Distribution of benthic macroinvertebrate communities in different kind of inland water bodies in northeastern Algeria.

Benthic macroinvertebrates are integral parts of inland waters, inhabiting a diversity of aquatic ecosystems where communities are spatially structured. Macroinvertebrates of some Mediterranean regions such as North Africa are still not well studied. Due this reason we proposed study the community structure in water bodies located in Northeastern Algeria. For this objective, we sampled 12 different kind of water bodies, two dams, three rivers, and seven streams during the period from October 2020 to September 2021. To biotic and abiotic data, a redundancy analysis (RDA) was applied with the aim of determine the role of both kind of variables for grouping the sites. Also, two types of Null models were considered: species co-occurrence and niche sharing for study the potential associations between species reported. Redundancy analysis showed that water velocity and conductivity were the main drivers of community structure of macroinvertebrates. The species co-occurrence results reveal that species associations are ramdom, except for two sites: El fadjoudj and Ain ben baida corresponding to Seybouse river. At the same time, there is no niche sharing and in consequence, there is no interspecific competition except in the two sites: Salah Salah Salah stream and Bouhamdane dam. The results revealed similarities with other similar studies for Algerian rivers and dams, and with other similar water bodies with Mediterranean climate.

Ecological structure of aquatic macroinvertebrate communities in the Hauts Plateaux of Northeast Algeria.

Aquatic macroinvertebrates are integral parts of functioning wetlands, inhabiting a diversity of aquatic ecosystems where communities are spatially structured. Macroinvertebrates of some Mediterranean regions such as North Africa are still not well studied. Here, we study the community structure of benthic macroinvertebrates in four different types of lotic and lentic wetlands in the semiarid Haut Plateaux of Northeast Algeria. Macroinvertebrates and 06 physicochemical parameters were sampled in 12 sites belonging to four types of habitats (lotic river, lentic river, dams, and sebkha [saline lentic water body]) during January-December 2021. Eventually, the character lentic-lotic was the most important variable affecting the affecting invertebrate communities in the Mediterranean region. The results revealed that sebkha and dams had a lower Shannon index than lentic and lotic rivers. Non-metric multidimensional scaling analysis showed a strong overlap between the community composition in lotic and lentic sites . Howeverin the three types of aquatic groups lentic river, dam and lotic habitats showed a strong overlap between the community whereas sebkha was markedly separated. Redundancy analysis showed that water velocity and pH, were the main drivers of community structure of macroinvertebrates, revealed a strong effect with pH (F1,8=4.15, P = 0.001) and water velocity (F1,8= 3.22, P = 0.002) , separating lotic communities from those that inhabited dams, lentic rivers, and sebkhas. As conclusion, this study contributes to the better understanding of the community structure of macroinvertebrates in semiarid North Africa where wetlands have been experiencing high anthropogenic disturbance.

Quality of life in neurogenic patients based on different bladder management methods: A review.

OBJECTIVE: To determine the overall quality of life and patient satisfaction associated with different bladder management strategies in neuro-urological patients. The second objective was to identify other associated factors that may further influence the patient's quality of life. DESIGN: Systematic Review. METHODS: Studies from Pubmed, Cochrane, and Google Scholar databases were extracted using terms relating to 'quality of life', 'satisfaction', in 'neurogenic bladder' combined with 'bladder management methods' that included 'continent and non-continent urine diversion', 'intermittent-catheterization', 'indwelling catheter' and 'condom-catheter'. Only studies with a minimal proportion of 80% of neurogenic bladder patients were included. Search was conducted, and article titles and abstracts were rated. 136 papers were screened and assessed for eligibility. RESULTS: 25 studies were included in the final analysis and consisted of ten retrospective, nine prospective, five cross-sectional and a single randomized controlled trial. In total, 3002 patients were included, with a majority of male (55%) and spinal cord injury (88%) patients. 167 patients had incontinent urinary diversions, 464 had continent urinary diversions (bladder augmentation with or without cutaneous catheterizable channel), 1698 used intermittent catheterization (self or by an attendant), 550 had an indwelling catheter (urethral or suprapubic), and 123 had condom catheters. Quality of life was assessed using a wide variety of validated and non-validated questionnaires. Overall, patients with continent and incontinent diversion tended to have better scores. Use of catheters tended to have more unsatisfactory scores, with indwelling and attendant-intermittent catheterization often scoring worse. On the other hand, patients using self-intermittent catheterization tended to fair well. CONCLUSION: Normal micturition followed by self-catheterization yielded an overall higher quality of life. Data were too divergent to rank the other bladder management methods. However, by improving continence, each method aims to enhance quality of life.

