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Preventive Efficacy of Domestic Vaccines against a New Coronavirus Infection in the Immunization of Employees of Medical Organizations 国产新型冠状病毒疫苗在医疗机构从业人员免疫中的预防效果
Pub Date : 2023-03-05 DOI: 10.31631/2073-3046-2023-22-1-22-27
I. V. Feldblum, T. M. Repin, M. Devyatkov, V. Semerikov, M. A. Gileva, A. A. Kovtun, N. Markovich
Relevance. Evaluation of the preventive effectiveness of domestic vaccines in immunization of employees of medical organizations, in the context of the ongoing pandemic caused by the SARS-CoV-2 virus, remains important. The aim. To evaluate the preventive effectiveness of domestic vaccines in the immunization of employees of medical organizations. Materials and methods. The preventive efficacy of domestic vaccines was studied in an epidemiological, analytical, retrospective (historical), cohort, parallel study involving 1115 healthcare workers from various outpatient and policlinic organizations in the city of Perm. Results. The high preventive efficacy of COVID-19 vaccination of health care workers was established in the conditions of analytical cohort study (the incidence of the unvaccinated was 3.3 times higher than the incidence of vaccinated). Among the vaccinated, a milder course of the disease was observed. The GamCovidVac Spuntic V and Sputnik Light vaccines were characterized by the highest prophylactic efficacy for which was 76.1 and 78.2 respectively, against 54.53 with Covivac immunization and 50.7 with EpiVacCorona. Conclusions. Vaccination is an effective measure against COVID-19 and can be recommended in the context of ongoing pandemic.
的相关性。在SARS-CoV-2病毒大流行的背景下,评估国产疫苗在医疗机构员工免疫接种中的预防效果仍然很重要。的目标。目的评价国产疫苗在医疗机构职工免疫接种中的预防效果。材料和方法。通过流行病学、分析性、回顾性(历史)、队列、平行研究,对来自彼尔姆市各门诊和门诊机构的1115名医护人员进行了国产疫苗的预防效果研究。在分析队列研究的条件下,建立了医护人员接种COVID-19疫苗的高预防效果(未接种疫苗的发生率是接种疫苗的发生率的3.3倍)。在接种疫苗的人中,观察到疾病的病程较轻。GamCovidVac Spuntic V和Sputnik Light疫苗的预防效果最高,分别为76.1和78.2,而Covivac和EpiVacCorona疫苗的预防效果分别为54.53和50.7。结论。疫苗接种是应对COVID-19的有效措施,可在当前大流行的背景下予以推荐。
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引用次数: 1
Frequency of SARS-CoV-2 RNA Detection in Foreign Medical Students Vaccined against New Coronavirus Infection 外国医学生新型冠状病毒疫苗SARS-CoV-2 RNA检测频率
Pub Date : 2023-03-05 DOI: 10.31631/2073-3046-2023-22-1-82-88
O. A. Ryabtseva, P. V. Tsygankov, S. Shlyk, G. G. Kharseeva, A. V. Chepusova
Relevance. The incidence of the novel coronavirus infection is on the rise worldwide. To effectively combat COVID-19, both vaccination and control of the circulation of SARS-CoV-2 strains among the population and, especially, foreign citizens arriving in Russia from around the world are necessary. Aim. To determine the frequency of detection of SARS-CoV-2 RNA in foreign medical students vaccinated against COVID-19 with various vaccine preparations. Materials and methods. Foreign students (510 people) of a medical university aged 18-25 years, vaccinated against COVID-19, who arrived in Russia during June-August 2021, were examined. The determination of SARS-CoV-2 RNA was carried out weekly from December 2021 to January 2022 by taking smears from the oropharynx and examining them using a test-PCR systems manufactured by the Federal State Budgetary Institution of the Central Research Institute of Epidemiology of Rospotrebnadzor «AmplisensCov-Bat-FL» (registration certificate No. RZN 2014/1987 dated 07.04.2020). Results. SARS-CoV-2 RNA was detected in 41 (8.0% [95% CI 5.6÷10.4]) of 510 international students surveyed. Among those vaccinated with vector vaccines based on human adenovirus (Sputnik V, Sputnik Light, Ad26. COV2.S (Johnson&Johnson)) SARS-CoV-2 RNA was detected in 27 (7.6% [95% CI 4.8÷10.4]) a person, mainly after 4–6 months. after vaccination; vaccines based on modified mRNA (BNT162b2 (Pfizer/BioNTech), mRNA1273 (Moderna)) – 5.7% [95% CI 1.1÷10.3] people within six months after vaccination. The infectious process was asymptomatic in 39 people, in two (vaccinated with the BNT162b2 vaccine (Pfizer / BioNTech) and Sputnik Light) it had clinical manifestations of severe and moderate severity. Conclusion. Among foreign students vaccinated against COVID-19, in addition to two cases, asymptomatic carriers of SARS-CoV-2 have been identified, which may be a potential source of infection. This indicates the need for vaccination and timely revaccination of foreign and Russian students, as well as compliance with the anti-epidemic regime.
