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1.
Nat Commun ; 15(1): 326, 2024 Jan 06.
Artigo em Inglês | MEDLINE | ID: mdl-38182626

RESUMO

Fine-scale knowledge of the changes in composition and function of the human gut microbiome compared that of our closest relatives is critical for understanding the evolutionary processes underlying its developmental trajectory. To infer taxonomic and functional changes in the gut microbiome across hominids at different timescales, we perform high-resolution metagenomic-based analyzes of the fecal microbiome from over two hundred samples including diverse human populations, as well as wild-living chimpanzees, bonobos, and gorillas. We find human-associated taxa depleted within non-human apes and patterns of host-specific gut microbiota, suggesting the widespread acquisition of novel microbial clades along the evolutionary divergence of hosts. In contrast, we reveal multiple lines of evidence for a pervasive loss of diversity in human populations in correlation with a high Human Development Index, including evolutionarily conserved clades. Similarly, patterns of co-phylogeny between microbes and hosts are found to be disrupted in humans. Together with identifying individual microbial taxa and functional adaptations that correlate to host phylogeny, these findings offer insights into specific candidates playing a role in the diverging trajectories of the gut microbiome of hominids. We find that repeated horizontal gene transfer and gene loss, as well as the adaptation to transient microaerobic conditions appear to have played a role in the evolution of the human gut microbiome.


Assuntos
Microbioma Gastrointestinal , Hominidae , Microbiota , Animais , Microbioma Gastrointestinal/genética , Pan troglodytes , Pan paniscus
2.
Pathol Biol (Paris) ; 60(3): e21-6, 2012 Jun.
Artigo em Francês | MEDLINE | ID: mdl-21741184

RESUMO

AIM: The aim of this study was to determine prevalence of enteroviruses in raw municipal wastewater and specify serotypes circulating. METHODS: After virus concentration by WHO recommend method, aqueous phase of 68 samples was inoculate on BGM, RD, L20B and Hep2 cells lines. Typing after titration was performed by microplate neutralization test with specific horse immune serum against EV (kit RIVM/WHO). NPEV strains were confirmed by RT-PCR test in 5'NC genomic region. Antigenic and molecular tests of Polioviruses intratypic differentiation were performed to determine vaccine or wild origin of Poliovirus strains. RESULTS: Viral isolation obtained 43/68 (65.15 %) positives samples. Among these 35/43 (81. 39%) were EV and 8/43 (19.04 %) non EV strain. Among EVs, 34/35 (97.14 %) were NEPV and 2/35 (5.71 %) vaccinal Poliovirus strains type 2 (Sabin-like). NEPV typing gave 77 % untypeable strains by conventionally method. The average virus concentration estimated in the raw sewage is 4.28×10(5) PFU/L. CONCLUSION: Various contacts between people and these waters expose them to health risks.


Assuntos
Enterovirus/isolamento & purificação , Esgotos/virologia , Linhagem Celular , Cidades , Côte d'Ivoire , DNA Viral/análise , DNA Viral/genética , Enterovirus/genética , Geografia , Humanos , Técnicas Microbiológicas , Poliovirus/genética , Poliovirus/isolamento & purificação , Chuva , Reação em Cadeia da Polimerase Via Transcriptase Reversa , Esgotos/microbiologia , Saúde da População Urbana , Virologia/métodos
3.
Rev Sci Tech ; 31(3): 821-8, 2012 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-23520736

RESUMO

Between 2007 and 2009, active surveys were conducted on backyard poultry (chickens, guinea fowls and ducks) in four areas of Côte d'Ivoire, including two areas where avian influenza H5N1 outbreaks occurred in 2006. Each bird underwent clinical examination. In total, 5,578 sera, 4,580 tracheal swabs and 5,120 cloacal swabs were collected, plus tissues from 35 sick chickens. Using the haemagglutination inhibition (HI) test, 277 and 36 serum samples were positive for H5 and H7, respectively; all were negative for H9. All samples were negative by reverse transcription polymerase chain reaction. These results confirm the circulation of H5 and H7 influenza subtypes in backyard poultry in Côte d'Ivoire. Given that the seropositive birds were healthy, the circulating subtypes may be low pathogenicity avian influenza strains. Half (2,680) of the sera collected from chickens were tested by HI for Newcastle disease virus (NDV) antibody: 531 were positive. The seroprevalence of 19.8% confirms the endemic status of NDV, but may underestimate its true prevalence in Côte d'Ivoire.


