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Tropical Medicine and Infectious Disease, Volume 6, Issue 2

2021 June - 67 articles

Cover Story: Following eradication of the principal vector, Rhodnius prolixus, in Central America, it was believed that incident vector-borne Chagas disease transmission risk was nominal. Our work identified a high burden in El Salvadorian children largely born after the eradication of this vector species. In addition, this investigation was the first to examine concomitant parasitic infections and malnutrition in the context of pediatric Chagas disease. Polyparasitism resulted in significantly higher overall parasitic burden, highlighting the value of expanded parasitic diagnostic panels. Further, malnutrition was extensive in this cohort. It is hypothesized that these frequent co-occurring conditions leads to a lower overall immunologic ability to fight off parasitic disease, yielding children at higher- risk for poor parasitic disease prognosis. View this paper
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Articles (67)

  • Review
  • Open Access
13 Citations
10,101 Views
12 Pages

Severe Odontogenic Infections during Pregnancy and Related Adverse Outcomes. Case Report and Systematic Literature Review

  • Resi Pucci,
  • Andrea Cassoni,
  • Daniele Di Carlo,
  • Marco Della Monaca,
  • Umberto Romeo and
  • Valentino Valentini

Odontogenic infections have the potential to develop into deep-space infections and may cause severe diseases with possible life-threatening complications. Dental infections during pregnancy require special attention in terms of possible complication...

  • Article
  • Open Access
32 Citations
9,489 Views
19 Pages

Extended Spectrum Beta-Lactamase Escherichia coli in River Waters Collected from Two Cities in Ghana, 2018–2020

  • Regina Ama Banu,
  • Jorge Matheu Alvarez,
  • Anthony J. Reid,
  • Wendemagegn Enbiale,
  • Appiah-Korang Labi,
  • Ebenezer D. O. Ansa,
  • Edith Andrews Annan,
  • Mark Osa Akrong,
  • Selorm Borbor and
  • Heike Schmitt
  • + 10 authors

Infections by Extended-Spectrum Beta-Lactamase producing Escherichia coli (ESBL-Ec) are on the increase in Ghana, but the level of environmental contamination with this organism, which may contribute to growing Antimicrobial Resistance (AMR), is unkn...

  • Article
  • Open Access
15 Citations
7,983 Views
12 Pages

Larvicidal Activities against Aedes aegypti of Supernatant and Pellet Fractions from Cultured Bacillus spp. Isolated from Amazonian Microenvironments

  • Ricardo M. Katak,
  • Elerson M. Rocha,
  • Juan C. Oliveira,
  • Veranilce A. Muniz,
  • Marta R. Oliveira,
  • Francisco A. S. Ferreira,
  • William R. Silva,
  • Rosemary A. Roque,
  • Antonia Q. L. de Souza and
  • Wanderli P. Tadei
  • + 3 authors

The Aedes aegypti mosquito is the primary vector of Dengue, Chikungunya and Zika causing major problems for public health, which requires new strategies for its control, like the use of entomopathogenic microorganisms. In this study, bacteria from va...

  • Article
  • Open Access
5 Citations
6,731 Views
9 Pages

High Levels of Antibiotic Resistance Patterns in Two Referral Hospitals during the Post-Ebola Era in Free-Town, Sierra Leone: 2017–2019

  • Zikan Koroma,
  • Francis Moses,
  • Alexandre Delamou,
  • Katrina Hann,
  • Engy Ali,
  • Freddy Eric Kitutu,
  • Juliet Sanyu Namugambe,
  • Doris Harding,
  • Veerle Hermans and
  • Isatta Wurie
  • + 2 authors

The Post-Ebola era (2017–2019) presented an opportunity for laboratory investments in Sierra Leone. US CDC supported the Ministry of Health and Sanitation to establish a microbiological unit for routine antimicrobial sensitivity testing in two referr...

  • Article
  • Open Access
11 Citations
6,730 Views
15 Pages

Screening People with Tuberculosis for High Risk of Severe Illness at Notification: Programmatic Experience from Karnataka, India

  • Hemant Deepak Shewade,
  • Sharath Burugina Nagaraja,
  • Hosadurga Jagadish Deepak Murthy,
  • Basavarajachar Vanitha,
  • Madhavi Bhargava,
  • Anil Singarajipura,
  • Suresh G. Shastri,
  • Ramesh Chandra Reddy,
  • Ajay M. V. Kumar and
  • Anurag Bhargava

Due to limited availability of diagnostics and capacity, people with tuberculosis do not always undergo systematic assessment for severe illness (requiring inpatient care). In Karnataka (south India), para-medical programme staff used a screening too...

