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Diagnostic utility of adenosine deaminase in bronchoalveolar lavage (BAL) in pulmonary tuberculosis from a tertiary care hospital in North India 印度北部三级医院支气管肺泡灌洗(BAL)中腺苷脱氨酶的诊断价值
Pub Date : 2022-10-15 DOI: 10.18231/j.ijmr.2022.038
Unairah Naqash, Rukhsana Taj, Nahid Nahvi
Adenosine Deaminase (ADA) has been acclaimed as a biochemical marker in numerous studies in the diagnosis of tuberculosis of pleura, peritoneum, meninges etc because of its high sensitivity and specificity. As a diagnostic test, ADA offers several advantages; it is rapid, simple, low cost, non-invasive and can be performed easily in most clinical laboratories. The current retrospective study was carried out on a total of 91 specimens of bronchoalveolar lavage collected on bronchoscopy. The samples were collected and sediments were confirmed for presence of tubercular bacilli through Lowenstein Jensen(LJ) media (Gold standard), GeneXpert(CBNAAT).Simultaneously the ADA estimation was done from supernatant fluid obtained after centrifugation of sample.The Mean ADA level for Culture Positive samples in BAL was 5.899± 1.723 and from Culture Negative Samples the Mean ADA was1.217 ± 1.439. The ADA cut off levels of >4.0 IU/L in BAL when compared with LJ culture media (gold standard) showed a sensitivity of 90.0% and a specificity of 97.2%. Upon ROC analysis a high rate of accuracy was recorded in diagnosis of TB through ADA estimation with sensitivity and specificity reaching 100% and 97.2% at a ADA cut off 3.76 IU/L when compared with LJ culture media (gold standard). However, the sensitivity and specificity achieved was slightly lower when ADA results were compared with GeneXpert results.The determination of ADA levels may help in early diagnosis, improve the prognosis and reduce the spread of disease and thereby the test should be included in routine investigations in patients suspected of tuberculosis.
腺苷脱氨酶(Adenosine Deaminase, ADA)具有较高的敏感性和特异性,在胸膜、腹膜、脑膜等结核的诊断研究中被广泛认为是一种生化标志物。作为诊断测试,ADA有几个优点;它具有快速、简单、低成本、无创、可在大多数临床实验室轻松进行的特点。本研究对支气管镜下收集的91例支气管肺泡灌洗液标本进行回顾性研究。采集样品,并通过Lowenstein Jensen(LJ)培养基(金标准)、GeneXpert(CBNAAT)确认沉积物中是否存在结核杆菌。同时对样品离心后得到的上清液进行ADA估计。培养阳性样本ADA平均值为5.899±1.723,培养阴性样本ADA平均值为1.217±1.439。与LJ培养基(金标准)相比,ADA切断BAL中>4.0 IU/L的水平,灵敏度为90.0%,特异性为97.2%。经ROC分析,与LJ培养基(金标准)相比,ADA对TB的诊断准确率较高,在ADA截断值为3.76 IU/L时,其敏感性和特异性分别达到100%和97.2%。然而,与GeneXpert结果相比,ADA结果的敏感性和特异性略低。测定ADA水平有助于早期诊断、改善预后和减少疾病传播,因此应将其纳入疑似结核病患者的常规检查。
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引用次数: 0
Anti-viral activity of suramin against influenza A virus in A549 cells 苏拉明对A549细胞甲型流感病毒的抗病毒活性研究
Pub Date : 2022-10-15 DOI: 10.18231/j.ijmr.2022.034
M. Khanna, Tanusri Nandi
Influenza A virus (IAV) is highly contagious global factor of causing pandemics and epidemics occasionally. Suramin, an anti-trypanosomal drug, also under evaluation as anti-cancer and anti-viral agent. However, inhibitory effect of suramin against influenza A virus have not yet been explored. The purpose of this study was to investigate the anti-viral activity of suramin against IAV. Cytotoxicity assay (IC) of suramin and oseltamivir was determined using MTT assay in A549 cells. The anti-viral effect of suramin was determined by RT-qPCR, western blot and CPE (Cytopathic effect). Oseltamivir, an antiviral drug that has established anti influenza activity was used as positive control drug. Half-maximal toxic concentration of suramin was found to be at 269.2 µg/ml (Log IC=2.43 µg/ml) and IC for oseltamivir was 145.4 µg/ml (Log IC=2.16 µg/ml) in A549 cells at 24hr. Suramin exhibited anti-viral activity at all the concentration, however at 250 µg/ml and 125 µg/ml demonstrated significant down regulation of viral RNA and protein in A549 cells. Oseltamivir, a positive control drug also showed significant viral inhibition at 200 and 100 µg/ml at 24hr. : Suramin is effective in inhibiting influenza A virus replication in A549 cells at lower concentration.
