Nepal Journal of Biotechnology
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Antibiotic Susceptibility Pattern of Staphylococcus aureus Isolated from Pus/Wound Swab from Children Attending International Friendship Children\u27s Hospital
A wound gets infected when the organism gets invaded through the breached skin, proliferated and production of various enzymes, toxins, etc. In order to treat the wound infection, antibiotic susceptibility pattern of organism should be determined before the prescription of the medicine. The present study was conducted from September 2017 to March 2018 with an aim to determine antibiotic susceptibility pattern of Staphylococcus aureus identified from the pus/wound swab among the patients visiting the International Friendship Children\u27s Hospital, Kathmandu, Nepal. Total 270 sample were processed, isolated and identified using standard microbiological procedure and biochemical test. Antibiotic susceptibility test was carried out by using Modified Kirby Bauer\u27s Disc Diffusion Method. Out of total sample, 51.48% (139) showed growth. The growth distribution was found to be high in out-patient department 84.9% (118) than in-patient department 15.1% (21). Among 139 positive growth, 83.5% were gram positive and 16.5% were gram negative. All together 12 different organisms were identified, among which S. aureus was found to be predominant organism 105 (75.5%). S. aureus was found to be sensitive towards Linezolid followed by Doxycycline whereas it was found resistant towards Ciprofloxacin. Among S. aureus identified, 50% were Multidrug resistant (MDR) S. aureus and 55% were Methicillin resistance S. aureus (MRSA). MRSA was found to be sensitive towards Linezolid followed by Doxycycline and resistant towards Ciprofloxacin. The association between MDR and MRSA was found positively significant (i.e. p-value = 0.000). All strains of S. aureus were found to be sensitive towards Vancomycin. 22.86% were double disk diffusion test (D-test) positive. The prevalence of D-test was found to be high in MRSA (75%). The relationship between D-test and MRSA was found to be significantly correlated with each other (r = 0.39). Linezolid, Chloramphenicol, Vancomycin and Doxycycline is a drug of a choice for both S. aureus and MRSA infection
Avian/Bird flu: A review: H5N1 outbreaks in Nepal
Avian/Bird flu is a viral disease of birds, caused by avian influenza virus (AIV). A highly pathogenic avian influenza (HPAI) H5N1 has breached the barrier of species to humans and other animals escalating the pandemic threat. If the H5N1 evolves to a human-to-human transmissible virus retaining its pathogenicity, it can trigger an influenza pandemic. H5N1 has a mortality rate of about 60%, varying with strains. Meaningful antigenic alteration in hemagglutinin (HA) and/or neuraminidase (NA) results in recurring pandemics. The HPAI H5N1 subtype alone has outreached more than 77 nations around the world since the first human case and death was reported in 1997. Wild and migratory birds are the AIV reservoirs. Poultry is primarily impacted by incidents and outbreaks of the disease. A wide range of serological and molecular methods have substantially aided in the identification of bird flu in humans. Candidate vaccines have been developed, yet are not ready for widespread use. Oseltamivir (brand name: Tamiflu) is the preferred drug for the management of human Influenza-like illness (ILI). Surveillance, mass awareness, and pandemic preparedness abiding WHO recommendations are of paramount importance for the prevention of bird flu outbreaks
Simple method devised for rapid isolation and identification of Vibrio cholerae from water resources of Sunsari District, Nepal
Cholera is a gastrointestinal disease caused by pathogenic strain of Vibrio cholerae, the disease clinically manifested by rice-water diarrhea, nausea and vomiting. This study aimed to study the incidence of Vibrio species and employ simple method for rapid detection of Vibrio cholerae from water samples of Sunsari, Nepal. Identification of V. cholerae through biochemical tests requires extensive labor and costs. In resource limited laboratories, isolation and identification of V. cholerae often becomes difficult. Therefore, this study also aimed for selecting scope of this methodology as a scientific outcome for rapid isolation and identification of Vibrio cholerae. A total of 100 water samples were collected from Sunsari district in which 