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Speciation and antifungal susceptibility pattern of Candida isolated from blood and body fluids 从血液和体液分离的念珠菌的物种形成和抗真菌药敏模式
Pub Date : 2023-05-15 DOI: 10.18231/j.ijmr.2023.003
K. Kaur, Nusrat Aijaz
infections are increasing now a day due to various factors. The present study was carried out to study the speciation and antifungal susceptibility pattern of isolated from blood and body fluids. Blood and body fluids received in the mycology laboratory of Microbiology Department, AIMSR, over a period of six months were included. After microscopy, culture was done. The spp. were diagnosed on the basis of colony characteristics, Gram staining and Germ tube testing and identification by Automated Vitek 2 system. Antifungal susceptibility testing was done by using YST08 cards. A total of 735 samples received, 53 showed Candida spp. Maximum spp. isolated from blood 23 (43.39%), followed by pleural fluid 14 (26.4%). were 24(45.3%) followed by 11(20.75%), 9(16.98%) 7(13.20%). spp. were sensitive to Amphotericin B and resistant to Fluconazole.
由于各种因素,感染人数现在每天都在增加。本研究旨在研究从血液和体液中分离的真菌的种类形成和抗真菌药敏模式。包括在六个月期间在AIMSR微生物部真菌学实验室收到的血液和体液。镜检后进行培养。根据菌落特征、革兰氏染色、试管试验和自动Vitek 2系统鉴定进行诊断。采用YST08卡进行抗真菌药敏试验。735份标本检出念珠菌53株,血中检出最多23株(43.39%),胸腔液中检出最多14株(26.4%)。24(45.3%),其次是11(20.75%),9例(16.98%)7(13.20%)。对两性霉素B敏感,氟康唑耐药。
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引用次数: 0
Pharmacognosy of Indian medicinal plants and their future aspects as an Anti-HIV agent: A review 印度药用植物的生药学研究及其作为抗hiv药物的前景:综述
Pub Date : 2023-05-15 DOI: 10.18231/j.ijmr.2023.002
B. Pancholi, Pallavi Sharma, Fatema Bhopalwala, Nida Khan
Along with increasing viral diseases, HIV is commonly transmitted virus. This virus is responsible for most of the deaths in the world. Scientist have been developing many methods to treat this disease but results are still doubtful. HIV 1 virus is one of the liable agents which can be affected by approved therapies. Sexual transmission is one of the major routes for HIV infection including other STIs. Microbicideshave been proposed as a promising prevention strategy. These microbicides can be available either in the form of a cream, gel, lubricant or even in the form of a tablet and can be applied topically to the vaginal or rectal surface. Availability of a successful microbicide candidate would greatly empower women (men in homosexual act) to protect themselves and their partners from STIs including HIV infection. In cases where multiple sex partners are involved, availability of a microbicide will play an important role. An ideal microbicide should be applicable hours before sex, preserve the natural anatomy of female reproductive tract (does not lead to lesion and aberration in epithelial layer), protect the natural vaginal micro-ecological system and should not generate any pro-inflammatory cytokines. In this review article medicinal plants that are reported for antiviral activities against HIV infection and reduce the STD load in infected persons will be discussed.