甲型流感病毒(IAV)是一种具有高度传染性的全球性因素,偶尔会引起大流行和流行。苏拉明,一种抗锥虫药物,也在评估作为抗癌和抗病毒药物。然而,苏拉明对甲型流感病毒的抑制作用尚未深入研究。本研究的目的是研究苏拉明对IAV的抗病毒活性。采用MTT法测定苏拉明和奥司他韦对A549细胞的细胞毒试验(IC)。采用RT-qPCR、western blot和CPE (cytopopathy effect)检测苏拉明的抗病毒作用。奥司他韦是一种具有抗流感活性的抗病毒药物,被用作阳性对照药物。在A549细胞24h中,苏拉明的半极大毒浓度为269.2µg/ml (Log IC=2.43µg/ml),奥司他韦的半极大毒浓度为145.4µg/ml (Log IC=2.16µg/ml)。在所有浓度下苏拉明均表现出抗病毒活性,但在250µg/ml和125µg/ml浓度下,苏拉明对A549细胞中病毒RNA和蛋白质的抑制作用显著降低。阳性对照药物奥司他韦(Oseltamivir)在200和100µg/ml浓度下也表现出明显的24小时病毒抑制作用。苏拉明在较低浓度下可有效抑制甲型流感病毒在A549细胞中的复制。
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引用次数: 0
To study drug resistance & biofilm production in gram negative isolates from clinical samples 目的:研究临床革兰氏阴性分离菌的耐药性及生物膜的生成
Pub Date : 2022-10-15 DOI: 10.18231/j.ijmr.2022.036
P. Prakash, R. Agarwal, E. Gupta, R. Rathore, Vishakha Ashopa, Eshank Gupta
Biofilm are groups of microorganism encased in a matrix of extracellular polysaccharide (slime), called polysaccharide intercellular adhesion (PIA). Bacteria commonly involved include , , , and . The present study was performed to identify antibiotic resistance pattern & their ability to form biofilm in gram negative clinical isolates. All clinical samples received in laboratory for microbial culture during study period of 12 months (2017 to 2018) were included in this study Antibiotic susceptibility testing, ESBL & MBL detection was done for clinical isolates. Biofilm productions were determined by Congo red agar method, Christenson’s Test Tube method and Tissue culture plate method. 327 gram negative isolates were detected. Maximum were (32.72%) followed by (28.44%), (16.51%), (16.51%), Citrobacter species (3.97%). Maximum isolates showed resistance to ampicillin (93.27%) followed by amoxiclave (87.46%), ceftazidime (74%). Out of 327 GNB isolates, biofilm produced by 64 (19.57%) isolates by Tissue culture plate (TCP) method, 38(11.62%) by Congo red agar (CRA) methods and 23 (7.03%) by Tube methods. Maximum biofilm were detected in (24.29%). There is increase prevalence of multidrug resistant& biofilm forming bacteria. The routine monitoring of multidrug resistance pattern & biofilm detection can be recommended in clinical laboratories to guide proper antibiotic treatment.
