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Microbiology World Issue 10
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Microbiology World Issue 10 Mar – Apr 2015 ISSN 2350 - 8774
www.microbiologyworld.com www.facebook.com/MicrobiologyWorld ~ 1 ~
Microbiology World Issue 10 Mar – Apr 2015 ISSN 2350 - 8774
www.microbiologyworld.com www.facebook.com/MicrobiologyWorld ~ 2 ~
Chief Editor
Mr. Sagar Aryal
(Founder)
Ambassador, iversity
M.Sc. Medical Microbiology
St. Xavier’s College, Nepal
Editors
Mr. Saumyadip Sarkar
ELSEVIER Student Ambassador South Asia 2013
Ph.D Scholar (Human Genetics), India
Mr. Avishekh Gautam
Ph.D Scholar
Hallym University, South Korea
Mr. Manish Thapaliya
Ph.D Scholar, China
Mr. Hasnain Nangyal
M.Phil.
Department of Botany, Hazara University, Pakistan
Mr. Sunil Pandey
ELSEVIER Student Ambassador South Asia 2014
B.Sc. Medical Microbiology
Nobel Medical College, Nepal
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Table of Content
Page No.
Knowledge and Attitude of Health Care Professionals
regarding aseptic techniques in Clinical Practice
- A Survey in Peshawar, Pakistan 4-6
Therapeutic value of Raspberry Leaf 7-9
Application of molecular technologies for detection
of pathogens in water environment 10-15
Interview with Mr. Suman Bhattacharya 16-20
Attack of the superbugs- an inevitable disaster
to the human race! 21-23
How to protect yourself from infectious diseases
like diarrhoea, swine flu, etc. after an earthquake 25-27
Biofertilizers: an alternative sources of chemical
fertilizer for sustainable crops in 21st century 28-31
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Knowledge and Attitude of Health Care
Professionals regarding aseptic techniques in
Clinical Practice- A Survey in Peshawar,
Pakistan
Sana Enayat1, Maria Zubair1 and Tahir Hussain2
1 Peshawar Medical and Dental College, Warsak Road Peshawar, Khyber
Pakhtunkhwa, Pakistan
2 Atta-ur-Rahman School of Applied Biosciences, National University of Sciences and
Technology, Islamabad, Pakistan
Introduction
Health care professionals are at high risks of acquiring and transmitting infections to patients
receiving treatment for medical or surgical conditions. Proper implementation of existing
prevention and control practices can substantially reduce infections and result in decreased
rates of morbidity, mortality and cost of hospitalization. Hand hygiene is one of the most
important and primary measure of prevention and control of nosocomial infections, and can
significantly reduce the burden of disease in underdeveloped countries. Unfortunately, failure to
abide by these guidelines lead to prevalence of threatening infections that pose challenge not
only to healthcare providers but also results in incalculable level of morbidity and healthcare
costs. The aim of this study was to survey the knowledge and attitude of doctors and nurses
regarding aseptic techniques in clinical practice, to make awareness and that they should
efficiently apply these measures in their practices so that the risk of hospital acquired infections
(HAIs) is minimized.
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Methodology
The knowledge, attitude and practice with respect to infection control of physicians and nurses
were investigated in two tertiary care and teaching hospitals i.e.; Kuwait Teaching Hospital,
Peshawar and Mercy Teaching Hospital, Peshawar, Pakistan from January and February 2014.
One hundred questionnaires were distributed randomly to nurses and doctors. Questionnaire
consisted of two sections one for assessing the knowledge and attitude, and the second section
to assess their practice with respect to hand hygiene, blood borne diseases, personal and
equipment hygiene. The data was analyzed using Microsoft Excel and SPSS software.
Results
The data revealed shocking findings regarding the knowledge and attitude of health care
professionals towards practicing aseptic techniques while attending patients. The results are
given in Fig.1.
Figure 1: Knowledge/practice of health care profesionals regarding aseptic techniques in clinical
practice. Graph shows positive response of individuals.
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
151413121110
987654321
Knowledge/practice of health care profesionals regarding aseptic techniques in clinical practice. Graph shows positive response of individuals
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1. Knowledge that hands of medical staff are reservoirs of nosocomial pathogens
2. Knowledge of hand jewelries hygiene
3. Practice of hand jewelries hygiene
4. Knowledge that hand washing with disinfectants prevent pathogens
5. Knowledge of the need of vaccinations for hospital staff
6. Practice of wearing gloves to avoid needle stick injuries
7. Knowledge that eating and drinking in ward is bad
8. Practice of wearing gloves in attending immunocompromised patients
9. Practice of changing gloves to every other patient
10. Practice of washing hands before starting work in ward
11. Practice of following standard norms for washing hands between patients
12. Practice of wearing gloves for every patient
13. Practice of washing hands after removal of gloves
14. Practice of disposing off used needles
15. Practice of breaking/bending the needle while disposing
Conclusion
The data shows very good knowledge and understanding of doctors and nurses of using aseptic
techniques and standard hygiene norms, but very poor practice. This reveals the urgency for
recognizing this alarming situation and implement initiatives to ensure that physicians and
nurses strictly adhere to these guidelines at all times so that nosocomial infections and
treatment complications be controlled.
