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Incidence density rate of multidrug-resistant organism (MDRO) at a tertiary care teaching hospital: A retrospective cross-sectional study 一家三级医疗教学医院的多重耐药菌 (MDRO) 发病率:回顾性横断面研究
Pub Date : 2024-07-15 DOI: 10.18231/j.ijmr.2024.020
Rupal Patel, Pinal Joshi, Naimika Patel, Chirag Modi
: Multidrug-resistant organisms (MDROs) has become a major public health concern. Rise of MDROs and their negative consequences on patient’s survival and health care costs need the assessment of their burden and implementation of practices to control their emergence and spread. There is a lack of literature mentioning incidence density rates (IDR) of various MDRO infections in Indian hospitals. Therefore, the study was conducted to determine the infection IDR and trend of various MDROs at a tertiary care teaching hospital. It will serve as a benchmark data for similar facilities using the same surveillance definitions and methodology. : A retrospective cross-sectional study was conducted using culture data of ten years (January 2014 to December 2023) at Shree Krishna Hospital, Karamsad. MDRO studied included Methicillin-resistant (MRSA), V (VRE), (CRE), Multidrug-resistant (MDR) spp. and MDR . A total of 7311 MDRO were detected from 1321793 in-patients, showing the overall IDR of 5.53 per 1000 patients-days. CRE (n = 3056, 42%) was the most common MDRO. The overall IDR per 1000 patient-days of MRSA, VRE, CRE, MDR- ., and MDR- was 0.81, 0.23, 2.31, 1.29 and 0.89 respectively. Overall MDRO IDR has increased from 4.20 to 8.77 from 2014 to 2023. An increasing IDR was observed for MRSA (0.57 to 1.48) and MDR- (0.43 to 1.60). Around 80% of the . were MDR as compared to other MDRO. MDROs have been identified as a significant problem at our institute showing an increasing trend. We recommend following stringent infection control practices including isolation protocols as well as adherence to hospital antibiotic policy to reduce the burden of MDROs.
:耐多药生物(MDROs)已成为一个重大的公共卫生问题。MDROs的增加及其对患者生存和医疗成本造成的负面影响需要对其负担进行评估,并实施控制其出现和传播的措施。目前缺乏有关印度医院中各种 MDRO 感染发病密度率 (IDR) 的文献。因此,本研究旨在确定一家三级医疗教学医院中各种 MDRO 的感染 IDR 和趋势。该研究将为采用相同监测定义和方法的类似机构提供基准数据。 研究目的:本研究利用卡拉姆萨德克里希纳医院十年(2014 年 1 月至 2023 年 12 月)的培养数据进行了一项回顾性横断面研究。研究的 MDRO 包括耐甲氧西林 (MRSA)、耐VRE (VRE)、耐CRE (CRE)、耐多药 (MDR) 菌株和 MDR。共从 1321793 名住院患者中检测出 7311 个 MDRO,总体 IDR 为每 1000 个患者日 5.53 个。CRE(n = 3056,42%)是最常见的 MDRO。每 1000 个住院日中,MRSA、VRE、CRE、MDR- .和 MDR- 的总体 IDR 分别为 0.81、0.23、2.31、1.29 和 0.89。从 2014 年到 2023 年,总体 MDRO IDR 从 4.20 增加到 8.77。据观察,MRSA(0.57 升至 1.48)和 MDR-(0.43 升至 1.60)的 IDR 不断增加。与其他MDRO相比,约80%的.为MDR。在我院,MDROs 已被确定为一个严重问题,并呈上升趋势。我们建议采取严格的感染控制措施,包括隔离协议以及遵守医院抗生素政策,以减轻 MDROs 的负担。
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引用次数: 0
Outbreak of Mpox - an emerging epidemic and a warning to the world 痘疹的爆发--一种新出现的流行病和对世界的警示
Pub Date : 2024-07-15 DOI: 10.18231/j.ijmr.2024.023
Lakshmi Krishnasamy
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引用次数: 0
Important antiviral properties of Streptomyces species compounds 链霉菌化合物的重要抗病毒特性
Pub Date : 2024-05-15 DOI: 10.18231/j.ijmr.2024.002
Ratnesh Kumar, Maneesh Kumar, Suman Kumar, Mithilesh Kumar Jha, Shashank Nand Tiwari, Pratima Gupta
species, a subgroup of Actinomycetes bacteria, have been analysed for their antiviral properties. These bioactive secondary metabolites, which have a broad spectrum of chemical structures and strong biological activity, offer a promising opportunity for new antiviral therapeutics against various viral infections. These metabolites target different stages of viral replication or interactions with host cells, making them important for biological research and pharmaceutical development. bacteria contain numerous antiviral mechanisms that inhibit viral infections at different stages of the viral life cycle. and other actinomycetes can improve the health of people with viruses, and recent research suggests that combining with other bacterial species could improve overall health and regulate infections. This emphasises the importance of comprehensive approaches to combating viral infections and research into natural products. Further research into multispecies combinations of and other bacterial species is needed to fully utilise their therapeutic potential against viral diseases.