25 samples were collected from sewage, 25 from pond, 25 from tap and 25 from tube well. The samples of collected water were sent to the microbiology laboratory of Central Campus of Technology maintained in ice cold box and were enriched in Alkaline Peptone water and selectively isolated from TCBS agar and NA agar without NaCl. Pathogens were isolated and identified by conventional microbiological techniques. Out of 100 water samples collected, sucrose fermenting Vibrio species were isolated only from 16 water samples. Further the selective isolation of V. cholerae from nutrient agar without NaCl isolated 6 isolates from sewage samples and 3 isolates from pond samples. The distribution of Vibrio cholera in the water sample was found to be 9%, distribution of V. alginolyticus was found to be 4% and distribution of V. fluvialis was found to be 3%. In this study, non-sucrose fermenting Vibrio species were not isolated from the water samples. However, sucrose fermenting Vibrio species was obtained with yellow pigmentation in TCBS agar medium. The yellow pigmented colonies of Vibrio isolates recovered from TCBS and even from Nutrient Agar devoid of sodium chloride provided sufficient evidence of V. cholerae after series of other biochemical tests. This study concludes that yellow colonies (sucrose-fermenting) of Vibrio from TCBS agar medium that can grow on nutrient agar without added NaCl and which exhibit a positive oxidase reaction can be confidently identified as presumptive V. cholerae. In resource-constrained environments, this simple method can reduce the labor cost, chemicals and time-consuming procedure of performing multiple biochemical and molecular assays for identification
Comparative Study of Nutritional Profile of Rice Varieties in Nepal
The purpose of this study was to evaluate and compare the nutritional quality of different rice varieties (Taichung-176, Khumal-4 rice, and Black rice) with Jumli Marsi rice. The highest nutritional factors and phytochemical components were found in the Marsi rice (RR) and Black rice (BR). The highest amount of antioxidant property and phenolic content was found in Black rice which was 61.58 ± 0.02% and 22.75 ± 0.02GAE/100g respectively. The reducing sugar was found to be highest in the TR rice variety, which was 2.74±0.01%. The results also highlight the cooking and physicochemical properties of rice depending on the amylose content of rice varieties. The qualitative analysis of the phytochemical content in different rice varieties showed the presence of tannin, flavonoid, alkaloid, and terpenoid in Marsi and BR. While anthraquinone and saponin were negative for all the rice varieties, protein and glycoside were found to be present in all the rice varieties. Also, the pigmented rice varieties were found to have high nutritional components compared to the non-pigmented rice varieties. All the data observed in the study was found to be statistically significant (p < 0.05)
Evaluation of Phytochemical, Antioxidant and Antibacterial Activities of Selected Medicinal Plants
Medicinal plants are important reservoirs of bioactive compounds that need to be explored systematically. Because of their chemical diversity, natural products provide limitless possibilities for new drug discovery. This study aimed to investigate the biochemical properties of crude extracts from fifteen Nepalese medicinal plants. The total phenolic contents (TPC), total flavonoid contents (TFC), and antioxidant activity were evaluated through a colorimetric approach while the antibacterial activities were studied through the measurement of the zone of inhibition (ZoI) by agar well diffusion method along with minimum inhibitory concentrations (MIC) by broth dilution method. The methanolic extracts of Acacia catechu and Eupoterium adenophorum showed the highest TPC (55.21 ± 11.09 mg GAE/gm) and TFC (10.23 ± 1.07 mg QE/gm) among the studied plant extracts. Acacia catechu showed effective antioxidant properties with an IC50 value of 1.3 μg/mL, followed by extracts of Myrica esculenta, Syzygium cumini, and Mangifera indica. Morus australis exhibited antibacterial activity against Klebsiella pneumoniae (ZoI: 25mm, MIC: 0.012 mg/mL), Staphylococcus aureus ATCC 25923 (ZoI: 22 mm, MIC: 0.012 mg/mL), Pseudomonas aeruginosa (ZoI; 20 mm, MIC: 0.05 mg/mL), and methicillin-resistant Staphylococcus aureus (MRSA) (ZoI: 19 mm, MIC: 0.19 mg/mL). Morus australis extract showed a broad-spectrum antibacterial activity, followed by Eclipta prostrata, and Hypericum cordifolium. Future study is recommended to explore secondary metabolites of those medicinal plants to uncover further clinical efficacy
