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Neonatal Outcomes Among Pregnant Women with COVID-19 COVID-19孕妇的新生儿结局
Pub Date : 2020-08-11 DOI: 10.5812/iji.106039
A. Direkvand-Moghadam, Parviz Karimi, S. Nourolahi
Context: COVID-19 is a serious threat to the world as a whole, and pregnant women are at increased risk of the infection. Objectives: In the present study, we have reviewed the outcomes of neonates of pregnant women with COVID-19. Data Sources: We searched Medline, Web of Science, and Scopus databases from December 2019 to April 2020. The search was conducted using the following keywords: COVID-19, newborn, neonatal mortality, neonatal morbidity, pregnant women, pregnancy outcome, or combinations of these keywords. Inclusion and exclusion criteria were all English language articles about COVID-19 in pregnant women and outcomes of pregnancy. Review articles were excluded because of reporting repetitive articles. Study Selection: Two researchers independently screened the titles of all recorded citations, removed duplicate records, and distinguished potentially relevant studies for inclusion. Then, abstracts of selected citations were independently reviewed by two researchers for further relevance, with full-text manuscripts retrieved as appropriate. In disagreement cases, a third consultant was asked to act as an intervener. Results: In total, 6 articles had inclusion criteria. Newborns were examined by laboratory methods, including; the pharyngeal swab specimens, throat swab specimen, amniotic fluid, cord blood, breast milk. The neonatal complications such as a slight increase in the myocardial enzyme, fever, tachycardia, thrombocytopenia, vomiting and pneumothorax, shortness of breath, mild pulmonary infection, transient tachypnea and the skin rashes higher concentrations of IgG and IgM are reported. The shortness of breath was the most frequent clinical first symptom among neonates. Conclusions: There are strong ambiguities concerning the vertical transmission from mother to fetus. Extensive research is needed to resolve ambiguities about the virus and its impact on pregnancy outcomes.
背景:2019冠状病毒病对整个世界构成严重威胁,孕妇感染风险增加。目的:在本研究中,我们回顾了COVID-19孕妇新生儿的结局。数据来源:我们检索了Medline、Web of Science和Scopus数据库,检索时间为2019年12月至2020年4月。检索使用以下关键词:COVID-19、新生儿、新生儿死亡率、新生儿发病率、孕妇、妊娠结局或这些关键词的组合。纳入和排除标准均为关于COVID-19孕妇和妊娠结局的英文文章。综述文章因报道了重复的文章而被排除。研究选择:两名研究人员独立筛选所有记录引用的标题,删除重复记录,并区分可能相关的研究纳入。然后,由两名研究人员独立审查选定引文的摘要以进一步确定相关性,并酌情检索全文手稿。在意见不一致的情况下,第三位咨询师被要求充当调停者。结果:共有6篇文章符合纳入标准。新生儿通过实验室方法进行检查,包括;咽拭子标本,咽拭子标本,羊水,脐带血,母乳。新生儿并发症如心肌酶轻微升高、发热、心动过速、血小板减少、呕吐和气胸、呼吸短促、轻度肺部感染、一过性呼吸急促和皮疹,IgG和IgM浓度升高均有报道。呼吸短促是新生儿最常见的临床首发症状。结论:从母体到胎儿的垂直传播有很强的模糊性。需要进行广泛的研究,以解决有关该病毒及其对妊娠结局影响的含糊不清的问题。
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引用次数: 0
Acute Respiratory Infection in Co-Infection Form of Bacteria and Virus, Human Bocavirus with Streptococcus pneumoniae: A Case Report 细菌和病毒共感染形式的急性呼吸道感染,人博卡病毒与肺炎链球菌:1例报告
Pub Date : 2020-08-05 DOI: 10.5812/iji.106476
Mehrdad Mohammadi
Introduction: Human bocavirus (HBoV) belongs to the Parvoviridae family, which has been revealed to be associated with respiratory and gastrointestinal infections in children. There are many reports worldwide on respiratory infection or gastroenteritis caused by this virus. Case Presentation: In a twin case (a girl and a boy), we demonstrated that HBoV infection in combination with Streptococcus pneumonia as co-infection caused the death of a 14-month-old girl with a history of high fever and wheezing. A week later, her brother presented with almost the same symptoms, but only HBoV was found in a nasopharyngeal aspirate sample. Discussion: This case suggests that lower respiratory tract infections due to HBoV may cause severe and life-threatening diseases, resulting in death in combination with a bacterial infection, such as S. pneumonia. The study suggests replacing multiplex PCR as a fast and meticulous method instead of conventional and time-consuming microbiological methods for determining the causative organism for respiratory infections.