分析了放线菌属细菌的一个亚群--"噬菌体 "的次生代谢物的抗病毒特性。这些生物活性次生代谢物具有广泛的化学结构和强大的生物活性,为针对各种病毒感染的新型抗病毒疗法提供了良好的机会。这些代谢物针对病毒复制或与宿主细胞相互作用的不同阶段,因此对生物研究和药物开发非常重要。细菌含有多种抗病毒机制,可在病毒生命周期的不同阶段抑制病毒感染。这强调了采用综合方法防治病毒感染和研究天然产品的重要性。需要进一步研究多菌种和其他细菌菌种的组合,以充分利用它们对病毒性疾病的治疗潜力。
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引用次数: 0
Genomic perspective of Salmonella enterica isolated from farm animals in Sinaloa, Mexico 从基因组角度看墨西哥锡那罗亚州农场动物中分离出的肠炎沙门氏菌
Pub Date : 2024-05-15 DOI: 10.18231/j.ijmr.2024.003
N. C. Campo, J. R. Aguirre-Sánchez, González-López Irvin, Rogelio Prieto-Alvarado, C. Chaidez
Farm animals play a crucial role as a primary source of sustenance for human consumption. However continues to be one of the major food-borne pathogens from a public health standpoint. Its persistent global concern surrounding stems from its capability to induce foodborne illnesses. Unraveling the genetic characteristics of this pathogen stands as a pivotal step, shedding light on the intricate biology of and aiming to mitigate its prevalence. Within this context, our study aims to delve into the genomic traits and population structure of Mexican isolates derived from farm animals. We performed next-generation sequencing across 72 genomes. Genomic data was analyzed to determine virulence and antibiotic resistance markers. In addition, a phylogenetic tree and a spanning tree was constructed. The study revealed a diversity of 18 serovars linked to a singular ST, with prominent serovars being Oranienburg, Give, and Saintpaul. Across all isolates, an extensive array of virulence-related genes was identified. Interestingly, 95% of the isolates displayed exclusive resistance to aminoglycosides, while the remaining exhibited multidrug resistance to tetracycline and chloramphenicol. Notably, a substantial prevalence of prophages in the genomes was observed, accounting for 94% and totaling 183 sequences. The serovar Give stood out with the highest number of sequences, featuring Vibrio X29 and Escher RCS47 as the most prevalent phages. This comprehensive analysis provides valuable insights into the intricate world of , paving the way for enhanced understanding and targeted interventions.
