The potential of tofu pulp waste as an alternative transport medium for vaginal swabs and wound samples

Authors

  • Richo Saputra Department of Medical Laboratory Technology, Poltekkes Kemenkes Banten, Serang, Banten 42121, Indonesia
  • Safira Rakhma Khoirunnisa Department of Medical Laboratory Technology, Poltekkes Kemenkes Banten, Serang, Banten 42121, Indonesia
  • Siti Azzahra Department of Medical Laboratory Technology, Poltekkes Kemenkes Banten, Serang, Banten 42121, Indonesia
  • Syalwa Putri Anugrah Department of Medical Laboratory Technology, Poltekkes Kemenkes Banten, Serang, Banten 42121, Indonesia
  • Dinda Risa Puspitasari Department of Medical Laboratory Technology, Poltekkes Kemenkes Banten, Serang, Banten 42121, Indonesia
  • Venny Patricia Department of Medical Laboratory Technology, Poltekkes Kemenkes Banten, Serang, Banten 42121, Indonesia

DOI:

https://doi.org/10.61511/ajteoh.v3i2.2026.3615

Keywords:

tofu pulp waste, alternative transport medium, microbial viability

Abstract

Background: Transport media are essential for preserving specimen integrity and maintaining microorganism viability during delays between collection and laboratory testing. Conventional transport media are often expensive, powder-based, and have limited shelf life after preparation, creating barriers in resource-limited settings. Tofu pulp waste, a nutrient-rich by-product containing fiber, protein, and minerals, may support bacterial survival while also reducing food waste. Methods: This laboratory-based experimental study assessed tofu pulp waste as an alternative transport medium for vaginal swabs collected at Mandala Rangkasbitung Community Health Center and infected wound swabs collected at Dr. Adjidarmo Rangkasbitung Regional General Hospital. The study was conducted at the Integrated Microbiology Laboratory of the Banten Ministry of Health Polytechnic, using purposive sampling. Specimens were transported in tofu pulp waste medium (intervention) or standard Amies medium (control) and then subjected to microscopy, bacterial culture, and Gram staining. Effectiveness was evaluated by comparing bacterial viability and recovery between media. Findings: The tofu pulp waste medium maintained microorganism viability in both specimen types. Culture and microscopy identified Gram-negative bacteria in wound swabs, including Citrobacter freundii and Proteus mirabilis, and showed normal vaginal flora and clue cells in vaginal swabs. Overall recovery patterns were comparable to those obtained using Amies medium. Conclusion: Tofu pulp waste has strong potential as a low-cost, environmentally friendly alternative transport medium that preserves bacterial stability until laboratory analysis. Novelty/Originality of this article: This article provides a new contribution to the field of clinical microbiology by demonstrating that tofu residue, a nutrient-rich byproduct of the food industry, can serve as an effective and stable bacterial transport medium.

References

Abbe, C., & Mitchell, C. M. (2023). Bacterial vaginosis: a review of approaches to treatment and prevention. Frontiers in Reproductive Health, 5, 1–13. Frontiers Media S.A. https://doi.org/10.3389/frph.2023.1100029

Afolayan, A. O., Bernal, J. F., Gayeta, J. M., Masim, M. L., Shamanna, V., Abrudan, M., Abudahab, K., Argimón, S., Carlos, C. C., Sia, S., Ravikumar, K. L., Okeke, I. N., Donado-Godoy, P., Aanensen, D. M., Underwood, A., Harste, H., Kekre, M., Muddyman, D., Taylor, B., … Vegvari, C. (2021). Overcoming Data Bottlenecks in Genomic Pathogen Surveillance. Clinical Infectious Diseases, 73, S267–S274. https://doi.org/10.1093/cid/ciab785

Aklilu, A., Woldemariam, M., Manilal, A., Koira, G., Alahmadi, R. M., Raman, G., Idhayadhulla, A., & Yihune, M. (2024). Aerobic vaginitis, bacterial vaginosis, and vaginal candidiasis among women of reproductive age in Arba Minch, southern Ethiopia. Scientific Reports, 14(1), 9813. https://doi.org/10.1038/s41598-024-58654-y

Atia, A. (2021). Prevalence of Bacterial Vaginosis and their Antibiotic Susceptibility among Women Attending Different Private Clinics in Tripoli, Libya. Libyan Journal of Medical Sciences, 5(2), 79–82. https://doi.org/10.4103/ljms.ljms_9_21

Azizi, N. F., Kumar, M. R., Yeap, S. K., Abdullah, J. O., Khalid, M., Omar, A. R., Osman, M. A., Mortadza, S. A. S., & Alitheen, N. B. (2021). Kefir and its biological activities. Foods, 10(6), 1–26). https://doi.org/10.3390/foods10061210

