1.PCR-based analysis of Helicobacter pylori virulent genotypes among dyspeptic patients from Chittagong, Bangladesh
Abdul Musaweer Habib ; Md. Jibran Alam ; Bashudev Rudra ; Dil Umme Salma Chowdhury ; Md Abdul Quader ; Mohammad Al-Forkan
Malaysian Journal of Microbiology 2017;13(1):xx-xx
Aims: Helicobacter pylori is a causative agent of gastroduodenal diseases in Bangladesh as well as throughout the
world. This study aimed to determine the H. pylori cagA, vacA and iceA virulent genotypes by PCR directly in gastric
biopsies from dyspeptic patients of Chittagong, Bangladesh and evaluating the association of these genotypes with
clinical manifestations.
Methodology and results: CLO (Campylobacter-Like Organism) test and Hp16s PCR (16S rRNA based H. pylori
specific PCR) was performed to confirm H. pylori infection. Among 111 patients, H. pylori infection was found in 60
patients by CLO test, while Hp16s PCR revealed that 54 patients were H. pylori positive. PCR amplification of the H.
pylori virulence genes was successful in 35 gastric biopsies amongst the 54 Hp16s PCR positive biopsies. The positive
rates for the cagA, vacAs1, vacAs2, vacAm1, vacAm2, iceA1, iceA2 genes were 34.3%, 71.4%, 8.6%, 62.9%, 28.6%,
20% and 11.4%, respectively. The allelic variant vacAs1m1 had a predominant percentage with 51.4%, followed by
vacAs1m2, vacAs2m2 and vacAs1m1m2 with 14.3%, 5.7% and 2.9%, respectively. Among the subtypes of vacAs1, only
s1a was detected in 54.3% of biopsies while none of the cases showed the s1b and s1c genotypes. However, there was
no statistically significant association (p>0.05) observed between the virulent genotypes and clinical conditions.
Conclusion, significance and impact of study: We found that cagA, vacAs1m1 and iceA1 were the most frequent H.
pylori genotypes in severe clinical outcomes of the infection. The data in this study would provide a basis for
understanding the diverse virulence pattern of this bacterium in Bangladeshi dyspeptic patients.
Helicobacter pylori
2. Antihypertensive efficacy of extract of Hedera helix in high salt-induced hypertensive Sprague-Dawley rats
Umme SALMA ; Taous KHAN ; Abdul Jabbar SHAH
Asian Pacific Journal of Tropical Medicine 2018;11(8):473-479
Objective: To explore the antihypertensive effect of extracts from the leaves of Hedera helix (H. helix) on normotensive and hypertensive rats in-vivo followed by vasodilatory studies in-vitro. Methods: The crude methanolic extract was prepared and the activity directed fractionation was carried out. Spectrophotometric analysis of total phenolic and flavonoid content was also done. HPLC analysis was performed for the detection of hederacoside C. In-vivo blood pressure study was carried out in normotensive and high salt-induced hypertensive Sprague-Dawley rats. Isolated aortic tissues from rat and rabbit were used for in-vitro studies. The effects were recorded and analyzed through PowerLab data acquisition system. Results: Crude extract of H. helix (1-30 mg/kg) decreased blood pressure to greater extent in high salt-induced hypertensive rats in-vivo compared to the normotensive [Max. fall (58.59±0.02) mmHg vs. (67.53±3.07) mmHg]. The n-hexane, chloroform, ethyl acetate and aqueous fractions were also checked. These fractions were more effective in hypertensive rats. Aqueous fraction was more potent and n-hexane the least. In isolated rat aortic rings precontracted with phenylephrine, crude extract induced endothelium-dependent effect. The endothelium-dependent component of vasodilatory effect was ablated with L-NAME, and denudation of endothelium. The aqueous fraction was most potent vasodilator. In aortic rings from hypertensive rats, extract and fractions produced partial endothelium-independent effect which was not affected by pretreatment with L-NAME, indicating endothelium dysfunction in the hypertensive rats and suggesting additional vasodilatory mechanisms. In rabbit aorta, the extract and fractions also inhibited phenylephrine and high K
3.Prevalence, associated risk factors and antibiotic resistance pattern of bacterial uropathogens among pregnant women in a tertiary care hospital of Bangladesh
Sohana Al Sanjee ; Masudur Rahman ; Md. Ekramul Karim ; Umme Salma Sigma
Malaysian Journal of Microbiology 2020;16(4):294-301
Aims:
The study was designed to determine the prevalence of urinary tract infection (UTI) in pregnant women
depending on their various clinical and socio-demographic factors, and to assess the antibiotic susceptibility pattern of
the responsible uropathogens in a tertiary care hospital of Dhaka, Bangladesh.
Methodology and results:
A total of 100 midstream urine samples were collected from pregnant women and different
clinical and socio-demographic variables viz. age, gestational weeks, living conditions, and level of education associated
with UTI were determined. Bacterial isolation was carried out using blood and MacConkey agar and identified according
to their phenotypic characteristics. Antibiogram profiling of the isolates was done by disc diffusion method. From 48% of
positive UTI samples, the highest bacteriuria was recorded within the age group of 26-30 years (n=19; 59.38%) and in
both, 1st and 3rd trimester period (50%). There was no significant association between the studied risk factors and
bacteriuria, except for the age of the pregnant women. Most predominantly isolated bacteria was Escherichia coli (n=39;
81.25%), followed by Klebsiella pneumoniae (n=9; 18.75%). In E. coli, the highest resistance was recorded against
ceftriaxone (87.18%), followed by cephalexin (84.61%) and ceftazidime (79.49%); whereas K. pneumoniae showed
100% resistance to ceftriaxone and cephalexin. Netilmicin was found as the only effective antibiotic against E. coli
showing 100% sensitivity. For K. pneumoniae, azithromycin, imipenem, chloramphenicol, gentamicin, ciprofloxacin,
amikacin and nitrofurantoin were found as the most efficacious drugs.
Conclusion, significance and impact of study
As the emergence of drug resistance is ever increasing, the study
necessitates the continuous surveillance of antibiotic susceptibility of uropathogens to ensure safety and better
treatment to the mother and fetus.
Urinary Tract Infections--microbiology
;
Drug Resistance, Microbial
;
Pregnant Women
;
Bangladesh (Daka)