Displaying publications 1 - 20 of 290 in total

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  1. Syahriel Abdullah, Ling, Yee Soon, Daim, Sylvia Jerome, Chong, Khim Phin
    MyJurnal
    Community and nosocomial-associated methicillin-resistant Staphylococcus aureus (MRSA) infections in Malaysian healthcare setting are terrifically increasing in recent years. There is an urgent need for an effective antibacterial agent to cope with this important issue. Due to the development of new antibiotics is not parallel with the increase of cases of infections, researchers have initiated isolation of compounds from natural resources to develop new potent therapeutic agent. Meanwhile, Ganoderma boninense is an oil palm devastating pathogen, which has been known to contain many bioactive compounds that might be potential to be developed as a new source of therapeutic agent.
    Matched MeSH terms: Methicillin; Methicillin Resistance; Methicillin-Resistant Staphylococcus aureus
  2. Abu Hanifah Y
    Malays J Pathol, 1990 Dec;12(2):107-9.
    PMID: 2102965
    448 isolates of methicillin-resistant Staphylococcus aureus (MRSA) from clinical specimens of patients from the University Hospital, Kuala Lumpur, were phage-typed. These included 35 strains causing two separate outbreaks of infection, one in surgical Ward 6B and another in the Special Care Nursery (SCN). Antibiograms of these outbreak strains in Ward 6B and SCN were entirely different. Phage-typing revealed that 72% of the MRSA isolates were typable. They were typed entirely by Group III phages, the majority (76%) of which were phage type 85. There was only one isolate in SCN which was typed by Group I (phage 80) and Group III phages. None were typed by phages 94, 95, 96 and Group II phages. 14.6% of the typable isolates gave the long pattern reaction of the phage 6/47/54/75/77/83A/84/85 complex. The majority of the outbreak strains in Ward 6B were of phage type 85, whereas those in the SCN were all of the 6/47/54/75/77/83A/84 phage pattern with the exception of one isolate which was also typed by phage 80, a Group I phage.
    Matched MeSH terms: Methicillin Resistance*
  3. Hui-min, Neoh, Saberi Saimun, Hassriana Fazilla Sapr, Salasawati Hussin, Rahman Jamal
    MyJurnal
    Entero- and exfoliative toxin gene profiling of 237 methicillin-susceptible Staphylococcus aureus (MSSA) isolated
    from Universiti Kebangsaan Malaysia Medical Centre (UKMMC) were carried out via PCR amplification. Among
    the tested toxin genes, sei was found to be the most prevalent (54.9%).
    Matched MeSH terms: Methicillin; Methicillin Resistance
  4. Goh, K.L., Nazri, M.Y., Ong, C.L.
    MyJurnal
    Vancomycin bead is an important ancillary treatment for osteomyelitis caused by methicillin-resistant Staphylococcus aureus (MRSA). However, red-man syndrome, which can be a life-threatening complication of vancomycin, may occur from the use of vancomycin beads albeit rarely. We report our first case of red-man syndrome caused by vancomycin bead's insertion for chronic osteomyelitis. Symptomatic treatment was not
    effective and removal of the vancomycin beads seems to be the best treatment for this condition.
    Matched MeSH terms: Methicillin; Methicillin-Resistant Staphylococcus aureus
  5. Allotey P, Reidpath DD
    Lancet, 2021 03 20;397(10279):1058.
    PMID: 33743860 DOI: 10.1016/S0140-6736(21)00379-2
    Matched MeSH terms: Methicillin-Resistant Staphylococcus aureus*
  6. Norazah A, Liew SM, Kamel AG, Koh YT, Lim VK
    Singapore Med J, 2001 Jan;42(1):15-9.
    PMID: 11361232
    To determine and compare the pulsed-field gel electrophoresis (PFGE) patterns of endemic MRSA strains in 2 major Malaysian hospitals and to compare the PFGE patterns with antibiotypes of the strains studied.
    Matched MeSH terms: Methicillin/administration & dosage; Methicillin/therapeutic use; Methicillin Resistance/genetics*
  7. Saw KY, Gill R, Low TC
    Malays Orthop J, 2020 Nov;14(3):166-169.
