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Surgical wound infection by Pluralibacter gergoviae in a diabetic patient 1例糖尿病患者手术伤口gergoviae多利杆菌感染
Pub Date : 2023-09-15 DOI: 10.18231/j.ijmmtd.2023.038
Srujana Prabhala, Aarthi Sundaresan, Ami Varaiya, Garvit Chitkara
is reported to cause infections in immunocompromised patients and also nosocomial outbreaks. This is a case of soft tissue infection in a diabetic patient who underwent a surgery on the left breast and a bilateral reduction mammoplasty following all preliminary investigations. Post operatively, she presented with the complaints of poor wound healing and a wound gap. Immunocompromised state, uncontrolled diabetes and topical application of cream or ointment during post-operative period could be risk factors for an infection by Little is known about this organism and its clinical significance. Hence documentation of such case scenarios is essential to gather more clinically relevant information.
据报道可引起免疫功能低下患者感染和院内暴发。这是一例软组织感染的糖尿病患者,在所有初步调查后,接受了左乳房手术和双侧乳房缩小成形术。术后,患者表现为创面愈合不良,创面有间隙。免疫功能低下状态、未控制的糖尿病和术后局部应用乳膏或软膏可能是感染的危险因素,对这种微生物及其临床意义知之甚少。因此,记录这些病例对于收集更多临床相关信息至关重要。
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引用次数: 0
Antimicrobial activity of Lactobacillus acidophilus bacteriocin against clinical isolates 嗜酸乳杆菌细菌素对临床分离株的抑菌活性研究
Pub Date : 2023-09-15 DOI: 10.18231/j.ijmmtd.2023.035
Ahmed Mohammed Al-Haddad, Wedad Mohammed Al-Haik, Yasser Mansour Matran, Ibrahim Mohammed Bawazir
Lactic acid bacteria serve as important human probiotics, as they can produce bacteriocins from different dairy sources, and the antimicrobial activity of their bacteriocins have been documented in the scientific field. This study aimed to assess the antimicrobial activities of bacteriocin obtained from different dairy sources. An experimental analytical design was used to isolate species on de Man, Rogosa and Sharpe Media, and identify them phenotypically and evaluated their bacteriocin's antimicrobial activity against four clinical isolates. SPSS Version 22 was used for Statistical purposes. A total of 14 isolates were verified from various sample sources. These included 6 isolates from camel's milk, 2 from goat's milk, 3 from local yogurt, and 3 from Omani yogurt. The supernatants of most isolates exhibited varying levels of antimicrobial activity during the investigation. Furthermore, the action of the bacteriocin was concentration dependent. The highest level of inhibition was 14 mm for Staphylococcus aureus, 12 mm for, 12 mm for and 10 mm for when using 100μl of raw bacteriocin. Moreover, the correlation between bacteriocin activity, temperatures, and incubation times was found to be irreversible. The study reveals inherent antibacterial traits in species from local milk and milk products in Al-Shihr Town. Specifically, variant, synthesizing bacteriocin, effectively suppressed the clinical isolates, showcasing their pathogen-fighting ability. These findings offer potential for developing efficient antimicrobial methods, utilizing bacteriocin as an antibiotic in food and medicine.
