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Sahlan N, Fadzilah MN, Muslim A, Shaari SA, Abdul Rahman T, Hoh BP. Hepatitis B virus infection: Epidemiology and seroprevalence rate amongst Negrito tribe in Malaysia. Med J Malaysia 2019; 74:320-325. [PMID: 31424040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
INTRODUCTION Prevalence of Hepatitis B virus (HBV) infection among the non-indigenous people in Malaysia has been well established and range between 3% and 5%. However, data from the indigenous (Orang Asli) people is still lacking. The Negrito population is the most remotely located Orang Asli tribe with limited access to health care facilities. This study was undertaken to determine the epidemiology and seroprevalence of HBV infection among the Negrito. METHODS Surveys were conducted in five Negrito settlements in Kelantan and Perak states in Malaysia. A total of 150 participants were recruited. Clinical history was taken and physical examination was performed. Five millilitres of whole blood were collected and tested for hepatitis B surface antigen (HBsAg) using electrochemiluminescence immunoassay. RESULTS Participants were mainly from the Bateq (49.3%) and Mendriq (29.4%) sub-tribes. Overall, 13 subjects (8.7 %); nine males and four females were HBsAg positive. Nine of the HBsAg positive subjects were ≥35 years old. All of them had history of home deliver without evidence of antenatal record. Six (46%) of the HBsAg positive subjects had tattoo and body piercing in the past. CONCLUSION The prevalence of HBV infection rate amongst the Negrito tribe is almost three-fold compared to the national rates. The reason for this finding remains unclear. Tattooing, body piercing and vertical transmission could be the main possible routes of transmission of HBV among the Negrito population in Malaysia.
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Affiliation(s)
- N Sahlan
- Universiti Teknologi MARA, Faculty of Medicine, Department of Microbiology and Parasitology, Sg. Buloh Campus, Sungai Buloh, Selangor, Malaysia.
| | - M N Fadzilah
- Universiti Teknologi MARA, Faculty of Medicine, Department of Microbiology and Parasitology, Sg. Buloh Campus, Sungai Buloh, Selangor, Malaysia
| | - A Muslim
- Universiti Teknologi MARA, Faculty of Medicine, Department of Microbiology and Parasitology, Sg. Buloh Campus, Sungai Buloh, Selangor, Malaysia
| | - S A Shaari
- Universiti Teknologi MARA, Faculty of Medicine, Department of Microbiology and Parasitology, Sg. Buloh Campus, Sungai Buloh, Selangor, Malaysia
| | - T Abdul Rahman
- Universiti Teknologi MARA, Faculty of Medicine, Department of Microbiology and Parasitology, Sg. Buloh Campus, Sungai Buloh, Selangor, Malaysia
| | - B P Hoh
- Centre of Excellence in Research, Value Innovation and Entrepreneurship (CERVIE), UCSI University
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Nor Azizah A, Fadzilah MN, Mariam M, Anis Siham ZA, Ariza A, Noor Shafina MN, Anita Kaur A. Community-acquired bacteremia in Paediatrics: Epidemiology, aetiology and patterns of antimicrobial resistance in a tertiary care centre, Malaysia. Med J Malaysia 2016; 71:117-121. [PMID: 27495884] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
INTRODUCTION bacteremia continues to be one of the major causes of morbidity and mortality despite the existence of numerous antimicrobial agents. this study aimed to provide a Malaysian perspective on paediatric community-acquired bacteraemia based on the documentation of epidemiology and antimicrobial profile of the isolated pathogens. METHOD A retrospective study was conducted by analysing clinical details, blood cultures and antimicrobial susceptibility testing results in children between the ages of 0 to 13 years old, who were admitted to selayang Hospital over an 11-year period from 2001 until 2011. there were 222 bacteraemia cases and the median age was 11.7 months. the highest number (39%) of bacteraemia cases occurred between ages one month to one year. the three most commonly isolated aetiological agents were Staphylococcus aureus (17.1%), nontyphoidal Salmonella (16.2%), and Streptococcus pneumoniae (12.6%). Almost 8% of the Staphylococcus aureus isolates were methicillin resistant, while nontyphoidal Salmonella (Nts) isolates demonstrated 18.4%, 10.5% and 2.6% resistance towards ampicillin, trimethoprim-sulfamethoxazole and ciprofloxacin respectively. All Nts isolates were sensitive to ceftriaxone. Streptococcus pneumoniae isolates showed 17.9% resistance to penicillin. skin and soft tissue infections as well as lower respiratory tract infections (63.2%) were the main foci of infections in Staphylococcus aureus bacteraemia. Acute gastroenteritis (80.0%) and pneumonia (60.8%) were the main presentations of Nts and Streptococcus pneumoniae bacteraemia respectively. Overall mortality rate was 8.1%. CONCLUSION Knowledge on the local epidemiology and antibiotic resistance pattern serves as a significant platform in improving the empiric antibiotic therapy for patients with community acquired bacteraemia.
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Affiliation(s)
- A Nor Azizah
- Universiti Teknologi MARA, Faculty of Medicine, Level 8, Academic Building, Sg. Buloh Campus, 47000 Sungai Buloh, Selangor, Malaysia.
| | - M N Fadzilah
- Universiti Teknologi MARA, Faculty of Medicine, Level 8, Academic Building, Sg. Buloh Campus, 47000 Sungai Buloh, Selangor, Malaysia
| | - M Mariam
- Universiti Teknologi MARA, Faculty of Medicine, Level 8, Academic Building, Sg. Buloh Campus, 47000 Sungai Buloh, Selangor, Malaysia
| | - Z A Anis Siham
- Universiti Teknologi MARA, Faculty of Medicine, Level 8, Academic Building, Sg. Buloh Campus, 47000 Sungai Buloh, Selangor, Malaysia
| | - A Ariza
- Universiti Teknologi MARA, Faculty of Medicine, Level 8, Academic Building, Sg. Buloh Campus, 47000 Sungai Buloh, Selangor, Malaysia
| | - M N Noor Shafina
- Universiti Teknologi MARA, Faculty of Medicine, Level 8, Academic Building, Sg. Buloh Campus, 47000 Sungai Buloh, Selangor, Malaysia
| | - A Anita Kaur
- Paediatric Institute Kuala Lumpur Hospital, Department of Paediatric, Jalan Pahang, 50586 Kuala Lumpur
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