Displaying publications 1 - 20 of 250 in total

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  1. Rukayadi, Y., Lau, K.Y., Zainin, N.S., Zakaria, M., Abas, F.
    MyJurnal
    Edible medicinal plants are often used in the treatment of various ailments and spice in traditional food preparation. In this study, 45 of tropical edible medicinal plants extracts from Indonesia, Malaysia, and Thailand were screened for their antimicrobial activity against five standard microorganisms for food preservative namely Aspergillus niger, Candida albicans, Escherichia coli, Pseudomonas aeruginosa and Staphylococcus aureus. The methanol extracts of Piper nigrum L. seed, Piper cubeba L. seed, and the root of Ligusticum acutilobum Siebold and Zucc. showed antimicrobial activity against five species of standard microorganisms. Among them, P. cubeba L. extract demonstrated the most susceptible against all tested microorganisms. Minimal inhibitory concentration (MIC) and minimal bactericidal or fungicidal concentration (MBC or MFC) were performed by the broth microdilution techniques as described by the Clinical and Laboratory Standard Institute. MIC values of P. cubeba L. extract to A. niger, C. albicans, E. coli, P. aeruginosa and S. aureus were 12.8, 1.6, 3.2, 6.4, and 1.6 mg/ml, respectively. P. cubeba extract killed A. niger, C. albicans, E. coli, P. aeruginosa and S. aureus with MBC values of 25.6, 3.2, 6.4, 12.8, and 3.2 mg/ml, respectively. The potent antimicrobial activity of P. cubeba L. extract may support its use for natural food preservative.
    Matched MeSH terms: Staphylococcal Infections
  2. Pit S, Jamal F, Cheah FK, Abbas MA
    Ann Saudi Med, 1991 Jul;11(4):424-8.
    PMID: 17590760
    Forty cases of cerebral abscesses were studied prospectively to establish the microbial agents implicated in these cases. Chronic otitis media (14 patients, 35%), congenital heart disease (five patients, 12.5%),a and meningitis (five patients, 12.5%) were among the important predisposing factors. Streptococcus (14 patients, 35%) was the most common causative pre-isolated, the predominant species being Streptococcus milleri (11 patients, 27.5%). Other organisms isolated included Proteus mirabilis in six patients (15%) and Staphylococcus aureus in five patients (12.5%). Anaerobes (12 patients, 30%), predominantly Bacteroides sp. (eight patients, 20%), played an important role in these cases, the majority of which were isolated in mixed cultures. Gas-liquid chromatographic analysis of pus detected the presence of anaerobes in another 11 cases of cerebral abscess, in which cultures of anaerobes were negative. Therefore, gas-liquid chromotography is useful as an adjunct to conventional bacteriological methods in providing a rapid and sensitive means of detecting anaerobes in pus obtained especially from patients who had received antibiotic therapy prior to hospitalization.
    Matched MeSH terms: Staphylococcal Infections
  3. Rukayadi, Y., Abdulkarim, S.M., Sulaiman, R., Abdelkarim, H.
    MyJurnal
    Plants have been used recently to eliminate bacterial growth in food products. This study was undertaken to test the in vitro sanitizing effect of crude extract from bitter gourd (BG) fruit on the growth of native microorganisms in raw chicken leg meat. Hot air dried BG and extrudate extracts at 1% concentration and exposure times of (5, 10 and 15 min) were used to treat the samples using dilution method. Results showed that BG extrudate had a slightly stronger bactericidal activity against the microflora than the B.G. hot air drying treatment, especially, on E. coli at all exposure time. Overall, there is no significant difference between the treatments; Total Plate Count (TPC), Escherichia coli, Bacillus cereus, Staphylococcus aureus. The best reduction time of microflora by hot air dried extract was at (15 min) except for B. cereus was at (5 min) and for extrudate extract was at (5 min) except for E. coli was at (10 min). In conclusion, bitter gourd extract could be used as an important natural sanitizer for rinsing raw food matrials such chicken meat.
    Matched MeSH terms: Staphylococcal Infections
  4. Vallavan V, Krishnasamy G, Zin NM, Abdul Latif M
    Molecules, 2020 Dec 11;25(24).