的相关性。在世界范围内,新型冠状病毒感染的发病率呈上升趋势。为了有效抗击COVID-19,有必要接种疫苗并控制SARS-CoV-2病毒株在人群中的传播,特别是从世界各地抵达俄罗斯的外国公民。的目标。目的测定境外医学生接种不同疫苗制剂后SARS-CoV-2 RNA的检出率。材料和方法。对2021年6 ~ 8月期间抵达俄罗斯的一所医科大学的18 ~ 25岁的外国留学生(510人)接种了新冠病毒疫苗进行了调查。从2021年12月至2022年1月,每周进行一次SARS-CoV-2 RNA的测定,方法是从口咽部提取涂片,并使用Rospotrebnadzor«AmplisensCov-Bat-FL»中央流行病学研究所联邦国家预算机构生产的检测- pcr系统进行检测(注册证书编号:RZN 2014/1987,日期为2020年4月7日)。结果。在接受调查的510名国际学生中,有41人(8.0% [95% CI 5.6÷10.4])检测到SARS-CoV-2 RNA。在接种了基于人腺病毒(Sputnik V, Sputnik Light, Ad26)的载体疫苗的人群中。COV2。在27人(7.6% [95% CI 4.8÷10.4])中检测到SARS-CoV-2 RNA,主要发生在4-6个月后。疫苗接种后;基于修饰mRNA的疫苗(BNT162b2(辉瑞/BioNTech), mRNA1273 (Moderna)) - 5.7% [95% CI 1.1÷10.3]接种后6个月内的人。39人的感染过程无症状,其中2人(接种了BNT162b2疫苗(辉瑞/ BioNTech)和Sputnik Light)有重度和中度的临床表现。结论。在接种新冠肺炎疫苗的留学生中,除2例外,还发现了SARS-CoV-2无症状携带者,这可能是潜在的感染源。这表明需要为外国和俄罗斯学生接种疫苗并及时重新接种疫苗,以及遵守防疫制度。
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引用次数: 0
Trends in the Formation of Disability Due to Multiple sclerosis in Moscow in 2014-2021 2014-2021年莫斯科多发性硬化症残疾形成趋势
Pub Date : 2023-03-05 DOI: 10.31631/2073-3046-2023-22-1-59-67
S. P. Zapariy, A. Samusenko, Y. Vyazovichenko, A. V. Svetlichnaya, A. Gerasimov, N. V. Torchinsky
Relevance. Multiple sclerosis (MS) is a chronic progressive neurodegenerative autoimmune disease of the central nervous system, affecting mainly people of working age and leading to disability. Since this disease is a frequent cause of persistent disability, the importance and at the same time insufficiency of research in the field of regional specific programs related to disability due to MS is noted. Aims. To study the dynamics and features of the formation of primary and repeated disability due to MS among various age groups of the population, taking into account gender characteristics and severity of disability in Moscow in 2014–2021. Materials and methods. The study used examination materials of persons over 18 years of age with MS, collected in an electronic database of medical and social expertise (ITU) of the Federal State Institution "ITU Main Bureau for Moscow", acts, protocols of ITU, static f-088/06 on the re-examination of RS. Results. The last 8 years have been characterized by a decrease in general disability due to MS, with a decrease in the number of persons recognized as disabled for the first time (VPI) and an increase in the number of persons re-recognized as disabled (PPI). There is a drop in the proportion of disabled people of the first and second disability groups with an increase in the third group. In the structure of VPI and PPI due to MS, persons of working age prevailed with a slight decrease in the group of PPI. The gender structure was dominated by female persons. Conclusion. The study of indicators of disability due to MS among various population groups in modern conditions is of great importance for monitoring the level of disability of patients and maintaining a socially active life of the patient.
的相关性。多发性硬化症(MS)是一种慢性进行性中枢神经系统神经退行性自身免疫性疾病,主要影响工作年龄人群并导致残疾。由于这种疾病是持续残疾的常见原因,因此注意到与MS引起的残疾相关的区域特定计划领域的研究的重要性和同时的不足。目标考虑性别特征和残疾严重程度,研究2014-2021年莫斯科不同年龄段人群MS原发和重复残疾形成的动态和特征。材料和方法。该研究使用了联邦国家机构"国际电联莫斯科主局"的医学和社会专门知识电子数据库(国际电联)收集的18岁以上多发性硬化症患者的检查材料、国际电联法案、议定书、关于RS结果重新检查的静态f-088/06。过去8年的特点是由于MS导致的一般残疾减少,首次被确认为残疾的人数(VPI)减少,再被确认为残疾的人数(PPI)增加。第一和第二残疾群体的残疾人比例有所下降,第三残疾群体的残疾人比例有所上升。在MS致VPI和PPI的结构中,工作年龄人群占主导地位,PPI组略有下降。性别结构以女性为主。结论。研究现代条件下不同人群的MS致残指标,对于监测患者的残疾水平和维持患者的社会活跃生活具有重要意义。
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引用次数: 0
The current state of the problem of tick-borne encephalitis in Russia and the world 俄罗斯和世界蜱传脑炎问题的现状
Pub Date : 2023-03-05 DOI: 10.31631/2073-3046-2023-22-1-104-123
N. Kolyasnikova, A. Ishmukhametov, V. Akimkin
Relevance. Despite the successes achieved over the 85-year history of the study of tick-borne encephalitis (TBE), there are still many controversial and unresolved issues. It is obvious that in the second decade of the XXI century, this natural focal neuroinfection, as before, poses a great threat to public health not only in Russia, but also in endemic countries of the world. Aim. To present modern aspects of etiology, epidemiology, diagnosis, specific prevention of TBE in Russia and endemic countries of the world. Conclusions. Currently, there are 4 genotypes of the TBE virus: Far Eastern, European, Siberian and Baikal, each of which has its own area, pathogenic potential for humans. Nosoareal of TBE covers most of the territory of Russia, 29 European countries. Cases of TBE disease or viral activity are registered in six Asian countries. For the correct verification of the diagnosis, criteria for the diagnosis of cases of the disease have been developed, which mainly concern unvaccinated persons. Since highly effective etiotropic drugs for the treatment of TBE have not yet been developed, the only strategy for reducing the incidence of TBE is mass vaccination of the population of endemic regions. Due to the increase in the rate of vaccination in Russia and European countries, in order to improve epidemiological surveillance of TBE, standards for specific laboratory diagnosis of the disease among vaccinated persons, clarification of the causes of the incidence of vaccinated, as well as deaths among them, need to be clarified. In conditions of combination of natural foci of TBE and other tick-borne infections, it is important to develop diagnostic algorithms, including differential diagnosis of this disease with other infections transmitted by Ixodic ticks.