Antibiogram and Phytochemical Analysis of Cinnamon, Clove, and Sichuan Pepper Extracts
A wide range of medicinal plant extracts has phytochemicals that possess antimicrobial properties and these plants are used to treat several infections. The study aimed to assess the antimicrobial activities of some spices extracts and to evaluate the phytochemicals present in them. The extracts of spices were prepared using Soxhlet apparatus refluxing with methanol and ethanol. The well diffusion technique was implemented for the evaluation of antimicrobial activities of the extracts and the zone of inhibitions was recorded in millimeters. The antimicrobial test was done against five bacterial isolates: Escherichia coli, Proteus mirabilis, Pseudomonas aeruginosa, Salmonella enterica serotype Typhi, and Staphylococcus aureus and a fungal isolate: Candida albicans. The extracts were concentrated by Rotary Vacuum Evaporator and a stock solution of 200 mg/mL was prepared by dissolving in 10 % DMSO. Concentrations of 40, 60, 80 and 100 mg/mL extracts were used for antimicrobial activity. The result of this study showed that clove extracts had the highest antimicrobial property against all the test microorganisms. Methanolic extract of clove had the highest inhibitory effect against Proteus mirabilis (24.21±0.15 mm), Pseudomonas aeruginosa (19.78±0.23 mm), and Candida albicans (20.07±0.08 mm) whereas ethanolic extract was effective against Escherichia coli (20.44±0.16 mm), Salmonella Typhi (21.66±0.31 mm) and Candida albicans (21.11±0.09 mm). Cinnamon and pepper extracts, leaving some exceptions, also had antimicrobial properties. The presence of phytochemicals: polyphenols, flavonoids, and tannins are the major components responsible for antimicrobial activity. Thereby, this study successfully demonstrated the possibilities of using spices extracts in the treatment of microbial infections
Plant and Plant Associated Microflora: Potential Bioremediation Option of Indoor Air Pollutants
Indoor air pollution is a significant problem today because the release of various contaminants into the indoor air has created a major health threat for humans occupying indoors. Volatile Organic Compounds (VOCs) are pollutants released into the environment and persist in the atmosphere due to its low boiling point values. Various types of indoor activities, sources, and exposure to outdoor environments enhance indoor VOCs. This poor indoor air quality leads to adverse negative impacts on the people in the indoor environment. Many physical and chemical methods have been developed to remove or decompose these compounds from indoors. However, those methods are interrupted by many environmental and other factors in the indoor atmosphere, thus limit the applications. Therefore, there is a global need to develop an effective, promising, economical, and environmentally friendly alternatives to the problem. The use of the plant and associated microflora significantly impact reducing the environmental VOC gases, inorganic gases, particulate matter, and other pollutants contained in the air. Placing potted plants in indoor environments not only helps to remove indoor air pollutants but also to boost the mood, productivity, concentration, and creativity of the occupants and reduces stress, fatigue, sore throat, and cold. Plants normally uptake air pollutants through the roots and leaves, then metabolize, sequestrate, and excrete them. Plant-associated microorganisms help to degrade, detoxify, or sequestrate the pollutants, the air remediation, and promote plant growth. Further studies on the plant varieties and microorganisms help develop eco-friendly and environmentally friendly indoor air purifying sources
Sero-prevalance of Cryptococcal Antigenemia in HIV Positive Individual having CD4 Counts
