Faculty of Natural Sciences
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Item Genital Chlamydia trachomatis infection among pregnant women in Jos north, Jos, Nigeria: A hospital based cross-sectional study(International Journal of Bioscience and Biochemistry, 2019-12-04) Ocheme Julius Okojokwu; Innocent Ajegba Onaji; Bashiru Shafa Abubakar; Maryam Bisola Adebayo; Nanman Ladul Mwankat; Ibrahim Abubakar Yusuf; Francis Ofuowoicho Ukah; Entonu Elijah Entonu; Murna Ahmed Ali; Amos Obaje Ogaji1; Joseph Aje Anejo-OkopiBackground: Chlamydia, infection caused by Chlamydial trachomatis, is recognized as one of the most prevalent curable sexually transmitted infections. Chlamydial infections during pregnancy have been considered as significant factors in the causation of poor pregnancy outcome and complications like ectopic pregnancy, low weight birth, still birth etc. Objectives: The study was undertaken to determine the prevalence and risk factors associated with Chlamydia trachomatis infection among pregnant women accessing antenatal care in Jos, Plateau State, Nigeria. Methods: A total of 200 endocervical swabs were collected from consenting pregnant women who were attending antenatal clinic in Faith Alive Foundation Hospital, Jos, Nigeria. Structured questionnaire was used to obtain data on socio-demography and risk factors. The samples were analyzed using lateral flow immunoassay – Rapid Test Device (Swab/Urine) (International Ltd. China). Results: Chlamydia prevalence of 48.5% was established in the current study. The age group 24 – 28 years had the highest prevalence of 67.1% while the least prevalence (23.5%) was recorded among women older than 43 years. This variation of chlamydia prevalence was significantly associated with age group (χ2 = 16.541; p = 0.001). demographics such as marital status and educational status were not associated (p > 0.05) with chlamydia but in addition to age, occupation of the women was significantly associated (χ2 = 44.490; p = 0.001) with the infection. Unskilled women had the highest chlamydia prevalence (74.7%) as opposed to 20% recorded in skilled women and 47.1% among the semi-skilled women. Risk factors like HIV status was significantly associated (χ2 = 27.205; p = 0.001) with chlamydia. HIV positive women had chlamydia prevalence of 83.7% compared with 38.9% in their HIV negative counterparts. Conclusion: The study demonstrated chlamydia prevalence of 48.5% in this study. Age group, history of STI, use of IUD, history of abortion among others were identified as risk factors associated with the infection.Item Clinical Features and Risk Factors Associated with Cryptosporidiosis in Diarrhoiec Patients in Kaduna State, Nigeria(2018-06-22) Ocheme Julius Okojokwu; Bashiru Shafa Abubakar; Hezekiah Yusuf Azi; Edoama Edet Akpakpan; Joseph Aje; Anejo-OkopiAbstract: Background: Prevalence of cryptosporidiosis in developing countries vary widely implying that the infection can be more common than surveys of stool oocysts excretion demonstrate. Diarrhoea caused by Cryptosporidium species in childhood may be associated with subsequent impaired physical and cognitive development. Objective: This study was carried out to determine the prevalence and risk factors with the presence of Cryptosporidium species oocysts in human stool. Methods: The study is a cross-sectional survey carried out in Kaduna State. The study was a prospective cross-sectional study, a total of 600 diarrhoeic stool samples were collected and screened for oocysts of Cryptosporidium species using Sheather’s sugar flotation method. Results: The prevalence of cryptosporidiosis was 4.5%. Children under 5 years were found to have significantly (χ2 = 4.761, p = 0.029) higher prevalence (6.6%) than older patients (2.9%). Symptoms including abdominal pain (Fisher’s exact test = 0.001), fever (Fisher’s exact test = 0.016) and stool characteristics (Fisher’s exact test = 0.002) were also demonstrated to be significantly associated with cryptosporidiosis. Cryptosporidium infection in Kaduna State also had significant association (p ≤ 0.05) with place of residence (χ2 = 6.559, p = 0.010), where rural dwellers had 7.0% (18/257) prevalence and urban dweller had 2.6% (9/343); animal contact (χ2 = 12.848, p < 0.001), patients who admitted having contact with animals had 7.0% (25/357) prevalence as against 0.8% (2/248); and method of water treatment (χ2 = 16.486, p < 0.001), 7.1% (27/379) of subjects who did not treat their water before consumption had cryptosporidiosis. Conclusion: These findings show that cryptosporidiosis is prevalent in Kaduna State, Nigeria and pose a threat to public health. Important factors in dissemination of the parasite are age of patient, place of residence, animal contact and method of treatment of water. It was also found that clinical manifestation of the infection include abdominal pain, fever and stool characteristics. [Ocheme Julius Okojokwu, Bashiru Shafa Abubakar, Hezekiah Yusuf Azi, Edoama Edet Akpakpan, Joseph Aje Anejo-Okopi. Clinical Features and Risk Factors Associated with Cryptosporidiosis in Diarrhoiec Patients in Kaduna State, Nigeria. Life Sci J 2018;15(6):61-65]. ISSN: 1097-8135 (Print) / ISSN: 2372-613X (Online).