的相关性。尽管在85年的蜱传脑炎(TBE)研究历史中取得了成功,但仍有许多争议和未解决的问题。显然,在二十一世纪的第二个十年,这种自然局灶性神经感染与以前一样,不仅对俄罗斯,而且对世界流行国家的公共卫生构成巨大威胁。的目标。介绍俄罗斯和世界流行国家TBE的病因学,流行病学,诊断,具体预防的现代方面。结论。目前,流行性乙型脑炎病毒有4种基因型:远东型、欧洲型、西伯利亚型和贝加尔湖型,每种基因型都有其对人类的致病潜力。俄罗斯联邦铁路覆盖了俄罗斯大部分领土和欧洲29个国家。在6个亚洲国家登记了TBE疾病或病毒活动病例。为了正确核实诊断,已经制定了该病病例的诊断标准,主要涉及未接种疫苗的人。由于尚未开发出治疗TBE的高效致病性药物,减少TBE发病率的唯一策略是在流行地区大规模接种疫苗。由于俄罗斯和欧洲国家疫苗接种率的增加,为了改善对TBE的流行病学监测,需要明确疫苗接种者中疾病的具体实验室诊断标准,澄清疫苗接种发生率以及其中死亡的原因。在TBE自然疫源地和其他蜱传感染相结合的情况下,重要的是开发诊断算法,包括将该病与其他蜱传感染进行鉴别诊断。
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引用次数: 2
Dynamics and Trends in the Incidence of Rabies in the Russian Federation and some Adjacent Regions of Eurasia in 2013–2021 2013-2021年俄罗斯联邦及欧亚大陆邻近地区狂犬病发病率动态和趋势
Pub Date : 2023-03-05 DOI: 10.31631/2073-3046-2023-22-1-4-12
O. Zaykova, M. A. Losich, E. Rusakova, O. Verkhovsky, A. Shabeykin, T. Grebennikova
Relevance. Rabies, hydrophobia is an acute viral zoonotic neuroinfection with 100% mortality in the case of clinical signs in humans or animals. The main biological reservoirs and distributors of the rabies pathogen (Lyssa virus, Rhabdo viridae) on the territory of the Russian Federation (RF) are wild predators of the canine family responsible for the circulation of the classic rabies virus (Rabies virus). Also on the territory of the RF and the countries of Eastern Europe, Asia Minor and Central Asia, the circulation of 6 more species of viruses of the genus Lyssavirus, with biological reservation in bat populations, has been established. Despite the existing genetic and environmental differences, all types of lyssaviruses registered in the territory of the RF pose a threat to humans and animals. Due to the growing processes of interpenetration of the anthropogenic environment and wildlife, in recent years, rabies has been increasingly registered in domestic carnivores, which significantly increases epidemiological risks. Aim. A retrospective comparative analysis of data on the incidence of rabies in humans and animals in the RF and on the territory of some regions of Eurasia adjacent to the RF for the period from 2013 to 2021 to characterize the current manifestations of the epidemic (epizootic) process of rabies. Materials and methods. The materials for the study were data from epidemiological surveillance of rabies in the RF and data from veterinary statistics for 2013–2021. Conventional methods and computer programs were used for the analysis: Microsoft Office Excel analysis package, as well as an online statistical calculator. The level of reliability of the data obtained was evaluated using the Pearson consensus criterion χ2, with a reliability level of p = 0.05 and p = 0.01. Results. It is shown that, on average, 2312.33 ± 752.24 cases of rabies in animals were registered on the territory of the RF for the period 2013–2021. With the observed trend towards a gradual decrease in the annual incidence of rabies among animals, the share of dogs and cats in the epizootic process has increased by 7.,4 and 3,8%, respectively,  over the past 2 years. At the same time, an increase in the incidence of rabies in humans by 4,33 times was recorded when comparing indicators with the previous period 2018-2019. Russia in total for 2013-2021 ranks first in the number of officially registered cases of rabies in humans (63%) among the countries of Europe, the Caucasus, Transcaucasia and Central Asia.  The European part of the RF accounts for 41,7–44,3% of cases of rabies among domestic and farm animals and 46,7% among wild animals compared to these regions. The recorded trend towards a decrease in the number of cases of rabies in animals  can be explained by long-term oral vaccination of wild carnivores. But the decrease in the number of natural foci of the disease did not provoke a proportional decrease in the incidence of rabies in domestic animals. As a r
的相关性。狂犬病,恐水症是一种急性病毒性人畜共患神经感染,在人类或动物出现临床症状时死亡率为100%。在俄罗斯联邦(RF)境内,狂犬病病原体(Lyssa病毒,Rhabdo病毒科)的主要生物储存库和分发者是犬科的野生捕食者,负责经典狂犬病病毒(狂犬病毒)的传播。此外,在RF领土以及东欧、小亚细亚和中亚国家,已经确定了另外6种溶血病毒属病毒的传播,这些病毒在蝙蝠种群中具有生物保留。尽管存在遗传和环境差异,但在RF领土上登记的所有类型的溶血病毒都对人类和动物构成威胁。近年来,由于人类活动环境与野生动物相互渗透的过程不断加深,家养食肉动物中狂犬病的病例越来越多,这大大增加了流行病学风险。的目标。对2013年至2021年期间俄罗斯联邦和与俄罗斯联邦相邻的欧亚大陆一些地区境内人类和动物狂犬病发病率数据进行回顾性比较分析,以确定目前狂犬病流行(动物流行病)过程的表现特征。材料和方法。本研究的资料来自2013-2021年RF狂犬病流行病学监测数据和兽医统计数据。使用常规方法和计算机程序进行分析:Microsoft Office Excel分析包,以及在线统计计算器。采用Pearson共识标准χ2评价所得资料的信度水平,信度水平分别为p = 0.05和p = 0.01。结果。结果表明,2013-2021年,在RF境内平均登记动物狂犬病病例为2312.33±752.24例。随着观察到的动物狂犬病年发病率逐渐下降的趋势,狗和猫在动物流行病过程中的份额增加了7%。在过去两年,分别上升了4%和3.8%。与此同时,与2018-2019年同期相比,人类狂犬病发病率增加了4.33倍。2013-2021年期间,俄罗斯在欧洲、高加索、外高加索和中亚国家中正式登记的人类狂犬病病例总数(63%)居首位。与这些地区相比,RF的欧洲部分占家养和农场动物狂犬病病例的41.7 - 44.3%,占野生动物狂犬病病例的46.7%。记录在案的动物狂犬病病例数呈下降趋势,这可以用长期口服野生食肉动物疫苗来解释。但是,疾病自然疫源地数量的减少并没有引起家畜狂犬病发病率的成比例下降。因此,狗和猫在发病结构中的比例显著增加,鉴于它们与人类接近,这确保了流行病学风险的高度维持。在泛欧狂犬病发病率中,RF在东欧和南欧国家之后排名第二。RF中所有报告的狂犬病病例都是由“经典”狂犬病病毒的自然循环引起的。近年来,在RF领土上的蝙蝠种群中未检测到溶血病毒,这与其他欧洲国家溶血病毒的高发病率形成对比。该地区与欧洲、高加索、外高加索和中亚等国家接壤,同时,该地区境内有广泛的sertinus Eptesicus和Myotis daubentonii,它们是EBLV-1和EBLV-2的生物宿主。基于上述情况,在RF领土内的蝙蝠种群中永久存在溶血病毒的风险非常高,需要定期监测。结论。对流行病学和流行病学风险的分析表明,需要调整正在实施的预防性抗狂犬病措施。应加强家养食肉动物的抗狂犬病疫苗接种,减少被忽视的动物数量,扩大野生食肉动物口服疫苗接种规划,监测RF境内蝙蝠种群中狂犬病毒的流行情况。
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引用次数: 0
Structure and Antibiotic Resistance of the Main Causative agents of Infections Associated with the Provision of Medical care 与提供医疗保健有关的感染的主要病原体的结构和抗生素耐药性
Pub Date : 2023-03-05 DOI: 10.31631/2073-3046-2023-22-1-68-73
N. Voropaeva, U. Nemchenko, E. Grigorova, N. L. Bel'kova, N. Chemezova, E. Savilov
Relevance. The problem of healthcare-associated infections (HCAI) is becoming increasingly important in epidemiological, social and economic terms. The most serious threat to hospital patients is multidrug-resistant Gram-negative organisms such as Pseudomonas aeruginosa and Klebsiella pneumoniae. The purpose of the study was to determine the etiological structure and sensitivity to antimicrobial agents of infectious agents associated with the provision of medical care in a children's multidisciplinary hospital. Materials and methods. The strains used in the work were obtained from patients aged from one to 15 years with severe infectious diseases. Additionally, swabs were taken from environmental objects. Bacteriological identification of selected strains was performed using standardized bacteriological algorithms and MALDI-TOF direct protein profiling of non-spore-forming microorganisms. Results. P. aeruginosa and K. pneumoniae were identified as the main causative agents of HAI with multiple resistance to AMPs in the children's multidisciplinary hospital, the source of which was mainly the respiratory tract. Multiple resistance to AMP was higher in K. pneumoniae, 38.9% of the studied isolates showed resistance to four drugs simultaneously. P. aeruginosa in 23.1% of cases was resistant to one AMP, in 15.4% - to two, four and seven AMPs. Conclusion. For a reasonable choice and optimization of antibacterial treatment of hospital patients, it is necessary to take into account the fact of wide circulation of hospital strains. Systematic monitoring of the constantly changing microbiological landscape of hospitals based on microbiological monitoring data and determining the levels of resistance to antimicrobial chemotherapy drugs will help reduce the risk and prevent the development of infections associated with healthcare.
