Asymptomatic urinary tract infections (UTIs) of bacterial and parasitic origins occur in both males and females where bacteria and/or parasites are present in the urine, with the absence of clinical signs or symptoms in the host. Using microbiological methods, mid-stream urine collected from sixty (60) Redeemer's University students comprising apparently healthy 30 male and 30 female undergraduate students were examined. The samples were cultured on CLED and MacConkey agar. Bacteriuria was observed in 15 (25%) of the samples while there was no significant growth in 34 (56.7%), and no growth in 11 (18.3%). Prevalence of significant bacteriuria was higher in females 11 (73.3%) than males 4 (26.7%). The bacteria isolated were Staphylococcus aureus, Escherichia coli, Pseudomonas aeruginosa, Streptococcus spp, and Klebsiella spp. The isolates were resistant to amoxycillin, augumentin and cotrimoxazole but most were highly susceptible to ofloxacin. Schistosoma haematobium and Trichomonas vaginalis were the two asymptomatic UTI-causing parasites isolated from the samples used in this study. Out of the 30 males examined using the microscopy method, 1 (1.67%) had T. vaginalis while the females had higher prevalence of 2 (3.33%) out of 30 females examined. Out of the overall participants examined for S. haematobium eggs, 15 (25%) had Schistosomiasis in which the males had higher prevalence of 10 (33.33%) while the females had 5 (16.67%). These results are lower than those observed in similar rural communities in Nigeria possibly due to effective health education, availability of potable water, higher-than average income and hygienic practices on Redemption Camp,

Salmonella infections remain a global challenge. The culture method is the gold standard for the detection of genus Salmonella. Application of Polymerase Chain Reaction (PCR) has become an effective tool for the detection of virulence and antimicrobial resistance genes. This study investigated the prevalence of Salmonella by culture and detection of invA gene and blaCTX-M and blaCTX-M-3 gene markers by PCR. A total of 612 blood samples were collected from hospitalized febrile patients between March 2020 and April 2021. The samples were cultured, isolates identified by standard method with Analytical Profile Index (API 20-E) kits and were subjected to in-vitro antimicrobial susceptibility test (AST) using disk diffusion method. Extended-spectrum beta-lactamase (ESBL) detection was carried out by double-disc synergy test. Detection of invA gene and antibiotic-resistant genes makers was done by qPCR. A total of 24 Salmonella isolates were identified given a prevalence of 3.9% Salmonella-associated bacteraemia. Children within 1-10 years with persistent pyrexia of unknown origin (PUO) accounted for 50% of the Salmonella isolated with a mean age of 5.299 years. Specifically, 75% (18/24) Salmonella isolates and their corresponding samples of positive Salmonella culture were positive for the invA gene. The AST results indicated 100% Salmonella isolates developed resistance to ceftazidime, cefotaxime , augmentin, ampicillin, ertapenem, and doripenem. None of drug resistant-Salmonella isolates expressed ESBL enzyme phenotypically. Seven resistance patterns were observed, and the pattern CAZ-CTX-OFL-AUG-NIT-AMP-ETR-DOR was the most encountered pattern. Twelve (50%) Salmonella isolates harbored the blaCTX-M and blaCTX-M-3 genes and were mostly from children. The study has added to the growing knowledge on the suitability of the invA gene primer set as a PCR target for the detection of Salmonella. It also revealed a paradigm shift in the occurrence of invasive Salmonella harboring blaCTX-M and blaCTX-M-3 genes in PUO cases. There is a need for judicious use of cephalosporin and carbapenem antibiotics to preserve their efficacies.

