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Estimation of bone mineral density and its correlations with homocysteine, and various other biochemical bone markers in postmenopausal women 绝经后妇女骨矿物质密度及其与同型半胱氨酸和其他骨生化指标的相关性的评估
Pub Date : 2019-10-15 DOI: 10.21276/ijrdpl.2278-0238.2019.8(4).22-28
R. Verma, Satish Kumar, I. Atam, V. Atam, S. Verma, S. Sonkar, Ajay Kumar, S. Chaudhary
Introduction- Omocysteine (HCY) prevents collagen cross-linking and activates osteoclast function within the bones. Bone mineral density (BMD) may be affected by Hyperhomocysteinemia via Cathepsin K. Aim- To find the correlation of BMD with biochemical bone markers. Methods- BMD was investigated by the DXA scan with the help of the Hologic QDR1000 system. As per WHO guidelines, subjects were divided into three different subsets with; normal bone mass, osteopenia, and osteoporosis. Every subject underwent routine biochemical laboratory investigations, HCY, Vitamin B12, and folic acid levels. Results-Among 355 postmenopausal women, 69% (245) had osteoporosis while 11.27% (40) had normal BMD (mean age, 53 ± 8.35 years) and 19.72% (70) had osteopenia (mean age 52.86 ± 7.93 years). The mean age in the osteoporotic group was 56.49 ± 6.65 years. The mean levels of HCY in the three groups were 15.58± 7.92 μmol/L, 16.13± 7.34μmol/L and 17.05± 5.13μmol/L, respectively. Hip BMD showed a strong inverse correlation with age (r=-0.360, p=0.002), while no significant correlations were found between weight and BMI. PTH was consistently seen to be negatively correlated with BMD at Spine (r=-0.0339, p=0.004), Forearm (r=-0.267, p=0.027), and Hip (r=-0.224, p=0.064). Conclusion- Low BMD is an important problem in postmenopausal female patients. Age and duration of menopause are independent risk predictors for the development of osteoporosis. Vitamin D levels do not predict low BMD in postmenopausal females. Weight is protective for osteoporosis especially at spine and forearm BMD. Vitamin B12 and Hcy levels did not correlate with low BMD.
介绍-同型半胱氨酸(HCY)防止胶原交联并激活骨内的破骨细胞功能。高同型半胱氨酸血症可能通过组织蛋白酶k影响骨密度(BMD)。目的:探讨骨密度与骨生化指标的相关性。方法:在Hologic QDR1000系统的帮助下,通过DXA扫描研究骨密度。根据世卫组织准则,受试者被分为三个不同的亚组,分别为:骨量正常,骨质减少,骨质疏松。每位受试者进行常规生化实验室检查、HCY、维生素B12和叶酸水平。结果:355名绝经后妇女中,骨质疏松者占69%(245人),骨密度正常者占11.27%(40人),平均年龄(53±8.35岁),骨质减少者占19.72%(70人),平均年龄(52.86±7.93岁)。骨质疏松组患者平均年龄56.49±6.65岁。三组小鼠HCY平均水平分别为15.58±7.92 μmol/L、16.13±7.34μmol/L和17.05±5.13μmol/L。髋部骨密度与年龄呈显著负相关(r=-0.360, p=0.002),而体重与BMI无显著相关。PTH与脊柱(r=-0.0339, p=0.004)、前臂(r=-0.267, p=0.027)和髋关节(r=-0.224, p=0.064)的骨密度呈负相关。结论-低骨密度是绝经后女性患者的重要问题。绝经年龄和持续时间是骨质疏松症发展的独立风险预测因素。维生素D水平不能预测绝经后女性的低骨密度。体重对骨质疏松症有保护作用,尤其是脊柱和前臂骨密度。维生素B12和Hcy水平与低骨密度无关。
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引用次数: 0
The study of the effect of C-PAP therapy in type-II diabetic patients with obesity and obstructive sleep apnea C-PAP治疗ii型糖尿病合并肥胖和阻塞性睡眠呼吸暂停的疗效研究
Pub Date : 2019-10-15 DOI: 10.21276/ijrdpl.2278-0238.2019.8(4).18-21
P. Sarkar, Arun Kumar, K. Gopal, Poonam Kachhawa, Seema Singh
