Bacterrial Vaginosis

Among the causes of vaginal discharge, bacterial vaginosis (BV) is the commonest in most communities, with variation in the prevalence from one place to another and according to the method used and the group of patients studied. Evidences are available that, the disease is associated with preterm labour, pre mature rupture of the membranes, post-induced abortion pelvic inflammatory disease, post-hysterectomy vaginal cuff cellulitis and plasma cell endometeritis1-4. Moreover in pregnant women bacterial vaginosis may be associated with amniotic fluid infectionand post-partum endometeritis4. In Sudan, the disease was first reported in 2000 by Kafi and his coworkers who found bacterial vaginosis to be the commonest cause of vaginal discharge (17.2%) in a suburban Sudanese community. It's occurrence rate was almost equal to that of trichomonasis and gonorrhea (collectively) 5. Despite these facts to date, bacterial vagionosis is almost neglected as a cause of vaginal discharge, evidenced by lack of practical advices to the laboratory personnel on how to diagnose it. Moreover, no clinical attention is paid to the disease and its possible clinical outcome. The aim of this article is to throw light on this important subject particularly history, epidemiology, clinical features, diagnosis and management. It is hoped that, this will draw the attention of the gynecologists and laboratory personnel to this subject

Use of Cowpea and Pigeon pea as Nutritional Ingredients in Culture Media

Background: Dehydrated commercial culture media are hygroscopic and expensive. Cheap, locally available plant seeds such as cowpea (Vigna unguiculata) and pigeon pea (Cajanus cajan) could be used in the design and formulation of microbial culture media in order to reduce the cost.Objective: To make use of locally cheap seeds as a basic nutrient medium for the isolation of different microorganisms.Materials and methods: Solid culture media from locally available plants were designed to include three types, (i) simple; (ii) enriched with the addition of human blood; (iii) differential with lactose and phenol red as a pH indicator, and formulated to contain cowpea and pigeon pea flours in combination in a concentrations of 2%. The name DANIEL & SHAMSOUN (D & S) was used for the designed media. Twenty bacterial species and Candida albicans were inoculated for the observation of the growth response.Results: On D & S simple medium all the organisms grew typically except, Corynebacterium diphtheriae which did not grow and Streptococcus pyogenes and Neisseria meningitidis which revealed atypical colonies. On D & S human blood agar medium, all the organisms grew typically, but the β- hemolysis of some of the β-haemolytic species was not detected and some species revealed green pigmented colonies and green pigmentation on the medium. On D & S differential medium, all lactose-fermenting species revealed typical, yellow colonies and all non-lactose-fermenting species revealed typical, pink-red colonies, except, Vibrio cholerae, Bacillus cereus and Candida albicans which revealed typical, yellow colonies.Conclusion: The flours of cowpea and pigeon pea are good sources of protein, carbohydrates and minerals, so they can be used in the preparation of different types of culture media for the isolation of different species of bacteria and Candida albicans as shown in this study.Key words: Cowpea, pigeon pea, nutrient medium, DANIEL & SHAMSOUN

Faecal Contamination of Feeding Bottles Contents, Among Artificially Fed Children

This study was carried out to investigate the bacterial contamination of feeding bottles contents in artificially fed children presenting with diarrhoea at the Paediatric outpatient clinic in Khartoum Hospital.Methods: Hundred bottle fed infants presenting with diarrhoea were included in the study. Specimens were collected from the contents of the feeding bottles and the faeces of children.Results: Hundred and ten bacterial species were isolated from the contents. E. coli was the commonest isolate [33 (30%)]. Different other bacterial species were also isolated with very high count (1X106 - > 15X105/ml). Twenty one enteric pathogens were isolated from the stool specimens [Enteropathogenic E. coli (7) and Shigella species (14)]. The antibiotic sensitivity of the E. coli and Shigella species showed high resistance to co-trimoxazole (57.5%, 53.3% respectively) and to coamoxiclav (85% - 53.3% respectively).Conclusion: Awareness to the hazards of the feeding bottles among the community should be raised and breast feeding should be encouraged.Key words: diarrhea, enteric pathogens, E. coli

The frequency of human herepes virus type 8 among blood donors and postkidney transplant patients in two specialized centers in Khartoum