  • Article
  • Open Access
28 Citations
6,628 Views
10 Pages

Natural Infection and Vertical Transmission of Zika Virus in Sylvatic Mosquitoes Aedes albopictus and Haemagogus leucocelaenus from Rio de Janeiro, Brazil

  • Jeronimo Alencar,
  • Cecilia Ferreira de Mello,
  • Carlos Brisola Marcondes,
  • Anthony Érico Guimarães,
  • Helena Keiko Toma,
  • Amanda Queiroz Bastos,
  • Shayenne Olsson Freitas Silva and
  • Sergio Lisboa Machado

Zika virus (ZIKV) was recently introduced into the Western Hemisphere, where it is suspected to be transmitted mainly by Aedes aegypti in urban environments. ZIKV represents a public health problem as it has been implicated in congenital microcephaly...

  • Article
  • Open Access
9 Citations
7,321 Views
12 Pages

Low Prevalence of Cysticercosis and Trichinella Infection in Pigs in Rural Cambodia

  • Rebecca Söderberg,
  • Johanna Frida Lindahl,
  • Ellinor Henriksson,
  • Kang Kroesna,
  • Sokong Ly,
  • Borin Sear,
  • Fred Unger,
  • Sothyra Tum,
  • Hung Nguyen-Viet and
  • Gunilla Ström Hallenberg

Cysticercosis and Trichinella spp. infection are parasitic zoonoses prevalent among pigs in Southeast Asia, where pork is the most important source of meat. In rural Cambodia, many pigs are raised extensively in family backyards, and information rega...

  • Article
  • Open Access
8 Citations
7,575 Views
16 Pages

Modeling the Cost-Effectiveness of Interventions to Prevent Plague in Madagascar

  • Giovanni S. P. Malloy,
  • Margaret L. Brandeau and
  • Jeremy D. Goldhaber-Fiebert

Plague (Yersinia pestis) remains endemic in certain parts of the world. We assessed the cost-effectiveness of plague control interventions recommended by the World Health Organization with particular consideration to intervention coverage and timing....

  • Article
  • Open Access
46 Citations
11,566 Views
18 Pages

Evolution of Rabies in South America and Inter-Species Dynamics (2009–2018)

  • Mauro Meske,
  • Angela Fanelli,
  • Felipe Rocha,
  • Lina Awada,
  • Paula Caceres Soto,
  • Neo Mapitse and
  • Paolo Tizzani

Rabies is listed as one of the World Health Organisation’s (WHO) Neglected Tropical Diseases Worldwide, with a significant impact in South America. This paper explores the dynamics of rabies cases in humans, pets (dogs and cats), livestock and wildli...

  • Perspective
  • Open Access
9 Citations
6,819 Views
13 Pages

Real-Time Operational Research: Case Studies from the Field of Tuberculosis and Lessons Learnt

  • Anthony D. Harries,
  • Pruthu Thekkur,
  • Irene Mbithi,
  • Jeremiah Muhwa Chakaya,
  • Hannock Tweya,
  • Kudakwashe C. Takarinda,
  • Ajay M. V. Kumar,
  • Srinath Satyanarayana,
  • Selma Dar Berger and
  • Rony Zachariah
  • + 2 authors

Real-time operational research can be defined as research on strategies or interventions to assess if they are feasible, working as planned, scalable and effective. The research involves primary data collection, periodic analysis during the conduct o...

  • Review
  • Open Access
20 Citations
8,127 Views
15 Pages

The application of modern PCR approaches for the diagnosis of bacterial gastrointestinal pathogens is on the rise due to their rapidly available results combined with high sensitivity. While multiple studies describe the ongoing implementation of thi...

  • Perspective
  • Open Access
8 Citations
7,105 Views
14 Pages

Prenatal viral infection can lead to a spectrum of neurodevelopmental disabilities or fetal demise. These can include microencephaly, global developmental delay, intellectual disability, refractory epilepsy, deafness, retinal defects, and cortical-vi...