Type II diabetes mellitus (T2DM) is closely associated with Obstructive sleep apnea (OSA) and obesity. Type 2 diabetes and OSA may be pathophysiologically independent conditions although the joint association with obesity or visceral adiposity. There is a consistent relationship between obesity and OSA, which has been reported in 60-90% of OSA patients. The prevalence of obesity increases with a parallel increase in the prevalence of OSA. Continuous positive airway pressure (CPAP) therapy is an effective choice of treatment for OSA, an overnight test, or titration some patients may reduce apnea events by minimizes airway collapse by CPAP. Several studies showed that the effect of drug treatment with 3 months of C-PAP in patients with type 2 diabetes. In the present study, we include 300 patients in different groups, out of the 100 patients undergoing treatment of CPAP therapy minimum for three months. Blood sugar, HbA1c, and lipid profile were measured and an overnight sleep study was done. The obtained data shows the significant effect of therapy on physiological and biochemical parameters. AHI and BMI were highly significant in group II and Group III when compared to group I. FBS, HbA1C, and Lipid profile parameters also gave significance results (p-value <0.001) in group II and group III when compared with healthy subjects (group I).
2型糖尿病(T2DM)与阻塞性睡眠呼吸暂停(OSA)和肥胖密切相关。2型糖尿病和阻塞性睡眠呼吸暂停可能是病理生理上独立的疾病,尽管它们与肥胖或内脏脂肪相关。肥胖与阻塞性睡眠呼吸暂停之间存在一致的关系,据报道,60-90%的阻塞性睡眠呼吸暂停患者存在这种关系。肥胖的患病率随着OSA患病率的增加而增加。持续气道正压(CPAP)治疗是治疗阻塞性睡眠呼吸暂停的有效选择,通过夜间试验或滴定,一些患者可以通过CPAP最小化气道塌陷来减少呼吸暂停事件。多项研究表明,2型糖尿病患者采用3个月的C-PAP药物治疗效果较好。在本研究中,我们从100例接受CPAP治疗至少3个月的患者中选取了300例不同组的患者。测量了血糖、糖化血红蛋白(HbA1c)和血脂,并进行了夜间睡眠研究。所获得的数据表明,治疗对生理生化参数有显著影响。与健康受试者(I组)相比,II组和III组的AHI和BMI均有显著性差异。与I组相比,II组和III组的FBS、HbA1C和血脂参数也有显著性差异(p值<0.001)。
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引用次数: 0
An overview of Novel Drug Delivery Systems for Acne 痤疮的新型药物输送系统综述
Pub Date : 2019-10-15 DOI: 10.21276/ijrdpl.2278-0238.2019.8(4).1-12
Neha Singh, Maneesh Kumar Singh, Surbhi Panwar
Acne vulgaris is a type of chronic disease of the skin which is mainly caused by the blockage in the sebaceous gland or having any inflammation in those glands which is together is known as pilosebaceous units. It mainly affects the areas having the highest number of sebaceous follicles; those are the face, the back and upper region of the chest. It is a disease that mainly affects the adolescent age group but can be found in any age group. These are present as inflammatory pustules, papules, cysts and nodules, non-inflammatory closed comedones (whiteheads), ripen comedones (blackheads), or a mixture of lesions. Acne is most commonly seen in almost every human being at some point in their lives. There are 20-25 chances of progression of acne to the severe case which leads to permanent scarring. These complications lead to psychological problems like depression, social isolation, lowered self-esteem, and lowered self-confidence. The aim of treating acne is to prevent severe and long-term complications. The present review focuses on novel drug delivery systems for the treatment of acne. It also includes conventional treatments currently available in the market, its limitation and different strategies to overcome these limitations.