Is YouTube™ a reliable source for patient information about Holmium Laser Enucleation of Prostate?

OBJECTIVES: Prior to benign prostate surgery, the patient's informed consent is mandatory. Among the multiple source of information for patients, social networks are very popular, but the quality of information delivered is unknown. The aim of this study was to evaluate the quality of the information freely available for patients on YouTube™ regarding HoLEP. MATERIALS AND METHODS: The term "HOLEP" was searched on YouTube™ on December 24, 2020. Videos that were not in English, French or Arabic, specifically destined to the medical community, with no written or oral comment, patient testimonials, pure surgical technique or had content unrelated to HoLEP were excluded from the study. The patient information sheet by the French Urology Association (AFU) was used to create a list of 31 items classified into 4 categories as follows: anatomy and pathophysiology (6 items), technique and perioperative preparation (10 items), usual outcomes (10 items) and complications (5 items). For each item on the predefined list, correct, missing and incorrect information were rated respectively 1, 0 and -1. RESULTS: Thirty-five videos met the inclusion criteria. Their average length was 6'06"±7'03" [00'20"; 31'30"], with an average number of views of 5279±17,821 [8; 87,354]. The information provided on the videos was written and oral, oral-only and written-only in 51%, 34% and 14% of cases, respectively. 23% of the videos showed surgery sequences, 40% animations and 62% a doctor speaking. Only one video had a quality score greater than 80% and 7 videos got a score below 20%. CONCLUSION: The information about HoLEP on YouTube™ seemed not of sufficiently high quality to allow patients to make informed decisions, and was occasionally misleading. Surgeons still have the duty to give the best quality information, and may point patients towards adequate sources of information, especially those delivered by national and international professional societies.

Genome-wide insights on gastrointestinal nematode resistance in autochthonous Tunisian sheep.

Gastrointestinal nematode (GIN) infections have negative impacts on animal health, welfare and production. Information from molecular studies can highlight the underlying genetic mechanisms that enhance host resistance to GIN. However, such information often lacks for traditionally managed indigenous livestock. Here, we analysed 600 K single nucleotide polymorphism genotypes of GIN infected and non-infected traditionally managed autochthonous Tunisian sheep grazing communal natural pastures. Population structure analysis did not find genetic differentiation that is consistent with infection status. However, by contrasting the infected versus non-infected cohorts using ROH, LR-GWAS, FST and XP-EHH, we identified 35 candidate regions that overlapped between at least two methods. Nineteen regions harboured QTLs for parasite resistance, immune capacity and disease susceptibility and, ten regions harboured QTLs for production (growth) and meat and carcass (fatness and anatomy) traits. The analysis also revealed candidate regions spanning genes enhancing innate immune defence (SLC22A4, SLC22A5, IL-4, IL-13), intestinal wound healing/repair (IL-4, VIL1, CXCR1, CXCR2) and GIN expulsion (IL-4, IL-13). Our results suggest that traditionally managed indigenous sheep have evolved multiple strategies that evoke and enhance GIN resistance and developmental stability. They confirm the importance of obtaining information from indigenous sheep to investigate genomic regions of functional significance in understanding the architecture of GIN resistance.

[Overall survival and survival without local recurrence in case of radiotherapy of the tumor bed of ductal carcinomas in situ of the breast: Review of the literature]. / Survie globale et sans récidive locale en cas de radiothérapie du lit tumoral des carcinomes canalaires in situ du sein : revue de la littérature.

INTRODUCTION: Carcinomas in situ represent more than 15 to 20% of breast cancers. Radiotherapy of whole breast is part of the therapeutic standard and follows surgery. However, the indication of tumor bed irradiation is still controversial and heterogeneous according to international practice even though it is a very frequent clinical situation. The aim of this study is to define the indications of tumor bed irradiation in the context of ductal carcinomas in situ and to discuss accelerated partial irradiation of the breast. METHOD: The selected papers were published between 2015 and 2020 and included as MeSH terms "ductal carcinoma in situ" and "boost" for the analysis of tumor bed irradiation, and "ductal carcinoma in situ" and "accelerated partial breast irradiation" for the analysis of accelerated partial irradiation. RESULTS: Boost was more often performed when risk factors for local recurrence were present, such as age less than 40 or 50 years old, clinical mode of detection, tumor size greater than 15 to 20mm, high nuclear grade, presence of necrosis, positive or insufficient surgical margins, associated atypical hyperplastic lesions, and lobular carcinoma in situ. Accelerated partial irradiation is an option for favorable or intermediate prognosis CCIS, further studies involving more patients are required. CONCLUSION: Radiotherapy of the mammary gland in the context of DCIS has shown its effectiveness in terms of local and locoregional control of the disease, thus reducing in situ and infiltrating recurrences. However, the indication of operating bed irradiation is still debated, and the practice is very heterogeneous depending on the country. Another possible alternative for patients with a favorable prognosis and a small tumor bed volume would be IPA.