  • Article
  • Open Access
6 Citations
6,616 Views
9 Pages

Experiences with Diagnosis and Treatment of Chagas Disease at a United States Teaching Hospital—Clinical Features of Patients with Positive Screening Serologic Testing

  • Peter Hyson,
  • Lilian Vargas Barahona,
  • Laura C. Pedraza-Arévalo,
  • Jonathan Schultz,
  • Luisa Mestroni,
  • Maria da Consolação Moreira,
  • Matthew Taylor,
  • Carlos Franco-Paredes,
  • Esther Benamu and
  • Andrés F. Henao-Martínez
  • + 3 authors

Chagas disease (CD) is the third most common parasitic infection globally and can cause cardiac and gastrointestinal complications. Around 300,000 carriers of CD live in the U.S., with about 3000 of those in Colorado. We described our experience in d...

  • Article
  • Open Access
23 Citations
7,554 Views
16 Pages

Operational Research to Assess the Real-Time Impact of COVID-19 on TB and HIV Services: The Experience and Response from Health Facilities in Harare, Zimbabwe

  • Pruthu Thekkur,
  • Kudakwashe C. Takarinda,
  • Collins Timire,
  • Charles Sandy,
  • Tsitsi Apollo,
  • Ajay M. V. Kumar,
  • Srinath Satyanarayana,
  • Hemant D. Shewade,
  • Mohammed Khogali and
  • Anthony D. Harries
  • + 3 authors

When COVID-19 was declared a pandemic, there was concern that TB and HIV services in Zimbabwe would be severely affected. We set up real-time monthly surveillance of TB and HIV activities in 10 health facilities in Harare to capture trends in TB case...

  • Article
  • Open Access
2 Citations
7,462 Views
6 Pages

For ORT to have a maximum impact on public health it should be used in the community, in the home. A number of programs have been developed over the years to extend ORT to home use. One of the most successful approaches was the Oral Therapy Education...

  • Viewpoint
  • Open Access
12 Citations
6,356 Views
6 Pages

Nanotechnology as an Anti-Infection Strategy in Periprosthetic Joint Infections (PJI)

  • Pier Francesco Indelli,
  • Stefano Ghirardelli,
  • Ferdinando Iannotti,
  • Alessia Maria Indelli and
  • Gennaro Pipino

Background: Periprosthetic joint infection (PJI) represents a devastating consequence of total joint arthroplasty (TJA) because of its high morbidity and its high impact on patient quality of life. The lack of standardized preventive and treatment st...

  • Article
  • Open Access
7 Citations
6,424 Views
9 Pages

Molecular Epidemiology of Human Papillomaviruses, Neisseria gonorrhoeae, Chlamydia trachomatis and Mycoplasma genitalium among Female Sex Workers in Burkina Faso: Prevalence, Coinfections and Drug Resistance Genes

  • Sessi Frida Tovo,
  • Théodora Mahoukèdè Zohoncon,
  • Amana Metuor Dabiré,
  • Régine Ilboudo,
  • Rahimatou Yasmine Tiemtoré,
  • Dorcas Obiri-Yeboah,
  • Albert Théophane Yonli,
  • Essi Etonam Dovo,
  • Rogomenoma Alice Ouédraogo and
  • Jacques Simpore
  • + 6 authors

Viral and bacterial infections represent an occupational risk for female sex workers. This study aimed at determining HPV coinfection with genital pathogens among female sex workers in West and Central Africa and identifying antibiotic resistance gen...

  • Article
  • Open Access
8 Citations
6,924 Views
14 Pages

Gaps in Infection Prevention and Control in Public Health Facilities of Sierra Leone after the 2014–2015 Ebola Outbreak

  • James Sylvester Squire,
  • Imurana Conteh,
  • Arpine Abrahamya,
  • Anna Maruta,
  • Ruzanna Grigoryan,
  • Hannock Tweya,
  • Collins Timire,
  • Katrina Hann,
  • Rony Zachariah and
  • Mohamed Alex Vandi

Background: High compliance to infection prevention and control (IPC) is vital to prevent health care-associated infections. In the worst 2014–2015 Ebola-affected district in Sierra Leone (Kenema), we assessed (a) average yearly IPC compliance (2016–...

