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Microbiological surveillance of dialysis unit-prefogging verses postfogging in a tertiary care hospital: A cross-sectional study 在三级保健医院透析单元的微生物监测-雾化前后:一项横断面研究
Pub Date : 2022-07-15 DOI: 10.18231/j.ijmr.2022.025
Sana Islahi, M. Sen, J. Agarwal, Shalini Trivedi
: Haemodialysis is the most effective modality in treatment of end stage renal disease (ESRD). Patients undergoing the haemodialysis treatment are at a higher risk of acquiring systemic infections. : Microbiological surveillance of Dialysis Unit both prefogging and postfogging by air culture and swab culture.: This observational retrospective study was conducted at the department of Microbiology in a super speciality Post Graduate institute. The mean bacterial and fungal load and surface swab cultures pre and post fogging from the dialysis unit of the hospital were evaluated. Antibiotic resistance testing of isolates was performed by modified Kirby Bauer’s disc diffusion method as per CLSI 2017 and EUCAST guidelines. This study provides a comparative Microbiological surveillance of Dialysis Unit both prefogging and postfogging by Air culture and Swab cultures. : Total of 42 Air culture (21 pre and 21 postfogging) and 588 swab culture (294 pre and 294 post fogging) samples were received in the microbiology department and the mean bacterial and fungal load were evaluated and calculated. Prefogging results were within the normal limits and the load was futher reduced postfogging, according to standard guidelines. Aerobic culture and sensitivity of surface swab cultures were done, out of which 11 (32.34%) prefogging swab culture samples, showed single growth of gram positive bacteria that were reduced to no growth post fogging.
血液透析是治疗终末期肾病(ESRD)最有效的方式。接受血液透析治疗的患者发生全身性感染的风险较高。通过空气培养和拭子培养对透析单元雾化前后的微生物监测。本观察性回顾性研究在某特级研究生院微生物系进行。对医院透析室雾化前后的平均细菌和真菌负荷以及表面拭子培养进行评估。根据CLSI 2017和EUCAST指南,采用改良Kirby Bauer盘片扩散法进行抗生素耐药性检测。本研究通过空气培养和棉签培养对透析单元雾化前和雾化后的微生物监测进行比较。微生物科共接收空气培养样本42份(雾化前21份,雾化后21份)和拭子培养样本588份(雾化前294份,雾化后294份),评估和计算平均细菌和真菌负荷。预雾化结果在正常范围内,雾化后负荷进一步减少,根据标准准则。需氧培养和表面拭子培养的敏感性,雾化前拭子培养样品中有11个(32.34%)革兰氏阳性菌单一生长,雾化后革兰氏阳性菌减少到无生长。
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引用次数: 0
Species distribution and antifungal susceptibility of isolates from cases of health-care associated infections 卫生保健相关感染病例分离株的种类分布和抗真菌敏感性
Pub Date : 2022-07-15 DOI: 10.18231/j.ijmr.2022.017
Kamaljeet, Naveen R. Saxena, Mohit Thalquotra
Fungi have emerged as an important cause of health-care associated infections (HCAI) in last few decades. spp. is the most common cause of invasive fungal infections (IFI) in hospitalized individuals. The present study was conducted in a tertiary care teaching hospital with an aim to study species distribution and antifungal susceptibility pattern of isolates from cases of HCAI. isolates from cases of HCAI from medical intensive care unit were identified up to species level. Antifungal susceptibility testing of isolate was done by Clinical and Laboratory Standard Institute (CLSI) broth microdilution (BMD) method. The rate of CA-UTI due spp. was 0.3 per 1000 catheter associated days. The rate of catheter related BSI was 0.9 per 1000 catheter associated days. Predominance of non spp. over was noted. Fluconazole resistance was significantly high in NAC spp. compared to .