寻常痤疮是一种皮肤慢性疾病,主要是由皮脂腺堵塞或皮脂腺炎症引起的,这些腺体一起被称为皮脂腺单位。它主要影响皮脂囊数量最多的区域;它们是脸部,背部和胸部上部。这是一种主要影响青少年年龄组的疾病,但在任何年龄组都可以发现。它们表现为炎性脓疱、丘疹、囊肿和结节、非炎性闭合性粉刺(白头)、成熟性粉刺(黑头)或多种病变的混合。痤疮是最常见的,在几乎每个人在他们的生活中的某个点。有20-25的机会,痤疮进展到严重的情况下,导致永久疤痕。这些并发症会导致心理问题,如抑郁、社会孤立、自尊心下降和自信心下降。治疗痤疮的目的是防止严重和长期的并发症。目前的综述重点是治疗痤疮的新型药物输送系统。它还包括目前市场上可用的常规治疗方法,其局限性和克服这些局限性的不同策略。
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引用次数: 2
A comparative evaluation of total antioxidant capacity of saliva in children with and without Gingivitis 有和无牙龈炎儿童唾液总抗氧化能力的比较评价
Pub Date : 2019-06-15 DOI: 10.21276/ijrdpl.2278-0238.2019.8(3).7-11
Bharat Kumar, A. Ansari, S. Tiwari, M. Waseem, Seema Singh, A. Mahdi, R. K. Chak
Gingivitis is a reversible and non-destructive form of periodontal disease. Oxidative stress contributes in the pathogenesis of periodontal diseases5. The oxidative stress has been implicated as one of the important contributory etiologic factors in many of the oral inflammatory pathologies including gingivitis. This research analyzed the "Total antioxidant capacity" (TAC) of biological fluids including saliva. The present cross-sectional study was conducted to evaluate the total antioxidant capacity (TAC) of saliva in children with/ without gingivitis and its relation with Age and Gender. For measuring the TAC of saliva: Cayman's Antioxidant Assay Kit was used and Gingival Index Measured through The Gingival Index (Loe and Silness, 1963). The results were analyzed using descriptive statistics and making comparisons between cases and control by using SPSS software version 20. In this result, mean TAC of saliva in case children group was found lower 0.203 ± 0.053 compared to control children group was higher 0.236 ± 0.048. While, in male and female children of aged 3-5 years were found antioxidant activity (TAC) lower in compared to control groups. But among males aged 6-13 years it was found that the mean antioxidant capacity of saliva in case group was 0.259 ± 0.040 while in control group it was 0.295 ± 0.026. The TAC of saliva in males was found high compared to female. A weak negative correlation was found between the TAC and gingival index. In conclusion TAC decreases in children with gingivitis compared to healthy children. The gingivitis was more observed in female leading to lower TAC value
牙龈炎是一种可逆的、非破坏性的牙周病。氧化应激参与牙周病的发病机制。氧化应激已被认为是许多口腔炎症病理包括牙龈炎的重要致病因素之一。本研究分析了包括唾液在内的生物体液的“总抗氧化能力”(TAC)。本研究旨在评估有/无牙龈炎儿童唾液的总抗氧化能力(TAC)及其与年龄和性别的关系。唾液TAC测定:采用开曼抗氧化测定试剂盒,通过the Gingival Index (Loe and Silness, 1963)测定牙龈指数。结果采用描述性统计进行分析,病例与对照采用SPSS软件进行比较。结果:病例组唾液TAC均值较对照组低(0.203±0.053),高于对照组(0.236±0.048)。然而,在3-5岁的男女儿童中,与对照组相比,抗氧化活性(TAC)较低。而在6 ~ 13岁男性中,病例组唾液的平均抗氧化能力为0.259±0.040,对照组为0.295±0.026。男性唾液的TAC比女性高。TAC与牙龈指数呈弱负相关。总之,与健康儿童相比,牙龈炎儿童的TAC降低。牙龈炎多见于女性,导致TAC值较低
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引用次数: 0
Oral manifestation in pre-renal transplant patients in Tertiary Care Hospital in Punjab 旁遮普三级医院肾移植前患者的口腔表现
Pub Date : 2019-06-01 DOI: 10.21276/ijrdpl.2278-0238.2019.8(3).20-23
N. Namita, Veenu Gupta, R. Rai, Gagandeep Satia