乳酸菌是重要的人体益生菌,因为它们可以从不同的乳制品来源中产生细菌素,其细菌素的抗菌活性已在科学领域得到证实。本研究旨在评估从不同乳制品来源获得的细菌素的抗菌活性。采用实验分析设计,对de Man、Rogosa和Sharpe Media上的菌株进行表型鉴定,并对4株临床分离菌株进行细菌素抗菌活性评价。SPSS Version 22用于统计目的。从不同的样品来源共鉴定出14株菌株。其中6株分离自骆驼奶,2株分离自羊奶,3株分离自当地酸奶,3株分离自阿曼酸奶。在调查期间,大多数分离株的上清液表现出不同程度的抗菌活性。此外,细菌素的作用具有浓度依赖性。100μl生菌素对金黄色葡萄球菌的抑制作用最高为14 mm,对金黄色葡萄球菌的抑制作用为12 mm,对金黄色葡萄球菌的抑制作用最高为12 mm,对金黄色葡萄球菌的抑制作用最高为10 mm。此外,发现细菌素活性、温度和孵育时间之间的相关性是不可逆的。该研究揭示了Al-Shihr镇当地牛奶和奶制品物种固有的抗菌特性。其中,变异的合成细菌素能有效抑制临床分离株,显示其抗病原体能力。这些发现为开发有效的抗菌方法提供了潜力,利用细菌素作为食品和药物中的抗生素。
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引用次数: 0
Seroprevalence of Hepatitis B and C co-infection in HIV seropositive and HIV seronegative cases in a Tertiary care hospital in Southern Haryana 哈里亚纳邦南部一家三级保健医院中艾滋病毒血清阳性和艾滋病毒血清阴性病例中乙型和丙型肝炎合并感染的血清患病率
Pub Date : 2023-07-15 DOI: 10.18231/j.ijmmtd.2023.019
Shreya Behl, Aaditya Behl, Prof. Vanita Mane, Jyoti Sangwan, P. Vohra
HBV (Hepatitis B virus) and HCV (Hepatitis C virus) are the causative agents of acute as well as chronic hepatitis. Nearly, two billion people are suffering with HBV and approximately 170 million people are infected with HCV infection around the world. While patients who are infected with HIV (Human Immunodeficiency Virus) 2-4 million are found to be having chronic HBV co-infection and 4-5 million are having HCV coinfection. Due to common mode of transmission of HIV, HBV and HCV like using shared needles, syringes, other injectable devices, sexual intercourse, or even mother to baby transmission, it is common to see HBV and HCV co-infection in HIV positive individuals. This was a hospital based observational cross-sectional study. This study was conducted in Department of Microbiology, SHKM GMC, Nalhar, Nuh, Haryana. It was for one year. The sample size for HIV seropostive cases was 80 including 40 HIV positive and 40 HIV negative samples. Seroprevalence of HBV and HCV was identified on HIV positive and HIV negative samples. Seroprevalence of HBV and HCV was found to be higher in HIV positive individuals than HIV negative individuals. In HIV positive patients 10% individuals were HBsAg positive, 5% were HBeAg positive, 10% were positive by HBV RT-PCR. None of the HIV negative were coinfected with HBV. Similarly HCV-HIV coinfection was seen in 12.5% of individuals with Rapid test, ELISA and RT-PCR. None of the HIV negative were coinfected with HCV. In HIV positive individuals HBV and HCV coinfection was seen and Co-infection of HBV and HCV was absent in HIV negative individuals. Regular screening is recommended for HBV and HCV in HIV positive individuals.
HBV(乙型肝炎病毒)和HCV(丙型肝炎病毒)是急性和慢性肝炎的病原体。全世界有近20亿人感染乙型肝炎病毒,约1.7亿人感染丙型肝炎病毒。在感染艾滋病毒(人类免疫缺陷病毒)的患者中,发现有200万至400万人同时感染慢性乙型肝炎病毒,有400万至500万人同时感染丙型肝炎病毒。由于HIV、HBV和HCV的常见传播方式,如共用针头、注射器、其他注射器具、性交,甚至母婴传播,在HIV阳性个体中,HBV和HCV合并感染是很常见的。这是一项基于医院的观察性横断面研究。这项研究是在哈里亚纳邦努赫纳尔哈尔SHKM GMC微生物学系进行的。那是一年。HIV血清阳性病例的样本量为80例,其中HIV阳性和HIV阴性各40例。在HIV阳性和HIV阴性样本中检测到HBV和HCV的血清阳性率。HBV和HCV的血清阳性率在HIV阳性人群中高于HIV阴性人群。HIV阳性患者中HBsAg阳性10%,HBeAg阳性5%,HBV RT-PCR阳性10%。所有HIV阴性患者均未合并HBV感染。同样,在快速检测、ELISA和RT-PCR中,12.5%的个体中发现HCV-HIV合并感染。没有HIV阴性的人同时感染HCV。HIV阳性人群中HBV和HCV合并感染,HIV阴性人群中未见HBV和HCV合并感染。建议对HIV阳性个体进行HBV和HCV的定期筛查。
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引用次数: 0
Prevalence, antibiotic susceptibility and plasmid profile of bacteria isolated from door handles of washrooms of a hospital in Bhopal, Madhya Pradesh 中央邦博帕尔一家医院洗手间门把手上分离细菌的流行、抗生素敏感性和质粒谱