    PMID: 33403079 DOI: 10.5704/MOJ.2011.026
    This is a case report of a Gustilo-Anderson Type IIIB comminuted open right tibial fracture with massive bone loss, complicated by methicillin-resistant Staphylococus aureus (MRSA) infection. Non-viable and contaminated bony fragments were removed and infected bone resected. Soft tissue coverage and antibiotics were effective against the MRSA infection. A unifocal bone transport with the Ilizarov method regenerated 13cm of the missing tibia. Autologous peripheral blood stem cells (PBSC) injections into the osteogenesis site boosted bone regeneration and consolidation with a shortened Bone Healing index (BHI) of 23 days/cm.
    Matched MeSH terms: Methicillin; Methicillin Resistance; Methicillin-Resistant Staphylococcus aureus
  8. Teow SY, Liew K, Ali SA, Khoo AS, Peh SC
    J Trop Med, 2016;2016:2853045.
    PMID: 27956904
    Curcumin, the major constituent of Curcuma longa L. (Zingiberaceae family) or turmeric, commonly used for cooking in Asian cuisine, is known to possess a broad range of pharmacological properties at relatively nontoxic doses. Curcumin is found to be effective against Staphylococcus aureus (S. aureus). As demonstrated by in vitro experiment, curcumin exerts even more potent effects when used in combination with various other antibacterial agents. Hence, curcumin which is a natural product derived from plant is believed to have profound medicinal benefits and could be potentially developed into a naturally derived antibiotic in the future. However, there are several noteworthy challenges in the development of curcumin as a medicine. S. aureus infections, particularly those caused by the multidrug-resistant strains, have emerged as a global health issue and urgent action is needed. This review focuses on the antibacterial activities of curcumin against both methicillin-sensitive S. aureus (MSSA) and methicillin-resistant S. aureus (MRSA). We also attempt to highlight the potential challenges in the effort of developing curcumin into a therapeutic antibacterial agent.
    Matched MeSH terms: Methicillin; Methicillin Resistance; Methicillin-Resistant Staphylococcus aureus
  9. Jones SU, Chua KH, Chew CH, Yeo CC, Abdullah FH, Othman N, et al.
    PeerJ, 2021;9:e11195.
    PMID: 33889447 DOI: 10.7717/peerj.11195
    Background: Staphylococcus aureus is one of the important pathogens causing nosocomial infection. spa typing allows identification of S. aureus clones in hospital isolates and is useful for epidemiological studies and nosocomial infection control. This study aims to investigate the spa types in Malaysian S. aureus isolates obtained from various clinical specimens.

    Method: A total of 89 methicillin-resistant S. aureus (MRSA) [pus (n = 55), blood (n = 27), respiratory (n = 5), eye (n = 2)] isolates and 109 methicillin-susceptible S. aureus (MSSA) [pus (n = 79), blood (n = 24), respiratory (n = 3), eye (n = 2) and urine (n = 1)] isolates were subjected to spa typing with sequences analysed using BioNumerics version 7.

    Results: The spa sequence was successfully amplified from 77.8% of the strains (154/198) and 47 known spa types were detected. The distribution of known spa types in MRSA (36.2%, 17/47) was less diverse than in MSSA (70.2%, 33/47). The most predominant spa types were t032 (50%) in MRSA, and t127 (19%) and t091 (16.7%) in MSSA, respectively. spa type t091 in MSSA was significantly associated with skin and soft tissue infections (p = 0.0199).

    Conclusion: The previously uncommon spa type t032 was detected in the Malaysian MRSA strains, which also corresponded to the most common spa type in Europe and Australia, and has replaced the dominant spa type t037 which was reported in Malaysia in 2010.

    Matched MeSH terms: Methicillin; Methicillin Resistance; Methicillin-Resistant Staphylococcus aureus
  10. Chan, C.K., Merican, A.M., Nawar, A.M., Hanifah, Y.A., Thong, K.L.
    Malays Orthop J, 2010;4(3):36-38.
