1.Temperature Tolerance of Clinical and Environmental isolates of Acanthamoeba spp.
Nurul Farhana Jufri ; Anisah Nordin ; Mohamed Kamel Abd Ghani ; Yusof Suboh ; Noraina Abd Rahim
Malaysian Journal of Health Sciences 2010;8(2):1-3
Acanthamoeba is a free living protozoa that can cause keratitis and granulomatous amoebic encephalitis. Physiological characteristics of this amoeba are found to have a medical importance and related to the pathogenic potential of the organism. This study was carried out to investigate the physiological characteristic from the aspect of temperature tolerance. Six Acanthamoeba strains from three clinical isolates (HSB 1, HKL 48 and HKL 95) and three environmental isolates (PHS 2, PHS 11 and PHS 15) were used in this study. Test was done by culturing cysts at 30°C, 37°C and 42oC for
two weeks and the ability of cysts to change to trophozoites were observed. The result showed all strain was able to change to trophozoites at 30°C and 37oC. However, no trophozoites were observed at 42oC. This indicate that there is a similarity in the physiological trait of strains from both isolates are the same and strains from the environment are
able to show the pathogenic potential thus capable of causing infection to human.
2.Isolation of Acanthamoeba spp. from Aquatic Environment
Nurul Fariza Rossle ; Mohamed Kamel Abd Ghani ; Anisah Nordin ; Yusof Suboh ; Noraina Abd Rahim
Malaysian Journal of Health Sciences 2010;8(2):15-19
This study was carried out to isolate Acanthamoeba spp. from various aquatic environments in Peninsular Malaysia. A
total of 160 samples were collected with 140 samples using direct swab method and 20 samples using water collection
method with 500 ml sterile Schott bottle. The swab samples were taken from water tap (50), sink (50), and swimming
pool (40) while the water samples were from seawater. Swab samples were inoculated directly onto non-nutrient agar
(NNA) seeded with heat-killed Escherichia coli using aseptic technique. Water samples were first filtered through a 0.45μm pore size membrane before the membrane was transferred aseptically onto NNA plate seeded with heat-killed E. coli.
All plates were incubated at 30°C and examined daily for the presence of Acanthamoeba spp. up to 14 days after
incubation before being declared negative. Overall, 20% samples were positive for the presence of Acanthamoeba.
Positive isolation of Acanthamoeba spp. from sink and swimming pool were 20% and 30%, respectively. All three
groups of Acanthamoeba genus in cyst form could be found from the collected samples.
3.Keberkesanan Antibiotik Titisan Mata Neomycin, Gentamycin & Ciprofloxacin Terhadap Sista Acanthamoeba spp.
Noradilah Samseh Abdullah ; Mohamed Kamel Abd Ghani ; Anisah Nordin ; Yusof Suboh ; Noraina Ab Rahim
Malaysian Journal of Health Sciences 2009;7(2):39-46
if not treated. This study was therefore performed to evaluate the effectiveness
of eyedrop antibiotics on eight Acanthamoeba spp. isolates, of which four
were clinical isolates and the remaining four from the environment. Three
different eyedrop antibiotics (neomycin, ciprofloxacin and gentamicin)
currently available in the market and ready for use were tested. Cyst
suspension from all strains were tested against eyedrop antibiotics,
respectively. After 48 hours of incubation period, the solutions were filtered
and the filtered membranes were put onto non-nutrient agar lawn with E. coli.
Bab 3 The plates were examined daily for Acanthamoeba trophozoites under inverted
microscope until day 14. Neomycin, ciprofloxacin and gentamicin were found
to be effective against Acanthamoeba spp. cysts for all test strains.
4.Survivability of Acanthamoeba Strains Isolated from Clinical and Environmental Specimens During Axenization
Nurul Farhana Jufri ; Anisah Nordin ; Mohamed Kamel Abd Ghani ; Yusof Suboh ; Noraina Abd Rahim
Malaysian Journal of Health Sciences 2011;9(1):1-3
Acanthamoeba is a free living protozoa that can cause keratitis and granulomatous amoebic encephalitis. Physiological
characteristics of this amoeba are found to have a medical importance in which it can be related to the pathogenicity
potential of the organism. This study was carried out to investigate the physiological characteristics of survivability
during axenization. Six Acanthamoeba strains from three clinical isolates (HSB 1, HKL 48 and HKL 95) and three
environmental isolates (PHS 2, PHS 11 and PHS 15) were used in this study. Axenization test was done by treating cysts
with hydrochloric acid (3%) and Page saline containing Gentamicin (100 μg/ml). Cysts were then cultured into PYG
enrich media, incubated at 30oC and the presence and proliferation of trophozoites of Acanthamoeba were observed.
