSION: Significant bacteriuria was observed in asymptomatic pregnant women. Periodic studies are recommended to check the outcome of asymptomatic bacteriuria and also monitor any changes in the susceptibility patterns of urinary tract pathogens in pregnant women.     

Efficacy of Handwashing with Soap and Nail Clipping on Intestinal Parasitic Infections in School-Aged Children: A Factorial Cluster Randomized Controlled Trial

Background

Intestinal parasitic infections are highly endemic among school-aged children in resource-limited settings. To lower their impact, preventive measures should be implemented that are sustainable with available resources. The aim of this study was to assess the impact of handwashing with soap and nail clipping on the prevention of intestinal parasite reinfections.

Methods and Findings

In this trial, 367 parasite-negative school-aged children (aged 6–15 y) were randomly assigned to receive both, one or the other, or neither of the interventions in a 2 × 2 factorial design. Assignment sequence was concealed. After 6 mo of follow-up, stool samples were examined using direct, concentration, and Kato-Katz methods. Hemoglobin levels were determined using a HemoCue spectrometer. The primary study outcomes were prevalence of intestinal parasite reinfection and infection intensity. The secondary outcome was anemia prevalence. Analysis was by intention to treat. Main effects were adjusted for sex, age, drinking water source, latrine use, pre-treatment parasites, handwashing with soap and nail clipping at baseline, and the other factor in the additive model. Fourteen percent (95% CI: 9% to 19%) of the children in the handwashing with soap intervention group were reinfected versus 29% (95% CI: 22% to 36%) in the groups with no handwashing with soap (adjusted odds ratio [AOR] 0.32, 95% CI: 0.17 to 0.62). Similarly, 17% (95% CI: 12% to 22%) of the children in the nail clipping intervention group were reinfected versus 26% (95% CI: 20% to 32%) in the groups with no nail clipping (AOR 0.51, 95% CI: 0.27 to 0.95). Likewise, following the intervention, 13% (95% CI: 8% to 18%) of the children in the handwashing group were anemic versus 23% (95% CI: 17% to 29%) in the groups with no handwashing with soap (AOR 0.39, 95% CI: 0.20 to 0.78). The prevalence of anemia did not differ significantly between children in the nail clipping group and those in the groups with no nail clipping (AOR 0.53, 95% CI: 0.27 to 1.04). The intensive follow-up and monitoring during this study made it such that the assessment of the observed intervention benefits was under rather ideal circumstances, and hence the study could possibly overestimate the effects when compared to usual conditions.

Conclusions

Handwashing with soap at key times and weekly nail clipping significantly decreased intestinal parasite reinfection rates. Furthermore, the handwashing intervention significantly reduced anemia prevalence in children. The next essential step should be implementing pragmatic studies and developing more effective approaches to promote and implement handwashing with soap and nail clipping at larger scales.     

Population status,structure and activity patterns of the Bohor reedbuck Redunca redunca in the north of the Bale Mountains National Park,Ethiopia

The Bohor reedbucks Redunca redunca (Pallas, 1767) were studied in the Bale Mountains National Park (BMNP), Ethiopia to assess their population ecology and activity patterns. The total count method was used to assess population size. Activity patterns of a herd were studied with five minutes recording intervals. There were 406 Bohor reedbucks in the study area of which 96.8% (n = 393) was confined to the Gaysay‐Adelay area. The population was female‐biased. Excluding juveniles, 57.1% (n = 232) was females and 33.5% (n = 136) was males. More adults (71.7%, n = 291) were observed than sub‐adults (18.9%, n = 77) and juveniles (9.4%, n = 38). The herd size of Bohor reedbucks varied from 3 to 5. Herds were seen in aggregations of up to 59 individuals during the dry season in swamp grassland habitat. The maximum number observed in such aggregations during the wet season was 38. The diurnal activity pattern showed feeding peaks early in the morning and late in the afternoon, with resting during the mid‐day. Two feeding peaks were observed in the nocturnal activity phase: one during dusk and the other around midnight. In contradiction to the general concept of occurrence of smaller herds during the dry season, the Bohor reedbucks aggregate in swamps during the dry season. They were also active during night and day time.     

Diversity and habitat association of small mammals in Aridtsy forest,Awi Zone,Ethiopia

Here, we conducted a survey to examine the diversity, distribution and habitat association of small mammals from August 2011 to February 2012 incorporating both wet and dry seasons in Aridtsy forest, Awi Zone, Ethiopia. Using Sherman live traps and snap traps in four randomly selected trapping grids, namely, natural forest, bushland, grassland and farmland, a total of 468 individuals comprising eight species of small mammals(live traps) and 89 rodents of six species(snap traps) were trapped in 2352 and 1200 trap nights, respectively. The trapped small mammals included seven rodents and one insectivore: Lophuromys flavopuntatus(30.6%), Arvicanthis dembeensis(25.8%), Stenocephalemys albipes(20%), Mastomys natalensis(11.6%), Pelomys harringtoni(6.4%), Acomys cahirinus(4.3%), Lemniscomys zebra(0.2%) and the greater red musk shrew(Crocidura flavescens, 1.1%). Analysis showed statistically significant variations in the abundance and habitat preferences of small mammals between habitats during wet and dry seasons.     