    PMID: 33322256 DOI: 10.3390/molecules25245848
    Fungi are a rich source of secondary metabolites with several pharmacological activities such as antifungal, antioxidant, antibacterial and anticancer to name a few. Due to the large number of diverse structured chemical compounds they produce, fungi from the phyla Ascomycota, Basidiomycota and Muccoromycota have been intensively studied for isolation of bioactive compounds. Basidiomycetes-derived secondary metabolites are known as a promising source of antibacterial compounds with activity against Gram-positive bacteria. The continued emergence of antimicrobial resistance (AMR) poses a major challenge to patient health as it leads to higher morbidity and mortality, higher hospital-stay duration and substantial economic burden in global healthcare sector. One of the key culprits for AMR crisis is Staphylococcus aureus causing community-acquired infections as the pathogen develops resistance towards multiple antibiotics. The recent emergence of community strains of S. aureus harbouring methicillin-resistant (MRSA), vancomycin-intermediate (VISA) and vancomycin-resistant (VRSA) genes associated with increased virulence is challenging. Despite the few significant developments in antibiotic research, successful MRSA therapeutic options are still needed to reduce the use of scanty and expensive second-line treatments. This paper provides an overview of findings from various studies on antibacterial secondary metabolites from basidiomycetes, with a special focus on antistaphylococcal activity.
    Matched MeSH terms: Staphylococcal Infections/drug therapy*; Staphylococcal Infections/microbiology
  5. Mohd Alkaf AL, Syed Rasul SH, Abdul Rahman I
    Med J Malaysia, 2016 04;71(2):96-7.
    PMID: 27326956 MyJurnal
    Symptomatic bronchial artery aneurysm warrants urgent intervention. It has a known association with pulmonary infection caused by Staphylococcus aureus. We hereby report an elderly lady with a ruptured left superior bronchial artery mycotic aneurysm. She was in the early stages of treatment for a left lung abscess. She had multiple episodes of haemoptysis following which she underwent a left lower lobectomy. Presentation of lung abscess with a concurrent ruptured mycotic aneurysm warrants early surgical intervention and can be curative as seen in this case.
    Matched MeSH terms: Staphylococcal Infections/complications*
  6. Cheong JY, Makmor-Bakry M, Lau CL, Abdul Rahman R
    S. Afr. Med. J., 2012 Jul;102(7):616-9.
    PMID: 22748440
    The incidence of methicillin-resistant Staphylococcus aureus (MRSA) infections in intensive care units in Malaysia is significant. Invasive MRSA infections are commonly treated with vancomycin. In clinical practice, the serum vancomycin trough concentration is used as a surrogate marker of vancomycin efficacy. A low concentration of vancomycin may result in less effective therapy and increase the risk of bacterial resistance. We evaluated the relationship between the resolution of MRSA infections and trough concentrations of vancomycin.
    Matched MeSH terms: Staphylococcal Infections/blood; Staphylococcal Infections/drug therapy*
  7. Abu Bakar A, Abdul Rafa AA, Abdullah Sani A
    MyJurnal
    Food contamination is a crucial health problem as it could result in food-borne illness. This research aimed to evaluate the microbiological quality of ready-to-eat (RTE) fried rice dishes sold at different type of food premises in Kuantan city, Pahang. Total Plate Count (TPC), Staphylococcus aureus, Bacillus cereus and Aeromonas spp. bacteria were used as microbiological contamination indicators. About 52 samples were collected stratified randomly from four types of food premises (restaurant, cafeteria, food stall and night market) where about 13 samples were respectively collected from each type of the food premises. The results showed that TPC had medium mean count (6.30x105±1.47x105 cfu/g), S. aureus and B. cereus had high mean counts (7.70x104±2.22x105 cfu/g and 3.85x105±1.67x106 cfu/g respectively), while Aeromonas spp. had medium mean count (7.13x104±2.42x105 cfu/g). The mean counts of TPC in the samples collected from cafeteria were highest compare to other food premises.
    Matched MeSH terms: Staphylococcal Infections
  8. Abu Bakar S
    Med J Malaysia, 2009 Sep;64(3):185-6.
    PMID: 20527264 MyJurnal
    Koh and others have reported (in this issue of the MJM) the high prevalence of Methicillin resistant Staphylococcus aureus (MRSA) on doctors’ neckties. As they have pointed out, this is nothing new, and like other studies with similar findings. They also point out that patient’s confidence and satisfaction are not affected by doctor’s not wearing neckties. They also referred to the British Department of Health decision to ban the use of neckties, long sleeve shirts and jewellery, and the Scottish government’s intention to ban the wearing of white coats, including neckties, to stop the spread of infections. They support the call by The Malaysian Medical Association to avoid the use of neckties.