在过去的几十年里,真菌已经成为卫生保健相关感染(HCAI)的一个重要原因。spp是住院患者侵袭性真菌感染(IFI)的最常见原因。本研究在某三级医疗教学医院进行,目的是研究HCAI病例分离株的种类分布和抗真菌药敏模式。从医疗重症监护病房病例中分离出的HCAI达到了物种水平。采用美国临床与实验室标准协会(CLSI)肉汤微量稀释(BMD)法对分离物进行抗真菌药敏试验。CA-UTI的发生率为0.3 / 1000导管相关天。导管相关BSI发生率为0.9 / 1000个导管相关天。非spover的优势被注意到。NAC种对氟康唑的抗性显著高于。
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引用次数: 0
COVID 19 infection during first and second wave in Madhya Pradesh, Central India 印度中部中央邦的第一波和第二波COVID - 19感染
Pub Date : 2022-07-15 DOI: 10.18231/j.ijmr.2022.018
R. Hawaldar, S. Sodani, D. Taraphdar, Y. Kalantri, D. Chitnis, S. Chitnis
India has experienced a massive surge of COVID 19 cases and death since its appearance in January 2020. In the present cohort study, the percent positivity of non-hospitalized COVID-19 cases among male and female of different age group were analysed, during both first and second wave. A total of 1,75,739 patients, from non-hospitalised settings, were referred/walked-in to our diagnostic centre in the present cohort study between August 2020-June 2021. The collection and testing were approved by NABL, Government of India.: Of the tested samples, 40999 (39.15%) males and 28730 (40.46%) females were positive for COVID-19. The second wave (February 2021-June 2021) detected higher number of positive cases (13,922 vs 55,807, p<0.001). During the first wave (August 2020-January 2021), percent positivity was more amongst male (31.28±10.75%), but second wave recorded higher percent positivity amongst female (56.8±12.24%). Asymptomatic female cases were higher during both waves (2,769; 54.05±5.85% vs 14,166; 59.48±9.88%). The highest percent positivity was amongst older >60 years of age (37.47±16.69) in both waves and lowest amongst 18-30 years (23.17±13.86%). Fever was the predominant symptom in both waves (95%) followed by cough (70% vs 86%). Abdominal pain, nausea and chest pain were prominent in the first wave. Few reports are available from India on non-hospitalized COVID-19 patients. This study will help for developing knowledge on the role of symptomatic and asymptomatic cases in transmission of SARS-CoV-2 in Central part of India amongst non-hospitalized cases and will help for developing strategies to prepare for impending subsequent waves in disparate population groups across India.
自2020年1月出现以来,印度经历了COVID - 19病例和死亡人数的大幅增加。在本队列研究中,分析了第一波和第二波期间不同年龄组男性和女性非住院COVID-19病例的阳性率。在本队列研究中,在2020年8月至2021年6月期间,来自非住院环境的总计175,739名患者被转诊/走进我们的诊断中心。收集和检测得到了印度政府NABL的批准。男性40999例(39.15%),女性28730例(40.46%)。第二波(2021年2月- 2021年6月)检测到的阳性病例数较高(13922例vs 55807例),两波中60岁(37.47±16.69例),18-30岁最低(23.17±13.86%)。发热是两波患者的主要症状(95%),其次是咳嗽(70%对86%)。第一波以腹痛、恶心、胸痛为主。印度关于未住院的COVID-19患者的报告很少。这项研究将有助于了解有症状和无症状病例在印度中部非住院病例中传播SARS-CoV-2中的作用,并将有助于制定战略,为印度不同人群即将到来的后续浪潮做好准备。
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引用次数: 0
XE variant of the novel coronavirus 新型冠状病毒的XE变种
Pub Date : 2022-07-15 DOI: 10.18231/j.ijmr.2022.016
S. Bhattacharyya, Rohit Kumar
The COVID pandemic is still raging across the world. The XE variant has newly emerged and at present, many cases are being reported from Northern and Western India as well. Possibly it is a hybrid recombinant strain of BA. 1 and BA. 2 strains of the Omicron variant of SARS-CoV2. Cases are still mild with few symptoms, and are mostly self-limiting. However, the presenting features can be very non-specific.
新冠肺炎疫情仍在全球肆虐。XE变种是新近出现的,目前,印度北部和西部也报告了许多病例。可能是BA的杂交重组菌株。1和BA。2株SARS-CoV2的Omicron变体。病例仍然轻微,几乎没有症状,并且大多数是自限性的。然而,呈现的特征可能非常不具体。
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引用次数: 1
Study of seroprevalence of hepatitis a and e viruses in patients of acute viral hepatitis in a tertiary care centre in sub himalayan region 亚喜马拉雅地区三级保健中心急性病毒性肝炎患者甲型和戊型肝炎病毒血清流行率的研究
Pub Date : 2022-04-15 DOI: 10.18231/j.ijmr.2022.004
P. Sharma, G. Sharma, A. Sharma, S. Verma, P. Panda, G. Sharma
Acute viral hepatitis is a systemic infection affecting the liver predominantly. It is common health problem in areas where safe drinking water is not universally available. In recent times we have witnessed frequent outbreaks as a result of that.: To estimate sero-positivity of Hepatitis A and E viruses in indoor patients of hepatitis, presenting with jaundice using ELISA.: Blood samples and clinical information were collected from cases of jaundice and referred to VRDL lab for analysis over a period of 1 year.: Samples were tested for anti –HAV immunoglobulin M (IgM) and anti –HEV immunoglobulin M (IgM).Data was entered into a pre-structured data entry form, on Microsoft Excel sheet.The viral etiology was confirmed in 236 (41.1%) cases while in 337 (58.8%) cases no hepatitis virus could be detected, hepatitis E virus were found to be maximum in 45.76% cases, followed by HAV (39.83% cases)and while in 14.41% cases no hepatitis virus could be detected.: Routine basic microbiological analysis of drinking water should be carried out by assaying the presence of Escherichia coli by the multiple tube fermentation technique.
