首页 > 最新文献

European Journal of Clinical Microbiology and Infectious Diseases最新文献

英文 中文
Streptococcus agalactiae is resistant to β-lactam antibiotics in a diabetic patient with foot infection: a case report 糖尿病足部感染患者无乳链球菌对β-内酰胺类抗生素耐药1例
Pub Date : 2022-06-01 DOI: 10.51559/jcmid.v2i1.13
Yolanda Pitra Kusumadewi, Afdina Melya Ganes Febiyanti, Ilma Tazkiya, Galang Ridha Allatief, Annisa Somaningtyas, Cicilia Widhi Astuti, Ika Puspitasari, K. Triyana, T. Wibawa, T. Nuryastuti
Introduction: Diabetic foot infection is a complication that often occurs in people with diabetes mellitus. Staphylococcus aureus is the most common microorganism found in diabetic foot infections. In addition, coagulase-negative staphylococci, Enterococcus faecalis, Streptococcus agalactiae, and Pseudomonas aeruginosa can also be demonstrated. Diabetic foot infection treatment usually takes a long time which may increasing the risk of antibiotic resistance. This article will present a unique and interesting case about Streptococcus agalactiae resistant to β-lactam infection.Case description: A 56-year-old man presented with a long history of diabetes mellitus but had not taken anti-diabetic drugs and had no history of previous use of antibiotics. Since 2016 his right foot had a recurring wound that he routinely treated. Microbiology culture of the wound swab obtained three bacteria namely Streptococcus agalactiae, Proteus mirabilis and Klebsiella pneumoniae which is resistant to β-lactam antibiotics.Conclusion: The identification of Group B Streptococcus bacteria (Streptococcus agalactiae) which are resistant to β-lactam antibiotics (penicillin, third and fourth generation cephalosporins) which were found in this case, reminds all medical personnel to be more careful and prudent in the rational use of antibiotics.
糖尿病足感染是糖尿病患者常发生的并发症。金黄色葡萄球菌是糖尿病足感染中最常见的微生物。此外,凝固酶阴性的葡萄球菌、粪肠球菌、无乳链球菌和铜绿假单胞菌也可以被证实。糖尿病足感染的治疗通常需要很长时间,这可能会增加抗生素耐药性的风险。本文将介绍一个独特而有趣的病例无乳链球菌对β-内酰胺感染的抗性。病例描述:56岁男性,有长期糖尿病病史,但未服用抗糖尿病药物,既往无抗生素使用史。自2016年以来,他的右脚反复受伤,他经常治疗。创面拭子微生物培养获得对β-内酰胺类抗生素耐药的无乳链球菌、奇异变形杆菌和肺炎克雷伯菌3种细菌。结论:本病例检出对β-内酰胺类抗生素(青霉素、第三代和第四代头孢菌素)耐药的B族链球菌(无乳链球菌),提醒医务人员在合理使用抗生素时要更加谨慎谨慎。
{"title":"Streptococcus agalactiae is resistant to β-lactam antibiotics in a diabetic patient with foot infection: a case report","authors":"Yolanda Pitra Kusumadewi, Afdina Melya Ganes Febiyanti, Ilma Tazkiya, Galang Ridha Allatief, Annisa Somaningtyas, Cicilia Widhi Astuti, Ika Puspitasari, K. Triyana, T. Wibawa, T. Nuryastuti","doi":"10.51559/jcmid.v2i1.13","DOIUrl":"https://doi.org/10.51559/jcmid.v2i1.13","url":null,"abstract":"Introduction: Diabetic foot infection is a complication that often occurs in people with diabetes mellitus. Staphylococcus aureus is the most common microorganism found in diabetic foot infections. In addition, coagulase-negative staphylococci, Enterococcus faecalis, Streptococcus agalactiae, and Pseudomonas aeruginosa can also be demonstrated. Diabetic foot infection treatment usually takes a long time which may increasing the risk of antibiotic resistance. This article will present a unique and interesting case about Streptococcus agalactiae resistant to β-lactam infection.