Pub Date : 2023-07-15 DOI: 10.18231/j.ijmmtd.2023.016
S. Shrivastava, Naveen Khare
This study was conducted to determine the bacterial contamination in door handles of washrooms of a hospital, to determine the prevalence and antibiotic susceptibility pattern of the isolates. Plasmid profile was done to observe the presence or absence of plasmid among isolated bacteria from door handles of washrooms of a hospital.Washrooms of four different wards of a hospital were included in this study. Manual of Systematic Bacteriology and antibiotic susceptibility test was done by Kirby-Bauer method. Plasmid extraction was done according to modified hot alkaline method and staining technique and biochemixcal testing.Out of the 16 samples processed, 16 (100%) of them showed bacterial growth. A total of forty three (43) isolates were obtained. The bacteria isolated were spp. (37.21%), spp.(18.6%), .(16.28%), Fecal Coliform (13.95%), Micrococcus spp.(6.98%), spp.(4.65%), spp.(2.33%).Plasmid profiling revealed (11 out of 43) bacterial isolates contained 1 or more plasmids with different profiles.. Among the 43 isolates, 83.72% were found resistant to more than two antibiotics. Highest resistance percentage of the isolates was observed against Penicillin G (95.35%) followed by SXT (74.42%) and amoxicillin (65.12%), rifampicin (55.81%), tetracycline (18.60%), ciprofloxacin (23.26%), chloramphenicol (4.65%), gentamycin, (2.33%) and streptomycin (6.98%).Findings of this study indicate the presence of bacterial strains resistant to more than two antibiotics in door handles of washrooms of a hospital which can serve as potential source of diseases.
本研究对某医院洗手间门把手的细菌污染进行了检测,以确定分离株的流行率和抗生素药敏模式。对某医院洗手间门把手分离细菌进行质粒谱分析,观察质粒的存在与否。本研究包括一家医院四个不同病房的洗手间。系统细菌学手册及药敏试验采用Kirby-Bauer法。质粒提取采用改良热碱性法、染色法和生化试验。在处理的16个样品中,16个(100%)显示细菌生长。共分离得到43株菌株。分离出的细菌分别为spp.(37.21%)、spp.(18.6%)、spp.(16.28%)、粪大肠菌群(13.95%)、微球菌(6.98%)、spp.(4.65%)、spp.(2.33%)。质粒谱分析显示(43株细菌中有11株)含有1个或多个不同谱的质粒。43株菌株中,83.72%对2种以上抗生素耐药。菌株对青霉素G的耐药率最高(95.35%),其次为SXT(74.42%)、阿莫西林(65.12%)、利福平(55.81%)、四环素(18.60%)、环丙沙星(23.26%)、氯霉素(4.65%)、庆大霉素(2.33%)和链霉素(6.98%)。本研究结果表明,某医院洗手间门把手上存在对两种以上抗生素具有耐药性的菌株,可能成为潜在的疾病来源。
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引用次数: 0
Empyema and haemothorax due to ruptured pulmonary hydatid cyst- A rare presentation 肺包虫囊肿破裂引起的脓胸和血胸-一种罕见的表现
Pub Date : 2023-07-15 DOI: 10.18231/j.ijmmtd.2023.024
A. Marathe, M. Tadvi, Vaidehi J. Mehta
Hydatidosis is a parasitic infection caused by Echinococcus granulosus (Dog Tape-worm). India is endemic for hydatid disease. The lung is the second most frequently affected organ by hydatid cysts after the liver. Hydatid cysts are mostly seen in the right lower lobe of the lung. We report an unusual presentation of ruptured pulmonary hydatid cyst as empyema and haemothorax in a 24-year-old boy who presented with dyspnoea on exertion with right-sided chest pain. Pleural fluid was suggestive of empyema. The pleural fluid examination revealed plenty of neutrophils and the presence of hooklets of hydatid cyst. Ruptured hydatid cyst is clinically and radiologically confused with many diseases, especially lung cancer. Surgical removal of hydatid cyst is accepted as primary treatment. Thoracotomy was done to excise hydatid cyst. Albendazole was given post-surgery. The patient was discharged on postoperative day 6 with good respiratory capacity. During two months follow up the patient remained asymptomatic.
