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Validity of Method for MTBC and NTM Detection in FNAB Specimens from Tuberculous Lymphadenitis Using Microscopy, XPERT MTB / RIF and Culture Method 结核性淋巴结炎FNAB标本MTBC和NTM检测方法的显微镜、XPERT MTB / RIF和培养法的有效性
Pub Date : 2021-04-27 DOI: 10.20473/IJTID.V9I1.16043
H. N. Junus, N. Mertaniasih, S. Soedarsono
Mycobacterium tuberculosis and Nontuberculous Mycobacteria usually cause infection in tuberculous lymphadenitis. To improve accuracy of the detection MTB and NTM bacteria it is necessary to select valid methods. This study aims to compare validity of diagnostic methods from FNAB specimens for determining tuberculous lymphadenitis patients. a descriptive observational laboratory study involved 35 samples were obtained from tuberculous lymphadenitis patients in Dr. Soetomo Hospital Surabaya East Java. All specimens examined Ziehl-Neelsen staining microscopy, Xpert MTB/RIF , culture method Middlebrook7H10 solid media and  MGIT as Gold standard. Identification of MTB dan NTM with SD Bioline TB Ag MPT64 and niacin paper strip BD . Used diagnostic test 2x2 to analyze sensitivity, specificity, negative predictive value and positive predictive value. Ziehl-Neelsen staining microscopy Sensitivity 83,33 %  and Specificity 95,65% of  , PPV  90,91%and NPV 91,67%, Diagnostic Accuracy 91,43 % . Xpert MTB/RIF Sensitivity 75% and Specificity 95,65% , PPV  90 % and NPV 88 %, Diagnostic Accuracy 88,57 % with 95% CI (Confidence Interval ) . Characteristics female dominated 23/35 (65.7%) while Male numbered 12/35 (34.3%), age range distribution of TB lymphadenitis patients is highest in young adults 17 years to 25 years as many as 15/35 (42.9%) the second highest is the age group of 36 years to 45 years by 8/35 (22.9%), Clinicial presentation are mostly lymph node enlargement in cervical  37% patients other locations supraclavicular ,mamae. Clinical symptoms mostly lymphadenopathy 31,5% and other lymphadenopathy with fever. Microscopy method still have the good validity shoul be conjunction with the  molecular rapid tests and culture as gold standard in determining the diagnosis of TB lymphadenitis.
结核分枝杆菌和非结核分枝杆菌通常引起结核性淋巴结炎的感染。为了提高MTB和NTM细菌检测的准确性,有必要选择有效的方法。本研究旨在比较FNAB标本诊断方法对结核性淋巴结炎患者的有效性。一项描述性的观察性实验室研究涉及35个样本,这些样本来自东爪哇泗水Soetomo医生医院的结核性淋巴结炎患者。所有标本均采用Ziehl-Neelsen染色显微镜、Xpert MTB/RIF、培养方法Middlebrook7H10固体培养基和MGIT作为金标准。用SD生物系TB Ag MPT64和烟酸纸片BD鉴定MTB和NTM。使用诊断试验2x2分析敏感性、特异性、阴性预测值和阳性预测值。Ziehl-Neelsen染色显微镜灵敏度83,33%,特异性95,65%,PPV 90,91%,NPV 91,67%,诊断准确率91,43%。Xpert MTB/RIF灵敏度75%,特异性95,65%,PPV 90%,NPV 88%,诊断准确率88,57%,置信区间95%。特征女性占23/35(65.7%),男性占12/35(34.3%),结核淋巴结炎患者的年龄段分布在17岁至25岁的年轻人中最高,多达15/35(42.9%),第二高的是36岁至45岁的年龄组8/35(22.9%),临床表现多为颈部淋巴结肿大,37%的患者其他部位为锁骨上、乳头。临床症状多为淋巴结肿大31.5%,其他淋巴结肿大伴发热。显微镜检查法应结合分子快速检测和培养作为金标准,对结核淋巴结炎的诊断仍具有良好的有效性。
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引用次数: 1
Plasmodium falciparum Breath Metabolomics (Breathomics) Analysis as a Non-Invasive Practical Method to Diagnose Malaria in Pediatric 恶性疟原虫呼吸代谢组学分析作为一种无创诊断小儿疟疾的实用方法
Pub Date : 2021-04-27 DOI: 10.20473/IJTID.V9I1.24069
I. Ivan, M. M. Stella, K. Tandarto, F. Budiman, F. S. Joprang