急性病毒性肝炎是一种以肝脏为主的全身性感染。在不能普遍获得安全饮用水的地区,这是一个常见的健康问题。最近,我们目睹了因此而频繁爆发的疫情。目的:应用酶联免疫吸附试验(ELISA)测定室内黄疸肝炎患者甲肝和戊肝病毒的血清阳性率。收集黄疸患者的血液样本和临床资料,并送交VRDL实验室进行分析,为期1年。:对样品进行抗甲型肝炎免疫球蛋白M (IgM)和抗hev免疫球蛋白M (IgM)检测。数据被输入到一个预先结构化的数据输入表单,在微软Excel表格上。确诊病例236例(41.1%),未检出肝炎病毒337例(58.8%),其中戊型肝炎病毒最多(45.76%),甲肝病毒次之(39.83%),未检出肝炎病毒14.41%。:饮用水常规基础微生物分析应采用多管发酵法检测大肠杆菌的存在。
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引用次数: 0
Time to positivity of blood culture as a prognostic marker in predicting the clinical outcome of blood stream infection 血培养阳性时间作为预测血流感染临床结局的预后指标
Pub Date : 2022-04-15 DOI: 10.18231/j.ijmr.2022.010
S. Bhat K, Nikitha Jayabalakrishnan
Automated blood culture systems provide continuous monitoring of bacterial growth, and time to positivity (TTP), may be used as good tool for diagnosis of blood stream infections. Objective of the study was to document bacterial profile and their susceptibility pattern and to evaluate the association between the TTP and clinical outcome in patients with BSIs. A cross-sectional study was conducted (after obtaining waiver of consent from institute ethics committee), on 75 patients with positive blood culture. Laboratory data such as TTP, bacterial pathogen isolated from positive blood cultures and their susceptibility pattern, clinical parameters such as demographic characteristics, source of BSIs, severity of infection as per various clinical scores were analysed for patients with TTP ≤10 hours and > 10 hours using univariate analysis. was the commonest gram-negative bacterial isolate (33.3%), and Staphylococcus aureus was the commonest gram-positive bacterial isolate (22.2%). Antimicrobial resistance rate in GNB was very high for cefotaxime (57%), ciprofloxacin (44%) and among gram-positive bacterial isolates was high for clindamycin (56.5%), and cefotaxime (50%). In the study, median TTP was 13 hours and short TTP of ≤10h was observed for , and . There were statistically significant differences observed for end stage renal disease, diabetes association and neutropenia patients with short TTP. Time to positivity is a useful tool for to-measure laboratory prognostic factor for patients with bacteremia. However, further studies with larger sample size, may be required to define its usefulness and the optimal cut-off points.