Two-year analysis of Clostridium difficile ribotypes associated with increased severity.

BACKGROUND: Certain Clostridium difficile ribotypes have been associated with complex disease phenotypes including recurrence and increased severity, especially the well-described hypervirulent RT027. This study aimed to determine the pattern of ribotypes causing infection and the association, if any, with severity. METHODS: All faecal samples submitted to a large diagnostic laboratory for C. difficile testing between 2011 and 2013 were subject to routine testing and culture. All C. difficile isolates were ribotyped, and associated clinical and demographic patient data were retrieved and linked to ribotyping data. RESULTS: In total, 86 distinct ribotypes were identified from 705 isolates of C. difficile. RT002 and RT015 were the most prevalent (22.5%, N=159). Only five isolates (0.7%) were hypervirulent RT027. Ninety of 450 (20%) patients with clinical information available died within 30 days of C. difficile isolation. RT220, one of the 10 most common ribotypes, was associated with elevated median C-reactive protein and significantly increased 30-day all-cause mortality compared with RT002 and RT015, and with all other ribotypes found in the study. CONCLUSIONS: A wide range of C. difficile ribotypes were responsible for C. difficile infection presentations. Although C. difficile-associated mortality has reduced in recent years, expansion of lineages associated with increased severity could herald increases in future mortality. Enhanced surveillance for emerging lineages such as RT220 that are associated with more severe disease is required, with genomic approaches to dissect pathogenicity.

Factors that impact on the burden of Escherichia coli bacteraemia: multivariable regression analysis of 2011-2015 data from West London.

BACKGROUND: The incidence of Escherichia coli bacteraemia in England is increasing amid concern regarding the roles of antimicrobial resistance and nosocomial acquisition on burden of disease. AIM: To determine the relative contributions of hospital-onset E. coli bloodstream infection and specific E. coli antimicrobial resistance patterns to the burden and severity of E. coli bacteraemia in West London. METHODS: Patient and antimicrobial susceptibility data were collected for all cases of E. coli bacteraemia between 2011 and 2015. Multivariable logistic regression was used to determine the association between the category of infection (hospital or community-onset) and length of stay, intensive care unit admission, and 30-day all-cause mortality. FINDINGS: E. coli bacteraemia incidence increased by 76% during the study period, predominantly due to community-onset cases. Resistance to quinolones, third-generation cephalosporins, and aminoglycosides also increased over the study period, occurring in both community- and hospital-onset cases. Hospital-onset and non-susceptibility to either quinolones or third-generation cephalosporins were significant risk factors for prolonged length of stay, as was older age. Rates of mortality were 7% and 12% at 7 and 30 days, respectively. Older age, a higher comorbidity score, and bacteraemia caused by strains resistant to three antibiotic classes were all significant risk factors for mortality at 30 days. CONCLUSION: Multidrug resistance, increased age, and comorbidities were the main drivers of adverse outcome. The rise in E. coli bacteraemia was predominantly driven by community-onset infections, and initiatives to prevent community-onset cases should be a major focus to reduce the quantitative burden of E. coli infection.

Dynamics of infestation by Rhinoestrus usbekistanicus in donkeys (Equus asinus) in Tunisia.

Examination of a total of 125 slaughtered donkeys in Tunisian slaughterhouses revealed the presence of 1,508 larvae of Rhinoestrus usbekistanicus in their nasal cavities, with an overall infestation prevalence of 52.8%. The highest overall intensity (number of larvae per infested donkey) and abundance (number of larvae per donkey examined) of infestation were reported in winter (35.6 and 12.1, respectively). Larvae 1 (L1) were the most frequent stage and reached a peak prevalence of 100% during November. The number of larvae 2 (L2) and 3 (L3) was low and the maximum was recorded during March and April. Post-mortem observations showed that infestation intensity increases with age. The ethmoid bone was the most frequently infected portion of the nasal cavity (83.75%). This is the first study on nasal bots in donkeys in Tunisia.