    Matched MeSH terms: Staphylococcal Infections/transmission*
  9. Kong NC, Asmah J, Lim VK, Ong PH, Adam PA
    Ann Acad Med Singap, 1996 Jul;25(4):609-11.
    PMID: 8893941
    Pyomyositis, purportedly a common tropical infection affecting mainly healthy adults and children, appears to be most uncommon in this region. We report a case of pyomyositis caused by a Methicillin-resistant Staphylococcus aureus (MRSA) in a previously healthy army officer. This case serves to illustrate the difficulty in recognising this disease entity, which is why many cases may have been missed. With the increasing incidence of MRSA nosocomial infections, the emergence of MRSA in a hitherto community-acquired infection poses a major concern especially since intravenous drug abuse and acquired immune deficiency syndrome (AIDS) are on the rise in our country. We hope to inculcate greater awareness of this infection.
    Matched MeSH terms: Staphylococcal Infections*
  10. Basri R, Zueter AR, Mohamed Z, Alam MK, Norsa'adah B, Hasan SA, et al.
    Nagoya J Med Sci, 2015 Feb;77(1-2):59-68.
    PMID: 25797971
    To describe the clinical characteristics and the risk factors associated with mortality in patients with meningitis. This is a retrospective review of patients diagnosed to have meningitis with positive culture of the cerebrospinal fluid (CSF) specimen. All cases aged 19 > years who were admitted to Hospital USM between January 2004 and December 2011 were included in the study. The CSF results database were obtained from the Department of Medical Microbiology and Parasitology, Hospital USM, Kelantan. A checklist was used to record the clinical characteristics. A total of 125 cases met the inclusion criteria. The age of patients ranged between newborn and 19 years old (Mean±SD, 74.5±80.6 months). The majority of them were males (65.6%). Fever was the most common presentation (73.6%) followed by poor oral intake (48.0%), seizure (36.0%) and headache (24.8%). The mortality rate was 31.2%. Coagulase negative staphylococcus was the most frequent pathogens isolated (21.6%), followed by Acinetobacter spp. (17.6%), Staphylococcus aureus (13.6%), Streptococcus spp. (11.2%) and Klebsiella pneumoniae (6.4%). There were significant association of in-hospital death with age (p=0.020) and conscious level (p=0.001). Infectious meningitis is a big health concern, especially among children. We found that coagulase negative staphylococcus, Acinetobacter species, S. aureus, Streptococcus spp and K. pneumoniae were prevalent in our hospital. These microorganisms were hospital associated pathogens. The 31% mortality linked to hospital acquired meningitis specifies the need for focused physician attention especially among younger aged patients.
    Matched MeSH terms: Staphylococcal Infections
  11. Bitrus AA, Zunita Z, Khairani-Bejo S, Othman S, Ahmad Nadzir NA
    Microb Pathog, 2018 Oct;123:323-329.
    PMID: 30053600 DOI: 10.1016/j.micpath.2018.07.033
    This study was designed to screen for SCCmec types and to characterize the attachment site (attB) and universal insertion site (orfX) of SCCmec in a collection of 27 isolates (n = 11) methicillin resistant S. aureus and (n = 16) methicillin susceptible S. aureus isolates in Malaysia. Screening of SCCmec types and characterization of the attachment site was carried out using PCR amplification and Sanger's sequencing method. The result showed that a large proportion of the MRSA isolates carried SCCmec type III 7/11 (63%). Three isolates 3/11 (27%) and 1/11 (9.0%) carried SCCmec type II and IVd respectively. Amplification of the universal insertion site of the SCCmec (orfX) and attachment site (attB) showed that all 16 S. aureus isolates were positive for the orfX gene, while only 7 were positive for the attB gene. Phylogenetic diversity showed that the isolates clustered around strains with features similar to a community acquired MRSA. In conclusion, a high carriage rate of SCCmec type III was observed. The result also showed that all the S. aureus isolates have the orfX structure; however, not all isolates possesses the attB site on the 3' end of the orfX region.
    Matched MeSH terms: Staphylococcal Infections
  12. Zainal M, Mohamad Zain N, Mohd Amin I, Ahmad VN
    Saudi Dent J, 2021 Feb;33(2):105-111.
