Antibiotic prescribing patterns at outpatient clinics in Western and Coastal Kenya.

Antimicrobial resistant pathogens are a leading cause of morbidity and mortality worldwide, with overuse and misuse of antimicrobials being key contributors. We aimed to identify factors associated with antibiotic prescriptions among patients presenting to clinics in Kenya. We performed a retrospective, descriptive cohort study of persons presenting to outpatient clinics in Western and Coastal Kenya, including symptoms, physical exams, clinician assessments, laboratory results and prescriptions.

Mobility and non-household environments: understanding dengue transmission patterns in urban contexts.

Background: Households (HH) have been traditionally described as the main environments where people are at risk of dengue (and other arbovirus) infection. Mounting entomological evidence has suggested a larger role of environments other than HH in transmission. Recently, an agent-based model (ABM) estimated that over half of infections occur in non-household (NH) environments like workplaces, markets, and recreational sites.

Exposure to Dengue Virus During Pregnancy: Incidence and Impact on Maternal and Child Outcomes.

Dengue virus (DENV) is the most common arbovirus globally, with its incidence growing dramatically in recent decades. Although the effects of DENV infection during pregnancy are unclear, reported associations with adverse health outcomes include miscarriage, prematurity, and low birth weight. In this study, we used an IgG ELISA to identify mothers exposed to DENV during pregnancy by testing samples obtained from a previous study that followed a cohort of pregnant women in Kenya to investigate parasitic infections during pregnancy.

Understanding the factors contributing to dengue virus and chikungunya virus seropositivity and seroconversion among children in Kenya.

Dengue virus (DENV) and chikungunya virus (CHIKV) are causes of endemic febrile disease among Kenyan children. The exposure risk to these infections is highly multifactorial and linked to environmental factors and human behavior. We investigated relationships between household, socio-economic, demographic, and behavioral risk factors for DENV and CHIKV seropositivity and seroconversion in four settlements in Kenya.

Molecular epidemiology and evolutionary characteristics of dengue virus 2 in East Africa.

Despite the increasing burden of dengue, the regional emergence of the virus in Kenya has not been examined. This study investigates the genetic structure and regional spread of dengue virus-2 in Kenya. Viral RNA from acutely ill patients in Kenya was enriched and sequenced.