Lors de l'examen des cavités nasales d'un total de 125 ânes abattus dans des abattoirs tunisiens, 1 508 larves de Rhinoestrus usbekistanicus ont été dénombrées, le taux de prévalence de l'infestation s'élevant à 52,8 %. C'est en hiver que l'intensité de l'infestation (nombre de larves par âne infesté) et son abondance (nombre de larves par âne examiné) étaient les plus élevées (elles étaient respectivement de 35,6 et 12,1). Le stade larvaire 1 (L1) était le plus fréquent, avec un pic de prévalence de 100 % en novembre. Le nombre de larves de stade 2 et 3 (L2 et L3) était faible et enregistrait son plus haut niveau aux mois de mars et d'avril. Les observations post-mortem ont montré que l'intensité de l'infestation s'accroît avec l'âge de l'animal. La partie de la cavité nasale le plus souvent infestée était l'os ethmoïde (83,75 % des cas). Il s'agit de la première étude consacrée aux myiases nasales chez l'âne en Tunisie.

Los autores describen un estudio en el cual, tras analizar un total de 125 asnos sacrificados en mataderos tunecinos, se observó en las fosas nasales de parte de ellos la presencia de 1 508 larvas de Rhinoestrus usbekistanicus, con una prevalencia global de infestación del 52,8%. En cuanto a la intensidad (número de larvas por asno infectado) y abundancia (número de larvas por asno analizado) de la infestación, los guarismos globales más elevados se registraron en invierno (35,6 y 12,1 respectivamente). El estadio larvario más frecuente era el primero (L1), cuyo pico de prevalencia, del 100%, se alcanzaba en noviembre. Las larvas de segundo y tercer estadios (L2 y L3) eran poco numerosas, con un máximo registrado en marzo y abril. Las necropsias demostraron que la intensidad de infestación aumenta con la edad. La parte de la fosa nasal infestada con más frecuencia (un 83,75%) era el hueso etmoides. Se trata del primer estudio realizado en Túnez de la presencia de larvas nasales en asnos.

Mapping national surveillance of surgical site infections in England: needs and priorities.

BACKGROUND: The rise in antimicrobial resistance has highlighted the importance of surgical site infection (SSI) prevention with effective surveillance strategies playing a key role in improving patient safety. AIM: To map national needs and priorities for SSI surveillance against current national surveillance activity. METHODS: This study analysed SSI surveillance in National Health Service (NHS) hospitals in England covering 23 surgical procedures. Data collected were: (i) annual number of procedures, (ii) SSI rates from national reports, (iii) national reporting requirement (mandatory, voluntary, not offered), (iv) priority ranking from a survey of 84 English NHS hospitals, (v) excess length of stay and costs from the literature. The relationships between estimated SSI burden, national surveillance activity, and hospital-reported priorities were explored with descriptive and univariate analyses. FINDINGS: Among the 23 surgical categories analysed, top priority ranking by hospitals was associated only with current surveillance (r = 0.76, P < 0.01) and mandatory reporting (33% vs 8 and 4%, P = 0.04). Percentage of hospitals undertaking surveillance, mandatory reporting, and the selection of priorities did not match SSI burden. Large bowel surgery (LBS, voluntary) and caesarean section (not offered) were the two highest contributors of total SSIs per annum, with 39,000 (38%) and 17,000 (16%) respectively, while the four orthopaedic categories (all mandatory) contributed 5000 (5%). LBS also had the highest associated costs (£119 million per annum). CONCLUSION: Current surveillance and future priorities were not associated with SSI rate, volume, or cost to hospitals. The two highest contributors of SSIs and related costs have no (caesarean section) or limited (LBS) coverage by national surveillance.

First detection and molecular identification of Neospora caninum from naturally infected cattle and sheep in North Africa.

Neosporosis, caused by the protozoan Neospora caninum, is a major cause of reproductive failure in ruminants causing enormous economic losses. The objective of this study was to estimate the infection rate and molecular identification of N. caninum in Tunisian cattle and sheep. A total number of 348 meat samples were collected from 150 cows and 198 ewes slaughtered in the regional slaughterhouse of Béja (North-west Tunisia) and tested for the presence of N. caninum ITS1 gene using PCR followed by sequencing of some PCR products. A phylogenetic tree was then constructed to compare the partial sequences of the ITS1 gene with GenBank sequences. The overall molecular infection prevalence of N. caninum was significantly higher in cattle than in sheep (22 and 10.6%, respectively, p = .003). In sheep, the highest prevalence was observed in the northern Béja locality (31.2 ± 16.1), with the Noire de Thibar breed as the most infected sheep breed (31.7 ± 14.2%) (p < .001). In cattle, there were no differences in the molecular prevalence of N. caninum according to breeds and localities. The association between age and N. caninum molecular prevalence was statistically significant in both species; the highest prevalence was observed in sheep of more than one year of age (19.4 ± 9.1%), and in cattle between two and eight years of age (28.8 ± 10.9%). Comparison of the partial sequences of the ITS1 gene revealed 96%-100% similarity among our N. caninum amplicon and those deposited in GenBank. To our knowledge, this is the first detection and molecular identification of N. caninum in sheep and cattle in North Africa. This information is pertinent in designing control programmes that would reduce economic losses in the livestock industry.

