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Prevalence and clonal lineages of biofilm-producing Staphylococcus aureus from clinical samples and healthcare workers at Ahmadu Bello University Teaching Hospital, Nigeria. 尼日利亚艾哈迈杜-贝洛大学教学医院临床样本和医护人员中产生生物膜的金黄色葡萄球菌的流行率和克隆系。
IF 1.7 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-10-23 eCollection Date: 2024-01-01 DOI: 10.3205/dgkh000504
Kabir Umar, Idris Nasir Abdullahi, Abdulkadir Magaji Magashi, Abdullahi Hassan Kawo, Yahaya Usman, Abdurrahaman El-Fulaty Ahmad, Carmen Torres

This study determined the frequency and molecular features of Staph y lo coccus aureus from 206 burn and wound patients (BWPs) as well as 94 healthcare workers (HCWs) at the Ahmadu Bello University Teaching Hospital, Zaria, Northern Nigeria. Nine (4.4%) and five (5.3%) samples from BWPs and HCWs were identified as S. aureus positive, respectively. Seven (50%) were mecA-positive (associated with SCCmec types IVa and V), while 35.7% presented a multidrug resistance (MDR) phenotype. The S. aureus isolates belonged to 11 diverse spa types, including three new (t4539, t6043, t11694) and one singleton (t779), which were assigned to four clonal complexes. Two tst and three luk-F/S-PV carrying strains were identified. All the S. aureus isolates were moderate biofilm producers with diverse combinations of the icaABCD biofilm and icaR regulatory genes. The detection of genetically diverse S. aureus lineages and toxigenic strains highlights the need for improved surveillance of resistant and pathogenic strains in healthcare facilities.

本研究确定了尼日利亚北部扎里亚艾哈迈杜-贝洛大学教学医院 206 名烧伤和创伤患者(BWP)以及 94 名医护人员(HCW)中金黄色葡萄球菌的频率和分子特征。分别有 9 份(4.4%)和 5 份(5.3%)来自烧伤患者和医护人员的样本被鉴定为金黄色葡萄球菌阳性。其中 7 例(50%)为 mecA 阳性(与 SCCmec 类型 IVa 和 V 相关),35.7% 呈耐多药(MDR)表型。分离出的金黄色葡萄球菌属于 11 种不同的 spa 类型,包括三种新类型(t4539、t6043 和 t11694)和一种单一类型(t779),它们被归入四个克隆复合体。发现了两株 tst 菌株和三株携带 luk-F/S-PV 的菌株。所有分离出的金黄色葡萄球菌都是中度生物膜生产者,具有不同的 icaABCD 生物膜和 icaR 调控基因组合。检测到基因多样的金黄色葡萄球菌菌系和致毒菌株突出表明,有必要加强对医疗机构中耐药菌株和致病菌株的监控。
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引用次数: 0
An analysis of the efficacy of universal PCR and BACTEC 9120 BD for identifying bacteremia in pediatrics. 分析通用 PCR 和 BACTEC 9120 BD 在鉴定儿科菌血症方面的功效。
IF 1.7 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-10-23 eCollection Date: 2024-01-01 DOI: 10.3205/dgkh000509
Azam Safarkhani, Fatemeh Shirkavand, Nafiseh Abdollahi, Nazanin Ahari Oskooie, Leila Azimi, Mohammad Rahbar, Abdollah Karimi

Background: Bloodstream infections (BSI) are serious diseases in pediatrics and can increase the rate of morbidity and mortality. Blood culture is time consuming and can have false negative results in some case such as the intracellular or fastidious bacteria. This study aimed to evaluate the PCR against automated blood culture with BACTEC.

Materials and methods: In this observational cross-sectional study the blood samples of hospitalized children in Mofid Children's Hospital with bacteremia signs from February to May 2023 were enrolled. The causative bacteria in bacteremia were identified by phenotypic and PCR methods.

Results: 150 blood samples were enrolled to identify the presence of bacteremia by BACTEC and PCR. 60% and 40% of samples have negative and positive results in both methods, respectively. PCR showed 100% sensitivity and specificity in detecting bacteremia compared to BACTEC. A variety of bacteria were identified by phenotypic and molecular methods and coagulase negative Staphylococcus (CONS) is the most of them.

