One hundred seventy-one patients suffering from chronic renal diseases at Kuala Lumpur Hospital participated in a crosssectional study with purposive sampling to ascertain prevalence rates of Cryptosporidium parvum (C. parvum), Giardia
intestinalis (G. intestinalis), Blastocystis hominis (B. hominis) and Strongyloides stercoralis (S. stercoralis). The patients
were divided into 2 groups: post-transplant group (138 patients) and pre-transplant group (33 patients). In this study, the
parasite infection is linked to the aspects of race, gender, renal patient’s group and the postrenal transplantation period.
Immunofluorescence staining was performed on fecal slides for the detection of C. parvum oocysts and G. intestinalis cysts.
Sand charcoal culture technique was also used to detect the presence of S. strongyloides in fecal samples. The findings
showed that the prevalence of C. parvum, G. intestinalis dan B. hominis among post-transplant patients was 18.1%,
10.9% and 22.5%, respectively but none of the pretransplant patient was infected. Meanwhile, both patient groups were
free of S. stercoralis infection. Furthermore, there was no significant association between post-transplantation period
and pattern in prevalence of the studied parasites, however, it was noted that the prevalence rates of C. parvum and G.
intestinalis had declined after 6 months post transplantati
A cross-sectional study was conducted in February 2006 to determine the prevalence of Trichuris trichiura infection among Orang Asli (Aborigine) children at Pos Lenjang, Pahang. A total of 71 faecal samples were collected from the children (40 girls and 31 boys) aged between 1-12 years. The samples were examined for the presence of Trichuris trichiura ova using direct smear and formalin-ether concentration techniques. The result revealed that the overall prevalence of Trichuris trichiura infection was 43.7%. The infection was higher in males (51.6%) compared to females (37.5%), though not statistically significant (p > 0.05). According to age group, the school-aged children had higher prevalence of infection (56.8%) than preschool children (29.4%) (p < 0.05). Low socioeconomic status, large family size, poor environmental sanitation and poor personal hygiene are possible contributing factors that increase the prevalence of infection among the Orang Asli children at Pos Lenjang. In 31 samples positive for Trichuris trichiura, a detection rate of 100% was obtained using formalin-ether concentration, compared to 25.8% with direct smear technique. Thus, it is recommended that both techniques be performed in routine faecal examination for a more accurate diagnosis.
Infeksi Entamoeba histolytica adalah tersebar di seluruh dunia dengan prevalens infeksi yang lebih tinggi di kalangan masyarakat terpinggir termasuk Orang Asli yang tinggal di kawasan tropika dan subtropika. Seramai 71 orang kanak-kanak Orang Asli dari Pos Lenjang, Pahang telah terlibat di dalam kajian ini. Bagi kajian yang lebih terperinci, kumpulan kanak-kanak ini telah dibahagikan menurut jantina dan umur. Sampel feses dikumpul dan setiap sampel diperiksa bagi pengenalpastian Entamoeba histolytica dengan menggunakan 3 jenis teknik diagnostik yang berbeza iaitu teknik apusan langsung, konsentrasi formalin-eter dan perwarnaan trikrom. Prevalens infeksi protozoa usus Entamoeba histolytica di kalangan kanak-kanak Orang Asli di Pos Lenjang, Pahang adalah tinggi iaitu 22.5%. Dari segi jantina, prevalens infeksi lebih tinggi di kalangan kanak-kanak perempuan (32.5%) berbanding kanak-kanak lelaki (9.7%). Infeksi juga didapati lebih kerap berlaku di kalangan kanak-kanak yang bersekolah (32.4%) berbanding kanak-kanak prasekolah (11.8%). Prevalens infeksi Entamoeba histolytica yang tinggi di kalangan kanak-kanak Orang Asli di Pos Lenjang, Pahang adalah berhubung kait dengan pelbagai faktor termasuk status sosioekonomi yang rendah, budaya, kekurangan kemudahan asas dan tahap pengetahuan mengenai penjagaan kesihatan serta kebersihan diri yang rendah.
