PHHP professor brings bacteriology expertise to public health institute in Guinea

A presenter in a light green checkered shirt stands beside a projected slide titled ā€œMĆ©canisme d’Action de Vancomycine,ā€ pointing to a colorful diagram of bacterial cell wall components. The slide labels vancomycin, GlcNAc–MurNAc disaccharide, pentapeptide, and pentaglycine, and notes that vancomycin inhibits transglycosylation and transpeptidation. The UF logo appears at the bottom of the slide in a simple classroom setting.
Anthony Maurelli, Ph.D., speaks to trainees about antibiotic resistance during a three-week visit to the Institut Pasteur de GuinƩe in August and September. Photo courtesy of Anthony Maurelli.

By Erin Jester

Anthony Maurelli, Ph.D., a professor in the UF College of Public Health and Health Professions’ Department of Environmental and Global Health, recently traveled to Conakry, Guinea as a Fulbright Specialist to assist scientists at the Institut Pasteur de GuineĆ© with research projects and training focused on antibiotic resistance and One Health.

The Fulbright Specialist Program sends U.S. faculty and professionals to serve as short-term expert consultants on curriculum, faculty development, institutional planning and related subjects at academic institutions abroad.

From left: a man in a plaid button-down shirt with dark gray pants, a man with a gray beard in a beige button-down shirt and light gray pants, and a taller bald man in a white button-down shirt and blue jeans stand shoulder to shoulder and smiling in front of a sign that reads 'Pasteur Network,' All three are wearing ID badges
From left: Alidehou Jerrold Agbankpe, Ph.D., director of the bacteriology unit at Institut Pasteur de GuinƩe; Anthony Maurelli, Ph.D.; and Noƫl Tordo, director of the Institut Pasteur de GuinƩe.

The Institut Pasteur de GuineĆ©, or IPGui, is part of the greater Pasteur Network, a global alliance of 32 institutes dedicated to addressing public health challenges through research, innovation and collaboration. Maurelli was previously a postdoctoral fellow at the Institut Pasteur in Paris and has maintained connections with the global francophone scientific community — connections that eventually led to an invitation from IPGui Director NoĆ«l Tordo, Ph.D., to bring his expertise in antibiotic resistance to Conakry.

Maurelli, a member of the UF Emerging Pathogens Institute, has more than 40 years of research experience in molecular genetics of bacterial disease development and more than 30 years of continuous funding from the National Institutes of Health. In 2022, Maurelli was named one of the World’s Top 2% Scientists based on career-long impact, in a list created by Stanford University scientists.

He received a UF Faculty Enhancement Opportunity Award in 2023 to travel to west Africa and explore possibilities for research and partnerships and understand communities’ public health needs. Later, when IPGui received a financial award to support increased training around antibiotic resistance, Tordo reached out to Maurelli to join the project as a Fulbright Specialist.

For three weeks in August and September, Maurelli worked with public health leaders on the ground in Guinea’s capital city to provide foundational training in basic science to a group of primarily lab technicians from the four major hospitals in Conakry and across more rural parts of the country.

IPGui is the youngest of the institutes, established in 2015 to address the Ebola epidemic. After a decade of focusing on Ebola and other endemic viruses such as Lassa fever, Marburg, chikungunya, Zika and dengue, the institute is now building up its bacteriology program. Diphtheria and pertussis, also known as whooping cough, are of critical interest, Maurelli said, along with waterborne and foodborne illnesses such as Campylobacter, E. coli and Shigella.

A small group in a laboratory gathers around a workbench during a hands-on demonstration. One person holds up a petri dish while another takes notes, and the bench is covered with stacks of colorful agar plates, lab tools, sanitizer, and equipment, with shelves of supplies above. The scene conveys a microbiology training or discussion in progress.
Dr. Nagirou Djibo, director of the medical biology laboratory at the Institut Pasteur de GuinƩe, explains to a trainee how to interpret bacterial growth on selective bacteriological media. Photo courtesy of Anthony Maurelli.

Many bacterial and viral infections present with similar symptoms, and without testing to determine the pathogen causing those symptoms, clinicians can’t prescribe targeted treatments. Instead, patients are frequently treated with broad-spectrum antibiotics regardless of the underlying cause, leading to antibiotic resistance. Some of the most virulent bacterial strains adapt to new drugs almost as soon as they’re developed.

ā€œIt’s an arms race,ā€ Maurelli said.

Two contributing factors to antibiotic resistance that often occur in developing countries are lack of testing and surveillance infrastructure and the ability to buy antibiotics without a prescription. 

Maurelli gave lectures about how resistance occurs and contributed to hands-on training in preparing urine and stool samples to identify pathogens and determine appropriate antibiotic treatment.

While the country’s more rural clinics don’t have the funding needed to run those tests, Maurelli and public health officials asked trainees to take their knowledge back to their communities and talk to their families and neighbors about responsible stewardship of antibiotics. Although the shortage of resources is a major pitfall to curbing antibiotic resistance, education is step one, Maurelli said.

ā€œThis is not something that’s restricted to the medical community; it involves the whole community,ā€ he said. ā€œIt’s beyond what doctors can do, it’s what you can do as a patient, as a parent.ā€

Maurelli said he plans to stay in touch with Tordo and other public health officials at the institute and hopes to create a bridge between Gainesville and Conakry.

ā€œI count myself fortunate to be appointed as a Fulbright Specialist and to be able to cultivate the relationship that I’d like to build between UF’s Department of Environmental and Global Health, EPI and the Institut Pasteur in Guinea,ā€ he said.