Conclusion: The rapid and accurate detection of bacterial pathogens with the high sensitivity and specificity compared gold standard method are the most important profits of molecular assay.

背景:血流感染(BSI)是儿科的严重疾病,会增加发病率和死亡率。血液培养费时费力,而且在某些情况下会出现假阴性结果,如细胞内细菌或苛氧菌。本研究旨在评估 PCR 与 BACTEC 自动血液培养的对比结果:在这项观察性横断面研究中,研究人员采集了莫菲德儿童医院 2023 年 2 月至 5 月期间出现菌血症征兆的住院患儿的血液样本。通过表型和 PCR 方法鉴定了菌血症中的致病菌:结果:共采集了 150 份血液样本,通过 BACTEC 和 PCR 方法确定是否存在菌血症。两种方法分别有 60% 和 40% 的样本结果为阴性和阳性。与 BACTEC 相比,PCR 检测菌血症的灵敏度和特异性均为 100%。通过表型和分子方法鉴定出多种细菌,其中最多的是凝固酶阴性葡萄球菌(CONS):结论:快速、准确地检测细菌病原体,与金标准方法相比具有较高的灵敏度和特异性,这是分子检测的最大优点。
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引用次数: 0
Trichophyton tonsurans infections after visiting a barbershop - findings from official hygiene monitoring. 到理发店理发后感染扁桃体毛癣菌--官方卫生监测结果。
IF 1.7 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-10-23 eCollection Date: 2024-01-01 DOI: 10.3205/dgkh000507
Anne Marcic, Stephen Freytag, Katharina Langen

Background: The Public Health Department became aware of infections with Trichophyton (T.) tonsurans in a total of nine people who had visited the same barbershop.

Method: Official hygiene monitoring of the barbershop was performed on an event-related basis, during which compliance with the requirements of the "Schleswig-Holstein State Ordinance on the Prevention of Communicable Diseases (Hygiene Ordinance)" was checked. In addition, hygienic-microbiological environmental examinations of materials and surfaces were performed in cooperation with the Department of Dermatology at the University Medical Center Schleswig-Holstein, Kiel Campus.

Results: Significant deficiencies in hygiene management were identified. The hygiene requirements, especially for the reprocessing of work equipment and surfaces, were not known and were therefore not complied with. Environmental testing revealed the presence of Trichophyton tonsurans in three out of ten samples tested. Shaving equipment and a drawer used to store shaving equipment were positive.

Conclusion: Barbershops can pose a relevant risk of infection, not only for pathogens that cause blood-borne infections. Barbershop operators need information and training regarding compliance with hygiene requirements. They should be included in the planning for the (random) infection hygiene monitoring of facilities by the public health department in accordance with Section 36 (2) of the Infection Protection Act (IfSG). The reprocessing frequencies established to date are not sufficient for the prevention of T. tonsurans infections and must be adapted.

背景:公共卫生局发现共有九人在光顾同一家理发店时感染了扁桃体毛癣菌:方法:对理发店进行了官方卫生监测,监测期间检查了理发店是否符合《石勒苏益格-荷尔斯泰因州预防传染病条例(卫生条例)》的要求。此外,还与石勒苏益格-荷尔斯泰因大学基尔校区医学中心皮肤病学系合作,对材料和表面进行了卫生微生物环境检查:结果:发现了卫生管理方面的重大缺陷。卫生要求,尤其是对工作设备和工作表面的再处理要求不明确,因此没有得到遵守。环境检测显示,在检测的 10 个样本中,有 3 个存在扁桃体毛癣菌。剃须设备和用于存放剃须设备的抽屉均呈阳性:理发店可能会带来相关的感染风险,不仅是导致血液传播感染的病原体。理发店经营者需要获得有关遵守卫生要求的信息和培训。公共卫生部门应根据《感染防护法》(IfSG)第 36 (2) 条的规定,将理发店纳入对设施进行(随机)感染卫生监测的计划中。迄今确定的再处理频率不足以预防扁桃体感染,必须加以调整。
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引用次数: 0
Clovibactin and Staphylococcus aureus: a new weapon against resistant strains. Clovibactin 和金黄色葡萄球菌:对抗耐药菌株的新武器。
IF 1.7 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-10-23 eCollection Date: 2024-01-01 DOI: 10.3205/dgkh000501
Shuaibu Suleiman Adeiza

