Background/Aim: Blood culture is critical in the diagnosis and treatment of blood stream infections (BSIs) especially in children. BSIs are among the most common cause of morbidity/mortality and blood culture has rema...Background/Aim: Blood culture is critical in the diagnosis and treatment of blood stream infections (BSIs) especially in children. BSIs are among the most common cause of morbidity/mortality and blood culture has remained the gold standard for diagnosis. We sought to compare Blood Culture Isolates (BCI) from conventional and Bactec automated blood culture system (ABCS) among paediatric patients at the Federal Teaching Hospital Gombe (FTHG) Nigeria. Methods: BCI in children (0 - 18 years) by conventional method from 2008-2012 and Bactec Automated culture system from 2015-2020 were retrieved from the clinical microbiology laboratory register. Information analyzed included, age, sex, month, and year and blood culture isolates. Results: There were 5276 (56.9% males, 43.1% females) and 1169 (54% males, 46% females) Blood Culture Isolates by CM and ABCS respectively. Overall positive culture isolates were 9.7% (515/5276) in CM and 45.9% (536/1169) in ABCS (p = 0.01). Positivity rate in newborn was 13.3% (282/2114) by CM and 40.9% (219/263) by ABCS p = 0.01;under-5 was 10.5% (448/4253) vs. 37% (359/873) (p = 0.01);Gram positive 32.6% (172) vs. 65% (759) (p = 0.01;Gram negative 55% (2910) vs. 34% (397) (p = 0.01). Staph aureus 22% (114/515) by CM vs. 61.9% (332/536)) by ABCS (p = 0.01);Klebsiella 24.9% (128/515) by CM vs. 7.5% (40/536) p = 0.01) in ABCS, E. coli 8.9% (46/515) vs. 2.1% (11/536) p = 0.01;Proteus vs. 1.1% (6/515) by ABCS, Pseudomonas 3.3% (17/515) vs. 5.6% (30/536) p = 0.05, Alkaligenes 1% (5/515) vs. 8.2% (44/536) p = 0.01 and Citrobacter 1% (5/515) vs. 8.4% (45/536) p = 0.01. Conclusion: Blood culture yield was five times higher with Bactec compared with Conventional method.展开更多
This study was conducted to investigate the properties of Pr^(3+)-Dy^(3+)doped Zn_(2)Y-type hexaferrite for potential technological applications.X-ray diffraction(XRD),Fourier transform infrared spectroscopy(FTIR)and ...This study was conducted to investigate the properties of Pr^(3+)-Dy^(3+)doped Zn_(2)Y-type hexaferrite for potential technological applications.X-ray diffraction(XRD),Fourier transform infrared spectroscopy(FTIR)and field-emission scanning electron microscopy(FESEM)were used to analyze structural properties.The crystallite size in the synthesized samples varies between 57.54 and 68.57 nm.The vibrational bands at 400 and 600 cm^(-1),common to all hexaferrites,were confirmed through FTIR.The FESEM analysis reveals an agglomeration of magnetic grains and a decrease in the average grain size from 1.24 to1.06μm.The M-H loops show that,with x values of 0.0,0.1,and 0.2,the saturation magnetization is determined to be 34.76,34.23,and 32.52 emu/g,respectively.The corresponding coercivity values are21.24,30.39,and 33.99 Oe.UV-visible spectroscopy using Tauc theory reveals an increase in the optical band gap from 2.32 to 2.50 eV,indicating a tunable energy band structure by incorporating Pr^(3+)-Dy^(3+)ions.The dielectric constant increases,whereas AC conductivity decreases with increased Pr^(3+)-Dy^(3+)concentration.The obtained results suggest the potential suitability of these materials for various technological applications.展开更多
Introduction: Automated blood culture systems for incubation and growth monitoring have become the standard in high-income countries (HICs), but are still relatively expensive and not universally available for impleme...Introduction: Automated blood culture systems for incubation and growth monitoring have become the standard in high-income countries (HICs), but are still relatively expensive and not universally available for implementation in most low- and middle-income countries (LMIC). We aimed to report blood culture isolates using Automated technique in children and adults admitted into the Federal Teaching Hospital Gombe from 2016 to 2020. Materials and Methods: Blood Culture Isolates in children (0 - 18 years) and adults (>19 yrs) by Bactec 9050 Automated culture system from 2016-2020 were retrieved from the medical and laboratory register. Information analyzed included, age, sex, month, and year and culture growth and reported antibiotic sensitivity. A Bactec Blood