Assuntos
Virus da Influenza A Subtipo H5N1/imunologia , Vírus da Influenza A Subtipo H7N1/imunologia , Vírus da Influenza A Subtipo H9N2/imunologia , Influenza Aviária/epidemiologia , Doença de Newcastle/epidemiologia , Vírus da Doença de Newcastle/imunologia , Animais , Anticorpos Antivirais/sangue , Galinhas , Côte d'Ivoire/epidemiologia , Patos , Testes de Inibição da Hemaglutinação/veterinária , Aves Domésticas , Estudos Soroepidemiológicos
4.
J Infect Dis ; 202 Suppl: S220-4, 2010 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-20684706

RESUMO

In this study, we characterized human rotavirus strains recovered from infants and young children with acute diarrhea in Abidjan, Cote d'Ivoire, during 2000-2004. In total, 719 fecal specimens were collected from children aged 1-60 months with acute infantile gastroenteritis. Examination with a commercial enzyme-linked immunosorbent assay showed the presence of group A rotavirus antigen in 208 diarrheal specimens (28.9%). Polyacrylamide gel electrophoresis of the RNA extracted from rotavirus-positive stools yielded a variety of "long" and "short" RNA electropherotypes, which were used to help select strains for VP4 and VP7 genotyping. VP7 genotype G1 strains were circulating most commonly during the study period (53%), followed by G2 (22%) and G3 (5%) strains. Strains with multiple VP7 genotype reactivity were observed in 7.6% of specimens, and a similar number (8%) could not be typed at all. VP4 P[6] and P[8] strains circulated at similar levels (33%). Strains demonstrating multiple VP4 types were quite common (9%); however, 20% of the strains were untypeable by the methods used. Rotavirus strain diversity in Cote d'Ivoire was similar to that observed in other West African countries.


Assuntos
Infecções por Rotavirus/epidemiologia , Infecções por Rotavirus/virologia , Rotavirus/genética , Antígenos Virais/genética , Proteínas do Capsídeo/genética , Pré-Escolar , Côte d'Ivoire/epidemiologia , Fezes/virologia , Genótipo , Humanos , Lactente , RNA Viral/química , RNA Viral/isolamento & purificação , Rotavirus/classificação , Rotavirus/imunologia , Fatores de Tempo
5.
Afr J Med Med Sci ; 39(4): 277-84, 2010 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-21735993

RESUMO

Measles continues to be a cause of morbidity and mortality in Côte d'Ivoire although the death rates are weak (2.4%). The monitoring and elimination programme of this disease require a laboratory confirmation testing by diverse methods of diagnosis needing diverse biological products. Serum is usually used for IgM detection. This study has therefore assessed the importance of the measles virus RNA detection from sera of measles suspected cases for confirmation of the case and determination of the genotype. A total of 45 sera tested were split into two groups according to the interval between the rash appearance and the day of blood collection: Group 1 (day 1 to day 3); group (2 day 4 to day 7). Four sera from Group 1 of the 45 (8.9 %) were positive by RT-PCR technique while 10 (22.2%) sera were positive for IgM anti- measles virus by ELISA test. RT-PCR and ELISA showed the same performance in group 1 with a positivity rate of 13.79 %. The B3 genotype was found. This result showed that the viral RNA can be detected in the serum but only from those sera collected the first 3 days after the rash appearance and could be used as palliative in case it is impossible to obtain other biological products.


Assuntos
Imunoglobulina M/sangue , Vírus do Sarampo/isolamento & purificação , Sarampo/diagnóstico , Sarampo/genética , RNA Viral/genética , Adolescente , Anticorpos Antivirais/sangue , Criança , Pré-Escolar , Côte d'Ivoire , Ensaio de Imunoadsorção Enzimática , Genótipo , Humanos , Imunoglobulina M/genética , Masculino , Sarampo/virologia , Vírus do Sarampo/genética , Vírus do Sarampo/imunologia , Mutação , RNA Viral/análise , Reação em Cadeia da Polimerase Via Transcriptase Reversa , Sensibilidade e Especificidade , Análise de Sequência de RNA
6.
Bull Soc Pathol Exot ; 101(5): 387-90, 2008 Dec.
Artigo em Francês | MEDLINE | ID: mdl-19192605

