Browsing by Author "Addo, Matthew Glover"

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    Clinical and microbiological predictors of healing in Buruli ulcer disease
    (Journal of Clinical Tuberculosis and Other Mycobacterial Diseases, 2024-02) Agbavor, Bernadette; Agbanyo, Abigail; Laglo, Aloysius Dzigbordi; Antwi, Philemon Bosiako; Ackam, Nancy; Adjei, Jonathan; Frimpong, Venus; Boampong, Kwadwo; Frimpong, Michael; Addo, Matthew Glover; Wansbrough-Jones, Mark; Amoako, Yaw Ampem; Phillips, Richard Odame; 0000-0001-5014-6153
    Introduction: Wound measurements are relevant in monitoring the rate of healing (RoH) and may predict time to healing. Predicting the time to healing can help improve the management of Buruli ulcer. We examine three methods for the determination of RoH and their use as predictors of time to healing. Methods: Lesion measurements of Buruli ulcer patients treated from 2007 to 2022 were obtained with acetate sheet tracings (2D) or Aranz software (3D) fortnightly. RoH was determined using the absolute area, percentage area reduction and linear methods at 4 weeks post onset of antibiotic treatment. Predicted time to healing was compared to the actual healing time. Baseline characteristics were assessed for associations with healing. Results: All three methods for calculating the RoH significantly distinguished between fast and slow healers (p <0.0001). The predicted healing time using the linear method was comparable to the actual healing time for fast healers (p = 0.34). The RoH was influenced by the form of lesion, with plaques [OR 2.19 5 %CI (1.2–3.6), p =0.009], and oedemas [OR 8.5; 95 %CI (1.9––36.9), p = 0.004] being associated with delayed healing. The proportion of patients with paradoxical reactions 16 % vs 3 %, p < 0.0001), higher baseline bacterial load (75/104;72 % vs 21/47;45 %, p = 0.001) and delayed clearance of viable organisms (71/104;68 % vs 9/47;19 %, p <0.0001) was higher in the slow healers than the fast healers. Conclusion: Predicted healing rates were comparatively lower for slow healers than fast healers. Baseline characteristics associated with healing can be explored for an improved disease management plan to reduce patient and caregiver anxiety.
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    A Comparative Study on the Antimicrobial Activity of Natural and Artificial (Adulterated) Honey Produced in Some Localities in Ghana
    (International Journal of Current Microbiology and Applied Sciences, 2020) Addo, Matthew Glover; Mutala, Abdul Hakim; Badu, Kingsley
    The study measured and compared quality parameters such as pH, moisture content, ash content and hydrogen peroxide concentration of three types of honey from different localities in Ghana. Using the agar well diffusion, antimicrobial potential of natural honey from two different sources as well as an adulterated honey were determined against Staphylococcus aureus (ATCC 25923), Escherichia coli(ATCC 35218)and Klebsiella pneumonia (ATCC 27736). The results of the physico-chemical properties showed the following range of values; pH of (3.68– 4.49), moisture content (17.20 – 22.42%) and ash content (0.09 – 0.48%). The moisture content of the adulterated samples at 25% and 50% concentration in all cases exceeded the recommended 21%of good quality honey. The findings also indicated that, natural honey (Koforidua and Berekum) has a higher antimicrobial activity against all the bacteria compared to the adulterated honey. The susceptibility of Escherichia coli, to the honey treatment, was significantly different (p=0.0383) from S. aureus and K. pneumoniae. However, when the susceptibility of S. aureus and K. pneumoniae, when compared was insignificant (p=0.6292).The adulteration of the honey could have caused some of the antibacterial factors in the honey to be lost or reduced to non-lethal amounts, hence losing it antimicrobial properties.