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  1. Nurul Alia Farhah Mohd Zamri, Ruzilawati Abu Bakar, Siti Suraiya Mohd Noor, Wan Ezumi Mohd Fuad1
    MyJurnal
    The objective of this study was to evaluate the in vitro antibacterial activities of methanol and aqueous extracts of P. pellucida aerial part (PPAP) against four multi-drug resistant organisms; methicillin-resistant Staphylococcus aureus, vancomycin-resistant Enterococcus, extended-spectrum beta-lactamase and carbapenem-resistant Enterobacteriaceae and four foodborne pathogens; Staphylococcus aureus, Bacillus cereus, Escherichia coli and Salmonella typhimurium. The antibacterial potentialities of the plant extracts were evaluated at 250 mg/ml and 500 mg/ml. Only susceptible bacteria were further determined for minimum inhibitory (MIC) and minimum bactericidal (MBC) concentrations. The best extract of a single dose of 5000 mg/kg PPAP methanol extract was acutely tested on female rats by adapting the OECD guidelines No 425. Findings obtained indicated that only PPAP methanol extract was found to be a potent inhibitor towards Bacillus cereus with the MIC and MBC values at 3.91 mg/ml and 7.81 mg/ml respectively. Toxicity study revealed that there was neither mortality nor morbidity and absent of abnormalities on all rats examined.
  2. Deris ZZ, Hasan H, Siti Suraiya MN
    J Infect Dev Ctries, 2010 Aug 04;4(7):430-5.
    PMID: 20818090
    BACKGROUND: Melioidosis is an important public health problem causing community acquired sepsis in the northeastern part of Malaysia.

    METHODOLOGY: From January 2001 to December 2005, we reviewed case reports of all bacteraemic melioidosis admitted to a tertiary teaching hospital, Hospital Universiti Sains Malaysia.

    RESULTS: Thirty-five patients had positive blood culture for meliodosis and 27 case reports were traceable for further analysis. The mean age was 46.8 + 20.0 years. Twenty patients (74.1%) were male. The main clinical presentation was fever that occurred in 23 (85.2%) patients. Eighteen patients (66.7%) had lung involvement and three patients had liver abscess. Two patients presented with scrotal swelling, one of whom further developed Fournier's Gangrene. Nineteen (70.4%) patients had underlying diabetes, five of whom were newly diagnosed during the admission. Thirteen (48.1%) patients were treated with high-dose ceftazidime and six (22.2%) patients were treated with imipenem. Eight (29.6%) patients were not given anti-melioidosis therapy because the causative agents were not identified until after the patients died. The patients were admitted 16.8 days + 18.1. Seventeen patients (63.0%) died in this series, 13 patients of whom died within four days of admission.

    CONCLUSIONS: The wide range of clinical presentations and the fatal outcomes of melioidosis require a high level of suspicion among physicians to develop an early appropriate therapy and reduce the mortality rate.

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