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Detection of carbapenem resistant enterobacteriaceae from various clinical samples: A record based study in a tertiary care hospital in Mandya 从各种临床样本检测耐碳青霉烯类肠杆菌科:在曼迪亚三级保健医院的记录为基础的研究
Pub Date : 2023-07-15 DOI: 10.18231/j.ijmr.2023.015
Roopa Shree S
: Carbapenem Resistant Enterobacteriaceae (CRE) has gradually evolved as one of the serious global health concern due to its high mortality and limited treatment options. Overuse of the antibiotic and improper sanitation has led to its rapid spread. To determine the proportion of Carbapenem resistant Enterobacteriaceae from various clinical samples received in the Department of Microbiology, MIMS Mandya for Culture and sensitivity by using Meropenem and Imipenem disk.This is a retrospective study conducted over a period of 6 months from March 2021 to august 2021. The samples tested were all the clinical specimens like sputum, pus, urine, body fluids coming to our Microbiology laboratory. The specimens were processed by the standard laboratory methods. Bacteria was isolated and identified by standard biochemical reactions and antimicrobial susceptibility testing was done on Mueller Hinton Agar by Kirby Bauer disk diffusion method and interpreted according to CLSI guidelines.A total of 1624 samples were included in the study, among which 211 isolates were identified as members of Enterobacteriaceae family. 50 out of 211 isolates were confirmed as Carbapenem resistant giving a prevalence rate of 23.69%. Urine (42%) was the major contributor of CRE, followed by pus (34%). Among CRE, (54%) was the major organism isolated followed by (20%).Our study showed high CRE prevalence rate of 23.69%, indicating the rapid emergence of CRE. Hence, a strict adherence to antibiotic policy and basic infection control measures to be applied in view of reducing the spread of CRE in the community.
碳青霉烯耐药肠杆菌科(CRE)由于其高死亡率和有限的治疗选择,已逐渐发展成为严重的全球健康问题之一。抗生素的过度使用和不适当的卫生设施导致了它的迅速传播。目的:采用美罗培南和亚胺培南圆盘检测临床样品中碳青霉烯耐药肠杆菌科菌的比例及敏感性。这是一项为期6个月的回顾性研究,从2021年3月到2021年8月。检测的样本为所有送到微生物实验室的痰、脓、尿、体液等临床标本。样品采用标准实验室方法处理。采用标准生化反应对细菌进行分离鉴定,采用Kirby Bauer圆盘扩散法对Mueller Hinton琼脂进行药敏试验,并按照CLSI指南进行解释。本研究共纳入1624份样本,其中211株分离物为肠杆菌科。211株中有50株对碳青霉烯类耐药,患病率为23.69%。尿液(42%)是CRE的主要来源,其次是脓(34%)。CRE中分离的主要微生物为(54%),其次为(20%)。我们的研究显示,CRE的患病率高达23.69%,表明CRE的出现速度很快。因此,应严格遵守抗生素政策和基本感染控制措施,以减少CRE在社区的传播。
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引用次数: 0
Seroprevalence of Hepatitis C virus infection in patients attending tertiary care hospital of southern Haryana, India 印度哈里亚纳邦南部三级医院患者丙型肝炎病毒感染的血清阳性率
Pub Date : 2023-07-15 DOI: 10.18231/j.ijmr.2023.014
Shreya Behl
To find the seroprevalence of the Hepatitis C virus infection in the patients attending SHKM GMC, Nalhar. : A retrospective study was conducted in Department of Microbiology, SHKM GMC, Nalhar. The samples were taken from 16th August 2021 to 20th July 2022. A total of 11,890 samples were taken for study and HCV infection was diagnosed using ELISA and Rapid card test.: Out of 11,890 serum samples seroprevalence of HCV infection was found to be in 0.012% of the individuals. It is concluded that Mewat has a low seroprevalence of HCV infection.