Bessa, L. J., Fazii, P., Di Giulio, M., & Cellini, L. (2015). Bacterial isolates from infected wounds and their antibiotic susceptibility pattern: Some remarks about wound infection. International Wound Journal, 12(1), 47–52. https://doi.org/10.1111/iwj.12049

Boiko, I., Krynytska, I., Kohut, I., Bezkorovaina, H., & Stepanenko, V. (2021). Diagnostics of gonococcal infection in ukraine: Current challenges in resource-constrained settings. Eurasian Journal of Medicine, 53(3), 180–184. https://doi.org/10.5152/eurasianjmed.2021.20043

Fredricks, D. N., Fiedler, T. L., & Marrazzo, J. M. (2005). Molecular Identification of Bacteria Associated with Bacterial Vaginosis. The New England Journal of Medicine, 18. https://www.nejm.org/doi/full/10.1056/NEJMoa043802

Giacometti, A., Cirioni, O., Schimizzi, A. M., Prete, M. S. Del, Barchiesi, F., D’errico, M. M., Petrelli, E., & Scalise, A. G. (2000). Epidemiology and Microbiology of Surgical Wound Infections. Journal of Clinical Microbiology, 38(2). https://journals.asm.org/journal/jcm

Hendriksen, R. S., Bortolaia, V., Tate, H., Tyson, G. H., Aarestrup, F. M., & McDermott, P. F. (2019). Using Genomics to Track Global Antimicrobial Resistance. Frontiers in Public Health, 7, 1–17. https://doi.org/10.3389/fpubh.2019.00242

Khalid, F., Poulose, C., Farah, D. F. M., Mahmood, A., Elsheikh, A., & Khojah, O. T. (2024). Prevalence and Antimicrobial Susceptibility Patterns of Wound and Pus Bacterial Pathogens at a Tertiary Care Hospital in Central Riyadh, Saudi Arabia. Microbiology Research, 15(4), 2015–2034. https://doi.org/10.3390/microbiolres15040135

Kim, S. W. (2024). Opportunities and Challenges of Soy Proteins with Different Processing Applications. Antioxidants. https://doi.org/10.3390/antiox13050569

Lio, J., & Wang, T. (2012). Solid-state fermentation of soybean and corn processing coproducts for potential feed improvement. Journal of Agricultural and Food Chemistry, 60(31), 7702–7709. https://doi.org/10.1021/jf301674u

Martínez-Figueroa, C., Estrada-Moreno, A. K., Vences-Velázquez, A., & Cortés-Sarabia, K. (2022). One-Step Staining Method for the Identification of Clue Cells and Bacterial Morphotypes Associated with Bacterial Vaginosis. Microbiology Spectrum, 10(3). https://doi.org/10.1128/spectrum.01927-21

Montesinos, L., Checa Rifá, P., Rifá Fabregat, M., Maldonado-Romo, J., Capacci, S., Maccaro, A., & Piaggio, D. (2024). Sustainability across the Medical Device Lifecycle: A Scoping Review. Sustainability, 16(4). https://doi.org/10.3390/su16041433

Morrill, S., Gilbert, N. M., & Lewis, A. L. (2020). Gardnerella vaginalis as a Cause of Bacterial Vaginosis: Appraisal of the Evidence From in vivo Models. Frontiers in Cellular and Infection Microbiology, 10, 1–19. https://doi.org/10.3389/fcimb.2020.00168

Murray, C. J. L., Ikuta, K. S., Sharara, F., Swetschinski, L., Robles Aguilar, G., Gray, A., Han, C., Bisignano, C., Rao, P., Wool, E., Johnson, S. C., Browne, A. J., Chipeta, M. G., Fell, F., Hackett, S., Haines-Woodhouse, G., Kashef Hamadani, B. H., Kumaran, E. A. P., McManigal, B., … Naghavi, M. (2022). Global burden of bacterial antimicrobial resistance in 2019: a systematic analysis. The Lancet, 399(10325), 629–655. https://doi.org/10.1016/S0140-6736(21)02724-0

Onsando Samson, M. W. N. A. N. M. and M. G. (2025). Diversity and antibiotic susceptibility profiles of bacterial isolates from wound infections in patients at the surgical unit of Kisii teaching and referral hospital, Kenya. PLOS ONE, 20(6), 1–18. https://doi.org/10.1371/journal.pone.0326048

Phan, S., Phung, O. J., & Lenhard, J. R. (2023). Relative Abundance and Detection of Pseudomonas aeruginosa from Chronic Wound Infections Globally. Microorganisms, 11(5), 1210. https://doi.org/10.3390/microorganisms11051210