包虫病是一种由细粒棘球绦虫(犬带虫)引起的寄生虫感染。印度是包虫病的地方病。肺是继肝脏之后第二个最常受包虫病影响的器官。包虫囊肿多见于右肺下叶。我们报告一个不寻常的表现,破裂的肺包虫囊肿为脓肿和气胸在24岁的男孩谁表现为呼吸困难的运动和右侧胸痛。胸腔积液提示有脓胸。胸膜液检查显示大量中性粒细胞和包虫囊肿的钩状物。破裂包虫囊肿在临床上和影像学上常与许多疾病混淆,尤其是肺癌。手术切除包虫囊肿是公认的主要治疗方法。采用开胸术切除包虫囊肿。术后给予阿苯达唑。患者术后第6天出院,呼吸能力良好。在两个月的随访期间,患者仍无症状。
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引用次数: 0
Symptomatic prevalence of covid-19 in vaccinated and non-vaccinated population covid-19在接种疫苗和未接种疫苗人群中的症状流行
Pub Date : 2023-07-15 DOI: 10.18231/j.ijmmtd.2023.021
Jayesh Pandya, Nirali Milind Shethia, Divya Bangera, S. Saxena
Coronavirus disease (COVID-19) is an infectious disease caused by the SARS-CoV-2 virus. The world has witnessed havoc with the rapid emergence of COVID-19. The unpreparedness towards the pandemic caused the whole world to face severe consequences. Emerging economies like India with a population of more than 1.3 billion faced heavy toll of life due to the rapid spread of highly contagious COVID-19 and shortage of medical supplies and infrastructure. The testing, tracing, and isolation of COVID-19 positive patients helped greatly to break the chain of COVID-19 infection, this later boosted by the vaccine production and administration on a war scale by Government of India.In this study, we have tried to understand the symptomatic effects of COVID-19 on Indian population, its prevalence, and significance. Many individuals developed symptoms like COVID-19 but tested negative for the same and vice versa. The cases of individuals not developing symptoms of COVID-19 but infected by COVID-19 act as a carrier of the virus possibly infecting other individuals unknowingly. These individuals may have weaker immunity and more submissive health conditions due to age, under surgical treatment or are infected by other chronic or acute diseases. This makes it essential to correlate and study the symptomatic incidence of COVID-19 with respect to age and vaccination status of Indian population. This study was undertaken to determine the symptomatic prevalence of COVID-19 in vaccinated and non-vaccinated patients that were tested in our laboratory. There were 86,761 samples tested out of which 49,371 samples were positives and 37,390 were negative. The samples from different parts of India were tested between1st July 2020 and 14th November 2022, dividing the total period in 5 phases for better correlation as vaccine administration started during early 2021 primarily for health workers and till it reached common people by mid of July 2021. The observations and statistical study have described the significance of vaccination and have given better insights about the working class of individuals between 18 and 45 years of age which were more exposed to infection. The study also identifies various parameters which aggravated and conciliated the symptoms of COVID-19. The study helps us to identify the prevalence and incidence of COVID-19 virus in Indian Population and can be beneficial in devising a better strategies in future to tackle symptomatic adversaries of any infection.