目的了解纳哈尔邦SHKM GMC患者丙型肝炎病毒感染的血清阳性率。回顾性研究在Nalhar SHKM GMC微生物学系进行。样本采集时间为2021年8月16日至2022年7月20日。共采集样本11890份,采用ELISA和快速卡法诊断HCV感染。在11,890份血清样本中,HCV感染的血清阳性率为0.012%。结论:Mewat的HCV感染血清阳性率较低。
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引用次数: 0
Determinants of virological failure in HIV1 infected patients followed in a third-level hospital Abidjan, Cote d’Ivoire 在科特迪瓦阿比让一家三级医院对艾滋病毒感染患者病毒学失败的决定因素进行了随访
Pub Date : 2023-07-15 DOI: 10.18231/j.ijmr.2023.013
M. Pacome, Meite Syndou, Mlan Alice Brittoh, Zaba Flore, Yapi Jaures, Monney Beda, Abonou Jocelyne, Dao Issa, Faye-Kette Hortense, Dosso Mireille
: Côte d'Ivoire has been committed to achieving the UNAIDS 90-90-90 targets of People Living with HIV (PLHIV) follow-up since 2015. The proportion of patients on antiretroviral therapy (ART) was below the desired rates for 2020. The laboratory of the University Hospital Center (CHU) of Yopougon has been equipped with instruments capable of quantifying the plasma viral load (VL) of PLHIV on ART. This quantification allowed for early detection of virological failure in PLHIV. The objective of this study was to determine the rate of virological failure and the epidemiological, immunological and virological determinants of virological failure in patients followed at the Yopougon University Hospital in Abidjan. : This was a retrospective study covering the period from January 1, 2015 to October 31, 2019. It was carried out on data related to blood samples (plasma) of PLHIV (infected with HIV-1) under ART for at least 6 months and who had quantified their viral load.: A total of 52356 PLHIV were included in this study. The age group 40-50 years comprised the majority of the patients (46.7%) with a median age of 40 +/- 0.3 years. The female sex predominated with 72% and a sex ratio of (M/F) = 0.38. The TCD4 cell were between 500 and 350 cells/µL in 57.0% of patients at treatment initiation. The TDF+3TC+EFV treatment regimen was prescribed in the majority of patients (88.62%). The population of patients with virological failure (defined as VL ≥ 1000 copies/ml) was 12924 or a prevalence of 24.7%. The determinants of virological failure were age ≤ 15 years, male sex and CD4+ LT rate below 250 cells/µL (p <0.05).: The virological failure rate was high especially in children and male subjects at the Yopougon University Hospital. It appears therefore important to act on these determinants, by additional efforts through concrete actions such as regular and systematic measurement of CV at the time of rapid change of treatments with effective combinations for this type of PLHIV. The goal is to achieve the objectives of the UNAIDS to eradicate HIV by 2030.
: Côte自2015年以来,科特迪瓦一直致力于实现联合国艾滋病规划署关于艾滋病毒感染者(PLHIV)后续行动的90-90-90目标。接受抗逆转录病毒治疗(ART)的患者比例低于2020年的预期比例。Yopougon大学医院中心(CHU)的实验室配备了能够量化抗逆转录病毒治疗中PLHIV血浆病毒载量(VL)的仪器。这种定量可以早期发现PLHIV的病毒学失败。这项研究的目的是确定在阿比让尤布贡大学医院随访的患者的病毒学失败率以及病毒学失败的流行病学、免疫学和病毒学决定因素。这是一项回顾性研究,研究时间为2015年1月1日至2019年10月31日。该研究是对接受抗逆转录病毒治疗至少6个月的PLHIV(感染HIV-1)患者的血液样本(血浆)相关数据进行的,这些患者已经量化了他们的病毒载量。:本研究共纳入52356例PLHIV。40-50岁占患者的大多数(46.7%),中位年龄为40 +/- 0.3岁。雌性占多数,占72%,性别比(M/F) = 0.38。治疗开始时,57.0%的患者TCD4细胞在500 ~ 350个/µL之间。大多数患者(88.62%)采用TDF+3TC+EFV治疗方案。病毒学失败(定义为VL≥1000拷贝/ml)的患者人数为12924人,患病率为24.7%。病毒学失败的决定因素为年龄≤15岁、男性、CD4+ LT低于250 cells/µL (p <0.05)。尤以儿童和男性患者病毒学失败率高。因此,重要的是对这些决定因素采取行动,通过具体行动做出额外的努力,例如在快速改变有效组合治疗这种类型的PLHIV时定期和系统地测量CV。目标是实现联合国艾滋病规划署到2030年根除艾滋病毒的目标。
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引用次数: 0
Cryptosporidiosis in HIV-seronegative patients: A case series hiv血清阴性患者的隐孢子虫病:一个病例系列
Pub Date : 2023-07-15 DOI: 10.18231/j.ijmr.2023.019
Drishti Sagar, H. Kaur
Enteric infections by are a frequent cause of diarrhea among immunocompromised and HIV infected patients but there are limited reports of their occurrence in immunocompetent patients. Cryptosporidiosis is a faeco-orally transmitted protozoan infection and is one of the leading causes of chronic parasitic diarrhea. Here we report a case series of cryptosporidiosis from three different patients where two patients are immunocompetent and one is a post renal transplant case. All the patients came with watery diarrhea for which stool samples were collected and examined by modified Ziehl Neelsen acid fast staining (Kinyoun’s method). On microscopic examination of smear, multiple, pink, round to oval acid fast oocysts of 4-6µm diameter were seen against a blue background morphologically resembling . Early diagnosis and prompt initiation of antiparasitic drugs aids in timely treatment and prevention of disseminated cryptosporidiosis.