The incidence of renal failure is known to be increasing globally. Kidney transplant are considered the most efficient renal replacement therapy for a significant number of patients with end- stage renal disease. Renal failure can give rise to a large spectrum of oral manifestations, affecting overall health of patients with renal disease. End-stage renal disease (ESRD) patients have a plethora of oral findings. The aim of this study was to study oral symptoms and lesions in pre-renal transplant patients. This prospective study was conducted over a 6-month period. A total of 80 individuals (40 pre renal transplant patients and 40 controls) were recruited. Each patient was interviewed individually using questionnaire about oral symptoms. Each patient was examined for oral lesions and documented. For Caries DMFT and for Gingivitis CPITN index was used. In both study and control group majority were males and majority were in age group 21-30 years. In study group knowledge of importance of oral hygiene was more. The most common symptoms were dry mouth (20%), altered taste (52.5%) and bleeding gums (42.5%). Study group showed significantly more oral changes than those in the control group. DMFT index was positive in 60% of study and 80% control group. CPITN index was equally positive (92.5%) in both study and control group. Mucosal pallor, suburral tongue, leukoplakia and hyperplastic gingivitis was seen in 27.5%, 10%, 10% and 2.5% respectively in the study group. Prevalence of oral lesions is significantly higher in renal patients. The potential source of active infective lesions in medically compromised patients with ESRD must be treated before transplant.
众所周知,肾衰竭的发病率在全球范围内呈上升趋势。肾移植被认为是绝大多数终末期肾病患者最有效的肾脏替代疗法。肾功能衰竭可引起广泛的口腔表现,影响肾脏疾病患者的整体健康。终末期肾病(ESRD)患者有大量的口腔表现。本研究的目的是研究肾脏移植前患者的口腔症状和病变。这项前瞻性研究进行了6个月。共招募了80名个体(40名肾移植前患者和40名对照组)。采用口腔症状问卷对每位患者进行单独访谈。每位患者均接受口腔病变检查并记录在案。对于龋齿DMFT和牙龈炎采用CPITN指数。研究组和对照组以男性居多,年龄在21-30岁之间。研究组对口腔卫生重要性的认识较多。最常见的症状是口干(20%)、味觉改变(52.5%)和牙龈出血(42.5%)。研究组的口腔变化明显大于对照组。研究组DMFT指数60%阳性,对照组80%阳性。研究组与对照组的CPITN指数均为阳性(92.5%)。研究组中粘膜苍白、舌缘、白斑和增生性牙龈炎分别占27.5%、10%、10%和2.5%。肾脏患者的口腔病变发生率明显较高。在医学上受损的ESRD患者中,活动性感染性病变的潜在来源必须在移植前进行治疗。
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引用次数: 0
Colon targeted tablets of Albendazole with enhanced solubility by Complexation and Micellar Solubilization 通过络合和胶束增溶提高溶解度的阿苯达唑结肠靶向片
Pub Date : 2019-06-01 DOI: 10.21276/ijrdpl.2278-0238.2019.8(3).12-19
Ashok Thulluru, K. Anuradha, K. Saravanakumar, N. Mahammed, C. S. P. Kumar, K. Mohan
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引用次数: 0
Association of GLUT-1 (XbaI) Gene Polymorphism in Diabetes and Diabetes Nephropathy Patients of North Indian Population 北印度人群糖尿病和糖尿病肾病患者GLUT-1 (XbaI)基因多态性的相关性
Pub Date : 2019-05-15 DOI: 10.21276/ijrdpl.2278-0238.2019.8(3).1-6
S. Tiwari, Roshan Alam, I. Ahmad, Seema Singh, Satyendra Kumar, S. Sonkar, G. Sonkar, M. Ahmad