    MyJurnal
    Necrotising fasciitis caused by Community-Acquired Methicillin-resistant Staphylococcus aureus (CA-MRSA) has emerged as a new entity. Although it is recognised worldwide, there have been no reported cases to date in Malaysia. We report a case of necrotising fasciitis of the left lower limb in an otherwise healthy 20-year-old man. He presented with septic shock and despite the paucity of clinical signs in the limb, the infection was aggressive. Methicillin-Resistant Staphylococcus aureus (MRSA) was isolated from the deep fascia of the leg. Panton-Valentine leucocidin gene (PVL), which is a stable genetic marker for CA-MRSA strain, was positive in this case. This case of community acquired MRSA necrotising fasciitis is of concern and may herald the emergence of this resistant organism in Malaysia. Vigilant surveillance and microbiological monitoring is needed to follow this CA-MRSA trend.
    Matched MeSH terms: Methicillin; Methicillin Resistance; Methicillin-Resistant Staphylococcus aureus
  11. Shanti, R., Sam, I.C., Hany Ariffin
    JUMMEC, 2009;12(1):35-38.
    MyJurnal
    Following craniotomy for an atypical rhabdoid tumour of the posterior cranial fossa, a fourteen-month-old boy developed a ventriculitis with methicillin resistant Staphylococcus epidermidis (MRSE) which is associated with the use of a ventriculoperitoneal shunt. Treatment with intravenous vancomycin resulted in a severe allergic skin reaction. Substitution with intravenous teicoplanin resulted in negative blood culture and MRSE ventriculitis was successfully eradicated with concomitant use of intraventricular teicoplanin. No signs of recurrent infection or adverse events occurred. Intraventricular teicoplanin is safe and effective for the treatment of staphylococcal neurosurgical shunt infections.
    Matched MeSH terms: Methicillin; Methicillin Resistance; Methicillin-Resistant Staphylococcus aureus
  12. Rozaini AZA, Abdulhameed A, Deivasigamani R, Nadzreen N, Zin NM, Kayani AA, et al.
    Electrophoresis, 2023 Aug;44(15-16):1220-1233.
    PMID: 37259263 DOI: 10.1002/elps.202200276
    Characterization of antibiotic-resistant bacteria is a significant concern that persists for the rapid classification and analysis of the bacteria. A technology that utilizes the manipulation of antibiotic-resistant bacteria is key to solving the significant threat of these pathogenic bacteria by rapid characterization profile. Dielectrophoresis (DEP) can differentiate between antibiotic-resistant and susceptible bacteria based on their physical structure and polarization properties. In this work, the DEP response of two Gram-positive bacteria, namely, Methicillin-resistant Staphylococcus aureus (MRSA) and Methicillin-susceptible S. aureus (MSSA), was investigated and simulated. The DEP characterization was experimentally observed on the bacteria influenced by oxacillin and vancomycin antibiotics. MSSA control without antibiotics has crossover frequencies ( f x 0 ${f_{x0}}$ ) from 6 to 8 MHz, whereas MRSA control is from 2 to 3 MHz. The f x 0 ${f_{x0}}$ changed when bacteria were exposed to the antibiotic. As for MSSA, the f x 0 ${f_{x0}}$ decreased to 3.35 MHz compared to f x 0 ${f_{x0}}$ MSSA control without antibiotics, MRSA, f x 0 ${f_{x0}}$ increased to 7 MHz when compared to MRSA control. The changes in the DEP response of MSSA and MRSA with and without antibiotics were theoretically proven using MyDEP and COMSOL simulation and experimentally based on the modification to the bacteria cell walls. Thus, the DEP response can be employed as a label-free detectable method to sense and differentiate between resistant and susceptible strains with different antibiotic profiles. The developed method can be implemented on a single platform to analyze and identify bacteria for rapid, scalable, and accurate characterization.
    Matched MeSH terms: Methicillin; Methicillin-Resistant Staphylococcus aureus*
  13. Suhaili Z, Lean SS, Yahya A, Mohd Desa MN, Ali AM, Yeo CC
    Genome Announc, 2014;2(2).