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Therapeutic value of Raspberry Leaf
Hasnain Nangyal1 and Noor Nasir Khattak2
1Department of Botany Faculty of Life Sciences Hazara University Mansehra Khyber
Pakhtoonkhwa
2Department of Gynocoloy and Obsteristics Kohat Medical College Khyber Medical Khyber
Medical University Khyber Pakhttonkhwa
Corresponding Email: [email protected]
Raspberry is probably favorite herb of all times and definitely my most consumed herb. It has
an amazing nutrient profile and a gentle taste similar to regular black tea but without the
caffeine.
As its name suggests, Raspberry leaf is the leaf of the raspberry plant. It is somewhat well
known for its benefits during pregnancy, but it is beneficial to women at all stages of life.
It is naturally high in magnesium, potassium, iron and b-vitamins which make it helpful for
nausea, leg cramps, and improving sleep during pregnancy. The specific combination of
nutrients in Raspberry Leaf makes it extremely beneficial for the female reproductive system. It
strengthens the uterus and pelvic muscles which some midwives say leads to shorter and
easier labors.
The tannins in raspberry leaf give it astringent properties which make it soothing both internally
and externally. A strong raspberry leaf tea or tincture will sooth sunburn, eczema, and rashes
when used externally. Swishing with a tincture or infusion of Raspberry Leaf is great for the
gums and can help alleviate the symptoms of gingivitis or gum disease.
The high concentration of Vitamin C in Raspberry Leaf makes it great during illness and I also
use it as a base for homemade energy drinks.
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I suggest it to fertility clients to take it daily. I have seen it ease the symptoms of PMS,
endometriosis, and it is helpful for couples who are trying to conceive. Many Womens also use
it throughout pregnancy, even in the first trimester, as have never seen any conclusive reason
not to and the health benefits are wonderful during pregnancy, but it would definitely consult a
midwife or doctor before taking any herb while pregnant.
According to a survey on Raspberry “Raspberry leaf tea has been used for centuries as a folk
medicine to treat canker sores, cold sores, and gingivitis in persons of all ages and anemia, leg
cramps, diarrhea, and morning sickness in pregnant women, and as a uterine relaxant.
Commentators frequently state that recent scientific research found no benefit in raspberry tea
for expectant mothers, but this is not correct. The study published in the Journal of Midwifery
and Women’s Health in 2001 found that women who drank raspberry leaf tea had shorter labor,
and fewer of their babies were delivered by forceps. The other study, published in the Australian
College of Midwives Journal, cited in The Natural Pharmacist as saying there was “no” benefit to
the herb for pregnant women, actually stated: “The findings also suggest ingestion of the drug
might decrease the likelihood of pre and post-term gestation. An unexpected finding in this
study seems to indicate that women who ingest raspberry leaf might be less likely to receive an
artificial rupture of their membranes, or require a caesarean section, forceps or vacuum birth
than the women in the control group.” In other words, scientific studies show that drinking
raspberry tea actually is beneficial during pregnancy.”
Uses of Raspberry Leaf
One of the useful use is that it is used as an herbal tea, which womens drink iced in the
summer and hot in the winter. They also make a pregnancy tea using 4 parts Raspberry Leaf
and 1 parts Nettle Leaf. You can also add 1 part Peppermint Leaf for help with nausea during
early pregnancy. For those trying to improve fertility, three or more cups can be consumed daily
and I also consume this amount during pregnancy. It tastes very similar to regular tea without
the caffeine, which makes it wonderful in the evening. If some women is regular user of tea
then, then it is suggested that she consider adding this in place of regular tea.
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To Brew: Pour 8 ounces of boiling water over 1 teaspoon-1 tablespoon of Raspberry Leaf.
Steep, covered, for at least 5 minutes and drink as regular tea. I often keep a gallon of cold
raspberry leaf tea in the fridge so that I don’t have to brew by the cup. To make a gallon, just 3/4
to 1 cup of Raspberry Leaf per gallon of boiling water. I pour the herbs and boiling water into a
gallon glass jar, cover with a plate and leave overnight before straining for a strong tea.
You can also make a tincture of raspberry leaf using the same proportions that you use to
makechamomile tinctureand it is great for the skin if used externally and as a more concentrated
form to help alleviate PMS, menstrual troubles, heavy bleeding and infertility when used
internally.
Raspberry Leaves is organic and extremely high quality. It comes as a dried herb and can be
easily made into tea, infusions, or tinctures.