随着病毒性疾病的增加,HIV是一种常见的传播病毒。这种病毒是世界上大多数死亡病例的罪魁祸首。科学家们一直在研究许多治疗这种疾病的方法,但结果仍令人怀疑。HIV - 1病毒是一种可被批准的治疗方法所影响的易感因子。性传播是包括其他性传播感染在内的艾滋病毒感染的主要途径之一。杀菌剂被认为是一种很有前途的预防策略。这些杀菌剂可以以乳霜、凝胶、润滑剂的形式提供,甚至可以片剂的形式提供,并且可以局部应用于阴道或直肠表面。成功的杀菌剂候选产品的可用性将大大增强妇女(同性恋行为中的男子)保护自己及其伴侣免受性传播感染,包括艾滋病毒感染的能力。在涉及多个性伴侣的情况下,杀菌剂的可用性将发挥重要作用。理想的杀微生物剂应在性交前几小时使用,保持女性生殖道的自然解剖结构(不导致上皮层病变和畸变),保护阴道自然微生态系统,不产生任何促炎细胞因子。本文将对近年来报道的具有抗HIV感染和减少性病感染的药用植物进行综述。
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引用次数: 0
Ventilator associated events:incidence, microbiological profile and outcome in the intensive care unit in a tertiary hospital of eastern Nepal 呼吸机相关事件:尼泊尔东部一家三级医院重症监护病房的发病率、微生物特征和结果
Pub Date : 2023-05-15 DOI: 10.18231/j.ijmr.2023.005
Dharnish Kumar Jha, B. Khanal, B. Sah, R. Baral
Ventilator associated events (VAE) refer to new surveillance definition developed by Centre for Disease Control and prevention (CDC)/ National Healthcare Safety Network (NHSN) is in use since the year 2013, switching the focus of surveillance from ventilator associated pneumonia (VAP) to ventilator associated events (VAE). A number of studies have been conducted in the United States and other Western countries to evaluate its practicality. However, information on VAE in Asian countries is scarce. The purpose of this preliminary study was to illuminate the incidence and microbiological profile of VAEs in tertiary hospital in Nepal, as a first step in the effort to determine its practicality.The objective of the study was to determine the incidence, etiological agent and mortality of VAE in patients on mechanical ventilation in medical Intensive care unit (ICU) of a tertiary hospital. Patients admitted in ICU on Mechanical Ventilation were evaluated daily using the VAE surveillance criteria. At least 2 days of stable or decreasing ventilator settings followed by at least 2 days of increased ventilator settings was used as definition of VAE. Three tiered approach of VAE, namely Ventilator-Associated Condition (VAC), Infection-related Ventilator-Associated Complication (IVAC) and Possible VAP (PVAP) was used for the final classification of cases. Of the 313 patients admitted to the ICU over the period of one year, 52 patients received MV for ≥2 days and met baseline criteria for VAEs Surveillance. Out of 52 patients, 14(27%) developed VAC only, 13(25%) developed IVAC only and 25(48%) patients developed PVAP. Endotracheal aspirate culture was positive in 25 patients (48%). The organisms isolated 14(53.84%), 7(26.92%), 4(15.38%), and 1(3.84%). Polymicrobial growth was observed in one Almost all the isolates 25 (96%) being multidrug resistant. Overall mortality rate in patients with VAE was 36.5% with highest mortality rate in PVAP (44%). Early onset PVAP was observed in 9 (36%) where as 16 (64%) had late‑ onset VAP.VAE mostly being health care associated event and prevalence of multidrug resistance in as observed in this study warrant clinician to practices infection control measures and rationale use of antimicrobials as effective measures for infection control.
呼吸机相关事件(VAE)是由美国疾病控制与预防中心(CDC)/国家医疗安全网络(NHSN)制定的新的监测定义,自2013年以来一直在使用,将监测的重点从呼吸机相关性肺炎(VAP)转移到呼吸机相关事件(VAE)。在美国和其他西方国家进行了大量的研究来评估其实用性。然而,有关亚洲国家VAE的资料很少。这项初步研究的目的是阐明尼泊尔三级医院VAEs的发病率和微生物特征,作为确定其实用性的第一步。本研究旨在了解某三级医院重症监护病房(ICU)机械通气患者VAE的发病率、病因及死亡率。采用VAE监测标准对ICU机械通气患者每日进行评估。使用至少2天稳定或降低呼吸机设置,然后至少2天增加呼吸机设置作为VAE的定义。采用呼吸机相关情况(VAC)、感染相关呼吸机相关并发症(IVAC)和可能的VAP (PVAP)三种分级方法对病例进行最终分类。在一年内入住ICU的313例患者中,52例患者接受MV≥2天,符合VAEs监测的基线标准。52例患者中,14例(27%)仅发展为VAC, 13例(25%)仅发展为IVAC, 25例(48%)发展为PVAP。气管内吸出培养阳性25例(48%)。分离出14种(53.84%)、7种(26.92%)、4种(15.38%)和1种(3.84%)。1株分离菌多菌生长,25株(96%)几乎全部耐多药。VAE患者的总死亡率为36.5%,其中PVAP死亡率最高(44%)。早发性VAP 9例(36%),晚发性VAP 16例(64%)。VAE主要是与卫生保健相关的事件和多药耐药的流行,根据本研究的观察,临床医生应该采取感染控制措施,并合理使用抗微生物药物作为有效的感染控制措施。