Clovibactin is a new depsipeptide and highly efficacious against Sta p h y l o coccus (S.) aureus, including methicillin-resistant and vancomycin-resistant S. aureus, with no apparent resistance. Clovibactin outclasses current antibiotics such as vancomycin. Here, we discuss its efficacy, emphasize the need for new antibiotics owing to growing global antibiotic resistance, highlight its mode of action and possible benefits over current treatments. We also highlight the challenges involved in large-scale manufacturing and the status of continuing research to advance effective and less toxic derivatives.

Clovibactin 是一种新型去肽类药物,对金黄色葡萄球菌(S. aureus)(包括耐甲氧西林金黄色葡萄球菌和耐万古霉素金黄色葡萄球菌)非常有效,且无明显耐药性。Clovibactin 优于万古霉素等现有抗生素。在此,我们讨论了它的疗效,强调了由于全球抗生素耐药性不断增加而对新抗生素的需求,重点介绍了它的作用模式以及与现有疗法相比可能存在的优势。我们还强调了大规模生产所面临的挑战,以及为开发有效且毒性较低的衍生物而进行的持续研究的现状。
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引用次数: 0
The effect of AH26, Endoseal and ZOE sealers on Candida albicans and Enterococcus faecalis. AH26、Endoseal 和 ZOE 封闭剂对白色念珠菌和粪肠球菌的影响。
IF 1.7 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-10-23 eCollection Date: 2024-01-01 DOI: 10.3205/dgkh000505
Seyedeh Zahra Hosseini, Elham Aboualigalehdari, Mahnaz Fatahinia, Maryam Erfaninejad, Nahid Mahdian, Leila Gheitani, Reza Pakzad, Amin Kheiri

Background: In the oral cavity, root canal treatment failure (endodontics) is often due to the persistence of microorganisms in the root canal system after treatment, or re-infection of the root due to insufficient flooding. In addition, microorganisms are essential for the development of peri radicular diseases and are one of the main factors related to root canal treatment failure. Microorganisms that are commonly isolated from teeth that have failed endodontic treatment include Enterococcus (E.) faecalis and Candida (C.) albicans. Bacterial infection is closely related to the failure of root canal treatment, and the use of root sealer with antimicrobial activity and biological compatibility is necessary for the success of root canal treatment. One of the main goals of endodontic treatment is to eliminate intracanal infection and root canal flooding in order to prevent re-infection. Therefore, the aim of the current study is to evaluate the antibacterial and antifungal activity of ZOE, AH26 and Endoseal sealers in vitro.

Methods: To study the effect of each sealer; AH26, ZOE and Endoseal on E. faecalis and C. albicans, 10 samples were considered. Firstly, the freshly prepared sealers were poured inside the microtube with nutrient broth and then 10 µl of E. faecalis and C. albicans suspensions were separately added into a microtube and were kept 24 hours in the incubator to grow.

Results: The data were analyzed with Kolmogrov-Smirnov test and SPSS Version 19. Our results demonstrated that the resistance rate of C. albicans to ZOE, Endoseal and AH26 sealers was 0%, 100% and 70%, respectively. These values for the E. faecalis was 80%, 100% and 40% respectively. The resistance was defined when the microorganism was growth in subculture in LB agar.

Conclusion: ZOE sealer has highest antimicrobial effect after that AH26 sealer and the least antimicrobial effect is related to Endoseal sealer.

