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Consequence of smoking on hematological parameters in apparently healthy medical students 吸烟对表面健康医学生血液学参数的影响
Pub Date : 2022-12-15 DOI: 10.18231/j.ijmmtd.2022.056
Zahraa Al Mohsen, Mohammed A. Al Mufarah, Naif O. Alharbi, Anfal Y. Aqeeli, Rawan F. Bokhedher
One of the greatest causes of death in the globe is tobacco cigarette smoking. Smoking affects hematological markers both acutely and chronically. The current study's objective was to evaluate the severity of the negative effects of cigarette smoking on biochemical traits in healthy smokers. This study included 280 participants, only 56 smokers and 100 non-smokers. They were smoking for three years, the smokers regularly smoked 10 to 20 cigarettes per day. The fully automatic hematological analyzer CELL-DYN 3700 examined the total number of blood cells. White blood cells (p0,001), hemoglobin (p=0,042), mean corpuscular volume (p=0,001), and mean corpuscular hemoglobin concentration (p0,001) were all considerably greater in the smokers. No other measured metrics varied considerably from one another. Red blood cells, white blood cells, hemoglobin, hematocrit, and mean corpuscular hemoglobin were all significantly higher (p0,001) in male smokers compared to female smokers after smoking cigarettes.: Our study concluded that smoking cigarettes continuously has severe negative effects on hematological variables, including hemoglobin, white blood cell count, mean corpuscular volume, mean corpuscular hemoglobin concentration, red blood cell count, and hematocrit. These modifications may be linked to an increased risk of polycythemia vera, atherosclerosis, chronic obstructive pulmonary disease, and/or cardiovascular diseases.
全球最大的死亡原因之一是吸烟。吸烟对血液学指标有急性和慢性影响。当前研究的目的是评估吸烟对健康吸烟者的生化特性的负面影响的严重程度。这项研究包括280名参与者,其中只有56名吸烟者和100名不吸烟者。他们吸烟三年,吸烟者通常每天抽10到20支烟。全自动血液学分析仪CELL-DYN 3700检测血细胞总数。吸烟者的白细胞(0.001)、血红蛋白(p= 0.042)、平均红细胞体积(p= 0.001)和平均红细胞血红蛋白浓度(p= 0.001)均显著高于对照组。没有其他测量指标彼此之间有很大的差异。吸烟后,男性吸烟者的红细胞、白细胞、血红蛋白、红细胞压积和平均红细胞血红蛋白均显著高于女性吸烟者(p0.001)。我们的研究得出结论,持续吸烟对血液学变量有严重的负面影响,包括血红蛋白、白细胞计数、平均红细胞体积、平均红细胞血红蛋白浓度、红细胞计数和红细胞压积。这些改变可能与真性红细胞增多症、动脉粥样硬化、慢性阻塞性肺疾病和/或心血管疾病的风险增加有关。
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引用次数: 1
Trends in dengue virus infection with seasonal variation at a tertiary care centre, Mangaluru: A retrospective study 曼格鲁鲁三级保健中心登革热病毒感染季节性变化趋势:回顾性研究
Pub Date : 2022-12-15 DOI: 10.18231/j.ijmmtd.2022.057
Prajna Sharma, P. K, Sanchita Shettigar
: Dengue is currently the second most prevalent vector borne disease in the world. Dengue fever and its more serious forms, dengue hemorrhagic fever and dengue shock syndrome are becoming important public health problems. Since there is no immunoprophylaxis or specific antiviral therapy available, clinico-microbiological diagnosis plays a vital role in patient management and implementation of control measures. : To identify dengue seropositive patients by NS1 antigen and anti-dengue IgM antibody detection by ELISA and correlate the changes in epidemiology. A retrospective study was performed for a period of 5 years from January 2017 to December 2021 in A.J Institute of Medical Sciences & Research Centre, Mangaluru. 1871 seropositive cases of all age groups admitted in the medical wards were included. Rapid immunochromatography test and ELISA was performed to detect NS1 antigen and IgM antibodies. Platelet count and total leucocyte count were also analysed. : Out of 14656, 1871 samples (12.75%) were positive for dengue. Higher rate of cases were in males and the age group of 21 to 30 years were chiefly affected. 1158(61.89%) were positive for NS1 antigen and total positive cases for IgM antibody was 530(28.32%). About 183 (9.79%) cases were positive for both NS1 antigen and IgM antibody. An increase in the prevalence of dengue was recorded during the month of June to October. The present study indicates a decline in dengue infection from 2020 which may be attributable to preventive and control measures provided by the health care workers besides having increased awareness among people. The decline may also may be due to the outbreak of SARS –Cov-2 in December 2019, which led to under diagnosis of dengue cases.