Children under 5 years of age are particularly vulnerable to malaria. Malaria has caused 445,000 deaths worldwide. Currently, rapid diagnostic tests (RDTs) are the fastest method to diagnose malaria. However, there are limitations that exist such as low sensitivity in detecting infections with low parasitemia. Practical, non-invasive and high ability tests to detect parasite are needed to find specific biomarkers for P. falciparum infection to determine the potential of P. falciparum 4 thioether in breathomics analysis by GC-MS as a practical non-invasive method in diagnosing malaria in pediatrics. Literature reviews from Google Scholar and ProQuest were published no later than the last 5 years. The concept of breathomics is that the breath’s volatile organic compounds (VOCs) profile is altered when the health condition changes. Breath samples from individuals infected with P. falciparum malaria were taken by exhalation. Through GC-MS analysis, it was found that 4 thioether compounds (allyl methyl sulfide (AMS), 1-methylthio-propane, (Z) -1-methylthio-1-propene and (E) -1-methylthio-1-propene) underwent a significant change in concentration during the infection. Based on experiments conducted on mice and humans, the breathomics method is known to be able to detect parasitemia levels up to <100 parasites/μL, has a sensitivity level of about 71% to 91% and a specificity of about 75% to 94%. The discovery of 4 thioether compounds by GC-MS is a strong indication of malaria, because it has the potential for high sensitivity and specificity, and the detection power exceeds the ability of RDTs.
5岁以下的儿童特别容易感染疟疾。疟疾已在全世界造成44.5万人死亡。目前,快速诊断测试(RDT)是诊断疟疾最快的方法。然而,存在一些局限性,例如在检测低寄生虫血症感染时灵敏度低。需要进行实用、非侵入性和高能力的寄生虫检测测试,以找到恶性疟原虫感染的特定生物标志物,从而通过GC-MS确定恶性疟原虫4-硫醚在呼吸系统分析中的潜力,作为诊断儿科疟疾的实用非侵入性方法。谷歌学者(Google Scholar)和ProQuest的文献综述最迟在过去5年内发表。呼吸测试的概念是,当健康状况发生变化时,呼吸中的挥发性有机化合物(VOC)会发生变化。通过呼气采集感染恶性疟原虫的个体的呼吸样本。通过GC-MS分析,发现4种硫醚化合物(烯丙基甲基硫醚(AMS)、1-甲硫基-丙烷、(Z)-1-甲硫基-1-丙烯和(E)-1-甲硫基-1-丙烯)在感染过程中浓度发生了显著变化。基于在小鼠和人类身上进行的实验,已知呼吸测试法能够检测高达<100个寄生虫/μL的寄生虫血症水平,灵敏度约为71%至91%,特异性约为75%至94%。通过GC-MS发现4种硫醚化合物是疟疾的有力指示,因为它具有高灵敏度和特异性的潜力,并且检测能力超过了RDTs的能力。
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引用次数: 0
Diagnosis Based on Detection of CXCL10 in Urine as Biomarker for The Determining Diagnosis of Active Lung Tuberculosis 基于尿液CXCL10检测的活动性肺结核诊断
Pub Date : 2021-04-27 DOI: 10.20473/IJTID.V9I1.22160
N. Mertaniasih, I. Ananda, S. Soedarsono, Deby Kusumaningrum
Tuberculosis diagnosis is an important component in decreasing TB incidence and prevalence. Because of the difficulty to collect sputum in some cases, urine specimens are used as it is easier to garner. One of the biomarkers in urine that can be used to diagnose pulmonary TB is IP-10, which can be represented by the CXCL10 gene. The study aims to determine the accuracy of diagnosis based on detection of the CXCL10 gene in urine as a biomarker for the patients with suspected pulmonary TB in Dr. Soetomo Hospital in Surabaya from November 2019 until March 2020. Thus, this is an observative laboratory research with a cross-sectional study. CXCL10 gene was examined using PCR for 36 urine samples, and then, the data, together with the medical records of clinical manifestations of pulmonary TB, GeneXpert MTB /RIF, blood count, and thorax radiograph, were processed using IBM SPSS Statistics 26. The results of the GeneXpert MTB/RIF and thorax radiograph criteria show positive results of pulmonary TB, which were 44.4% and 69.4% respectively. CXCL10 gene was not found in all urine of healthy people (negative), while 2.8% (1/36 samples) positive CXCL10 gene was found in a patient with positive GeneXpert, also with negative clinical manifestations and urine culture. In this study, the accuracy of diagnosis based on detection of the CXCL10 gene in urine for diagnosis of active pulmonary TB was 2.8%. Future research is needed to improve the methods, among them are bigger size of urine samples and clearer medical history of patients.