\u0000Case description: A 56-year-old man presented with a long history of diabetes mellitus but had not taken anti-diabetic drugs and had no history of previous use of antibiotics. Since 2016 his right foot had a recurring wound that he routinely treated. Microbiology culture of the wound swab obtained three bacteria namely Streptococcus agalactiae, Proteus mirabilis and Klebsiella pneumoniae which is resistant to β-lactam antibiotics.\u0000Conclusion: The identification of Group B Streptococcus bacteria (Streptococcus agalactiae) which are resistant to β-lactam antibiotics (penicillin, third and fourth generation cephalosporins) which were found in this case, reminds all medical personnel to be more careful and prudent in the rational use of antibiotics.","PeriodicalId":11964,"journal":{"name":"European Journal of Clinical Microbiology and Infectious Diseases","volume":"44 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80252363","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
Comparison of Crystal Violet Staining Assay and XTT Methods in the Evaluation of Biofilm Formation in Candida parapsilosis Candidemia Isolates 结晶紫染色法与XTT法评价假丝酵母假丝菌分离株生物膜形成的比较
Pub Date : 2021-12-30 DOI: 10.36519/idcm.2021.104
O. Dogan, N. Atac, G. Babuccu, F. Can
Objective: Biofilm formation is one of the most important virulence factors of Candida species which leads to permanent infection foci by adhering to foreign materials and which are difficult to treat. Candida parapsilosis, which is one of the most common causes of candidemia in our country, is frequently isolated as a causative agent in catheterrelated infections. The most commonly used methods for evaluating the biofilm formation of Candida species are measuring cell viability with XTT (2,3-bis (2-methoxy-4-nitro-5sulfophenyl)-5-[(phenylamino) carbonyl]-2H-tetrazolium hydroxide) and evaluating the total biofilm mass with crystal violet (CV). The aim of this study is to evaluate the biofilm formation ability of C. parapsilosis candidemia isolates by XTT and (CV) methods and compare these methods with each other. Materials and Methods: C. parapsilosis isolates sent from various hospitals between 2015 and 2019 were included in the study retrospectively, and the species-level identification was performed using the matrixassisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF/MS) The biofilm formation of the isolates was compared based on the optical density (OD) values obtained by crystal violet and XTT methods. The biofilm formation of the isolates was evaluated by categorizing them into low, medium and high biofilm groups as ± 20% according to the median value of all strains. Results: Totally, 79 C. parapsilosis candidemia isolates were included in this study and categorical compatibility between CV and XTT methods in low, medium and high biofilm groups was found as 69.6%, 60.6% and 73.9%, respectively. The OD values of the XTT method in the high biofilm group were found statistically significantly higher when compared with the values from the CV method. Conclusion: The compatibility of XTT and crystal violet methods in terms of biofilm measurement in C. parapsilosis isolates was considered acceptable, and no major variations were detected between the categories. According to these results, when evaluating the biofilm levels of C. parapsilosis isolates, high OD values obtained by the XTT method should be confirmed with the CV method.