    PMID: 24723714 DOI: 10.1128/genomeA.00271-14
    Here, we report the draft genome sequence of a methicillin-resistant Staphylococcus aureus (MRSA) strain, KT/Y21, isolated from a blood sample of a pediatric patient. This strain belongs to sequence type 772 (ST772), harbors the staphylococcal cassette chromosome mec element (SCCmec) type V, and is positive for the Panton-Valentine leukocidin (PVL) pathogenic determinant.
    Matched MeSH terms: Methicillin; Methicillin-Resistant Staphylococcus aureus
  14. Neoh HM, Mohamed-Hussein ZA, Tan XE, B Raja Abd Rahman RM, Hussin S, Mohamad Zin N, et al.
    Genome Announc, 2013 Jan;1(1).
    PMID: 23405328 DOI: 10.1128/genomeA.00103-12
    Here, we report the draft genome sequences of four nosocomial methicillin-resistant Staphylococcus aureus strains (PPUKM-261-2009, PPUKM-332-2009, PPUKM-377-2009, and PPUKM-775-2009) isolated from a university teaching hospital in Malaysia. Three of the strains belong to sequence type 239 (ST239), which has been associated with sustained hospital epidemics worldwide.
    Matched MeSH terms: Methicillin; Methicillin-Resistant Staphylococcus aureus
  15. Santiago C, Pang EL, Lim KH, Loh HS, Ting KN
    PMID: 26060128 DOI: 10.1186/s12906-015-0699-z
    The inhibition of penicillin-binding protein 2a (PBP2a) is a promising solution in overcoming resistance of methicillin resistance Staphylococcus aureus (MRSA). A potential approach in achieving this is by combining natural product with currently available antibiotics to restore the activity as well as to amplify the therapeutic ability of the drugs. We studied inhibition effects of a bioactive fraction, F-10 (isolated from the leaves of Duabanga grandiflora) alone and in combination with a beta-lactam drug, ampicillin on MRSA growth and expression of PBP2a. Additionally, phytochemical analysis was conducted on F-10 to identify the classes of phytochemicals present.
    Matched MeSH terms: Methicillin/pharmacology; Methicillin Resistance/drug effects*; Methicillin-Resistant Staphylococcus aureus/drug effects*; Methicillin-Resistant Staphylococcus aureus/growth & development; Methicillin-Resistant Staphylococcus aureus/metabolism
  16. Tan YJ, Tan YS, Yeo CI, Chew J, Tiekink ERT
    J Inorg Biochem, 2019 03;192:107-118.
    PMID: 30640150 DOI: 10.1016/j.jinorgbio.2018.12.017
    Four binuclear phosphanesilver(I) dithiocarbamates, {cyclohexyl3PAg(S2CNRR')}2 for R = R' = Et (1), CH2CH2 (2), CH2CH2OH (3) and R = Me, R' = CH2CH2OH (4) have been synthesised and characterised by spectroscopy and crystallography, and feature tri-connective, μ2-bridging dithiocarbamate ligands and distorted tetrahedral geometries based on PS3 donor sets. The compounds were evaluated for anti-bacterial activity against a total of 12 clinically important pathogens. Based on minimum inhibitory concentration (MIC) and cell viability tests (human embryonic kidney cells, HEK 293), 1-4 are specifically active against Gram-positive bacteria while demonstrating low toxicity; 3 and 4 are active against methicillin resistant S. aureus (MRSA). Across the series, 4 was most effective and was more active than the standard anti-biotic chloramphenicol. Time kill assays reveal 1-4 to exhibit both time- and concentration-dependent pharmacokinetics against susceptible bacteria. Compound 4 demonstrates rapid (within 2 h) bactericidal activity at 1 and 2 × MIC to reach a maximum decrease of 5.2 log10 CFU/mL against S. aureus (MRSA).
    Matched MeSH terms: Methicillin-Resistant Staphylococcus aureus/growth & development*
  17. Ramli SR, Neoh HM, Aziz MN, Hussin S
    Infect Dis Rep, 2012 Jan 2;4(1):e20.