Giardia intestinalis merupakan parasit kosmopolitan dan infeksinya tersebar luas di seluruh dunia terutamanya di negara membangun yang tahap sanitasinya rendah dan kekurangan bekalan air yang bersih. Seramai 71 orang kanak-kanak Orang Asli dari Pos Lenjang, Pahang telah terlibat di dalam kajian ini. Sampel feses dikumpul dan diperiksa bagi mengesan infeksi G. intestinalis dengan menggunakan tiga teknik diagnosis iaitu teknik apusan langsung, konsentrasi formalin-eter dan perwarnaan trikrom. Prevalens infeksi Giardia intestinalis di kalangan kanak-kanak Orang Asli di Pos Lenjang, Pahang adalah tinggi iaitu 43.7%. Dari segi jantina, prevalens infeksi hampir sama di kalangan kanak-kanak perempuan (45.0%) berbanding kanak-kanak lelaki (41.9%). Infeksi juga didapati lebih banyak berlaku di kalangan kanak-kanak bersekolah (48.6%) berbanding kanakkanak pra-sekolah (38.2%).
Giardia intestinalis is among the protozoa that is commonly found in the human fecal samples throughout the world. The prevalence of infection is higher among people living in developing countries than developed countries. One hundred and eleven Orang Asli children at Pos Titom, Pahang participated in this study. The prevalence study was conducted in accordance to gender, age groups and the diagnostic techniques employed. Fecal samples were collected and examined for the presence of G. intestinalis using three diagnostic techniques ie; the direct fecal smear, formalin-ether concentration and the trichrome staining technique. The overall prevalence of G. intestinalis infection among Orang Asli children at Pos Titom was 23.42%. The infection was higher among females (25%) as compared to males (21.57%) eventhough it was not statistically significant (p > 0.05). In terms of age groups, no positive case was observed among preschoolers whose age were below seven-years while the school aged children (7 to 12-years old) showed 24.53% infection. The trichrome staining technique was the most sensitive with a detection rate of 22.52% followed by the formalin-ether concentration technique with a detection of 19.82% whilst the direct smear technique only detected 12.61% of cases. The prevalence of giardiasis amongst the Orang Asli children at Pos Titom, Pahang was still high despite various efforts made and improvements in basic infrastructural facilities undertaken for their community. The health care status and personal hygiene of Orang Asli children remains poor and needs to be further improved.
Blastocystis hominis merupakan antara protozoa yang paling biasa ditemui di dalam sampel feses manusia di seluruh dunia. Prevalens infeksi protozoa ini adalah lebih tinggi di kalangan mereka yang tinggal di negara membangun berbanding negara maju. Seramai 71 orang kanak-kanak Orang Asli dari Pos Lenjang, Pahang telah menjadi subjek dalam kajian ini. Bagi kajian yang lebih terperinci, kumpulan kanak-kanak ini telah dibahagikan menurut jantina dan umur. Sampel feses dikumpul dan setiap sampel diperiksa dengan menggunakan 3 teknik diagnostik iaitu teknik apusan langsung, konsentrasi formalin-eter dan perwarnaan trikrom bagi tujuan pengesanan dan pengenalpastian Blastocystis hominis. Prevalens infeksi Blastocystis hominis di kalangan kanak-kanak Orang Asli adalah sangat tinggi iaitu 93%. Kanak-kanak perempuan didapati lebih ramai terinfeksi (97.5%) berbanding kanak-kanak lelaki (87.1%) walaupun secara statistiknya tidak signifikan (p>0.05). Protozoa ini juga telah menginfeksi kesemua kanak-kanak prasekolah (100%) manakala kanak-kanak yang bersekolah turut menunjukkan prevalens infeksi yang tinggi iaitu 86.5%. Daripada segi diagnosis, teknik perwarnaan trikrom didapati paling sensitif dan ia dapat mengenalpasti kesemua (66) sampel feses yang positif dengan Blastocystis hominis. Ini diikuti dengan teknik konsentrasi formalin-eter (43 sampel) dan teknik apusan langsung (18 sampel) (p<0.05). Prevalens infeksi Blastocystis hominis yang tinggi di kalangan kanak-kanak Orang Asli adalah berhubungkait dengan pelbagai faktor termasuk status sosioekonomi yang rendah, budaya, kekurangan kemudahan asas dan tahap pengetahuan mengenai penjagaan kesihatan serta kebersihan diri yang rendah. Selain itu, peningkatan prevalens infeksi dalam kajian ini menunjukkan pentingnya penggunaan teknik diagnostik yang lebih berkesan di dalam pemeriksaan rutin bagi memperolehi hasil diagnosis yang lebih tepat.
