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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-in...
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Context 1
... the 200 fecal specimens collected from the patients presenting with bloody diarrhea, ten (5%) were found to be positive for E-coli 0157:H7 (Fig 1). All isolates were resistant to ampicillin, eight (80%) to tetracycline and cephalexin, six (60%) to co-trimoxazole and four (40%) to gentamicin. Moreover, all isolates were sensitive to ciprofloxacin (Fig. 2). The percentage of antibiotic resistance of E.coli 0157:H7 isolates from patients and animals. Sixty percent of the human isolates were resistant to three antibiotics and 40% to four antibiotics. Out of the 250 cows, twenty (8%) were positive for E-coli 0157:H7 (Fig 1). The isolates were all resistant to ampicillin. Six (30%) of the ...
Citations
... Sudan (5%) [45], plateau state, Nigeria (5%) [46], and France (3%) [47]. The relatively a higher prevalence of the organism found in the current finding might be because of a higher level of traditional breeding practice of animals and animal -to-human interaction in the study subjects. ...
... The prevalence of STEC O157:H7 in cattle was 14.4%. This is higher than the study done in Debre-Birhan, Ethiopia (0.81%) [19], Hawassa, Ethiopia (4.7%) [34], Jimma, Ethiopia (7.3%) [48], Addis Ababa Municipal Abattoir, Ethiopia (6.4%) [49], Debre-Zeit, Ethiopia (7%) [50], Sudan (8%) [45], and Nigeria (0.2%) [51]. However, it is lower than the study reported in Iraqi (91.25%) [52], and Mexico (22.03%) [39]. ...
Background
Shiga toxin-producing Escherichia coli O157:H7 (STEC O157:H7) is a zoonotic pathogen that causes diarrhea, hemorrhagic colitis, and hemolytic uremic syndrome worldwide. This study aimed to determine the prevalence, antibiotic susceptibility, and associated risk factors of STEC O157:H7 among diarrheic patients and their cattle.
Methods
A cross-sectional study was conducted among diarrheic patients and their cattle in Amhara National Regional State, Ethiopia from December- 2020 to June- 2022. A total of 1,149 diarrheic patients and 229 cattle were included in the study. STEC O157:H7 detection was done using culture, latex agglutination test, and polymerase chain reaction on diarrheic stool samples and recto-anal mucosal swabs of cattle. Antibiotic susceptibility tests were performed using disk diffusion techniques. Risk factors association were identified using binary and multivariable logistic regression analysis.
Results
The overall prevalence of STEC O157:H7 in diarrheic patients and their cattle was 11.1% (128/1149) and 14.4% (33/229) respectively. High percentage of the study subjects were found in under-five children (34.5%). Age less than 5 (AOR: 4.02, 95%CI:1.608–10.058,P = 0.003), and greater than 64 years old (AOR:3.36, 95% CI:1.254–8.986, P = 0.016), presence of diarrheic patient in the house (AOR:2.11, 95%CI:1.309–3.390, P = 0.002), availability of cattle in the house (AOR:2.52, 95%CI:1.261–5.049, P = 0.009), and habit of consuming raw foods (AOR:4.35, 95%CI:2.645–7.148, P = 0.000) were risk factors. Antibiotic resistance was shown in 109(85.2%), and 31(93.9%) isolates from diarrheic patients and their cattle respectively. The highest levels of antibiotic resistance were found to tetracycline (54.7%, 69.7%) in diarrheic patients and their cattle respectively. Multiple drug resistance was also observed among 56(43.8%) and 11(33.3%) isolates in diarrheic patients and their cattle respectively.
Conclusion
Our study showed high prevalence of STEC O157:H7 in diarrheic patients and their cattle. Therefore, health education should be given to the community on how to care for animals, proper sanitation, and the impact of raw food consumption.