Epidemiological survey of vector-borne infections in equids from northern Tunisia.

Leishmaniosis (Leishmania infantum infection) and piroplasmoses (Theileria equi and Babesia caballi infections) are vector-borne diseases with significant economic and public health impacts. Despite their importance, there is a lack of data concerning these infections in equids from Tunisia. The present study was carried out to estimate the prevalence of L. infantum, T. equi and B. caballi in 104 equids from northern Tunisia. The authors reported for the first time on the seroprevalence of anti-Leishmania antibodies in equids in Tunisia (6.7%). The study reported a high infection prevalence of piroplasms (23.1%), revealed for the first time T. equi and B. caballi infections in Tunisian donkeys, and showed that these animals act as reservoirs for the maintenance and dissemination of piroplasms.

La leishmaniose (infection à Leishmania infantum) et les piroplasmoses (infections à Theileria equi et à Babesia caballi) sont des maladies à transmission vectorielle dont les conséquences économiques et l'impact sur la santé publique sont significatifs. Malgré leur importance, en Tunisie la situation des équidés vis-à-vis de ces maladies était jusqu'à présent peu documentée. L'étude décrite par les auteurs avait pour objet d'estimer la prévalence des infections à L. infantum, T. equi et B. caballi chez 104 chevaux du Nord de la Tunisie. La recherche d'anticorps dirigés contre Leishmania a permis de déterminer pour la première fois une prévalence sérologique chez les équidés (6,7 %). L'étude a rapporté une prévalence élevée de piroplasmes (23,1 %) et fait état pour la première fois en Tunisie de l'existence d'infections à T. equi et à B. caballi chez des ânes ; elle montre également que ces derniers font office de réservoirs et jouent un rôle dans le maintien et la dissémination des piroplasmes.

La leishmaniosis (infección por Leishmania infantum) y las piroplasmosis (infecciones por Theileria equi y Babesia caballi) son enfermedades transmitidas por vectores que tienen una importante repercusión en la economía y la salud pública. A pesar de su importancia, existen pocos datos sobre estas infecciones en los équidos tunecinos. Los autores describen un estudio destinado a estimar la prevalencia de L. infantum, T. equi y B. caballi en 104 équidos del norte del país, gracias al cual determinaron por primera vez la seroprevalencia de anticuerpos contra Leishmania en équidos tunecinos (un 6,7%). La investigación puso de manifiesto una elevada prevalencia de la infección por piroplasmas (un 23,1%), reveló por vez primera la infección de asnos tunecinos por T. equi y B. caballi y demostró que estos animales ejercen de reservorio, manteniendo y propagando así los piroplasmas.

Population dynamics of ticks infesting horses in north-west Tunisia.

A preliminary study was carried out to examine the population dynamics of ticks on 24 pure Arabian horses. The horses were monitored monthly over one year in the Ghardimaou region of north-west Tunisia. A total of 120 adult ticks were collected and identified, leading to the estimation of different parasitological indicators. The ticks belonged to a single genus (Hyalomma) and three species: H. scupense (59%), H. marginatum (28%) and H. excavatum (13%) (p < 0.001). The mean infestation prevalence was 29.5%; the highest prevalence was observed for H. scupense (41.7%) (p < 0.05). The mean overall intensity of infestation was0.3 ticks/horse. The highest mean intensity was observed with H. scupense (0.6 ticks/horse) and the highest individual intensity measurement was observed for H. scupense (1.1 ticks/animal). The mean annual abundance of ticks was 0.1 ticks/animal. There was no significant correlation between a horse's age and the number of ticks (p > 0.05), but the proportion of ticks on mares was significantly higher than that on males: 65.0% and 35.0%, respectively (p < 0.05). To the authors' knowledge, this is the first longitudinal study of tick dynamics in North African horses.

Une étude préliminaire a été réalisée afin d'examiner la dynamique des populations de tiques infestant 24 chevaux pur-sang arabes. Les tests ont été effectués une fois par mois pendant un an dans la région de Ghardimaou au nord-ouest de la Tunisie. Autotal, 120 tiques adultes ont été collectées et identifiées, permettant une estimation de différents indicateurs parasitologiques. Toutes les tiques collectées étaient du genre Hyalomma, dont trois espèces ont été identifiées : H. scupense (59 %),H. marginatum (28 %) et H. excavatum (13 %) (p < 0,001). La prévalence moyenne de l'infestation était de 29,5 % et la prévalence la plus élevée correspondait à H. scupense (41,7 %) (p < 0,05). L'intensité globale moyenne de l'infestation était de 0,3 tique/cheval. L'intensité moyenne la plus élevée correspondait à H. scupense (0,6 tique/cheval), espèce qui a également présenté l'intensité individuelle la plus élevée (1,1 tique/animal). L'abondance annuelle moyenne était de 0,1 tique/animal. Aucune corrélation significative n'a été mise en évidence entre l'âge du cheval et le nombre de tiques (p > 0,05), mais la proportion de tiques chez les juments était plus élevée que chez les mâles, respectivement 65,0 % et 35,0 % (p < 0,05). À la connaissance des auteurs, il s'agit de la première étude longitudinale de la dynamique des populations de tiques chez les chevaux en Afrique du Nord.