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Application of molecular technologies for
detection of pathogens in water environment
Gaurav Saxena, Akash Mishra and Ram Naresh Bharagava*
Department of Environmental Microbiology (DEM), School for Environmental Sciences
(SES), Babasaheb Bhimrao Ambedkar University (A Central University), Vidya Vihar,
Raebareli Road, Lucknow 226 025 (U.P.) India
*Corresponding E-mail: [email protected]
A significant number of human microbial pathogens are present in urban sewage water and may
cause serious health threats to human beings. Although most of the pathogens can be removed
during the wastewater treatment and remaining are discharged into wastewater contaminating
receiving water bodies. Traditional microbial indicators viz. fecal coliforms, E. coli and
Enterococci are the most commonly used indicator microorganisms (Saxena et al., 2014).
These are used to evaluate the level of fecal contamination in water environment and assess
the pathogen removal efficiency of water and wastewater treatment plants. However, whether
these indicator bacteria are suitable water quality indicators has been questioned because of
several limitations (Girones et al., 2010):
a. Sensitive to inactivation through wastewater treatment processes and sunlight exposure.
b. Short survival period as compared to microbial pathogens.
c. Not indicative of exclusive faecal source.
d. Ability to multiply in some natural environments.
e. Inability to recognize faecal contamination source (point or non-point).
f. Less correlation with the presence of pathogens.
However, culturing the pathogens in laboratories is also a laborious process that involves
culture enrichment and selective media for the isolation of pathogens from the background
organism. It is often difficult to achieve the appropriate culture enrichment, which makes the
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work even more tedious. Moreover, the concentrations of pathogens may be too low for the
culture detection but still potent enough to cause disease. As a result, there is no ideal bacterial
indicators currently used that fulfill all the established criteria for drinking or bathing water
quality. Thus, the direct detection of pathogens of health concern without culturing in
laboratories but with the help of molecular techniques is considered to be a more suitable
alternative. (Fig. 1)
Fig. 1. Concept of molecular techniques for detection of pathogens in water environment.
The molecular techniques, particularly nucleic acid amplification methods, provide sensitive,
rapid and quantitative means for detecting the specific pathogens of public health and
environmental concern including new emerging bacterial strains and indicators. These
techniques are together regarded as microbial source-tracking (MST) or bacterial source-
tracking (BST) (Saxena et al., 2014). These molecular techniques allow the researchers to
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rapidly and specifically detect the microorganisms of public health and environmental concern.
(Table 1)
Table 1. Techniques for the detection of pathogens and indicators in water environment.
Conventional Techniques
Technique Merit Demerit
Microscopy
Simple, rapid and direct
observation of microbial cells
Majority of bacterial
population can not be
identified
Culture dependent
methods
Easy to identify the individual
microbes
Majority of bacteria cannot
be cultured on the general
purpose-basic media
Microbial indicator based
pathogen estimation
Easy to perform, current
standard for coliform has been
established
Labor intensive, time
consuming and indirect
estimation of pathogens
rather than direct detection
Molecular Techniques
Technique Merit Demerit
Ribotyping Highly reproducible; classify
isolates from multiple sources
Complex, expensive; labour
intensive; database required;
variation in methodology
Amplified ribosomal DNA
restriction analysis
(ARDRA)
Culture-independent technique
for analysis of a variety of
microbes
Not quantitative and require
DNA extraction and PCR
biases
Ribosomal RNA intergenic
spacer analysis (RISA)
Culture-independent technique
for analysis of a variety of
microbes and give remarkable
heterogeneity in length and
sequence among bacteria
Not quantitative and require
DNA extraction and PCR
biases
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Pulse-field gel
electrophoresis (PFGE)
Extremely reproducible and
highly sensitive to point genetic
difference
Long assay time, too
sensitive for broadly
discriminate source, limited
simultaneous processing and
require database
Denaturing-gradient gel
electrophoresis (DGGE)
Culture-independent technique
for analysis of a variety of
microbes and use rRNA gene
sequence heterogeneity
DNA extraction and PCR
biases
Terminal restriction
fragment length
polymorphism analysis (T-
RFLP)
Fast, semi-quantitative,
culture-independent technique
for analysis of a variety of
microbes
DNA extraction and PCR
biases
Fluorescent In Situ
Hybridization (FISH)
Quantitative and directly
visualize the microbial cells
including non-culturables
Inactive cells may not be
detected
Quantitive PCR (qPCR) Culture-independent technique
for analysis of a variety of
microbes
Expensive equipment;
technically demanding
Repetitive DNA Sequences
(Rep-PCR)
Simple and rapid Reproducibility a concern;
require cell culture and
database required; variability
increases as database
increases
Length heterogeneity PCR
(LH-PCR)
Culture-independent technique Expensive equipment;
technically demanding
Multiplex PCR (mPCR) Fast and simultaneous
detection of several target
microorganisms
Combination of primer pairs
must function in a single
PCR reaction
High throughput design with Low sensitivity and
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Nucleic acid microarrays wider applications processing complexities for
environmental samples
Host-specific 16S rDNA Does not require culturing or a
database; indicator of recent
pollution
Only tested on human and
cattle markers; limited
simultaneous processing;
expensive equipment;
technically demanding; little
information about survival of
Bacteroides spp. in
environment
On-chip technology Combination of PCR with
nucleic acid hybridization on a
single chip and less
interference between parallel
reactions
Integration and packaging
Adapted from Gilbride et al., (2006); Girones et al., (2010) and Saxena et al., (2014)
Although recent improvements have allowed the simultaneous detection of several or groups of
microorganisms in a single assay. The molecular techniques available today are being
continuously improved in order to make them standardized and applicable to a wide variety of
matrices, to increase their sensitivity, rapidity and to reduce the time, costs and steps used for
the detection of pathogens and indicators. However, the standardization and validation of
protocols should be considered as critical paramount for the implementation of molecular
techniques in the clinical or environmental area.