  • Review
  • Open Access
53 Citations
12,141 Views
19 Pages

Lymphocytic Choriomeningitis—Emerging Trends of a Neglected Virus: A Narrative Review

  • Tatjana Vilibic-Cavlek,
  • Vladimir Savic,
  • Thomas Ferenc,
  • Anna Mrzljak,
  • Ljubo Barbic,
  • Maja Bogdanic,
  • Vladimir Stevanovic,
  • Irena Tabain,
  • Ivana Ferencak and
  • Snjezana Zidovec-Lepej

Lymphocytic choriomeningitis virus (LCMV) is a neglected rodent-borne zoonotic virus distributed worldwide. Since serologic assays are limited to several laboratories, the disease has been underreported, often making it difficult to determine inciden...

  • Article
  • Open Access
9 Citations
6,418 Views
10 Pages

Exposure and Carriage of Pathogenic Leptospira in Livestock in St. Croix, U.S. Virgin Islands

  • Hannah M. Cranford,
  • Marissa Taylor,
  • Andrew Springer Browne,
  • David P. Alt,
  • Tammy Anderson,
  • Camila Hamond,
  • Richard L. Hornsby,
  • Karen LeCount,
  • Linda Schlater and
  • Bethany Bradford
  • + 5 authors

From 2019–2020, the Virgin Islands Department of Health (VIDOH) investigated potential animal reservoirs of Leptospira spp., the pathogenic bacteria that cause leptospirosis. We examined Leptospira exposure and carriage in livestock on the island of...

  • Systematic Review
  • Open Access
16 Citations
10,027 Views
11 Pages

The global burden of antimicrobial resistance is on the rise, resulting in higher morbidity and mortality in our communities. The spread of antimicrobial resistance in the environment and development of resistant microbes is a challenge to the contro...

  • Communication
  • Open Access
12 Citations
10,563 Views
8 Pages

Transmission of the causative agents of numerous infectious diseases might be potentially conducted by various routes if this is supported by the genetics of the pathogen. Various transmission modes occur in related pathogens, reflecting a complex pr...

  • Article
  • Open Access
10 Citations
7,136 Views
9 Pages

Leptospirosis in Ruminants in Yogyakarta, Indonesia: A Serological Survey with Mixed Methods to Identify Risk Factors

  • Dyah Ayu Widiasih,
  • Johanna Frida Lindahl,
  • Wayan T. Artama,
  • Adi Heru Sutomo,
  • Pande Made Kutanegara,
  • Guntari Titik Mulyani,
  • Estu Widodo,
  • Tjut Sugandawaty Djohan and
  • Fred Unger

Leptospirosis is a zoonotic disease occurring worldwide with reproductive symptoms and production losses in livestock, while humans can suffer fatal renal failure. In Yogyakarta Special Province, Indonesia, there have been several outbreaks with high...

  • Article
  • Open Access
39 Citations
8,490 Views
15 Pages

Assessing the Impact of COVID-19 on TB and HIV Programme Services in Selected Health Facilities in Lilongwe, Malawi: Operational Research in Real Time

  • Pruthu Thekkur,
  • Hannock Tweya,
  • Sam Phiri,
  • James Mpunga,
  • Thokozani Kalua,
  • Ajay M. V. Kumar,
  • Srinath Satyanarayana,
  • Hemant D. Shewade,
  • Mohammed Khogali and
  • Anthony D. Harries
  • + 3 authors

When the COVID-19 pandemic was announced in March 2020, there was concern that TB and HIV programme services in Malawi would be severely affected. We set up real-time monthly surveillance of TB and HIV activities in eight health facilities in Lilongw...

  • Article
  • Open Access
11 Citations
9,001 Views
11 Pages

Increasing Antimicrobial Resistance in Surgical Wards at Mulago National Referral Hospital, Uganda, from 2014 to 2018—Cause for Concern?

  • Gerald Mboowa,
  • Dickson Aruhomukama,
  • Ivan Sserwadda,
  • Freddy Eric Kitutu,
  • Hayk Davtyan,
  • Philip Owiti,
  • Edward Mberu Kamau,
  • Wendemagegn Enbiale,
  • Anthony Reid and
  • Henry Kajumbula
  • + 3 authors

Antimicrobial Resistance (AMR) and Healthcare Associated Infections (HAIs) are major global public health challenges in our time. This study provides a broader and updated overview of AMR trends in surgical wards of Mulago National Referral Hospital...

