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  • Research Article   
  • Epidemiology (Sunnyvale) 2016, Vol 6(2): 231
  • DOI: 10.4172/2161-1165.1000231

A New Trend of Omphalitis Complicated With Myiasis in Neonates of the Niger Delta, Nigeria

Ogbalu OK1*, Eze CN2 and Bob Manuelrb3
1Medical Entomology Unit, Department of Applied and Environmental Biology, Rivers State University of Science and Technology, Port Harcourt, Nigeria
2Parasitology Unit, Animal and Environmental Biology, University of Port Harcourt, Choba, Port Harcourt, Nigeria
3Department of Biology, Ignatius Ajuru University of Education, Rumuolumeni, Port Harcourt, Nigeria
*Corresponding Author : Ogbalu OK, Medical Entomology Unit, Department of Applied and Environmental Biology, Rivers State University of Science and Technology, Port Harcourt, Nigeria, Email: ogbaluo@yahoo.com

Received Date: Jan 06, 2016 / Accepted Date: Mar 09, 2016 / Published Date: Mar 16, 2016

Abstract

We report for the first time the Omphalitis infection in some neonates of the Niger Delta that was complicated with dipterous larval infections (myiasis) of their purulent umbilical cords. Unhygienic practices coupled with traditional ways of handling newborn babies and the application of non-sterile instruments during and after delivery at the rural settings promoted the aforementioned complications. Among 55 neonates examined for sepsis Omphalitis across the Niger Delta, 12 (21.8%) had dipterous larvae in their umbilical cords and stumps. The focus of the study was to assess the dermatological data of Omphalitis complicated with myiasis in newborns and establish the presence of other causes other than microorganisms in umbilical cords. Neonates of the age bracket (4-6 days old) showed higher infection rate with living larvae in decomposing umbilical cords. Dipterous larvae were obtained from three sites; the umbilical cords, umbilical stumps and from the skin around the stumps. Some eggs were also recorded in some of the aforementioned sites sampled. Data showed in neonates of 4-6 days old varied overall infection rates. Dermatological data showed in neonates overall infection rates from different locations of the Niger Delta. An overall infection rate of total eggs of dipterous flies deposited by Sarcophaga vilosa on the cords and stumps was 40% in Emekalakala (CI 95%, 37.2-40.4); in Ubima (CI 95%, 58.5-60. 2). No eggs of S. vilosa were found in other locations. At other locations, infection rates by Musca domestica attracted 40% in Old Bakana (CI 95%, 38.3- 40.2), 27% (CI 95%, 25.5-27.2). Infection rates caused by eggs of Cordylobia anthrpophaga in Ubima neonates was 34% (CI 95%, 32.1-34.5) and 34% in Egbeda (CI 95%, 32.3-34.5) and 32% in Emekalakala (CI 95%, 31.4-32.5).

Keywords: Omphalitis infection; Neonates; Nigeria; Myiasis

Citation: Ogbalu OK, Eze CN, Manuelrb B (2016) A New Trend of Omphalitis Complicated with Myiasis in Neonates of the Niger Delta, Nigeria. Epidemiology (Sunnyvale) 6:231. Doi: 10.4172/2161-1165.1000231

Copyright: © 2016 Ogbalu OK, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Review summary

  1. Sumner Easton
    Posted on Oct 03 2016 at 5:02 pm
    Very impressive documentation of a rare cause (myiasis) of common neonatal problem (omphalitis). The article is very educational to western readers. We need more of such article to understand the global healthcare issues. I suspect that such issues are already addressed by World Health Organization (WHO). No neonate should suffer from such malady.
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