References
1. Gilbride, K. A., Lee, D. Y. & Beaudette, L. A. 2006 Molecular techniques in wastewater:
Understanding microbial communities, detecting pathogens, and real-time process
control. J. Microbiol. Methods. 66, 1-20.
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2. Girones, R., Ferrus, M. A., Alonso, J. L., Manzano, J. R., Calgua, B., Correa, A. D. A.,
Hundesa, A., Carratala, A. & Bofill-Mas, S. 2010 Molecular detection of pathogens in
water- The pros and cons of molecular techniques. Water Res. 44, 4325-4339.
3. Saxena, G., Bharagava, R. N., Kaithwas, G. & Raj, A. 2014 Microbial indicators,
pathogens and methods for their monitoring in water environment. J. Water Health.
(Article in press). doi:10.2166/wh.2014.275.
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Interview with Mr. Suman Bhattacharya
Q) Mr. Suman Bhattacharya, the well known
science podcaster and excellent modulator of
scientific spread via Shomu’s biology
(www.shomusbiology.com). You have spread
knowledge of Biological studies in the form of
videos that has been famous among learners.
Before we go more into the detail of how you
generated this platform of science podcasts we
would like to know about your childhood life?
How you take science as? How your parents
support you being into science?
Comment: I grew in the village named Rishra. I have been in a Bengali medium school and was
an average student. I was more of introvert died when I was very young and attending my
primary school and some part of my secondary school also. In earlier days during school I liked
to study different animals and insects. I used to gaze through different regions surrounding my
house to find interesting insects especially spiders. I have always loved them. Back then I never
thought of being a part of biology but I sort of enjoyed the insect watching. I used to collect them
and place them in my room inside jewellery boxes. The serious fondness towards science for
me kind of began when I was in class eight. That was the time when we have been introduced
to physical sciences, life sciences differently and I started to feel to be attracted towards
biological sciences. That was also the time when I started reading books. I became member to
one of our local libraries and start enjoying reading books. I majorly read a lot of science books,
facts books, encyclopaedias and some of the popular Bengali science magazines of that time. I
have enjoyed trying a lot of experiments back then. I had been desperately waiting for my
summer vacations trying some new science experiments gathered from early back-dated copies
of science magazines. I remember going in the library during the puja vacation. I used to search
down all the old dusty magazines to find out ideas to start and make my own laboratory. One
day during the search I found an article from Gopal Chandra Bhattacharjee about how to build a
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simple microscope. I was so thrilled by this because I have been searching and planning to
build my own microscope from quite a long time. I remember that day after when I gathered all
the different ingredients in my home and assembled them; I've built lenses with water. That day
was one of the first sheer success day for me which I believe clearly had some impact in my
science career. The first time I saw an O'Neill cell using my own and handmade microscope I
was amazed. That microscope was really powerful even as seen in some of my red blood cells
with it. That day I found a whole new world to be in. And that was the world of biology. I knew
nothing about biology then, I still don't know biology well but that was the day I feel the
excitement to be an explorer of biology and science. I was become a great fan of Gopal
Bhattacharjee. Soon I start buying all the Gopal Bhattacharjee written books and reading them.
We had a great biology teacher in our school. He was an excellent explainer and the beautiful
presenter. I used to follow him when I prepare my own lessons. I always read my own lessons
in a way that it sounds like I'm teaching someone or I'm explaining it to another person. I never
read books like I was reading. If somebody hears me from outside my room he would definitely
think that I was explaining something to someone else. But it was actually me talking to myself.
This quality helped me to build a teaching quality from inside.
Science was one of my best friends back then. I have gained many friends using science now. It
has been a great part of my life and living. I'm a logical and rational person and I do not believe
in God. I am a man of science not only literally like many other people but really from inside I
like to take decisions with my brain but not my mind.
My parents have been very supportive of whatever I've done. Though there was no one to guide
me through the part of science are my family but they never ever discourage me to take a
chance. They have always allowed me to choose my career options and I was very very happy
to have such parents who value the Independence of selecting the career options for their
children.
Q) You have done your graduation and then your post graduation in Microbiology. As it
is known Microbiology has wide scopes and is an emerging scientific research platform
especially in case of India and South-Asian countries. How you take Microbiology as an
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emerging science? Do you wish to continue your studies further or research on
Microbiology?