Toksoplasmosis adalah penyakit akibat daripada jangkitan Toxoplasma gondii kerana protozoa ini merupakan patogen oportunistik yang penting dalam kalangan penerima organ. Jangkitan biasanya adalah tanpa gejala tetapi ia boleh menjadi serius sehingga mengancam nyawa terutama bagi pesakit terimunokompromi. Oleh itu, suatu kajian irisan lintang dengan pensampelan purposif telah dijalankan untuk mengesan kadar prevalens jangkitan T. gondii dalam kalangan 171 orang pesakit renal kronik di Hospital Kuala Lumpur (HKL). Subjek kajian dibahagi kepada 2 kumpulan iaitu kumpulan penerima transplan renal yang terdiri daripada 138 orang pesakit renal kronik dan kumpulan kawalan yang merupakan 33 orang pesakit renal kronik yang belum menjalani transplantasi renal. Kaedah serologi iaitu ‘Indirect Immunofluorescent Antibody’ (IFA) digunakan untuk mengesan IgG anti-Toksoplasma di dalam serum kedua-dua kumpulan pesakit. Selain itu, kadar seropositif dan min titer IgG ditentukan berdasarkan tempoh pascatransplantasi. Sebanyak 39.4% pesakit daripada kumpulan kawalan dikesan mempunyai antibodi IgG terhadap T. gondii manakala kadar seropositif dalam kalangan pesakit pascatransplan adalah 30.4%. Hasil kajian turut menunjukkan tempoh pascatransplantasi tidak mempengaruhi corak jangkitan T. gondii walaupun terdapat peningkatan kadar seropositif jangkitan selepas 6 bulan transplantasi renal dijalankan. Di samping itu, wujudnya korelasi antara min titer IgG dan tempoh pascatransplantasi dengan titer meningkat secara signifikan daripada 2.68 kepada 7.14 sejajar dengan pertambahan tempoh pascatransplantasi renal. Kadar kes toksoplasmosis dalam kalangan pesakit pascatransplan boleh dikurangkan sekiranya ujian saringan awal terhadap jangkitan T. gondii dijalankan. Profilaksis dan pemeriksaan susulan juga perlu dilakukan ke atas pesakit renal kronik untuk mengelak daripada berlakunya sebarang kerumitan yang teruk.
Acanthamoeba is a free-living amoeba that can cause serious eye infection leading to blindness known as Acanthamoeba keratitis. The infection usually occurs amongst individuals wearing contact lenses. The use of contact lens disinfecting solution not effective against the Acanthamoeba cysts increases the risk for infection. There have been many studies indicating the resistance of Acanthamoeba cyst towards certain antimicrobial agents, enzymatic disinfectant and chemical disinfectant. Therefore, this study was performed to evaluate the efficacy of contact lens disinfecting solutions comprising Opti-Free® Express® & Complete™, against the cysts of Acanthamoeba. This study also investigates the effectiveness of the disinfecting solutions based on the soaking time recommended by manufacturers, 4 hours, 6 hours and 8 hours. Four clinical isolates of Acanthamoeba were tested in this study comprising HKL 11, HKL 51, HKL 32 and HKL 5. Ten microliter of cysts suspension (105 cells/ml) was tested on the disinfectant solution respectively. After an interval varying from 4 hours to 8 hours, the solutions were centrifuged and then the sediment was inoculated onto non nutrient agar lawn with E. coli. The plates were examined daily using inverted microscope for the emergence of Acanthamoeba trophozoites. The presence of Acanthamoeba trophozoites indicates that the cysts had successfully undergone excystation process denoting that the disinfecting solution is not effective. Opti-Free® Express® & Complete™ contact lens disinfecting solutions were not effective against all 4 isolates of Acanthamoeba cysts based on time recommended by manufacturers, 4 hours, 6 hours and even 8 hours soaking time. This study shows that there are more contact lens disinfecting solutions not effective against Acanthamoeba cysts compared to those that are effective.