生物膜是包裹在细胞外多糖(黏液)基质中的微生物群,称为多糖细胞间粘附(PIA)。通常涉及的细菌包括、、和。本研究旨在鉴定革兰氏阴性临床分离株的抗生素耐药模式及其形成生物膜的能力。本研究纳入2017 - 2018年12个月期间实验室微生物培养的所有临床样本,进行抗生素药敏试验,对临床分离株进行ESBL和MBL检测。采用刚果红琼脂法、克里斯滕森试管法和组织培养板法测定生物膜产量。检出革兰氏阴性分离物327株。最多(32.72%),其次是(28.44%)、(16.51%)、(16.51%)和Citrobacter(3.97%)。对氨苄西林耐药最多(93.27%),其次是阿莫昔韦(87.46%)和头孢他啶(74%)。327株GNB分离株中,组织培养平板法(TCP) 64株(19.57%)、刚果红琼脂法(CRA) 38株(11.62%)、试管法23株(7.03%)产生生物膜。最大生物膜检出率为24.29%。多药耐药和形成生物膜的细菌的患病率增加。建议临床实验室开展常规多药耐药模式监测和生物膜检测,指导合理的抗生素治疗。
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引用次数: 0
Ecological importance of strigolactones hormone on arbuscular mycorrhizal fungi symbiosis in plant 独角甾内酯激素对植物丛枝菌根真菌共生的生态学意义
Pub Date : 2022-10-15 DOI: 10.18231/j.ijmr.2022.029
Debasis Mitra, A. Priyadarshini, A. Senapati, S. Behera, I. Chatterjee, P. Mohapatra, P. Panneerselvam
Strigolactones (SLs) are versatile compounds that have recently been identified as a special generation of plant hormones. They play a significant role as modulators of coordinated plant development in response to nutrient deficiency and defence, particularly by influencing plant root microbiome and mycorrhization. SLs act as signals molecules that help host communicate with their environment belowground, in addition to regulating root architecture and growth promotion. Alternatively, boosting the SLs hormone level or applying external SLs, SL synthetic analogs e.g. GR24, and SL mimics to plants, can improve the root architecture, and physiological changes, and controls biotic and abiotic parameters by activating regulatory genes and molecular changes. Interestingly, SLs perform a fundamental character in the establishment of arbuscular mycorrhiza fungi (AMF) symbiosis by eliciting mycorrhization in the plant, which allows for adequate phosphorus utilization. Due to various their multifunctional aspect, they have a wide range of possible agricultural and biotechnological applications. We should be able to comprehend the biological mechanisms operating below ground in plant systems and their significance in the ecosystem with greater clarity as more research is conducted into the necessary conditions for various SLs in various biological activities.
独角糖内酯(SLs)是一种用途广泛的化合物,最近被发现是一类特殊的植物激素。它们作为协调植物发育以应对营养缺乏和防御的调节剂发挥着重要作用,特别是通过影响植物根系微生物组和菌根化。SLs作为信号分子,除了调节根系结构和促进生长外,还可以帮助宿主与地下环境进行交流。另外,通过提高SLs激素水平或外用SLs、SL合成类似物(如GR24)和SL模拟物,可以通过激活调控基因和分子变化,改善植物的根构型和生理变化,控制生物和非生物参数。有趣的是,SLs在植物丛枝菌根真菌(AMF)共生的建立中发挥了一个基本的作用,通过在植物中引发菌根,从而允许足够的磷利用。由于其多种功能性,它们在农业和生物技术方面具有广泛的应用前景。随着对各种生物活动中各种SLs的必要条件的研究越来越深入,我们应该能够更清晰地理解植物系统中地下运行的生物机制及其在生态系统中的意义。
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引用次数: 0
Anti herpes simplex virus-2 activity of the extracts of Sericostoma pauciflorum stocks ex wight and Lepidagathis trinervis Nees 少花丝绒和白头翁提取物抗单纯疱疹病毒2的活性研究
Pub Date : 2022-10-15 DOI: 10.18231/j.ijmr.2022.032
B. Pancholi
To determine the anti-HSV 2 properties and mechanism of action of two important medicinal plants Stocks ex Wight (Boraginaceae) and Nees (Acanthaceae) To identify natural products with anti-HSV-2 activity, the aqueous and 50% ethanolic extracts were prepared from whole plants of and . Cytotoxicity assay using Vero cells as target revealed CC values of these extracts ranging from 301.8 to 436.8 µg ml Extracts from both the plants showed dose dependent inhibition of HSV-2 infection using Plaque Reduction Assay. Among the tested extracts, 50% ethanolic extract of showed lowest IC value of 6.86 µg ml. To study the possible mode of antiviral action, all the extracts showed 50 to 97% reduction in the formation of plaques in the attachment assay. Extracts prepared from also inhibited the HSV-2 penetration in a time and dose dependent manner. In post-attachment assay, both the extracts from as well as 50% ethanolic extract from showed significant inhibition in HSV-2 infection.These studies document anti-HSV-2 activity of the two commonly used medicinal plants that will have implications in the development of an alternate remedy for HSV-2 infection. Significant and impact of the study: This work provides information on the anti HSV-2 properties of Indian medicinal plants that showed their significant inhibition of HSV-2 virus in system.
