Isolation of Mycobacterium tuberculosis from livestock workers and implications for zooanthroponotic transmission in Ibadan, South-western Nigeria
PDF

Keywords

Tuberculosis
non-tuberculous mycobacteria
Zoonoses
Molecular characterization
Nigeria

Abstract

Introduction: Tuberculosis (TB) remains a public health problem in sub-Saharan Africa coupled with dearth of information about the disease among livestock workers at risk of infection. We determined the prevalence of pulmonary TB infection and risk factors associated with its occurrence among livestock workers in south-western Nigeria. 

Methods:  A cross-sectional study was conducted using active case-finding among livestock workers with sub-clinical pulmonary TB between August, 2014 and March, 2015. Sputum samples were cultured and subjected to a two-step multiplex-PCR technique based on genus-typing and genomic regions-of-difference. Interviewer-administered questionnaire was utilized in assessing worker’s TB related knowledge, attitude and practices. Data were analysed using STATA 12.

Results: Overall, 206 livestock workers (traders =136; butchers = 70) were screened; 5.1% (7/136) of the traders and 7.1% (5/70) of the butchers had positive mycobacterial cultures. Molecular techniques identified one Mycobacterium tuberculosis with six non-tuberculous mycobacteria (NTM) from the traders and four M. tuberculosis with one NTM from the butchers.

Participants within the age range of 50 years and above were at higher risk of being infected with TB (OR=7.7; 95%CI:1.7–35.6).

Conclusion: We confirmed M. tuberculosis as the cause of pulmonary TB among the livestock workers, with implications for zooanthroponotic transmission of the disease along the human-animal ecosystem interface in Nigeria.

https://doi.org/10.15167/2421-4248/jpmh2018.59.3.882
PDF

References

World Health Organisation. Global Tuberculosis Report 2017. WHO/HMT/TB/2017.23

Cosivi O, Meslin FX, Daborn CJ, Grange JM. The epidemiology

of Mycobacterium bovis infection in animals and humans, with particular reference to Africa. Rev Sci Tech. 1995;14:733-746.

Zumla A, Schito M, Chakaya J,Marais B, Mwaba P, Migliori GB, Hoelscher M, Maeurer M, Wallis RS. World TB Day 2016: reflections on the global TB emergency. Lancet Respir Med. 2016; 4(4):249-51. DOI: 10.1016/S2213-2600(16)00066-7.

Adesokan HK, Jenkins AO, van Soolingen D, Cadmus SIB. Mycobacterium bovis infection in livestock workers in Ibadan, Nigeria: evidence of occupational exposure. Int J Tuberc Lung Dis. 2012;16(10):1388–1392.

Jenkins AO, Cadmus SIB, Venter EH, Pourcel C, Hauk Y, Vergnaud G, Godfroid J. Molecular epidemiology of human and animal tuberculosis in Ibadan, Southwestern Nigeria. Vet Microbiol. 2011;151:139–147.doi:10.116/j.vetmic.2011.02.037,

Cadmus S, Palmer S, Melissa O, James D, Karen G. Molecular analysis of human and bovine tubercle bacilli from a local setting in Nigeria. J Clin Microbiol. 2006;44:29–34

Ameni G, Tadesse K, Hailu E ,Deresse Y, Medhin G, Aseffa A, Hewinson G, Vordermeier M, Berg S, Transmission of Mycobacterium tuberculosis between farmers and cattle in Central Ethiopia. PLoS ONE. 2013; 8(10): e76891. doi:10.1371/journal.pone.0076891

Cadmus SIB, Adesokan HK, Adejuwon TA, Adeyemi MO. Retrospective study of bovine tuberculosis and other diseases of public health importance in Oko-oba Abattoir, Lagos State. Trop Vet. 2010;48:21-30.

Okeke LA, Cadmus S, Okeke IO, Muhammad M, Awoloh O, Dairo D, Waziri E N, Olayinka A, Nguku PM, Fawole O. Prevalence and risk factors of Mycobacterium tuberculosis complex infection in slaughtered cattle at Jos South Abattoir, Plateau State, Nigeria. Pan Afr Med J. 2014;18(Supp 1):7.

Becton D. BBLTM MycoPrepTM specimen digestion/decontamination kit manual for processing of mycobacterial specimens. Sparks, MD, USA: BD, 1999: p 2.

Wilton S, Cousin D. Detection and amplification in a single tube. PCR Meth Appl. 1992; 1(4):269-273.

Warren RM, Gey van Pittius NC, Barnard M, Hesselling A, Engelke E, Kock M, Gutierrez MC, Chege GK, Victor TC, Hoal EG, Helden PD. Differentiation of Mycobacterium tuberculosis complex by PCR amplification of genomic regions of difference. Int J Tuberc Lung Dis. 2006;10 (7):818–822.

Bursac Z, Gauss CH, Williams DK, Hosmer DW. Purposeful selection of variables in logistic regression. Source Code for Biology and Medicine. 2008; 3: 17. http://doi.org/10.1186/1751-0473-3-17

Ahmad I, Kudi CA, Abdulkadir AI, and S. N. A. Saidu. 2017. Occurrence and distribution of bovine TB pathology by age, sex, and breed of cattle slaughtered in Gusau Abattoir, Zamfara State Nigeria. Trop Anim Health Prod. DOI 10.1007/s11250-017-1232-

Gopi PG, Vasantha M, Muniyandi M, Chandrasekaran V, Balasubramanian R, Narayanan PR. Risk factors for nonadherence to directly observed treatment (DOT) in a rural tuberculosis unti, Sounth India. Ind J Tuberc. 2005;54:66-70.