culture tests is $20 in this facility. In Nigeria, the minimum monthly wage is $70 (Official currency exchange rate is N423/US Dollar). Results: Of the 1713 blood cultures performed, children 0 - 18 years were 1322 (77.2%) and adult (19 years above) (22.8%). Overall positivity was 733 (42.2%) with males 385 (52.5%). Of the 1322 Blood cultures (BC) in children 615 (46.5%) were positive for isolates and adults 118 (30.2)%. Blood culture positivity decreased with increasing age with newborns 251 (34.5%) and adults > 65 years 18 (2.5%). Staphylococcus aureus constituted 61.3% of all isolates and was the leading isolates in all age groups;Alkaligenes (9.1%);Citrobacter 8.1%, Klebsiella 6.7%;Pseudomonas 6.1%;E. coli 2.7%;Enterococcus 2%;Proteus 1%. Of the Antimicrobial resistance priority isolates E. coli susceptibility ranged from 71% to Gentamycin and 100% to Cefixime;Klebsiella from 25% sensitivity to Amikacin to 78% each to chloramphenicol and ciprofloxacin;Salmonella was 100% sensitive to chloramphenicol, ciprofloxacin and cefuroxime. Klebsiella was 100% sensitive to Cefoxitin;Proteus sensitivity ranged from 35% to ampicillin and 100% to ciprofloxacin and cefuroxime. Staph aureus sensitivity was 35% to cefoxitin, 70% to amoxicillin/clavulanate and 70% to cefuroxime. Conclusion: Blood culture yield by Automated method was high. Staph aureus was the predominant pathogen and bacterial yield reduced with increasing age. Antibiotic sensitivity was variably reduced against gram negative bacteria.展开更多
Introduction: Antimicrobial Resistance surveillance is predicated on blood culture as a priority clinical specimen in especially resource limited settings. Establishing trends in blood stream infections and resistance...Introduction: Antimicrobial Resistance surveillance is predicated on blood culture as a priority clinical specimen in especially resource limited settings. Establishing trends in blood stream infections and resistance patterns can inform institutional and national policy on antimicrobial stewardship, surveillance, infection prevention and control. Methodology: Blood Culture isolates in children (0 - 18 years) by conventional method from 2008-2012 and Bactec Automated culture system from 2015-2020 were retrieved. Information analyzed included age, sex, month, and year and culture growth/identity of microorganisms and their sensitivity/resistance patterns. Clinical and Laboratory Standards Institute (CLSI) guideline for antibiotic susceptibility testing was used. Results: 20,540 children were admitted: 8964 (44.6%) and 11,630 (55.4%) in the Manual and Bactec blood culture era respectively. Blood cultures were done in 5271 in the manual culture era and 1077 in the Bactec culture era;of these cultures, 514 (9.7%) and 461 (42.8%) were positive for isolates in the respective era (p = 0.01). There were no statistically significant differences in trend between positive and negative blood cultures in males and females. Newborns, followed by children 1 - 5 years had more blood culture performed on them than other age categories. In general, there is no significant relationship in blood culture outcomes between the age categories and sex of the patients. The isolation of Staph aureus, Citrobacter and Alkaligenes increased two-fold with Bactec automated system. Resistance to the quinolones and the penicillin was high. Resistance trend to Genticin, an aminoglycoside was less than 40%. Resistance to Ceftazidime was high. Conclusion: Antimicrobial resistance surveillance is critical to reduce AMR related morbidity and mortality.展开更多
An integrated geophysical investigation using very low frequency electro-magnetic (VLF-EM) and electrical resistivity methods using (VES) technique has been carried out for investigation of possible causes of dam fail...An integrated geophysical investigation using very low frequency electro-magnetic (VLF-EM) and electrical resistivity methods using (VES) technique has been carried out for investigation of possible causes of dam failure in Kali, Aliero Northwestern Nigeria. A total of Three 3 (VLF-EM) traverses and Ten 10 vertical electrical soundings (VES) techniques have been carried out to identify the fracture zones, seepage and possible threat that lead to the collapse of the dam. The interpretation of VLF-EM data is carried out qualitatively using Fraser and Karous-Hjelt filters