  • Article
  • Open Access
18 Citations
7,593 Views
14 Pages

National Antimicrobial Consumption: Analysis of Central Warehouses Supplies to In-Patient Care Health Facilities from 2017 to 2019 in Uganda

  • Juliet Sanyu Namugambe,
  • Alexandre Delamou,
  • Francis Moses,
  • Engy Ali,
  • Veerle Hermans,
  • Kudakwashe Takarinda,
  • Pruthu Thekkur,
  • Stella Maris Nanyonga,
  • Zikan Koroma and
  • Freddy Eric Kitutu
  • + 3 authors

Antimicrobial consumption (AMC) surveillance at global and national levels is necessary to inform relevant interventions and policies. This study analyzed central warehouse antimicrobial supplies to health facilities providing inpatient care in Ugand...

  • Article
  • Open Access
16 Citations
7,640 Views
15 Pages

Wounds, Antimicrobial Resistance and Challenges of Implementing a Surveillance System in Myanmar: A Mixed-Methods Study

  • Win-Pa Sandar,
  • Saw Saw,
  • Ajay M. V. Kumar,
  • Bienvenu Salim Camara and
  • Myint-Myint Sein

Wound infections with drug-resistant bacteria lead to higher mortality and morbidity and increased healthcare costs. We aimed to describe the spectrum of bacterial pathogens, isolated from wound cultures in Yangon General Hospital in 2018, and their...

  • Article
  • Open Access
21 Citations
8,496 Views
12 Pages

Reduced Bacterial Counts from a Sewage Treatment Plant but Increased Counts and Antibiotic Resistance in the Recipient Stream in Accra, Ghana—A Cross-Sectional Study

  • Lady A. B. Adomako,
  • Dzidzo Yirenya-Tawiah,
  • Daniel Nukpezah,
  • Arpine Abrahamya,
  • Appiah-Korang Labi,
  • Ruzanna Grigoryan,
  • Hawa Ahmed,
  • Josiah Owusu-Danquah,
  • Ted Yemoh Annang and
  • Rony Zachariah
  • + 6 authors

Wastewater treatment plants receive sewage containing high concentrations of bacteria and antibiotics. We assessed bacterial counts and their antibiotic resistance patterns in water from (a) influents and effluents of the Legon sewage treatment plant...

  • Article
  • Open Access
21 Citations
7,978 Views
12 Pages

National Antibiotic Consumption for Human Use in Sierra Leone (2017–2019): A Cross-Sectional Study

  • Joseph Sam Kanu,
  • Mohammed Khogali,
  • Katrina Hann,
  • Wenjing Tao,
  • Shuwary Barlatt,
  • James Komeh,
  • Joy Johnson,
  • Mohamed Sesay,
  • Mohamed Alex Vandi and
  • Anthony D. Harries
  • + 7 authors

Monitoring antibiotic consumption is crucial to tackling antimicrobial resistance. However, currently there is no system in Sierra Leone for recording and reporting on antibiotic consumption. We therefore conducted a cross-sectional study to assess n...

  • Article
  • Open Access
14 Citations
10,564 Views
14 Pages

Seroprevalence and Clinical Features of Scrub Typhus among Febrile Patients Attending a Referral Hospital in Kathmandu, Nepal

  • Anil Pokhrel,
  • Binod Rayamajhee,
  • Saroj Khadka,
  • Sandeep Thapa,
  • Samjhana Kapali,
  • Sher Bahadur Pun,
  • Megha Raj Banjara,
  • Prakash Joshi,
  • Binod Lekhak and
  • Komal Raj Rijal

(1) Background: Scrub typhus (ST) is endemic to Nepal. It is often underdiagnosed and misdiagnosed due to non-specific clinical presentation coupled with limited microbiological facilities, leading to adverse clinical outcomes. This study aimed to as...

  • Article
  • Open Access
15 Citations
7,477 Views
16 Pages

Preventive chemotherapy interventions have been identified as key tools for malaria prevention and control. Although a large number of publications have reported on the efficacy and safety profile of these interventions, little literature exists on e...

  • Article
  • Open Access
11 Citations
6,720 Views
12 Pages

Cholera Hot-Spots and Contextual Factors in Burundi, Planning for Elimination

  • Amanda K. Debes,
  • Allison M. Shaffer,
  • Thaddee Ndikumana,
  • Iteka Liesse,
  • Eric Ribaira,
  • Clement Djumo,
  • Mohammad Ali and
  • David A. Sack

The Republic of Burundi first reported cholera cases in 1978 and outbreaks have been occurring nearly every year since then. From 2008–2020, 6949 cases and 43 deaths were officially reported. To evaluate Burundi’s potential to eliminate cholera, we i...