冠状病毒病(COVID-19)是一种由SARS-CoV-2病毒引起的传染病。2019冠状病毒病(COVID-19)迅速出现,给世界造成了巨大破坏。对这一流行病的不准备使整个世界面临严重后果。由于高度传染性的COVID-19的迅速传播以及医疗用品和基础设施的短缺,印度等人口超过13亿的新兴经济体面临着沉重的生命损失。对COVID-19阳性患者的检测、追踪和隔离极大地打破了COVID-19感染链,后来印度政府以战争规模生产和管理疫苗推动了这一进程。在本研究中,我们试图了解COVID-19对印度人口的症状影响、患病率和意义。许多人出现了类似COVID-19的症状,但检测结果为阴性,反之亦然。未出现COVID-19症状但感染了COVID-19的个人病例作为病毒携带者,可能在不知情的情况下感染其他个人。这些人可能由于年龄、手术治疗或感染了其他慢性或急性疾病,免疫力较弱,健康状况较弱。因此,必须将COVID-19的症状发生率与印度人口的年龄和疫苗接种状况相关联并进行研究。本研究旨在确定在我们实验室检测的接种疫苗和未接种疫苗的患者中COVID-19的症状流行情况。共有86,761个样本接受检测,其中49,371个样本呈阳性,37,390个样本呈阴性。来自印度不同地区的样本在2020年7月1日至2022年11月14日期间进行了测试,为了更好地相关性,将整个时期分为5个阶段,因为疫苗接种始于2021年初,主要针对卫生工作者,直到2021年7月中旬才惠及普通人。观察结果和统计研究描述了疫苗接种的重要性,并更好地了解了18至45岁之间的工人阶级,他们更容易受到感染。该研究还确定了加重和缓解COVID-19症状的各种参数。这项研究有助于我们确定COVID-19病毒在印度人口中的流行率和发病率,并有助于在未来制定更好的策略,以应对任何感染的症状对手。
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引用次数: 0
Streptomyces tetracycline’s computational behavior against polyketide synthase of aflatoxigenic fungi 四环素链霉菌对黄曲霉毒素真菌聚酮合成酶的计算行为
Pub Date : 2023-07-15 DOI: 10.18231/j.ijmmtd.2023.017
A. Kumari, Medha Jyoti, Maneesh Kumar, Ratnesh Kumar
produces a variety of bioactive compounds that prevent fungal growth, including aflatoxins. Aflatoxigenic fungi ( and ) are being researched concerning spp. and can prevent the spread of aflatoxins-producing fungi. Aflatoxin-degrading enzymes, which can convert poisonous aflatoxins into less dangerous compounds, are also produced by spp. The processes through which these microorganisms can be used to reduce aflatoxins in food and agricultural systems are still the subject of active research. To evaluate the novelty of tetracycline against the biosynthesis of aflatoxin in aflatoxigenic fungi via computational approach. In this study, we performed molecular docking of polyketide synthase (Pks-A), an enzyme that initiates aflatoxin biosynthesis using tetracycline, using the online SeamDock server. Our results showed that tetracycline had a strong affinity for Pks-A in the binding pocket. The binding energy of tetracycline was -12.7 kcal/mol, indicating a strong binding affinity between the two molecules. Furthermore, the binding site was located in the active site, which is a conserved region in Pks-A and is essential for catalysing the formation of aflatoxin. The results of our docking study suggest that tetracycline may be an effective inhibitor of aflatoxin biosynthesis.
产生多种生物活性化合物,防止真菌生长,包括黄曲霉毒素。产生黄曲霉毒素的真菌(和)正在研究中,它们可以防止产生黄曲霉毒素的真菌的传播。黄曲霉毒素降解酶可以将有毒的黄曲霉毒素转化为危险性较低的化合物,这种酶也可以由spp产生。利用这些微生物减少食品和农业系统中的黄曲霉毒素的过程仍是积极研究的主题。利用计算方法评价四环素抗黄曲霉毒素合成的新颖性。在这项研究中,我们使用在线SeamDock服务器进行了聚酮合成酶(Pks-A)的分子对接,Pks-A是一种通过四环素启动黄曲霉毒素生物合成的酶。结果表明,四环素对结合袋中的Pks-A具有很强的亲和力。四环素的结合能为-12.7 kcal/mol,表明两分子之间具有较强的结合亲和力。此外,结合位点位于活性位点,这是Pks-A的一个保守区域,是催化黄曲霉毒素形成所必需的。我们的对接研究结果表明,四环素可能是黄曲霉毒素生物合成的有效抑制剂。
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引用次数: 0
Schizophyllum commune – A rare isolate from fungal sinusitis 裂叶菌公社-一种罕见的真菌鼻窦炎分离物
Pub Date : 2023-07-15 DOI: 10.18231/j.ijmmtd.2023.025
Viji Muthiah, Malathi Murugesan
is a basidiomycete that has been occasionally reported to cause sinusitis, allergic bronchopulmonary mycosis, and co-infection with allergic bronchopulmonary aspergillosis. Even though it is an environmental fungus, cases have been reported with vascular and tissue invasion and even presented as brain abscess in immunocompromised individuals. As there are reports of as an emerging fungal pathogen causing rhinosinusitis, laboratories should not ignore this as an environmental contaminant. Microbiologists must consider this as a possible pathogen and should report with clinical correlation. We present a case report of fungal sinus infection, as it is a rare occurrence and since we have noticed it for the first time in our hospital.