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引用次数: 0
Insight review of the first surviving case of Ludwig’s angina caused by Gemella morbillorum 第一例幸存的由麻疹Gemella morbillorum引起的路德维希心绞痛的回顾性分析
Pub Date : 2023-05-15 DOI: 10.18231/j.ijmr.2023.009
H. Sayed, A. Chowdhary, R. Swaminathan, Karnam Ravi Shekhar, Sudha Mishra
Our case report is presumably the second reported case of Ludwig’s Angina caused by Gemella morbillorum and the first case reported that survived. We reviewed literature on Gemella morbillorum which is often a misunderstood microorganism but has the potential to cause serious infections and lethal complications in certain cases; its historical identification, characteristic features, advanced studies on its virulence, pathogenicity and other key information for identification. We also briefly reviewed the interesting details of Ludwig’s Angina.
我们的病例报告可能是第二例报道的由麻疹Gemella morbillorum引起的路德维希心绞痛,也是第一例报道的存活病例。我们回顾了关于麻疹Gemella morbillorum的文献,这是一种经常被误解的微生物,但在某些情况下有可能导致严重感染和致命并发症;其历史鉴定、特征特征、毒力、致病性研究进展等鉴定关键信息。我们还简要回顾了路德维希心绞痛的有趣细节。
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引用次数: 0
In vitro pharmacological activities of methanol extract of Acmella oleracea leaves: A variety grown in Dhaka, Bangladesh 马鞭草叶片甲醇提取物的体外药理活性:一个生长在孟加拉国达卡的品种
Pub Date : 2023-05-15 DOI: 10.18231/j.ijmr.2023.008
M. Alam, S. Akash
is known as toothache plant belongs to the family of Asteraceae. It is treated as a medicinal remedy like tuberculosis, illness, cough, rheumatism, and illness. This study was concentrated on the antioxidant, cytotoxic, antimicrobial & thrombolytic activities of methanol extract of leaves using in vitro model. The antioxidant activity was estimated as trolox equivalent antioxidant capacity utilizing the DPPH and reducing power tests. The plant extract was tested for its cytotoxic action using a brine shrimp lethality bioassay, thrombolytic activity using clot disruption, and antibacterial activity using a disc diffusion assay technique against four distinct gram-positive also gram-negative bacteria. ICvalue of standard ascorbic acid for DPPH was 7.8µg/ml and the IC50 of the methanol extract of leaves was 198.34µg/ml that was moderate effect at all compare with ascorbic acid. Thrombolytic assay of Streptokinase as a positive control showed 88.49% where the extract shows 18.69% lytic activity shows the assay. In this study, the sample of LC results of cytotoxicity assay was 1.431 µg/mL which can be treated as less activity. Moreover, the extracts showed low to moderate antibacterial activity against both gram-negative and gram-positive bacterial stains (zone of inhibition-10-26 mm). Vibrio Mimicus bacteria stains exhibited the highest level of activity, with a range of 23 for the diameter of the growth inhibition zone. The current review shows leaf extracts of may be used as a source of antioxidant and thrombolytic activity, as well as a significant source of antibacterial and anticancer substances. Further research is required to evaluate in-vivo the pharmacological activity of leaves in order to identify the essential metabolites and potential mechanisms.