RESUMO

Non Poliovirus enteroviruses (NPEV) are infectious agents which can determine various infections. They are more and more isolated within the context of the surveillance of acute flaccid paralysis (AFP) and raise a problem of antigenic identification. In Côte d'Ivoire the serotypes of NPEV circulating are unknown. In order to determine the epidemiological and virology characteristics of human (NPEV) stemming from virology investigations from 1996 to 2004, enteroviruses strains isolated from stools and from cerebrospinal fluid have been analysed. The biological products have been tested according to the procedures recommended by the World Health Organisation (WHO) within the context of the virology surveillance of acute flaccid paralysis and the antigenic identification by seroneutralization and serotyping has been done. Out of 144 isolates obtained from 10187 specimens, 637 were Poliovirus strains and 807 NPEV strains (7.9%). Among them 16.3% have been isolated during carrier studies and 83.7% were associated with cases of AFFP Out of the 807 strains of NPE, 218 strains have been tested by serotyping and the serotype of 77 strains (35.32%) has been determined: Coxsackievirus B (41.6%) and different serotypes of Echovirus (58.4%). The proportion of untypable strains (62.3%) confirms the difficulties to identify NPEV with the conventional available reagents. The molecular diagnosis is becoming necessary in order to establish a list of the serotypes of NPEV circulating and associated with clinical features in the country


Assuntos
Infecções por Enterovirus/diagnóstico , Enterovirus/isolamento & purificação , Antígenos Virais/análise , Côte d'Ivoire/epidemiologia , Infecções por Coxsackievirus/epidemiologia , Infecções por Echovirus/epidemiologia , Enterovirus/classificação , Enterovirus/genética , Infecções por Enterovirus/epidemiologia , Infecções por Enterovirus/transmissão , Humanos , Incidência , Sorotipagem
7.
Bull Soc Pathol Exot ; 100(4): 246-9, 2007 Oct.
Artigo em Francês | MEDLINE | ID: mdl-17982852

RESUMO

Viruses, mainly rotaviruses are aetiological agents in more than 80% of the cases of acute diarrhoea in children. In order to determine the epidemiological characteristics and genotypes of human rotaviruses involved in gastroenteritis in diarrheic children aged from 0 to 5 years old in Abidjan, 642 specimens of stools were collected between 1997 and 2000 in the urban health centres and University Teaching Hospitals in Abidjan. The antigenic detection of rotaviruses carried out by ELISA test was followed by the antigenic (VP6 sub-groups) and molecular characterization: polyacrylamide gel electrophoresis and genetic typing. The general prevalence of Rotavirus diarrhoea was 27.9%. Among the children who were found positive, those whose age ranged from 0 to 11 months old accounted for 45.8% against 41.3% and 12.9% for those whose age ranged from 1 to 2 and 3 to 5 years old respectively proving thus the precocity of rotavirus infection. From an electrophoretypical and antigenic point of view 74.5% of 141 extracts of RNA had a "long" profile and belonged to the VP6 II sub-group against 24.8% of "short" profile belonging to sub-group I. The electrophoretypes with short profile were identified in majority in infants whose age ranged from 0 to 2 years old. Out of the P genotypes identified, the P [8] genotype (59.6%) was predominant followed by the P [6] genotype (26.2%), P [4] (2.8%) and one mosaic genotype P[6,8] which represented 11.4%. These results will need to be completed by the determination of VP7 genotypes in order to provide interesting information on rotaviruses before the introduction of anti-Rotavirus vaccines in the country.


Assuntos
Diarreia Infantil/virologia , Infecções por Rotavirus/epidemiologia , Fatores Etários , Antígenos Virais/análise , Proteínas do Capsídeo/análise , Pré-Escolar , Côte d'Ivoire/epidemiologia , Diarreia Infantil/epidemiologia , Eletroforese em Gel de Poliacrilamida , Estudos Epidemiológicos , Fezes/virologia , Gastroenterite/epidemiologia , Gastroenterite/virologia , Genótipo , Humanos , Lactente , Prevalência , Proteínas de Ligação a RNA/análise , Rotavirus/isolamento & purificação , Proteínas não Estruturais Virais/análise
8.
Med Trop (Mars) ; 67(3): 259-62, 2007 Jun.
Artigo em Francês | MEDLINE | ID: mdl-17784678