人类博卡病毒(HBoV)属于细小病毒科,已被发现与儿童呼吸道和胃肠道感染有关。世界上有许多由这种病毒引起的呼吸道感染或肠胃炎的报道。病例介绍:在一对双胞胎病例(一女一男)中,我们证明HBoV感染与肺炎链球菌合并感染导致一名14个月大的女婴死亡,她有高烧和喘息史。一周后,她的兄弟出现了几乎相同的症状,但在鼻咽吸入样本中只发现了HBoV。讨论:本病例提示HBoV引起的下呼吸道感染可能导致严重和危及生命的疾病,并伴有细菌感染,如肺炎链球菌。该研究建议将多重PCR作为一种快速而细致的方法来取代传统的、耗时的微生物学方法来确定呼吸道感染的致病微生物。
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引用次数: 1
Comparative Evaluation of Linezolid and Teicoplanin in the Treatment of Ventilator-Associated MRSA Pneumonia: A Single-Center Experience 利奈唑胺和替柯planin治疗呼吸机相关性MRSA肺炎的比较评价:单中心经验
Pub Date : 2020-08-01 DOI: 10.5812/iji.104447
Md. Jahidul Hasan, S. Nessa, R. Rabbani
Background: Ventilator-associated pneumonia (VAP) caused by methicillin-resistant Staphylococcus aureus (MRSA) is a serious infection in an intensive care unit (ICU). Ventilator-associated MRSA pneumonia (VAMP) in critically ill patients causes a high rate of mortality. Objectives: This study mainly aimed to compare the clinical outcomes and associated drug safety perspective of linezolid and teicoplanin in VAMP treatment. Methods: This retrospective study included 98 adult ICU patients with VAMP, where 42 patients (LZD group) and 56 patients (TPN group) received a standard dose of linezolid and teicoplanin, respectively, for their VAMP treatment. Adverse reactions associated with linezolid and teicoplanin were considered. Clinical outcomes and 30-day mortality rates were compared in both groups. Results: The LZD group showed a higher MRSA eradication rate (97%, n = 34) than the TPN group (94.3%, n = 53) (P = 0.034). The linezolid and teicoplanin therapy was suddenly discontinued in 19% and 5.3% of the patients in the LZD and TPN groups, respectively, before completing the full duration of antibiotic therapy due to developed adverse drug reactions (ADRs), including thrombocytopenia (LZD/TPN groups: 7/1 event), tachycardia (LZD group: 1 event), and nephrotoxicity (TPN group: 2 events). This discontinuation increased the total duration of antibiotic therapy in 19% (n = 42) and 5.3% (n = 56) of the patients (P = 0.034) in the LZD and TPN groups, respectively. Conclusions: VAMP is a life-threatening event in critically ill ICU patients worldwide. In this study, teicoplanin showed better clinical outcomes with a certain higher level of drug safety compared to linezolid in the treatment of ventilator-associated MRSA pneumonia.
