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Infectious Disorders - Drug Targets

Editor-in-Chief

ISSN (Print): 1871-5265
ISSN (Online): 2212-3989

Research Article

Molecular Identification of Free-living Amoebae Isolated from Hospital Water Systems in Southwest Iran

Author(s): Azin Salehi, Reza Arjmand, Molouk Beiromvand and Mehdi Tavalla*

Volume 22, Issue 8, 2022

Published on: 10 August, 2022

Article ID: e010722206561 Pages: 6

DOI: 10.2174/1871526522666220701102418

Price: $65

Open Access Journals Promotions 2
Abstract

Introduction: Free-living amoebae are opportunistic amoebae that usually live freely in various environmental conditions, including warm water and even in water supply network pipes and reservoirs connected to water. In addition to living freely, these protozoa are able to attack the host's body when they enter a human or animal body. Therefore, it is necessary to identify their presence in water resources. So, this study aimed to identify free-living amoebae isolated from water reservoirs of hospitals in southwest Iran.

Methods: A total of 80 water samples were isolated from the hospitals of Ahvaz city, southwest Iran, and their physical and chemical parameters were measured. The samples were then put into non-food agar culture medium and stained using the Wright-Giemsa staining. Finally, the samples were identified by the PCR molecular method.

Results: The mean pH and turbidity values were 7.57 ± 0.03 and 3.31 ± 0.26 nephelometric turbidity unit (NTU), respectively. The mean residual chlorine and electrical conductivity were 0.91 ± 0.02 and 1122.39 ± 24.31, respectively. In addition, 9 (11.25%) and 3 (3.75%) samples were contaminated with Acanthamoeba spp. and Naegleria spp., respectively. However, no positive cases of Balamuthia spp. infection were observed. Moreover, two samples were co-infected with Acanthamoeba spp. and Naegleria spp.

Conclusion: Due to the existence of free-living amoebae in water storage tanks at hospitals, it is necessary to prevent possible contamination with these amoebae and infectious agents by using new methods of disinfection and purification of water resources.

Keywords: Prevalence, free-living amoebae, hospital water systems, PCR, protozoa, agar.

