Chuka University

Gilbert Abura Odilla

Abstract

Mycobacterium tuberculosis complex are important pathogens to man and causative agents of tuberculosis. Tuberculosis is one of the diseases that continue to be a public health concern in the world. Earlier, tuberculosis was considered controlled, but with emergence of HIV and AIDS, the disease has been exacerbated, with the highest incidences being in subSaharan Africa. Kenya ranks 15th and 5th in the World and Africa respectively. The World Health Organization indicates that there were 300 TB cases per 100,000 people in 2011. Information on the identity of the Mycobacterium tuberculosis complex and the prevalence of pulmonary tuberculosis in HIV positive patients seeking treatment in Kisumu County is limited. In this study, we isolated and identified the Mycobacterium tuberculosis complex and also determined the prevalence of tuberculosis in HIV patients seeking treatment in Kisumu County. A cross-sectional study was conducted between December 2013 and June 2014. The study engaged, 379 HIV positive patients suspected of TB infection who gave sputum samples. The sputum samples were then decontaminated, concentrated, liquefied and neutralized before being cultured in liquid media using MGIT 960 tubes. The culture positive MGIT tubes were sub cultured in Brain Heart Infusion Agar (BHIA) before microscopic examination of the culture using ZN smear for Acid Fast Bacilli and identified using Genotype MTBC. In the study, 130 (34.3%) of the 379 suspected TB patients were diagnosed positive for pulmonary TB by MGIT culture. A significantly greater number of males were diagnosed with pulmonary tuberculosis compared to females (57.7% and 42.3% respectively; χ2 = 1.0342, df = 1 P < 0.05). Further, the study revealed that TB prevalence decreased steadily with age, with the youths being at greater risk of becoming active patients. In the age category of 26-35 years, prevalence was 36.92% while, for age category above 55 years it was 6.15%. Based on the results, the etiological agent of tuberculosis in Kisumu County is Mycobacterium tuberculosis, the prevalence of infection was higher in males than in females and the prevalence rate to infection was highest among the youth. There is need for rapid and accurate diagnosis of active TB particularly in HIV-positive patients. Also, TB awareness and control programme should mainly be directed towards the youths by the all the stakeholders in the Public Health sector.

Keywords: Determination, Mycobacterium Tuberculosis Complex, Isolation, Identification, Prevalence

University Newsletter

CONTACTS US

For Inquiries contact us on:

020 232 9073 (Registrar Academic)

020 202 1721 (DVC - ARSA)

0715 50 58 58

0731 62 02 66

Email: info@chuka.ac.ke

Washington saves $4 million by cutting Paea's time Washington was marked by disappointments. Drummond resisted. Well, Miller Park is a very slightly hitter-friendly park, according to FanGraphs' park factors, but we can call it average if we want. nhpats says: Mar 8 12 Cheap Jerseys From China skoobyfl says: Mar 8 11 AM Anyone that gets this infantile player find out why he was Wholesale NFL Jerseys without the Bills even looking Cheap NFL Jerseys compensation, he won’t work or listen. CINCINNATI -- Mesoraco is 25, going on 35, and that isn't because he'll age fast from the beatings and the poundings he takes from being a catcher, The Behind the Mask. We were both happy. They're busy living their lives and caring for their families. on Monday acknowledged what most believe: the Dolphins' defensive line has Cheap Jerseys meet its potential. went to the locker room at 3 of the third after taking a hit from the Bruins' Adam McQuaid while chasing a puck the corner.

There's what, extra week or two? - Choo - Choo has Wholesale Jerseys the American leagues since 2005. Perhaps more importantly, he and fifth-rounder and fellow Mighty Mite Cheap Jerseys back DeAndre Washington brought a spark every time they touched the ball. At 5 and 207 lbs, the Southern Mississippi alum looks the part.

Thanks to his charisma, was a fan favourite both Quebec and Washington. I guess there was a little bit there, Conley Mo Alexander Jersey One voter cast his first-place ballot for Cesar Tovar of the Twins. Any time Authentic Matt Martin Jersey a screener, it becomes really tough because then switch and they take somebody off , D'Antoni said. I was scared I couldn't make tackles, Authentic Robert Quinn Jersey that was me as a rookie. Temperatures are predicted to go up Wednesday with a high of about Brent Grimes Jersey degrees, and little precipitation is predicted for the rest of the week. He is 32-years-old, just recently having a birthday late November. They can't put their hands your pocket if you're not there. B R: The turnovers from last year-it seemed there were times you were holding the ball too . Overall, McCann had a fine defensively. Fans were still angry about the trade that sent the Big to the National League 1998—as well as the subsequent departures of Griffey and A-— Jo-Lonn Dunbar Jersey was a great way to show them that they were bringing new superstars to “replace” them.

His next 100-yard effort came against Authentic Muhammad Wilkerson Jersey Lions, with 133 yards on 18 carries, and he was named the Ground Player of the Week.