背景:由耐甲氧西林金黄色葡萄球菌(MRSA)引起的呼吸机相关性肺炎(VAP)是重症监护病房(ICU)的一种严重感染。危重患者呼吸机相关性MRSA肺炎(VAMP)导致高死亡率。目的:比较利奈唑胺与替柯planin治疗VAMP的临床疗效及相关药物安全性。方法:回顾性研究98例成人重症监护病房VAMP患者,其中42例(LZD组)和56例(TPN组)分别给予标准剂量的利奈唑胺和替柯planin治疗VAMP。考虑了利奈唑胺和替柯普兰相关的不良反应。比较两组的临床结果和30天死亡率。结果:LZD组MRSA根除率(97%,n = 34)高于TPN组(94.3%,n = 53) (P = 0.034)。在LZD组和TPN组中,分别有19%和5.3%的患者在完成抗生素治疗的全部疗程之前,由于出现药物不良反应(adr),包括血小板减少症(LZD/TPN组:7/1事件)、心动过速(LZD组:1事件)和肾毒性(TPN组:2事件)而突然停止利奈唑胺和替柯planin治疗。LZD组和TPN组分别有19% (n = 42)和5.3% (n = 56)的患者(P = 0.034)抗生素治疗的总持续时间增加。结论:VAMP是世界范围内ICU危重患者的一项危及生命的事件。在本研究中,替柯planin治疗呼吸机相关性MRSA肺炎的临床效果优于利奈唑胺,且药物安全性更高。
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引用次数: 1
COVID-19 Pandemic: The Role of Traditional Medicine COVID-19 大流行:传统医学的作用
Pub Date : 2020-07-28 DOI: 10.5812/iji.107090
Faisal Muhammad
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引用次数: 9
Zoonotic Infections Overview: A Nigerian Perspective 人畜共患病感染概述:尼日利亚视角
Pub Date : 2020-07-26 DOI: 10.5812/iji.106028
Faisal Muhammad
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引用次数: 0
Comparison of COVID-19 Severity Between Tropical and Non-Tropical Countries 热带和非热带国家COVID-19严重程度的比较
Pub Date : 2020-07-06 DOI: 10.5812/iji.104142
Florence Tushabe
: Coronavirus disease 2019 (COVID-19) has affected the whole world. However, it is not clear whether the disease affects all countries equally. This paper analyzes the severity of COVID-19 in tropical and temperate countries by comparing the data of infections and deaths registered four months after the onset of the disease. Data were segregated, summarized, visualized, and interpreted. The severity of the disease was quantified in each country and recommendations were made for both categories of countries. The research found that the severity of the disease in terms of infection or death was six times more in countries located in the temperate region.
2019冠状病毒病(COVID-19)已影响全球。然而,目前尚不清楚这种疾病对所有国家的影响是否相同。本文通过比较发病后4个月登记的感染和死亡数据,分析了热带和温带国家COVID-19的严重程度。数据被分离、汇总、可视化和解释。对每个国家的疾病严重程度进行了量化,并对这两类国家提出了建议。研究发现,就感染或死亡而言,该疾病在温带地区国家的严重程度是温带地区国家的六倍。
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引用次数: 6
Evaluation of Antibacterial Properties of Chimeric Bovine Lactoferrin Peptide for Inhibition of Food and Plant Pathogens 嵌合牛乳铁蛋白肽对食品和植物病原菌抑菌性能的评价
Pub Date : 2020-06-22 DOI: 10.5812/iji.104594
H. Sarhadi, M. H. Jahandar, Abbas Tanhaeian
: The resistance of microorganisms to conventional antibiotics has prompted researchers to produce new antimicrobial compounds. Antimicrobial peptides can be alternatives to chemical antibiotics. Antimicrobial peptides are produced approximately by all living organisms to fight infection. Lactoferrin is an iron glycoprotein that plays an important role in the immune system. Lactoferricin and lactoferrampine have stronger antimicrobial activities than lactoferrin. In this study, we investigated the inhibitory effects of a combination of chimeric bovine lactoferricin and lactoferrampine on microorganisms including Escherichia coli, Staphylococcus aureus, Salmonella typhimurium, Enterococcus faecalis, and Listeria monocytogenes, as well as plant pathogens including Pseudomonas syringae pv. syringae, Pseudomonas viridiflava, Xanthomonas translucens, Xanthomonas perforans, Erwinia amylovora, Pectobacterium carotovorum, and Agrobacterium tumefaciens. The results showed that chimeric bovine lactoferrin had a good inhibitory effect against pathogenic microorganisms and plant pathogens. The minimum inhibitory concentration (MIC) and the minimum bactericidal concentration (MBC) for pathogenic microorganisms Salmonella typhimurium and Listeria monocytogenes were 7.562 µg/mL and 15.125 µg/mL, respectively, which showed the highest sensitivity to chimeric bovine lactoferrin. The MIC and MBC for plant pathogens were 0.497 µg/mL and 0.997 µg/mL, respectively, which were related to Pseudomonas syringae pv. syringae and it showed the highest sensitivity to chimeric bovine lactoferrin.