是一种担子菌,偶有报道可引起鼻窦炎、过敏性支气管肺真菌病和与过敏性支气管肺曲霉病合并感染。尽管它是一种环境真菌,但已有病例报告血管和组织侵入,甚至在免疫功能低下的个体中表现为脑脓肿。由于有报道作为一种新兴的真菌病原体引起鼻窦炎,实验室不应忽视这一环境污染物。微生物学家必须考虑这是一种可能的病原体,并应与临床相关性报告。我们报告一例真菌性鼻窦感染,因为它是一种罕见的发生,因为我们是第一次发现它在我们的医院。
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引用次数: 0
A comparative study of second (delta) wave and third (omicron) wave of Covid -19 based on positivity rates at a sub-district hospital in Goa 基于果阿邦某街道医院阳性率的第二波(delta)波和第三波(omicron)波对比研究
Pub Date : 2023-07-15 DOI: 10.18231/j.ijmmtd.2023.020
Pradnya Naik, A. Jose
The covid-19 outbreak was due to a virus which emerged in china at the end of December 2019, and was widespread in more than 200 countries worldwide. In India, the virus was introduced first by travelers returning home from various countries followed by local transmission. The SARS-CoV-2 variants B.1.1.7 (Alpha), B.1.617.2 (Delta), and B.1.1.529 (Omicron) caused rapid increase of infections worldwide. A retrospective study was carried out in a sub district hospital of south Goa during second covid wave of delta variant and third covid wave of omicron variant. Throat and nasopharngeal swabs were collected in flu OPD and sent to covid lab for RTPCR by truenat and rapid antigen tests. The positivity rates were calculated and data was used to find out various differences observed in both the waves. The peak positivity rate was 61% in mid april during delta wave and 66% in mid January during omicron wave. Signs and symptoms of fever, shortness of breadth/difficult in breathing, sore throat, cough and fatigue were seen along with minor symptoms such as malaise, headache, loss of sense of smell and taste, nausea/vomiting and diarrhea. Males were more affected than females. Rate of infection were less in immunised individuals. Adults and youth were affected more in number as compared to elderly and children. In both the waves, travellers going outside state showed low positivity.The arm of the sea variant confirmed to pose a important health burden to the society on account of allure pulmonary belongings and reduced immunization coverage all along the epidemic. Due to the communicable character of two together waves, Covid experiment far surpassed the capacity of workshops to process sample books, procrastinating newsgathering and situation. The study climaxes the burden of the pandemic on states and thus the significance of voters following COVID-19 contracts for fear that this transmission.
2019冠状病毒病疫情是由2019年12月底在中国出现的一种病毒引起的,并在全球200多个国家蔓延。在印度,该病毒首先由从各国回国的旅行者引入,然后在当地传播。SARS-CoV-2变种B.1.1.7 (Alpha)、B.1.617.2 (Delta)和B.1.1.529 (Omicron)导致全球感染人数迅速增加。在第二波delta型和第三波omicron型新冠肺炎期间,在果阿邦南部的一家街道医院进行了回顾性研究。在流感门诊收集咽喉和鼻咽拭子,送至covid实验室进行truenat和快速抗原检测进行RTPCR。计算阳性率,并用数据找出两波观察到的各种差异。4月中旬δ波高峰阳性率为61%,1月中旬欧微米波高峰阳性率为66%。出现发热、呼吸短促/呼吸困难、喉咙痛、咳嗽和疲劳等体征和症状,同时出现不适、头痛、嗅觉和味觉丧失、恶心/呕吐和腹泻等轻微症状。男性比女性更容易受到影响。免疫组的感染率较低。与老人和儿童相比,成年人和青少年受影响的人数更多。在这两波浪潮中,出境游的游客都表现出较低的积极性。由于在整个疫情期间肺部的吸引力和免疫覆盖率的降低,海臂变异被证实给社会带来了重要的健康负担。由于两波同时发生的传染性,新冠肺炎实验远远超出了车间处理样书的能力,拖延了新闻采编和形势。该研究强调了大流行给各州带来的负担,从而强调了因担心这种传播而签订COVID-19合同的选民的重要性。
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引用次数: 0
Beta-D-glucan assay as a tool for antifungal stewardship β - d -葡聚糖测定作为抗真菌管理的工具
Pub Date : 2023-07-15 DOI: 10.18231/j.ijmmtd.2023.026
P. Thakkar, T. Singhal, Sweta Shah, S. Ladi
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引用次数: 0
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IP International Journal of Medical Microbiology and Tropical Diseases
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