1.Multilocus Sequence Typing Analysis of Invasive and Non-Invasive Group B Streptococcus of Hospital Origin in Malaysia
Menagah Ezhumalai ; AbdulRahman Muthanna ; Zarizal Suhail ; Nurul Diana Dzaraly ; Syafinaz Amin-Nordin ; Mohammad Noor Azmai Amal ; Mohd Nasir Mohd Desa
Malaysian Journal of Medical Sciences 2020;27(1):134-138
The aim of this study was to study the genotype of a hospital collection of Group B
Streptococcus (GBS) from invasive and non-invasive sites. Fifty-one pre-characterised human
of GBS were re-identified and further analysed by multilocus sequence typing (MLST) in relation
to previously published serotypes. Fifteen sequence types (ST) were found with ST1 being the
most predominant. ST1 was also associated with majority of the invasive isolates. The genotypic
distribution patterns of GBS in this study were largely in agreement with previous reports from
other countries indicating the tendency of certain genotypes to prevail in human infection settings.
2. Molecular epidemiology of piliated pneumococcal isolates at a major tertiary hospital in the Klang Valley, Malaysia
Nurul DZARALY ; Mohd DESA ; AbdulRahman MUTHANNA ; Nurul BAHARIN ; Nurshahira SULAIMAN ; Nurul RAHMAN ; Siti MASRI ; Niazlin TAIB ; Semiat YUSUFF ; Nurul RAHMAN ; Navindra PALANISAMY ; Zarizal SUHAILI ; Nor RAHMAN ; Tuan SOH ; Fatimah ABDULLAH8
Asian Pacific Journal of Tropical Medicine 2023;16(2):80-88
Objective: To characterise a collection of pili-carrying and none pili-carrying pneumococcal isolates of clinical origin for serotypes, antibiotic resistance and genotype. Methods: In total, 42 clinical isolates were collected between October 2017 and December 2019. Those isolates were analysed for antimicrobial susceptibility, serotype distribution, detection of pneumococcal virulence and pilus genes. Multilocus sequence typing was performed only for piliated isolates, followed by phylogenetic analysis. Results: The common isolation sites among the pneumococcal isolates were tracheal aspirate (28.6%), blood (26.2%), and sputum (23.8%). Fifty percent isolates were resistant to erythromycin, tetracycline (50.0%) and trimethoprim-sulfamethoxazole (43.0%). The most frequent were serotypes 19F (28.6%), 6A/B (23.8%) and 19A (14.3%). Piliated isolates were detected in a small proportion (33.3%); 64.3% were multidrug-resistant. ST320 was the prevalent sequence type among the piliated isolates and genetically related to the Pneumococcal Molecular Epidemiology Network clones Taiwan 19F -14 (CC271). In the phylogenetic analysis, some piliated isolates showed a close association having similar ST320, carrying serotype 19A and both pilus genes indicating their clonal spread. Conclusions: Pneumococcal lineages of piliated isolates have been globally disseminated and pili could have played a role in the spread of antibiotic resistant clones.