目的:生物膜形成是念珠菌最重要的毒力因素之一,念珠菌黏附异物形成永久性感染灶,治疗困难。假丝酵母菌伴假丝酵母菌病是我国最常见的念珠菌病之一,在导管相关感染中经常被分离出来作为病原体。评价念珠菌生物膜形成最常用的方法是用XTT(2,3-二(2-甲氧基-4-硝基-5-巯基)-5-[(苯胺)羰基]- 2h -氢氧化四氮唑)测定细胞活力和用结晶紫(CV)测定生物膜总质量。本研究的目的是通过XTT和(CV)两种方法评价假丝酵素假丝菌分离株的生物膜形成能力,并进行比较。材料与方法:回顾性收集2015 - 2019年各医院收治的假假梭菌分离株,采用基质辅助激光解吸/电离飞行时间质谱(MALDI-TOF/MS)进行种级鉴定,并根据结晶紫法和XTT法获得的光密度(OD)值比较分离株的生物膜形成情况。根据所有菌株的中位数,将其分为低、中、高生物膜组(±20%),评价菌株的生物膜形成情况。结果:本研究共检获79株假丝酵菌,CV法和XTT法在低、中、高生物膜组的分类相容性分别为69.6%、60.6%和73.9%。高生物膜组XTT法OD值高于CV法OD值,差异有统计学意义。结论:XTT法和结晶紫法在假梭菌生物膜测定方面的相容性可接受,两种方法间无明显差异。综上所述,在评价副青枯病分离物的生物膜水平时,XTT法获得的较高OD值应与CV法一致。
{"title":"Comparison of Crystal Violet Staining Assay and XTT Methods in the Evaluation of Biofilm Formation in Candida parapsilosis Candidemia Isolates","authors":"O. Dogan, N. Atac, G. Babuccu, F. Can","doi":"10.36519/idcm.2021.104","DOIUrl":"https://doi.org/10.36519/idcm.2021.104","url":null,"abstract":"Objective: Biofilm formation is one of the most important virulence factors of Candida species which leads to permanent infection foci by adhering to foreign materials and which are difficult to treat. Candida parapsilosis, which is one of the most common causes of candidemia in our country, is frequently isolated as a causative agent in catheterrelated infections. The most commonly used methods for evaluating the biofilm formation of Candida species are measuring cell viability with XTT (2,3-bis (2-methoxy-4-nitro-5sulfophenyl)-5-[(phenylamino) carbonyl]-2H-tetrazolium hydroxide) and evaluating the total biofilm mass with crystal violet (CV). The aim of this study is to evaluate the biofilm formation ability of C. parapsilosis candidemia isolates by XTT and (CV) methods and compare these methods with each other. Materials and Methods: C. parapsilosis isolates sent from various hospitals between 2015 and 2019 were included in the study retrospectively, and the species-level identification was performed using the matrixassisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF/MS) The biofilm formation of the isolates was compared based on the optical density (OD) values obtained by crystal violet and XTT methods. The biofilm formation of the isolates was evaluated by categorizing them into low, medium and high biofilm groups as ± 20% according to the median value of all strains. Results: Totally, 79 C. parapsilosis candidemia isolates were included in this study and categorical compatibility between CV and XTT methods in low, medium and high biofilm groups was found as 69.6%, 60.6% and 73.9%, respectively. The OD values of the XTT method in the high biofilm group were found statistically significantly higher when compared with the values from the CV method. Conclusion: The compatibility of XTT and crystal violet methods in terms of biofilm measurement in C. parapsilosis isolates was considered acceptable, and no major variations were detected between the categories. According to these results, when evaluating the biofilm levels of C. parapsilosis isolates, high OD values obtained by the XTT method should be confirmed with the CV method.","PeriodicalId":11964,"journal":{"name":"European Journal of Clinical Microbiology and Infectious Diseases","volume":"38 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84004335","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
All-cause excess mortality in 2020: The example of Bursa City in Turkey 2020年的全因超额死亡率:以土耳其布尔萨市为例
Pub Date : 2021-12-30 DOI: 10.36519/idcm.2021.86
Kayıhan Pala, Nese Yurekli, Nil Kader Çağaç, Alpaslan Turkkan
{"title":"All-cause excess mortality in 2020: The example of Bursa City in Turkey","authors":"Kayıhan Pala, Nese Yurekli, Nil Kader Çağaç, Alpaslan Turkkan","doi":"10.36519/idcm.2021.86","DOIUrl":"https://doi.org/10.36519/idcm.2021.86","url":null,"abstract":"","PeriodicalId":11964,"journal":{"name":"European Journal of Clinical Microbiology and Infectious Diseases","volume":"57 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83975920","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
Listeria bacteremia: Don’t Underestimate Gastroenteritis in Elderly 李斯特菌血症:不要低估老年人肠胃炎
Pub Date : 2021-12-30 DOI: 10.36519/idcm.2021.63
H. Araz, G. Arslan, Aysel Kocagul-Celikbas, A. Aypak, B. Dokuzoğuz
This work is licensed under a Creative Commons Attribution-Non Commercial 4.0 International License. ABSTRACT Listeria monocytogenes is a self-limiting gastroenteritis agent in healthy adults, while it can also cause more severe conditions such as bacteremia and meningitis in pregnant women, newborns, elderly and immunosuppressed patients. In our report, an 81-year-old geriatric patient presented with fever, dysuria, and gastroenteritis. The patient was prescribed ceftriaxone empirically upon admission, and urine culture was reported as Escherichia coli sensitive to ceftriaxone. However, there were still no fever response and clinical improvement on the third day of antibiotic treatment. In blood culture obtained upon admission, Listeria monocytogenes was grown on the third day. The patient responded to treatment after her treatment was changed to ampicillinsulbactam. However, a pulmonary embolism developed on the 14th day of admission, and the patient was transferred to the intensive care unit. In our report, it was stated that attention should be paid to the nutrition of patients in elderly. We also emphasized that blood culture should be taken from every patient who represents with fever and the importance of early and appropriate treatment.