肠道感染是免疫功能低下和HIV感染患者腹泻的常见原因,但在免疫功能正常的患者中发生的报道有限。隐孢子虫病是一种粪口传播的原生动物感染,是慢性寄生虫性腹泻的主要原因之一。在这里,我们报告了三个不同患者的隐孢子虫病病例系列,其中两个患者免疫功能正常,一个是肾移植后病例。所有患者均为水样腹泻,收集粪便标本,采用改良的Ziehl - Neelsen耐酸染色(Kinyoun法)进行检查。涂片镜检可见,在蓝色背景下,可见多个、粉红色、圆形至椭圆形的抗酸卵囊,直径4-6µm,形态相似。早期诊断和及时使用抗寄生虫药物有助于及时治疗和预防播散性隐孢子虫病。
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引用次数: 0
Pathogenic bacteria and parasites present in edible leafy greens 可食用绿叶蔬菜中存在的致病菌和寄生虫
Pub Date : 2023-07-15 DOI: 10.18231/j.ijmr.2023.010
S. Bhattacharyya, Ankush Kabiraj, S. Datta
Tulsi, mint and spinach, all are examples of culinary herbs and beneficial for health. They have digestive, antibacterial and many other medicinal properties. Many people, however, have also studied and found presence of enteropathogens in such herbs and leafy greens. In the laboratory we have gone through different tests to identify the specific pathogen present on the leaves. This will be a milestone of public health research in food microbiology.
图尔丝、薄荷和菠菜都是有益健康的烹饪草本植物。它们具有消化、抗菌和许多其他药用特性。然而,许多人也研究并发现在这些草药和绿叶蔬菜中存在肠道病原体。在实验室里,我们进行了不同的测试,以确定叶子上存在的特定病原体。这将是食品微生物学公共卫生研究的一个里程碑。
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引用次数: 0
Etiological study of blood stream infection in a maternal and child healthcare based tertiary hospital 某三级妇幼保健医院血流感染的病原学研究
Pub Date : 2023-07-15 DOI: 10.18231/j.ijmr.2023.011
R. Saha, Mahmuda Hassan, Nishat Tamanna Nur, Humayra Shahjahan, A. Lutfor
Bloodstream infections by bacterial pathogens are major cause of morbidity and mortality in developing countries. The aim of this study was to identify the bacterial pathogens causing bloodstream infections in certain areas of Dhaka, Bangladesh and determine their antibiotic susceptibility pattern according to age group.: A total of 6095 blood samples were collected from patients attending at Ad-din Women’s Medical College & Hospital from July 2019 to December 2020. All the blood samples were processed for culture using a BACT/Alert blood culture machine. Further identification & antimicrobial susceptibility tests were performed using standard microbiological procedures. Overall, 10.6% of the cultured blood samples were growth positive. Out of them, Gram-negative bacilli were predominant. Blood stream infection rate is highest among neonates, followed by the age group of 1-15 years, adult patients, with minimum rate observed among the age group of 1 month- 1 Year. was the most frequently isolated among the Growth positive samples, followed by Coagulase negative (CONS), , , species. The most frequently isolated pathogens among Neonates were Coagulase negative Spp, and Spp; whereas was most commonly isolated pathogen among pediatrics and adult age group (p=<.001). However, we observe a decreasing trend in the isolation & the percentage of multi drug resistance amongst spp. in the study period than studies conducted over previous years. A remarkable increase of susceptibility against chloramphenicol & cotrimoxazole has been observed in this study. However, Gram positive organisms show high sensitivity to imepenem, vancomycin and linezolid. This study identified the bacterial pathogens involved with BSI in our hospital among different age groups and their antibiotic susceptibility patterns, so that, healthcare professionals can make proper decisions and provide better care for their patients.
