Browsing by Author "Nabatanzi, Alice"

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    Acute and subacute toxicity profile of ethanolic stem bark extract of Albizia coriaria Welw. ex Oliv. in Wistar albino rats Author links open overlay panel
    (Elsevier Ltd, 2024-06) Obakiro, Samuel Baker; Kiyimba, Kenedy; Owor, Richard Oriko; Andima, Moses; Lukwago, Tonny Wotoyitide; Kawuma, Carol; Gavamukulya, Yahaya; Nabatanzi, Alice; Kibuule, Dan; Kato, Charles Drago; Anywar, Godwin; Waako, Paul
    Abstract Albizia coriaria (Fabaceae) crude extracts are key ingredients of several licensed and unlicensed herbal products in East Africa. However, there is limited and often contradicting information regarding its toxicity. We therefore evaluated the acute and subacute toxicity of the ethanolic stem bark extract of A. coriaria in mature healthy Wistar albino rats following Lorke’s method and OECD guidelines 407. The LD 50 of the ethanolic stem bark extract of A. coriaria was 2000 mg/kg. The acute toxicity signs observed included piloerection, hyperventilation, lethargy, and loss of righting reflex. There was a significant increase in aspartate aminotransferase, alkaline phosphatase, red blood cells and haemoglobin in rats after 28 days at the dose of 500 mg/kg. Histological analyses revealed multifocal random parenchymal necrosis and scattered periportal mononuclear inflammatory cells infiltration in the liver, interstitial nephritis in the kidney and multifocal lymphoid accumulation in the peribronchiolar and perivascular lung tissue at 500 mg/kg. The ethanolic stem bark of A. coriaria was therefore moderately toxic to the rats when administered in a single high oral dose within 24 h. The extract caused a dose dependent toxicity with significant damage to the kidney, liver and lung tissues at a dose of 500 mg/kg after 28 days. Herbal medicines containing A. coriaria extracts should be consumed cautiously due to likelihood of toxicity particularly at higher doses greater than 500 mg/kg. ga1 • This study assesed the acute and subacute toxicity effects of the ethanolic stem bark extract of A. coriaria, a key ingredient of several licensed and unlicensed herbal products on Uganda market. • The ethanolic stem bark extract of A. coriaria was found to be moderately toxic when administered in a single high oral dose within 24 h with a median lethal dose of 2000 mg/kg. • In repeated daily doses of 500 mg/kg, the ethanolic stem bark extract of A. coriaria caused significant toxicity to the lungs, liver and kidney tissues. • Herbal medicines containing A. coriaria extracts should be consumed cautiously due to likelihood of associated toxicity particularly at higher doses greater 500 mg/kg.
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    Antibiotic‑resistance in medically important bacteria isolated from commercial herbal medicines in Africa from 2000 to 2021: a systematic review and meta‑analysis
    (Antimicrobial Resistance & Infection Control, 2022) Walusansa, Abdul; Asiimwe, Savina; Nakavuma, Jesca. L.; Ssenku, Jamilu. E.; Katuura, Esther; Kafeero, Hussein. M.; Aruhomukama, Dickson; Nabatanzi, Alice; Anywar, Godwin; Tugume, Arthur K.; Kakudidi, Esezah K.
    Antimicrobial resistance is swiftly increasing all over the world. In Africa, it manifests more in pathogenic bacteria in form of antibiotic resistance (ABR). On this continent, bacterial contamination of commonly used herbal medicine (HM) is on the increase, but information about antimicrobial resistance in these contaminants is limited due to fragmented studies. Here, we analyzed research that characterized ABR in pathogenic bacteria isolated from HM in Africa since 2000; to generate a comprehensive understanding of the drug-resistant bacterial contamination burden in this region. Methods: The study was conducted according to standards of the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA). We searched for articles from 12 databases. These were: PubMed, Science Direct, Scifinder scholar, Google scholar, HerbMed, Medline, EMBASE, Cochrane Library, International Pharmaceutical Abstracts, Commonwealth Agricultural Bureau Abstracts, African Journal Online, and Biological Abstracts. Prevalence and ABR traits of bacterial isolates, Cochran’s Q test, and the I2 statistic for heterogeneity were evaluated using MedCalcs software. A random-effects model was used to determine the pooled prevalence of ABR traits. The potential sources of heterogeneity were examined through sensitivity analysis, subgroup analysis, and meta-regression at a 95% level of significance. Findings: Eighteen studies met our inclusion criteria. The pooled prevalence of bacterial resistance to at least one conventional drug was 86.51% (95% CI = 61.247–99.357%). The studies were highly heterogeneous (I2 = 99.17%; p < 0.0001), with no evidence of publication bias. The most prevalent multidrug-resistant species was Escherichia coli (24.0%). The most highly resisted drug was Ceftazidime with a pooled prevalence of 95.10% (95% CI = 78.51–99.87%), while the drug-class was 3rd generation cephalosporins; 91.64% (95% CI = 78.64–96.73%). None of the eligible studies tested isolates for Carbapenem resistance. Extended Spectrum β-lactamase genes were detected in 89 (37.2%) isolates, mostly Salmonella spp., Proteus vulgaris, and K. pneumonia. Resistance plasmids were found in 6 (5.8%) isolates; the heaviest plasmid weighed 23,130 Kilobases, and Proteus vulgaris harbored the majority (n = 5; 83.3%). Conclusions: Herbal medicines in Africa harbor bacterial contaminants which are highly resistant to conventional medicines. This points to a potential treatment failure when these contaminants are involved in diseases causation. More research on this subject is recommended, to fill the evidence gaps and support the formation of collaborative quality control mechanisms for the herbal medicine industry in Africa.