and the interpretation of sounding data is done using IPI2 win software. VLF-EM data signifies the exact fracture zones founded on higher values of relative current density that coincide to the subsurface fracture. The survey was conducted on an interval of 10 m interval along traverses at South-North direction ranging from 620 - 640 m in length. The plot of filtered real and filtered imaginary identified noticeable fracture zone close to the surface which was later further delineated by (VES) technique. VES soundings were carried out at locations of prominent VLF anomalies presumably typical of basement fracture using AB/2 of 80 m. Results interpreted show layers thickness and their corresponding resistivity, top soil (0.5 m to 3.45 m, 51.9 Ωm to 318 Ωm), underlain by clay to confined clay (4.56 m to 54 m, 7.88 Ωm to 60.2 Ωm) which is underlain by fractured/fresh basement (5.76 m to 73.9 m, 40.3 Ωm to 197 Ωm). The overburden materials underlain are far away to subsurface (bed rock) in most of the area to support the dam. The clay materials which could serve as conduit, exist within the shallow overburden which was not excavated during the construction. Therefore it was concluded that the dam cannot retain its strength to oppose the dam against collapse.展开更多
文摘Background/Aim: Blood culture is critical in the diagnosis and treatment of blood stream infections (BSIs) especially in children. BSIs are among the most common cause of morbidity/mortality and blood culture has remained the gold standard for diagnosis. We sought to compare Blood Culture Isolates (BCI) from conventional and Bactec automated blood culture system (ABCS) among paediatric patients at the Federal Teaching Hospital Gombe (FTHG) Nigeria. Methods: BCI in children (0 - 18 years) by conventional method from 2008-2012 and Bactec Automated culture system from 2015-2020 were retrieved from the clinical microbiology laboratory register. Information analyzed included, age, sex, month, and year and blood culture isolates. Results: There were 5276 (56.9% males, 43.1% females) and 1169 (54% males, 46% females) Blood Culture Isolates by CM and ABCS respectively. Overall positive culture isolates were 9.7% (515/5276) in CM and 45.9% (536/1169) in ABCS (p = 0.01). Positivity rate in newborn was 13.3% (282/2114) by CM and 40.9% (219/263) by ABCS p = 0.01;under-5 was 10.5% (448/4253) vs. 37% (359/873) (p = 0.01);Gram positive 32.6% (172) vs. 65% (759) (p = 0.01;Gram negative 55% (2910) vs. 34% (397) (p = 0.01). Staph aureus 22% (114/515) by CM vs. 61.9% (332/536)) by ABCS (p = 0.01);Klebsiella 24.9% (128/515) by CM vs. 7.5% (40/536) p = 0.01) in ABCS, E. coli 8.9% (46/515) vs. 2.1% (11/536) p = 0.01;Proteus vs. 1.1% (6/515) by ABCS, Pseudomonas 3.3% (17/515) vs. 5.6% (30/536) p = 0.05, Alkaligenes 1% (5/515) vs. 8.2% (44/536) p = 0.01 and Citrobacter 1% (5/515) vs. 8.4% (45/536) p = 0.01. Conclusion: Blood culture yield was five times higher with Bactec compared with Conventional method.
基金the Deanship of Scientific Research at King Khalid University for funding this work through large group Research Project under grant number RGP2/226/44。
文摘This study was conducted to investigate the properties of Pr^(3+)-Dy^(3+)doped Zn_(2)Y-type hexaferrite for potential technological applications.X-ray diffraction(XRD),Fourier transform infrared spectroscopy(FTIR)and field-emission scanning electron microscopy(FESEM)were used to analyze structural properties.The crystallite size in the synthesized samples varies between 57.54 and 68.57 nm.The vibrational bands at 400 and 600 cm^(-1),common to all hexaferrites,were confirmed through FTIR.The FESEM analysis reveals an agglomeration of magnetic grains and a decrease in the average grain size from 1.24 to1.06μm.The M-H loops show that,with x values of 0.0,0.1,and 0.2,the saturation magnetization is determined to be 34.76,34.23,and 32.52 emu/g,respectively.The corresponding coercivity values are21.24,30.39,and 33.99 Oe.UV-visible spectroscopy using Tauc theory reveals an increase in the optical band gap from 2.32 to 2.50 eV,indicating a tunable energy band structure by incorporating Pr^(3+)-Dy^(3+)ions.The dielectric constant increases,whereas AC conductivity decreases with increased Pr^(3+)-Dy^(3+)concentration.The obtained results suggest the potential suitability of these materials for various technological applications.