Cryptococcus neoformans is one of the foremost common opportunistic infectious agents in people living with Acquired Immuno Deficiency Syndrome (AIDS). It has been reported to cause about 1 million cases of cryptococcal meningitis per year among HIV/AIDS and 600,000 deaths annually. This study was done to find the prevalence of Cryptococcal antigenemia among HIV positive individuals having CD4counts <100 cells/mm3. A cross-sectional study was conducted in the HIV Reference unit, National public health laboratory from July to December 2015. The study comprised of 99 HIV positive individuals having CD4counts <100 cells/mm3. CD4 T cell count was performed by flow cytometry (BD Biosciences, San Jose, CA, USA) and Cryptococcal antigen test by Latex agglutination assay. The overall prevalence of cryptococcal antigenemia was found to be 18.2%. Of the total ninety-nine subjects enrolled in the study, 72 (72.8%) were males and 27 (27.2%) were females. The mean age of the patients was 38 years ranging from 13 to 69 years. Higher percentage of female (22.2%) showed Cryptococcal infection in our study as compared to male (16.7%). The study concludes higher prevalence of Cryptococcal antigenemia among HIV infected individuals and recommends Cryptococcal antigen screening to be made mandatory in HIV positive patients having CD4 T cells count below 100/μl
Efficacy and Toxicity of Different Forms of Asparaginases Against Acute Lymphoblastic Leukemia: A Review
Acute lymphoblastic leukemia (ALL) is a form of blood cancer that affects white blood cells and is among the most common forms of leukemia with children and adolescents showing the highest number of cases. Most treatment protocols include chemotherapy using asparaginase. Asparaginase converts asparagine to aspartic acid and ammonia. Unlike normal, healthy cells, cancerous cells depend on asparagine for their growth. When these cells are deprived of asparagine by the action of the enzyme, the cancer cells selectively die. As of date, several forms of asparaginases are commercially available and are administered in ALL therapy. But due to limited study, it will be early and inaccurate to predict which forms of the enzymes are better. In this review, we aim to compare the efficacy and toxicity of four different asparaginases—native Escherichia coli asparaginase, PEG Escherichia coli asparaginase, Erwinia chrysanthemi asparaginase and a recombinant Escherichia coli asparaginase—used in ALL therapy in children and adolescents using available clinical trial data. PubMed and Clinical trial.org databases were used to select studies. Asparaginase activity, toxicity, anti-asparaginase antibody level and event-free, overall survival was compared for different asparaginases. Seventeen randomized and non-randomized controlled trials were included. Evidence was insufficient to ascertain which asparaginase is the best. PEG Escherichia coli asparaginase seems to be better with a high activity among the treated patients but there remains high toxicity for all available asparaginases. This study highlights a need to discover alternative sources of asparaginase from the organisms, which are evolutionarily distant from Escherichia coli and Erwinia chrysanthemi with high higher enzyme activity and reduced toxicity
Assessment of phytochemicals, antimicrobial, antioxidant and cytotoxicity activity of methanolic extract of Tinospora cordifolia (Gurjo)
Traditionally used medicinal plants are the major resources of biologically active metabolites which are widely used for the cure of numerous diseases especially in developing countries where health facilities are rare. Many plants are in use for centuries but there is not enough scientific evidence and exploration. This research is focused on phytochemicals, antibacterial, antioxidant and cytotoxicity activity analysis of one of the most commonly used ethnomedicine Tinospora cordifolia collected from the Kavrepalanchok district of Nepal. Phytochemicals analysis of methanol extract of T. cordifolia showed the presence of alkaloids, coumarin saponins, glycosides, reducing sugar, and triterpenes. Antibacterial activity performed by disc diffusion method exhibited the highest activity against Streptococcus with a zone of inhibition are 10.3mm, 8.5mm, 6.5mm, and 6mm at 200mg/ml, 100mg/ml, 50mg/ml, and 25mg/ml of concentration respectively. DPPH radical scavenging activity increased with increasing concentration of extract. When compared with ascorbic acid at equivalent concentration, the extract shows a lower scavenging profile (56.07% for the extract and 98.01% for ascorbic acid at 320 ppm). Cytotoxicity was evaluated in terms of LC50 (lethality concentration). The result showed that the extract of T. cordifolia was found to be toxic with an LC50 value of 232.64μg/ml. The bioactive component present in the plants could be the result of its pharmacological effects that support the traditional use of plants