当前位置微生物对常规抗生素的耐药性促使研究人员生产新的抗微生物化合物。抗菌肽可作为化学抗生素的替代品。抗菌肽几乎由所有生物体产生以抵抗感染。乳铁蛋白是一种铁糖蛋白,在免疫系统中起着重要作用。乳铁蛋白和乳铁氨平具有比乳铁蛋白更强的抗菌活性。在本研究中,我们研究了嵌合牛乳铁蛋白和乳铁氨平对大肠杆菌、金黄色葡萄球菌、鼠伤寒沙门菌、粪肠球菌和单核增生李斯特菌等微生物以及丁香假单胞菌等植物病原体的抑制作用。紫丁香、绿黄假单胞菌、透光黄单胞菌、穿孔黄单胞菌、淀粉杆菌、胡萝卜乳杆菌和农杆菌。结果表明,嵌合牛乳铁蛋白对病原菌和植物病原体具有良好的抑制作用。对致病菌鼠伤寒沙门菌和单核增生李斯特菌的最小抑制浓度(MIC)和最小杀菌浓度(MBC)分别为7.562µg/mL和15.125µg/mL,对嵌合牛乳铁蛋白的敏感性最高。植物病原菌的MIC和MBC分别为0.497µg/mL和0.997µg/mL,与丁香假单胞菌pv有关。对嵌合牛乳铁蛋白的敏感性最高。
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引用次数: 2
Toxoplasmosis Among HIV Patients and Healthy Volunteers in Port Harcourt, Rivers State, Nigeria 尼日利亚河流州哈科特港艾滋病患者和健康志愿者的弓形虫病
Pub Date : 2020-06-13 DOI: 10.5812/iji.102929
E. Onosakponome, A. Abah, M. Wogu
Background: Toxoplasmosis is a serious infection, especially among the immune-compromised people such as HIV/AIDS patients. Objectives: This study assessed the seroprevalence and associated risk factors of toxoplasmosis among HIV patients and healthy volunteers or immuno-competent persons (IP) in Port Harcourt. Methods: A total of 400 (200 per group) randomly-selected sera were tested for IgG and IgM T. gondii antibodies using ELISA technique. CD4 cell counts were also determined. Demographic and risk factors were determined using a well-structured questionnaire. Results: Overall seroprevalence for HIV and IP using IgG and IgM toxoplasma antibodies was 36.0%, 21.5%, and 1.5%, 7.0%, respectively. The age group f 40 years and above had the highest seroprevalence of 25.3% among the HIV positive persons, while the age groups 25 - 29 years had the highest seroprevalence of 20.0% among the IP. Traders’ positive with HIV had the highest seroprevalence of 30.0% and 0.9% for IgG and IgM toxoplasma antibodies, respectively. HIV subjects with a secondary education showed the highest seroprevalence of 20.0%. More HIV positive females were infected with toxoplasmosis 18.5%. In all, 6.7% (P > 0.05) of the seropositive patients had CD4 cell counts of less than 200 cells/µL, indicating no correlation between seroprevalence and CD4 cell counts of HIV/AIDS patients. Risk factors in this study included the history of living with pets, farming and eating improperly-washed fruits and vegetables. Conclusions: Seroprevalence of Toxoplasmosis was high among HIV patients in Port Harcourt. It is suggested that the institutions included the Toxoplasmosis test as one of the routine tests for HIV patients.