本作品采用知识共享署名-非商业4.0国际许可协议。单核细胞增生李斯特菌在健康成人中是一种自限性胃肠炎病原体,但它也可在孕妇、新生儿、老年人和免疫抑制患者中引起更严重的菌血症和脑膜炎。在我们的报告中,一位81岁的老年患者表现为发烧、排尿困难和肠胃炎。患者入院时经验性开头孢曲松,尿培养报告为对头孢曲松敏感的大肠杆菌。然而,在抗生素治疗的第三天,仍然没有发烧反应和临床改善。入院时的血培养中,第三天培养出单核细胞增生李斯特菌。患者在改用氨苄西巴坦治疗后对治疗有反应。然而,入院第14天发生肺栓塞,患者被转移到重症监护病房。在我们的报告中指出,要注意老年人的营养问题。我们还强调,每位发烧患者都应进行血培养,并强调早期适当治疗的重要性。
{"title":"Listeria bacteremia: Don’t Underestimate Gastroenteritis in Elderly","authors":"H. Araz, G. Arslan, Aysel Kocagul-Celikbas, A. Aypak, B. Dokuzoğuz","doi":"10.36519/idcm.2021.63","DOIUrl":"https://doi.org/10.36519/idcm.2021.63","url":null,"abstract":"This work is licensed under a Creative Commons Attribution-Non Commercial 4.0 International License. ABSTRACT Listeria monocytogenes is a self-limiting gastroenteritis agent in healthy adults, while it can also cause more severe conditions such as bacteremia and meningitis in pregnant women, newborns, elderly and immunosuppressed patients. In our report, an 81-year-old geriatric patient presented with fever, dysuria, and gastroenteritis. The patient was prescribed ceftriaxone empirically upon admission, and urine culture was reported as Escherichia coli sensitive to ceftriaxone. However, there were still no fever response and clinical improvement on the third day of antibiotic treatment. In blood culture obtained upon admission, Listeria monocytogenes was grown on the third day. The patient responded to treatment after her treatment was changed to ampicillinsulbactam. However, a pulmonary embolism developed on the 14th day of admission, and the patient was transferred to the intensive care unit. In our report, it was stated that attention should be paid to the nutrition of patients in elderly. We also emphasized that blood culture should be taken from every patient who represents with fever and the importance of early and appropriate treatment.","PeriodicalId":11964,"journal":{"name":"European Journal of Clinical Microbiology and Infectious Diseases","volume":"558 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91449372","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
Diagnostic Value of Non-specific Clinical and Laboratory Findings in Patients Suspected of Crimean-Congo Hemorrhagic Fever in an Endemic Region 某流行地区疑似克里米亚-刚果出血热患者非特异性临床和实验室检查的诊断价值
Pub Date : 2021-12-30 DOI: 10.36519/idcm.2021.91
A. Hamidi, S. Kescioglu
Background: We aimed to determine diagnostic sensitivity and specificity of clinical and laboratory findings in patients with Crimean-Congo hemorrhagic fever (CCHF). Methods: We retrospectively reviewed the characteristics of patients who were suspected of CCHF. The patients were stratified into two groups as positive and negative based on results of CCHF specific IgM and viral RNA by real-time polymerase chain reaction (RT-PCR). Results: Mean age of 125 patients included (55.2% women, 44.8% men) was 47±20 years. The highest sensitivity (95%) was in myalgia. When the association of multiple findings were assessed, the highest sensitivity was found for myalgia plus transaminase elevation (Odds ratio [OR] 9.3; 95% confidence interval [CI] 3.75-23.05; p<0.05). The highest specificity was found for myalgia plus history of husbandry plus transaminase elevation (OR 15; 95% CI 5.27-42.68; p<0.05). Conclusion: If patients have myalgia and transaminase elevation with a history of husbandry at endemic regions, CCHF should be considered.