被称为牙痛植物,属于菊科。它被当作治疗肺结核、疾病、咳嗽、风湿病和疾病的药物。本文采用体外模型研究了甲醇提取物的抗氧化、细胞毒、抗菌和溶栓活性。利用DPPH和还原功率试验估计其抗氧化活性为trolox当量抗氧化能力。采用盐水虾致死性生物测定法测试了植物提取物的细胞毒性作用,采用凝块破坏法测试了其溶血栓活性,采用圆盘扩散法测试了其对四种不同的革兰氏阳性和革兰氏阴性细菌的抗菌活性。标准抗坏血酸对DPPH的IC50值为7.8µg/ml,叶片甲醇提取物的IC50值为198.34µg/ml,与抗坏血酸相比作用不大。作为阳性对照的链激酶溶栓试验显示,溶栓活性为88.49%,其中提取物的溶栓活性为18.69%。本实验中细胞毒性测定的LC结果样品为1.431µg/mL,可作为活性较低处理。此外,提取物对革兰氏阴性和革兰氏阳性细菌染色均表现出低至中等的抗菌活性(抑制区-10-26 mm)。模拟弧菌(Vibrio Mimicus)染色的活性最高,其生长抑制区直径范围为23。目前的综述表明,叶提取物可能用作抗氧化和溶栓活性的来源,以及抗菌和抗癌物质的重要来源。进一步的研究需要评估叶片的体内药理活性,以确定必要的代谢物和潜在的机制。
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引用次数: 0
Investigation of an outbreak of jaundice in a rural area of District Srinagar in Kashmir 调查在克什米尔斯利那加区农村地区暴发的黄疸病
Pub Date : 2023-01-15 DOI: 10.18231/j.ijmr.2022.047
Rukhsana Taj, R. Rather, S. Khan, R. Jan, Aziz O. Wani
: A team of doctors visited the Gasoo area of Batpora on 20-02-2020 to investigate the suspected outbreak of jaundice.1. To verify the occurrence of an outbreak of jaundice, 2. To identify etiology of this outbreak and 3.To identify the population affected.Two teams started from the center of village in two opposite directions and undertook house to house survey. Any person having the history of one or more of 5 symptoms/signs: yellowish discoloration of eyes or body, pain abdomen, vomiting, fever or history of hospitalization within past 1 month was considered for inclusion into investigation. Blood samples were taken for hepatitis serology.A totalof16 cases were examined with 9 of them males. History of Yellowish discoloration of eyes or body was the most common symptom (87%) followed by fever (81%). Mean Serum bilirubin was 3.4 mg/dl. Hepatitis A serology was positive in 7 cases out of 8 tested cases while as hepatitis B and C serology was negative in all the tested cases.: As there was clustering of cases of jaundice in the area clearly in excess of expected, so the outbreak of Juandice was confirmed. The time, place and person distribution of jaundice pointed towards a water-borne hepatitis which was confirmed by laboratory tests to be Hepatitis A outbreak. Most commonly affected age group was 10 to 15 years.An outbreak of jaundice was confirmed and it was found to be due to Hepatitis A Virus.
一组医生于2020年2月20日访问了Batpora的Gasoo地区,调查疑似黄疸疫情。验证黄疸爆发的发生,2。2 .确定本次暴发的病因。确定受影响的人群。两个小组从村中心朝两个相反的方向出发,挨家挨户进行调查。任何在过去1个月内有下述5种症状/体征(眼睛或身体发黄、腹痛、呕吐、发烧或住院史)中的一种或多种病史的人都被考虑纳入调查。采集血样进行肝炎血清学检测。共检查16例,其中9例为男性。眼睛或身体黄变史是最常见的症状(87%),其次是发烧(81%)。平均血清胆红素3.4 mg/dl。在8例检测病例中,有7例甲肝血清学呈阳性,而所有检测病例的乙型和丙型肝炎血清学均呈阴性。由于该地区的黄疸聚集性病例明显超过预期,因此确认了黄疸的爆发。黄疸发生的时间、地点和人员分布表明是一种水传播肝炎,经实验室检验证实为甲肝爆发。最常受影响的年龄组为10至15岁。确诊为黄疸发作,是由甲型肝炎病毒引起的。
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引用次数: 0
Hand washing and hand hygiene in medical practice and day to day life 医疗实践和日常生活中的洗手和洗手卫生
Pub Date : 2023-01-15 DOI: 10.18231/j.ijmr.2022.043
S. Bhattacharya
Hand washing and hand hygiene are very important things to remember in the hospital practice as well as daily life. Hand hygiene can be performed by soap or hand sanitizer. Hand hygiene can lead to drastic reduction in transmission of infections and also drug resistant bugs, and is thus also a good way to combat AMR or antimicrobial resistance in the community as well as in hospital setting. Hand hygiene can be maintained by hand washing or hand scrubbing, and both these things are important, depending on the hospital setting. Hand wash can be social, surgical and antiseptic. Hand hygiene can also be made more popular in the masses by a number of methods and educational activities. Compliance to hand hygiene among people is not always very great, even among the healthcare providers, and this should be a matter of concern. Hence hand hygiene assumes some importance, and is now considered a "do-it yourself vaccine". This topic is discussed less but is very important.
