BackgroundSelf-medication with antibiotics is an important factor contributing to the development of bacterial antibiotic resistance. The purpose of this study was to evaluate the prevalence of self-medication with antibiotics for the treatment of menstrual symptoms among university women in Southwest Nigeria.MethodsA cross-sectional survey was administered to female undergraduate and graduate students (n = 706) at four universities in Southwest Nigeria in 2008. The universities were selected by convenience and the study samples within each university were randomly selected cluster samples. The survey was self-administered and included questions pertaining to menstrual symptoms, analgesic and antibiotic use patterns, and demographics. Data were analyzed using descriptive statistics and logistic regression.ResultsThe response rate was 95.4%. Eighty-six percent (95% CI: 83-88%) of participants experienced menstrual symptoms, and 39% (95% CI: 36-43%) reported using analgesics to treat them. Overall, 24% (95% CI: 21-27%) of participants reported self-medicated use of antibiotics to treat the following menstrual symptoms: cramps, bloating, heavy bleeding, headaches, pimples/acne, moodiness, tender breasts, backache, joint and muscle pain. Factors associated with this usage were: lower levels of education (Odds Ratio (OR): 2.8, 95% CI: 1.1-7.1, p-value: 0.03); non-science major (OR: 1.58, 95% CI: 1.03-2.50, p-value: 0.04); usage of analgesics (OR: 3.17, 95% CI: 2.07-4.86, p-value: <0.001); and mild to extreme heavy bleeding (OR: 1.64, 95% CI: 1.01-2.67, p-value: 0.05) and pimples/acne (OR: 1.57, 95% CI: 0.98-2.54, p-value: 0.06). Ampicillin, tetracycline, ciprofloxacin and metronidazole were used to treat the most symptoms. Doctors or nurses (6%, 95% CI: 4-7%), friends (6%, 95% CI: 4-7%) and family members (7%, 95% CI: 5-8%) were most likely to recommend the use of antibiotics for menstrual symptoms, while these drugs were most often obtained from local chemists or pharmacists (10.2%, 95% CI: 8-12%).ConclusionsThis is the first formal study to report that approximately 1 out of 4 university women surveyed in Southwest Nigeria self-medicate with antibiotics to treat menstrual symptoms. This practice could provide monthly, low-dose exposures to antibiotics among users. Further studies are necessary to evaluate the impacts of self-medication on student health.

Few reports from Africa suggest that resistance pattern, virulence factors and genotypes differ between Staphylococcus aureus from nasal carriage and clinical infection. We therefore compared antimicrobial resistance, selected virulence factors and genotypes of S. aureus from nasal carriage and clinical infection in Southwest Nigeria. Non-duplicate S. aureus isolates were obtained from infection (n = 217) and asymptomatic carriers (n = 73) during a cross sectional study in Lagos and Ogun States, Nigeria from 2010–2011. Susceptibility testing was performed using Vitek automated systems. Selected virulence factors were detected by PCR. The population structure was assessed using spa typing. The spa clonal complexes (spa-CC) were deduced using the Based Upon Repeat Pattern algorithm (BURP). Resistance was higher for aminoglycosides in clinical isolates while resistances to quinolones and tetracycline were more prevalent in carrier isolates. The Panton-Valentine leukocidin (PVL) was more frequently detected in isolates from infection compared to carriage (80.2 vs 53.4%; p<0.001, chi2-test). Seven methicillin resistant S. aureus isolates were associated with spa types t002, t008, t064, t194, t8439, t8440 and t8441. The predominant spa types among the methicillin-susceptible S. aureus isolates were t084 (65.5%), t2304 (4.4%) and t8435 (4.1%). spa-CC 084 was predominant among isolates from infection (80.3%, n = 167) and was significantly associated with PVL (OR = 7.1, 95%CI: 3.9–13.2, p<0.001, chi2- test). In conclusion, PVL positive isolates were more frequently detected among isolates from infection compared to carriage and are associated with spa-CC 084.