背景:我们旨在确定克里米亚-刚果出血热(CCHF)患者临床和实验室检查结果的诊断敏感性和特异性。方法:回顾性分析疑似CCHF患者的特点。根据实时聚合酶链反应(RT-PCR)检测的CCHF特异性IgM和病毒RNA水平,将患者分为阳性和阴性两组。结果:125例患者的平均年龄(女性55.2%,男性44.8%)为47±20岁。敏感度最高的是肌痛(95%)。当评估多种症状的相关性时,发现肌痛和转氨酶升高的敏感性最高(优势比[OR] 9.3;95%置信区间[CI] 3.75-23.05;p < 0.05)。肌痛加畜牧史加转氨酶升高的特异性最高(OR 15;95% ci 5.27-42.68;p < 0.05)。结论:如果患者有肌痛和转氨酶升高,并有疫区畜牧史,应考虑CCHF。
{"title":"Diagnostic Value of Non-specific Clinical and Laboratory Findings in Patients Suspected of Crimean-Congo Hemorrhagic Fever in an Endemic Region","authors":"A. Hamidi, S. Kescioglu","doi":"10.36519/idcm.2021.91","DOIUrl":"https://doi.org/10.36519/idcm.2021.91","url":null,"abstract":"Background: We aimed to determine diagnostic sensitivity and specificity of clinical and laboratory findings in patients with Crimean-Congo hemorrhagic fever (CCHF). Methods: We retrospectively reviewed the characteristics of patients who were suspected of CCHF. The patients were stratified into two groups as positive and negative based on results of CCHF specific IgM and viral RNA by real-time polymerase chain reaction (RT-PCR). Results: Mean age of 125 patients included (55.2% women, 44.8% men) was 47±20 years. The highest sensitivity (95%) was in myalgia. When the association of multiple findings were assessed, the highest sensitivity was found for myalgia plus transaminase elevation (Odds ratio [OR] 9.3; 95% confidence interval [CI] 3.75-23.05; p<0.05). The highest specificity was found for myalgia plus history of husbandry plus transaminase elevation (OR 15; 95% CI 5.27-42.68; p<0.05). Conclusion: If patients have myalgia and transaminase elevation with a history of husbandry at endemic regions, CCHF should be considered.","PeriodicalId":11964,"journal":{"name":"European Journal of Clinical Microbiology and Infectious Diseases","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72606232","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: 2
A Rare Case of Otitis Media-Associated Polymicrobial Anaerobic Meningitis and Brain Abscess 中耳炎合并多微生物性厌氧脑膜炎及脑脓肿1例
Pub Date : 2021-12-30 DOI: 10.36519/idcm.2021.54
Buket Erturk Sengel, E. Tukenmez Tigen, F. Yıldız, Yusuf Olur, Nurver Ulger, V. Korten
Otitis media-associated complications are widespread when it is not treated with appropriate antimicrobial treatment. Meningitis and brain abscess are the most reported intracranial complications of otitis media, usually caused by the direct spread of organisms from the contagious site. While anaerobic microorganisms are well-known in brain abscesses, they are not common in meningitis. When the clinical history and pathogenesis of otitis mediaassociated meningitis are combined, special methods to identify and cover anaerobic pathogens should be considered.