的相关性。卫生保健相关感染(HCAI)的问题在流行病学、社会和经济方面变得越来越重要。对医院病人最严重的威胁是多重耐药革兰氏阴性菌,如铜绿假单胞菌和肺炎克雷伯菌。本研究的目的是确定与儿童多学科医院提供医疗服务相关的感染性病原体的病原学结构和对抗菌药物的敏感性。材料和方法。工作中使用的菌株来自1至15岁患有严重传染病的患者。此外,从环境物体中提取棉签。选择菌株的细菌学鉴定采用标准化细菌学算法和MALDI-TOF非孢子形成微生物的直接蛋白质谱分析。结果。在儿童多学科医院,铜绿假单胞菌和肺炎克雷伯菌是HAI的主要病原体,并对抗菌药物多重耐药,其来源主要是呼吸道。肺炎克雷伯菌对AMP的多重耐药较高,38.9%的分离株同时对4种药物耐药。23.1%的铜绿假单胞菌对一种AMP有耐药性,15.4%的病例对两种、四种和七种AMP有耐药性。结论。为合理选择和优化医院患者抗菌药物治疗方案,必须考虑到医院菌株广泛传播的事实。根据微生物监测数据对医院不断变化的微生物状况进行系统监测,并确定对抗微生物化疗药物的耐药性水平,将有助于降低风险并预防与医疗保健相关的感染的发展。
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引用次数: 1
Analysis of a Serological Study of Pertussis among Children and Adolescents in the Republic of Kazakhstan 哈萨克斯坦共和国儿童和青少年百日咳血清学研究分析
Pub Date : 2023-03-05 DOI: 10.31631/2073-3046-2023-22-1-89-103
M. Smagul, L. Yeraliyeva, A. Kuatbayeva, G. E. Nusupbayeva, L. Kasabekova, G. Nukenova, A. Satayeva, M. Smagulova, A. S. Mutaliyeva, A. B. Sagymbai, O. V. Imangaliyeva
Relevance. In 2018 over 151 000 cases of whooping cough were reported worldwide. In the Republic of Kazakhstan the incidence of whooping cough has always remained relevant. The incidence is recorded mainly among children under 14 years of age, whose share is 96–100% of the total incidence in certain years. It should also be noted that 82,9–96% of sick people are not vaccinated against whooping cough. Aims. Assessment of the duration of protection after vaccination against pertussis infection in Kazakhstan using antibodies against pertussis toxin (PT) and (IgA and IgG) as a specific marker of pertussis infection or vaccination in children and adolescents in the cities of the Republic of Kazakhstan: Aktobe, Karaganda, Taldykorgan, Shymkent for evaluation appropriate age for booster vaccination. Materials and methods. For the study included medical organizations in the cities of Aktobe, Karaganda, Taldykorgan, Shymkent. Participants aged 10–14 years who were hospitalized in children's hospitals and 15–18 years old who visited polyclinics were invited to participate in the study. Each city has 1 children's hospital (4 in total) and 2 polyclinics (8 in total). A total of 520 people of different age groups participated. Study period: February 2021 – October 2021. Inclusion criteria were such aspects as: age from 10 years to 18 years 11 months 29 days, informed consent obtained from parents or guardian(s) and patient consent, enrollment after visiting the clinic, the presence of documented evidence of immune status. An association between two qualitative variables is considered statistically significant if the p-value calculated using     the Chi-squared test is less than 0.05. Results. Among 520 participants aged 10–14 years – 200 (38.5%) and 15–18 years – 320 (61.5%), including boys – 284 (54.6%), girls – 236 (45.4%). The largest number of study participants was aged 15, 16 and 17 years, 10 participants (1.9%) had periods of prolonged coughing in the past 6 months. The first, second and third pertussis vaccines were received by 100% of children. The first and second vaccine for all children was the Adsorbed Diphtheria-Tetanus-Pertussis Vaccine (DPT). The third vaccine for 519 children was also DPT, for one child – AbDPT, due to the transition to a cell-free vaccine from the second half of 2013. The additional vaccine scheduled at 18 months of age was given to 519 participants (99.8%), of which 517 children (99.6%) received DPT and two children (0.4%) DPT. Just over half of the children (276 or 53.1%) also received the whooping cough vaccine at age 6. In biological blood samples of 17 participants (3.3%). antibodies of the IgA class were detected in 245 samples (47.1%) – antibodies of the IgG class. Of the 17 participants with IgA antibodies, 15 also tested positive for IgG. In total antibodies of the IgA and IgG classes were detected in 247 participants which amounted to 47.5%. Conclusions. This study showed the duration of protection after pertussis
的相关性。2018年,全球报告的百日咳病例超过15.1万例。在哈萨克斯坦共和国,百日咳的发病率始终具有相关性。发病率以14岁以下儿童为主,在某些年份占总发病率的96-100%。还应指出的是,82,9 - 96%的病人没有接种百日咳疫苗。目标利用百日咳毒素抗体(PT)和(IgA和IgG)作为哈萨克斯坦共和国阿克托别、卡拉干达、塔尔迪科尔根、奇姆肯特等城市儿童和青少年百日咳感染或接种疫苗的特定标记物,评估哈萨克斯坦接种百日咳感染疫苗后的保护持续时间,以评估加强疫苗接种的适当年龄。材料和方法。这项研究包括了阿克托贝、卡拉干达、塔尔迪科尔根、奇姆肯特等城市的医疗机构。在儿童医院住院的10-14岁的参与者和在综合诊所就诊的15-18岁的参与者被邀请参加研究。每个城市有1家儿童医院(总共4家)和2家综合诊所(总共8家)。共有520名不同年龄段的人参与了调查。学习时间:2021年2月- 2021年10月。纳入标准包括以下方面:年龄在10岁至18岁11个月29天之间,获得父母或监护人和患者的知情同意,在访问诊所后登记,存在免疫状态的书面证据。如果使用卡方检验计算的p值小于0.05,则认为两个定性变量之间的关联具有统计显著性。结果。在520名参与者中,10-14岁的有200人(38.5%),15-18岁的有320人(61.5%),其中男孩284人(54.6%),女孩236人(45.4%)。研究参与者中年龄最大的是15岁、16岁和17岁,10名参与者(1.9%)在过去6个月有长时间咳嗽。第一次、第二次和第三次百日咳疫苗的接种率为100%。所有儿童的第一和第二种疫苗是吸附白喉-破伤风-百日咳疫苗(DPT)。为519名儿童接种的第三种疫苗也是百白破,为一名儿童接种的是AbDPT,因为从2013年下半年开始过渡到无细胞疫苗。519名参与者(99.8%)在18个月大时接种了额外的疫苗,其中517名儿童(99.6%)接种了百白破,2名儿童(0.4%)接种了百白破。超过一半的儿童(276名或53.1%)在6岁时也接种了百日咳疫苗。在17名参与者的生物血液样本中(3.3%)。245份样本中检出IgA类抗体(47.1%),IgG类抗体检出IgG类抗体。在17名有IgA抗体的参与者中,有15人的IgG检测呈阳性。检测到IgA和IgG类抗体247例,占47.5%。结论。这项研究显示了哈萨克斯坦不同年龄组的百日咳疫苗接种后的保护时间。总共520名参与者中有247人检测到IgA和IgG类抗体,占47.5%。生物血样中检出IgA抗体17例(3.3%),IgG类抗体245例(47.1%)。在研究前6个月,年龄较大的儿童和有呼吸道症状的儿童中,IgA抗体的流行率具有统计学意义。6岁(47.1%)和10-14岁(56.2%)接种百日咳疫苗的儿童中IgG抗体的流行率显著高于15-18岁年龄组(43.8%),与其他家庭成员共用卧室的儿童中IgG抗体的流行率也显著高于单独居住的儿童。因此,可以说,在年龄较大的年龄组中,百日咳病例有所增加,而保护性疫苗免疫力有所下降,这引起了人们对家庭中易受感染儿童的感染传播以及加强疫苗接种战略的必要性的关注。