RESUMO

Influenza (flu) is a seasonal viral disease that may have a favorable outcome or be associated with a high morbidity and mortality rate during epidemics. In view of the lack of epidemiological and virological data about flu in Côte d'Ivoire, a surveillance network was set up in Abidjan to monitor the spread of flu and characterize isolated viruses. Over the 24-month period from January 2003 to December 2004, nasal secretions were collected in patients presenting with flu syndrome at various heath care centers in Abidjan. Laboratory identification of viruses was performed by the ELISA technique using anti-A and anti-B monoclonal antibodies (immunocapture) and by isolation on MDCK cells. A fraction of the original samples and isolates was sent for confirmation to the Pasteur Institute in Paris, France and to the National Institute for Communicable Diseases (NICD) in Johannesburg, South Africa. Amongst the 211 samples analyzed, 30 (12.8%) proved positive for flu virus. Twenty-two isolates were positive for influenza virus A including 21 for A (H3N2) type and one for A (H1N1) type. The remaining 8 isolates were positive for influenza virus B. Most of these strains were isolated from patients in two age ranges, i.e. 0 to 5 years (34%) and 15 to 59 years (47%). More than 60% of the strains were isolated in June and October but the study duration was too short to define a flu season. Further surveillance data will allow better determination of flu season and definition of clinical and biological characteristics as a prerequisite for a preventive immunization program.


Assuntos
Influenza Humana/diagnóstico , Adolescente , Adulto , Idoso , Criança , Pré-Escolar , Côte d'Ivoire , Feminino , Humanos , Lactente , Vírus da Influenza A Subtipo H1N1/isolamento & purificação , Vírus da Influenza A Subtipo H3N2/isolamento & purificação , Vírus da Influenza B/isolamento & purificação , Influenza Humana/epidemiologia , Masculino , Pessoa de Meia-Idade , Vigilância da População , Fatores de Tempo
9.
Med Trop (Mars) ; 66(5): 465-8, 2006 Oct.
Artigo em Francês | MEDLINE | ID: mdl-17201291

RESUMO

Lassa fever is an African viral hemorrhagic fever (VHF) known to be endemic in a number of West African countries including Nigeria, Sierra Leone, Liberia and Guinea. Despite having common borders with Liberia and Guinea, Côte d'Ivoire has never reported any cases of Lassa fever. In March 2000, as part of a research project on VHF--mainly yellow fever, Lassa fever and Ebola fever--in Guinea and Cote d'Ivoire, an exploratory survey was conducted to assess knowledge about VHF and immunological status against Lassa virus among forest workers in the Duekoue and Guiglo regions. One hundred and sixty-three male forest workers were interviewed using a questionnaire designed to assess risk factors for VHF exposure and personal medical history over the last 12 months. Detection of IgG antibodies against Lassa virus was performed by immunofluorescence assay with Lassa virus antigens from the Josiah and Las/AV strains. The overall prevalence of IgG antibodies was 26% (42/161). Among the Lassa IgG positive subjects, 38.5% were loggers including 20% that were positive at a serum dilution of 1/40 and 46.7% were national park workers or forest rangers including 69% that were positive at a dilution of 1/40 and more. Forty-one percent of subjects had heard of VHF including 14% who attributed it to animals and 2% who attributed it to plants. Contact with rodents was frequent and more than 50% of subjects had either eaten or skinned rodents. Although the prevalence of anti-Lassa IgG antibodies seemed high in the study population, no conclusion can be about level of exposure to Lassa virus.


Assuntos
Anticorpos Antivirais/sangue , Vírus Lassa/imunologia , Adulto , Idoso , Côte d'Ivoire , Estudos Transversais , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários , Árvores
10.
New Microbes New Infect ; 7: 100-4, 2015 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-26442153

RESUMO

Bacterial bloodstream infections (BSI) account for considerable morbidity worldwide, but epidemiological data from resource-constrained tropical settings are scarce. We analysed 293 blood cultures from patients presenting to a regional referral hospital in Bouaké, central Côte d'Ivoire, to determine the aetiology of community-onset BSI. The prevalence of bacteraemia was 22.5%, with children being most commonly affected. Enterobacteriaceae (predominantly Klebsiella pneumoniae and Salmonella enterica) accounted for 94% of BSI. Staphylococcus aureus was the only relevant Gram-positive pathogen. Clinical signs and symptoms were not significantly associated with blood culture positivity after controlling for malaria.