  • Article
  • Open Access
4 Citations
5,574 Views
9 Pages

Veterinary Healthcare Provision and Quality of Reported Data on Antimicrobial Use in the Treatment of Livestock in Sierra Leone, 2016–2019

  • Amara Leno,
  • Walter Kizito,
  • Amadu Tejan Jalloh,
  • Mohamed Alpha Bah,
  • Sorie Mohamed Kamara,
  • Maria Zolfo,
  • Amara Aidara Sheriff,
  • Katrina Hann,
  • Pruthu Thekkur and
  • Ajay M. V. Kumar

Antimicrobials help in the prevention and treatment of infections and are crucial for animal production, but overuse can result in antimicrobial resistance. Hence, understanding data quality on livestock antimicrobial use is essential. We assessed fr...

  • Article
  • Open Access
39 Citations
8,394 Views
15 Pages

Assessing the Real-Time Impact of COVID-19 on TB and HIV Services: The Experience and Response from Selected Health Facilities in Nairobi, Kenya

  • Irene Mbithi,
  • Pruthu Thekkur,
  • Jeremiah Muhwa Chakaya,
  • Elizabeth Onyango,
  • Philip Owiti,
  • Ngugi Catherine Njeri,
  • Ajay M.V. Kumar,
  • Srinath Satyanarayana,
  • Hemant D. Shewade and
  • Anthony D. Harries
  • + 4 authors

There was concern that the COVID-19 pandemic would adversely affect TB and HIV programme services in Kenya. We set up real-time monthly surveillance of TB and HIV activities in 18 health facilities in Nairobi so that interventions could be implemente...

  • Article
  • Open Access
16 Citations
8,378 Views
15 Pages

Elevated Pediatric Chagas Disease Burden Complicated by Concomitant Intestinal Parasites and Malnutrition in El Salvador

  • Melissa S. Nolan,
  • Kristy O. Murray,
  • Rojelio Mejia,
  • Peter J. Hotez,
  • Maria Jose Villar Mondragon,
  • Stanley Rodriguez,
  • Jose Ricardo Palacios,
  • William Ernesto Murcia Contreras,
  • M. Katie Lynn and
  • Maria Carlota Monroy Escobar
  • + 1 author

The eradication of the vector Rhodnius prolixus from Central America was heralded as a victory for controlling transmission of Trypanosoma cruzi, the parasite that causes Chagas disease. While public health officials believed this milestone achieveme...

  • Article
  • Open Access
21 Citations
6,769 Views
13 Pages

High Prevalence of Methicillin-Resistant Staphylococcus aureus among Healthcare Facilities and Its Related Factors in Myanmar (2018–2019)

  • Pan Ei Soe,
  • Wai Wai Han,
  • Karuna D. Sagili,
  • Srinath Satyanarayana,
  • Priyanka Shrestha,
  • Thi Thi Htoon and
  • Htay Htay Tin

Background: Antimicrobial resistance (AMR) is a growing global health problem. Staphylococcus aureus (SA) is a common bacterium associated with a variety of community and hospital infections. Methicillin-resistant Staphylococcus aureus (MRSA) account...

  • Article
  • Open Access
4 Citations
6,491 Views
12 Pages

Blood Culture Testing Outcomes among Non-Malarial Febrile Children at Antimicrobial Resistance Surveillance Sites in Uganda, 2017–2018

  • Rogers Kisame,
  • Robinah Najjemba,
  • Johan van Griensven,
  • Freddy Eric Kitutu,
  • Kudakwashe Takarinda,
  • Pruthu Thekkur,
  • Alexandre Delamou,
  • Richard Walwema,
  • Francis Kakooza and
  • Mohammed Lamorde
  • + 6 authors

Blood culture (BC) processes are critical to the utility of diagnostic testing, bloodstream infection (BSI) management, and antimicrobial resistance (AMR) surveillance. While Uganda has established BC guidelines, often laboratory practice does not me...

