Antibacterial effects of Carica papaya on common wound organisms [abstract]

OBJECTIVE: The objective was to investigate the antibacterial activity of the crude Carica papaya preparations as used by nurses, on gram negative and gram positive organisms; to determine which part and stage of maturity of the fruit yielded the best antibacterial activity, and determine the effects of storage conditions on the observed activity. METHODS: The pathogens commonly found in human wounds were obtained from the Microbiology Department, University of the West Indies, Biochemistry Section, The University of the West Indies and the Jamaican Bureau of Standards. Cultures were routinely maintained in nutrient agar slants at 4§c. Extracts were obtained by separately grinding fractions of the epicarp, endocarp and seeds of the immature, mature and ripe Carica papaya fruit and filtering them through guaze. Sensitivity tests were conducted by adding 0.06 ml. of agar wells (6 mm diameter) prepared from 20 ml agar seeded with 10 cells/ml suspension of one of the eight organisms per plate. The inoculated plates were allowed to equilibrate at 4§c for one hour then incubated at 37§c for 24 hours, after which zones of inhibition were measured in millimeters. Antibacterial activity was expressed in terms of the radius of the zone of inhibition calculated as the difference in radius of the observed zones and the edge of the agar wells. Daily sensitivity tests were carried out on extracts stored at 5§c, 25§c and 35§c for 7 days. RESULTS: The seed extracts from all three stages of the fruit showed an average order of inhibition in the following order: B cereus> E coli> S faecalis> S aureus> P vulgaris> and X flexneri. There was no significant difference in bacterial sensitivity between the immature, mature and ripe fruits tested. The epicarp and endocarp did not produce any inhibition zone in any of the three stages of the fruit tested. There was a gradual reduction in antibiotic activity with increasing storage item. Also, a fall-off of activity was found to be more drastic at higher temperatures. CONCLUSION: The findings show that crude extracts of Carica papaya seed have antibacterial activity that inhibits the growth of both gram positive (B cereus, S aureus and S faecalis) and gram negative (E coli, P vulgaris and S flexneri) organisms. Observed activity was dependent on stage of maturity but tended to decrease with duration and conditions of storage. No antibacterial activity was observed from the epicarp and the endocarp of the fruit. (AU)

Assessment of the efficacy of an IgM-elisa and microscopic agglutination test (MAT) in the diagnosis of acute leptospirosis

In a prospective study in Barbados between 1979 and 1989, 321 cases were diagnosed in 638 patients presenting at a hospital with symptoms of leptospirosis. Initial diagnosis was based on patient history and characteristic signs and symptoms. In 92 cases (29 percent), diagnosis was confirmed by isolation of organisms from the blood, urine, or dialysate fluid; in the remaining 229 cases (71 percent) diagnosis was confirmed by serology alone. Results of an IgM-ELISA and microscopic agglutination test (MAT) in cases with isolates and in non-specificity of the tests. The sensitivity of IgM detection by ELISA was 52 percent in the first acute-phase specimen, increasing to 89 percent and 93 percent in the second acute-phase specimen, increasing specimens respectively. The specificity of the IgM-ELISA was high (> or =94 percent) in all specimens. The sensitivity of the MAT was low (30 percent) in the first acute-phase specimen, increasing to 63 percent in the second acute-phase specimen and 76 percent in the convalescent specimen. The specificity of the MAT was > or = 97 percent in all specimens. (AU)

Seroepidemiology of chlamydial infection among a sexually-active population in Barbados

During a two-year period, sera from 1179 patients with urogenital tract symptoms and from 256 controls were tested for IgG and IgA antibodies to Chlamydia trachomatis, using a commercially prepared indirect immunoperoxidase assay. Of the patient sera, 1051 (89 percent) were from female patients and 128 (11 percent) were from males. Specimens were received from patients attending private practitioners (424), government polyclinics (348), the Queen Elizabeth Hospital (206), the Barbados Family Planning Association (117) and various other source (84). Nine hundred and fifty-nine of specimens (81 percent) from all patients had IgG titres of 64 or greater, and 441 (37 percent) had IgA titres of 16 or greater. A lower proportion of male patients (43 percent) than female patients (61 percent) had IgG titres of 128 or greater. Among 76 control females attending the antenatal clinic, IgG were detected in 76 percent and IgA in 16 percent, while among 75 adult blood donors, IgG was detected in 70 percent and IgA in 39 percent. A group comprising 97 asymptomatic children aged 9 months to 13 years, and 8 adolescents aged 14 - 18 years was also studied. IgG antibodies (titre