Comment:
Microbiology is a field of research. I mean higher order research with modern Biology. Though
there are some good faculties in India but it is still les of a value for the researchers in terms of
the knowledge they have to apply. Indian Govt. should spend some more money to the real
heroes (It stands for any science server) of the country.
I don’t want to continue further material research. I would prefer to research the way to reach
millions of young mind with Biology so that we can produce more devoted science lovers for our
country.
Q) IISER Kolkata was where you have done your internship during your masters in
Microbiology. How was the research experience there? Did it increased the zeal in
yourself to go for scientific research on Microbiology in future?
Comment:
I had a very bad research experience there which I’m not going to talk about here.
It didn’t increase my appetite for biology but makes me a strong believer of something that is-
we need to educate people in a way where the way of thinking the solution of a problem is in a
way unique and original.
Q) Lets have small discussion over Shomu’s Biology. It has got over 1800 video lectures
on Biology and explains very well on various topics related to biology. Please provide us
how you started off by spreading knowledge by video podcasts and it has large number
of views in youtube who daily follow your lectures posted during their course of your
study.
Comment:
I have started My channel in May 2012 after I completed my Bsc. Degree and I was free from
any other work at that time. YouTube has always been a great help for me during my Bachelors
education times and I thought to pay it back in a sense of making some video lectures and
posting them on it. I stared recording lectures and uploading them then I almost stopped due to
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the study pressure and time management problems at the beginning of my Msc in St. Xavier’s
college, Kolkata. Even I forgot the password for the email id signed for my Youtube Account!
One day when I was fiddling around my account id to figure out the password I came across the
correct one and it opened the email and I just got amazed. There were comments and
notification from YouTube channel. People are watching my lectures. That day I realize I had a
biology niche where people are looking for detailed in depth biology lectures for free to share. It
was a motivation for me. But I had to think a way to record videos along with my Masters study
and maintaining time became the most dangerous part for me. So I decided that whatever I read
and prepare for my MSc course I will make a video out of it. I didn’t even have time to rehearse
or something. I just took the ppt and record the video in the first go while I was also learning it!!
It will sound crazy but it is how I have managed to put 1800 videos in 2 and half years only. It
becomes a habit to record now. I feel pleasure to do it.
Q) Shomu’s Biology now spreading wings. The huge response brings out big
responsibilities. Please share us about your future plans you would execute which you
have mentioned in your website www.shomusbiology.com
Comment:
A lot of plans are there.
I need help from other volunteers to form a team to popularize Biology and science in India so
that our real heroes get something they deserve.
Health issue videos for common people to understand diseases and our body well enough to
know about certain disease preventions
I want to create 3D animations in details for very critical biology processes.
Q) You have met different youngsters during your off session to Shomu’s Biology. How
you trigger your ambition when you receive worldwide positive comments for your video
blog?
Comment:
It was great to hear all the positive comments.
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It is the one and only thing that makes you feel tired less even after a long hard day of work and
drive you do the same for the next day. Comments are the gifts that works like appetizer to any
blogger and in my case there is no difference. My purpose of doing this becomes successful
when I have heard about many young students become biology fan and wanted to pursue their
carrier in Biology research. It is an immense pleasure for any educator.
Q) Ending up with positive hopes from Mr. Suman Bhattacharya. We would glad to know
your life apart from Science.
Comment:
My life apart from Shomu’s Biology is very less now as now I am doing this fulltime. The whole
venture is run by me only so I have to maintain a lot of side works. From building of the website
to the marketing and advertising of it and from recording of the videos till editing and uploading
of it, is the work for me now. It’s the work of a whole day! Beside I am very fond of drama and
theatre acting. I was a regular part of functions there in my Bsc as well as Msc. I am a huge
technology fan and a gadget guy. Love to be in touch with my computer and laptop. Most of all I
love to learn different things from internet. Do a lot of cooking at my home in winter times. Love
to bake cakes. Love to watch movies.
Q) Microbiology studies in developing countries like India, Nepal, Pakistan and
Bangladesh is an evolving science. What are your words for the subject and importance
you feel to be considered in the fields of research?
Comment:
The field is emerging in these countries and I hope it will increase over time. We need to involve
new minds, the budding researchers to the field. We need to make this subject lovable and
make this field attractive and pleasant so that most people can join.
Thank you for your valuable worlds
Saumyadip Sarkar, [email protected]
Science Communicator and Reviewer
Microbiology World (www.microbiologyworld.com)
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Attack of the superbugs- an inevitable
disaster to the human race!
Tahir Hussain
Atta-ur-Rahman School of Applied Biosciences, National University of Sciences and
Technology, Islamabad, Pakistan
What are superbugs?
Superbugs are bacteria that can no longer be killed with antibiotics- the drugs otherwise used to
kill them. Normally disease causing bacteria are killed by one or several varieties of antibiotics
available but superbugs are able to survive even after exposure to antibiotics.
How bacteria evolve into superbugs?