背景:在口腔中,根管治疗(根管治疗)失败通常是由于治疗后根管系统中微生物的持续存在,或由于根管充水不足导致根部再次感染。此外,微生物对根管周围疾病的发展至关重要,也是导致根管治疗失败的主要因素之一。通常从根管治疗失败的牙齿中分离出的微生物包括粪肠球菌(E. Enterococcus)和白色念珠菌(C. C. albicans)。细菌感染与根管治疗失败密切相关,使用具有抗菌活性和生物相容性的根封剂是根管治疗成功的必要条件。根管治疗的主要目标之一是消除根管内感染和根管充血,以防止再次感染。因此,本研究的目的是在体外评估 ZOE、AH26 和 Endoseal 封闭剂的抗菌和抗真菌活性:为了研究每种封闭剂(AH26、ZOE 和 Endoseal)对粪大肠杆菌和白僵菌的影响,研究人员考虑了 10 个样本。首先,将新鲜制备的密封剂倒入装有营养肉汤的微管中,然后在微管中分别加入 10 µl 的粪肠球菌和白僵菌悬浮液,并在培养箱中培养 24 小时:数据采用 Kolmogrov-Smirnov 检验和 SPSS 19 版进行分析。结果表明,白僵菌对 ZOE、Endoseal 和 AH26 密封剂的耐药率分别为 0%、100% 和 70%。粪肠球菌的耐药率分别为 80%、100% 和 40%。当微生物在 LB 琼脂中亚培养生长时,就确定了耐药性:结论:ZOE 密封剂的抗菌效果最高,其次是 AH26 密封剂,抗菌效果最低的是 Endoseal 密封剂。
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引用次数: 0
Association of matrix metalloproteinases (MMPs) gene polymorphisms with periodontitis: a systematic review. 基质金属蛋白酶(MMPs)基因多态性与牙周炎的关系:系统综述。
IF 1.7 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-10-23 eCollection Date: 2024-01-01 DOI: 10.3205/dgkh000508
Ruchi Pandey, Nandini Gupta, Tripti Jha, Tooba Bint E Manzoor

Matrix metalloproteinases (MMPs) are proteinases released by gingival cells, macrophages and neutrophils, induced by potentially pathogenic periodontal bacteria of the subgingival plaque, which play a critical role in the pathogenesis of periodontal disease. The expression of MMPs is controlled by chromosome 11. Single nucleotide polymorphisms (SNPs) are linked with variations in the secretion of MMPs, resulting in periodontal disease progression. Genetic studies aim to find the markers for early diagnosis and prevention of the related diseases. This systematic review focuses on finding the association between the MMPs and periodontitis among Indians. A literature review was performed, including studies published between January 1st 2012 and May 2024 were incorporated. This systematic review included 1,046 participants in seven Indian studies, and substantial evidence was found for an association between MMP-9 (-1562C/T) and periodontitis in Indian population.

基质金属蛋白酶(MMPs)是牙龈细胞、巨噬细胞和中性粒细胞释放的蛋白酶,由龈下牙菌斑中潜在的致病牙周细菌诱导,在牙周病的发病机制中起着关键作用。MMPs 的表达受 11 号染色体控制。单核苷酸多态性(SNPs)与 MMPs 的分泌变化有关,从而导致牙周病的发展。基因研究旨在找到相关疾病早期诊断和预防的标记物。本系统综述的重点是发现印度人的 MMPs 与牙周炎之间的关联。我们进行了文献综述,包括 2012 年 1 月 1 日至 2024 年 5 月期间发表的研究。该系统性综述纳入了七项印度研究中的 1,046 名参与者,发现大量证据表明印度人群中的 MMP-9 (-1562C/T) 与牙周炎存在关联。
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引用次数: 0
The role of small extracellular vesicles in spreading and inhibiting arthropod-borne diseases. 细胞外小泡在传播和抑制节肢动物传播疾病中的作用。
IF 1.7 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-10-23 eCollection Date: 2024-01-01 DOI: 10.3205/dgkh000503
Iman Owliaee, Mehran Khaledian, Ali Shojaeian, Armin Khaghani Boroujeni