Bovine anaplasmosis and babesiosis in the Lesser Antilles: risk assessment of an unstable epidemiologic situation

A seroepidemiological survey on tick-borne diseases of ruminants was carried out on 11 islands of the Lesser Antilles from Grenada to St Martin. A total of 1,795 cattle were randomly sampled and sera tested for antibodies to anaplasmosis (Anaplasma marginale) and babesiosis (Babesia bovis and B bigemina) using a dot-ELISA test. Except of anaplasmosis, which was virtually absent from Guadeloupe, the seroprevalence of the 3 tick-borne diseases ranged from 18 to 71 percent. The epidemiologic situation was considered to be unstable in all of the study sites. The risk of clinical outbreaks was high in all the islands except for B bigemina in Montsterrat and St Lucia and B bovis in St Lucia. The practical consequences in terms of tick eradication, tick control, and vaccination are discussed (Summary)

Antiribosomal P protien antibodies in different populations of patients with systemic lupus erythematosus

We report a significantly increased prevalence of antribosomal P protein antibodies in Malaysian Chinese patients (38 percent) with SLE compared to white caucasian (13 percent) and Afro-Caribbean (20 percent) patients. The increase prevalence was not due to a generalized increase in autoantibody production because anti-dsDNA and anti-SSA antibodies were present in comparable frequencies in the three ethnic groups while anti-Sm and anti-SSB antibodies were rarely found in the Malaysian Chinese patients (AU)

Reactive serological test for syphilis in tropical spastic paraparesis: a dilemma

The prevelence of reactive serological tests for syphilis (STS) was investigated in 183 Jamaican patients with tropical spastic paraparesis (TSP) and 200 age and sex matched controls. A significantly higher prevalence of reactive STS was found in TSP patients (34.9 percent) compared with controls (14.0 percent, P < 0.001). The biological false positive (BFP) rate was also significantly higher in TSP patients (P < 0.01) as well as controls (P < 0.001) over 40 years of age. However, these findings do not imply a pathogenetic role for treponemal disease in TSP. The high prevalence of reactive STS in Jamaican TSP patients may be multifactorial, and include biological false positives (BFP), previous childhood yaws and concurrent syphilis (AU)

Leptospires in Rattus spp. on Barbados

Among 138 Rattus norvegicus and 98 R.rattus trapped on Barbados in 1964-65 and examined for evidence of leptosporal infection, sero-positivity prevalence rates were similar (34 and 39 percent, respectively), but isolation/dark field microscopy rates were higher in R. norvegicus (27 percent) than R. rattus (15 percent). R. norvegicus carried mainly serogroup Autumnalis. These two serogroups cause 90 percent of severe human leptospirosis on the island. (AU)

Leptospiral infection: a household serosurvey in urban and rural communities in Barbados and Trinidad

A longitudinal study of leptospiral agglutinins in subjects five years of age and over was undertaken in Trinidad and Barbados between 1980 and 1982. Households were sampled randomly from one urban and two rural communities on each island, giving a total of 576 eligible individuals in Barbados and 524 in Trinidad. Participants were examined three times at approximately annual intervals. The prevalance of seropositivity at a titre of 1:50 using the microscopic agglutination test was 18.5 percent in Barbados and 21.9 percent in Trinidad. Prevalence increased steeply with age in both sexes and was higher in males than females on both islands. There was a marked difference in predominating serogroups on the two islands--Autumnalis (42 percent of positive cases) predominated in Barbados while Bataviae (29 percent of positive cases) predominated in Trinidad. Estimates of incidence rates for seroconversion were 2.9 percent per annum for Barbados and 3.5 percent per annum for Trinidad. Occupational risk varied between the islands, but in both cases highest seropositivity rates (greater than 50 percent) were found in outdoor labourers and lowest were found in indoor non-manual workers and urban homeworkers. In Barbados seroprevalence was higher among persons who cleared drains or who had contact with livestock. Lack of an island toilet was associated with an increase in seropositivity on both islands. There was little evidence of household clustering of seropositive cases. (AU)