Los autores describen un estudio preliminar destinado a examinar la dinámica de población de las garrapatas presentes en 24 caballos purasangre árabes de la región de Gardimau (noroeste de Túnez), sometidos a controles mensuales durante más de un año. Tras recoger y tipificar un total de 120 garrapatas adultas, se calcularon distintos indicadores parasitológicos. Todos los ácaros pertenecían a un solo género (Hyalomma) y a tres especies: H. scupense (59%), H. marginatum (28%) y H. excavatum (13%) (p < 0,001). La prevalencia de infestación media era del 29,5%, mientras que la prevalencia más alta observada correspondía a H. scupense (41,7%) (p < 0,05). El promedio general de intensidad de infestación era de 0,3 garrapatas/caballo. La intensidad media más elevada correspondía a H. scupense (0,6 garrapatas/caballo), especie que también deparó la medida más alta de intensidad individual (1,1 garrapatas/animal). El promedio de abundancia anual era de 0,1 garrapatas/animal. No se observó correlación significativa entre la edad del caballo y el número de garrapatas (p > 0,05), pero la proporción de parásitos en las yeguas era significativamente mayor que en los machos: un 65,0% frente a un 35,0%, respectivamente (p < 0,05). Hasta donde saben los autores, se trata del primer estudio longitudinal de la dinámica de poblaciones de garrapatas realizado en caballos norteafricanos.

Symptoms of Canine Leishmaniosis in Tunisian Dogs.

Canine leishmaniosis (CanL) is a fatal disease caused by Leishmania infantum which is a zoonotic protozoan transmitted to humans from dogs through sandflies. In Tunisia, there is a lack of knowledge on CanL risk and protective factors that limits the possibilities to design control strategies. In this study, 269 dogs suffering from CanL that were presented by their owners to the clinic of the National School of Veterinary Medicine of Sidi Thabet (Tunisia), were examined. Male dogs were more infected than female dogs (sex-ratio = 1.53). The age distribution in dogs has a normal distribution; mostly animals less than 4 years old (48.7%) gets affected by this disease. The majority of the animals were German Shepherded (14.4%) followed by Staffordshire (12.6%) and Rottweiler (9.6%). Most of the dogs live outdoor (87%), did not receive any acaricidal treatment (88.5%) and were not dewormed (70.3%). Poor body condition (73.2%), depilation (69.1%), lymph node enlargement (67.3%) and lethargy (60.2%) were the most frequent symptoms. Further studies need to be carried out to establish the presence of a relation between the zymodems and the clinical typology of CanL. It is also important to know if these disparities were due to differences in the canine population under study, to inherent differences in susceptibility to the disease or to a genetic diversity of the parasite.

La leishmaniose viscérale canine est une maladie fatale due à Leishmania infantum qui est un protozoaire zoonotique transmis aux humains par les chiens par l'intermédiaire de phlébotomes. En Tunisie, il y a un manque d'informations sur la leishmaniose viscérale canine, les facteurs de risque et de protection, limitant les possibilités de développement de stratégies de contrôle. Les auteurs ont examiné 269 chiens présentés par leurs propriétaires en consultation à la clinique de l'École nationale de médecine vétérinaire de Sidi Thabet (Tunisie), présentant une leishmaniose viscérale canine en Tunisie. Les chiens mâles étaient plus infectés que les chiens femelles (sex-ratio = 1,53). La distribution de l'âge des chiens est en cloche, la maladie a concerné principalement les animaux âgés de moins de 4 ans (48,7 %). La majorité des animaux étaient de race berger allemand (14,4 %), suivis par les Staffordshire bull-terrier (12,6 %) et les rottweilers (9,6 %). La majorité des chiens vivaient à l'extérieur (87 %), ne recevaient pas de traitements acaricides (88,5 %) et n'étaient pas vermifugés (70,3 %). Le mauvais état général (73,2 %), la dépilation (69,1 %), l'hypertrophie des nœuds lymphatiques (67,3 %) et la léthargie (60,2 %) étaient les symptômes les plus fréquents. Des études ultérieures sont nécessaires pour établir une relation entre les zymodèmes et la typologie clinique de la leishmaniose viscérale du chien. Il serait intéressant également de savoir si ces disparités étaient dues à une différence de la population canine étudiée, à une différence de la sensibilité des chiens ou à une diversité génétique du parasite.