{"title":"Analysis of a Serological Study of Pertussis among Children and Adolescents in the Republic of Kazakhstan","authors":"M. Smagul, L. Yeraliyeva, A. Kuatbayeva, G. E. Nusupbayeva, L. Kasabekova, G. Nukenova, A. Satayeva, M. Smagulova, A. S. Mutaliyeva, A. B. Sagymbai, O. V. Imangaliyeva","doi":"10.31631/2073-3046-2023-22-1-89-103","DOIUrl":"https://doi.org/10.31631/2073-3046-2023-22-1-89-103","url":null,"abstract":"Relevance. In 2018 over 151 000 cases of whooping cough were reported worldwide. In the Republic of Kazakhstan the incidence of whooping cough has always remained relevant. The incidence is recorded mainly among children under 14 years of age, whose share is 96–100% of the total incidence in certain years. It should also be noted that 82,9–96% of sick people are not vaccinated against whooping cough. Aims. Assessment of the duration of protection after vaccination against pertussis infection in Kazakhstan using antibodies against pertussis toxin (PT) and (IgA and IgG) as a specific marker of pertussis infection or vaccination in children and adolescents in the cities of the Republic of Kazakhstan: Aktobe, Karaganda, Taldykorgan, Shymkent for evaluation appropriate age for booster vaccination. Materials and methods. For the study included medical organizations in the cities of Aktobe, Karaganda, Taldykorgan, Shymkent. Participants aged 10–14 years who were hospitalized in children's hospitals and 15–18 years old who visited polyclinics were invited to participate in the study. Each city has 1 children's hospital (4 in total) and 2 polyclinics (8 in total). A total of 520 people of different age groups participated. Study period: February 2021 – October 2021. Inclusion criteria were such aspects as: age from 10 years to 18 years 11 months 29 days, informed consent obtained from parents or guardian(s) and patient consent, enrollment after visiting the clinic, the presence of documented evidence of immune status. An association between two qualitative variables is considered statistically significant if the p-value calculated using     the Chi-squared test is less than 0.05. Results. Among 520 participants aged 10–14 years – 200 (38.5%) and 15–18 years – 320 (61.5%), including boys – 284 (54.6%), girls – 236 (45.4%). The largest number of study participants was aged 15, 16 and 17 years, 10 participants (1.9%) had periods of prolonged coughing in the past 6 months. The first, second and third pertussis vaccines were received by 100% of children. The first and second vaccine for all children was the Adsorbed Diphtheria-Tetanus-Pertussis Vaccine (DPT). The third vaccine for 519 children was also DPT, for one child – AbDPT, due to the transition to a cell-free vaccine from the second half of 2013. The additional vaccine scheduled at 18 months of age was given to 519 participants (99.8%), of which 517 children (99.6%) received DPT and two children (0.4%) DPT. Just over half of the children (276 or 53.1%) also received the whooping cough vaccine at age 6. In biological blood samples of 17 participants (3.3%). antibodies of the IgA class were detected in 245 samples (47.1%) – antibodies of the IgG class. Of the 17 participants with IgA antibodies, 15 also tested positive for IgG. In total antibodies of the IgA and IgG classes were detected in 247 participants which amounted to 47.5%. Conclusions. This study showed the duration of protection after pertussis ","PeriodicalId":11736,"journal":{"name":"Epidemiology and Vaccinal Prevention","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86015523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Etiological Structure, Clinical and Epidemiological Characteristics of Infections Transmitted by Ixodic Ticks in the Sverdlovsk Region at the Present Stage 斯维尔德洛夫斯克地区现阶段伊蜱传播感染的病原学结构、临床和流行病学特征
Pub Date : 2023-03-05 DOI: 10.31631/2073-3046-2023-22-1-38-58
N. Kolyasnikova, M. Toporkova, J. P. Sanchez-Pimentel, A. S. Nazarenko, O. Stukolova, I. G. Starodubova, T. Chekanova, A. Titkov, A. A. Tihomirova, E. A. Kuznetsova, Y. Beikin, Y. Naumov, N. Pestov, V. Mishchenko, I. V. Vyalykh, A. Ishmukhametov, V. Akimkin