如果没有适当的抗菌治疗,中耳炎相关并发症是很普遍的。脑膜炎和脑脓肿是报道最多的中耳炎颅内并发症,通常是由感染部位的微生物直接传播引起的。虽然厌氧微生物在脑脓肿中是众所周知的,但它们在脑膜炎中并不常见。当结合中耳炎相关性脑膜炎的临床病史和发病机制时,应考虑采用特殊的方法来识别和覆盖厌氧病原体。
{"title":"A Rare Case of Otitis Media-Associated Polymicrobial Anaerobic Meningitis and Brain Abscess","authors":"Buket Erturk Sengel, E. Tukenmez Tigen, F. Yıldız, Yusuf Olur, Nurver Ulger, V. Korten","doi":"10.36519/idcm.2021.54","DOIUrl":"https://doi.org/10.36519/idcm.2021.54","url":null,"abstract":"Otitis media-associated complications are widespread when it is not treated with appropriate antimicrobial treatment. Meningitis and brain abscess are the most reported intracranial complications of otitis media, usually caused by the direct spread of organisms from the contagious site. While anaerobic microorganisms are well-known in brain abscesses, they are not common in meningitis. When the clinical history and pathogenesis of otitis mediaassociated meningitis are combined, special methods to identify and cover anaerobic pathogens should be considered.","PeriodicalId":11964,"journal":{"name":"European Journal of Clinical Microbiology and Infectious Diseases","volume":"85 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76345380","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
Comparison of Clinical Characteristics and Prognostic Laboratory Findings of COVID-19 Patients by Age Groups 不同年龄组COVID-19患者临床特征及预后实验室结果的比较
Pub Date : 2021-12-30 DOI: 10.36519/idcm.2021.76
O. Eren-Kutsoylu, A. Nazli-Zeka, Gokcen Omeroglu-Simsek, Ozgur Appak, B. Bayram, Aylin Ozgen-Alpaydın, Nese Colak-Oray, N. Yapar, V. Avkan-Oğuz
Objective: In this study, we determined the symptoms of the COVID-19 and defined agespecific symptoms that can help diagnose the disease on hospital admission. Materials and Methods: Patients who visited a university hospital’s adult pandemia outpatient clinic with suspected COVID-19 symptoms and tested with SARS-CoV-2 polymerase chain reaction test between March 17 – May 17, 2020, were included in the study. Demographic data, symptoms on admission, prognostic laboratory tests and hospitalization were recorded. Results: Out of 5289 admissions, 639 (12.1%) patients had suspected or confirmed COVID-19. Patients were sorted incident to age groups to determine the difference in demographic data, comorbidities, symptoms, prognostic laboratory findings and outcome. The exposure history was lower in the 65-79 age group, contrary to the ≥ 80 age group. Sore throat, loss of smell and taste, headache and myalgia were specific to the 18-49 age group (p<0.001). Shortness of breath was represented 2.31 and 2.79 times higher in the 65-79 and the ≥ 80 age group, respectively, than the 18-49 age group. Comorbid diseases, prognostic laboratory tests (lymphopenia, C-reactive protein (CRP), D-dimer, ferritin) and hospitalization were found significantly higher in the ≥ 65 age group than the 18-49 age group. Conclusion: This study identifies the varieties in comorbidities, symptoms, prognostic laboratory findings and outcomes between the age-grouped patients referred to the outpatient clinic with suspected or confirmed COVID-19. We found that comorbidities, poor prognostic factors and hospitalization are more common in patients over 65 years. Shortness of breath is the most common symptom seen in the ≥ 65 age group compared to the 18-49 age group, where sore throat, loss of taste and smell are the symptoms commonly seen. Predominant symptoms for age groups help physicians differentiate the disease in clinical practice.