Kajian ini dilakukan bertujuan untuk menentukan prevalens kandidiasis dalam kalangan wanita yang berumur 20 hingga 59 tahun di Hospital Umum Sarawak melalui pemeriksaan ke atas lumuran Pap lazim. Prevalens jangkitan ini dikaji dalam kalangan lima kumpulan etnik yang utama iaitu kaum Iban, Cina, Melayu, Bidayuh dan Orang Ulu. Penyaringan mikroskopik dijalankan ke atas lumuran Pap lazim sejumlah 300 sampel slaid yang telah diproses dan dicelup menggunakan pencelupan Papanicolaou. Berdasarkan maklumat pada borang permohonan penyaringan lumuran Pap, tanda dan gejala jangkitan diambil kira sebagai petunjuk penting semasa penyaringan kerana melalui tanda dan gejala jangkitan, lumuran Pap mempunyai hubungan yang rapat dengan ciri-ciri gambaran sitomorfologi jangkitan yang berlaku ke atas sel-sel epitelium sekiranya ia mengalami jangkitan. Kategori umur untuk setiap golongan etnik juga dijadikan sebagai salah satu faktor pengukur bagi menilai tahap kekerapan jangkitan. Hasil kajian menunjukkan Candida sp. telah dapat dikesan sebanyak 12.7% daripada jumlah spesimen. Jangkitan berlaku pada kesemua kumpulan etnik dan juga pada kesemua golongan umur 20 hingga 59 tahun. Kesemua kes turut menunjukkan tanda dan gejala jangkitan. Hasil kajian ini menunjukkan pentingnya menjalankan ujian penyaringan lumuran Pap bagi mengesan jangkitan kandida di samping sebagai saringan awal pengesanan kanser serviks.
Kajian ini dilakukan untuk menentukan prevalens jangkitan Trichomonas vaginalis, di kalangan wanita yang berumur 20 hingga 59 tahun di Hospital Umum Sarawak melalui pemeriksaan ke atas lumuran Pap lazim. Prevalens jangkitan ini dikaji di kalangan lima kumpulan etnik utama iaitu kaum Iban, Cina, Melayu, Bidayuh dan Orang Ulu. Penyaringan dijalankan pada lumuran Pap lazim ke atas 300 sampel slaid yang telah diproses dan dicelup menggunakan pencelup Papanicolaou. Berdasarkan maklumat pada borang permohonan penyaringan lumuran Pap, tanda dan gejala jangkitan diambil kira sebagai petunjuk penting semasa penyaringan kerana melalui tanda dan gejala jangkitan, lumuran Pap mempunyai hubungan yang rapat kepada ciri-ciri gambaran sitomorfologi jangkitan yang berlaku ke atas sel epitelial sekiranya ianya mengalami jangkitan. Kategori umur untuk setiap golongan etnik juga dijadikan sebagai salah satu faktor pengukur bagi menilai tahap kekerapan jangkitan. Hasil kajian menunjukkan trikomoniasis mencatatkan jangkitan sebanyak 7.7% kes. Jangkitan berlaku pada kesemua kumpulan etnik dan lebih kerap ditemui pada golongan umur 20 hingga 29 tahun. Kesemua kes turut menunjukkan tanda dan gejala jangkitan. Hasil kajian ini menunjukkan kepentingan menjalani ujian lumuran Pap sebagai ujian mengesan jangkitan Trikomonas vaginalis selain saringan awal pengesanan kanser serviks.
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.