Leptospires in the whistling frog (Eleutherodactylus johnstonei) on Barbados

Two groups of whistling frogs (Eleutherodactylus johnstonei) comprising 99 and 117 animals were examined for leptospiral infection. Group I animals were caught in 14 areas of Barbados, and group II animals in seven areas of suburban Bridgetown. Leptospires were isolated from the kidneys or body fluid of six frogs in Group I and the kidneys of 3 frogs in Group II. Two of the group I isolates died; the others were identified as bajan (a new serovar in the Australis serogroup) (6) and bim (Autumnalis) (1). The macerated body tissues and fluid of Group I frogs were put into phosphate buffered saline and examined by the microscopic agglutination test using 22 antigens. The results were all negative. For the Group II frogs the methodology was altered; blood was collected unto filter paper discs and allowed to dry out before being agitated in PBS and examined by the MAT. 15/117 (12.8 percent) animals were positive at o 1:50. The geometric mean titre was 179. Seventeen of the sera reacted predominantly to antigens in the Australis serogroup, and two to Pyrogens on its own. The serological results reflected the identity of the isolates. Serovars of Australis are not known to cause illness on Barbados, but bim is the commonest cause of severe leptospirosis on the island. (AU)

Leptospiral infection in school-children from Trinidad and Barbados

A serological survey for leptospiral agglutinins was undertaken between 1980 and 1983 in over 500 Barbadian and 500 Trinidadian school-children aged 7-14 years. The children were selected randomly from urban and rural schools, and examined three times at approximately annual intervals. A total of 12.5 percent of the Barbadian children and 9.5 percent of the Trinidadian children were seropositive at a titre of 50 using the microscopic agglutination test. On both islands, seroprevalence was higher in males than females, the difference being significant in rural schools. There was no evidence of a difference in prevalence between urban and rural schools, or between junior and secondary age-rangers. Analysis of the association of serology with socio-economic and behavioral factors showed a significant association in Trinidad with father's occuption, but most other variables on both islands showed only weak non-significant associations. Fourteen children in Trinidad and three in Barbados seroconverted. Seroconversion in Trinidad occurred at a rate of 1.6 percent per annum and was significantly associated with livestock contact and with absence of tapped water supply. In Trinidad, Autumnalis was the most commonly recorded serogroup, but this accounted for less than a quarter of seropositives. In Barbados, Panama accounted for over half the seropositives and was about four times more common than the next most common serogroup, Autmnalis. In Barbados, 39 persons aged 19 or less were hospitalized with leptospirosis between November 1979 and December 1986. Average annual incidence rates were 2.2, 4.9 and 13.3 per 100000 in the 5-9, 10-14 and 15-19 age-groups, respectivley. (AU)

Serological studies on leptospirosis in livestock and chickens from Grenada

Sera from 1206 livestock animals and chickens in Grenada and Trinidad were tested for leptospiral antibodies by the microscopic agglutination test. 376 of the sera were positive (44 percent of those tested in Trinidad and 25 percent of those tested in Grenada). The positive sera were obtained from 25 percent of 324 cattle 35 percent of 130 pigs, 35 percent of 126 sheep, 25 percent of 44 goats, and 11 percent of 175 chickens in Grenada; and 92 percent of 26 cattle, 53 percent of 122 pigs, 76 percent of 86 horses, and 11 percent of 144 chickens in Trinidad. 8 sera from ducks and geese in Trinidad were tested and found to be negative. The serogroups most commonly found to react with sera of the Grenadian animals were Autumnalis, Icterohaemorrhagiae, Hebdomadis and the related serogroups Sejroe and Mini, and Pyrogenes; in the Trinidadian animals they were Icterohaemorrhagiae, Autumnalis, Hebdomadis and its related serogroups and Panama. Strains of serogroup Pomona do not appear to have become established as livestock pathogens on the islands (AU)

Leptospires in wildlife from Trinidad and Grenada

Serum samples from 894 wild animals (representing 31 species) from Trinidad and Grenada were examined by the microscopic agglutination test for leptospiral antibodies; 198 were positive. These included 39 bats, 88 mongooses, six opossums, 10 peridomestic rodents, 15 forest rodents, 10 lizards and 30 toads. Thirteen pathogenic serogroups were involved. Thirty-nine Leptospira isolates were reported from mongooses, opssums, rodents and toads. (AU)

Tropical acute rheumatic fever and associated streptococcal infections compared with concurrent acute glomerulonephritis

Ninety-three patients with acute rheumatic fever and 195 patients with acute glomerulonephritis were observed in Trinidad during an outbreak of scabies with a high incidence of secondary streptococcal infections. Clinical and laboratory manifestations of ARF were the same as those seen in temperate zones, except that antistreptolysin O titers were less markedly increased. The patients with ARF were similar to those with AGN in respect to sex, race, location of residence, and living conditions, but were older and had markedly fewer skin infections. Currently prevalent nephritogenic streptococcal strains never were isolated from patients with ARF even when M55 streptococci appeared and led to an epidemic of AGN.(AU)