    PMID: 33551624 DOI: 10.1016/j.sdentj.2020.01.008
    The objective of this study is to determine the therapeutic efficacy of allicin against Candida albicans (C. albicans) and Staphylococcus aureus (S. aureus), the common etiological agents for denture stomatitis (DS). The minimum inhibitory concentration (MICs), minimum bactericidal concentrations (MBCs) and minimum fungicidal concentration (MFCs) of allicin were determined by the broth microdilution method followed by checkerboard microdilution method for a synergistic interaction between allicin + nystatin and allicin + CHX. The potential of allicin to eradicate C. albicans and S. aureus biofilms was assessed by treating biofilm formed on self- polymerized acrylic resin with allicin at a sub-MIC concentration for 5 min. The commercial denture cleanser (brand X) was used as a positive control. A Kruskal-Wallis test followed by the post-hoc Mann-Whitney U test was applied (SPSS 20.0), and the level of significance was set at P 
    Matched MeSH terms: Staphylococcal Infections
  13. Nuramira Azizan, Nihayah Mohamad, Ahmad Zorin Sahalan
    MyJurnal
    Bunga rafflesia cantleyi Solms-Laubach merupakan salah satu jenis tumbuhan liar boleh ditemui di hutan tanah rendah di Semenanjung Malaysia dan digunakan secara meluas dalam ubatan tradisional. Objektif utama dalam kajian ini adalah untuk menguji keberkesanan ekstrak tumbuhan ini sebagai agen aktiviti antibakteria. rafflesia cantleyi Solms-Laubach diesktrak dengan menggunakan tiga kaedah pengekstrakkan berperingkat iaitu petroleum eter (PE) diikuti dengan etil asetat (EA) dan berakhir dengan etanol. Kesemua ekstrak ini kemudiannya diuji terhadap beberapa bakteria ujian iaitu Staphylococcus aureus ATCC 25923, Staphylococcus epidermidis, Escherichia coli ATCC 25922 dan Salmonella typhimurium dengan menggunakan kaedah resapan telaga. Hasil keputusan menunjukkan ekstrak etil asetat dan etanol mempunyai kesan perencatan bakteria yang baik, manakala ekstrak petroleum eter langsung tidak menunjukkan sebarang aktiviti antibakteria. Hasil kajian juga mendapati bahawa ekstrak etil asetat lebih ketara merencat kesemua bakteria yang diuji berbanding dengan ekstrak ethanol. Dua ujian lain yang dijalankan iaitu ujian penentuan nilai kepekatan perencatan minimum (MIC) dan nilai kepekatan minimum bakterisidal (MBC) didapati menyokong keputusan ujian kaedah resapan telaga di mana nilai MIC yang diperoleh bagi ekstrak etil asetat adalah lebih rendah iaitu dalam julat 6.25 hingga 12.5 mg/ml dan nilai MBC pula dalam julat 25.0 hingga 50.0 mg/ml berbanding ekstrak etanol dengan nilai MIC yang lebih besar iaitu dalam julat 25.0 hingga 50.0 mg/ml dan nilai MBCnya adalah 100.0 mg/ml.
    Matched MeSH terms: Staphylococcal Infections
  14. Saiful AJ, Mastura M, Zarizal S, Mazurah MI, Shuhaimi M, Ali AM
    J Basic Microbiol, 2008 Aug;48(4):245-51.
    PMID: 18720500 DOI: 10.1002/jobm.200700387
    Efflux-mediated resistance has been recognized as an important contributor of antibiotic resistance in bacteria, especially in methicillin-resistant Staphylococcus aureus (MRSA) isolates. This study was carried out to detect and analyze efflux genes (norA and mdeA) and active efflux activity in a collection of Malaysian MRSA and methicillin-sensitive S. aureus (MSSA) clinical isolates. Nineteen isolates including three ATCC S. aureus reference strains were subjected to PCR detection and DNA sequence analysis for norA and mdeA and active efflux detection using modified minimum inhibitory concentration (MIC) assay. From the 19 isolates, 18 isolates harboured the mdeA gene while 16 isolates contained norA gene. DNA sequence analysis reveals 98-100% correlation between the PCR product and the published DNA sequences in GenBank. In addition, 16 isolates exhibited active efflux activity using the ethidium bromide (EtBr)-reserpine combination MIC assay. To our knowledge, this is the first report on the detection of efflux genes and active efflux activity amongst Malaysian clinical isolates of MRSA/MSSA. Detection of active efflux activity may explain the previous report on efflux-mediated drug resistance profile amongst the local clinical isolates.