Human–hamadryas baboon (Papio hamadryas) conflict in the Wonchit Valley,South Wollo,Ethiopia

Understanding the extent of human–primate conflict is crucial to the development of conservation and management strategies. We carried out this study in an unprotected area of central Ethiopia to examine the magnitude of human–hamadryas baboon (Papio hamadryas) conflict and to assess the attitude of local farmers towards baboons in Wonchit Valley. In 2014, we interviewed 119 adult respondents using a structured questionnaire. Local farmers considered hamadryas baboons to be the major pest in the area. All respondents reported that hamadryas baboons caused crop raiding and small livestock predation in the region. Respondents reported that a shortage of fruit producing wild trees and ready availability of crops were the main causes of conflict between farmers and hamadryas baboons. We found that hamadryas baboons damaged cereal crops at dusk and dawn during full moonlight, and most (89.9%) respondents claimed that they were not interested in hamadryas baboon conservation. Our results indicate that human–hamadryas baboon conflict has a strongly negative impact on both baboon conservation and local farmers. We suggest that to mitigate the human–hamadryas baboon conflict, job opportunities such as beekeeping should be introduced in the region.     

Effects of Maternal Pregnancy Intention,Depressive Symptoms and Social Support on Risk of Low Birth Weight: A Prospective Study from Southwestern Ethiopia

Background

Low birth weight (LBW) is the principal risk factor for neonatal and infant mortality in developing countries. This study examines the effects of unwanted pregnancy, prenatal depression and social support on the risk of low birth weight in rural southwestern Ethiopia. We hypothesized that unwanted pregnancy and prenatal depression increase the risk of low birth weight, while social support mediates this association.

Methods

Data for the study comes from a prospective study in which women were followed from pregnancy through to delivery. Six hundred twenty two women were followed and 537 birth weights were measured within 72 hours. Multivariable log binomial regression was used to model the risk of low birth weight.

Results

The mean birth weight was 2989 grams (SD±504 grams), and the incidence of LBW was 17.88%. The mean birth weight of babies after unwanted pregnancy was 114 g lower compared to births from intended pregnancy. Similarly, mean birth weight for babies among women with symptoms of antenatal depression was 116 grams lower. Results of unadjusted log-binomial regression showed that unwanted pregnancy, prenatal depression and social support were associated with LBW. The relationship between antenatal depressive symptoms and LBW was mediated by the presence of social support, while the association between LBW and unwanted pregnancy remained after multivariable adjustment.

Conclusion

The incidence of low birth weight is high in the study area. Poverty, nonuse of antenatal care, low social support and unwanted pregnancy contribute to this high incidence of low birth weight. Hence, identifying women’s pregnancy intention during antenatal care visits, and providing appropriate counseling and social support will help improve birth outcomes.     

Population status and structure of mountain nyala in the Bale Mountains National Park, Ethiopia

The study on the population status and structure of mountain nyala (Tragelaphus buxtoni) was carried out in the Bale Mountains National Park, Ethiopia during the wet and dry seasons of 2000/2001. Total counts were carried out in an area of 13.1 km². The count ranged between 682 and 732 individuals. Females comprised 62.9% while males 27.4%. The calf ratio was 9.7%. The group structure of the animals varied with season. Large herds were frequently observed during the wet season and smaller groups during the dry season. Group size changed seasonally. In both seasons, 7–12 individuals were the frequent group size formation. The maximum group (62) was observed during the wet season. The population trend of the animal from 1975 to 1990 indicated a recovery and increase. But between 1990 and 1995 the population showed a continuous and steep decline. However, between 1995 and 2000 the population trend showed a better condition when compared with the previous years.     

Serum levels of trace elements and iron-deficiency anemia in adult Vietnamese

This study was aimed at assessing the serum levels of vitamin A, copper, zinc, selenium, and iron among adult Vietnamese with and without iron-deficiency anemia. Blood was collected from adult Vietnamese living in the midland of northern Vietnam. One hundred twenty-three subjects in the age range 20–60 yr were included in the study. Anemia, where the concentration of hemoglobin in whole blood is less than 120 g/L in females and 130 g/L in males, was found in 30% (37/123) of the study population. The levels of vitamin A and selenium in the sera of anemic subjects (n=37) were significantly lower than that in nonanemic group (n=86). On the other hand, no significant differences were observed in the concentrations of copper and zinc between the two groups. This study was the first to show serum levels of trace elements in adult Vietnamese, providing useful baseline information for further studies.     

埃塞俄比亚Senkele Swayne保护区斯韦恩麇羚的种群现状与结构

于2005年10月至2006年4月调查了埃塞俄比亚森可勒斯韦恩麇羚保护区旱季和湿季斯韦恩麋羚（Alcelaphus buselaphus swaynei）的种群现状与结构。根据植被类型、道路和沟谷,将研究区划分为5个区域,并且调查了保护区外的一块休耕农地。利用全部计数法计数了每个区域内的斯韦恩麋羚,在28km^2的区域内共统计到283只（湿季）和351只（旱季）麋羚,湿季和旱季的糜羚数量变化显著,其季节间差异是由旱季的出生高峰造成的。斯韦恩糜羚种群中雌性个体占42．7％、雄性占36．0％、幼羚占21．3％。某些区域的麋羚数量要高于其它区域,且无论湿季或旱季斯韦恩麋羚多集中在狼尾草高草地中。斯韦恩麋羚的种群结构随季节而变化,其大集群经常出现在湿季而旱季集群较小。斯韦恩麇羚的种群动态因保护程度的不同在不同时期呈不规则性变化