11.
Bull Soc Pathol Exot ; 93(3): 198-201, 2000 Jul.
Artigo em Francês | MEDLINE | ID: mdl-11030057

RESUMO

Strategies aiming to eradicate the poliovirus and poliomyelitis seek primarily to eliminate wild strains associated with the disease, by means of world wide vaccination campaigns using the oral attenuated vaccine (OPV). OPV contains attenuated viral strains which retain their replicating capacity in the digestive tract and thus induce the development of an antiviral local intestinal immunity and limit the circulation of the virus. In such a context, poliomyelitis surveillance laboratories should study above all cases of acute flaccid paralysis (AFP), highlighting the circulation of wild strains, identifying regional reservoirs and guiding vaccination strategies. Alongside circulation, there appear to be important genetic and phenotypic shifts in vaccinating strains, since the OPV is capable of preserving a reservoir of pathogenic stains and thereby impairing vaccination efficacy and the eradication of the virus. Furthermore, non-polio enteroviruses should be considered as a source of emerging pathogenic strains. These questions are being studied by the Pasteur Institute with the objective of determining the effects of OPV campaigns on the circulation of the poliovirus. We have studied the poliovirus vaccine and the circulation of wild strains in urban and peripheral urban areas in African countries known to be endemic for poliomyelitis (Central African Republic, Madagascar, Côte d'Ivoire). The study population consisted of children who had already been vaccinated and new-borns in the course of vaccination. We also evaluated the diffusion of the vaccine strains in their immediate environment. Genetic interchanges were taken into account. For children who received the 3-4 OPV doses, asymptomatic virus excretion was insignificant (0.4-2.4%). The rate of virus excretion in the surrounding environment of children in the course of being vaccinated was relatively low (1.76-5.3%). Our study also detected variant and recombinant strains.


Assuntos
Doenças Endêmicas , Poliomielite/prevenção & controle , Vacina Antipólio Oral , Poliovirus/isolamento & purificação , República Centro-Africana/epidemiologia , Pré-Escolar , Côte d'Ivoire/epidemiologia , Feminino , Humanos , Lactente , Madagáscar/epidemiologia , Masculino , Poliomielite/epidemiologia , Poliovirus/genética , Polimorfismo de Fragmento de Restrição , Vacinação
12.
Bull Soc Pathol Exot ; 97(2): 87-90, 2004 May.
Artigo em Francês | MEDLINE | ID: mdl-15255346

RESUMO

Wild Poliovirus spreading in rural environment in Adzopé, Côte d'Ivoire In order to determine the level of wild Poliovirus spreading among rural children in an endemic poliomyelitis country 469 stools samples, from children aged between three weeks and twelve years old were processed according to WHO procedures for transportation, conservation, isolation and identification of Poliovirus. Intratypic differenciation was performed by an antigenic method using monoclonal antibodies and a genomic RFLP (Restriction Fragment Length Polymorphism). 50 Poliovirus strains (10.7%) were isolated and analyzed: 15 vaccine-like Poliovirus type 1 (30%), 30 vaccine-like Poliovirus type 2 (60%), 4 vaccine-like Poliovirus type 3 (8%) and one wild Poliovirus type 3 (2%). As expected, in the major cases the duration of post-vaccinal viral excretion did not exceed two months. However, in 14% of cases, it varied between 3 and 9 months after the third OPV dose. This long excretion could be due to an inefficient local intestinal immunity or no local immunity at all, in spite of the three OPV doses. These results argue in favor of an increase of the number of OPV doses in such endemic zones. Moreover, OPV strains are well-known to revert to pathogenicity in vaccinees, therefore, the long term excretion of pathogenic OPV derived strains by a certain amount of vaccinees needs to be considered quite seriously.


Assuntos
Doenças Endêmicas/estatística & dados numéricos , Poliomielite/epidemiologia , Poliomielite/virologia , Poliovirus , Saúde da População Rural/estatística & dados numéricos , Anticorpos Antivirais , Criança , Pré-Escolar , Côte d'Ivoire/epidemiologia , DNA Viral/análise , DNA Viral/genética , Doenças Endêmicas/prevenção & controle , Fezes/virologia , Humanos , Imunidade nas Mucosas/imunologia , Programas de Imunização , Esquemas de Imunização , Imunização Secundária , Lactente , Mucosa Intestinal/imunologia , Poliomielite/prevenção & controle , Poliomielite/transmissão , Poliovirus/genética , Poliovirus/imunologia , Poliovirus/patogenicidade , Vacina Antipólio Oral/imunologia , Polimorfismo de Fragmento de Restrição , Vigilância da População , Sorotipagem , Manejo de Espécimes/métodos , Manejo de Espécimes/normas , Fatores de Tempo , Eliminação de Partículas Virais/imunologia
13.
Bull Soc Pathol Exot ; 94(3): 227-30, 2001 Aug.
Artigo em Francês | MEDLINE | ID: mdl-11681215