  • Article
  • Open Access
25 Citations
11,370 Views
11 Pages

Infection Prevention and Control at Lira University Hospital, Uganda: More Needs to Be Done

  • Marc Sam Opollo,
  • Tom Charles Otim,
  • Walter Kizito,
  • Pruthu Thekkur,
  • Ajay M. V. Kumar,
  • Freddy Eric Kitutu,
  • Rogers Kisame and
  • Maria Zolfo

Globally, 5–15% of hospitalized patients acquire infections (often caused by antimicrobial-resistant microbes) due to inadequate infection prevention and control (IPC) measures. We used the World Health Organization’s (WHO) ‘Infection Prevention and...

  • Article
  • Open Access
14 Citations
4,893 Views
10 Pages

Challenges in the Diagnostic Performance of Parasitological and Molecular Tests in the Surveillance of African Trypanosomiasis in Eastern Zambia

  • Gloria M. Mulenga,
  • Boniface Namangala,
  • Kalinga Chilongo,
  • Chrisborn Mubamba,
  • Kyoko Hayashida,
  • Lars Henning and
  • Bruce Gummow

African animal trypanosomiasis (AAT) control programs rely on active case detection through the screening of animals reared in disease endemic areas. This study compared the application of the polymerase chain reaction (PCR) and microscopy in the det...

  • Article
  • Open Access
3 Citations
5,590 Views
10 Pages

Screening, Vaccination Uptake and Linkage to Care for Hepatitis B Virus among Health Care Workers in Rural Sierra Leone

  • Musa Bangura,
  • Anna Frühauf,
  • Michael Mhango,
  • Daniel Lavallie,
  • Vicky Reed,
  • Marta Patiño Rodriguez,
  • Samuel Juana Smith,
  • Sulaiman Lakoh,
  • Emmanuel Ibrahim-Sayo and
  • Chiyembekezo Kachimanga
  • + 2 authors

This study reports on the prevalence and risk factors of chronic HBV among health care workers (HCWs) in a rural secondary hospital in Sierra Leone. Additionally, data on the uptake of HBV vaccination among negatively tested HCWs and on the linkage t...

  • Article
  • Open Access
6 Citations
3,804 Views
12 Pages

Ocular Findings and Visual Function in Children Examined during the Zika Health Brigade in the US Virgin Islands, March 2018

  • S. Grace Prakalapakorn,
  • Lucas Bonafede,
  • Linda Lawrence,
  • Daniel Lattin,
  • Nicola Kim,
  • Richard D. House,
  • Braeanna Hillman,
  • Leah de Wilde,
  • Cosme Harrison and
  • Esther M. Ellis
  • + 3 authors

Among children born with laboratory-confirmed Zika virus (ZIKV) infection, visual impairment (VI) can occur despite normal ocular structure. The objective of this report is to describe ocular findings and visual function among children examined durin...

  • Article
  • Open Access
14 Citations
4,714 Views
10 Pages

Prevalence and Risk Factors for Lymphocytic Choriomeningitis Virus Infection in Continental Croatian Regions

  • Tatjana Vilibic-Cavlek,
  • Tena Oreski,
  • Misa Korva,
  • Branko Kolaric,
  • Vladimir Stevanovic,
  • Snjezana Zidovec-Lepej,
  • Irena Tabain,
  • Pavle Jelicic,
  • Bozana Miklausic-Pavic and
  • Tatjana Avsic-Zupanc
  • + 2 authors

Lymphocytic choriomeningitis virus (LCMV) is a neglected human pathogen associated with aseptic meningitis, severe systemic infections in immunocompromised persons, and congenital anomalies. Data on the prevalence of LCMV infections are scarce. We an...

  • Article
  • Open Access
17 Citations
6,693 Views
16 Pages

Neonatal Sepsis, Antibiotic Susceptibility Pattern, and Treatment Outcomes among Neonates Treated in Two Tertiary Care Hospitals of Yangon, Myanmar from 2017 to 2019

  • Nan Aye Thida Oo,
  • Jeffrey K. Edwards,
  • Prajjwal Pyakurel,
  • Pruthu Thekkur,
  • Thae Maung Maung,
  • Nant San San Aye and
  • Hla Myat Nwe

Neonatal sepsis is a leading cause of morbidity and mortality in developing countries. This study aimed to assess the proportion of culture-confirmed sepsis, bacteriological pathogen profile, culture report turnaround times, antibiotic susceptibility...

