Antimicrobial efficacy of a novel silver hydrogel dressing compared to two common silver burn wound dressings: Acticoat™ and PolyMem Silver

A novel burn wound hydrogel dressing has been previously developed which is composed of 2-acrylamido-2-methylpropane sulfonic acid sodium salt with silver nanoparticles. This study compared the antimicrobial efficacy of this novel dressing to two commercially available silver dressings; Acticoat™ and PolyMem Silver^®. Three different antimicrobial tests were used: disc diffusion, broth culture, and the Live/Dead^® Baclight™ bacterial viability assay. Burn wound pathogens (P. aeruginosa, MSSA, A. baumannii and C. albicans) and antibiotic resistant strains (MRSA and VRE) were tested. All three antimicrobial tests indicated that Acticoat™ was the most effective antimicrobial agent, with inhibition zone lengths of 13.9–18.4 mm. It reduced the microbial inocula below the limit of detection (10² CFU/ml) and reduced viability by 99% within 4 h. PolyMem Silver^® had no zone of inhibition for most tested micro-organisms, and it also showed poor antimicrobial activity in the broth culture and Live/Dead^® Baclight™ assays. Alarmingly, it appeared to promote the growth of VRE. The silver hydrogel reduced most of the tested microbial inocula below the detection limit and decreased bacterial viability by 94–99% after 24 h exposure. These results support the possibility of using this novel silver hydrogel as a burn wound dressing in the future.     

Intraspecific hybridization of Anopheles minimus (Diptera: Culicidae) species A and C in Thailand

Hybridization tests of laboratory-raised, isolines of Anopheles minimus, species A and C were conducted by induced copulation. The three isolines were established based on three morphological variants of wild-caught, fully engorged females and two distinct types of metaphase chromosomes. They were An. minimus species A: V form (X1,Y1), M form (X2,Y1); species C: P form (X3,Y2). The results of reciprocal and back crosses indicated that the two morphologically variant forms of species A were genetically compatible, providing viable progeny and completely synaptic salivary gland polytene chromosomes, whereas they were genetically incompatible with species C and/or the P form. Hybrid progeny was only obtained from both forms of species A females x species C males, but asynaptic salivary gland polytene chromosomes on 3L and partial development of ovarian follicles in females were seen. Back crosses of F1 hybrid males with parental species A females provided viable progeny, while back crosses of F1 hybrid females with parental species C males provided progeny of low viability and adult males with abnormal spermatozoa, suggesting the partial reproductive isolation of An. minimus species A and C.     

Typing of Thai clinical isolates of Mycobacterium leprae and analysis of leprosy transmission by polymorphism of tandem repeats

Mycobacterium leprae isolates from Thai leprosy patients were typed for strain differentiation and analysis of leprosy transmission using the six base tandem repeat, GACATC, in rpoT gene and TTC repeat as genetic markers. M. leprae DNA was isolated from skin biopsies of new untreated leprosy patients living in remote areas or in suburban regions of Thailand where leprosy is in low prevalence. In M. leprae strains of 100 patients, TTC alleles exhibited variations in length with 10 to 30, 33 and 35 repeats, the most common alleles being 15, 16, 17 and 19 repeats. All isolates contained three copies of the six base repeat in rpoT gene. Application of TTC repeats in tracking leprosy transmission in two families with multi-cases identified a single (but different) strain of M. leprae in each family.     

GIS-based analysis of the fate of waste-related pathogens Cryptosporidium parvum, Giardia lamblia and Escherichia coli in a tropical canal network

Urban canals play a major socio-economic role in many tropical countries and, particularly, Thailand. One of the overlooked functions that they perform is a significant attenuation of waste-related pathogens posing considerable health risk, as well as pollution attenuation in general. The study dealt with a comparison of three canals receiving: (i) municipal, (ii) mainly industrial and (iii) mainly agricultural wastewater, listed in order of progressively decreasing organic loading. The occurrence and fate of waterborne Cryptosporidium parvum, Giardia lamblia and Escherichia coli were monitored in the canals by both real-time PCR and conventionally for 12 months. The pathogens are etiological agents of an estimated 38% and 47% of diarrhea cases worldwide and in Thailand, respectively. The geographic information system (GIS) was used to evaluate and map point and, particularly, non-point pollution sources which allowed differentiating the canal sections in terms of predominant pathogen sources. The flowthrough canals, which can be viewed as waste stabilization ponds, were found to be efficiently removing the pathogens at the following generalized specific rates: 0.3 (C. parvum), 1.2 (G. lamblia), 1.8 (E. coli) log10/km.d in the dry season. The rates decreased in the rainy season for E. coli and G. lamblia, but increased for C. parvum which indicated different removal mechanisms. Data suggest that E. coli and G. lamblia were mainly removed through sedimentation and sunlight (UV) irradiation, while the likely mechanism for C. parvum was predation. Overall, the specific pathogen removal rates positively correlated with the canal organic loading rates in the rainy season. As an important result, an estimate of the municipal pollution mitigation by over 2280 km canals in the Greater Bangkok suggests that concomitant to the pathogens at least 36-95 tons of BOD5 is being removed daily, thereby saving the receiving Chao Phraya River and Bight of Bangkok, by far exceeding current, from major eutrophication problems.     