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    Locally Preferred Woody Species and Their Management in Kiruhura and Arua Districts, Uganda
    (Ethnobotany Research and Applications, 2015) Nyamukuru, Antonia; Nabatanzi, Alice; Mpiira, Sam; Tabuti, John R.S.
    Trees and shrubs are disappearing fast in anthropogenic landscapes of Uganda. In order to promote their conservation on-farm, there is need to involve farmers. Farmers’ involvement in tree/shrub management requires a clear understanding of the households’ needs that trees can satisfy, the priority species to satisfy these needs, as well as tree management practices and challenges that hinder tree planting. This study was carried out to satisfy these information needs and to also determine species that are locally threatened. The study was conducted in selected villages of Arua and Kiruhura districts between June and October 2012 using an ethnobotanical approach. Our results indicate that farmers value tree products to satisfy household welfare needs of accessing food (edible fruits), generating income, and accessing construction wood. The species are multi-purpose, and the most preferred are Eucalyptus spp., Mangifera indica L., Persea americana Mill., Carica papaya L., Citrus limon (L.) Osbeck, Artocarpus heterophyllus Lam., Citrus sinensis (L.) Osbeck, Annona senegalensis Pers., Pinus spp., and Tectona grandis L.f. Most farmers maintain trees on their land in courtyards, backyard gardens, or crop fields and ranches. Tree species are threatened by destructive harvesting and clearing land for agriculture. The key challenges to intensification of tree cultivation are livestock damage, land shortage, drought, and lack of financial resources. Farmers suggested that in order to strengthen tree planting, they should be provided with inputs including seedlings, chemicals, and tools. In conclusion farmers prefer exotic tree species to satisfy household needs. Intensification of tree management will need to address a number of challenges identified in this study.
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    Medically important bacteria isolated from commercial herbal medicines in Kampala city indicate the need to enhance safety frameworks
    (Scientific Reports, 2022) Walusansa, Abdul; Nakavuma, Jesca L.; Asiimwe, Savina; Ssenku, Jamilu E.; Aruhomukama, Dickson; Sekulima, Tahalu; Kafeero, Hussein M.; Anywar, Godwin; Katuura, Esther; Nabatanzi, Alice; Musisi, Nathan L.; Tugume, Arthur K.
    The high global bacterial infection burden has created need to investigate the neglected potential drivers of pathogenic bacteria, to inform disease prevention. Kampala is facing a proliferation of herbalists, selling herbal medicine (HM), of largely unregulated microbiological quality. We evaluated the bacterial contamination burden in HM sold in Kampala, to support evidence-based redress. The total viable loads (TVL), total coliform counts (TCC), E. coli counts, and prevalence of selected bacterial strains in 140 HM were examined using conventional culture, following the guidelines of World Health Organization (WHO), and Uganda National Drug Authority (NDA). Data were analyzed using D’Agostino-Pearson test, frequencies, proportions, Chi-square, and Mann–Whitney U test with STATA version-15.0. Fifty (35.7%), fifty-nine (42.1%), and twelve (8.6%) HM were unsafe for human use because they exceeded WHO’s permissible limits for TVL, TCC, and E. coli counts respectively. Solids had significantly higher mean TVL than liquids. Violation of NDA’s guidelines was significantly associated with high TVL. Fifty-nine bacteria, viz., Klebsiella pneumoniae (n = 34; 57.6%), Escherichia. coli (12; 20.3%), Staphylococcus aureus (7; 11.9%), Klebsiella oxytoca (3; 5.1%), Bacillus cereus, Pseudomonas aeruginosa, and Enterobacter spp. (1; 1.7% each), were isolated from 45 (32.1%) samples. These bacteria can cause severe clinical diseases, and promote deterioration of HM potency.