Resistance to antibiotics is a natural Darwinian evolution. Every time bacteria are exposed to
antibiotics pressure they undergo selection. Many of them die while few survive which then
multiply and reproduce a generation of resistance offspring. This phenomenon is generally
dubbed as antibiotic resistance. This evolution of susceptible bacteria into resistance ones could
also be attributed to the erroneous replication of bacterial DNA which is about 1 in 108 per
chromosomal replication. Sometimes a point mutation in the DNA region which is the target of
antibiotic, or produces a modified cellular component which is the target of antibiotic, in
whichever cases antibiotics no longer identify and reaches to its target to inhibit or halt the
growth of bacteria. Or quite often bacteria exchange antibiotic resistance genes among
themselves through various mechanisms like plasmids, transposons and bacteriophages. So
bacteria becoming resistant to antibiotics is a natural phenomenon but the worrisome scenario
is, this evolution is accelerated by the antibiotic pressure. The more the bacteria are exposed to
antibiotic pressure the more quickly they undergo changes to adapt and survive in the changing
environment. Once bacteria become resistant to antibiotics they can never become susceptible
even if those antibiotics are no more used against them (Anderson, 2003).
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What are current costs of superbugs?
The current situation is too gloomy. According to conservative estimates, in Europe and the
United States alone around 50,000 people die each year from infections caused by superbugs.
Worldwide mortality, morbidity and economic estimates of superbugs’ related infections are
more horrible causing millions of health and economic losses. According to a British
government-commissioned review, drug-resistant super bugs will soon to b eth leading cause of
deaths, and could kill up to 10 million people a year and cost up to $100 trillion by 2050 if their
rampant global spread is not halted (Hussain, 2015; O’Neil, 2014). Resistance to antimicrobials
posed by pathogens is an increasing threat to human race. The rapid increase in resistance to
drugs and the decreasing interests of pharmaceutical companies into novel drugs development
is a huge concern. Pharmaceutical companies find it less profitable since it takes about 10-15
years and approximately $1-2 billion to make a drug available in the market and by the time the
drug is available, the bacteria may very quickly become resistant as there is no controlled
applications of antibiotics.
Can we secure ourselves against the superbugs?
Infections of the superbugs are very difficult, and often impossible to treat and lead to sufferings
and deaths. Widespread resistance has been reported in diverse families of bacteria living in
variety of human and environmental habitats against all available categories of antibiotics.
The World Health Organization has warned about the post-antibiotic era, where simple
infections will become impossible to treat, a simple scratch on the skin will lead to death, and
where basic healthcare will become far more dangerous due to risk of lethal infections during
routine operations. This post-antibiotic era could soon arrive unless something drastic is done.
World Health Organization (WHO, 2014) has stressed on culture change in using the antibiotics,
and has asked the world community to start combating the superbugs and the growing menace
of resistance to antibiotics by taking certain necessary measures.
People can help tackle antibiotic resistance by:
o Using antibiotics only when prescribed by a doctor
o Completing the full course of prescription, even if they feel better
o Never sharing antibiotics with others or using leftover prescriptions
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Health workers and pharmacists can help tackle resistance by:
o Only prescribing and dispensing antibiotics when they are truly needed
o Prescribing and dispensing the right antibiotics
Policymakers and industry can help tackle resistance by:
o Regulating and promoting appropriate use of antibiotics
o Fostering innovation and research and development of new tools to combat the
superbugs
o Promoting cooperation and information sharing among all stakeholders
References
1. Anderson, D. (2003). Persistence of antibiotic resistant bacteria. Current Opinion in
Microbiology. 6 (5): 452–456.
2. Hussain, T. (2015) Pakistan at the verge of potential epidemics by multi-drug resistant
pathogenic bacteria. Advancements in Life Sciences. 2(2): 46-47.
3. O’Neil, J. (2014). Tackling a crisis for the health and wealth of nations. pp. 20. Available
online at, http://www.jpiamr.eu/wp-content/uploads/2014/12/AMR-Review-Paper-
Tackling-a-crisis-for-the-health-and-wealth-of-nations_1-2.pdf. Date accessed 27-12-
2014.
4. World Health Organisation. (2014). WHO’s first global report on antibiotic resistance
reveals serious, worldwide threat to public health. Available online at,
http://www.who.int/mediacentre/news/releases/2014/amr-report/en. Date accessed 31-
03-2015.
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How to protect yourself from infectious diseases
like diarrhoea, swine flu, etc. after an earthquake
Sagar Aryal
Department of Microbiology, St. Xavier’s College, Kathmandu, Nepal
Corresponding Email: [email protected]
The eventual death toll from the massive earthquake that struck Nepal on April 25 will be
unbearable. The death toll from Saturday’s deadly 7.9 magnitude quake and a series of
aftershocks that struck various parts of Nepal has reached 4347 leaving 8154 injured as of
Tuesday morning.
