Article Text
Statistics from Altmetric.com
Hiti et al1 produced an interesting study investigating the susceptibility of three strains of Acanthamoeba to a PHMB (polyhexamethylene biguanide) based multipurpose solution (MPS), a one step peroxide system (3% H2O2), and a two step peroxide system (0.6% H2O2). However, no comment was made regarding the choice of strains tested, only one of which (A castellanii 4CL) was typical of those that cause keratitis in humans. This isolate belongs to genotype T4, the predominant genotype in Acanthamoeba keratitis.2,3 Their second strain (A hatchetti 11DS) is of T6 genotype, which, with the exception of one incident,4 has not previously been reported as causing keratitis. The third strain (A lenticulata 72/2) belongs to genotype T5,2,3 and as the authors themselves state “has not been reported to cause Acanthamoeba keratitis.” Although testing of all three strains was of interest to the microbiologist, the …