Keywords: Axenization, Survivability, Acanthamoeba, Clinical and environmental strains
Acanthamoeba keratitis is a serious ocular problem and can cause blindness 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. 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.
Key words: Acanthamoeba Keratitis, Eyedrop Antibiotics, Effectiveness
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.
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 42°C 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 37°C. However, no trophozoites were observed at 42°
C. 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.
Keywords: Acanthamoeba; temperature tolerance; clinical; environmental isolates.
Kajian ini dijalankan untuk memencilkan Acanthamoeba spp. daripada pelbagai persekitaran akuatik di Semenanjung Malaysia. Sebanyak 160 sampel diambil dengan 140 sampel menggunakan kaedah swab manakala 20 sampel lagi menggunakan kaedah pensampelan air dengan botol Schott 500 ml yang steril. Sampel swab diambil daripada kepala paip air (50), sinki (50), serta kolam renang (40) manakala sampel air diambil dari laut. Sampel swab diinokulasi secara terus ke atas agar tanpa nutrien (NNA) yang dilapisi dengan Escherichia coli matian haba secara aseptik. Sampel air dituras menggunakan membran turas bersaiz liang 0.45 µm sebelum membran turas itu dipindahkan secara aseptik ke atas piring NNA yang dilapisi dengan E. coli matian haba. Semua piring dieram pada suhu 30°C dan diperiksa setiap hari untuk kehadiran Acanthamoeba spp. sehingga hari ke-14 sebelum disahkan negatif. Secara keseluruhannya, terdapat 20% sampel yang positif untuk kehadiran Acanthamoeba. Acanthamoeba spp. paling banyak dipencilkan daripada sampel air laut dengan peratusan sebanyak 40% manakala paling sedikit dipencilkan daripada swab paip air dengan peratusan sebanyak 4% sahaja. Pencilan positif Acanthamoeba spp. daripada sinki dan kolam renang masing-masing adalah 20% dan 30%. Ketiga-tiga kumpulan genus Acanthamoeba dalam bentuk sista dapat ditemui dalam sampel yang diambil.
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.
entamoeba histolytica dan/atau entamoeba dispar merupakan protozoa usus yang mempunyai prevalens infeksi yang tinggi dalam kalangan masyarakat pedalaman terutamanya masyarakat Orang Asli. Ia tersebar secara meluas di kawasan tropika dan subtropika serta di negara membangun berbanding negara maju. Sebanyak 111 sampel feses kanak-kanak Orang Asli daripada suku kaum Jahai telah diterima dan disaring untuk entamoeba histolytica dan/atau entamoeba dispar menggunakan kaedah apusan langsung yang memberi hasil positif terhadap 43 sampel atau 38.7%. Oleh sebab amaun sampel yang diterima adalah sedikit, hanya 66 sampel feses sahaja yang dapat diperiksa menggunakan tiga jenis teknik diagnostik berbeza iaitu apusan langsung, kepekatan formalin-eter dan pewarnaan trikrom. Hasil kajian mendapati, prevalens yang tinggi bagi infeksi entamoeba histolytica dan/atau entamoeba dispar iaitu 50% menggunakan
ketiga-tiga teknik diagnosis. Prevalens infeksi yang tinggi juga turut ditunjukkan pada kanak-kanak perempuan iaitu 62.5% berbanding kanak-kanak lelaki 30.8% (p<0.05). Selain itu, daripada segi umur, kanak-kanak yang berumur 7-9 tahun adalah lebih terdedah kepada infeksi entamoeba histolytica dan/atau entamoeba dispar dengan prevalens 60.7% (p>0.05). Teknik pewarnaan trikrom menunjukkan pengesanan 100% ke atas infeksi entamoeba histolytica dan/atau entamoeba dispar, diikuti teknik kepekatan formalin-eter 78.8% dan apusan langsung 72.7%. Prevalens infeksi entamoeba histolytica dan/atau entamoeba dispar yang tinggi dalam kalangan kanak-kanak Orang Asli di Pos Sungai Rual ini berhubungkait dengan pelbagai faktor iaitu status sosioekonomi yang rendah, kekurangan pengetahuan tentang penjagaan kesihatan serta kebersihan diri yang rendah. Peningkatan prevalens infeksi dalam kajian ini juga menunjukkan pentingnya penggunaan teknik diagnostik yang lebih berkesan dalam pemeriksaan rutin bagi mendapatkan hasil diagnosis yang lebih tepat.