自动血液培养系统提供细菌生长的连续监测和阳性时间(TTP),可作为血流感染诊断的良好工具。该研究的目的是记录细菌的分布和它们的敏感性模式,并评估细菌性脑损伤患者的TTP和临床结果之间的关系。在获得研究所伦理委员会的放弃同意后,对75例血培养阳性患者进行了横断面研究。对TTP≤10小时和> 10小时患者的TTP、阳性血培养分离的细菌病原体及其易感性模式等实验室数据、人口学特征、bsi来源、感染严重程度等临床参数(按临床评分)进行单变量分析。最常见的革兰氏阴性菌(33.3%),最常见的革兰氏阳性菌为金黄色葡萄球菌(22.2%)。GNB对头孢噻肟(57%)和环丙沙星(44%)的耐药率很高,革兰氏阳性菌对克林霉素(56.5%)和头孢噻肟(50%)的耐药率很高。研究中,TTP中位数为13小时,TTP短时间≤10小时。在终末期肾病、糖尿病和中性粒细胞减少患者中,TTP时间短的差异有统计学意义。阳性时间是衡量菌血症患者实验室预后因素的有用工具。然而,可能需要更大样本量的进一步研究来确定其有用性和最佳分界点。
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引用次数: 0
Seroprevalence and changing trend of dengue in a tertiary care hospital, Bhubaneswar, Odisha: Four-year retrospective study 奥里萨邦布巴内斯瓦尔三级医院登革热血清流行率和变化趋势:四年回顾性研究
Pub Date : 2022-04-15 DOI: 10.18231/j.ijmr.2022.008
B. Pathi, N. Poddar, K. Panigrahi, D. Pattnaik, J. Jena
Dengue virus is a single stranded positive sense RNA virus belonging to the genus flavivirus family flaviviridae. Dengue fever is a seasonal and emerging acute mosquito borne arbo-viral illness affecting tropical and sub-tropical countries. This illness ranges from a mild asymptomatic form to severe dengue hemorrhagic fever (DHF) with or without dengue shock syndrome (DSS). This study was conducted to know the seroprevalence and changing trend of Dengue virus in a tertiary care hospital, Bhubaneswar, Odisha, India. Over a period of four years from August 2016 to December 2019, a total of 5147 blood samples from clinically suspected dengue patients were received in department of Microbiology laboratory. Serum was separated and subjected to enzyme immunoassay for detection of both Non Structural (NS1) antigen and IgM antibody.During this study period, a total of 5147 blood samples were processed from suspected dengue cases, out of which 1314(25%) samples were found to be positive by different serological markers like NS1 Antigen (Ag), IgM antibody(Ab), or both NS1 Ag & IgM Ab. The overall seroprevalence rate was found to be 25%. In this study period of four years, the year-wise seroprevalence rate was found to be 12% (153) in the year 2016 and was 26% (350) in the year 2017 and was 40% (522) in the year 2018, and was 22% (289) in the year 2019. It clearly shows that there is an increase in the dengue cases.
登革病毒是一种单链阳性RNA病毒,属于黄病毒科黄病毒属。登革热是一种季节性和新出现的急性蚊媒虫媒病毒疾病,影响热带和亚热带国家。该病范围从轻度无症状到伴有或不伴有登革休克综合征的严重登革出血热(DHF)。本研究旨在了解印度奥里萨邦布巴内斯瓦尔一家三级保健医院登革热病毒的血清阳性率和变化趋势。2016年8月至2019年12月,共收集临床疑似登革热患者血样5147份。分离血清,采用酶免疫法检测非结构(NS1)抗原和IgM抗体。本研究期间共处理登革热疑似病例5147份血样,其中NS1抗原(Ag)、IgM抗体(Ab)或NS1抗原和IgM抗体均阳性1314份(25%),总血清阳性率为25%。在这项为期四年的研究中,2016年全年血清患病率为12%(153),2017年为26%(350),2018年为40%(522),2019年为22%(289)。它清楚地表明,登革热病例有所增加。
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引用次数: 0
Feedback analysis of online classes and assessment during COVID 19 lockdown period from both students and teacher, department of Microbiology, Odisha 奥里萨邦微生物系师生对2019冠状病毒封城期间在线课堂和评估的反馈分析
Pub Date : 2022-04-15 DOI: 10.18231/j.ijmr.2022.012
N. Poddar, B. Pathi, A. Mishra, K. Panigrahi, D. Pattnaik, J. Jena
During this lockdown period, medical teachers conduct online classes using various Apps. The department of Microbiology wants to know the understanding of Microbiology from MBBS, BDS and nursing students. Also, the satisfaction and problem faced by faculty of Microbiology department. This is a questionnaire-based study. It was validated, and a pilot was conducted for modifications. The questionnaire was prepared in Google Forms. Three different questionnaires were prepared, two for students perception regarding online class and online assessment and the third one for the perception of faculty about online class and assessment.The opinions given were analysed, and feedback points were noted. The percentage level of satisfaction and usefulness was calculated with a 95% confidence interval. 75% of faculties agree that it is helpful to students. Most of the time, students attendance was more than offline classroom teaching. Students and faculty were comfortable with the Google form used for assessment & preferred MCQ & SAQ. All faculty & students face network connectivity errors during class and assessment. Response of BDS and nursing students were better than MBBS students. Online assessment can be done one week after the online class.The students (MBBS, BDS & Nursing) and faculty of the Microbiology department perceived moderate satisfaction and usefulness with the ongoing online classes and assessment during this crisis period. MBBS students & faculty expressed the desire to resume regular physical classes, especially for practicals and clinics. Problems faced by teachers and students addressed to Institutional authority to improve the online teaching-learning programme.