Arthropod-borne diseases (ABDs) refer to a group of viral pathogens that affect a wide range of vertebrate hosts, including humans and non-human primates. In addition to being transmitted by mosquitoes and ticks, arthropods can also spread pathogens that cause severe human diseases. On the other hand, extracellular vesicles (EVs) can serve as cross-placental drug delivery vehicles (DDVs) to the fetus and even as antigen-presenting cells (APCs). To this end, the current review aimed to examine the role of small EVs (sEVs) in the transmission and inhibition of arthropod-borne viruses, also known as arboviruses. First, a deeper understanding of the mechanistic aspects of how these vesicles function during insect-pathogen interactions is required. Next, scalability and yield optimization must be addressed while introducing EV-based therapeutics on an industrial scale in order to implement them effectively. Finally,it is recommended to consider that sEV-mediated transfer plays a crucial role in the spread of ABDs. This is because it transfers pathogenic agents between cells within vectors, resulting in subsequent transmission to hosts. Consequently, sEVs provide potential targets for the development of novel therapies that inhibit pathogen replication or reduce arthropod vector populations. Future research in this area should emphasize how these vesicles function within host-vector systems, using advanced imaging techniques - such as high-resolution microscopy (HRM) - and cost-effective methods, in order to produce sufficient quantities for large-scale implementation.

节肢动物传播的疾病(ABDs)指的是一组病毒病原体,它们会影响包括人类和非人灵长类动物在内的多种脊椎动物宿主。除了通过蚊子和蜱传播外,节肢动物还可以传播导致严重人类疾病的病原体。另一方面,细胞外囊泡(EVs)可作为胎儿的跨胎盘给药载体(DDVs),甚至可作为抗原递呈细胞(APCs)。为此,本综述旨在研究小EVs(sEVs)在节肢动物传播病毒(又称虫媒病毒)的传播和抑制中的作用。首先,需要更深入地了解这些囊泡在昆虫与病原体相互作用过程中的作用机理。其次,在工业规模上引入基于 EV 的疗法时,必须解决可扩展性和产量优化问题,以便有效实施这些疗法。最后,建议考虑到 sEV 介导的转移在 ABDs 传播中起着至关重要的作用。这是因为它能在载体内的细胞间转移病原体,导致随后向宿主传播。因此,sEV 为开发抑制病原体复制或减少节肢动物载体数量的新型疗法提供了潜在目标。该领域未来的研究应强调这些囊泡如何在宿主-载体系统中发挥作用,并采用先进的成像技术(如高分辨率显微镜(HRM))和具有成本效益的方法,以便生产足够数量的囊泡,供大规模应用。
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引用次数: 0
Clinical burden of community-associated infections caused by multidrug-resistant Pseudomonas aeruginosa: a propensity-matched longitudinal cohort study in Southern China. 耐多药铜绿假单胞菌引起的社区相关感染的临床负担:华南地区倾向匹配纵向队列研究。
IF 1.7 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-10-23 eCollection Date: 2024-01-01 DOI: 10.3205/dgkh000506
Mouqing Zhou, Baohua Xu, Zhusheng Guo, Yongfeng Zeng, Jiayao Lei, Evangelos I Kritsotakis, Jiancong Wang

Background: Limited research has been conducted on the burden of community-associated infections caused by multidrug-resistant Pseudomonas aeruginosa (CA-MDRPa). We quantitatively modeled the incidence rate and clinical factors associated with CA-MDRPa among hospitalized patients in Southern China.

Methods: Data were obtained from the local nosocomial surveillance system. Poisson regression was applied to estimate annual incidence rate ratios (IRRs) from 2018 to 2021. After propensity-score 1:2 matching, multivariable conditional logistic regression was used to identify factors for CA-MDRPa upon admission and adverse clinical outcomes during hospitalization.

Results: 278 patients were clinically and microbiologically diagnosed with CA-MDRPa and 647 with CA-non-MDRPa. CA-MDRPa rate exhibited a slight, non-significant, increase during the research period (IRR=1.03; 95% confidence interval [CI], 0.93-1.15). Neurological conditions, cardiovascular diseases, respiratory disorders, urinary tract infections, and use of cefoperazone/sulbactam prior to admission were identified as risk factors for CA-MDRPa upon admission. CA-MDRPa upon admission was associated with ESBL-producing P. aeruginosa acquisition during hospitalization (odds ratio [OR], 2.70; 95% CI, 1.53-4.77) and increased in-hospital mortality (OR, 2.24; 95% CI, 1.17-4.28).

