Background
Qnr
genes are known to confer a low-level resistance to fluoroquinolone in
Enterobacteriaceae
. They are often found on the same resistance plasmids as extended spectrum β-lactamase (ESBL) and constitute the most common antibiotic resistance mechanism. This study aimed to detect the presence of
qn
r genes in
ESBL
-producing
E. coli
and
Klebsiella spp
.
Methods
From May 2013 to July 2015, 91
E. coli
and 64
Klebsiella spp.
strains with phenotypic resistance to quinolone were collected from several specimens and analyzed for the detection of
qnrA, qnrB, qnrS
genes and the β-lactamase resistance genes (
blaCTX-M
,
blaTEM
,
blaSHV
) using simplex and multiplex PCR.
Results
In the present study, 107 (69%; 61
E. coli
and 46
Klebsiella spp.
) of 155 bacterial strains tested were found harboring at least one
qnr
gene consisting of 74 (47.74%)
qnrB
, 73 (47.10%)
qnrS
and 4 (2.58%)
qnrA
. Of the 107 strains encoding
qnr
genes, 102, 96 and 52 carried
CTX-M1
,
TEM
and
SHV
type ESBL respectively.
Conclusion
This study identified quinolone resistance (
qnr
) gene in
ESBL
-producing
E. coli
and
Klebsiella spp.
in Togo. These finding which suggest a possible resistance to quinolone are of high interest for better management of patients and control of antimicrobial resistance in Togo.
Electronic supplementary material
The online version of this article (10.1186/s13756-019-0552-0) contains supplementary material, which is available to authorized users.
Objectives. In Burkina Faso, few studies reported the prevalence of HBV and HCV in the general population. This study aimed to evaluate the prevalence of hepatitis B and C viruses in the general population and to determine the most affected groups in relation to the risk factors associated with the infection. Method. A voluntary testing opened to anyone interested was held at Saint Camille Medical Centre in Ouagadougou. Rapid tests were carried out on 995 persons who voluntarily answered a range of questions before the venous blood sampling. Results. The results revealed that the antigen HBs carriers in the general population represented 14.47% (144/995) and the prevalence of HCV was 1.00% (10/995). The difference between HBV's prevalence in men (18.58%) and that in women (11.60%) was statistically significant (P = 0.002). The most affected groups were undergraduated students (19.57%) and persons working in the informal sector (15.98%). The least affected group was high level students (8.82%). Conclusion. Burkina Faso is a country with a high prevalence of HBV, while the incidence of HCV is still low in the general population. Therefore, more campaigns on the transmission routes of HBV and HCV are needed to reduce the spread of these viruses in sub-Saharan Africa.
In Africa, up to 80% of the population relies on herbal concoctions for their primarily health care. In Togo, western Africa, Tem tribe is a population with old knowledge of medicinal plants, however, still very little is known about their medical practices. The present study was conducted to access for the apprehension of adverse effects of traditional remedies by Tem traditional healers (TH). Enquiry was performed by interviews with healers from August to October 2007 in Tchaoudjo prefecture (Togo). The study allowed us to interview 54 TH including 41(75.93%) males and 13(24.07%) females, who cited 102 recipes assumed to have adverse effects. The recipes were used alone to cure several diseases including haemorrhoids (22.55%), female sexual disorders and infertility (21.57%), gastrointestinal disorders (18.63%), and malaria (6.86%). A total of 34 plants belonging to 21 families were cited to be components of the recipes. Euphorbiaceae and Mimosaceae families were the most represented, however, Nauclea latifolia, Khaya senegalensis, Pseudocedrela kotschyi and Xeroderris stuhlmannii were the main components of recipes linked to adverse effects. A total of 20 adverse effects were linked to the administration of theses drugs, and among them; diarrhoea, abdominal pains, polyuria, general weakness and vomiting were the most frequently encountered. These findings were in accordance with several reports of the literature concerning medicinal plants, although they were based on empirical observations. Laboratory screenings are needed to access for the effectiveness as well as the possible toxic effects of the recipes.
Our results support in part the use of the selected plants in the treatment of microbial infections. In addition the plant showed interesting antioxidant activity that could be useful in the management of oxidative stress.
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