Browsing by Author "Gicheru, Michael M."

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    A Survey of Knowledge and Attitudes towards Antibiotic Use and Resistance among Teachers in the Republic of Kenya: Implications for Using Teachers in Raising Public Awareness of Rational Antibiotic Use in School Communities
    (Plos One, 2024-12) Mutua, Patrick M.; Mutiso, Joshua; Gicheru, Michael M.
    Background Antimicrobial resistance is a significant public health threat. In Kenya, schools are targeted for public education to promote knowledge and attitudes towards the proper use of antimicrobials. However, there are limited studies that have investigated teachers’ knowledge and attitudes on antibiotic use. Methods We conducted an online survey from December 2023 to January 2024 which included 608 primary and secondary school teachers, representing a response rate of 93% of the estimated sample size of 653 teachers. Data on the respondents’ antibiotic knowledge score (seventeen questions) and attitude score (eleven questions) were analysed using IBM SPSS (Version 27). A binary logistic regression model was applied to analyze predicators of adequate knowledge and attitude on antibiotics. Results The average knowledge score for antibiotic use was 9.2 out of 17. Among the sampled teachers, 82% had not received public awareness information on proper antibiotic use. More than 86% of the respondents incorrectly answered that antibiotics are effective against colds. The average attitude score on antibiotic use was 6.1 out of 11. A quarter of the interviewees agreed that they gave family members antibiotics wherever they fell sick. Respondents aged 40–49 years and teaching in secondary school had higher odds for adequate knowledge in antibiotic use. Conclusions This study has identified significant knowledge and attitude gaps that need to be addressed by policy makers to ensure rational antibiotics use among teachers and in ensuring effective use of teachers in raising awareness in school communities for rational antibiotic use.
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    Efficacy of Allopatric Tephrosia Vogelii (Fabales: Fabaceae) against Pre-Emerginal Stages of Phlebotomus (Phlebotomus) Duboscqi (Diptera: Psychodidae)
    (Peertechz Publications Pvt. Ltd, 2017) Aritho, Nathan M.; Ndungu, Paul K.; Inyangala, Judith; Mwangi, Milkah; Gicheru, Michael M.; Ngeranwa, J.J.N.; Anjili, Christopher O.
    The effi cacy of allopatric Tephrosia vogelii in killing eggs and larvae of the sand fl y Phlebotomus duboscqi was tested in the laboratory. In this study effects of both water and crude powder extracs of Tephrosia vogelii were tested against against pre-emerginal stages of P. duboscqi in the laboratory. Three groups of eggs were wetted with T. vogelii extracts from Kilifi (TVK), Nairobi (TVN) and Vihiga Counties (TVV) and observed for morphological changes, motility, transformation and death. Six groups of 30 fi rst instar larvae were fed on T. vogelii crude powder either alone or mixed with larvae food. All larvae given TVN powder become immortile, did not feed and died at the fi rst instar stage, whereas those fed on TVV and TVK did not die. Combining all the three extracts also led the death of all fi rst and second instar larvae, but gradual death and disintegration of third instar larvae was sequentially observed. The differences in activities of the allopatric plants can be attributed to allopatric introgression arising from geopgraphic separation leading to introgressive hybridization. The killing and anti-feedant activities of TVN could also mean that it is a chemotype 1 plant that contains rotenoid whereas TVK and TVV are chemotype 2 that lack rotenoids. Feeding deterrence has been shown to be caused by rutin and quercetin. Considering that only leaves were used, the toxicity of TVN can be attributed to single or combination actions of rotenone, elliptone, deguelin, rutin, rotenolone, tephrosin or quercetin that have been shown to be present in leaves. Results of this study suggest that T. vogelli has detrimental insecticidal effects on pre-emerginal stages of P. duboscqi and has potential for sand fl y control. This control method can be achieved through direct introduction of crude dried T. vogelii powder into termite mound ventilation shafts and animal burrows where sand fl ies are known to breed and rest.
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    Multidrug-resistant Campylobacter jejuni, Campylobacter coli and Campylobacter lari isolated from asymptomatic school-going children in Kibera slum, Kenya [version 1; peer review: awaiting peer review]
    (F1000Research, 2020) Nduhiu, Gitahi; Gathura, Peter B.; Gicheru, Michael M.; Wandia, Beautice M.; Nordin, Annika
    Background: The objective of this study was to determine the prevalence of thermophilic Campylobacter spp. in asymptomatic school-going children and establish the antibiotic resistant patterns of the isolates towards the drugs used to treat campylobacteriosis, including macrolides, quinolones and tetracycline. Campylobacter spp. are a leading cause of enteric illness and have only recently shown resistant to antibiotics. Methods: This study isolated Campylobacter spp., including Campylobacter coli, Campylobacter jejuni and Campylobacter lari, in stool samples from asymptomatic school-going children in one of the biggest urban slums in Kenya. The disc diffusion method using EUCAST breakpoints was used to identify antibiotic-resistant isolates, which were further tested for genes encoding for tetracycline resistances using primer-specific polymerase chain reaction. Results: In total, 580 stool samples were collected from 11 primary schools considering both gender and age. Subjecting 294 biochemically characterized Campylobacter spp. isolates to genus-specific PCR, 106 (18.27% of stool samples) isolates were confirmed Campylobacter spp. Out of the 106 isolates, 28 (4.83%) were Campylobacter coli, 44 (7.58%) were Campylobacter jejuni while 11 (1.89%) were Campylobacter lari. Campylobacter jejuni had the highest number of isolates that were multi-drug resistant, with 26 out of the 28 tested isolates being resistant to ciprofloxacin (5 mg), nalidixic acid (30 mg), tetracycline (30 mg) and erythromycin (15 mg). Conclusions: In conclusion, a one-health approach, which considers overlaps in environment, animals and human ecosystems, is recommended in addressing campylobacteriosis in humans, since animals are the main reservoirs and environmental contamination is evident.
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    Protection against Cutaneous Leishmaniasis in Outbred Vervet Monkeys, Using a Recombinant Histone H1 Antigen
    (Journal of Infectious Diseases, 2002-05) Slavica, Masina; Gicheru, Michael M.; Stéphane, O; Demotz., Nicolas; Fasel, J.
    Infection with Leishmania major parasites results in the development of cutaneous ulcerative lesions on the skin. We investigated the protective potential of a single, recombinant histone H1 antigen against cutaneous leishmaniasis in an outbred population of vervet monkeys, using Montanide adjuvant. Protection was assessed by challenging the animals with a mixture of vector sand fly salivary-gland lysate and a low dose of in vitro–derived parasites, thus more closely mimicking natural infection induced by L. major. The course of infection in immunized monkeys was compared with that of animals that had healed from a primary infection and were immune. The monkeys immunized with recombinant histone H1 showed a reduced development of lesion size, compared with controls. Our study therefore illustrates the potential use of histone H1 as a vaccine candidate against cutaneous leishmaniasis in humans