在医院实践和日常生活中,洗手和洗手卫生是非常重要的事情。可以用肥皂或洗手液洗手。手部卫生可大大减少感染和耐药细菌的传播,因此也是在社区和医院环境中对抗抗生素耐药性或抗菌素耐药性的好方法。手卫生可以通过洗手或搓洗来保持,这两种方法都很重要,这取决于医院的环境。洗手可以是社交、手术和消毒。手卫生也可以通过一些方法和教育活动在群众中更受欢迎。人们对手部卫生的遵守并不总是很好,即使在医疗保健提供者中也是如此,这应该是一个值得关注的问题。因此,手部卫生显得有些重要,现在被认为是一种“自己动手的疫苗”。这个话题讨论得很少,但很重要。
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引用次数: 0
A review of acute febrile illness 急性发热性疾病综述
Pub Date : 2023-01-15 DOI: 10.18231/j.ijmr.2022.041
Mageshbabu Ramamurthy, Kumaran Vadivel, N. Saravanan, P. Rajendiran, B. Nandagopal
This review analyzes the epidemiology, clinical presentation, diagnosis, and treatment of major bacterial acute febrile illness (AFI). Existing studies on the AFI is focused the viral AFI agents, some bacterial and parasitic infections. Based on published literature only few studies have been able to identify major bacterial agents of AFI or show the importance of early diagnosis and treatment of AFI. In this review we focused on the most important bacterial AFI agents, which may help to understand how pathogenic the agents are and how crucial it is to diagnose them as early as possible.
本文就主要细菌性急性发热病(AFI)的流行病学、临床表现、诊断和治疗进行综述。目前对AFI的研究主要集中在病毒性AFI制剂、部分细菌感染和寄生虫感染。根据已发表的文献,只有少数研究能够确定AFI的主要细菌因子或表明AFI早期诊断和治疗的重要性。在本文中,我们重点介绍了最重要的细菌性AFI药物,这可能有助于了解这些药物的致病性以及尽早诊断它们的重要性。
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引用次数: 0
Sero-prevalence of hepatitis B infection among antenatal patients at tertiary care hospital - A prospective study 三级保健医院产前患者乙型肝炎感染的血清患病率-一项前瞻性研究
Pub Date : 2023-01-15 DOI: 10.18231/j.ijmr.2022.046
A. Rukadikar, Yesha Lad, Deepak Deshkar, N. Jaiswal
Hepatitis B infection in a neonate leads to chronic forms of the infection in 90% of the cases associated with the high risk of complications. This is due to transplacental transmission of HBV to the neonates. Early intervention can prevent the infection in the neonates or prevent them to succumb to a chronic infection. The present study aims to explore the seroprevalence of the HBsAg in the blood samples from healthy pregnant women patients.: A total of 200 blood samples were collected from pregnant women attending anti-natal clinic at ZMCH Dahod. HbsAg ELISA and rapid antigen test (HEPA CARD) were used to detect the surface antigen of hepatitis B virus.The age wise distribution of hepatitis B infection in pregnant women using HBsAg specific ELISA shows a total prevalence of 5.26% of hepatitis B infection among pregnant women of different age groups. The prevalence of hepatitis B infection among women of age groups 18-27 years to be 4.76%, followed with 6.89% in age group 28-37 years. The present study shows a prevalence range of 4% to 5.26% of hepatitis B infection among antenatal women.