RESUMO

Côte d'Ivoire is an endemic country for yellow fever, but no case was officially notified in recent years. In July 1999, however, one fatal case was reported. A German citizen was infected in the national park of Comoe, in the north eastern area of the country. In order to evaluate the extent of amaril virus circulation and the risk for local people, a virological, entomological and epidemiological investigation was carried out by the ministry of health, the OCCGE, the Côte d'Ivoire Pasteur Institute (IPCI) and the World Health Organisation in the area where the fatal case had been staying. 18 suspected and 24 confirmed mosquito catchers were identified by interview and a blood specimen was collected from each of them. In addition, 159 batches of mosquitoes from which 94 batches of potential vectors were collected; among the suspected cases, 22% were immunised against yellow fever. Serological and virological analyses were made at IPCI and the Paris Pasteur Institute by ELISA technique and isolation on cells cultures and newborn mice. All the suspicious sera and 87.5% of the catchers were positive for IgG anti-amaril virus. One catcher's serum was positive for IgM anti-amaril virus. 11 suspected sera were positive for IgG anti-dengue virus with 1 positive for IgM. 1 strain of amaril virus and 3 strains of Zika virus were isolated from mosquitoes at IPCI and confirmed by CRORA in Dakar. These results indicated that there is a yellow fever and dengue virus are prevalent among the human and vector populations in the study area. Preventive measures must be adopted to protect human beings at risk for amaril infection.


Assuntos
Febre Amarela/epidemiologia , Adolescente , Adulto , Aedes/virologia , Animais , Anticorpos Antivirais/sangue , Criança , Pré-Escolar , Côte d'Ivoire , Feminino , Flavivirus/classificação , Flavivirus/isolamento & purificação , Alemanha/etnologia , Humanos , Imunoglobulina G/sangue , Imunoglobulina M/sangue , Lactente , Insetos Vetores , Masculino , Pessoa de Meia-Idade , Febre Amarela/transmissão , Vírus da Febre Amarela/imunologia , Vírus da Febre Amarela/isolamento & purificação
14.
Bull Soc Pathol Exot ; 96(4): 313-6, 2003 Nov.
Artigo em Francês | MEDLINE | ID: mdl-14717050

RESUMO

OBJECTIVE: To assess prevalence and trends of community acquired bacterial meningitis in childhood in a tertiary-care hospital before introduction of the HIB conjugate vaccine. STUDY DESIGN: Laboratory based data were recorded from January 1995 to December 2000 on two hundred and eighty seven children with bacterial meningitis. Identification of bacterial agents was performed with conventional methods. Information including age, gender, bacterial aetiology of meningitis, month and annual prevalence of agents was examined. RESULTS: The age of infected children ranges from 1 to 10 years with an average and median age of 34.2 months and 12 months respectively. Fifty five percent of children were male. The overall prevalence of agents were respectively 47.8% for Streptococcus pneumoniae followed by Haemophilus influenzae 39% and Neisseria meningitidis 13.2% with predominance of serogroup C. Stratification by age group shows that Haemophilus influenzae was the most common agent among children < 1 year of age following by S. pneumoniae and N. meningitidis. After 5 years, the number of cases of S. pneumoniae and N. meningitidis was prevalent. After 10 years, N. meningitidis was the first aetiology of bacterial meningitis. The six years data recorded highlighted the high and stable prevalence of H. influenzae B and S. pneumoniae and the low prevalence of N. meningitidis and high incidence of invasive meningococcal, pneumococcal and Haemophilus influenzae during the six years between September and February. CONCLUSION: Conjugated HIB vaccine is needed in our country to lower incidence of H. influenzae meningitis as already seen in developed countries. Continuous surveillance is necessary to monitor the disease trends, serotype distribution and antimicrobial susceptibility in order to implement appropriate public health interventions against community acquired bacterial meningitis.


Assuntos
Meningites Bacterianas/epidemiologia , Criança , Pré-Escolar , Côte d'Ivoire/epidemiologia , Feminino , Haemophilus influenzae/isolamento & purificação , Humanos , Lactente , Masculino , Meningites Bacterianas/microbiologia , Meningite por Haemophilus/epidemiologia , Meningite por Haemophilus/microbiologia , Meningite Meningocócica/epidemiologia , Meningite Meningocócica/microbiologia , Meningite Pneumocócica/epidemiologia , Meningite Pneumocócica/microbiologia , Estações do Ano
15.
Med Trop (Mars) ; 62(3): 305-9, 2002.
Artigo em Francês | MEDLINE | ID: mdl-12244930