Anthelmintic activity of Tunisian chamomile (Matricaria recutita L.) against Haemonchus contortus.

The chemical treatment of gastrointestinal parasitic diseases has been undermined by increasing resistance and high toxicity. There is an urgent need to search for alternative natural sources for the treatment of such parasites. In this respect, the present study aims to quantify phenolic compounds of chamomile (Matricaria recutita L.) and to study their in vitro anti-oxidant and anthelmintic activities in solvents with increasing polarity. In vitro determination of anti-oxidant capacity was carried out using 2,2-diphenyl-1-picrylhydrazyl (DPPH) and 2,2-azino-bis-(3-ethylbenzthiazoline-6-sulphonic acid) (ABTS) radical cation methods. In vitro anthelmintic activity was investigated on egg-hatching inhibition and loss of motility of adult worms of Haemonchus contortus from sheep. The results showed that methanolic and aqueous extracts contain more total polyphenols, total flavonoids and condensed tannins than chloroformic and hexanic extracts. ABTS and DPPH assays showed that methanolic extracts had the highest anti-oxidant potency (IC50 = 1.19 µg/ml and 1.18 µg/ml, respectively). In vitro anthelmintic activity showed that both methanolic (IC50 = 1.559 mg/ml) and aqueous (IC50 = 2.559 mg/ml) extracts had the greatest effect on egg hatching and motility of worms (100% after 8 h post exposure at 8 mg/ml). A significant and positive correlation between DPPH and ABTS tests was observed for all tested extracts. Therefore, total phenolic, total flavonoid and condensed tannin values were correlated with IC50 from both ABTS and DPPH, and with inhibition of egg hatching. To our knowledge, this report is the first of its kind to deal with in vitro anthelmintic activities of chamomile extracts.

First detection and molecular identification of Sarcocystis spp. in small ruminants in North-West Tunisia.

Sarcocystosis is a parasitic disease caused by varying Sarcocystis species infecting humans and animals. It is commonly found in small ruminants causing pathogenic effects. This contributes to detrimental economic loss for local farmers and the local economy due this disease. Although the distribution of Sarcocystis can be found all over the world, the species infecting small ruminants in Tunisia is still unknown. Through this study, we aim to estimate the molecular prevalence of natural infection with Sarcocystis spp. in sheep and goats using molecular identification. Also, phylogenetic analyses were used to identify the different species of this parasite infecting small ruminants in northern Tunisia for the first time. DNA was extracted from 198 and 121, sheep and goats meat samples, respectively. The molecular prevalence of Sarcocystis spp. in sheep and goats was 58.6% (116/198) and 50.4% (61/121), respectively. Compared to the Noire de Thibar and cross-breeds, the Barbarine sheep had the highest infection prevalence (63.4%) (p = .004). Five of the 116 positive samples were sequenced identifying Sarcocystis tenella from sheep. For goats, the sequencing results showed that five positive PCR products belonged to Sarcocystis capracanis species.

Molecular survey and genetic characterization of Anaplasma centrale, A. marginale and A. bovis in cattle from Algeria.

Bovine anaplasmosis could be caused by several Anaplasma species. The causative agents are transmitted by ticks and haematophagous arthropods with a high impact on both human and animal health. This study was conducted to estimate the infection rate and to characterize Anaplasma spp. in cattle from Algeria. A molecular survey was performed in Setif district (Northeast Algeria) where a total number of 180 cattle blood samples were collected and tested for the presence of Anaplasma spp. by PCR. Positive samples were genetically characterized based on the 16S rRNA and msp4 genes. PCRs revealed that the infection rates of Anaplasma spp., Anaplasma centrale, Anaplasma marginale and Anaplasma bovis were 42.2%; 39.4%; 11.1% and 4.4%, respectively. All tested animals were negative for A. phagocytophilum. Co-infection occurred in 10% (18/180) of the tested animals, and the most common co-infection pattern was an association between A. centrale and A. marginale (5.5%). Five cattle (2.7%) were co-infected by the three Anaplasma species. Holstein animals (58.1%) were more infected by A. centrale than the other breeds (p = .01). The molecular prevalence of A. centrale was significantly higher in males (54.2%) than in females (34.1%) (p = .001). A. marginale msp4 genetic analysis indicated a high sequence diversity of Algerian strains, suggesting the importation of live cattle from different origins. Phylogenetic analysis of the 16S rRNA gene of A. bovis and A. centrale revealed a low degree of genetic diversity. Our study suggests that different species of Anaplasma are simultaneously present in the Algerian cattle. To the best of our knowledge, this is the first molecular study and genetic characterization of Anaplasma spp. in Algerian cattle.