Diabetic nephropathy (DN) is a chronic complication of both type 1 and type 2 diabetes. However, there is still inadequate understanding of the exact mechanism related to progressive diabetic renal disease. The GLUT-1 XbaI gene polymorphism in the glucose transporter has been suggested in the development of DN. However, its association with T2DM and DN is controversial and has not been established in different ethnic populations. To enhance the understanding of GLUT-1 XbaI gene polymorphism in the context of T2DM and DN. We investigated the possible genetic association of GLUT-1 XbaI polymorphism with T2DM and DN in North Indian population. 100 T2DM patients and 100 patients of DN with 100 healthy controls were included in the study. GLUT-1 XbaI polymorphism was determined by PCR (polymerase chain reaction) and RFLP (restriction fragment length polymorphism). The obtained data showed no significant association between GLUT-1 XbaI gene polymorphism with T2DM and DN leading us to conclude that GLUT-1 XbaI gene polymorphism may not have major effects on T2DM and DN in North Indian population.
糖尿病肾病(DN)是1型和2型糖尿病的慢性并发症。然而,对进展性糖尿病肾病的确切机制仍了解不足。葡萄糖转运体GLUT-1 XbaI基因多态性被认为与DN的发生有关。然而,它与T2DM和DN的关系是有争议的,并没有在不同的民族人群中建立。目的:提高对T2DM和DN背景下GLUT-1 XbaI基因多态性的认识。我们研究了北印度人群中GLUT-1 XbaI多态性与T2DM和DN的可能遗传关联。研究纳入100例T2DM患者和100例DN患者及100例健康对照。采用聚合酶链反应(PCR)和限制性片段长度多态性(RFLP)检测GLUT-1 XbaI多态性。我们获得的数据显示GLUT-1 XbaI基因多态性与T2DM和DN之间没有显著相关性,因此我们认为GLUT-1 XbaI基因多态性可能对北印度人群的T2DM和DN没有主要影响。
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引用次数: 1
Role of adipokines in obstructive airway disease and diabetes mellitus 脂肪因子在阻塞性气道疾病和糖尿病中的作用
Pub Date : 2019-04-25 DOI: 10.21276/ijrdpl.2278-0238.2019.8(4).13-17
Seema Singh, Sunita Singh, Santosh Kumar, S. Verma, S. Kant
This review summarizes the state of the current literature relating to the associations of lung disease and adipokines (proteins produced by adipose tissue) in humans. The mechanistic basis for these associations in humans is not established, although a possible role for adipokines has been invoked. Leptin, a pro-inflammatory adipokine, and adiponectin, an anti-inflammatory adipokine, are causally associated with asthma in mice. Although human studies are currently inconclusive, high-serum leptin and low-serum adiponectin concentrations predict asthma, independent of obesity, in select population groups, such as premenopausal women in the United States. In contradistinction, low-serum leptin and high-serum adiponectin concentrations are associated with stable COPD, although these associations are likely confounded by fat mass. Interestingly, leptin may promote systemic and airway inflammation in stable COPD patients. On the other hand, COPD may upregulate systemic and lung adiponectin expression. The precise mechanism and significance of the associations between these adipokines and lung disease at the current stage are confusing and frankly paradoxical in places. It is now known that adipose tissue is not an inert organ simply for energy storage, but regulates systemic inflammation via a variety of secreted proteins (called adipokines). While the associations of obesity and adipokines with cardiovascular, endocrine, and rheumatological diseases are well described, the respiratory effects of obesity and adipokines are less well known. This review will focus on the effect of obesity and adipokines on asthma and chronic obstructive pulmonary disease (COPD) in humans. This area of research needs additional study that may open up novel therapeutic strategies for these lung diseases.