目的:在本研究中,我们确定了COVID-19的症状,并定义了可以帮助住院诊断疾病的年龄特异性症状。材料与方法:选取2020年3月17日至5月17日在某大学医院成人大流行门诊就诊并进行SARS-CoV-2聚合酶链反应检测的疑似COVID-19症状患者为研究对象。记录人口统计数据、入院时的症状、预后实验室检查和住院情况。结果:在5289例入院患者中,有639例(12.1%)患者疑似或确诊COVID-19。将患者按年龄组分类,以确定人口学数据、合并症、症状、预后实验室结果和结果的差异。65 ~ 79岁年龄组暴露史较低,与≥80岁年龄组相反。喉咙痛、嗅觉和味觉丧失、头痛和肌痛是18-49岁年龄组所特有的(p<0.001)。65-79岁和≥80岁年龄组的呼吸短促分别是18-49岁年龄组的2.31倍和2.79倍。共病、预后实验室检查(淋巴细胞减少、c反应蛋白(CRP)、d -二聚体、铁蛋白)和住院率在≥65岁年龄组明显高于18-49岁年龄组。结论:本研究确定了到门诊就诊的疑似或确诊COVID-19患者在合并症、症状、预后实验室检查结果和结局方面的差异。我们发现合并症、预后不良因素和住院治疗在65岁以上的患者中更为常见。呼吸短促是≥65岁年龄组最常见的症状,而18-49岁年龄组最常见的症状是喉咙痛、味觉和嗅觉丧失。各年龄组的主要症状有助于医生在临床实践中区分疾病。
{"title":"Comparison of Clinical Characteristics and Prognostic Laboratory Findings of COVID-19 Patients by Age Groups","authors":"O. Eren-Kutsoylu, A. Nazli-Zeka, Gokcen Omeroglu-Simsek, Ozgur Appak, B. Bayram, Aylin Ozgen-Alpaydın, Nese Colak-Oray, N. Yapar, V. Avkan-Oğuz","doi":"10.36519/idcm.2021.76","DOIUrl":"https://doi.org/10.36519/idcm.2021.76","url":null,"abstract":"Objective: In this study, we determined the symptoms of the COVID-19 and defined agespecific symptoms that can help diagnose the disease on hospital admission. Materials and Methods: Patients who visited a university hospital’s adult pandemia outpatient clinic with suspected COVID-19 symptoms and tested with SARS-CoV-2 polymerase chain reaction test between March 17 – May 17, 2020, were included in the study. Demographic data, symptoms on admission, prognostic laboratory tests and hospitalization were recorded. Results: Out of 5289 admissions, 639 (12.1%) patients had suspected or confirmed COVID-19. Patients were sorted incident to age groups to determine the difference in demographic data, comorbidities, symptoms, prognostic laboratory findings and outcome. The exposure history was lower in the 65-79 age group, contrary to the ≥ 80 age group. Sore throat, loss of smell and taste, headache and myalgia were specific to the 18-49 age group (p<0.001). Shortness of breath was represented 2.31 and 2.79 times higher in the 65-79 and the ≥ 80 age group, respectively, than the 18-49 age group. Comorbid diseases, prognostic laboratory tests (lymphopenia, C-reactive protein (CRP), D-dimer, ferritin) and hospitalization were found significantly higher in the ≥ 65 age group than the 18-49 age group. Conclusion: This study identifies the varieties in comorbidities, symptoms, prognostic laboratory findings and outcomes between the age-grouped patients referred to the outpatient clinic with suspected or confirmed COVID-19. We found that comorbidities, poor prognostic factors and hospitalization are more common in patients over 65 years. Shortness of breath is the most common symptom seen in the ≥ 65 age group compared to the 18-49 age group, where sore throat, loss of taste and smell are the symptoms commonly seen. Predominant symptoms for age groups help physicians differentiate the disease in clinical practice.","PeriodicalId":11964,"journal":{"name":"European Journal of Clinical Microbiology and Infectious Diseases","volume":"61 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91348555","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
Trends of COVID 19 Vaccines: International Collaboration and Visualized Analysis COVID - 19疫苗趋势:国际合作和可视化分析
Pub Date : 2021-12-30 DOI: 10.36519/idcm.2021.70
Sevil Alkan-Çeviker, Hatice Onturk, I. Alıravcı, Duygu Sıddıkoğlu