结核病诊断是降低结核病发病率和流行率的重要组成部分。由于在某些情况下很难收集痰,因此使用尿液标本,因为它更容易收集。尿液中可用于诊断肺结核的生物标志物之一是IP-10,可由CXCL10基因代表。该研究旨在确定基于尿液中CXCL10基因检测的诊断准确性,作为2019年11月至2020年3月期间泗水Soetomo医生医院疑似肺结核患者的生物标志物。因此,这是一个观察性的实验室研究与横断面研究。36份尿样采用PCR检测CXCL10基因,并结合肺结核临床表现病历、GeneXpert MTB /RIF、血球计数、胸片等数据,使用IBM SPSS Statistics 26进行处理。GeneXpert MTB/RIF和胸片检查结果显示肺结核阳性,分别为44.4%和69.4%。健康人群尿液中未检出CXCL10基因(阴性),而GeneXpert阳性患者尿液中检出2.8% (1/36)CXCL10基因阳性,临床表现和尿液培养均为阴性。本研究中,基于尿液CXCL10基因检测诊断活动性肺结核的准确率为2.8%。未来的研究需要改进方法,其中包括更大的尿样尺寸和更清晰的患者病史。
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引用次数: 2
CORRELATION BETWEEN CLIMATE FACTORS WITH DENGUE HEMORRHAGIC FEVER CASES IN SURABAYA 2007 – 2017 2007 - 2017年泗水登革热出血热病例与气候因素的相关性研究
Pub Date : 2021-04-27 DOI: 10.20473/IJTID.V9I1.16075
N. Ghaisani, S. Sulistiawati, M. Lusida
Dengue Hemorrhagic Fever (DHF) is a disease caused by dengue virus. DHF is mediated by the mosquito vector, the Aedes mosquito. The proliferation of dengue vector is influenced by many factors, one of which is climate factors. DHF is one of the main public health problems in Indonesia. Cases of dengue were first discovered in 1968 in the city of Jakarta and Surabaya. Currently Surabaya is one of the dengue endemic areas in Indonesia. . The case of DHF in the city of Surabaya can be said to be still quite high compared with another city in Indonesia, although there is a decrease in the number from year to year. When examined, many factors influence the high number of dengue cases in Surabaya, one of which is climate factor. Climate factors play a role in the proliferation of DHF vectors. Therefore, this study aims to examine for 10 years, namely in 2007 2017 whether there is a correlation between climate factors with dengue cases in the city of Surabaya., which in this study the climate factors used are rainfall, average temperature, and average air humidity. This research uses an analytical method namely Spearman on the SPSS software version 20. The results obtained that the case of DHF in the city of Surabaya has no relationship with climatic factors such as rainfall and average temperature with a significance value of the relationship p> 0.05. While the climate factor that has a relationship with DHF cases in Surabaya City is air humidity with a significance value of p <0.05 and has a positive relationship with the value of r = + 0.190. It can be concluded that not all climate factors have a relationship with the DHF case in Surabaya in 2007 2017, which has a relationship with the DHF case is air humidity.