The overwhelming majority of deaths immediately after a natural disaster are directly associated
with blunt trauma, crush-related injuries and burn injuries. The risk of infectious disease
outbreaks in the aftermath of natural disasters has usually been overemphasized by health
officials and the media, leading to panic, confusion and sometimes to unnecessary public health
activities.
The risk factors for increased infectious diseases transmission and outbreaks are mainly
associated with the after-effects of the disasters rather than to the primary disaster itself or to
the corpses of those killed. These after-effects include displacement of populations (internally
displaced persons and refugees), environmental changes and increased vector breeding sites.
Unplanned and overcrowded shelters, poor water and sanitation conditions, poor nutritional
status or insufficient personal hygiene are often the case. Consequently, there are low levels of
immunity to vaccine-preventable diseases, or insufficient vaccination coverage and limited
access to health care services.
With the lack of safe drinking water and sanitation after the April 25 earthquake, people in
Khokana village, the southern outskirt of the Kathmandu Valley, has begun suffering from
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diarrhoea. Outbreaks have also been related to shared water containers and cooking pots,
scarcity of soap and contaminated food, as well as pre-existing poor sanitary infrastructures,
water supply and sewerage systems.
The most common causes of morbidity and mortality in this situation are diarrheal disease and
acute respiratory infections.
Waterborne diseases:
Diarrheal disease: Diarrheal disease outbreaks can arise subsequent to drinking-water
contamination, and have been reported after flooding and related movement. Vibrio cholera (O1
Ogawa and O1 Inaba) and enterotoxigenic Escherichia coli are the major causes of this type.
Hepatitis A and E: Hepatitis A and E have also fecal-oral transmission, especially in poor water
sanitation.
Leptospirosis: Leptospirosis is a bacterial zoonosis transmitted through contact of mucous
membranes and skin with water, moist vegetation, or dirt contaminated with rodent urine.
Diseases associated with crowding:
Acute respiratory infections (ARI) as the main cause of morbidity and mortality among unsettled
people are seen predominantly in children less than 5 years old. Furthermore, meningitis and
measles are transmitted from person to person, especially in crowded circumstances.
Vector-borne diseases:
Malaria, cutaneous leishmaniasis and rabies are transmitted by vectors.
Infections due to wounds and injuries:
The potentially significant threats to persons suffering a wound are tetanus, staphylococci and
streptococci.
Prevention and control measures
1. Hand-washing with soap after handling bodies and before eating, use and correct
disposal of gloves and use of body bags if available.
2. Always use a face mask. Cover your mouth and nose with a tissue when coughing or
sneezing.
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3. Always drink a boiled and filter water.
4. Shelters should have sufficient space according to the needs of victims. Furthermore,
access to the water, fuel, and transport, solid waste management, and safety of food
stores are essential.
5. According to WHO guidelines, Chlorine is broadly obtainable, low-cost, easily used and
effective against almost all waterborne pathogens. People should have sufficient
facilities and provisions to collect, save and use adequate quantities of water for
drinking, cooking and personal hygiene, and to certify that drinking water remains safe
until consumption.
6. Ensure food is stored, cooked, prepared and served in a hygienic manner.
7. The importance of soap and hand washing as a protection against fecal-oral disease
should be emphasized in educational programs. Soap and water should be provided to
all disaster victims and rescue personnel.
8. Vector control interventions based on the local context and epidemiology of diseases are
essential. Examples of some useful interventions are indoor residual spraying for
malaria, insecticide-treated nets, and traps for tsetse flies as the vectors of
trypanosomiasis.
9. Awareness of the emergence of water and food born disease is of importance to the
health of the victims.
10. More attention should be paid to early diagnosis and treatment of multiple infections and
special infections in survivors of natural disasters. One such infection, gas gangrene, is
an acute, severe, life-threatening disease for which early diagnosis is critical.
11. Waste disposal should comply with local requirements including disposal of regulated
medical waste such as syringes and needles.
12. We recommend re-establishing and improving the delivery of primary health care.
13. Medical supply should be provided, and training of healthcare workers and medical
personnel on appropriate case management should be conducted.
14. Education on hygiene and hand washing, and provision of an adequate quantity of safe
water, sanitation facilities and appropriate shelter are very important for prevention of
infectious diseases.
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Biofertilizers: an alternative sources of chemical
fertilizer for sustainable crops in 21st century
Adarsh Kumar, Jai Prakash and Naveen Kumar Arora*
Department of Environmental Microbiology (DEM), School for Environmental Sciences (SES),
Babasaheb Bhimrao Ambedkar University (A Central University), Vidya Vihar, Raebareli Road,
Lucknow 226 025 (U.P.), India.
Corresponding Email: [email protected]
Abstract:
Chemical fertilizers use continuously in the last years for the improvements of crops. However,
the use of these fertilizers increases the crop yield. But they also affect soil microflora and
health hazards of other living organisms. In recent years, an emerging economically attractive
and ecofriendly technique developed known as biofertilizer.