Prevalence of Echinococcus granulosus taeniasis in stray dogs in the region of Constantine (North-East Algeria).

In North Africa, the domestic dog is regarded as the main reservoir for infection by Echinococcus granulosus of domestic livestock and man. In Algeria, there is very little data on the rate of infestation of dogs, while the prevalence of E. granulosus in the definitive host is a very reliable marker of the potential risk of transmission of cystic tapeworm to humans and livestock. To find out this information, a survey was conducted to assess the prevalence of infection with E. granulosus in stray dogs in the region of Constantine (North-East Algeria). We autopsied and examined 120 stray dogs, 22 (18.3%) of which were infected with E. granulosus, with an average intensity of infestation of 249 worms. The prevalence in the area of survey was evaluated: 15.5% (14/90) and 26.6% (8/30) dogs were parasitized by E. granulosus in urban and rural areas respectively. The influence of age on the rate of infection was very marked. In addition, the appreciation of the prevalence of parasitism by cestodes as a whole showed that 56 (46.6%) animals out of 120 were infected. Facing such a situation of endemic tapeworm parasitism, with a potential risk of transmission to humans, there is an urgent need to take measures to control and break the epidemiological cycles of the parasite.

Effect of adding a mobile health intervention to a multimodal antimicrobial stewardship programme across three teaching hospitals: an interrupted time series study.

Objectives: To evaluate the impact of adding a mobile health (mHealth) decision support system for antibiotic prescribing to an established antimicrobial stewardship programme (ASP). Methods: In August 2011, the antimicrobial prescribing policy was converted into a mobile application (app). A segmented regression analysis of interrupted time series was used to assess the impact of the app on prescribing indicators, using data (2008-14) from a biannual point prevalence survey of medical and surgical wards. There were six data points pre-implementation and six data points post-implementation. Results: There was an increase in compliance with policy (e.g. compliance with empirical therapy or expert advice) in the two specialties of medicine (6.48%, 95% CI = -1.25 to 14.20) and surgery (6.63%, 95% CI = 0.15-13.10) in the implementation period, with a significant sudden change in level in surgery ( P < 0.05). There was an increase, though not significant, in medicine (15.20%, 95% CI = -17.81 to 48.22) and surgery (35.97%, 95% CI = -3.72 to 75.66) in the percentage of prescriptions that had a stop/review date documented. The documentation of indication decreased in both medicine (-16.25%, 95% CI = -42.52 to 10.01) and surgery (-14.62%, 95% CI = -42.88 to 13.63). Conclusions: Introducing the app into an existing ASP had a significant impact on the compliance with policy in surgery, and a positive, but not significant, effect on documentation of stop/review date in both specialties. The negative effect on the third indicator may reflect a high level of compliance pre-intervention, due to existing ASP efforts. The broader value of providing an antimicrobial policy on a digital platform, e.g. the reach and access to the policy, should be measured using indicators more sensitive to mHealth interventions.

Molecular Study of Dirofilaria immitis and Dirofilaria repens in Dogs from Tunisia.

Dirofilaria immitis and Dirofilaria repens are mosquito-borne nematodes which infect primarily dogs as their main definitive hosts. They cause cardiopulmonary (D. immitis) or cutaneous (D. repens) dirofilariasis in canids and other carnivores and can accidentally be transmitted to humans where they can induce a variety of clinical outcomes depending on organ localization. Dirofilaria spp. infection in dogs was assessed using molecular methods (PCR and sequencing) to identify the different Dirofilaria species occurring in 200 dogs from Northern and Central Tunisia. The overall molecular prevalence of Dirofilaria spp. was 17.5% (35/200). The prevalence of D. immitis (14.5%) was significantly higher than for D. repens (3%). Molecular prevalence of D. immitis was significantly higher in suburban compared to urban and rural regions. There was no difference in molecular prevalence of D. immitis or D. repens according to the dogs' (sex or use). Dirofilaria immitis amplicons (accession numbers KR676386) fall into the same clade with D. immitis from China, India and Taiwan. Comparison of the partial sequences of D. repensITS2 rDNA gene (KR676387) revealed 99.6% similarity with D. repens reported in dogs from USA. It had also 97.6% similarity with D. repens from mosquitoes in Czech Republic. High dog parasite burdens should motivate both medical doctors and veterinarians to consider these frequent infections.