登革出血热(DHF)是一种由登革病毒引起的疾病。登革出血热是由蚊媒伊蚊介导的。登革热病媒的扩散受多种因素的影响,气候因素是其中之一。登革出血热是印度尼西亚的主要公共卫生问题之一。登革热病例于1968年在雅加达和泗水市首次发现。目前泗水是印尼登革热流行地区之一。与印度尼西亚的另一个城市相比,泗水市的登革出血热病例可以说仍然相当高,尽管数量逐年减少。经检查,许多因素影响泗水登革热病例的高数量,其中之一是气候因素。气候因素在登革出血热病媒的增殖中起作用。因此,本研究旨在检验2007年至2017年10年时间里,气候因素与泗水市登革热病例之间是否存在相关性。,在本研究中使用的气候因素是降雨、平均温度和平均空气湿度。本研究采用SPSS软件20版上的Spearman分析方法。结果表明,泗水市登革热病例与降雨、平均气温等气候因子无显著关系,关系显著值为0.05。而与泗水市DHF病例相关的气候因子为空气湿度,其显著值为p <0.05,与r = + 0.190呈正相关。可以得出结论,并不是所有的气候因子都与泗水2007 - 2017年DHF病例有关系,其中与DHF病例有关系的是空气湿度。
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引用次数: 5
Risk Factors of Covid-19 Confirmed Died Patients in Dr. Kariadi Hospital: A Retrospective Study Dr. Kariadi医院Covid-19确诊死亡患者的危险因素:回顾性研究
Pub Date : 2021-04-27 DOI: 10.20473/IJTID.V9I1.22609
Elyana Sri Sulistyowati, Septi Sewi Muninggar, V. Silalahi
Covid-19 is a communicable disease causing global pandemic. Some factors inflict worse infection. This study aims to investigate risk factors of Covid-19 confirmed died patients at Dr. Kariadi Hospital Semarang. It is a retrospective study with a total sample of all Covid-19 confirmed patients involving died and healed patients from March to June 2020. Data was gathered from screening forms and analysed with Chi Square (confidence interval of 95%). This study found sixteen risk factors of Covid-19 confirmed died patients involving age (p= 0.000; OR= 8.803; 95% CI 3.982-19.462), entrepreneur (p= 0.041; OR= 14.894; 95% CI 1.12-198.65), farmer/trader (p= 0.029; OR= 25.625; 95% CI 1.40-469.25), contact history (p= 0.000; OR= 12.923; 95% CI 6.163-27.097), fever (p= 0.000; OR= 4.877; 95% CI 2.647-8.984), dyspnea (p=0.000; OR= 17.018; 95% CI 8.523-33.977), cough (p= 0.009; OR= 2.178; 95% CI 1.205-3.935), lethargic (p=0.010; OR= 2.282; 95% CI 1.205-4.323), cold (p= 0.002; OR= 0.180; 95% CI 0.054-0.600), diabetes (p=0.000; OR= 9.767; 95% CI 3.932-24.263), COPD (p= 0.001; OR= 6.360; 95% CI 2.164-18.690), hypertension (p= 0.043; OR= 2.436; 95% CI 1.008-5.887), cancer (p=0.001; OR= 9.647; 95% CI 2.413-38.579), heart disease (p= 0.000; OR= 12.226; 95% CI 2.4-62.294), neurological disorders (p=0.008; OR= 6.057; 95% CI 1.650-22.232), and immune disorders (p=0.031; OR= 1.625; 95% CI 1.186-113.899). Adequate handling is needed to prevent death. in patients with confirmed Covid-19 who have risk factors.