背景:弓形虫病是一种严重的传染病,特别是在免疫功能低下的人群中,如HIV/AIDS患者。目的:本研究评估哈科特港HIV患者、健康志愿者和免疫能力者(IP)的血清弓形虫病(toxoplasmosis)患病率及相关危险因素。方法:采用ELISA技术,随机抽取400份血清(每组200份)进行刚地弓形虫IgG和IgM抗体检测。同时测定CD4细胞计数。使用结构良好的问卷调查确定人口统计学和危险因素。结果:使用IgG和IgM弓形虫抗体检测HIV和IP的总体血清阳性率分别为36.0%、21.5%和1.5%、7.0%。HIV阳性人群中40岁及以上年龄组的血清阳性率最高,为25.3%,而IP人群中25 - 29岁年龄组的血清阳性率最高,为20.0%。HIV阳性者血清中IgG和IgM弓形虫抗体的阳性率最高,分别为30.0%和0.9%。受过中等教育的HIV受试者血清阳性率最高,为20.0%。阳性女性感染弓形虫病的比例为18.5%。总共有6.7% (P > 0.05)的血清阳性患者CD4细胞计数小于200细胞/µL,说明HIV/AIDS患者血清阳性率与CD4细胞计数无相关性。这项研究中的风险因素包括与宠物生活的历史,农业和食用不正确清洗的水果和蔬菜。结论:哈科特港HIV患者血清弓形虫病阳性率较高。建议将弓形虫病检测作为HIV患者的常规检测之一。
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引用次数: 0
Antioxidant Property and Bactericidal Activity of Linum usitatissimum Seed Essential Oil Nanoemulsion (LSEO-NE) on Staphylococcus aureus 枸杞种子精油纳米乳(lsei - ne)对金黄色葡萄球菌的抗氧化及杀菌活性研究
Pub Date : 2020-05-06 DOI: 10.5812/iji.101639
Roghaye Keykhasalar, Masoud Homayouni Tabrizi, P. Ardalan
Background: Linum usitatissimum Seed Essential Oil (LSEO) as an efficient antimicrobial compound contains various types of phytochemicals, such as lignans and phenols. Objectives: In the current study, we produced LSEO nanoemulsion (LSEO-NE) to study its antioxidant capacity and bactericidal activity against Staphylococcus aureus. Methods: The LSEO-NE was produced using the ultrasonication method and characterized by Atomic Force Microscopy (AFM), Dynamic Light Scattering (DLS), and Scanning Electron Microscopy (SEM). Then, we measured its antioxidant activity utilizing both ABTS and DPPH tests at four different LSEO-NE concentrations (200, 600, 800, and 1000 µg/mL) compared to glutathione. Finally, we evaluated its bactericidal activity on S. aureus by studying Antibiotic Susceptibility Testing (AST) using LSEO-NE-smeared discs compared to non-smeared and kanamycin discs. Results: The 67.3 nm droplets of LSEO-NE with PDI of 0.452 exhibited strong antioxidant activity, similar to glutathione, in both ABTS (IC50 = 350 µg/mL) and DPPH (IC50 = 235 µg/mL) tests. Moreover, the AST results revealed the significant sensitivity of S. aureus to LSEO-NE-smeared discs when compared to non-smeared and kanamycin discs. Conclusions: According to the results, LSEO-NE can be applied as a safe, natural, and effective antibiotic for bacterial infections caused by S. aureus in most organs, such as the respiratory system and skin. However, further in vivo studies are required to evaluate the LSEO-NE antibacterial efficiency against other pathogenic S. aureus strains.