  • Article
  • Open Access
22 Citations
6,005 Views
11 Pages

Burden, Antibiotic Resistance, and Clonality of Shigella spp. Implicated in Community-Acquired Acute Diarrhoea in Lilongwe, Malawi

  • Abel F.N.D. Phiri,
  • Akebe Luther King Abia,
  • Daniel Gyamfi Amoako,
  • Rajab Mkakosya,
  • Arnfinn Sundsfjord,
  • Sabiha Y. Essack and
  • Gunnar Skov Simonsen

Although numerous studies have investigated diarrhoea aetiology in many sub-Saharan African countries, recent data on Shigella species’ involvement in community-acquired acute diarrhoea (CA-AD) in Malawi are scarce. This study investigated the incide...

  • Article
  • Open Access
30 Citations
11,142 Views
20 Pages

Individual resistance to cholera infection and disease depends on both innate host factors and adaptive immunity acquired by a previous infection or vaccination. Locally produced, intestinal-mucosal secretory IgA (SIgA) antibodies against bacterial s...

  • Review
  • Open Access
31 Citations
6,630 Views
28 Pages

In Italy, human cases of West Nile virus (WNV) infection have been recorded since 2008, and seasonal outbreaks have occurred almost annually. In this study, we summarize available evidences on the epidemiology of WNV and West Nile neuro-invasive dise...

  • Article
  • Open Access
2 Citations
5,699 Views
11 Pages

High Resistance of Salmonella spp. and Shigella spp. in Blood and Stool Cultures from the Sukraraj Tropical and Infectious Disease Hospital, Kathmandu, Nepal, 2015−2019

  • Anup Bastola,
  • Prajjwal Pyakurel,
  • Rajan Bikram Rayamajhi,
  • Saugat Shrestha,
  • Pruthu Thekkur,
  • Basudev Pandey,
  • Parmananda Bhandari,
  • Anu Maharjan and
  • Jeffrey K. Edwards

Antimicrobial resistance (AMR) is an increasing global concern, particularly in Southeast Asian countries like Nepal. The aim of this study was to determine the proportion of Salmonella spp. and Shigella spp. among culture-positive bacterial isolates...

  • Article
  • Open Access
7 Citations
6,339 Views
13 Pages

Quality Assessment of an Antimicrobial Resistance Surveillance System in a Province of Nepal

  • Jyoti Acharya,
  • Maria Zolfo,
  • Wendemagegn Enbiale,
  • Khine Wut Yee Kyaw,
  • Meika Bhattachan,
  • Nisha Rijal,
  • Anjana Shrestha,
  • Basudha Shrestha,
  • Surendra Kumar Madhup and
  • Runa Jha
  • + 7 authors

Antimicrobial resistance (AMR) is a global problem, and Nepal is no exception. Countries are expected to report annually to the World Health Organization on their AMR surveillance progress through a Global Antimicrobial Resistance Surveillance System...

  • Communication
  • Open Access
17 Citations
5,142 Views
9 Pages

Nationwide Distribution of Dengue Virus Type 3 (DENV-3) Genotype I and Emergence of DENV-3 Genotype III during the 2019 Outbreak in Bangladesh

  • Snigdha Rahman Titir,
  • Shyamal Kumar Paul,
  • Salma Ahmed,
  • Nazia Haque,
  • Syeda Anjuman Nasreen,
  • Khondoker Shoaib Hossain,
  • Fahim Uddin Ahmad,
  • Sultana Shabnam Nila,
  • Jobyda Khanam and
  • Nobumichi Kobayashi
  • + 4 authors

Bangladesh is an endemic region of dengue fever and experienced an unprecedented large outbreak with more than 100,000 confirmed cases in 2019. To understand the prevalence of dengue antibody in patients and molecular epidemiological characteristics...

  • Article
  • Open Access
5 Citations
3,742 Views
8 Pages

A Detailed Analysis of Clinical Features and Outcomes of Patients with Pyogenic Spondylodiscitis Presenting without Axial Back Pain

  • Luigi Aurelio Nasto,
  • Massimo Fantoni,
  • Valerio Cipolloni,
  • Luca Piccone,
  • Enrico Pola and
  • Alfredo Schiavone Panni

Study design: Retrospective analysis of a single institution prospective, longitudinal database of spinal pyogenic infections. Diagnosis of pyogenic spondylodiscitis (PS) can be challenging. Although presenting symptoms are often non-specific, acute...

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Trop. Med. Infect. Dis. - ISSN 2414-6366