新冠肺炎是一种引起全球大流行的传染病。一些因素会造成更严重的感染。本研究旨在调查三宝朗Kariadi医院新冠肺炎确诊死亡患者的危险因素。这是一项回顾性研究,对2020年3月至6月所有新冠肺炎确诊患者的总样本进行了回顾性研究。从筛查表格中收集数据,并用卡方(置信区间为95%)进行分析。这项研究发现了新冠肺炎确诊死亡患者的16个风险因素,包括年龄(p=0.000;OR=8.803;95%CI 3.982-19.462)、企业家(p=0.041;OR=14.894;95%CI 1.12-198.65)、农民/贸易商(p=0.029;OR=25.625;95%CI 1.40-469.25)、接触史,呼吸困难(p=0.000;OR=17.018;95%CI 8.523-33.977)、咳嗽(p=0.009;OR=2.178;95%CI 1.205-3.935)、嗜睡(p=0.010;OR=2.282;95%CI 1.205-4.323)、感冒(p=0.002;OR=0.180;95%CI 0.054-0.600)、糖尿病(p=.000;OR=9.767;95%CI 3.932-24.263)、COPD(p=0.001;OR=6.360;95%CI 2.164-18.690)、高血压(p=0.043;OR=2.436;95%CI 1.008-5.887),癌症(p=0.001;OR=9.647;95%CI 2.413-38.579)、心脏病(p=0.000;OR=12.226;95%CI 2.4-62.294)、神经系统疾病(p=0.008;OR=6.057;95%CI 1.650-22.232)和免疫系统疾病(p=0.031;OR=1.625;95%CI 1.186-113.899)。需要充分处理以防止死亡。在有风险因素的确诊新冠肺炎患者中。
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引用次数: 4
Genital Tract Infection during Pregnancy and its Association with Preterm Delivery 妊娠期生殖道感染及其与早产的关系
Pub Date : 2021-04-27 DOI: 10.20473/IJTID.V8I3.11460
T. Susilawati, Yohanes Aditya Adhi Satria
Genital tract infection (GTI) remains a significant health concern. It is estimated that in 2016, there were 370 million people who suffer from chlamydia, gonorrhea, and trichomoniasis; and 708 million others suffer from genital herpes and condyloma acuminatum. It has been reported that in pregnant women, GTI is associated with preterm delivery. The mechanisms of GTI-associated preterm delivery need to be further understood to prevent neonatal mortality and morbidity that could be the risk factor for neonates’ growth and development disorders. This article aims to describe various types of GTI and the associated pathogenesis causing preterm birth. A literature search was conducted to retrieve recent articles published in English from online databases including Pubmed, ScienceDirect, and Google Scholar. This literature study found that GTI evokes inflammatory responses that trigger several mechanisms leading to preterm delivery. The inflammatory responses in GTI include the production of proinflammatory cytokines and robust activation of neutrophils. The key mechanisms that stimulate preterm delivery in GTI include the events of early uterine contraction, preterm premature rupture of membranes, and induction of cervical ripening; which are under normal circumstances in a full-term pregnancy, those mechanisms are regulated by progesterone and prostaglandin levels along with suppression of the inflammatory responses. In conclusion, this paper has described the underlying mechanisms of preterm delivery in pregnant women with ISG. However, such mechanisms remain unclear in candida and gonococcal infection; thus, prompting the need for further studies.
生殖道感染(GTI)仍然是一个重大的健康问题。据估计,2016年,有3.7亿人患有衣原体、淋病和滴虫病;还有7.08亿人患有生殖器疱疹和尖锐湿疣。据报道,在孕妇中,GTI与早产有关。需要进一步了解GTI相关早产的机制,以预防新生儿死亡率和发病率,这可能是新生儿生长发育障碍的风险因素。本文旨在描述各种类型的GTI及其相关的早产发病机制。进行文献检索,从Pubmed、ScienceDirect和Google Scholar等在线数据库中检索最近发表的英文文章。这项文献研究发现,GTI引起炎症反应,触发导致早产的几种机制。GTI的炎症反应包括促炎细胞因子的产生和中性粒细胞的强烈激活。GTI中刺激早产的关键机制包括早期子宫收缩、早产胎膜早破和诱导宫颈成熟;在足月妊娠的正常情况下,这些机制受到孕酮和前列腺素水平以及炎症反应抑制的调节。总之,本文描述了患有ISG的孕妇早产的潜在机制。然而,念珠菌和淋球菌感染的这种机制尚不清楚;因此,需要进一步研究。
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引用次数: 0
Soil-Transmitted Helminthes Infection and Nutritional Status of Elementary School Children in Sorong District, West Papua, Indonesi 印度尼西亚西巴布亚索隆地区小学生土壤传播蠕虫感染和营养状况
Pub Date : 2021-01-01 DOI: 10.20473/ijtid.v9i2.24202
Zukhaila Salma, F. Fitriah, R. B. Y. Renaldy, Lynda Rossyanti, I. Sarjana, S. S. Pasulu, Budiono Budiono, I. G. M. R. Gunadi Ranu, D. Husada, S. Basuki
It is known that soil-transmitted helminths (STHs) infection in children associates with growth and developed restriction in children, which is shown by nutritional status. However, the studies which are investigating this phenomenon is still limited in Indonesia. This recent study aimed to compare students who infected and non-infected with STH towards their nutritional status. An analytic cross-sectional research design was conducted in two elementary school students at Mayamuk sub-district, Sorong district, in January 2020. STHs infection was identifi ed by lugol stained wet mount smear from their stool under a light microscope. Children nutritional status was determined by body mass index based on age. A total of 164 children (67.5%, 164/243) were voluntary to participate by informed consent and eligible. Twenty-seven children (16.5%, 27/164) were infected with one or more STH species of Ascaris lumbricoides, Trichuris trichiura, hookworm, and Strongyloides stercoralis. T. trichiura (81.5%, 22/27) was the most common species found, either in single or mixed infection. Children nutritional status was observed as thinness, normal, overweight, and obese, that was 6.1% (10/164), 75% (123/164), 6.7% (11/164), and 12.2 % (20/164) respectively. STHs infection occurred in children with nutritional status of thinness 3.7% (1/27), normal 74.1% (20/27), overweight 3.7% (1/27), and obese 18.5% (5/27). There was no signifi cant diff erence between STHs infected children and non-infected children on their nutritional status (p=0.616, ChiSquare test). Thus, it indicated that STHs infection was not only the factor to induce the impairment of nutritional status in children at Mayamuk sub-district. It needs further investigation to clarify the factors which are leading to the thinness, overweight, and obese in Mayamuk children.