Background: Human herpesvirus-8 (HHV-8) is an opportunistic virus proved to be the cause of AIDS associated Kaposi’s sarcoma. Based on the emergence of HIV and its pandemic spread HHV- 8 is expected to participate in increasing the risk of Kaposi’s sarcoma in areas where the rate of infection is high. There is a great need to study the epidemiology of the virus.Objectives: To find out the rate of infection with HHV-8 in Khartoum among blood donors and post-kidney transplant patientsMethodology: Venous blood samples were collected from 90 Subjects (60 blood donors from Elsalam Cardiac Centre (controls) and 30 kidney transplanted patients from IbnSina hospital). The blood specimens were tested for Human herpes virus anti- IgG using ELISA technique.Results: The overall rate of infection with HHV-8 was found to be 2.2%. The highest rate of infection (20%) was in the age group 46 years and more. The seroprevalence of HHV-8 was found to be 6.7% in post-kidney transplant patients. None of the control group proved to be positive for HHV-8.Conclusion: The rate of infection with HHV-8 was found to be relatively lower in the studied group.Key words: Human herpes virus-8, Immuno-compromised patien

Seroprevalence of cytomegalovirus Antibodies among pregnant women and it’s correlation with spontaneous abortion in Khartoum state

Background: Cytomegalovirus is a common virus that infects most people at some time during their lives. It becomes dormant for a while and may reactivate later. In pregnant women, intrauterine infection may be  associated with congenital abnormalities, intrauterine growth retardation and intrauterine death of the fetus as well as late sequelae such as  developmental delay, blindness and congenital deafness.Objectives: The aim of this study was to determine the seroprevalence of CMV infection among women presenting with spontaneous abortion to major hospitals in Khartoum State and to find out the correlation between CMV infection and spontaneous abortion in the group under study.Methodology: In this study a total of 180 spontaneously aborted females, and 80 normally delivered females (control) were included. Three mls of venous blood were collected from each subject under study in a plain  container allowed to clot and after clot retraction centrifuged at 4000rpm. The sera were then separated and stored at -20c0 in a deep freezer. The stored sera were tested for CMV IgG and IgM antibodies using Enzyme Linked Immunosorbent Assay (BIOTECH –ENGLAND).Results: In the case group, 176 (97.8%) women were positive for Anti-CMV IgG and 69 (38.3%) for Anti-CMV IgM. The CMV antibodies significantly co related with increasing age (P-value = -0.0185), the number of abortion (P-value = -0.0177) and congenital malformation in children (P value= 0.037).Conclusion: Seroprevalence of CMV antibodies was found to be 97.8% and 38.3% for IgG & IgM respectively. There was significant association  between CMV infection and frequency of abortion, age and congenital  malformation in children.Key words: CMV, seroprevalnce, pregnancy, spontaneous abortion, Suda

Diarrhea due to Cryptosporidium parvum in immunocompromised and immunocompetent patients in Khartoum State

Objective: The objective of this study is to search for Cryptosporidium parvum in Sudanese immunocompromised and immunocompetent patients presenting with diarrhea.Methods: Two hundred and thirteen stool specimens were collected from different groups of patients presenting with diarrhea and healthy control (immunocompromised: 78; immunocompetent: 90; Control: 45).The immunocompromised group included 25 HIV positive patients, 27 tuberculosis patients, 11 patients with renal failure and 15 patients receiving immunosuppressive chemotherapy. Antigen ELISA was performed to detect the presence of the parasite in stool. Positive specimens were examined by the modified ZN stain to look for the oocyst of C.parvum.Result: Seventy one of the immunocompromised patients (91.0%), twenty nine of immunocompetent patients (32.2 %) and ten of the control group (22.2%) were found to be positive for C.parvum. A significant difference was noticed between the immunocompromised patients and the other groups (

Soluble polysaccharides reduce binding and inhibitory activity of tea polyphenols against porcine pancreatic α-amylase

The effects of three soluble polysaccharides on the inhibitory activity of tea polyphenols against porcine pancreatic α-amylase (PPA) were studied through PPA inhibition, half inhibition concentration (IC50), inhibition kinetics and fluorescence quenching. The results show that citrus pectin, wheat arabinoxylan and oat β-glucan could each increase the IC50 values and competitive inhibition constants (Kic), and decrease the fluorescence quenching constants (KFQ) of tea polyphenols interacting with PPA. The data show a competitive interaction equilibrium among polysaccharides, polyphenols and PPA. For individual polyphenols, there were negative linear correlations between both the values of 1/Kic and KFQ and that of IC50 with and without polysaccharides, indicating that the decreased inhibitory activity of polyphenols induced by the polysaccharides was caused by the reduced binding of polyphenols with PPA. Additionally, the slopes of the linear relationship between IC50 and Kic and that between KFQ and 1/Kic remained stable with and without polysaccharides, suggesting that these constants may be combined to characterize the effects of soluble polysaccharides on the PPA inhibition by polyphenols