在封锁期间,医学教师使用各种应用程序进行在线课程。微生物系希望了解MBBS, BDS和护理学生对微生物学的理解。微生物系教师的满意度和面临的问题。这是一项基于问卷的研究。经过验证,并进行了一次试验以进行修改。问卷是在谷歌表格中准备的。准备了三份不同的问卷,两份是关于学生对在线课程和在线评估的看法,第三份是关于教师对在线课程和评估的看法。对提出的意见进行了分析,并指出了反馈意见。满意度和有用性的百分比水平以95%的置信区间计算。75%的教师认为这对学生有帮助。大多数时候,学生出勤率高于线下课堂教学。学生和教师都很满意用于评估和首选MCQ和SAQ的谷歌表格。所有教师和学生在上课和评估时都会遇到网络连接错误。BDS和护生的反应优于MBBS学生。在线评估可以在在线课程结束一周后进行。在这个危机时期,学生(MBBS, BDS和护理)和微生物系的教师对正在进行的在线课程和评估感到中等满意度和有用性。MBBS的学生和教师表达了恢复常规体育课的愿望,特别是实践和诊所。教师和学生面临的问题,向机构当局提出,以改善在线教学计划。
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引用次数: 0
Anti microbial effect of prebiotic containing tooth paste against streptococcus mutans and lactobacillus: An invitro evaluation 含益生元牙膏对变形链球菌和乳酸菌的抑菌作用:体外评价
Pub Date : 2022-04-15 DOI: 10.18231/j.ijmr.2022.007
S. R, Preetha Peethambar, S. Konde, M. Agarwal, Sahana N Prasad
: To evaluate the antimicrobial efficacy of three commercially available toothpastes which are non-fluoridated, fluoridated and the one containing prebiotic ingredient on s and .: Antimicrobial activities of prebiotic, fluoridated, non-fluoridated toothpastes were assessed at different concentrations (100ug, 200ug, 300ug and 400ug). Since prebiotic toothpaste had other proven antimicrobial agents, 100% inulin extract from chicory (prebiotic) was assessed for its antimicrobial efficacy at varying concentrations. Antimicrobial property was evaluated by determining the zone of inhibition using agar well diffusion method on Luria Bertani (LB) broth media for and MRS broth media forL.plantarum. 100ul of inoculums of S.mutans and L.plantarum was poured on to the agar plates respectively. Five wells measuring 0.5cm was made, dentifrice at varying concentration i.e; 100ug, 200ug, 300ug and 400ug was loaded into respective wells. 50ul of DMSO was loaded in the well at the centre as control and incubated at 37°C for 24hrs. : All the three tested toothpastes had significant antimicrobial activity against S.mutans and L.plantarum. The highest antimicrobial activity was exhibited by toothpaste containing prebiotic ingredient with mean zone of inhibition of (18.5+/-0.5) and (20.0+/-1) at 400ug against S.mutans and L.plantarum. There was no significant difference in antimicrobial activity of fluoridated and non-fluoridated toothpastes against S.mutans at 400ug (P=1), but there was a significant difference for L.plantarum at 400ug (P<0.001). Antimicrobial activity increased at higher concentrations for all the three tested toothpastes and for 100% Inulin extract. : All the three tested toothpaste were effective against S.mutans and L.plantarum at varying concentrations, but toothpaste containing prebiotic ingredient was most effective in inhibition of both the micro-organisms.
