Concomitant bacteria in the blood of malaria patients in Owerri, southeastern Nigeria.

C N Ukaga, C N Orji, S Orogwu, B E B Nwoke, J C Anosike, O S Udujih, P I K Onyeka, N C Awujo
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引用次数: 20

Abstract

The presence of concomitant bacteria was assessed in the blood of 125 malaria positive patients and 60 malaria negative controls, resident in Owerri, southeastern Nigeria. Blood samples were cultured in MacConkey, Chocolate and Blood agar, respectively using oxoid signal system after the manufacturer's instructions. Blood cultures of 44 (35.2%) of the 125 malaria positive patients had bacterial growth while none was observed in the blood cultures of malaria negative patients. The bacteria species identified included: Staphylococcus aureus 4 (3.2%), Escherichia coli 3 (2.4%) Salmonella typhi 25 (20%), Klebsiella pneumoniae 10 (2.4%) and Pseudomonas aeruginosa 2 (1.6%). The presence of concomitant bacteria in malaria-positive cases usually results in persistence of malaria-like symptoms after treatment with antimalarials and subsequently taken as resistance of the parasites to the particular drugs in question. The significance of concomitant bacteria in the management of malaria should be given priority.

尼日利亚东南部奥韦里疟疾患者血液中的伴随菌。
在尼日利亚东南部奥韦里的125名疟疾阳性患者和60名疟疾阴性对照者的血液中评估了伴随菌的存在。血液样品分别在MacConkey、Chocolate和Blood琼脂中培养,按照制造商的说明使用氧化信号系统。在125例疟疾阳性患者中,44例(35.2%)的血培养物有细菌生长,而在疟疾阴性患者的血培养物中未观察到细菌生长。检出的细菌种类包括:金黄色葡萄球菌4(3.2%)、大肠杆菌3(2.4%)、伤寒沙门氏菌25(20%)、肺炎克雷伯菌10(2.4%)和铜绿假单胞菌2(1.6%)。在疟疾阳性病例中,伴随细菌的存在通常导致在用抗疟药治疗后持续出现疟疾样症状,并随后被视为寄生虫对所涉特定药物产生耐药性。应优先考虑伴随菌在疟疾管理中的重要性。
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