作为人类消费的主要食物来源,农场动物发挥着至关重要的作用。然而,从公共卫生的角度来看,它仍然是主要的食源性病原体之一。这种病原体能够诱发食源性疾病,因此一直受到全球关注。揭示这种病原体的遗传特征是关键的一步,可以揭示其复杂的生物学特性,从而减少其流行。在此背景下,我们的研究旨在深入研究来自农场动物的墨西哥分离物的基因组特征和种群结构。我们对 72 个基因组进行了新一代测序。通过分析基因组数据,确定了毒力和抗生素耐药性标记。此外,还构建了系统发生树和跨度树。研究发现,有 18 个血清型与一个单一的 ST 相关联,其中主要的血清型为 Oranienburg、Give 和 Saintpaul。在所有分离株中,发现了大量与毒力相关的基因。有趣的是,95%的分离株对氨基糖苷类药物具有专一抗性,其余的则对四环素和氯霉素具有多药抗性。值得注意的是,在基因组中发现了大量的噬菌体,占 94%,共有 183 个序列。血清型 Give 的序列数量最多,X29 弧菌和 Escher RCS47 是最常见的噬菌体。这项全面的分析为深入了解噬菌体的复杂世界提供了宝贵的信息,为加深理解和采取有针对性的干预措施铺平了道路。
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引用次数: 0
A study on clinico-demographic and microbiological profile of surgical site infection (SSI) in a tertiary care hospital, Kolkata: An alarming trend 加尔各答一家三级医院手术部位感染 (SSI) 的临床-人口学和微生物学概况研究:令人担忧的趋势
Pub Date : 2024-05-15 DOI: 10.18231/j.ijmr.2024.005
Swagata Ganguly Bhattacharjee, Ankita Banik, Sharanya Haldar, Suman Kundu, Somnath Bhunia, Kishor Kumar Behera, Cizarina Roy, J. Dey
The Centres for Disease Control and Prevention (CDC) estimates surgical site infections SSI is major contributor of healthcare associated infections (HAI). Multidrug resistant (MDR) Gram-negative bacilli are emerging pathogens. This study aimed to determine the magnitude of SSI and identify predominant pathogens with their antimicrobial susceptibility patterns. It is a hospital-based descriptive cross-sectional study including 2070 suspected SSI specimens from 25809 surgeries between 1July 2021 to 30 June 2023. Organisms’ identification and AST was done by both conventional and automated methods. Data was collected and analysed on MS-Excel sheet with various charts and tables. In our study SSI rate was 6.3%, much higher than previous study (2.83%) from this institution. SSI rate was highest in plastic surgery (8.2%). Major pathogens of SSI were Gram-negative bacilli e.g., (26.34%), (25.59%) and (74.69%) was predominant among Gram-positive cocci. Gram-negative bacilli including enterobacterales and non-fermenter and showed resistance to major classes of broad- spectrum antibiotics. Methicillin resistance (MRSA) was 43.9%, which indicates need to improve infection control practices. Our study showed significant higher proportion of SSI as compared to previous studies from the same institute with alarming number of isolated MDR Gram-negative bacilli. So, this study focusses the need of robust infection control practices and strict implementation of antimicrobial stewardship to overcome challenges of antimicrobial resistance.
据美国疾病控制和预防中心(CDC)估计,手术部位感染 SSI 是造成医疗相关感染(HAI)的主要因素。耐多药(MDR)革兰氏阴性杆菌是新出现的病原体。本研究旨在确定 SSI 的严重程度,并确定主要病原体及其抗菌药敏感性模式。这是一项以医院为基础的描述性横断面研究,包括来自 2021 年 7 月 1 日至 2023 年 6 月 30 日期间 25809 例手术的 2070 份疑似 SSI 标本。采用传统方法和自动方法进行了微生物鉴定和 AST 分析。数据在 MS-Excel 表格中收集并分析,并附有各种图表。在我们的研究中,SSI 感染率为 6.3%,远高于该机构之前的研究(2.83%)。整形外科的 SSI 感染率最高(8.2%)。SSI 的主要病原体是革兰氏阴性杆菌,如(26.34%)、(25.59%)和(74.69%),革兰氏阳性球菌占多数。革兰氏阴性杆菌包括肠杆菌和非发酵菌,对主要类别的广谱抗生素均有耐药性。甲氧西林耐药性(MRSA)占 43.9%,这表明需要改进感染控制措施。与同一研究所以往的研究相比,我们的研究显示 SSI 的比例明显较高,而且分离出的 MDR 革兰阴性杆菌数量惊人。因此,本研究着重强调需要采取强有力的感染控制措施,并严格执行抗菌药物管理,以克服抗菌药物耐药性的挑战。
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引用次数: 0
A fatal case of cupriavidus pauculus causing septicemia after duodenal perforation: Case report from university teaching hospital 十二指肠穿孔后引起脓毒血症的致命病例:大学教学医院的病例报告
Pub Date : 2024-05-15 DOI: 10.18231/j.ijmr.2024.011
Sheetal Verma, Nishtha Singh, Amber Azim, V. Venkatesh, Armin Ahmad
, a gram-negative bacterium is found ubiquitously in soil and water. It is very rare organism to cause human infection. Here we report a fatal case of septicaemia due to in a young female with duodenal perforation. Blood culture showed isolation of identified by MALDI-TOF-MS. The patient was treated with meropenem and piperacillin and tazobactam, but she died nine days after surgery. To our knowledge, this is the rare case report of causing septicemia after duodenal perforation.