细菌性病原体引起的血液感染是发展中国家发病率和死亡率的主要原因。本研究的目的是确定在孟加拉国达卡某些地区引起血液感染的细菌病原体,并根据年龄组确定其抗生素敏感性模式。:从2019年7月至2020年12月在Ad-din妇女医学院和医院就诊的患者中共采集了6095份血液样本。所有血液样本均使用BACT/Alert血液培养机进行培养处理。使用标准微生物学程序进行进一步鉴定和抗菌药敏试验。总体而言,10.6%的培养血液样本呈生长阳性。其中以革兰氏阴性杆菌为主。新生儿血流感染率最高,其次为1-15岁年龄组,成人患者次之,1个月-1岁年龄组发生率最低。在生长阳性样品中分离频率最高,其次是凝固酶阴性(con)、、、种。新生儿中最常见的分离病原体为凝固酶阴性Spp和Spp;然而,在儿科和成人年龄组中最常见的分离病原体(p=<.001)。然而,我们观察到在研究期间,与前几年的研究相比,菌株的分离率和多药耐药率呈下降趋势。本研究发现对氯霉素和复方新诺明的敏感性显著增加。然而,革兰氏阳性菌对伊美培南、万古霉素和利奈唑胺高度敏感。本研究确定了我院不同年龄组BSI病原菌及其抗生素药敏模式,以便医护人员做出正确的决策,为患者提供更好的护理。
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引用次数: 0
Characterisation of uropathogenic E.coli by detecting the virulence factors and its drug resistance pattern in a tertiary care hospital in India 印度一家三级医院尿路致病性大肠杆菌的毒力因子检测及其耐药模式特征
Pub Date : 2023-05-15 DOI: 10.18231/j.ijmr.2023.006
Amit Khelgi, Athira Ramesh, Sathya Anandam, Sateesh K
Urinary tract infections (UTIs) are among the most prevalent nosocomial and community-acquired bacterial diseases in humans, with E.coli being the most typical pathogen isolated. To detect the prevalence of virulence factors like haemolysin, haemagglutination of human erythrocytes with its effect of D-mannose, and cell surface hydrophobicity, the antibiotic sensitivity pattern and ESBL production in urinary isolates of E.coli obtained from clinical samples. We included the E.coli isolates obtained from a midstream urine sample for the study. Virulence factors like haemolysin, hemagglutination and salt aggregation were detected as per standard protocols. Antibiotic sensitivity testing was performed by the Kirby Bauer disc diffusion method. Extended-spectrum beta-lactamase (ESBL) production was seen by the combined disc diffusion method on Muller Hinton agar as per CLSI guidelines. A total of 103 E.coli isolates were tested, and among them, 24(23.30%) produced haemolysin, 65(63.10%) produced hemagglutination and 38(36.89%) had salt aggregation properties. Most isolates obtained were resistant to beta-lactam antibiotics but showed high sensitivity towards antibiotics like chloramphenicol, meropenem, amikacin, imipenem and nitrofurantoin. Around 48% of them were ESBL producers. The common virulence factors associated with UTI were P-fimbriae (MRHA), haemolysin production, cell surface hydrophobicity and type-1 fimbriae. Because of the emerging drug resistance among UPEC, therapy should be advocated as far as possible after obtaining the culture and sensitivity results to determine exact aetiology and susceptibility patterns. The sensitivity to nitrofurantoin is very high, suggesting that antibiotic recycling will help clinicians treat UPEC.