Conclusions: The findings emphasize the importance of regular targeted screening for CA-MDRPa upon hospital admission and offer valuable insights for strengthening infection control and antimicrobial stewardship programs.

背景:关于耐多药铜绿假单胞菌(CA-MDRPa)引起的社区相关性感染负担的研究十分有限。我们对华南地区住院患者中 CA-MDRPa 的发病率和相关临床因素进行了定量建模:方法:数据来自当地的病原微生物监测系统。应用泊松回归估算2018年至2021年的年发病率比(IRR)。在倾向分数1:2匹配后,采用多变量条件Logistic回归确定入院时CA-MDRPa和住院期间不良临床结局的因素。结果:278名患者经临床和微生物学诊断为CA-MDRPa,647名患者为CA-非MDRPa。在研究期间,CA-MDRPa 发生率略有上升,但并不显著(IRR=1.03;95% 置信区间 [CI],0.93-1.15)。神经系统疾病、心血管疾病、呼吸系统疾病、尿路感染以及入院前使用头孢哌酮/舒巴坦均被确定为入院时出现 CA-MDRPa 的风险因素。入院时出现CA-MDRPa与住院期间感染产ESBL铜绿假单胞菌(几率比[OR],2.70;95% CI,1.53-4.77)和院内死亡率增加(OR,2.24;95% CI,1.17-4.28)有关:研究结果强调了在入院时定期进行有针对性的CA-MDRPa筛查的重要性,并为加强感染控制和抗菌药物管理项目提供了宝贵的见解。
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引用次数: 0
Risk of bacterial colonization by torniquet during arthroscopy of the knee joint. 膝关节镜检查过程中扭索的细菌定植风险。
IF 1.7 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-10-23 eCollection Date: 2024-01-01 DOI: 10.3205/dgkh000502
Peter Melcher, Nadine Dietze, Christoph Hellmund, Pierre Hepp, Ralf Henkelmann

Purpose: The following study investigated the risk of transmission or spread of potentially pathogenic bacteria via surgical gloves and/or with an elastic bandage to achieve a bloodless surgical site during arthroscopy.

Methods: This was a single-center, prospective study performed at a level-1 trauma center. The included patients were between 18 and 65 years of age and underwent arthroscopy of the knee joint. Before arthroscopy, two skin swabs (one before and one after wrapping the leg with an elastic bandage) were taken for further microbiological analysis. In addition, the thumb and index finger of the right glove of the surgeon's gloves and the part of the bandage covering the knee joint was kept for microbiological examination.

Results: 208 samples from 52 patients were included. No patient had a surgical site infection (SSI) during the follow-up period of at least 12 months. The evaluation of the microbiological findings detected contamination of the elastic wrapping material in 83% (43/52) of the cases, primarily with Bacillus spp. The gloves showed bacterial contamination in only two cases; a transfer to the patient's skin was not be detected. Overall, there was no evidence of contamination from the elastic bandage or the gloves to the skin or from the skin to the wrapping material during the surgical procedure.

Conclusion: Preoperative skin antisepsis is mandatory due to the risk of SSI caused by skin flora. However, in a population without a history of joint infection, the current preoperative standards for skin antisepsis seem to be sufficient to minimize SSIs during knee arthroscopy. A glove change after elastic wrapping is not necessary.