Objectives To quantify the epidemiology of bladder cancer in Africa to guide a targeted public health response and support research initiatives. Methods We systematically searched publicly available sources for population-based registry studies reporting the incidence of bladder cancer in Africa between January 1980 and June 2017. Crude incidence rates of bladder cancer were extracted. A Bayesian network meta-analysis model was employed to estimate incidence rates. Results The search returned 1,328 studies. Twenty-two studies conducted across 15 African countries met our pre-defined selection criteria. Heterogeneity across studies was high (I2=98.9%, p<0.001). The pooled incidence of bladder cancer in Africa was 7.0 (95% Credible Interval [CI]: 5.8–8.3) per 100,000 population in men and 1.8 (1.2–2.6) per 100,000 in women. The incidence of bladder cancer was consistently higher in North Africa in both sexes. Among men, we estimated a pooled incidence of 10.1 (7.9–11.9) per 100,000 in North Africa and 5.0 (3.8–6.6) per 100,000 in Sub-Saharan Africa (SSA). In women, the pooled incidence was 2.0 (1.0–3.0) per 100,000 and 1.5 (0.9–2.0) per 100,000 in North Africa and SSA, respectively. Incidence rates increased significantly among men from 5.6 (4.2–7.2) in the 1990s to 8.5 (6.9–10.1) per 100,000 in 2010. Conclusions This study suggests a growing incidence of bladder cancer in Africa in recent years, particularly among men and in North Africa. This study also highlights the lack of quality data sources and collection of essential clinical and epidemiological data in several African countries and this maligns public health planning.

Antibiotic resistance is a major public health issue globally fuelled largely by its misuse. Controlling this problem would require an understanding of the levels of awareness of the population towards antibiotics. The data presented here was obtained from undergraduate students attending a Nigerian University in the first three months of the year 2016. The data is stratified by such demographic variables as age, sex and level of study. It contains information about the knowledge, and predispositions of participants to antibiotics and antibiotic resistance. Preliminary descriptive statistics are presented in the tables and figures herewith. Data was analysed using SPSS-20 and is available for reuse in the native SPSS format. In concluding, this data can be used to model the determinants of antibiotic knowledge among students.

Ethnobotanical and in vitro cytotoxicity studies were carried out on three different multipurpose medicinal plants; Moringa oleifera (Lam) (Moringaceae), Andrographis paniculata (Burm. f) and Asystasia vogeliana (Benth) (Acanthaceae). The ethnobotanical information was collected by one to one interview and discussions using semi-structured questionnaires with indigenous people from selected locations in Nigeria. Plant samples collected were identified and authenticated in Forestry Research Institute of Nigeria (FRIN), Ibadan, Oyo State. Each of these three plant samples was extracted in 95% ethanol using a soxhlet extraction apparatus and concentrated to dryness at 45 °C. M. oleifera showed the highest incidence of occurrence (17.5%), fidelity level (74.9%) and multipurpose usage. The ethnobotanical study revealed the medicinal relevance of the three plants in the treatment of myriads of diseases and ailments including malaria, fever, high blood pressure, cancer, diabetes among others in local herbal medicine. The in vitro cytotoxicity activities of ethanol extracts of the three plant species were screened in two cancer cell lines (BGC-823 and HeLa cells) using the sulphorhodamine B (SRB) assay. Cytotoxicity assay on the two cell lines BGC-823 and HeLa cells revealed that only the ethanolic extract of A. paniculata exhibited some level (moderate) cytotoxicity activity with IC50 values of 24.7 and 23.1 µg/ml respectively. M. oleifera and A. vogeliana did not show any significant activity on the cell lines. The study highlights the importance of ethnobotanical information in finding cost effective, potent and safe herbs for people and screening of the plant species for their activities against cancer cell lines. Further studies on the isolation and characterization of bioactive compounds responsible for cytotoxic effects of A. paniculata is recommended.