RESUMO

From March to December 2001, an outbreak of yellow fever was observed in Cote d'Ivoire. Sentinel surveillance for hemorrhagic fever allowed detection of the first case in the Duekoue health district in the heavily wooded western part of the country. A weekly reporting system was established. For each suspected case recorded and reported to the Epidemiological Surveillance Department at the National Institute of Public Hygiene, a sample was collected and sent for confirmation at the Pasteur Institute of the Cote d'Ivoire. The outbreak progressed from West to East reaching Abidjan, the economic capital of the country located in the southeast. The epidemic emergency plan consisted of setting up a crisis committee to implement epidemiological, entomological and virological surveillance, mass vaccination campaigns in areas around confirmed cases, and vector control. A total of 280 cases were reported including 32 confirmed cases and 6 deaths. Eleven out of 62 districts were affected with most cases occurring in cities with more than 10000 inhabitants. Over 3.7 million persons were vaccinated for an overall coverage of 92.2% in the areas where campaigns were carried out. As a result of this outbreak, surveillance for potentially epidemic diseases has been reinforced and surveillance of viral transmission is now being considered. A vaccination program for adults has also been established.


Assuntos
Surtos de Doenças , Vacina contra Febre Amarela/administração & dosagem , Febre Amarela/epidemiologia , Adolescente , Adulto , Idoso , Animais , Criança , Pré-Escolar , Côte d'Ivoire , DNA Viral , Serviços Médicos de Emergência , Humanos , Lactente , Recém-Nascido , Insetos Vetores , Pessoa de Meia-Idade , Vigilância da População , Saúde Pública , Reação em Cadeia da Polimerase Via Transcriptase Reversa , Febre Amarela/prevenção & controle , Febre Amarela/transmissão
16.
Med Mal Infect ; 34(3): 132-6, 2004 Mar.
Artigo em Francês | MEDLINE | ID: mdl-15617354

RESUMO

OBJECTIVE: The authors had for aim to determine the prevalence of methicillin-resistant Staphylococcus aureus (MRSA) strains on infections in Abidjan as well as their susceptibility to other antibiotics. METHODS: Three hundred and forty strains of S. aureus from various samples of hospitalized patients were studied. Methicillin-resistance was assessed using oxacillin disk diffusion in agar. The MRSA, once detected, were confirmed by screening in Mueller-Hinton agar containing oxacillin at 6 microg/ml. The susceptibility to other antibiotics was analyzed using an antibiogram in agar medium. RESULTS: Twenty-five percent of strains were resistant to methicillin (MRSA strains). Those MRSA were identified mainly in blood culture (14.2%), pus (4%) and urine (1.9%). Samples were collected in neonatal unit (13%), surgical units (5.4%) and intensive care unit (3.4%). A variable proportion of MRSA expressed resistance to other families of antibiotics: aminoglycosides 77.6%, rifampicin 8.8%, fluoroquinolones 34.1% and vancomycin 5.9%. CONCLUSION: Circulation of multidrug resistant MRSA in hospital, especially in neonatal unit, should lead to surveillance. Risk factors and other associated markers need to be identified.


Assuntos
Resistência a Múltiplos Medicamentos , Resistência a Meticilina , Infecções Estafilocócicas/tratamento farmacológico , Côte d'Ivoire , Infecção Hospitalar , Coleta de Dados , Hospitais/estatística & dados numéricos , Humanos , Imunodifusão , Staphylococcus aureus/efeitos dos fármacos , Staphylococcus aureus/patogenicidade
17.
Dakar Med ; 49(1): 70-4, 2004.
Artigo em Francês | MEDLINE | ID: mdl-15782482

