The problem of antibiotic resistance of uropathogens appears in Abobo municipality to be worsening because of the overuse and misuse of antibiotics. This study aims to assess the impact of drugs pressure on uropathogenic Escherichia coli and Klebsiella spp. strains isolated from patients attending Abobo-Avocatier Hospital. The study was conducted in patients suffering from urinary tract infection. Urine samples of patients were collected; culture and antibiogram using the Kirby-Bauer disc diffusion method were performed. The overall prevalence was 31.1% with a significant difference between males and females (p = 0.01). The highest susceptible age group of patients to UTI was 21-45 years (33%). E. coli and Klebsiella spp were the predominant bacteria among isolated Gram negative. Up to 70% of the isolates of both uropathogens were resistant to Penicillins, Tetracyclines and Ampicillin-Sulbactam. Imipenem was the most active antibiotic on these uropathogens. Quinolones showed a better activity on Klebisiella spp. strains than those of E. coli. The high value of the Multiple Antibiotic Resistance Index and the rate of multi-resistance from this site suggest the need for continuous monitoring of antibiotic susceptibility profile of bacteria implicated in UTI prior to antibiotic prescription in order to ensure optimal and desired treatment.
The stings of the blackflies create a nuisance that hinders the agricultural and fishing activities of rural populations. In order to respond to the concern of the latter, this study was carried out in three epidemiological facies of onchocerciasis in Côte d’Ivoire. The aim of the study was to determine the daily and seasonal variation of blackfly nuisance. To do this, blackflies were captured on humans, identified and dissected. The entomological data revealed a total of 4244 blackflies captured. The comparison between the daily periods and the blackfly nuisance reveals averages of 42.4; 2.03; 22.3 bites/man/ hour and 5.04; 10.06; 27.1 bites/man/hour recorded in the morning, afternoon and evening respectively in Soubré and Bouaflé. In Touba the respective averages of 12.06 and 83.06 bites/man/hour were recorded in the morning and evening. A significant difference was observed between the bite density received during the rainy and dry seasons (χ2 = 4.81; p = 0.022). The bite density recorded in the rainy season was about twice as high as in the dry season (OR=1.87). A significant nuisance due to blackflies appeared in the divisions of Soubré, Bouaflé and Touba and varied seasonally between localities. In order to eradicate this blackflies nuisance, the onchocerciasis control system should eliminate blackflies by various means such as the destruction of breeding sites.
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