This study showed that PHS 15, HSB 1, HKL 48 and HKL 95 could be axenized but they have poor proliferation rate in PYG
enrich media. The result showed that the difference between both clinical and environmental isolates was observed in
two strains; PHS 2 and PHS 11. This indicates that there is a possibility that the physiological traits of strains from both
isolates are the same and strains from the environment are able to show the pathogenic potential and capable of
causing infection to human.
5.Ability of Acanthamoeba Cyst to Excyst at Different Temperatures
Nurul Fariza Rossle ; Anisah Nordin ; Yusof Suboh ; Noraina Ab Rahim ; Mohamed Kamal Abd Ghani
Malaysian Journal of Health Sciences 2011;9(1):41-43
This study was carried out to observe thermotolerance ability of Acanthamoeba spp. A total of 32 Acanthamoeba spp. isolates obtained from water taps, sinks, swimming pools and sea water were used. Trophozoites of Acanthamoeba spp. were inoculated onto non-nutrient agar (NNA) seeded with heat-killed Escherichia coli using aseptic technique and incubated for 14 days at 30°C to obtain the cyst. The cysts were subcultured onto new agar plates for thermotolerance test at 37°C and 42°C. The plates were observed until 96 hours after incubation for excystation of Acanthamoeba before being declared negative. Overall, 81.25% of samples were able to excyst at 37°C while 37.5% were able to excyst at
42°C. Thermotolerant Acanthamoeba is associated with high pathogenicity potential.
6.Cysticidal Effect of Chlorine Against Environmental and Clinical Isolates of Acanthamoeba
Nurul Farhana Jufri ; Anisah Nordin ; Yusof Suboh ; Noraina Abd Rahim ; Mohamed Kamel Abd Ghani
Malaysian Journal of Health Sciences 2011;9(2):1-3
Acanthamoeba is a free-living amoeba that has been identified to cause Acanthamoeba keratitis and granulomatous amoebic encephalitis. Their physiological characteristics can be related to pathogenic potential which have a medical importance. This study was carried out to investigate the value of minimum cysticidal concentration of chlorine against them. Acanthamoeba strains tested were from clinical isolates from hospitals (HSB 1, HKL 48 and HKL 95) and environmental
isolates (PHS 2, PHS 11 and PHS 15). The minimum cysticidal concentration of chlorine was determined by dilution process using 12 wells microtitre plate starting with 2500 ppm. 100 μl cyst suspensions standardized at 105/ml were pipetted into all wells and incubated overnight at 30°C. Cysts were then washed using Page saline and cultured on non nutrient
agar overlaid with Escherichia coli. The presence of trophozoites was then observed. The lowest concentration able to prevent trophozoites formation was noted as the minimum cysticidal concentration. Minimum cysticidal concentration test showed the same concentration of 156 ppm (156 μg/ml) chlorine solution was needed to kill all cysts of Acanthamoeba isolates. This indicates that the physiological traits of environmental and clinical isolates are the same. Isolates from the environmental specimens are also able to show the pathogenic potential similar to clinical specimens, thus capable
of causing disease to human.
7. Trichomonas vaginalis infection in a low-risk women attended in Obstetrics and Gynaecology Clinic, Universiti Kebangsaan Malaysia Medical Centre
Norhayati MOKTAR ; Nor Liyana ISMAIL ; Phoy Cheng CHUN ; Mohamad Asyrab SAPIE ; Nor Farahin ABDUL KAHAR ; Yusof SUBOH ; Noraina ABDUL RAHIM ; Nor Azlin MOHAMED ISMAIL ; Tengku Shahrul ANUAR
Asian Pacific Journal of Tropical Biomedicine 2016;6(8):702-705
Objective To investigate the presence of trichomoniasis among women attending the Obstetrics and Gynaecology Clinic, Universiti Kebangsaan Malaysia Medical Centre. Methods A total of 139 high vaginal swabs were taken from the subjects and sent to the laboratory in Amies gel transport media. The specimens were examined for the presence of Trichomonas vaginalis using wet mount, Giemsa staining and cultured in Diamond's medium. Sociodemographic characteristics and gynaecological complaints were obtained in private using structured questionnaire applied by one investigator. Results The median age was 32 years, with an interquartile interval of 9.96. Most of the subjects were Malays (76.9%) and the remaining were Chinese (15.1%), Indians (2.2%) and other ethnic groups (5.8%). One hundred and thirty eight (99.3%) of the women were married and 98.6% had less than 6 children. More than half (75.5%) of the women's last child birth was less than 6 years ago. Forty seven percent of them were involved in supporting administrative work and 64.7% of the women gave a history of previous or current vaginal discharge. Conclusions The present study reported zero incidence rate of trichomoniasis. The low incidence rate was postulated due to all women who participated in this study were categorized into a low-risk group.