This work is licensed under a Creative Commons Attribution-Non Commercial 4.0 International License. 1 Department of Infectious Diseases and Clinical Microbiology, Çanakkale Onsekiz Mart University School of Medicine, Çanakkale, Turkey 2 Nursing Department, Bitlis Eren University School of Health Sciences, Bitlis, Turkey 3 Department of Biostatistics, Çanakkale Onsekiz Mart University Faculty of Medicine, Çanakkale, Turkey Sevil Alkan1 , Hatice Öntürk2 , Işıl Deniz Alıravcı1 , Duygu Sıddıkoğlu3
本作品在知识共享署名-非商业4.0国际许可下获得许可。1传染病和临床微生物学系,Çanakkale Onsekiz Mart大学医学院,Çanakkale,土耳其2 Bitlis even大学健康科学学院护理系,Bitlis,土耳其3生物统计学系,Çanakkale Onsekiz Mart大学医学院,Çanakkale,土耳其Sevil Alkan1, Hatice Öntürk2, Işıl Deniz Alıravcı1, Duygu Sıddıkoğlu3
{"title":"Trends of COVID 19 Vaccines: International Collaboration and Visualized Analysis","authors":"Sevil Alkan-Çeviker, Hatice Onturk, I. Alıravcı, Duygu Sıddıkoğlu","doi":"10.36519/idcm.2021.70","DOIUrl":"https://doi.org/10.36519/idcm.2021.70","url":null,"abstract":"This work is licensed under a Creative Commons Attribution-Non Commercial 4.0 International License. 1 Department of Infectious Diseases and Clinical Microbiology, Çanakkale Onsekiz Mart University School of Medicine, Çanakkale, Turkey 2 Nursing Department, Bitlis Eren University School of Health Sciences, Bitlis, Turkey 3 Department of Biostatistics, Çanakkale Onsekiz Mart University Faculty of Medicine, Çanakkale, Turkey Sevil Alkan1 , Hatice Öntürk2 , Işıl Deniz Alıravcı1 , Duygu Sıddıkoğlu3","PeriodicalId":11964,"journal":{"name":"European Journal of Clinical Microbiology and Infectious Diseases","volume":"543 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91551234","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: 10
End of Year, Editorial 2021 年底,2021年社论
Pub Date : 2021-12-30 DOI: 10.36519/idcm.2021.113
Murat Akova
{"title":"End of Year, Editorial 2021","authors":"Murat Akova","doi":"10.36519/idcm.2021.113","DOIUrl":"https://doi.org/10.36519/idcm.2021.113","url":null,"abstract":"","PeriodicalId":11964,"journal":{"name":"European Journal of Clinical Microbiology and Infectious Diseases","volume":"28 2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82282107","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
Virtual Learning Opportunity During COVID-19 Pandemic: Comparison of Virtual (2021) and Face to Face (2019) Conferences of Turkish Society of Clinical Microbiology and Infectious Diseases 2019冠状病毒病大流行期间的虚拟学习机会:土耳其临床微生物学和传染病学会虚拟(2021)和面对面(2019)会议的比较
Pub Date : 2021-12-30 DOI: 10.36519/idcm.2021.112
Önder Ergonul, Rabia Unal, A. Azap, Serap Yavuz-Simsek
{"title":"Virtual Learning Opportunity During COVID-19 Pandemic: Comparison of Virtual (2021) and Face to Face (2019) Conferences of Turkish Society of Clinical Microbiology and Infectious Diseases","authors":"Önder Ergonul, Rabia Unal, A. Azap, Serap Yavuz-Simsek","doi":"10.36519/idcm.2021.112","DOIUrl":"https://doi.org/10.36519/idcm.2021.112","url":null,"abstract":"","PeriodicalId":11964,"journal":{"name":"European Journal of Clinical Microbiology and Infectious Diseases","volume":"123 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89424151","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
期刊
European Journal of Clinical Microbiology and Infectious Diseases
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1