众所周知,儿童土壤传播蠕虫(STHs)感染与儿童生长发育受限有关,这可以从营养状况中看出。然而,调查这一现象的研究在印度尼西亚仍然有限。最近的一项研究旨在比较感染和未感染STH的学生的营养状况。2020年1月,在索蓉区Mayamuk街道的两名小学生中进行了分析横断面研究设计。光镜下对患者粪便进行lugol染色湿载涂片检查,确定感染。以年龄为基础的体重指数确定儿童营养状况。164名儿童(67.5%,164/243)通过知情同意自愿参与并符合条件。27例(16.5%,27/164)儿童感染1种或1种以上的类蚓蛔虫、毛滴虫、钩虫和粪圆线虫。以毛螺旋体感染最多(81.5%,22/27),以单一感染和混合感染为主。儿童营养状况为瘦、正常、超重和肥胖,分别为6.1%(10/164)、75%(123/164)、6.7%(11/164)和12.2%(20/164)。营养状况为消瘦3.7%(1/27)、正常74.1%(20/27)、超重3.7%(1/27)、肥胖18.5%(5/27)的儿童发生STHs感染。STHs感染儿童与未感染儿童的营养状况差异无统计学意义(p=0.616, ChiSquare检验)。由此可见,STHs感染并不是导致Mayamuk街道儿童营养状况恶化的唯一因素。需要进一步的调查来阐明导致玛雅穆克儿童消瘦、超重和肥胖的因素。
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引用次数: 1
COVID-19 and Endothelial Dysfunction: Biomarkers and Potential Drug Mechanisms COVID-19和内皮功能障碍:生物标志物和潜在的药物机制
Pub Date : 2021-01-01 DOI: 10.20473/ijtid.v9i2.25489
A. Andrianto, R. Rizkiawan, P. M. Harsoyo
Since the fi rst report of pneumonia outbreak in Wuhan by the end of 2019, Coronavirus Disease 2019 (COVID-19) has become a global pandemic; causing millions of deaths globally and aff ecting the rest of worldwide population. The disease is caused by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), which enters hosts by inhabiting Angiotensin-Converting Enzyme-2 (ACE-2) receptors expressed in the endothelium layer of not only the respiratory tracts, but also various organs in the body. COVID-19 has been reported to trigger multiple cardiovascular manifestations. Since endothelial dysfunction plays an important role in cardiovascular events and the endothelium is heavily involved in COVID-19 pathophysiology, it is important to investigate their associations and previously established drug potencies to improve endothelial functions as possible treatment options for COVID-19. In this review, we summarize endothelial dysfunction biomarkers involved in COVID-19 and drugs that have shown potential endothelial protective properties to better understand the incidence of endothelial dysfunction in COVID-19 and its future treatment. We searched in PubMed, Wiley Online Library, EBSCO, ScienceDirect databases for literatures containing following keywords: “Endothelial dysfunction”, “COVID-19”, and “biomarkers”. Eligible publications were then assessed and studied to comprise our literature review. A total of 96 studies matched our criteria and provided scientifi c evidences for our review. Materials were then compiled into a review summarizing endothelial biomarkers involved in COVID-19 and potentially repurposed drugs targeting endothelium for COVID-19.Various endothelial dysfunction biomarkers were found to be elevated in COVID19 and is found to be related to its severity, such as adhesion molecules, selectins, PAI-1, and von Willebrand Factors. Multiple drugs targeting the endothelium are also potential and some are under investigation for COVID-19.