    Matched MeSH terms: Staphylococcal Infections/microbiology*
  15. Jibril FI, Mohd Hilmi AB, Aliyu S
    J Pharm Bioallied Sci, 2020 Nov;12(Suppl 2):S831-S835.
    PMID: 33828385 DOI: 10.4103/jpbs.JPBS_280_19
    Introduction: Stingless bee is an insect that belongs to the family Apidae. Its name is based on its disability of stinging. It has a high product of Meliponini honey and propolis by which are commonly referred to as stingless bee honey and stingless bee propolis. Meliponini honey is one of the crucial natural sources and has the potential to kill infectious microorganisms. Previous studies have proved that the antibacterial activity of natural honey was an effect of hydrogen peroxide, a substance contained in the honey. However, these claims were contradicting with too many studies.

    Objective: Therefore, this study aimed to identify the antibacterial activity of Malaysian Meliponini honey which contained non-hydrogen peroxide against Staphylococcus aureus, an opportunistic microbial.

    Materials and Methods: Meliponini honey was used as an antibacterial agent for the treatment of S. aureus in agar well diffusion assay. An amplex red hydrogen peroxide kit was used to identify the hydrogen peroxide in the honey sample. Meanwhile, non-hydrogen peroxide activity was performed by using honey-catalase treated.

    Results: For the first time, we found that hydrogen peroxide was absent in all Meliponini honey samples. Meliponini honey has higher antibacterial activity (13.30 ± 0.56mm) compared to Apis honey (9.03 ± 0.22mm) in agar well diffusion assay.

    Discussion: Non-hydrogen peroxide in Meliponini honey is a bioactive compound and beneficial to kill the microbial infection.

    Conclusion: Antibacterial activity of Malaysian Meliponini honey is directly contributed by non-hydrogen peroxide.

    Matched MeSH terms: Staphylococcal Infections
  16. Chua HP, Aminah Abdullah
    Sains Malaysiana, 2011;40:1123-1127.
    Kajian keberkesanan sifat antimikrob ekstrak kacangma dijalankan menggunakan ujian resapan cakera dan ujian perencatan langsung. Hasil menunjukkan ekstrak etanol dengan kepekatan 50 dan 100 mg/mL merencat Staphylococcus aureus. Bagi ekstrak air, kepekatan 10, 25, 50 dan 100 mg/mL merencat Aspergillus niger, 25, 50 dan 100 mg/mL dapat merencat Saccharomyces cerevisae dan kepekatan 100 mg/mL dapat merencat Staphylococcus aureus. Perlakuan suhu yang berbeza ke atas ekstrak dalam ujian perencatan langsung tidak menunjukkan sebarang perbezaan ke atas perencatan mikroorganisma yang dikaji.
    Matched MeSH terms: Staphylococcal Infections
  17. Sulistyani N, Nurkhasanah -, Angelita L, Ridwan Rais I, Amiruddin Zakaria Z
    Pak J Pharm Sci, 2022 Nov;35(6(Special)):1805-1811.
    PMID: 36861247
    This study aimed to determine the ability of Persea americana (Mill.) or avocado peels ethanolic extract and its fractions to cause bacterial cell leakage in Staphylococcus aureus. The interaction of antibacterial compound with bacterial cells induces several changes leading to the damage of membrane permeability, followed by intracellular bacterial cell leakage. The experiment started with the determination of minimum inhibitory concentration and minimum bactericidal concentration by micro dilution method. Following the determination of MIC and MBC values, the samples, at the concentrations of 1xMIC and 2xMIC, were tested and analyzed by UV-Vis spectrophotometer at 260 and 280 nm to determine the leakage of bacteria cells. The value of K+ ion leakage was determined using atomic absorption spectrophotometry while the value of electrical conductivity was measured by conducto meter to determine the leakage of the cell membrane. The recorded MIC and MBC values of samples were 10% w/v. At the concentrations of 10% and 20% w/v, the samples caused an increase in nucleic acid, protein and DNA levels as well as an increase in extra cellular electrical conductivity. Prolonged exposure of the extract increased the leakage of bacterial cell contents and the electrical conductivity, indicating the damage of bacterial cell membrane.
    Matched MeSH terms: Staphylococcal Infections*
  18. Ghaznavi-Rad E, Neela V, Nor Shamsudin M, Ghasemzadeh Moghaddam H, Tavakol M, van Belkum A, et al.
    Eur J Clin Microbiol Infect Dis, 2012 Dec;31(12):3317-21.