痢疾杆菌是一种革兰氏阴性细菌,普遍存在于土壤和水中。它很少引起人类感染。在此,我们报告了一例年轻女性十二指肠穿孔导致败血症的致命病例。经 MALDI-TOF-MS 鉴定,血液培养显示分离出了这种细菌。患者接受了美罗培南、哌拉西林和他唑巴坦治疗,但术后九天死亡。据我们所知,这是十二指肠穿孔后引起脓毒血症的罕见病例报告。
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引用次数: 0
Identification of Trichophyton benhamiae by MALDI-TOF Mass Spectrometry. First report in Peru 通过 MALDI-TOF 质谱法鉴定毛癣菌。秘鲁首次报告
Pub Date : 2024-05-15 DOI: 10.18231/j.ijmr.2024.010
Luis Alvarado, M. Quiroz-Reyna, G. Quiroz-Chunga, William Castillo-Aguilar, F. Quedo-Salazar
is an emerging zoophilic dermatophyte that mainly infects skin and scalp and has been reported in Asia, America and Europe. It has two phenotypic variants: one with white colonies and the other with yellow colonies. Morphological identification of is not sufficient and can be confused with or . Genomic or proteomic analysis is required to establish a definitive identification. We present three dermatophyte strains obtained from the skin, nails and scalp of human infections in which macroscopic and microscopic examinations were not sufficient to identify the species. The final identification of was performed using MALDI-TOF mass spectrometry. This is the first report of in Peru.
是一种新出现的嗜动物皮癣菌,主要感染皮肤和头皮,亚洲、美洲和欧洲均有报道。它有两种表型变体:一种是白色菌落,另一种是黄色菌落。形态学鉴定并不充分,可能会与或混淆。 需要进行基因组或蛋白质组分析才能确定其身份。我们介绍了从人类感染的皮肤、指甲和头皮中获得的三种皮癣菌株,在这些菌株中,宏观和显微镜检查都不足以鉴定其种类。最终的鉴定是通过 MALDI-TOF 质谱法进行的。这是秘鲁的首份报告。
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引用次数: 0
Emerging trends in urinary tract infection pathogens: Insights from K. oxytoca and M. morganii in Indian settings 尿路感染病原体的新趋势:从印度的 K. oxytoca 和 M. morganii 中得到的启示
Pub Date : 2024-05-15 DOI: 10.18231/j.ijmr.2024.004
Anju Dhar, Soni Gupta, Deepali Ghoel, Rupesh Dingankar
Urinary tract infections (UTIs) are a significant global health concern affecting millions annually. In India, UTIs linked to various bacterial pathogens, particularly and present a formidable challenge. This study aimed to evaluate the occurrence of these bacteria in urine samples obtained from UTI patients in Indian settings. Our investigation identified a notable proportion of UTIs associated with and highlighting the necessity for customized therapeutic approaches. Additionally, we conducted antibiotic susceptibility testing to guide appropriate antibiotic selection. Our findings revealed that 90% of isolates exhibiting additional resistance to Azithromycin (AZK). These results emphasize the importance of judicious antibiotic use and continuous monitoring of antibiotic resistance in UTI-causing pathogens in Indian healthcare settings. This study contributes to UTI management strategies and the development of tailored treatment modalities for the Indian population.