本文综述了目前有关人类肺部疾病和脂肪因子(由脂肪组织产生的蛋白质)之间关系的文献。尽管脂肪因子可能起作用,但人类这些关联的机制基础尚未确定。瘦素(一种促炎脂肪因子)和脂联素(一种抗炎脂肪因子)与小鼠哮喘有因果关系。虽然人体研究目前尚无定论,但在特定人群中,如美国的绝经前妇女,高血清瘦素和低血清脂联素浓度可预测哮喘,独立于肥胖。相反,低血清瘦素和高血清脂联素浓度与稳定型COPD相关,尽管这些关联可能与脂肪量混淆。有趣的是,瘦素可能会促进稳定型COPD患者的全身和气道炎症。另一方面,COPD可能上调全身和肺部脂联素的表达。现阶段,这些脂肪因子与肺部疾病之间关联的确切机制和意义令人困惑,坦率地说,有些地方是矛盾的。现在我们知道,脂肪组织不仅仅是一个惰性的能量储存器官,而是通过各种分泌的蛋白质(称为脂肪因子)调节全身炎症。虽然肥胖和脂肪因子与心血管、内分泌和风湿病的关系已被很好地描述,但肥胖和脂肪因子对呼吸系统的影响却鲜为人知。本文将重点讨论肥胖和脂肪因子对人类哮喘和慢性阻塞性肺疾病(COPD)的影响。这一领域的研究需要进一步的研究,可能会为这些肺部疾病开辟新的治疗策略。
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引用次数: 0
Updated therapeutic approach in the management of Polycystic Ovary Syndrome (PCOS): A Review 多囊卵巢综合征(PCOS)的最新治疗方法:综述
Pub Date : 2019-04-01 DOI: 10.21276/ijrdpl.2278-0238.2019.8(2).37-42
A. Kaul, N. Zar, Shruti Shangloo, Parminder Nain
http://dx.doi.org/10.21276/IJRDPL.22780238.2019.8(2).37-42 ABSTRACT: Polycystic ovary syndrome (PCOS) is a heterogeneous clinical entity that is defined as the association of hyperandrogenism with chronic an ovulation in women without specific underlying diseases of the adrenal or pituitary glands. PCOS is also associated with a metabolic disturbance with complex inter relation of obesity, insulin resistance and endocrine abnormalities remains unresolved. However, several studies link obesity, body fat distribution and nutritional habits with the hormonal and metabolic profiles of PCOS. Moreover, intervention studies have suggested that reducing weight and hyper insulinaemia either by diet alone or by a combination of diet with drugs improves hirsutism, fertility, hormonal and metabolic profiles of PCOS. In fact, the evaluation of nutritional factors in PCOS is helpful for the screening of metabolic abnormalities and the management of women with PCOS. A point of particular interest in the management of PCOS is that the choice of contraception remains difficult in these high cardiovascular risk women. The lack of prospective studies to evaluate long-term metabolic and cardiovascular tolerance necessitates care and the assessment of other hormonal possibilities
http://dx.doi.org/10.21276/IJRDPL.22780238.2019.8(2).37-42摘要:多囊卵巢综合征(PCOS)是一种异质性临床实体,其定义为无肾上腺或垂体特异性基础疾病的女性高雄激素症与慢性排卵相关。多囊卵巢综合征还与代谢紊乱有关,其与肥胖、胰岛素抵抗和内分泌异常之间的复杂相互关系尚不清楚。然而,一些研究将肥胖、体脂分布和营养习惯与多囊卵巢综合征的激素和代谢特征联系起来。此外,干预研究表明,通过单独饮食或饮食与药物联合减少体重和高胰岛素血症可改善多囊卵巢综合征的多毛症、生育能力、激素和代谢特征。事实上,对PCOS患者的营养因子进行评估有助于PCOS患者代谢异常的筛查和治疗。在多囊卵巢综合征的管理特别感兴趣的一点是,避孕的选择仍然困难,在这些高心血管风险的妇女。由于缺乏评估长期代谢和心血管耐受性的前瞻性研究,因此需要注意和评估其他激素的可能性
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引用次数: 0
Role of line probe assay in diagnosis and detection of drug resistance in Mycobacterium tuberculosis 线探针法在结核分枝杆菌耐药诊断和检测中的作用