为了评估三种市售牙膏的抗菌效果,分别是不含氟牙膏、含氟牙膏和含益生元成分牙膏。在不同浓度(100ug、200ug、300ug和400ug)下,对益生元牙膏、含氟牙膏和不含氟牙膏的抗菌活性进行了评估。由于益生元牙膏含有其他已证实的抗菌剂,因此对菊苣(益生元)100%菊粉提取物在不同浓度下的抗菌效果进行了评估。采用琼脂孔扩散法对植物褐藻(Luria Bertani, LB)肉汤培养基和MRS肉汤培养基进行抑菌区鉴定。分别将变形链球菌和植物芽孢杆菌接种体100ul倒在琼脂板上。制作5个孔,孔长0.5cm,分别取不同浓度的牙液;分别入井100ug、200ug、300ug、400ug。将50ul DMSO装入中心孔中作为对照,在37℃条件下孵育24h。三种牙膏对变形链球菌和植物乳杆菌均有显著的抑菌活性。含益生元成分的牙膏在400ug时对变形链球菌和植物l.a tarum的平均抑制区分别为(18.5+/-0.5)和(20.0+/-1),抗菌活性最高。含氟牙膏与非含氟牙膏在400ug浓度下对变形链球菌的抑菌活性差异无统计学意义(P=1),而对植物乳杆菌的抑菌活性差异有统计学意义(P<0.001)。三种牙膏和100%菊粉提取物浓度越高,抗菌活性越强。三种牙膏在不同浓度下均能有效抑制变形链球菌和植物乳杆菌,但含益生元成分的牙膏对这两种微生物的抑制效果最好。
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引用次数: 0
Molecular detection of dengue virus serotypes prevalent in central Kerala and its correlation with disease severity 喀拉拉邦中部流行登革热病毒血清型的分子检测及其与疾病严重程度的相关性
Pub Date : 2022-04-15 DOI: 10.18231/j.ijmr.2022.009
R. R., C. Valsan, E. Sreekumar, K. Sathiavathy
Dengue is the most important mosquito-borne viral disease in the world. In 2017, a concerning increase in dengue cases with high mortality was seen in India with Kerala topping the list. Changing pattern of circulating dengue virus serotype and co infection with multiple serotypes contribute to the increasing trend in severity and increased mortality of dengue fever. The present study focused to find the dengue serotypes prevalent in central Kerala and prevalence of co infection with multiple serotypes here with an attempt to correlate these with clinical severity of dengue: This descriptive study was done in the Microbiology department of Jubilee Mission Medical College, Thrissur for a period of 18 months. Blood samples of clinically suspected dengue fever cases which were positive for NS1 antigen and having fever not more than 5 days were subjected to molecular methods to detect dengue virus RNA followed by multiplex RTPCR to find its serotype. Demographic features, clinical details and lab parameters were also collected from each patient. A total of 108 samples positive for Dengue NS1 antigen were subjected to RT-PCR. Among them 61(56.5%) were positive by RT-PCR. All the 4 Dengue serotypes were found with DENV-2 with 30 cases (49.2%) being the predominant serotype followed by DENV-1 with 20 cases (32.8%), DENV-3 with 12 cases (19.6%) and DENV-4 with 2 cases (3.27%). Three cases (4.9%) of co infection with DENV-1,2, DENV-1, 4 and DENV-2,3 were also found. Two among the 108 patients (1.85%) died in the present study. Significant correlation between severity of dengue infection and serotypes could not be found due to very few severe cases encountered during the study. : The dengue serotypes predominant in central Kerala is DENV-2. The prevalence of co infection with multiple serotypes is 4.9% which proves that this area has become hyper endemic to the disease, which increases the risk of emergence of more severe cases.
登革热是世界上最重要的蚊媒病毒性疾病。2017年,印度出现了令人担忧的登革热病例增加,死亡率高,喀拉拉邦高居榜首。登革热病毒血清型流行模式的改变和多种血清型的合并感染导致登革热的严重程度和死亡率呈上升趋势。本研究的重点是寻找喀拉拉邦中部流行的登革热血清型和多种血清型的合并感染的流行情况,并试图将这些与登革热的临床严重程度联系起来:这项描述性研究是在Thrissur的Jubilee Mission医学院微生物学系进行的,为期18个月。对NS1抗原阳性且发热时间不超过5天的临床疑似登革热病例,采用分子方法检测登革病毒RNA,并采用多重RTPCR检测其血清型。还收集了每位患者的人口统计学特征、临床细节和实验室参数。对108份登革热NS1抗原阳性样本进行RT-PCR检测。其中61例(56.5%)为RT-PCR阳性。4种登革热血清型均有发现,以DENV-2型30例(49.2%)为主,其次为DENV-1型20例(32.8%)、DENV-3型12例(19.6%)、DENV-4型2例(3.27%)。DENV-1、2、DENV-1、4和DENV-2、3合并感染3例(4.9%)。108例患者中有2例(1.85%)死亡。由于研究期间遇到的严重病例很少,因此无法发现登革热感染严重程度与血清型之间的显著相关性。:喀拉拉邦中部主要的登革热血清型是DENV-2。多种血清型合并感染的流行率为4.9%,这证明该地区已成为该病的高流行区,这增加了出现更严重病例的风险。
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引用次数: 0
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Indian Journal of Microbiology Research
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