尿路感染(uti)是人类最普遍的医院和社区获得性细菌性疾病之一,大肠杆菌是最典型的分离病原体。为了检测从临床样本中获得的大肠杆菌尿分离株中溶血素、人红细胞血凝及其对d -甘露糖的影响、细胞表面疏水性等毒力因子的流行情况、抗生素敏感性模式和ESBL的产生。我们纳入了从中游尿液样本中获得的大肠杆菌分离株。毒力因子如溶血素、血凝和盐聚集均按标准方案检测。采用Kirby Bauer圆盘扩散法进行抗生素敏感性试验。根据CLSI指南,在Muller Hinton琼脂上采用联合圆盘扩散法观察广谱β -内酰胺酶(ESBL)的产生。共检测103株大肠杆菌,其中产生溶血素24株(23.30%),产生血凝65株(63.10%),具有盐聚集性38株(36.89%)。大多数分离株对-内酰胺类抗生素耐药,但对氯霉素、美罗培南、阿米卡星、亚胺培南和呋喃妥英等抗生素敏感。其中约48%是ESBL生产商。与UTI相关的常见毒力因子是p -菌毛(MRHA)、溶血素的产生、细胞表面疏水性和1型菌毛。由于UPEC出现耐药性,应在获得培养和敏感性结果后,尽可能提倡治疗,以确定确切的病因和药敏模式。对呋喃妥因的敏感性非常高,这表明抗生素回收将有助于临床医生治疗UPEC。
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引用次数: 0
Association of demographic variables in COVID-19 infected patients with their recovery status: A pilot study in Dhaka city COVID-19感染患者人口统计学变量与其康复状况的关联:达卡市的一项试点研究
Pub Date : 2023-05-15 DOI: 10.18231/j.ijmr.2023.004
M. Karmaker, M. Moniruzzaman, S. Dey, Jesmin Nur, S. Rana, Fatema Rahman, Joyita Bhowmik
Identifying the relationship between demographical factors with COVID-19 infection could demonstrate some prevention strategies of “possible super-spreaders”.To evaluate the correlation between recovery and demographic characteristics of COVID-19-infected patientsA descriptive type of study to demonstrate the 200 COVID-19 infections with various demographical variables by using a questionnaire. The survey consisted of 64-close ended queries, including a short summary of the study background, purpose, procedures, privacy contract, and knowledgeable consent form.For statistical analysis Independent T-test or ANOVA test and SPSS version 25 (IBM, USA) and STATA 15 were used.The male-female ratio of COVID-19 infected patients is 115:100. 50% of patients have never attended social gatherings before getting COVID-19 infection. Social events were visited by 44% of the participants. 47.24% need hospitalization during the positive period, whereas 52.76% recovered at home. Respondents older than 40 years required oxygen support for recovery (p< 0.05). The most common symptoms were loss of smell and taste (53%), headache (48%) body pain (38%), and, fever (33%) in the first-time infection however, these symptoms decreased by Second- and third-time re-infection. Similarly, 20% of patients need oxygen support the first time of infection; it decreased by 10% the second time and 4% the third time. There is a statistically significant difference in the mean recovery time between the people from different professions (p< 0.05). The recovery time of COVID-19 infections is associated with age, profession, and the number of COVID-19 infection times.
确定人口因素与COVID-19感染之间的关系,可以为“可能的超级传播者”提供一些预防策略。目的:评估COVID-19感染患者康复与人口学特征的相关性。采用描述性研究,采用问卷调查的方式对200例COVID-19感染病例进行各种人口学变量的调查。调查由64个封闭式问题组成,包括研究背景、目的、程序、隐私合同和知情同意书的简短摘要。统计分析采用独立t检验或ANOVA检验,采用SPSS version 25 (IBM, USA)和STATA 15。新冠肺炎感染者男女比例为115:100。50%的患者在感染COVID-19之前从未参加过社交聚会。44%的参与者参加了社交活动。阳性期间需要住院治疗的占47.24%,在家康复的占52.76%。年龄大于40岁的受访者需要吸氧支持恢复(p< 0.05)。第一次感染时最常见的症状是嗅觉和味觉丧失(53%)、头痛(48%)、身体疼痛(38%)和发烧(33%),但第二次和第三次再次感染时这些症状减轻。同样,20%的患者在首次感染时需要吸氧支持;第二次下降了10%,第三次下降了4%。不同职业人群的平均恢复时间差异有统计学意义(p< 0.05)。COVID-19感染的恢复时间与年龄、职业和感染次数有关。
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引用次数: 0
Use of antibiotics in surgical setup in tertiary healthcare hospital 三级医院外科设置中抗生素的使用
Pub Date : 2023-05-15 DOI: 10.18231/j.ijmr.2023.007
Kanishka Goswami, Satish Kumar, S. Solanki, Jyoti Rana
Surgical antimicrobial prophylaxis refers to brief course of an antimicrobial agent which is initiated just before surgery, to prevent any infections at the surgical site. It is one of the most widely accepted practices in surgery. However, despite the evidence of the effectiveness and the publication of guidelines for the antimicrobial prophylaxis, its use is often found to be suboptimal. However, between 30-90% of this prophylaxis is inappropriate.Hence, this study was planned in order to examine the prevalent practices in the tertiary care hospital regarding the use of antimicrobials for surgical prophylaxis, with respect to the choice of the antimicrobial agent, the timing of its administration, the intraoperative reposing and the total duration of the prophylaxis, in order to detect any inappropriateness, so that corrective measures could be suggested.A survey was conducted across the various departments undergoing surgery of 213 patients and was followed till their discharge. The age of patients varied from 5 to 85 years. Following risk factors were also included like anemia, smoking, alcohol, prolonged duration of surgery. All the cases in our study received prophylactic antimicrobials prior to surgery, even though prophylactic systemic antimicrobials are not typically indicated for the patients who underwent clean surgical site operations.Though, this aspect was also the basis of forming two groups viz. group A and group B; this mode of treatment prior to surgery was found effective. Males are more prone to treatment failure, as suggested by the study. While recovery in females with the preliminary line of treatment continues in a positive way. A 75 cases out of 213 undergoing surgeries which are given planned regimes of antibiotic prophylaxis still end up with surgical site infection which is many a times not notified. To overcome this, change in antimicrobial regime is employed.