尿路感染(UTI)是全球关注的重大健康问题,每年影响数百万人。在印度,尿路感染与各种细菌病原体有关,尤其是和,是一个巨大的挑战。本研究旨在评估印度UTI 患者尿液样本中这些细菌的发生率。我们的调查发现,有相当一部分尿毒症与细菌病原体有关,这凸显了定制化治疗方法的必要性。此外,我们还进行了抗生素药敏试验,以指导适当的抗生素选择。我们的研究结果显示,90% 的分离菌株对阿奇霉素 (AZK) 表现出额外的耐药性。这些结果强调了在印度医疗机构中明智使用抗生素和持续监测UTI致病菌对抗生素耐药性的重要性。这项研究有助于制定UTI管理策略和开发适合印度人群的治疗模式。
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引用次数: 0
Antibiotic stewardship program: challenging threat of antimicrobial resistance 抗生素管理计划:抗菌药耐药性的威胁与挑战
Pub Date : 2024-05-15 DOI: 10.18231/j.ijmr.2024.001
Purav G Patel
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引用次数: 0
Evaluation of the time, labor, and money required for manual and automated nucleic acid (RNA) isolation for the detection of SARS-COV-2 by QRT-PCR using the qiamp viral RNA mini kit and kingfisher flex 使用 qiamp 病毒 RNA mini 试剂盒和 kingfisher flex 通过 QRT-PCR 检测 SARS-COV-2 所需的人工和自动核酸 (RNA) 分离时间、人力和资金评估
Pub Date : 2024-05-15 DOI: 10.18231/j.ijmr.2024.009
Chetana Roat, Nilay Harshadkumar Dave
We undertook this cross-sectional investigation to assess the time, manpower, and average run cost per sample using manual Qiamp Viral RNA micro kit (Qiagen) and automated kingfisher flex instrument extraction methods for SARS-Cov-2 identification.The study used 120 Viral Transport Media-collected nasopharyngeal/ oropharyngeal swabs.Magnetic bead-based RNA extraction was performed using the Thermo Fisher Scientific kingfisher flex instrument and manual Extraction was Silica membrane-based Qiagen spin column kits. The TaqPath™ COVID-19 Combo Kit from Thermo Fisher Scientific was used for detecting SARS-CoV-2 target genes.Human technique took 40 minutes longer than automation. It cost more to automate than to manually labor. These disparities in time, effort, and cost affect laboratory operations, offering pros and cons for each method. This suggests that positive or negative was consistent regardless of viral load or RNA concentration.The study found that automated RNA extraction yielded better results compared to manual extraction. The automated sample processing system saved time, people, and money. In resource-limited or low-throughput labs, manual extraction may be preferable. Manual methods are laborious, require more hands-on time, and risk cross-contamination and technical blunders.
研究使用了 120 份病毒运输培养基采集的鼻咽/口咽拭子,使用 Thermo Scientific kingfisher flex 仪器进行磁珠式 RNA 提取,使用 Qiagen 自旋柱硅胶膜试剂盒进行人工提取。检测 SARS-CoV-2 目标基因时使用了赛默飞世尔科技公司的 TaqPath™ COVID-19 组合试剂盒。自动化成本高于人工。这些时间、精力和成本上的差异影响了实验室的运作,使每种方法各有利弊。研究发现,与人工提取相比,自动化 RNA 提取的结果更好。自动样本处理系统节省了时间、人力和资金。在资源有限或低通量实验室,手动提取可能更可取。手动方法费力,需要更多的动手时间,而且有交叉污染和技术失误的风险。
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引用次数: 0
期刊
Indian Journal of Microbiology Research
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