为研究两种重要药用植物——黄芪科(Boraginaceae)和刺五科(Nees)的抗hsv -2特性和作用机制,分别从黄芪和刺五科(acaanthaceae)两种植物中制备了具有抗hsv -2活性的天然产物。以Vero细胞为靶点的细胞毒性试验显示,两种植物提取物的CC值在301.8 ~ 436.8µg ml之间,斑块减少试验显示,两种植物提取物对HSV-2感染的抑制作用呈剂量依赖性。其中,50%乙醇提取物的IC值最低,为6.86µg ml。为了研究可能的抗病毒作用模式,在附着实验中,所有提取物的斑块形成均减少了50%至97%。提取液也具有抑制HSV-2渗透的时间和剂量依赖性。在附着后实验中,提取物和50%乙醇提取物对HSV-2感染均有显著的抑制作用。这些研究记录了两种常用药用植物的抗HSV-2活性,这将对开发治疗HSV-2感染的替代药物产生影响。研究意义和影响:本工作提供了印度药用植物抗HSV-2特性的信息,显示了它们对HSV-2病毒在系统中的显著抑制作用。
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引用次数: 0
Microbiological hazard identification in selective food products and their association with food safety practices in Hyderabad, India 在印度海得拉巴,选择性食品中的微生物危害鉴定及其与食品安全实践的关系
Pub Date : 2022-10-15 DOI: 10.18231/j.ijmr.2022.040
N. Kumar R, Uday Kumar P, Bhaskar V, Sudershan R V, K. Polasa, Hemalatha R, Sudip Ghosh
Microbiological risk assessment (MRA) is an emerging tool for evaluating the safety of food and water supplies. In this study, identification of microbial hazards in selected samples and their association with food safety practices were seen. Data were analyzed using Analysis of Variance (ANOVA) through the General Linear Models (GLM) procedure of the statistical analysis system software (SPSS version-11.5, 2003). The least significant differences were used to test means at p<0.05. Odds ratio (OR) values with 95% CI were computed to obtain the risk of the presence of the foodborne pathogen in a particular food. Analysis of 600 food samples indicated that (50%) was high in raw chicken samples followed by carrot salad (41%). The other emerging foodborne pathogens like (MRSA), , and were not detected in any of the food samples. Pathogens like (73.5%) in khoa, (45%) and (62.7%) in paneer were detected. A total of (n=143) cultures were analyzed for enterotoxin and coagulase enzyme. Nine cultures (6.3%) showed a positive result for enterotoxin production. For the risk assessment of contamination in foods, coagulase test and toxin production of isolates have to be evaluated. A significant association was found between the type of storage and log concentration of in khoa, whereas, with water for washing hands, the status of nails, and cleaning cloth were contributing to foodborne pathogens in other products. There is a need to provide food safety training to food handlers to improve food safety.