新生儿乙型肝炎感染在90%的病例中导致慢性形式的感染,并伴有并发症的高风险。这是由于乙肝病毒经胎盘传播给新生儿。早期干预可以预防新生儿感染或防止他们死于慢性感染。本研究旨在探讨健康孕妇血液样本中HBsAg的血清阳性率。:从在达荷德ZMCH产前诊所就诊的孕妇中共采集了200份血液样本。采用乙肝表面抗原(HbsAg) ELISA和快速抗原检测(HEPA CARD)检测乙型肝炎病毒表面抗原。采用HBsAg特异性ELISA检测孕妇乙型肝炎感染的年龄分布显示,不同年龄组孕妇乙型肝炎感染的总流行率为5.26%。18 ~ 27岁女性乙肝感染率为4.76%,28 ~ 37岁女性乙肝感染率为6.89%。目前的研究显示,产前妇女乙型肝炎感染率为4%至5.26%。
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引用次数: 0
Prevalence of MRSA, ESBL, and AMPC-beta-lactamase-producing bacterial profile in pus sample 脓样本中MRSA, ESBL和ampc - β -内酰胺酶产生细菌谱的流行
Pub Date : 2023-01-15 DOI: 10.18231/j.ijmr.2022.045
M. Karmaker, Anika Quayum, Tangina Yesmin Ananna, S. M. Asna
Rapid distribution of bacteria in wound infection and their appropriate treatment with antibiotics are crucial for health care providers. Bangladesh is vulnerable to multi-drug-registrant antibiotics due to extensive antibiotic misuse and other factors. The purpose of the present study was to see the frequency and distribution of bacteria isolated from pus and sensitivity patterns among hospitalized patients. A cross-sectional study was carried out from June 2020 to July 2021. The pus samples were collected from the patients who visited BIHS General Hospital, Dhaka. Isolation and Identification of bacteria were made by culture and biochemical test and antibiotic susceptibility test was done by disc diffusion method. The most common isolates were . Gram-positive bacteria were mostly resistant to Penicillin, Cefoxitin, Ampicillin, Azithromycin, Cotrimoxazole, Cefuroxime, and Cepradine antibiotics. 57.1% of and (100%) of was Methicillin-resistant, AMPC β-Lactamase producing bacteria (52.2%), and ESBL are (13.0%).Due to the abuse of antibiotics, Methicillin-resistant AMPC β-Lactamase, ESBL are increasing day by day. Our study found that MDR bacteria is increasing rapidly and which is a major problem. Therefore, Antibiotic susceptibility pattern testing is required before the use of antibiotics, and continuous monitoring of antibiotic sensitivity is needed to minimize resistance.
伤口感染中细菌的快速分布及其适当的抗生素治疗对卫生保健提供者至关重要。由于广泛滥用抗生素和其他因素,孟加拉国容易受到多种药物注册抗生素的影响。本研究的目的是了解从住院患者的脓液中分离的细菌的频率和分布以及敏感性模式。从2020年6月到2021年7月进行了一项横断面研究。脓液样本采集自到达卡BIHS总医院就诊的患者。采用培养法和生化试验对病原菌进行分离鉴定,采用圆盘扩散法进行药敏试验。最常见的分离株是。革兰氏阳性菌主要对青霉素、头孢西丁、氨苄西林、阿奇霉素、复方新诺明、头孢呋辛和头孢定耐药。耐甲氧西林菌占57.1%,产生AMPC β-内酰胺酶菌占52.2%,ESBL菌占13.0%。由于抗生素的滥用,耐甲氧西林AMPC β-内酰胺酶、ESBL日益增多。我们的研究发现,耐多药细菌正在迅速增加,这是一个主要问题。因此,在使用抗生素前需要进行抗生素药敏型检测,并需要持续监测抗生素的敏感性,以尽量减少耐药性。
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引用次数: 0
期刊
Indian Journal of Microbiology Research
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