Browsing by Author "Iramiot, Jacob Stanley"
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Item Awareness of antimicrobial resistance among primary health care workers in Buyende district, rural Eastern Uganda.(Microbiology Research Journal International, 2018-02-03) Ahebwa, Amelia; Akol, Walter; Achong, Emmanuel; Mugerwa, Timothy; Nakayenga, Aminah; Omega, Phillip; Nekaka, Rebecca; Iramiot, Jacob StanleyAim: The aim of this study was to assess the awareness of antimicrobial resistance among Primary Health Care Workers in Buyende district. Methods: This was a cross sectional study employing qualitative and quantitative methods. Administration of a questionnaire evaluating knowledge and practices of health workers in Buyende community was conducted. The study was designed to cover all health workers involved in prescribing and dispensing drugs in selected health facilities of Buyende district. The participants were from four health facilities (Kidera Health Center IV, Nkondo Health Center III, Buyende Health Centre III and Miseru Health Center III) and ten private community drug shops. Health care workers were assigned to different cords for the data collection process. One hundred twenty-four (124) respondents participated in the survey, representing a majority of the health workers in Buyende district. Results: Most respondents (75%) reported receiving information about antibiotic resistance with medical training school (67.2%) being the main source of information. Sixty-six percent (66%) of the participants believed that the widespread use of antibiotics is an important cause of resistance, while 60% attribute antimicrobial resistance to inadequate restrictions on antibiotic prescription due to advertising and promotion by pharmaceutical companies. Guidelines for the use of antibiotics against common infections and regular microbiological consultations/ward rounds were reported as crucial in controlling the problem of anti-microbial resistance. Though most health workers reported following clinical guidelines when prescribing antibiotics (79%), a substantial proportion still prescribed use of antibiotics for the treatment against common cold/cough (64%) and viral infections (44%). Conclusion: The awareness of anti-microbial resistance is a public health problem in rural Eastern Uganda. Campaigns for appropriate prescription and awareness of anti-microbial resistance should include educating the public and rural health care workers with the aim of decreasing the emergence antibiotic resistant microbes. Keywords: Antimicrobial resistance; awareness; primary health care workers.Item Prevalence of antibodies to Brucella species in commercial raw bovine milk in Southwestern Uganda.(BMS Reseach Notes, 2017) Kamwine, Monicah; Orikiriza, Patrick; Kabanda, Taseera; Iramiot, Jacob Stanley; Ojuka, Patrick; Ikiriza, Steven; Atwebembeire, Jeninah; Otieno, Duncan; Tweshengyereze, Silver; Amumpaire, Juliet Mwanga; Bazira, Joel; Yap, Boum IIObjectives: The purpose and objective of this research was to explore the prevalence of antibodies against Brucella species in raw milk samples collected in Southwestern Uganda, one of the biggest milk producing regions in the Country. We hypothesized that there is a high level of antibodies in milk samples from this region. This builds more evidence to other studies in the region on the level contamination of raw milk. Results: A total of 185 raw milk samples, collected from dairy farms and factories in southwestern region, were tested for antibodies to Brucella spp. using the milk ring test (MRT) and indirect Enzyme-Linked Immunosorbent Assay (i-ELISA).We found a prevalence of 26.5% (49/185) by the two methods. This is related to previous reports in the region and adds more evidence on the need for further investigations to confirm the source of these antibodies and their relationship with disease in milk producing animals. Keywords: Brucellosis, Diagnosis, Indirect ELISA, Milk ring testItem Sero-prevalence and factors associated with helicobacter pylori infection in a rural population in eastern Uganda:(Primary Health Care: Open Access, 2021) Nekaka, Rebecca; Oboth, Paul; Nteziyaremye, Julius; Gavamukulya, Yahaya; Ssenyonga, Lydia VN; Iramiot, Jacob StanleyBackground: Globally, 50% or more of the world’s population is infected with Helicobacter pylori making it the most widely spread bacteria across the world. The low developed countries are more overburdened by Helicobacter pylori infection than the developed countries. H. pylori infection is associated with duodenal ulcer, chronic atrophic gastritis (CAG), lymphomas, and adenocarcinoma. This study reports the prevalence of H. pylori and itsassociated factors in Eastern Uganda. Materials and methods: A cross-sectional study involving 275 participants was carried out in eastern Uganda. H. pylori serology was done and face to face interviewer-administered questionnaire were used for data collection. Data were entered in Microsoft Excel and imported to Stata version 14 for analysis and a P value of <0.05 was considered statistically significant. Results: The seroprevalence of H. pylori was 27.3% (75/275) with 28.4% (50/176) of the females being positive compared to 25.3% (25/99) of the males. Consumption of animal products (meat, milk, and eggs) was the only statistically significant factor associated with H. pylori seropositivity (P <0.001, 95% CI =1.934-4.209, AOR=2.85). Conclusion: The H. pylori seroprevalence is high in eastern Uganda. Consumption of animal products was a positive predictor of infectivity. Keywords: Helicobacter pylori • Animal products • Seroprevalence • Kibuku • Eastern Uganda