Polymyxin B interacts with divalent cations by displacing cations from their binding sites in the lipopolysaccharide (LPS) molecules. It leads to the disorganization of the outer membrane component of the Gram negative bacteria, which releases LPS component from bacterial surface causing severe membrane leakage and finally cell death. In this paper, the reversible activity of PMB was investigated in the presence of access divalent cations such as Mg2+ or Ca2+. Membrane damage and cell disruption were monitored by detecting leakage of the outer membrane and cytoplasmic enzyme marker (β-lactamase and β-galactosidase), release of LPS component (KDO) from bacterial cells and bacterial survival. With the presence of divalent cations, leakage of enzyme markers and LPS released was significantly reduced when bacteria were exposed to PMB. The survival curve also significantly increased. The inhibitory of damage caused by PMB also depended on the type of divalent cation present. Ca2+ has been shown to be more effective in protecting the
bacteria cells than Mg2+. This is because Ca2+ appears more frequently as a constituent of the structural components of the bacteria. In conclusion, the presence of higher concentration of divalent cation particularly with Ca2+ inhibits PMB activity and maintained bacterial survival.
Suatu kajian pemencilan dan pengenalpastian mikroflora bakteria daripada kolam air panas telah dilakukan di kolam
air panas Bentong, Pahang. Kebanyakan bakteria yang dipencil dari kolam air panas adalah dari Bacillus sp. kerana ia
mempunyai ciri adaptasi yang membolehkannya hidup di kawasan ekstrem suhu tinggi dengan pembentukan endospora.
Objektif kajian adalah untuk mengenal pasti spesies bakteria selain dari spesies Bacillus sp. yang mampu mandiri dalam
kolam air panas ini. Tiga buah kolam air panas dikenal pasti sebagai A, B dan C. Julat suhu berada antara 36°C-52°C
dan nilai pH antara 7.88-8.65. Kajian ini telah berjaya memencilkan dua isolat bakteria kokus Gram positif bersama
tiga spesies Gram negatif. Spesies Gram positif tersebut adalah dari spesies Streptococcus sp. dan Staphylococcus sp,
manakala Gram negatif pula dikenal pasti sebagai Pseudomonas sp., Klebsiella sp. dan Proteus sp.. Sebagai kesimpulan,
bakteria tak berspora yang bukan Bacillus sp. mampu mandiri dalam kolam air panas.
Acanthamoeba spp. merupakan ameba hidup bebas yang tersebar luas di persekitaran. Ameba ini menyebabkan penyakit
keratitis terutamanya kepada individu yang memakai kanta sentuh terkontaminasi atau mempunyai sejarah trauma
pada mata. Tujuh puluh empat sampel kikisan kornea pesakit keratitis daripada 4 buah hospital di sekitar Lembah
Kelang telah dikultur untuk menemukan Acanthamoeba spp. Keputusan kajian mendapati Acanthamoeba spp. berjaya
dipencilkan daripada 14.87% sampel kikisan kornea pesakit keratitis. Berdasarkan kajian ini, kesemua pesakit keratitis
Acanthamoeba adalah merupakan pemakai kanta sentuh yang majoritinya (90.9%) terdiri daripada kaum wanita. Kanta
sentuh lembut terlibat dalam 90.9% kes manakala jenis kanta separa keras cuma satu kes 9.1%. Kesemua 11 pencilan
Acanthamoeba yang dipencilkan adalah daripada kumpulan polyphagids yang biasanya patogenik kepada manusia dan
menyebabkan jangkitan ini. Kegagalan pengguna kanta sentuh mengamalkan tahap kebersihan kanta sentuh yang baik
merupakan faktor risiko yang penting dalam kejadian keratitis Acanthamoeba di Malaysia.