背景:紫草种子精油(LSEO)是一种有效的抗菌化合物,含有多种植物化学物质,如木脂素和酚类。目的:制备LSEO纳米乳(LSEO- ne),研究其抗氧化能力和对金黄色葡萄球菌的杀菌活性。方法:采用超声法制备lsei - ne,并采用原子力显微镜(AFM)、动态光散射(DLS)和扫描电镜(SEM)对其进行表征。然后,与谷胱甘肽相比,我们利用ABTS和DPPH测试在四种不同的LSEO-NE浓度(200、600、800和1000µg/mL)下测量其抗氧化活性。最后,我们通过比较lseo - ne涂片与未涂片和卡那霉素涂片的抗生素药敏试验(AST)来评估其对金黄色葡萄球菌的杀菌活性。结果:PDI为0.452的67.3 nm lsio2 - ne液滴在ABTS (IC50 = 350µg/mL)和DPPH (IC50 = 235µg/mL)试验中均表现出与谷胱甘肽相似的抗氧化活性。此外,AST结果显示金黄色葡萄球菌对lseo - ne涂片的椎间盘与未涂片和卡那霉素的椎间盘相比具有显著的敏感性。结论:lsei - ne可作为一种安全、天然、有效的抗生素用于大多数器官,如呼吸系统和皮肤,金黄色葡萄球菌引起的细菌感染。然而,需要进一步的体内研究来评估LSEO-NE对其他致病性金黄色葡萄球菌菌株的抗菌效果。
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引用次数: 8
An Unusual Variant of Lemierre’s Syndrome with Multiple Abscesses and Hepatic Vein Thrombosis 一种罕见的Lemierre综合征并发多发性脓肿和肝静脉血栓
Pub Date : 2020-04-30 DOI: 10.5812/iji.101633
F. Hammami, M. Koubaa, Abrakhom Zeyni, A. Chakroun, K. Rekik, C. Marrakchi, M. Ben Jemaa
Introduction: Lemierre’s syndrome is an uncommon, life-threatening disease that develops as a severe complication of oropharyngeal infection. However, this syndrome has also been reported during anaerobic septicemia, originating from diverse sources of infection, such as the gastrointestinal system. The diagnosis of this syndrome remains challenging, and is often prompted by the detection of Fusobacterium necrophorum in blood culture, rather than with clinical signs or symptoms. Case Presentation: A previously healthy 38-year-old woman was hospitalized for a 6-day history of fever, watery diarrhea, and vomiting. Physical examination of the patient showed fever, pharyngitis, and diffuse abdominal tenderness. Laboratory investigations revealed elevated inflammatory markers, and two blood cultures revealed Fusobacterium necrophorum. An abdominal ultrasound showed a liver abscess and hepatic vein thrombosis. The thoracoabdominal and cerebral computed tomography scan confirmed the results of the abdominal ultrasound. It additionally revealed bilateral lung nodules and a parietal brain abscess. The patient’s general condition and her laboratory test results, improved after receiving treatment with ceftriaxone and metronidazole. She received antibiotics for three months, without anticoagulation therapy. Repeated computed tomography scans showed a resolution of the liver, pulmonary, and brain abscesses, as well as the recanalization of the hepatic vein. Conclusions: Lemierre’s syndrome emerges as a result of septic illness and liver abscesses in case of gastrointestinal symptoms despite the lack of common presentation.
Lemierre综合征是一种罕见的危及生命的疾病,是口咽感染的严重并发症。然而,在厌氧性败血症中也有这种综合征的报道,它起源于不同的感染源,如胃肠道系统。这种综合征的诊断仍然具有挑战性,通常是由于在血培养中检测到坏死性梭杆菌,而不是临床体征或症状。病例介绍:一名既往健康的38岁女性因发热、水样腹泻和呕吐6天住院。病人的体格检查显示发烧、咽炎和腹部弥漫性压痛。实验室调查显示炎症标志物升高,两次血培养显示坏死梭杆菌。腹部超声显示肝脓肿和肝静脉血栓形成。胸腹和脑部计算机断层扫描证实了腹部超声检查的结果。另外还发现双侧肺结节和脑壁脓肿。经头孢曲松和甲硝唑治疗后,患者的一般情况和实验室检查结果均有改善。她接受了三个月的抗生素治疗,没有进行抗凝治疗。反复的计算机断层扫描显示肝、肺和脑脓肿的溶解,以及肝静脉的再通。结论:Lemierre 's综合征是由于感染性疾病和肝脏脓肿而出现的胃肠道症状,尽管缺乏常见的表现。
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引用次数: 0
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International Journal of Infection
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