Graphical Abstract
[1]
Dura G, Kambourova V, Simeonova F. Management of intentional and accidental water pollution. Springer Science & Business Media 2007.
[2]
Khan M. Occurrence of pathogenic micro-organisms in food and water supplies in different areas of Peshawar, Nowshera and Charsada. Pak J Food Sci 2000; 10: 37-40.
[3]
Lv S, Tian LG, Liu Q, et al. Water-related parasitic diseases in China. Int J Environ Res Public Health 2013; 10(5): 1977-2016.
[http://dx.doi.org/10.3390/ijerph10051977] [PMID: 23685826]
[4]
Steiner TS, Thielman NM, Guerrant RL, Nathan M, Guerrant M, Richard L. Protozoal agents: What are the dangers for the public water supply? Annu Rev Med 1997; 48(1): 329-40.
[http://dx.doi.org/10.1146/annurev.med.48.1.329] [PMID: 9046966]
[5]
Kramer MH, Quade G, Hartemann P, Exner M. Waterborne diseases in Europe—1986–96. J Am Water Works Assoc 2001; 93(1): 48-53.
[http://dx.doi.org/10.1002/j.1551-8833.2001.tb09098.x]
[6]
Lane S, Lloyd D. Current trends in research into the waterborne parasite Giardia. Crit Rev Microbiol 2002; 28(2): 123-47.
[http://dx.doi.org/10.1080/1040-840291046713] [PMID: 12109771]
[7]
Lanata C. Studies of food hygiene and diarrhoeal disease. Int J Environ Health Res 2003; 13(1): 175-83.
[http://dx.doi.org/10.1080/0960312031000102921]
[8]
Visvesvara GS, Moura H, Schuster FL. Pathogenic and opportunistic free-living amoebae: Acanthamoeba spp., Balamuthia mandrillaris, Naegleria fowleri, and Sappinia diploidea. FEMS Immunol Med Microbiol 2007; 50(1): 1-26.
[http://dx.doi.org/10.1111/j.1574-695X.2007.00232.x] [PMID: 17428307]
[9]
Gianinazzi C, Schild M, Zumkehr B, et al. Screening of Swiss hot spring resorts for potentially pathogenic free-living amoebae. Exp Parasitol 2010; 126(1): 45-53.
[http://dx.doi.org/10.1016/j.exppara.2009.12.008] [PMID: 20036656]
[10]
Badirzadeh A, Niyyati M, Babaei Z, Amini H, Badirzadeh H, Rezaeian M. Isolation of free-living amoebae from sarein hot springs in ardebil province, Iran. Iran J Parasitol 2011; 6(2): 1-8.
[PMID: 22347281]
[11]
Niyyati M, Lorenzo-Morales J, Rezaeian M, et al. Isolation of Balamuthia mandrillaris from urban dust, free of known infectious involvement. Parasitol Res 2009; 106(1): 279-81.
[http://dx.doi.org/10.1007/s00436-009-1592-9] [PMID: 19685076]
[12]
Lekkla A, Sutthikornchai C, Bovornkitti S, Sukthana Y. Free-living ameba contamination in natural hot springs in Thailand. Southeast Asian J Trop Med Public Health 2005; 36 (Suppl. 4): 5-9.
[PMID: 16438171]
[13]
Greub G, Raoult D. Microorganisms resistant to free-living amoebae. Clin Microbiol Rev 2004; 17(2): 413-33.
[http://dx.doi.org/10.1128/CMR.17.2.413-433.2004] [PMID: 15084508]
[14]
Ozçelik S, Acikalin Coskun K, Yünlü O, Alim A, Malatyali E. The prevalence, isolation and morphotyping of potentially pathogenic free-living amoebae from tap water and environmental water sources in Sivas. Turkiye Parazitol Derg 2013; 36(4): 198-203.
[http://dx.doi.org/10.5152/tpd.2012.48] [PMID: 23339938]
[15]
Init I, Lau YL, Arin Fadzlun A, Foead AI, Neilson RS, Nissapatorn V. Detection of free living amoebae, Acanthamoeba and Naegleria, in swimming pools, Malaysia. Trop Biomed 2010; 27(3): 566-77.
[PMID: 21399599]
[16]
Martinez AJ, Visvesvara GS. Free-living, amphizoic and opportunistic amebas. Brain Pathol 1997; 7(1): 583-98.
[http://dx.doi.org/10.1111/j.1750-3639.1997.tb01076.x] [PMID: 9034567]
[17]
Sood A, Chauhan S, Chandel L, Jaryal SC. Prompt diagnosis and extraordinary survival from Naegleria fowleri meningitis: A rare case report. Indian J Med Microbiol 2014; 32(2): 193-6.
[http://dx.doi.org/10.4103/0255-0857.129834] [PMID: 24713915]
[18]
Maghsoud A. Contact lens-associated Acanthamoeba keratitis in Iran. Iran J Public Health 2005; 34(2): 40-7.
[19]
Khan NA. Acanthamoeba: Biology and increasing importance in human health. FEMS Microbiol Rev 2006; 30(4): 564-95.
[http://dx.doi.org/10.1111/j.1574-6976.2006.00023.x] [PMID: 16774587]
[20]
Sh G-g. Isolation and identification of free living amoeba (Naegleria and Acanthamoeba) in Shiraz water resources by morphological criteria. J Jahrom Univ Med Sci 2012; 10(3): 27.
[21]
Tsvetkova N, Schild M, Panaiotov S, et al. The identification of free-living environmental isolates of amoebae from Bulgaria. Parasitol Res 2004; 92(5): 405-13.
[http://dx.doi.org/10.1007/s00436-003-1052-x] [PMID: 14760525]
[22]
Coşkun KA. Isolation and identification of free-living amoebae from tap water in Sivas, Turkey. BioMed Res Int 2013; 2013: 675145.
[23]
Bagheri H, Shafiei R, Shafiei F, Sajjadi S. Isolation of acanthamoeba spp. From drinking waters in several hospitals of Iran. Iran J Parasitol 2010; 5(2): 19-25.
[PMID: 22347240]
[24]
Lasjerdi Z, Niyyati M, Haghighi A, et al. Potentially pathogenic free-living amoebae isolated from hospital wards with immunodeficient patients in Tehran, Iran. Parasitol Res 2011; 109(3): 575-80.
[http://dx.doi.org/10.1007/s00436-011-2288-5] [PMID: 21365453]
[25]
Rahdar M, Niyyati M, Salehi M, et al. Isolation and genotyping of acanthamoeba strains from environmental sources in Ahvaz city, Khuzestan Province, Southern Iran. Iran J Parasitol 2012; 7(4): 22-6.
[PMID: 23323088]
[26]
Hossein Golestani M. Isolation of free-living amoeba and molecular characterization of acanthamoeba from stagnant water, Kashan, Iran. Iran J Med Microbiol 2018; 12(2): 125-32.
[http://dx.doi.org/10.30699/ijmm.12.125]
[27]
Carlesso AM, Artuso GL, Caumo K, Rott MB. Potentially pathogenic acanthamoeba isolated from a hospital in Brazil. Curr Microbiol 2010; 60(3): 185-90.
[http://dx.doi.org/10.1007/s00284-009-9523-7] [PMID: 19841975]
[28]
Ovrutsky AR, Chan ED, Kartalija M, et al. Cooccurrence of free-living amoebae and nontuberculous Mycobacteria in hospital water networks, and preferential growth of Mycobacterium avium in Acanthamoeba lenticulata. Appl Environ Microbiol 2013; 79(10): 3185-92.
[http://dx.doi.org/10.1128/AEM.03823-12] [PMID: 23475613]
[29]
Trabelsi H, Dendana F, Neji S, et al. Morphological and molecular identification of free living amoeba isolated from hospital water in Tunisia. Parasitol Res 2016; 115(1): 431-5.
[http://dx.doi.org/10.1007/s00436-015-4788-1] [PMID: 26468150]

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