文摘Introduction: Automated blood culture systems for incubation and growth monitoring have become the standard in high-income countries (HICs), but are still relatively expensive and not universally available for implementation in most low- and middle-income countries (LMIC). We aimed to report blood culture isolates using Automated technique in children and adults admitted into the Federal Teaching Hospital Gombe from 2016 to 2020. Materials and Methods: Blood Culture Isolates in children (0 - 18 years) and adults (>19 yrs) by Bactec 9050 Automated culture system from 2016-2020 were retrieved from the medical and laboratory register. Information analyzed included, age, sex, month, and year and culture growth and reported antibiotic sensitivity. A Bactec Blood culture tests is $20 in this facility. In Nigeria, the minimum monthly wage is $70 (Official currency exchange rate is N423/US Dollar). Results: Of the 1713 blood cultures performed, children 0 - 18 years were 1322 (77.2%) and adult (19 years above) (22.8%). Overall positivity was 733 (42.2%) with males 385 (52.5%). Of the 1322 Blood cultures (BC) in children 615 (46.5%) were positive for isolates and adults 118 (30.2)%. Blood culture positivity decreased with increasing age with newborns 251 (34.5%) and adults > 65 years 18 (2.5%). Staphylococcus aureus constituted 61.3% of all isolates and was the leading isolates in all age groups;Alkaligenes (9.1%);Citrobacter 8.1%, Klebsiella 6.7%;Pseudomonas 6.1%;E. coli 2.7%;Enterococcus 2%;Proteus 1%. Of the Antimicrobial resistance priority isolates E. coli susceptibility ranged from 71% to Gentamycin and 100% to Cefixime;Klebsiella from 25% sensitivity to Amikacin to 78% each to chloramphenicol and ciprofloxacin;Salmonella was 100% sensitive to chloramphenicol, ciprofloxacin and cefuroxime. Klebsiella was 100% sensitive to Cefoxitin;Proteus sensitivity ranged from 35% to ampicillin and 100% to ciprofloxacin and cefuroxime. Staph aureus sensitivity was 35% to cefoxitin, 70% to amoxicillin/clavulanate and 70% to cefuroxime. Conclusion: Blood culture yield by Automated method was high. Staph aureus was the predominant pathogen and bacterial yield reduced with increasing age. Antibiotic sensitivity was variably reduced against gram negative bacteria.
文摘Introduction: Antimicrobial Resistance surveillance is predicated on blood culture as a priority clinical specimen in especially resource limited settings. Establishing trends in blood stream infections and resistance patterns can inform institutional and national policy on antimicrobial stewardship, surveillance, infection prevention and control. Methodology: Blood Culture isolates in children (0 - 18 years) by conventional method from 2008-2012 and Bactec Automated culture system from 2015-2020 were retrieved. Information analyzed included age, sex, month, and year and culture growth/identity of microorganisms and their sensitivity/resistance patterns. Clinical and Laboratory Standards Institute (CLSI) guideline for antibiotic susceptibility testing was used. Results: 20,540 children were admitted: 8964 (44.6%) and 11,630 (55.4%) in the Manual and Bactec blood culture era respectively. Blood cultures were done in 5271 in the manual culture era and 1077 in the Bactec culture era;of these cultures, 514 (9.7%) and 461 (42.8%) were positive for isolates in the respective era (p = 0.01). There were no statistically significant differences in trend between positive and negative blood cultures in males and females. Newborns, followed by children 1 - 5 years had more blood culture performed on them than other age categories. In general, there is no significant relationship in blood culture outcomes between the age categories and sex of the patients. The isolation of Staph aureus, Citrobacter and Alkaligenes increased two-fold with Bactec automated system. Resistance to the quinolones and the penicillin was high. Resistance trend to Genticin, an aminoglycoside was less than 40%. Resistance to Ceftazidime was high. Conclusion: Antimicrobial resistance surveillance is critical to reduce AMR related morbidity and mortality.
文摘An integrated geophysical investigation using very low frequency electro-magnetic (VLF-EM) and electrical resistivity methods using (VES) technique has been carried out for investigation of possible causes of dam failure in Kali, Aliero Northwestern Nigeria. A total of Three 3 (VLF-EM) traverses and Ten 10 vertical electrical soundings (VES) techniques have been carried out to identify the fracture zones, seepage and possible threat that lead to the collapse of the dam. The interpretation of VLF-EM data is carried out qualitatively using Fraser and Karous-Hjelt filters and the interpretation of sounding data is done using IPI2 win software. VLF-EM data signifies the exact fracture zones founded on higher values of relative current density that coincide to the subsurface fracture. The survey was conducted on an interval of 10 m interval along traverses at South-North direction ranging from 620 - 640 m in length. The plot of filtered real and filtered imaginary identified noticeable fracture zone close to the surface which was later further delineated by (VES) technique. VES soundings were carried out at locations of prominent VLF anomalies presumably typical of basement fracture using AB/2 of 80 m. Results interpreted show layers thickness and their corresponding resistivity, top soil (0.5 m to 3.45 m, 51.9 Ωm to 318 Ωm), underlain by clay to confined clay (4.56 m to 54 m, 7.88 Ωm to 60.2 Ωm) which is underlain by fractured/fresh basement (5.76 m to 73.9 m, 40.3 Ωm to 197 Ωm). The overburden materials underlain are far away to subsurface (bed rock) in most of the area to support the dam. The clay materials which could serve as conduit, exist within the shallow overburden which was not excavated during the construction. Therefore it was concluded that the dam cannot retain its strength to oppose the dam against collapse.