Screening the Efficacy of Some Traditional Herbal Drugs for Treatment of Hymenolepis diminuta Infection in Rats

Background: Hymenolepis nana (human infecting tapeworm) and H. diminuta (rodent infecting tapeworm) are currently incriminated to be the cause of non-specific bowel disturbances. They are in most instances resistant to the available anticestodal compounds due to misuse of drugs and probably adaptation of the parasites to the commercially available drugsObjective: Our objective is to study the toxicity and curative efficacy of different medicinal plants that are candidate for the treatment of tapeworm infections in man.Methods: Four medicinal plants were tested for their ability to treat Hymenolepis diminuta tapeworm infection in rats. These plants are Amaranthus viridis, Cucurbita maxima, Hagenia abyssinica and Balanites aegyptiaca. Selection of these plants was based on ethnobotanicalinformation. The evaluation of the efficiency of these medicinal plants was based on the “controlled test design”, modified from Moskey and Harwood10: Following pre-infection screening, and life cycle establishment rats were grouped to six experimental groups for each plant. Stool specimens were collected from all groups, the mean of eggs counts per gram of faeces were counted. The reduction percentage of eggs per gram (EPG) was calculated and time to clear eggs was compared with that of Niclosamide. Niclosamide drug was used in this study as a control treatment14.Results: There were no signs of toxic effect on the rats due to administration of any of the tested medicinal plants. Amaranthus viridis leavs exhibited a very weak efficacy. It did not reduce eggs ineither water or food significantly as compared to the untreated control group (p> 0.05). The deparasitization activity of this plant (35%) was not significant. Similarly, Balanites aegyptiaca seeds were not effective in treatment of the infection in rats. Egg counts and deparasitization infood and water, were not significantly (p> 0.05) different from those of the untreated control group. On the other hand, Cucurbita maxima and Hagenia abyssinica seeds were very effective in the treatment of Hymenolepis diminuta infection in rats. Egg reduction (100%) was highly significant (p< 0.01) in food and water as compared to that of the untreated control group of rats (zero%). C. maxima seeds in food deparasitized 80% of the worms, while Hagenia abyssinica deparasitized 100%.Conclusion: Our conclusion was that Hagenia abyssinica was the most active plant of this group in the treatment of Hymenolepis diminuta infection in rats

Vaccine Storage and Handling Practices among routine immunization service providers in a metropolitan city of North-Central Nigeria

Background: The efficacy of vaccines can be compromised by faulty transport, storage, and handling. This study was conducted to assess the knowledge and practice of vaccine storage and handling among Primary Health Care Workers (PHCWs) offering routine immunization (RI) services in static health facilities in Ilorin metropolis, North-central Nigeria.Methodology: It was a descriptive cross-sectional study carried out among 457 Primary Health Care Workers (PHCWs) in 2 Local Government Authorities in Kwara State, north central Nigeria, using multi stage sampling technique. The research instruments were pretested self-administered questionnaire and observational checklist. The data generated were analyzed using EPI-INFO version 3.5.1 software package. Level of significance was predetermined at p-value of less than 0.05 at 95% confidence interval.Results: About half of the respondents (52.1%) knew the optimal vaccine storage temperature, 35.4% knew that freezing is harmful to certain vaccines. Although, 67.8% were aware of the 'shake test', only 48.4% of them knew how to conduct it. Up to 367 (80.3%) acknowledged that heat is harmful to vaccines. Even though, 267 (58.4%) knew the vaccine vial monitor (VVM) stages, only 248 (45.3%) could interpret the VVM correctly. About 30% of the health facilities (HFs) had adequate vaccine storage equipments while less than one third (28.6%) refrigerators were used exclusively for vaccine storage. However, functioning thermometers were present in all the refrigerators devoted to vaccine storage.Conclusions: Vaccine storage and handling practices among PHCWs providing routine immunization (RI) services in the study area was still sub-optimal. There is need for periodic on the job training and supportive supervision of health workers by middle cadre immunization officers in the local government to improve on the vaccine storage and handling practices of RI service providers.Keywords: Routine immunization, knowledge, vaccine handling, Nigeria, practice

Effective Rheology of Bubbles Moving in a Capillary Tube

We calculate the average volumetric flux versus pressure drop of bubbles moving in a single capillary tube with varying diameter, finding a square-root relation from mapping the flow equations onto that of a driven overdamped pendulum. The calculation is based on a derivation of the equation of motion of a bubble train from considering the capillary forces and the entropy production associated with the viscous flow. We also calculate the configurational probability of the positions of the bubbles.Comment: 4 pages, 1 figur