Introduction:
Soil has itself a balance of major and minor nutrients, as well as microbial population. It's vastly
more complicated than, simply adding nitrogen, phosphorus and potassium (NPK) to the ground
and calling it a day known as fertilizer (http://www.sustainablebabysteps.com/effects-of-
chemical-fertilizers.html). Fertilizers are the substance that provide nutrients in the soil to
promote plant growths and increase soil fertility (http://en.wikipedia.org/wiki/Biofertilizer). There
are broadly two types of fertilizer; (1) synthetic fertilizer (2) biological fertilizer. (1) A synthetic
fertilizer containing inorganic material of completely or partially artificial origin that is added to
the soil to promote plant growth. It is an inorganic material that increase or decrease soil pH,
however, reduce the soil beneficial microorganism and interfere with plant growth. For example:
Urea is a popular fertilizer that provides ammonia for plants, but it also contributes to acid rain,
groundwater contamination and ozone depletion due to release of nitrous oxide by denitrification
process. Moreover, that may be produce many diseases like gastric cancer, goiter, birth
malformations, and hypertension testicular cancer, stomach cancer, respiratory ailments,
cardiac disease etc. (Gaur and Sharma, 2012). To forget this problem an emerging alternative
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source to replace the chemical fertilizer for sustainable crop known as biofertilizer or biological
fertilizer. (2) Biological fertilizers are a biomaterial that contain beneficial microorganisms which,
when applied to seed, plant surfaces, or soil, that colonizes the root surface of the plant and
promotes plant growth by increasing the supply or availability of primary nutrients to the host
plant (http://en.wikipedia.org/wiki/Biofertilizer).
Role of biological fertilizers:
1. Biofertilizers act as biocontrol agents against phytopathogens via production of
antibiotic, depletion of iron from the rhizosphere, induced systemic resistance,
production of fungal cell wall lysing enzymes, and competition for binding sites on the
roots.
2. They can fix atmospheric nitrogen and supply it to plants which are most essential.
3. Biofertilizers solubilize minerals such as phosphorus, making them more readily
available for plant growth synthesize the enzyme 1-aminocyclopropane-1-carboxylate
(ACC) deaminase, which can lower plant ethylene levels (Glick, 2010).
4. Biofertilizers provide the phytohormones of plants like auxin, gibberelins, cytokinins, etc.
among these auxin are common.
5. Although in last few years, extensive use of PGPR for the remediation of environmental
pollutants with plants emerged as a promising field (Glick, 2010)
Biological fertilizers occupied in the market:
1) Nitrogen fixing biofertilizer: Rhizobium, Azotobacter, Azospirillum, Brady Rhizobium.
2) Phosphorus solubilizing biofertilizer (PSB): Bacillus, Pseudomonas, Aspergillus.
3) Phosphorus mobilizing biofertilizer: Mycorrhizal.
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Source: Riddhi Siddhi Bio-tech Pvt. Ltd. Ahmedabad
Advantage Bio fertilizers:
1. Biofertilizers have the tendency to increase productivity of crops yield and soil health.
2. It reduces the demand of artificial fertilizers.
3. Biofertilizers contain microorganisms that are involved in the degradation and breakdown of
organic matter, mineral in to soluble form that is useful to plants.
5. Biofertilizers contain specific strains of these naturally occurring organisms that have been
cultivated in a lab environment to use for a particular purpose.
6. It also help to increase levels of major nutrients like nitrogen and phosphorus to facilitates
plant growth, while other help to fight off diseases known as biocontrol property.
7. Biofertilizers are effective technique for promising soil health and plant life, the overall
environment is healthier, as air and water quality are indirectly linked with soil quality.
Conclusion:
Biofertilizers are becoming increasing popular in recent past years in major countries including
India. They have essential components of organic farming and play a vital role in maintaining
long term soil fertility and sustainability via the help of increased availability or uptake of
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nutrients through solubilization or increased absorption stimulation of plant growth through
hormonal action or antibiosis, or by decomposition of organic residues. Furthermore, biofertilizer
as to replace part of the use of chemical fertilizers reduces amount and cost of chemical
fertilizers and thus prevents the environment pollution from extensive application of chemical
fertilizers. With using the biological and organic fertilizers, a low input system can be carried out,
and it can be helped achieving sustainability of farms.
References:
1. Bhattacharjee R and Dey U., (2014). Biofertilizers, a way towards organic agriculture: A
review. African journal of microbial research. 8 (24): 2332-2342.
2. Glick BR., (2010). Using soil bacteria to facilitate phytoremediation. Biotechnology
Advances. 28: 367–374
3. http://en.wikipedia.org/wiki/Biofertilizer
4. http://www.sustainablebabysteps.com/effects-of-chemical-fertilizers.html
5. Gaur RB and Sharma RN., (2012). Bio-control technology: development, production and
popularization for plant disease control in semi-arid region of Rajasthan, India—a
success story. Journal of Progressive Agriculture. 3: 1–7.
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You can also send your articles to
Selected ones will be published in
our next issue of May-June 2015.
Thanks,
Sagar Aryal
Editor-In-Chief
Microbiology World