Privatti, R. T., Capellini, M. C., Aracava, K. K., Pugine, S. M. P., de Melo, M. P., & da Costa Rodrigues, C. E. (2024). Saline as solvent and ethanol-based purification process for the extraction of proteins and isoflavones from wet okara. Food Chemistry, 443. https://doi.org/10.1016/j.foodchem.2024.138605

Puca, V., Marulli, R. Z., Grande, R., Vitale, I., Niro, A., Molinaro, G., Prezioso, S., Muraro, R., & Giovanni, P. Di. (2021). Microbial Species Isolated from Infected Wounds and Antimicrobial Resistance Analysis: Data Emerging from a Three-Years Retrospective Study. Antibiotics, 10(10), 1162. https://doi.org/10.3390/ANTIBIOTICS10101162

Rafat, D., Agrawal, A., Singh, S., Khalid, S., Khan, A. U., & Nawab, T. (2025). Impact of Glycemic Variability on Vaginal Flora Alterations and Concomitant Antimicrobial Resistance During Pregnancy: Implications for Fetomaternal Outcomes. The Journal of Obstetrics and Gynecology of India, 75(S1), 494–503. https://doi.org/10.1007/s13224-024-02095-0

Rahmani, S., Meitha, K., Septiani, P., Priharto, N., Kamarisima, K., Ningrum, R. A., Angelina, M., Agustiyanti, D. F., Wisnuwardhani, P. H., Nugroho, H. A., & Tan, M. I. (2025). Development of an inactivated viral transport medium for diagnostic testing in low-resource countries. Narra Journal, 5(3). https://doi.org/10.52225/narra.v5i3.2068

Shimeles, G., Gedefie, A., Motbainor, H., & Genet, C. (2025). Vaginal colonization, vertical transmission rate, antimicrobial susceptibility profile, and associated factors of potential neonatal pathogens among pregnant women at public health facilities of Northeast Ethiopia. Frontiers in Public Health, 13. https://doi.org/10.3389/fpubh.2025.1475357

Shinde, R. S., Patil, A. D., Kamble, H. A., Patil, P. D., & Gatade, A. A. (2025). Unlocking the potential of soymilk industry waste (Okara): A comprehensive review on valorization and food applications. Journal of Food Legumes, 38(2), 187–198). https://doi.org/10.53550/jfl.v38.i2.259

Suhartono, S., Mahdani, W., & Khalizazia, K. (2022). Prevalence and Antibiotic Susceptibility of Proteus mirabilis Isolated from Clinical Specimens in the Zainoel Abidin General Hospital, Banda Aceh, Indonesia. Open Access Macedonian Journal of Medical Sciences, 10(1), 1532–1537. https://doi.org/10.3889/oamjms.2022.10695

Uberoi, A., McCready-Vangi, A., & Grice, E. A. (2024). The wound microbiota: microbial mechanisms of impaired wound healing and infection. Nature Reviews Microbiology, 22(8), 507–521. https://doi.org/10.1038/s41579-024-01035-z

Unemo, M., Ballard, R., Ison, C., Lewis, D., Ndowa, F., & Peeling, R. (n.d.). Laboratory diagnosis of sexually transmitted infections, including human immunodeficiency virus Editor-in-Chief. WHO. www.who.int/reproductivehealth

Wolf, E. A., Rettig, H. C., Lupatsii, M., Schlüter, B., Schäfer, K., Friedrich, D., Graspeuntner, S., & Rupp, J. (2021). Culturomics approaches expand the diagnostic accuracy for sexually transmitted infections. International Journal of Molecular Sciences, 22(19), 1–13. https://doi.org/10.3390/ijms221910815

Worku, S., Abebe, T., Alemu, A., Seyoum, B., Swedberg, G., Abdissa, A., Mihret, A., & Beyene, G. T. (2023). Bacterial profile of surgical site infection and antimicrobial resistance patterns in Ethiopia: a multicentre prospective cross-sectional study. Annals of Clinical Microbiology and Antimicrobials, 22(1), 96. https://doi.org/10.1186/s12941-023-00643-6

Złoch, M., Maślak, E., Kupczyk, W., & Pomastowski, P. (2023). Multi-Instrumental Analysis Toward Exploring the Diabetic Foot Infection Microbiota. Current Microbiology, 80(8), 1–15. https://doi.org/10.1007/s00284-023-03384-z

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Published

2026-01-28

How to Cite

Saputra, R., Khoirunnisa, S. R., Azzahra , S., Anugrah , S. P., Puspitasari , D. R., & Patricia, V. (2026). The potential of tofu pulp waste as an alternative transport medium for vaginal swabs and wound samples. Asian Journal of Toxicology, Environmental, and Occupational Health, 3(2), 129–149. https://doi.org/10.61511/ajteoh.v3i2.2026.3615

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