外科抗菌预防是指在手术前开始使用抗菌药物的短暂疗程,以防止手术部位的任何感染。这是外科手术中最被广泛接受的做法之一。然而,尽管有证据表明其有效性和抗菌预防指南的出版,其使用往往被发现是次优的。然而,30-90%的预防措施是不适当的。因此,计划进行这项研究是为了检查三级护理医院在外科预防中使用抗菌剂的普遍做法,包括抗菌剂的选择、给药时间、术中休息和预防的总持续时间,以便发现任何不适当的情况,以便提出纠正措施。对213名接受手术的患者在不同科室进行了调查,并随访至出院。患者年龄从5岁到85岁不等。以下风险因素还包括贫血、吸烟、饮酒、手术时间延长。我们研究中的所有病例在手术前都接受了预防性抗菌素治疗,尽管预防性全身抗菌素治疗通常不适用于接受清洁手术部位手术的患者。然而,这方面也是形成A组和B组的基础;手术前的这种治疗方式被认为是有效的。研究表明,男性更容易治疗失败。而女性在接受初步治疗后的恢复仍在积极进行。213例接受手术的患者中有75例接受了有计划的抗生素预防治疗,但最终还是发生了手术部位感染,很多时候都没有通知。为了克服这一点,采用了改变抗微生物方案。
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引用次数: 0
Antioncogenic potential of probiotics: Challenges and future prospective 益生菌的抗逆性潜力:挑战和未来展望
Pub Date : 2023-05-15 DOI: 10.18231/j.ijmr.2023.001
Sourav Chattaraj, Debasis Mitra, Abhishek Chattaraj, Manasi Chattaraj, Meghna Kundu, A. Ganguly, P. K. D. Mohapatra
Probiotics are beneficial microorganisms that have shown to possess numerous health benefits. Recently, there has been budding interests in the utilization of probiotics as a prospective weapon for cancer deterrence and management. The antioncogenic attributes of probiotics were provided through various mechanisms such as immune modulation, production of anticancer compounds, and regulation of intestinal microbiota. The current study shed light on the antioncogenic probiotic strains and explored their anticancer mechanisms. However, the use of probiotics for cancer prevention and treatment also poses several challenges, including the identification of specific strains with the most potent antioncogenic effects, the optimal dosage and duration of treatment, and the hazards allied with the implementation of live microorganisms. Additionally, the heterogeneity of cancer types and patients' microbiomes further complicate the selection of probiotics for clinical applications. Hence, future study should concentrate on the development of alternative approaches such as the use of microbial-derived components, genetically modified probiotics, and synthetic biology to overcome these challenges and enhance the antioncogenic potential of probiotics.
益生菌是有益的微生物,已被证明具有许多健康益处。最近,人们对利用益生菌作为癌症预防和治疗的潜在武器产生了兴趣。益生菌的抗原性是通过免疫调节、产生抗癌化合物和调节肠道微生物群等多种机制提供的。目前的研究揭示了抗原性益生菌菌株,并探讨了其抗癌机制。然而,使用益生菌预防和治疗癌症也面临着一些挑战,包括鉴定具有最有效抗肿瘤作用的特定菌株,最佳剂量和治疗持续时间,以及与活微生物实施相关的危害。此外,癌症类型和患者微生物组的异质性进一步使益生菌的临床应用选择复杂化。因此,未来的研究应集中于开发替代方法,如利用微生物衍生成分、转基因益生菌和合成生物学来克服这些挑战,增强益生菌的抗氧化潜力。
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引用次数: 2
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Indian Journal of Microbiology Research
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