A total of 202 wound samples consisting of surgical, burn and accident/cut, collected randomly from patients in some hospitals in Lagos were examined using standard microbiological techniques. Wound infections were more prevalent in children and adolescent (0-20 years) with 96(48%) as against adults (21-40) with 64(32%) which declines from age 41-60 and above. A high incidence of bacterial isolates in wound was observed which were either pathogens or opportunistic pathogens. Pseudomonas aeruginosa, was the most frequently isolated bacterium with 128(40%), Enterobacter sp., 60(19%), Proteus mirabilis56(18%), Escherichia coli, 20(6%) and Staphylococcus aureus, 16(5%). Accident/cut wounds constituted 52%, burn wounds, 32%, while surgical wounds accounted for only 16%. Antibiotic susceptibility studies with the disc diffusion technique on the bacterial isolates showed that most bacteria tested were resistant to amoxicillin, cotrimoxazole, nalidixic acid, augmentin, tetracycline and nitrofurantoin. However, in-vitro efficacy was shown by gentamicin and ofloxacin. Wounds independent of infection site led tohospitalization for mostly 1-2 days (72%) while very few were hospitalized for over 5 days  (10%).Cleanliness and good personal hygiene should be taken seriously and enlightenment of the general public on the consequences of wound infection by our health care delivery system is strongly advocated.

The incidence of fungal urinary tract infections has risen gradually and has thus constituted a public health challenge. The aim of this study was to determine the prevalence of urinary tract infections by fungi in two health centres in Ojo, Lagos. A total of 200 patients attending the health centers constituting 160 males’ urines and 40 females’ vaginal swabs were recruited for this study. Midstream urine samples and vaginal swabs were aseptically collected and processed using standard mycological techniques. Fungal isolates were identified based on cultural characteristics, lactophenol blue stain, chlamydospore formation, colony colour on CHROM agar Candida medium and API yeast identification. Antifungal susceptibility testing of the isolates was performed by using the Broth dilution and Kirby-Bauer disk diffusion methods using two of the most commonly used antifungal agents. A total of 122 fungal isolates, of which 68 (55.7%) were Candida spp. and 54(44.3%) Aspergillus spp. were recovered. The Candida spp. included 64 (52.5%) C. albicans and 4(3.3%) C. glabrata while Aspergillus spp. included A. flavus, 20(16.4%), A. fumigatus, 24 (19.8%) and A niger, 10(8.2%). The most common fungal pathogens in the urinary tracts of the subjects were Candida albicans and Aspergillus fumigatus. Both C. albicans and A. fumigatus were highly susceptible to both fluconazole and amphotericin B in dimethyl sulphoxide and water (90-100%). Similarly, all Aspergillus spp. were susceptible to both antifungals except A. flavus which showed a slight resistance (10-15%), which appears to be emerging. Both fluconazole and amphotericin B still show high chances of therapeutic efficacy against fungal infections of the urinary tracts.

Opportunistic infections due microorganisms particularly bacteria have posed a threat and thus an addition burden on the management of human immunodeficiency virus (HIV) infections worldwide. The high prevalence of bacterial pathogens and the emergence of multiple drug resistance among such bacteria call for serious concern. Bacteriological examination of 320 women attending HIV clinics was carried out using standard microbiological techniques. The antimicrobial susceptibility testing was carried out by the disc diffusion technique by Bauer and CLSI. Of the 320 women, 200 (62.5%) had bacteria, 120 women were confirmed as HIV positive. Ninety (75%) of these women had both HIV-1 and HIV-2, twenty (16.7%) had only HIV-1 and 10 (8.3%) had only HIV-2. Staphylococcus aureus and Escherichia coli were the predominant bacteria. Antibiogram of the bacterial isolates determined by using the Kirby Bauer disk diffusion showed that most of them were susceptible to augmentin, gentamicin, peflacin, ciprofloxacin, ofloxacin and amoxicillin but were highly resistant to commonly used, over-the-counter drugs like chloramphenicol, tetracycline and streptomycin. This thus poses additional burden on the healthcare system in its attempt to manage HIV using anti-retroviral drugs among other methods, along with immunity enhancing drugs while the search for HIV vaccines still continues.