自2019年底武汉首次报告肺炎疫情以来,2019冠状病毒病(COVID-19)已成为全球大流行;在全球造成数百万人死亡,并影响到世界上其他人口。该病是由严重急性呼吸综合征冠状病毒-2 (SARS-CoV-2)引起的,该病毒通过居住在呼吸道和身体各器官内皮层表达的血管紧张素转换酶-2 (ACE-2)受体进入宿主。据报道,COVID-19会引发多种心血管症状。由于内皮功能障碍在心血管事件中起着重要作用,内皮在COVID-19病理生理中起着重要作用,因此研究它们之间的关联和先前建立的药物效力以改善内皮功能作为COVID-19可能的治疗选择是很重要的。在这篇综述中,我们总结了与COVID-19相关的内皮功能障碍生物标志物和已显示出潜在内皮保护特性的药物,以更好地了解COVID-19内皮功能障碍的发生率及其未来的治疗方法。我们在PubMed、Wiley Online Library、EBSCO、ScienceDirect数据库中检索了包含以下关键词的文献:内皮功能障碍(Endothelial dysfunction)、COVID-19和生物标志物(biomarkers)。然后对符合条件的出版物进行评估和研究,以组成我们的文献综述。共有96项研究符合我们的标准,为我们的评价提供了科学依据。然后将这些材料汇编成一篇综述,总结了与COVID-19相关的内皮生物标志物和靶向内皮治疗COVID-19的潜在重新用途药物。各种内皮功能障碍生物标志物在covid - 19中升高,并被发现与其严重程度相关,如粘附分子、选择素、PAI-1和血管性血液病因子。针对内皮细胞的多种药物也很有潜力,其中一些正在研究中。
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引用次数: 1
Antimicrobial Activities of Laurus nobilis Leaves Ethanol Extract on Staphylococcus aureus, Salmonellae typhi, and Escherichia coli. 月桂叶乙醇提取物对金黄色葡萄球菌、伤寒沙门氏菌和大肠杆菌的抑菌活性。
Pub Date : 2021-01-01 DOI: 10.20473/ijtid.v9i2.22873
Khawla Abdullah Sakran, D. Raharjo, N. Mertaniasih
Laurus nobilis is one of the most well-known, most frequently used plants is from Lauraceae family which contains up 2.500 species that grow in the subtropics and tropics of the Mediterranean region and Indonesia. This study was supposed to investigate the antimicrobial eff ect of L.nobilis leaves ethanol extract on Staphylococcus aureus, Salmonellae typhi, and Escherichia coli. This preliminary study examined the antimicrobial eff ect of L.nobilis leaves ethanol extract. The method used Agar-well diff usion for determination of the zone of inhibition and the minimum bactericidal concentration to investigate the activity of L.nobilis leaves ethanol extract at 100% concentration . The results revealed that extract of L. nobilis leaves had the antibacterial activity against Staphylococcus aureus with a zone of inhibition (16.3 ±1.5 mm), Staphylococcus aureus with (14.5±0.5 mm), and weak antimicrobial activity against Escherichia coli (11.3±1.1mm). Also, through the minimum bactericidal concentration experiment, the L.nobilis leaves ethanol extract had activity on Staphylococcus aureus and Salmonellae typhi, it’s killed the bacteria in all concentration start it from 5×107 to 5×104. But the activity on Escherichia coli just weaken concentration 5×107 and 106. This research has concluded that the L.nobilis leaves ethanol extract exhibited a signifi cant antimicrobial eff ect against Staphylococcus aureus and Salmonellae typhi then Escherichia coli that is considered a kind of multidrug-resistant bacteria.