Relevance. The Sverdlovsk region is a highly endemic territory for infections transmitted by ixodic ticks. The possibilities of laboratory diagnostics of tick–borne infections in the routine practice of a clinician in the region today are limited mainly by testing blood serum for antibodies to the tick-borne encephalitis virus (TBE virus) and Lyme disease (LD) pathogens – Borrelia burgdorferi sensu lato complex, therefore, among tick-borne infections in the region currently mainly TBE and LD are registered. In case of negative results for antibodies to the pathogens of the above infections, the diagnosis may remain unknown. Aims. To study the etiological structure of infections transmitted by ixodic ticks in the Sverdlovsk region at the present stage, as well as to characterize the epidemiological and clinical features of the course of tick-borne infections detected in conditions of a combination of natural foci. Materials and methods. The study included 227 patients undergoing inpatient or outpatient treatment during the epidemic season of tick activity in 2021 (June-August) at LLS MO "New Hospital" (Urban Center of Natural Focal Infections). The case histories (epidemiological, clinical and laboratory indicators) were studied from each patient, as well as the material (blood) was examined prospectively and retrospectively using molecular biological (PCR) and serological (ELISA, planar protein biochip) methods. Results and discussion. During the study, six diseases were identified among the examined patients: TBE, LD (erythematous and nonerythematous forms), Borrelia miyamotoi disease (BMD), human granulocytic anaplasmosis (HGA), human monocytic ehrlichiosis (HME), as well as "Viral fever transmitted by arthropods" (VFTA). Among the examined patients, the proportion of patients with monoinfection was 49,5%, with mixed infection – 50,5%. Additional studies conducted by us using specific PCR for the presence DNA rickettsia and the causative agent of Q-fever in the blood of patients gave negative results. The general epidemiological characteristics for the above identified infections were the vector-borne mechanism, the prevalence of diseases in groups of middle-aged and elderly people, the largest number of cases of infection with pathogens of any tick-borne infection occurred in Yekaterinburg and its surroundings, for all infections, the duration of tick bite in most cases did not exceed one day; there were differences by sex, incubation period. Clinical symptoms were similar, except for the erythematous form of LD (the presence of erythema migrans at the byte site of tick), because the vast majority of patients had a general infectious syndrome; general laboratory indicators varied. Confirmation of the diagnosis was based on the results of the complex application of molecular biological and serological research methods. Conclusions. The modern etiological structure of infections transmitted by ixodic ticks in the Sverdlovsk region is represented
的相关性。斯维尔德洛夫斯克地区是由蜱虫传播的传染病的高度流行地区。目前,在该地区临床医生的常规实践中,对蜱传感染进行实验室诊断的可能性主要受限于检测血清中蜱传脑炎病毒(TBE病毒)和莱姆病病原体(伯氏疏螺旋体)的抗体,因此,目前在该地区的蜱传感染中主要登记了TBE和LD。如果对上述感染的病原体的抗体结果为阴性,则诊断可能仍然未知。目标研究斯维尔德洛夫斯克地区现阶段由蜱传播的感染的病原学结构,以及在自然疫源地组合条件下发现的蜱传感染过程的流行病学和临床特征。材料和方法。该研究包括在2021年蜱虫活动流行季节(6月至8月)在LLS MO“新医院”(城市自然局灶性感染中心)接受住院或门诊治疗的227名患者。采用分子生物学(PCR)和血清学(ELISA、平面蛋白生物芯片)方法对每位患者的病例史(流行病学、临床和实验室指标)进行研究,并对材料(血液)进行前瞻性和回顾性检查。结果和讨论。在研究中,在检查的患者中发现了6种疾病:TBE、LD(红斑型和非红斑型)、宫本氏疏螺旋体病(BMD)、人粒细胞无形体病(HGA)、人单核细胞埃利希体病(HME)和“节肢动物传播的病毒性热”(VFTA)。在检查的患者中,单一感染患者占49.5%,混合感染患者占50.5%。我们对患者血液中DNA立克次体和致病菌q热进行了特异性PCR检测,结果为阴性。上述确定的感染的一般流行病学特征是媒介传播机制,疾病在中老年人群体中流行,在叶卡捷琳堡及其周边地区发生的任何蜱传感染的病原体感染病例最多,对于所有感染,大多数病例的蜱叮咬持续时间不超过一天;不同性别和潜伏期有差异。临床症状是相似的,除了红斑形式的LD(在蜱的byte部位存在红斑迁移),因为绝大多数患者有一般的感染综合征;一般实验室指标各不相同。诊断的确认是基于分子生物学和血清学研究方法的复杂应用结果。结论。斯维尔德洛夫斯克地区蜱类传播感染的现代病原学结构不仅以TBE和LD为代表,而且以BMD、HGA、HME等新发疾病为代表,同时还显示出多种组合的混合感染比例较高。
{"title":"Etiological Structure, Clinical and Epidemiological Characteristics of Infections Transmitted by Ixodic Ticks in the Sverdlovsk Region at the Present Stage","authors":"N. Kolyasnikova, M. Toporkova, J. P. Sanchez-Pimentel, A. S. Nazarenko, O. Stukolova, I. G. Starodubova, T. Chekanova, A. Titkov, A. A. Tihomirova, E. A. Kuznetsova, Y. Beikin, Y. Naumov, N. Pestov, V. Mishchenko, I. V. Vyalykh, A. Ishmukhametov, V. Akimkin","doi":"10.31631/2073-3046-2023-22-1-38-58","DOIUrl":"https://doi.org/10.31631/2073-3046-2023-22-1-38-58","url":null,"abstract":"Relevance. The Sverdlovsk region is a highly endemic territory for infections transmitted by ixodic ticks. The possibilities of laboratory diagnostics of tick–borne infections in the routine practice of a clinician in the region today are limited mainly by testing blood serum for antibodies to the tick-borne encephalitis virus (TBE virus) and Lyme disease (LD) pathogens – Borrelia burgdorferi sensu lato complex, therefore, among tick-borne infections in the region currently mainly TBE and LD are registered. In case of negative results for antibodies to the pathogens of the above infections, the diagnosis may remain unknown. Aims. To study the etiological structure of infections transmitted by ixodic ticks in the Sverdlovsk region at the present stage, as well as to characterize the epidemiological and clinical features of the course of tick-borne infections detected in conditions of a combination of natural foci. Materials and methods. The study included 227 patients undergoing inpatient or outpatient treatment during the epidemic season of tick activity in 2021 (June-August) at LLS MO \"New Hospital\" (Urban