Odusanya OO, Babafemi JO. Patterns of delays amongst pulmonary tuberculosis patients in Lagos Nigeria. BMC Public Health. 2004; 2(18):1-5.

Enwuru C, Idigbe E, Ezeobi N, Otegbeye A. Care seeking behavioural patterns, awarness and diagnostic process in patients with smear- and culture-positive pulmonary tuberculosis in Lagos, Nigeria. Trans R Soc Trop Med Hyg. 2002; 96:614-6.

Hoa NP, Diwan VK, Co NV. Thorson AEK: Knowledge about tuberculosis and its treatment among new pulmonary TB patients in the North and Central Regions of Vietnam. Int J Tuberc Lung Dis. 2004; 8(5):603-608.

Tachfouti N, Slama K, Berraho M, Nejjari C. The impact of knowledge and attitudes on adherence to tuberculosis treatment: a case-control study in a Moroccan region. Pan Afr Med J. 2012;12:52.

Romero B, Rodrίguez S, Bezos J, Dίaz R, Copano MF, Merediz I. Humans as sources of Mycobacterium tuberculosis infection in cattle, Spain. Emerg Infec Dis. 2011;17 (Suppl 12): 2393-2395.

Abubakar A. Epidemiology of human and bovine tuberculosis in the Federal Capital Territory and Kaduna State of Nigeria. PhD Thesis. pp184. 2007.

Cadmus SIB, Adesokan HK, Adepoju AF, Otesile EB. Zoonotic risks and transmission of mycobacteria species from cows’ milk and slaughtered cattle to man in Ibadan: role of butchers. Nig Vet J. 2008;29(1):30 – 39.

Shitaye JE, Tsegaye W, Pavlik I. Bovine tuberculosis infection in animal and human populations in Ethiopia: a review. Vet Med-Czech. 2007; 52: 317–332.

Ocepek M, Pate M, Zolnir-Dovc M, Poljak M. Transmission of Mycobacterium tuberculosis from human to cattle. J Clin Microbiol. 2005; 43:3555–3557.

Lienhardt C, Fielding K, Sillah J, Tunkara A, Donkor S, Manneh K, Warndorff D, McAdam KP, Bennett S. Risk factors for tuberculosis infection in sub-Saharan Africa. Am J Respir Crit Care Med. 2003;168:448 – 455.

Negin J, Abimbola S, Marais BJ. Int J Infect Dis. 2015; 32: 135–137

Schaaf HS, Collins A, Bekker A, Davies PD. Tuberculosis at extremes of age. Respirology. 2010;15(5):747–63.

VanSteelandt A, Hurtado AM, Rolo M, de Arias AR, Jara JC. High tuberculosis disease burden among indigenous people of the Paraguayan Chaco and associated community characteristics, 2002–2004: an ecological study. Epidemiol Res Int. 2015, Article ID 841289, 8 pages http://dx.doi.org/10.1155/2015/841289

Maindad M, nawaz-UI-Huda S, Burke F, Hamza S, Azam M. Educational status and awareness among tuberculosis patients of Karachi. J pak Med Assoc. 2016; 66(3): 265-269.

Institute for Health Metrics and Evaluation. Global burden of disease. 2014, http://www.healthdata.org/gbd.

Research International. 2015, Article ID 841289, 8 pages http://dx.doi.org/10.1155/2015/841289

Duarte RS, Lourenc¸o MCS, Fonseca LS, Leao SC, Amorin EL, Rocha IL, Coelho FS, Viana-Niero C, Gomes KM, da Silva MG, Lorena NS, Pitombo MB, Ferreira RM, Garcia MH, de Oliveira GP, Lupi O, Vilaca BR, Serradas LR, Chebabo A, Marques EA, Teixeira LM, Dalcolmo M, Senna SG, Sampaio JL. Epidemic of postsurgical infections caused by Mycobacterium massiliense. J Clin Microbiol. 2009; 47(7):2149-55, http://dx.doi.org/10.1128/JCM.00027-09.

Bicmen C, Gunduz AT, Coskun M, Senol G, Cirak AK, Ozsoz A. Molecular detection and identification of Mycobacterium tuberculosis complex and four clinically important non-tuberculous mycobacterial species in smear-negative clinical samples by the GenoType Mycobacteria Direct Test. J Clin Microbiol. 2011;49(8):2874–2878. doi:10.1128/JCM.00612-11

Kim JK, Rheem I. Identification and distribution of nontuberculous mycobacteria from 2005 to 2011 in Cheonan, Korea. Tuberc Respir Dis. 2013; 74:215-221. doi.org/10.4046/trd.2013.74.5.215

Cadmus SI, Diarra B, Traore B, Maiga M, Siddiqui S, Tounkara A, Falodun O, Lawal W, Adewole IF, Murphy R Soolingen, Taiwo B. Nontuberculous mycobacteria isolated from tuberculosis suspects in Ibadan, Nigeria. J Pathog. 2016; Article ID 6547363, 5 pages.