月桂是最著名、最常用的植物之一,它来自月桂科,有2500多种,生长在地中海地区和印度尼西亚的亚热带和热带地区。本研究旨在研究野藿香叶乙醇提取物对金黄色葡萄球菌、伤寒沙门氏菌和大肠杆菌的抑菌作用。本研究初步考察了白芷叶乙醇提取物的抑菌作用。方法采用琼脂孔扩散法确定抑菌区和最低抑菌浓度,考察100%浓度下野藿香叶乙醇提取物的抑菌活性。结果表明,金银花叶提取物对金黄色葡萄球菌的抑菌活性为(16.3±1.5 mm),对金黄色葡萄球菌的抑菌活性为(14.5±0.5 mm),对大肠杆菌的抑菌活性为(11.3±1.1mm)。同时,通过最小杀菌浓度实验,野藿香叶乙醇提取物对金黄色葡萄球菌和伤寒沙门氏菌均有活性,在5×107 ~ 5×104范围内的所有浓度下均能杀灭细菌。但对大肠杆菌的活性仅减弱浓度5×107和106。本研究结果表明,金银花叶乙醇提取物对金黄色葡萄球菌、伤寒沙门氏菌和被认为是多重耐药菌的大肠杆菌具有显著的抗菌作用。
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引用次数: 1
Increased Interleukin-6 as Infl ammatory Response and Magnesium Defi ciency in Pre-dialysis Chronic Kidney Disease of Indonesian Children 印度尼西亚儿童透析前慢性肾病患者白细胞介素-6升高与炎症反应和缺镁的关系
Pub Date : 2021-01-01 DOI: 10.20473/ijtid.v9i2.21479
A. K. Kardani, N. A. Soemyarso, Jusli Aras, R. Prasetyo, M. S. Noer
Chronic kidney disease (CKD) is a serious health problem in children, with increasing morbidity and mortality rates throughout the world. Children with CKD tend to experience magnesium (Mg) defi ciency that can stimulate an infl ammatory response in the body. One of the infl ammatory responses is an increase of Interleukin-6 (IL-6).  Study to analyze the correlation between Mg and IL-6 in pre-dialysis CKD children. The methods a cross sectional study was conducted in Dr Soetomo General Academic Hospital from November 2018 to April 2019. Children with pre-dialyis CKD were included in this study. Variables of serum Mg level (mg/dL) and infl ammatory marker (IL-6) were measured from the blood and analyzed by ELISA method. The correlation between Mg and IL-6 was analyzed with Spearman’s correlation test with p <0.05.  Result a total of 47 children (27 boys vs 20 girls) between 3 months to 18 years old, with pre-dialysis CKD and no history of magnesium supplementation were included. The primary disease that causes of CKD were lupus nephritis (38.3%), nephrotic syndrome (23.4%), urologic disorder (23.4%),  tubulopathy (10.6%) and others (4.3%). The average IL-6 level was 55.42±43.04 pg/dL and Mg level was 2.06±1.54 mg/dL. There were no signifi cant correlation between IL-6 level and Mg level with staging of CKD and duration of illness (p>0.05), but there was a signifi cant correlation between serum Mg level and IL-6 level (r=-0.748; p<0.001). Magnesium levels have a signifi cant inverse correlation with IL-6 levels in pre-dialysis CKD children. The lower the Mg levels in the blood, the higher IL-6 levels and vice versa.
慢性肾脏疾病(CKD)是严重的儿童健康问题,在世界范围内的发病率和死亡率不断上升。患有慢性肾病的儿童往往会经历镁(Mg)缺乏症,这可能会刺激体内的炎症反应。炎症反应之一是白细胞介素-6 (IL-6)的增加。分析透析前CKD患儿Mg与IL-6的相关性。方法横断面研究于2018年11月至2019年4月在Dr Soetomo综合学术医院进行。透析前CKD患儿被纳入本研究。测定血清Mg水平(Mg /dL)和炎症标志物(IL-6),采用ELISA法进行分析。Mg与IL-6的相关性采用Spearman相关检验(p < 0.05),血清Mg水平与IL-6水平无显著相关性(r=-0.748;p < 0.001)。透析前CKD患儿镁水平与IL-6水平呈显著负相关。血液中Mg含量越低,IL-6含量越高,反之亦然。
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引用次数: 1
期刊
Indonesian Journal of Tropical and Infectious Disease
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