Center of Natural Focal Infections). The case histories (epidemiological, clinical and laboratory indicators) were studied from each patient, as well as the material (blood) was examined prospectively and retrospectively using molecular biological (PCR) and serological (ELISA, planar protein biochip) methods. Results and discussion. During the study, six diseases were identified among the examined patients: TBE, LD (erythematous and nonerythematous forms), Borrelia miyamotoi disease (BMD), human granulocytic anaplasmosis (HGA), human monocytic ehrlichiosis (HME), as well as \"Viral fever transmitted by arthropods\" (VFTA). Among the examined patients, the proportion of patients with monoinfection was 49,5%, with mixed infection – 50,5%. Additional studies conducted by us using specific PCR for the presence DNA rickettsia and the causative agent of Q-fever in the blood of patients gave negative results. The general epidemiological characteristics for the above identified infections were the vector-borne mechanism, the prevalence of diseases in groups of middle-aged and elderly people, the largest number of cases of infection with pathogens of any tick-borne infection occurred in Yekaterinburg and its surroundings, for all infections, the duration of tick bite in most cases did not exceed one day; there were differences by sex, incubation period. Clinical symptoms were similar, except for the erythematous form of LD (the presence of erythema migrans at the byte site of tick), because the vast majority of patients had a general infectious syndrome; general laboratory indicators varied. Confirmation of the diagnosis was based on the results of the complex application of molecular biological and serological research methods. Conclusions. The modern etiological structure of infections transmitted by ixodic ticks in the Sverdlovsk region is represented","PeriodicalId":11736,"journal":{"name":"Epidemiology and Vaccinal Prevention","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77580199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Study of Humoral Immunity against Coronavirus Infection COVID-19 in Vaccinated Individuals with Vaccines Available in the Republic of Belarus (Sputnik V (Gam-COVID-Vac), RF and Sinopharm (BBIBP-CorV), PRC) 白俄罗斯共和国(Sputnik V (Gam-COVID-Vac), RF和中华人民共和国中国医药集团公司(BBIBP-CorV))疫苗接种者对冠状病毒感染COVID-19的体液免疫研究
Pub Date : 2023-03-05 DOI: 10.31631/2073-3046-2023-22-1-28-37
K. Korsak, I. Stoma, E. Voropaev, O. Osipkina, A. A. Kovalev
Relevance. Many countries around the world are developing effective vaccines against SARS-CoV-2. The measure of the effectiveness of the vaccination process has traditionally been antibody production. The frequency and intensity of adverse reactions is also an important factor in making a decision regarding a vaccine. This study presents the results of the evaluation of the formation of humoral immunity and the occurrence of reactions in response to the administration of Sputnik V (Gam-COVID-Vac), RF, and Sinopharm (BBIBP-CorV), PRC. Aim. Analyze immunogenicity and reactogenicity of COVID-19 vaccines used in the Republic of Belarus (Sputnik V and Sinopharm). Materials and methods. Evaluation of postvaccination immune response by enzyme immunoassay and differential enzyme immunoassay for class G immunoglobulins to S- and N-proteins SARS-CoV-2. Blood plasma of the study participants was used as biological material. Blood sampling was performed 3 times: immediately before the first vaccine dose, on day 42, and 6 months after the first vaccine dose. To evaluate the frequency and intensity of postvaccination reactions, study participants were questioned. Results. At 42 days after administration of both vaccines, antibody levels are rising, with a significantly higher quantitative IgG count for the Sputnik V vaccine. This trend is also observed 6 months after the first dose of both vaccines, both among those previously infected with SARS-CoV-2 and those without a history of COVID-19. The comparison of Sputnik V and Sinopharm vaccine groups in terms of IgG (BAU/ml) levels to S- and N-proteins revealed a statistically significant difference in IgG levels to S-protein: the Sputnik V vaccine group had significantly higher IgG levels to S-protein than the Sinopharm vaccine group (p = 0.0000196). The incidence of adverse reactions in this study was 45%. All reactions noted were mild to moderate in severity. The most common were soreness and redness at the injection site, elevated body temperature, and a combination of several reactions. The increased body temperature after vaccination was more common among those vaccinated with the Sputnik V vaccine. Conclusion. Compared to Sinopharm, Sputnik V vaccine produces higher antibody level. Adverse reactions were observed in both vaccinated groups. However, significant statistical differences were found with regard to fever in the Sputnik V vaccine group, which occurred more frequently.
