Background: Drug resistant tuberculosis (DR-TB) remains a public health issue that is of major concern on a global scale. The characterisation of clinical isolates may provide key information regarding the underlying mechanisms of drug resistance, and helps to augment therapeutic options. This study aims to evaluate the frequency of gene mutations associated with Rifampicin (RIF) and Isoniazid (INH) resistance among nine clinical isolates. Methods: A total of nine drug resistant Mycobacterium tuberculosis clinical isolates were screened for genetic mutations in rpoB and katG using polymerase chain reaction (PCR) amplification and DNA sequencing. Genotypic analysis was performed to detect the mutations in the sequence of the target genes. Results: Our findings reveal that 80% of the isolates possess mutations at codon 119 (His119Tyr) and 135 (Arg135Trp and Ser135Leu) within the rpoB gene; and 70% possess mutations in the katG gene at codon 238 with amino acid change (Leu238Arg). Conclusion: Findings from this study provide an overview of the current situation of RIF and INH resistance in a hospital Universiti Sains Malaysia (HUSM) located in Kelantan, Malaysia, which could facilitate molecular-based detection methods of drug-resistant strains. Further information regarding the molecular mechanisms involved in resistance in RR-/MDR-TB should be addressed in the near future.
Mycobacterium tuberculosis

AIM:To determine the rate of bacterial colonization in hydrogel disposable contact lenses and solutions and to identify the contaminating organisms.METHODS:A cross sectional study with purposive sampling was carried out.One hundred hydrogel contact lenses were collected from wearers among undergraduate students of Health Campus,University Sains Malaysia.All lenses and storage solutions were sent for microbiological culture and gram staining.RESULTS:The majority of study participants were females(98%).The mean age was 21.36±1.63 years.Forty-one subject participants(82%)showed positive bacterial colonization of the lenses.From storage solutions 32% yielded positive colonization by bacteria.The most common organisms were coagulase negative staphyJococcus,Staph aureus and streptococci while Pseudomonas sp.and Serratia sp.were isolated more frequently from contact lenses.CONCLUSION:Contact lens wearing is potentially dangerous as a result of high rate of bacterial colonization of the lenses and its storage solutions.Extreme precaution and adherence to strict hygienic practice is recommended during lens handling and wearing.

Ranking as the most communicable disease killer worldwide, tuberculosis, has accounted with a total of 9.6 million new tuberculosis cases with 1.5 million tuberculosis-related deaths reported globally in 2014. Tuberculosis has remain as an occupational hazard for healthcare workers since 1920s and due to several tuberculosis outbreaks in healthcare settings in the early 1990s, the concern about the transmission to both patients and healthcare workers has been raised. Healthcare workers have two to three folds greater the risk of active tuberculosis than the general population. Several studies on knowledge, attitude and practices on tuberculosis among healthcare workers worldwide have revealed that majority of the participated healthcare workers had good knowledge on tuberculosis. Most of the healthcare workers from South India and South Africa also reported to have positive attitude whereas a study in Thailand reported that most of the healthcare providers have negative attitude towards tuberculosis patients. Nevertheless, majority of the healthcare workers have low level of practice on tuberculosis prevention. An improved communication between healthcare workers and the patients as well as their families is the key to better therapeutic outcomes with good knowledge, attitude and preventive practice towards tuberculosis.