微生物风险评估(MRA)是评价食品和水供应安全的新兴工具。在本研究中,鉴定了选定样品中的微生物危害及其与食品安全实践的关系。数据分析采用统计分析系统软件(SPSS version-11.5, 2003)的一般线性模型(GLM)程序进行方差分析(ANOVA)。最不显著差异以p<0.05为检验均数。计算具有95% CI的比值比(OR)值,以获得特定食物中存在食源性病原体的风险。对600个食物样本的分析显示,生鸡肉样本(50%)的含量高,其次是胡萝卜沙拉(41%)。其他新出现的食源性病原体,如耐甲氧西林金黄色葡萄球菌,和未在任何食品样品中检测到。检出的病原菌分别为khoa(73.5%)、paneer(45%)和62.7%。共(n=143)个培养物进行肠毒素和凝固酶检测。9个培养物(6.3%)肠毒素产生阳性。在食品污染风险评估中,必须对凝固酶试验和分离株的产毒素进行评估。发现在khoa中的储存类型和原木浓度之间存在显著关联,而在洗手用水中,指甲和清洁布的状态有助于其他产品中的食源性病原体。有必要为食品处理人员提供食品安全培训,以改善食品安全。
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引用次数: 0
Assessing awareness and execution of “Bio medical waste management rules 2016” among health care providers and grade 4 workers in a tertiary care hospital of Bhubaneswar 评估布巴内斯瓦尔一家三级保健医院的保健提供者和四级工作人员对" 2016年生物医疗废物管理规则"的认识和执行情况
Pub Date : 2022-10-15 DOI: 10.18231/j.ijmr.2022.035
Snigdha Singh, Nishant Panda, Imran Wasfi
Hospital waste has always been a concern for the society. Recently the government has changed the BMW handling rules in 2016. However, mere introduction of laws is not sufficient for proper disposal of BMW. Awareness of these laws is also essential. Hence, this study was conducted with the objectives to assess the Knowledge, awareness, attitude & practice (KAP) towards biomedical waste management in Health care providers (HCP) and prevalence of needle-stick injury (NSI) in them.This was a cross-sectional study done from August 2018 to January 2019 in KIMS among 400 participants. A pre-tested, close ended questionnaire was used with few added questions related to new rules. An overall average level of KAP among HCP and grade 4 workers regarding BMW Rules and management 2016 with 86.49% doctors, 91.04% dentists, 79.55% nurses and 80% grade 4 workers securing average marks in the assessment. Moreover, 14 (20 .59%) doctors, 10 (14 .71%) dentists, 30 (44 .12%) nurses and 14 (20.59%) grade 4 workers reported that they had experienced NSI in the past 12 months. Overall prevalence of NSI is found to be 17%. We found an average level of knowledge, attitude and practice among HCP and grade 4 workers regarding BMW management. It is recommended that regular monitoring and training are required at all levels of Health Care System and the rules should be sincerely followed and practiced.
医院废弃物一直是社会关注的问题。最近,政府在2016年改变了宝马的操作规则。然而,仅仅出台法律是不足以妥善处理宝马的。了解这些法律也很重要。因此,本研究的目的是评估医疗保健提供者(HCP)对生物医学废物管理的知识、意识、态度和实践(KAP)以及他们中针头刺伤(NSI)的发生率。这是一项横断面研究,于2018年8月至2019年1月在400名参与者中进行。使用了一份预先测试的封闭式问卷,其中很少添加与新规则相关的问题。2016年HCP和4级从业人员对宝马规则和管理的总体平均KAP水平,其中医生86.49%,牙医91.04%,护士79.55%,4级从业人员80%达到平均分。此外,14名医生(20.59%)、10名牙医(14.71%)、30名护士(44.12%)和14名四级工人(20.59%)报告在过去12个月内经历过自伤。自伤的总体发生率为17%。我们发现HCP和四级工人对宝马管理的知识、态度和实践水平平均。建议对各级卫生保健系统进行定期监测和培训,并认真遵守和执行规则。
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引用次数: 0
Phytochemical screening and antibacterial activity of Trachyspermum ammi L. against certain bacterial species 植物化学筛选及对某些细菌的抑菌活性研究
Pub Date : 2022-10-15 DOI: 10.18231/j.ijmr.2022.039
Aparajita Gupta, Mannu Kumari, Shabnam Sharma
L. is a traditional medicinal herb that has been used to cure a variety of diseases in humans. The goal of this study was to evaluate the antibacterial activity of methanolic, ethanolic, and acetonic extracts of T. seeds against a bacterial species. Agar well diffusion method was used to test antibacterial activity. In comparison to methanolic and acetonic extracts, ethanolic extract of T. ammi seeds showed a highest antibacterial activity against , and . Methanolic extract, on the other hand, effectively inhibited and . The maximum inhibition zone in ethanolic was observed against and (22.6 mm) and the minimum inhibition zone against (12 mm) at 100% concentration. Plant extracts contained alkaloids, flavonoids, saponins, tannins, and glycosides.