    PMID: 24470927 DOI: 10.4081/idr.2012.e20
    In a 3-month study done in Hospital Kuala Lumpur (HKL), 7 out of 320 methicillin resistant Staphylococcus aureus isolates were confirmed as heterogeneous vancomycin intermediate S. aureus (hVISA) using the glycopeptide resistance detection e-test and population analysis, giving a prevalence rate of 2.19%. This is the first report of hVISA in Malaysia.
    Matched MeSH terms: Methicillin; Methicillin-Resistant Staphylococcus aureus
  18. Taib MNAM, Anuar N, Hanafiah KM, Al-Shammary AAK, Saaid M, Awang K
    Trop Life Sci Res, 2020 Apr;31(1):159-178.
    PMID: 32963717 DOI: 10.21315/tlsr2020.31.1.10
    Alpinia conchigera Griff. is a plant species from the family Zingiberaceae. Coloquially known as wild ginger, Alpinia conchigera Griff. is used as food condiment and for traditional treatment of skin diseases. Isolation studies to identify bioactive compounds of rhizomes of Alpinia conchigera yielded seven compounds; 1'S-1'-acetoxychavicol acetate (1), trans-p-coumaryl diacetate (2), p-hydroxycinnamyl acetate (3), 1'S-1'-hydroxychavicol acetate (4) p-hydroxybenzaldehyde (5), stigmasterol (6) and β-sitosterol (7). Compounds 1, 2 and 5 were evaluated for antimicrobial activity against methicillin-resistant Staphylococcus aureus (MRSA). Among the compounds tested, Compound 1 showed good antimicrobial activity against the strain of MRSA with minimum inhibition concentration (MIC) value of 0.5 mg/mL. Meanwhile, Compounds 2 and 5 exhibited moderate activity with MIC value between 1.0 and 2.0 mg/mL. These findings indicate antimicrobial potential of 1'S-1'-acetoxychavicol acetate (1), compound derived from rhizome of Alpinia conchigera Griff. against MRSA, which warrant further investigation.
    Matched MeSH terms: Methicillin; Methicillin-Resistant Staphylococcus aureus
  19. 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: Methicillin; Methicillin-Resistant Staphylococcus aureus
  20. Norza Wani Jaffar, Dayang Fredalina Basri, Noraziah M. Zin
    Sains Malaysiana, 2011;40:1237-1241.
    Staphylococcus aureus tahan Methicillin (MRSA) adalah patogen yang mudah tersebar dan cenderung untuk menjadi multi-rintangan terhadap hampir semua terapi antibiotik yang terdapat di pasaran kini. Gal daripada Quercus infectoria atau lebih dikenali sebagai manjakani di Malaysia telah diketahui mempunyai aktiviti anti-bakteria. Tujuan kajian ini adalah untuk mengkaji kesan kombinasi ekstrak gal daripada Q. infectoria dengan vankomisin terhadap lima strain MRSA dan dua strain Vancomycin-intermediate Staphylococcus aureus (VISA). Proses pengekstrakan dilakukan menggunakan pelarut aseton, metanol dan akues. Teknik mikro pencairan bersiri kaldu dijalankan menggunakan plat telaga 96 bagi menentukan nilai Minimum Inhibitory Concentration (MIC). Kesan interaksi di antara gal Q. infectoria dengan vankomisin dikaji menggunakan teknik checkerboard bagi mendapatkan nilai indek Fractional Inhibitory Concentration (FIC). Hasil kombinasi ekstrak gal dan vankomisin menunjukkan terdapat aktiviti yang sinergi pada ekstrak aseton terhadap MRSA ATCC 43300 (0.3124), Sa7 (0.3750) dan VISA U9495 (0.3750), manakala ekstrak akues terhadap MRSA Sa7 (0.4167) dan VISA U9495 (0.3958) dan N316 (0.5000). Sebaliknya kombinasi metanol dan vankomisin menunjukkan kesan yang sinergi terhadap ATCC 49476 (0.3750) sahaja manakala aditif terhadap enam lagi strain MRSA yang diuji. Kesan interaksi ini menunjukkan potensi dan kepentingannya dalam pembangunan dan modifikasi agen anti-MRSA.
    Matched MeSH terms: Methicillin; Methicillin-Resistant Staphylococcus aureus
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