RESUMO

To determine the prevalence of méticillino-résistant Staphylococcus aureus (MRSA) among health care personnel in Abidjan teaching hospitals as well as their resistance profile against other antibiotics, 592 health care personnel from various surgical and medical services: the intensive care unit, gynaecology and obstetrics and third-degree burns services of the Cocody, Treichville and Yopougon Teaching Hospitals were included. The previous nasal pits of each subject included were swabbed. The isolation of S. aureus strains was run in a Chapman medium followed by Identification based on morphological and biochemical characteristics. The resistance profile of the strains to antibiotics was determined by standard Kirby-Bauer disk diffusion method and a 1 microg disc of oxacillin was used for the detection of meticillin-resistance S. aureus strains according to NCCLS (National Committee for Clinical Laboratory Standards) guidelines. 269 members of the studied personnel were carriers of S. aureus, either a rate of portage of 45.4%. Among the 269 S. aureus isolates, 38.7% were MRSA strains and the carriage rate of MRSA in the population was 17.8%. The health care personnel working in surgery was the more colonized (36.7%) follow-up of those of the medical services (31.4%) and of the the intensive care unit (12.4%). A variable proportion of strains of MRSA also expressed resistances to the other families of antibiotics: 27% to aminosids of which 13.5% of phénotype kanamycine, tobramycine, gentamycine (KTG), 58.7% to macrolids and related (MLS), 37.5% to fluoroquinolons, 14.4% to cyclines and 40% to the cotrimoxazole. This confirms their multi-resistant character. The prevalence of MRSA carriage among health care personnel is high; this personnel constitutes an infectious risk for the hospitalized patients who are so exposed to nosocomial infections caused by MRSA.


Assuntos
Portador Sadio , Resistência a Múltiplos Medicamentos , Resistência a Meticilina , Recursos Humanos em Hospital , Infecções Estafilocócicas/transmissão , Staphylococcus aureus/efeitos dos fármacos , Staphylococcus aureus/patogenicidade , Adolescente , Adulto , Antibacterianos/uso terapêutico , Côte d'Ivoire/epidemiologia , Infecção Hospitalar , Feminino , Hospitais de Ensino , Humanos , Masculino , Pessoa de Meia-Idade , Cavidade Nasal/microbiologia , Fatores de Risco , Staphylococcus aureus/isolamento & purificação
18.
Food Environ Virol ; 6(1): 23-30, 2014 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-24185752

RESUMO

The objective of this study was to compare sensitivities of enterovirus isolation from wastewater in different cell lines as well as to compare the sensitivity and specificity of isolation in cell culture with direct detection by reverse transcription polymerase chain reaction (RT-PCR). Sixty-eight samples of wastewaters were collected between September 2008 and January 2009 in Yopougon, Abidjan. Enteroviruses were concentrated according to World Health Organization recommendations. Viruses were inoculated into various cell lines while direct RT-PCR was performed on water concentrates. The buffalo green monkey kidney cell line was the most sensitive with 58.8 % of viral isolation. This was followed by the rhabdomyosarcoma cell line with sensitivity of 51.6 %, with human epidermoid carcinoma cell line showing sensitivity of 50 % and fibroblastic cells derived from transgenic mice LTK-1 (L20B) cell showing 23.50 % sensitivity. However, a lower specificity of 2.9 % was observed with the L20B cell line. 44.1 % of the samples were positive by direct RT-PCR detection while 51.47 % samples were positive by using RT-PCR on infected cell cultures. No difference in percentage positivity was observed using RT-PCR on infected tissue culture isolates or using RT-PCR directly on wastewater samples.


Assuntos
Técnicas de Cultura de Células/métodos , Enterovirus/isolamento & purificação , Reação em Cadeia da Polimerase/métodos , Águas Residuárias/virologia , Animais , Linhagem Celular , Côte d'Ivoire , Enterovirus/classificação , Enterovirus/genética , Enterovirus/fisiologia , Infecções por Enterovirus/virologia , Humanos , Camundongos
20.
Afr J Health Sci ; 8(1-2): 33-8, 2001.
Artigo em Inglês | MEDLINE | ID: mdl-17650045

RESUMO

Rotaviruses Are associated with gastroenteritis in human infants and the young of many species. In this study, we analysed the circulating strains of human rotavirus isolated from young children in Abidjan by electrophoresis of the viral RNA genome in agarose gels. Rotavirus strains were identified in 33 children less than two years of age in the Yopougon district of Abidjan, Cote d'lvoire. Viral RNA was extracted from the stools by phenol-chloroform treatment at 56 degrees C, followed by centrifugation at 12 OOOrpm. The electrophoresis was performed in 1.5 % agarose gels stained with 5 % ethidium bromide and Tris-acetate as the running buffer. Ten ul of each sample was loaded onto the gels which were run at lOOv for 30min. In total, 17 of the 33 specimens yielded an RNA electropherotype. Seven different RNA profiles were observed with 14 (82.4% ) long profiles and 3 (17%) short profiles. These RNA profiles represented the group A rotavirus pattern. No mixed infections were seen. There was no correlation between the age and sex of the patient with the RNA electropherotype. Serogroup A rotaviruses were the principle strains circulating in this study. Further characterization of these strains at the subgroup and serotype level will be conducted.

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