L.是一种传统的草药,被用来治疗人类的各种疾病。摘要本研究的目的是评价植物种子甲醇、乙醇和丙酮提取物对一种细菌的抑菌活性。采用琼脂孔扩散法测定其抑菌活性。与乙醇提取物和丙酮提取物相比,氨基酸种子乙醇提取物的抑菌活性最高。另一方面,甲醇提取物有效地抑制和。在100%浓度下,乙醇对和(22.6 mm)的抑制范围最大,对12 mm的抑制范围最小。植物提取物含有生物碱、类黄酮、皂苷、单宁和糖苷。
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引用次数: 0
Food fuel and fermentation products 食品燃料及发酵产品
Pub Date : 2022-10-15 DOI: 10.18231/j.ijmr.2022.030
Parthiban Meena, Arunchalam Manimekalan, Obebo Meshack Moranga
Earth is surrounded by 97% water; Human body is made of 90% water and that depicts the importance of water to humans and biosphere. Water nourishes, nurtures and sustains all forms of life. Likewise, every domestic and industrial activity of humans is filled with 90% of fermentation products. Even without our knowledge fermentation products are in every walks of humanity. This study aims at recalling fermentation products in the past as well as present day advances in fermentation industry and importance of these products in health care, food, agriculture, power generation, economy, etc.
地球被97%的水包围;人体90%是由水组成的,这说明了水对人类和生物圈的重要性。水滋养、养育并维持着所有形式的生命。同样,人类的每一次家庭和工业活动都充满了90%的发酵产物。即使我们不知道发酵产品在人类的每一个环节。本研究旨在回顾发酵产品的历史和现状,以及发酵产品在保健、食品、农业、发电、经济等方面的重要性。
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引用次数: 0
A review of maternal TORCH-S infections 母体TORCH-S感染的综述
Pub Date : 2022-10-15 DOI: 10.18231/j.ijmr.2022.031
P. Rajendiran, N. Saravanan, Mageshbabu Ramamurthy, Kumaran Vadivel, B. Nandagopal
TORCH-S is a medical acronym for a set of perinatal infections with known adverse impact on fetal developmental and pregnancy outcome. This includes infections with , Rubella virus, Cytomegalovirus, Herpes simplex virus (1 and 2) and (Syphilis). TORCH-S infections group of prenatal illnesses that have been linked to adverse outcomes in fetal development and pregnancy. Infections caused by TORCH-S can affect anybody, including children, men, and non-pregnant women. However, because they may be passed to the embryo while it is still in the womb, major fetal problems can arise if a mother is exposed during the first 5 months of pregnancy. The cornerstone of congenital infection prevention is the primary prevention of maternal infections during pregnancy. Early identification of TORCH-S infection will help in appropriate treatment and management of these infections.
TORCH-S是一组已知对胎儿发育和妊娠结局不利影响的围产期感染的医学首字母缩略词。这包括风疹病毒、巨细胞病毒、单纯疱疹病毒(1和2)和梅毒感染。TORCH-S感染是一组产前疾病,与胎儿发育和妊娠的不良后果有关。由TORCH-S引起的感染可以影响任何人,包括儿童、男性和非孕妇。然而,由于它们可能会在胚胎还在子宫里的时候就传给胚胎,如果母亲在怀孕的前5个月接触到这些物质,就会出现严重的胎儿问题。预防先天性感染的基石是对怀孕期间孕产妇感染的初级预防。早期发现TORCH-S感染将有助于对这些感染进行适当的治疗和管理。
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引用次数: 0
期刊
Indian Journal of Microbiology Research
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