目的:以下研究调查了关节镜手术中通过手术手套和/或弹性绷带实现无血手术部位的潜在致病菌传播或扩散的风险:这是一项在一级创伤中心进行的单中心前瞻性研究。纳入研究的患者年龄在 18 岁至 65 岁之间,均接受过膝关节镜检查。关节镜手术前,患者需采集两份皮肤拭子(一份在腿部缠上弹力绷带之前,另一份在缠上弹力绷带之后),以进一步进行微生物分析。此外,还保留了外科医生手套右手套的拇指和食指以及覆盖膝关节的绷带部分进行微生物检查。在至少 12 个月的随访期间,没有患者发生手术部位感染(SSI)。对微生物学结果的评估发现,83%(43/52)的病例中弹性包裹材料受到污染,主要是芽孢杆菌属。总体而言,在手术过程中,没有证据表明弹力绷带或手套对皮肤造成污染,也没有证据表明皮肤对包裹材料造成污染:结论:由于皮肤菌群可能导致 SSI,因此术前必须进行皮肤防腐处理。然而,在没有关节感染病史的人群中,目前的术前皮肤防腐标准似乎足以将膝关节镜手术中的 SSI 降到最低。弹性包裹后无需更换手套。
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引用次数: 0
Can the use of iron phthalocyanine-derivative mouthrinses in COVID-19 patients provide systemic benefits? Research into this potential should be considered. COVID-19 患者使用酞菁铁衍生物漱口水能否带来全身性的益处?应考虑对这一可能性进行研究。
IF 1.7 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-10-02 eCollection Date: 2024-01-01 DOI: 10.3205/dgkh000500
Bernardo da Fonseca Orcina, Laura Bertin, Emilene Cristine Izu Nakamura Pietro, Juliana Pescinelli Garcia Kuroda, Lucas Marques da Costa Alves, Fabiano Vieira Vilhena, Paulo Sérgio da Silva Santos

Aim: The purpose of this brief report is to discuss the impact of an oral rinse and spray containing an iron phthalocyanine derivative as an additional therapy in hospitalized COVID-19 patients.

Methods: In the first study by this group of authors published on this topic, the clinical status of 22 patients with COVID-19 who were hospitalized and receiving PDMS (phthalocyanine derivative mouth spray) was assessed using the Karnofsky scale (KS) for thtree days (D0, D2, and D4). In another study, the laboratory data (CBC, D-dimer, Ferritin, and C-reactive protein [CRP]) of 41 patients hospitalized with COVID-19 who took part in a randomized clinical trial with an MIPD (mouthwash with iron phthalocyanine derivative) were evaluated retrospectively on the first day of intervention (D1) and 48 hours later (D2). The present study used these data to determine a correlation between clinical symptoms and laboratory data.

Results: In individuals receiving PDMS and evaluated using the KS, a statistically significant intra-group difference (p=0.03, Friedman's test) was identified. The Durbin-Conover test found a significant difference between D0 and D2 (p=0.008). Laboratory data from only 9 patients in the experimental group and 13 patients in the control group were found in the retrospective analysis. There were no statistically significant confounders in the survival analysis using the Cox regression model. In the descriptive analysis, the intervention group's CRP was lower than that of the control group.

Conclusion: PDMS demonstrated considerable clinical improvement in patients, whereas MIPD appears to lower CRP, an inflammatory marker, in descriptive analysis.

目的:本简短报告旨在讨论含铁酞菁衍生物的口腔漱口液和喷雾剂作为附加疗法对住院的 COVID-19 患者的影响:在这组作者发表的第一项相关研究中,使用卡诺夫斯基量表(KS)评估了 22 名住院并接受 PDMS(酞菁衍生物口腔喷雾剂)治疗的 COVID-19 患者三天(D0、D2 和 D4)的临床状态。在另一项研究中,对参加 MIPD(含铁酞菁衍生物的漱口水)随机临床试验的 41 名 COVID-19 住院患者在干预第一天(D1)和 48 小时后(D2)的实验室数据(全血细胞计数、D-二聚体、铁蛋白和 C 反应蛋白 [CRP])进行了回顾性评估。本研究利用这些数据来确定临床症状与实验室数据之间的相关性:结果:在接受 PDMS 并使用 KS 进行评估的患者中,发现组内差异具有统计学意义(P=0.03,弗里德曼检验)。Durbin-Conover检验发现D0和D2之间存在显著差异(p=0.008)。在回顾性分析中,只找到了实验组 9 名患者和对照组 13 名患者的实验室数据。在使用 Cox 回归模型进行的生存分析中,没有统计学意义上的混杂因素。在描述性分析中,干预组的 CRP 低于对照组:结论:PDMS对患者的临床症状有显著改善,而MIPD在描述性分析中似乎降低了炎症标志物CRP。
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GMS Hygiene and Infection Control
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