    PMID: 23010901 DOI: 10.1007/s10096-012-1698-3
    Methicillin-resistant Staphylococcus aureus (MRSA) is well known for its epidemicity, with the emergence of new clones on a daily basis. Diversity in the clonal types of MRSA challenges the success of treatment, as different clones respond to different sets of antibiotics. However, the antibiotic susceptibility among the isolates within the same clones is largely unexplored. In a previous study on MRSA epidemiology in Malaysia, we identified six major clonal complexes (ST-239-CC8, ST-1-CC1, ST-188-CC1, ST-22-CC22, ST-7-CC7 and ST-1283-CC8). In the present study, we investigated the antibiotic susceptibility patterns of isolates of different clones. Three hundred and eighty-nine MRSA isolates were subjected to the disc diffusion test, oxacillin minimum inhibitory concentration (MIC) determination and assessment of the distribution of macrolide, lincosamide and streptogramin B (MLS(B)) resistance genes. Thirty-six different antibiotic profiles were observed: 30 (83.3 %) among ST-239, 2 (5.6 %) among ST-1283 and 1 (2.8 %) each for ST-1, ST-7, ST-22 and ST-188. All ST-239 (362, 9 %) isolates were multiple drug-resistant (MDR; resistant to more than three classes of antibiotics) and had oxacillin MICs >256 mg/l. Among the 385 clindamycin-resistant isolates, 375 (96.4 %) illustrated inducible resistance (D-zone-positive), while 10 (2.6 %) showed constitutive resistance. The vast majority of the macrolide-resistant isolates carried the ermA gene (95.1 %), followed by ermC (12.9 %). Diversity in the antibiotic susceptibilities of isolates within the clones emphasises the need for continuous surveillance of MDR strains to prescribe the correct antibiotic rather than empirical treatment. This will likely reduce the emergence of new endemic or epidemic resistant MRSA clones.
    Matched MeSH terms: Staphylococcal Infections/microbiology*; Staphylococcal Infections/epidemiology
  19. Abdul Aziz NFH, Abbasiliasi S, Ng ZJ, Abu Zarin M, Oslan SN, Tan JS, et al.
    Molecules, 2020 Nov 16;25(22).
    PMID: 33207534 DOI: 10.3390/molecules25225332
    Lactobacillus bulgaricus is a LAB strain which is capable of producing bacteriocin substances to inhibit Staphylococcus aureus. The aim of this study was to purify a bacteriocin-like inhibitory substance (BLIS) produced by L. bulgaricus FTDC 1211 using an aqueous impregnated resins system consisting of polyethylene-glycol (PEG) impregnated on Amberlite XAD4. Important parameters influencing on purification of BLIS, such as the molecular weight and concentration of PEG, the concentration and pH of sodium citrate and the concentration of sodium chloride, were optimized using a response surface methodology. Under optimum conditions of 11% (w/w) of PEG 4000 impregnated Amberlite XAD4 resins and 2% (w/w) of sodium citrate at pH 6, the maximum purification factor (3.26) and recovery yield (82.69% ± 0.06) were obtained. These results demonstrate that AIRS could be used as an alternate purification system in the primary recovery step.
    Matched MeSH terms: Staphylococcal Infections
  20. Ariza Adnan
    Medical Health Reviews, 2008;2008(1):29-44.
    MyJurnal
    The issue of antibiotic resistance has been around ever since the first antibiotic penicillin was introduced to the world. It continues to rise, becoming a major problem across the globe and Malaysia is no exception. Hospital is a critical component of the antibiotic resistance problem worldwide. The problems of antibiotic resistance are typically magnified in a hospital setting due to the common variables in the hospital environment that favour its development. These include a combination of highly susceptible patients, intensive and prolonged antibiotic use, and crossinfection resulting in nosocomial infections with highly resistant bacterial pathogens such as multi-resistant gram-negative rods, vancomycin resistant enterococci (VRE) and methicillinresistant Staphylococcus aureus (MRSA) as well as resistant fungal infections. Transmission of highly resistant bacteria from patient to patient within the hospital environment amplifies the problem of antibiotic resistance and may result in the infection of patients who are not receiving antibiotics. Transmission of antibiotic-resistant strains from hospital personnel to patients or vice versa may also occur. What are the available strategies and what works best in managing antibiotic resistance in the hospital? This review will highlight the seriousness of the resistance problem and identify actions that address it especially in the context of improving the problem in Malaysian hospitals.
    Matched MeSH terms: Staphylococcal Infections
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