Pub Date : 2019-04-01 DOI: 10.21276/ijrdpl.2278-0238.2019.8(2).46-49
Phalguni Malhotra, D. Chhina, Veenu Gupta, Akashdeep Singh, D. Sandhu
http://dx.doi.org/10.21276/IJRDPL.22780238.2019.8(2).46-49 ABSTRACT: Tuberculosis caused by Mycobacterium tuberculosis has remained a major global health problem worldwide. TB requires prolonged period of time for isolation by conventional culture methods. The emergence and spread of multi drug resistant (MDR-TB) poses great threats and challenges in controlling the infection. MDR-TB is resistant to both first line drugs rifampicin and isoniazid. PCR tests are based on targeting the mutation in rpoB, katG and inhA genes which can detect resistance to these drugs. To compare microscopy, conventional culture and Line probe assay for the detection of M. tuberculosis & detect rifampicin and isoniazid resistance using Lineprobe assay in various clinical samples. A total of 347 suspected patients of tuberculosis were included in the study. Demographic details & clinical presentation was noted. Various samples were received & processed for ZN staining, culture on LJ media and Line probe assay. Out of 347 cases, majority of cases were in the age group of 51-60 years (18.4%). Majority of the population was males (65.1%). Among suspected tuberculosis patients, cough with expectoration (55.9%) was the commonest complaint. Microscopy was positive in 17.3%, conventional culture was positive in 16.1% and line probe assay was positive in 26.2%. Out of 347, 91 were diagnosed with MTB, out of which 85.7% were sensitive to both rifampicin and isoniazid whereas 14.3% showed resistance to either rifampicin / isoniazid or both. LPA & direct microscopy are a good screening method for early diagnosis and detection of drug resistance but are not a complete replacement of conventional culture which is still a gold standard.
摘要:结核分枝杆菌引起的结核病一直是全球主要的健康问题。结核病需要较长的时间用传统的培养方法进行分离。耐多药结核病(MDR-TB)的出现和传播给控制感染带来了巨大的威胁和挑战。耐多药结核病对一线药物利福平和异烟肼都有耐药性。PCR检测基于rpoB、katG和inhA基因的突变,可以检测对这些药物的耐药性。比较显微镜法、常规培养法和Lineprobe法检测结核分枝杆菌的效果,并用Lineprobe法检测不同临床样本对利福平和异烟肼的耐药性。研究共纳入347例疑似结核病患者。记录了人口统计学细节和临床表现。接收各种样品并进行ZN染色,LJ培养基培养和Line探针检测。347例病例中,51 ~ 60岁年龄组占绝大多数(18.4%)。以男性居多(65.1%)。在疑似肺结核患者中,咳嗽伴咳痰(55.9%)是最常见的主诉。镜检阳性率为17.3%,常规培养阳性率为16.1%,线探针法阳性率为26.2%。在347名患者中,91人被诊断为结核分枝杆菌,其中85.7%对利福平和异烟肼均敏感,14.3%对利福平/异烟肼或两者均耐药。LPA和直接镜检是一种早期诊断和发现耐药的良好筛选方法,但不能完全取代传统培养,传统培养仍然是一种金标准。
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引用次数: 1
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International Journal of Research and Development in Pharmacy & Life Sciences
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