Larvicidal efficacy and biological stability of a botanical natural product,zedoary oil-impregnated sand granules,against <Emphasis Type="Italic">Aedes aegypti</Emphasis> (Diptera,Culicidae)

Chemical analysis on Curcuma zedoaria rhizome volatile oil, using gas chromatography-mass spectrometer techniques, demonstrated the presence of beta-tumerone (19.88%), 1,8-cineole (8.93%), and 7-zingiberene (7.84%) as major constituents. Larvicidal efficacy against Aedes aegypti mosquitoes of zedoary oil and its formulated preparation, zedoary oil-impregnated sand granules, were investigated and compared with that of Abate(R)sand (temephos). Zedoary oil exhibited pronounced potential against the fourth instar larvae of A. aegypti with an LC(50) and LC(99) of 33.45 and 83.39 ppm, respectively. Application of zedoary oil at a dosage yielding ten times that of LC(99) offered complete larval mortality (100% mortality) for a period of 3 days, and the larval mortality subsequently decreased to lower than 50% after application for more than 5 days. Zedoary oil-impregnated sand granules provided remarkably longer activity, with a larval mortality of 100% for a period of 9 days; and mortality below 50% was obtained in week 3 of application. The complete larval mortality that resulted from applying temephos at dosages of 0.1 and 1 ppm persisted for a period of 6 days and 4 weeks, respectively, and the larval mortality below 50% was reported on day 18 and week 11, respectively. Testing A. aegypti species against stored samples of zedoary oil-impregnated sand granules demonstrated that the product stored at 4 degrees C showed the longest larvicidal activity, followed by those kept at ambient temperature and 45 degrees C, yielding a complete larval mortality for 9, 8, and 6 days, respectively. Most samples of zedoary oil-impregnated sand granules stored at each temperature for 1 month showed slightly higher efficacy than those kept for 2 months. The larvicidal efficacy of samples stored at 4 degrees C seemed to be comparable to that of the fresh sample. The efficacy in killing A. aegypti larvae and good biological stability of zedoary oil-impregnated sand granules make this product promising as an alternative to essential oil in the development of new botanical natural larvicide for use in mosquito control programs.     

Comparative assessment of the in vitro sensitivity of Brugia malayi infective larvae to albendazole, diethylcarbamazine and ivermectin alone and in combination

The antifilaricidal drugs ivermectin (IVM), diethylcarbamazine (DEC), and albendazole (ALB), used alone or in combinations against infective third-stage larvae (L3) of nocturnally subperiodic (NSP) Brugia malayi (Narathiwat strain), were tested in vitro for sensitivity, for 7 days. IVM alone reduced larval motility at concentrations of 10(-7), 10(-6), and 10(-5) M on day 3. DEC alone also had this effect at concentrations of 10(-6). 10(-5), and 10(-4) M on day 2. ALB alone did not have this effect throughout the experiment, at various concentrations. However, it had greater effect when used in combination with either DEC or IVM. The result also indicated that DEC or IVM, when used in combination with ALB at concentrations of 10(-6) M/10(-6) M, and 10(-5) M/10(-5) M was effectively better than each drug used alone at those concentrations. When both drug combinations were compared, ALB/DEC seemed to be more effective than ALB/IVM at a concentration of 10(-6) M/10(-6) M on day 3. Although IVM and DEC can reduce larval motility when used alone or in combination with ALB, they cannot kill these larvae in an in vitro cultivation, even at a high concentration (10(-5) M).     

Double Filtration Plasmapheresis in Different Diseases in Thailand

Double filtration plasmapheresis (DFPP) was applied to the treatment of two different categories from 100 cases that had been collected over a 5 year period (2007–2011). These categories were allocated into groups by size of toxic substances, which were classified as two different kinds of diseases. Group I comprised diseases that were caused by alloimmunity in transplantation, autoimmune diseases, complicated nephrotic syndrome, pure red cell aplasia, and toxemia of pregnancy. This group was treated with a plasma separator (plasmaflow‐05, Asahi Kasei) and plasma fractionators, EC‐20W. The second group, which included hyperviscosity syndrome, was treated by the same plasma separator, but with different plasma fractionators using EC‐40W. This group included diabetes nephropathy, hyperlipidemia, peripheral arterial diseases, and neurosensory hearing loss. Both groups used 1.5 plasma volumes in each treatment for three sessions in two consecutive weeks. The result of treatment in group I showed that plasma immunoglobulin G (IgG) was decreased substantially by 66% in either transplant or lupus nephritis patients after the third session. In the second group, IgM, fibrinogen, and lipid markedly responded to the treatment. Two diabetes nephropathy patients showed stable renal function for more than 12 months. Peripheral arterial disease was shown to benefit from significantly decreasing fibrinogen and IgM, which resulted in clinical tissue oxygenation. Neither bleeding diathesis nor membrane anaphylaxis were reported from the treatment. In summary, apheresis patients were shown to benefit in hypersensitized and hyperviscosity syndrome.     

Socio-cultural and behavioural aspects of mosquito-borne lymphatic filariasis in Thailand: A qualitative analysis

This study examines the contribution of socio-cultural and behavioural factors in mosquito-borne lymphatic filariasis transmission in Southern Thailand. Research was conducted in Nakorn-srithamarat province, which is noted for having the nation's highest Brugia malayi filariasis morbidity rate. Factors examined include traditional knowledge and cultural beliefs concerning etiology, transmission and symptomatology; perceived susceptibility and severity; social stigma; social support in disease prevention and control; and behavioural risk factors and illness behaviours. Data were collected through a multi-method, predominantly qualitative-based approach, including rapid survey and mapping, group interviews, focus group discussions, indepth interviews, and participant observation. Results indicate that poor knowledge and lay, indigenous, traditional belief systems contribute to high risk behaviours, and inappropriate preventive, illness and treatment choice behaviours. Behavioural models for explaining filariasis risk, preventive, illness and treatment choice behaviours are presented. Finally, recommendations for more effective health education programmes are offered.