的相关性。世界上许多国家正在开发针对SARS-CoV-2的有效疫苗。传统上衡量疫苗接种过程有效性的标准是抗体的产生。不良反应的频率和强度也是决定是否接种疫苗的一个重要因素。本研究报告了中华人民共和国Sputnik V (Gam-COVID-Vac)、RF和中国医药集团公司(BBIBP-CorV)给药后体液免疫形成和反应发生的评估结果。的目标。分析白俄罗斯共和国(Sputnik V和中国医药集团公司)使用的COVID-19疫苗的免疫原性和反应原性。材料和方法。用酶免疫分析法和差异酶免疫分析法评价接种后G类免疫球蛋白对SARS-CoV-2 S和n蛋白的免疫应答。研究参与者的血浆被用作生物材料。采血3次:第一次疫苗接种前、第42天和第一次疫苗接种后6个月。为了评估疫苗接种后反应的频率和强度,研究参与者接受了询问。结果。在接种两种疫苗42天后,抗体水平上升,Sputnik V疫苗的IgG定量计数明显较高。在首次接种两种疫苗6个月后也观察到这一趋势,无论是在以前感染过SARS-CoV-2的人群中,还是在没有COVID-19病史的人群中。Sputnik V疫苗组与国药控股疫苗组S-和n -蛋白IgG (BAU/ml)水平比较,S-蛋白IgG水平差异有统计学意义:Sputnik V疫苗组S-蛋白IgG水平显著高于国药控股疫苗组(p = 0.0000196)。本研究不良反应发生率为45%。所有记录的反应都是轻度到中度的严重程度。最常见的是注射部位的疼痛和发红,体温升高,以及几种反应的组合。接种Sputnik V疫苗后体温升高在接种者中更为常见。结论。与国药相比,Sputnik V疫苗产生更高的抗体水平。在接种疫苗的两组中均观察到不良反应。然而,在Sputnik V疫苗组中发现了显著的统计差异,发热发生的频率更高。
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引用次数: 0
Synergistic Effect of Enzyme Preparations and Gentamycin on Biofilms of Bordetella pertussis 酶制剂与庆大霉素对百日咳杆菌生物膜的协同作用
Pub Date : 2023-01-10 DOI: 10.31631/2073-3046-2022-21-6-97-103
E. M. Zaitsev, M. V. Britsina, M. N. Ozeretskovskaya, I. G. Bazhanova
Relevance. An increase in the incidence of whooping cough, a high proportion of severe forms of the disease, and a decrease in the sensitivity of circulating strains of B. pertussis to antibiotics require the development of more effective etiotropic therapies, including those capable of influencing biofilm forms of the whooping cough pathogen, which differ from planktonic cells by increased resistance to the host immune system and antibacterial drugs.Аim of the work is to study the effect of trypsin and lidase in combination with gentamycin on the growth of biofilms of Bordetella pertussis strains on an abiotic substrate.Materials and methods. In the experiments B. pertussis strains isolated in the Russian Federation from whooping cough patients in 2001‒2010 were used: No. 178 (serotype 1.2.0), No. 287 (serotype 1.0.3) and No. 317 (serotype 1.2.3), grown on a dense nutrient medium. The intensity of biofilm formation in a liquid nutrient medium in the presence of trypsin (10 mcg/ml), lidase (20 IU/ml), gentamycin (2.0 mg/ml, 0.4 mg/ml and 0.08 mg/ml) and their combinations in roundbottomed polystyrene 96­well plates was evaluated by staining with 0.1% gentian­violet solution.Results. Gentamycin partially suppressed the formation of biofilms and caused partial destruction of the formed biofilms in the absence of growth of microbial colonies when sowing supernatants from biofilm cultures on a dense nutrient medium. The minimum suppressive concentration of gentamycin (MSC) was 2 mg/ml. Trypsin completely suppressed the growth of biofilms and caused the complete destruction of the formed biofilms. Lidase also suppressed the growth of biofilms, but less effectively affected the formed biofilms. The growth of colonies typical of B. pertussis was noted when sowing supernatants from biofilm cultures in the presence of trypsin and lidasе on a dense nutrient medium. Trypsin in combination with all the studied concentrations of gentamycin completely suppressed the growth of biofilms (MSC 0.08 mg/ml), and in combination with gentamycin at a concentration of 2.0 mg/ml caused complete destruction of biofilms in the absence of microbial growth on a dense nutrient medium. Lidase in combination with all the studied concentrations of gentamycin also suppressed the formation of biofilms (MSC 0.08 mg/ml), and in combination with gentamycin at a concentration of 2.0 mg/ml caused partial destruction of the formed biofilms in the absence of microbial growth on a dense nutrient medium.Conclusion. The synergistic effect of the combination of trypsin and lidase with gentamycin on growing and formed biofilms of B. pertussis strains was revealed. The combined use of trypsin or lidase with gentamicin reduced its MSC for growing biofilms by 25 times. The most pronounced effect on the formed biofilms was the combination of trypsin with gentamycin at a concentration of 2 mg/ml, which caused their complete destruction and death of planktonic cells. The effect of the combination o
的相关性。百日咳发病率的增加、严重形式百日咳的比例很高以及循环百日咳菌株对抗生素的敏感性下降,都需要开发更有效的致病因疗法,包括能够影响百日咳病原体生物膜形式的疗法,百日咳病原体生物膜形式与浮游细胞不同,对宿主免疫系统和抗菌药物的抵抗力增强。Аim的工作是研究胰蛋白酶和利酶联合庆大霉素对百日咳杆菌菌株在非生物底物上生长的影响。材料和方法。实验采用2001-2010年在俄罗斯联邦从百日咳患者身上分离的百日咳b型菌株:178号(血清型1.2.0)、287号(血清型1.0.3)和317号(血清型1.2.3),在密集的营养培养基上生长。采用0.1%龙胆紫染色法,考察了胰酶(10 mcg/ml)、利酶(20 IU/ml)、庆大霉素(2.0 mg/ml、0.4 mg/ml和0.08 mg/ml)及其组合在圆底聚苯乙烯96孔板中生物膜形成的强度。庆大霉素部分抑制了生物膜的形成,并在微生物菌落没有生长的情况下造成形成的生物膜的部分破坏,当从生物膜培养的上清液在密集的营养培养基上播种时。庆大霉素(MSC)最小抑制浓度为2 mg/ml。胰蛋白酶完全抑制生物膜的生长,使形成的生物膜完全破坏。Lidase对生物膜的生长也有抑制作用,但对生物膜的形成影响较小。当在密集的营养培养基上播种胰蛋白酶和利达西存在的生物膜培养的上清时,注意到百日咳菌落的典型生长。胰蛋白酶与所有研究浓度的庆大霉素联合使用(MSC 0.08 mg/ml)可完全抑制生物膜的生长,而与2.0 mg/ml浓度的庆大霉素联合使用在密集的营养培养基上,在没有微生物生长的情况下,可完全破坏生物膜。Lidase与所有研究浓度的庆大霉素联合使用(MSC 0.08 mg/ml)也能抑制生物膜的形成,而与浓度为2.0 mg/ml的庆大霉素联合使用在密集的营养培养基上,在没有微生物生长的情况下,形成的生物膜被部分破坏。揭示了胰酶和利酶与庆大霉素联合对百日咳菌株生长和形成生物膜的协同作用。胰蛋白酶或利德酶与庆大霉素联合使用使其生长生物膜的间充质干细胞减少了25倍。对形成的生物膜最显著的影响是胰蛋白酶与庆大霉素以2 mg/ml的浓度联合使用,导致生物膜完全破坏和浮游细胞死亡。利德酶与庆大霉素联用对生物膜形成的影响不明显。
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引用次数: 0
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Epidemiology and Vaccinal Prevention
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