登革热目前是世界上第二大流行的病媒传播疾病。登革热及其更严重的形式,登革出血热和登革休克综合征正在成为重要的公共卫生问题。由于没有可用的免疫预防或特异性抗病毒治疗,临床微生物学诊断在患者管理和控制措施的实施中起着至关重要的作用。目的:通过ELISA检测NS1抗原和抗登革热IgM抗体,鉴别登革热血清阳性患者,并分析其流行病学变化。回顾性研究于2017年1月至2021年12月在Mangaluru A.J医学科学与研究中心研究所进行了为期5年的回顾性研究,纳入了住院病房所有年龄组的1871例血清阳性病例。采用快速免疫层析法和ELISA法检测NS1抗原和IgM抗体。同时分析血小板计数和总白细胞计数。在14656份样本中,1871份(12.75%)呈登革热阳性。男性发病率较高,以21 ~ 30岁年龄组为主。NS1抗原阳性1158例(61.89%),IgM抗体阳性530例(28.32%)。183例(9.79%)NS1抗原和IgM抗体均阳性。据记录,6月至10月期间登革热流行率有所上升。目前的研究表明,从2020年起登革热感染率下降,这可能是由于卫生保健工作者提供的预防和控制措施以及人们意识的提高。下降也可能是由于2019年12月爆发了SARS -Cov-2,导致对登革热病例的诊断不足。
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引用次数: 0
Imported malaria with chikungunya co-infection: A case report 输入性疟疾合并基孔肯雅热感染1例报告
Pub Date : 2022-12-15 DOI: 10.18231/j.ijmmtd.2022.067
Anupam Das, M. Sen, P. Pandey, Apurva Rautela, Haniya Jafar, Vikram Singh, Jaya Garg, J. Agarwal
Malaria is a parasitic disease caused by and is associated with acute febrile episodes. The disease burden is highest in Southeast Asia. Various measures are being taken to curb the disease in different countries. Even after the introduction of various programmes there has been reports of imported malaria which has been transported from highly endemic countries to less endemic or countries not having cases of Malaria. Not only this, various other viral disease come in as coinfection with malaria which makes the situation even worse. Here we describe one such case of malaria imported from traveller from Nigeria to India who also developed coinfection with Chikungunya.
疟疾是一种寄生虫病,由急性发热发作引起并与之相关。东南亚的疾病负担最高。各国正在采取各种措施来控制这种疾病。甚至在实施各种方案之后,仍有报告说,从疟疾流行率高的国家向疟疾流行率低的国家或没有疟疾病例的国家转移了输入性疟疾。不仅如此,各种其他病毒性疾病与疟疾共同感染,使情况更加恶化。在此,我们描述了一例从尼日利亚到印度的旅行者输入的疟疾病例,该病例也与基孔肯雅热并发感染。
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引用次数: 0
Study of antibiotic resistance pattern in Methicillin-resistant Staphylococcus aureus: A six year analysis 耐甲氧西林金黄色葡萄球菌抗生素耐药模式的研究:六年分析
Pub Date : 2022-09-15 DOI: 10.18231/j.ijmmtd.2022.050
R. Jakribettu, Nayan Anjan, Vidya Rao S, K. Binub, Preethy Edavaloth
Methicillin resistant Staphylococcus aureus is the common pathogen worldwide. It requires prolonged therapy to eradicate MRSA from a patient. This study was undertaken to determine the changing trend of antimicrobial resistance in MRSA over six years in a tertiary care center. : This was a retrospective observational study done at the tertiary care teaching hospital. The antibiotic sensitivity pattern of the MRSA isolated from various clinical samples from January 2013–December 2018 was studied. The data collected was entered in the Microsoft excel 2007, coded and were analyzed by frequency and percentage. During the study period from January 2013 to December 2018, 1006 (27.42%) patients had MRSA out of 3668 patients diagnosed with Staphylococcus aureus infection. Almost equal gender distribution was observed with males (52.78%), geriatric patients, i.e., ≥61 years constituted for around 32% infected patients. The samples that were received during this period included pus (64.59%), blood (26.23%), urine (5.53%) and sputum (3.65%). Other anti-MRSA drugs had changing resistance rate on year to year basis. Continuous monitoring of antibiotic sensitivity and rationalizing the use of antibiotics remain an important and effective strategy to minimize the emergence of multi-drug resistant MRSA strains.
耐甲氧西林金黄色葡萄球菌是世界范围内常见的病原菌。需要长期治疗才能根除病人体内的MRSA。本研究旨在确定某三级医疗中心6年来耐甲氧西林金黄色葡萄球菌抗菌素耐药性的变化趋势。这是一项在三级护理教学医院进行的回顾性观察性研究。研究2013年1月至2018年12月从不同临床样本分离的MRSA的抗生素敏感性。收集到的数据输入到Microsoft excel 2007中,按频率和百分比进行编码和分析。在2013年1月至2018年12月的研究期间,在3668例诊断为金黄色葡萄球菌感染的患者中,1006例(27.42%)患者患有MRSA。性别分布基本相同,男性(52.78%),老年患者(≥61岁)约占32%。其中脓液(64.59%)、血液(26.23%)、尿液(5.53%)、痰液(3.65%)为5种。其他抗mrsa药物的耐药率逐年变化。持续监测抗生素敏感性和合理使用抗生素仍然是减少多重耐药MRSA菌株出现的重要而有效的策略。
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引用次数: 0
Reducing hospital-acquired infections and improving the rational use of antibiotics in a tertiary care hospital in Bangalore 在班加罗尔的一家三级保健医院减少医院获得性感染并改善抗生素的合理使用
Pub Date : 2022-09-15 DOI: 10.18231/j.ijmmtd.2022.042
Girish Narayanaswamy, Mahesh Babu Kothapalli, L. Rani, Uma Maheshwar, R. Babu, Sanjay Paruchuri, Shashidhar Karpuranath, Rama Mishra, S. Alapaty
Prevention of hospital-acquired infections (HAI) is central to providing safe and high quality healthcare. Transmission of infection between patients by health workers, and the irrational use of antibiotics have been identified as preventable aetiological factors for HAIs. Few studies have addressed this in developing countries.To assess the effectiveness of a multifaceted infection control and antibiotic stewardship programme on HAIs and antibiotic use. A retrospective study was conducted for a study period of 11months (June 2021-April 2022) in Vydehi Hospital, Bangalore. All patients admitted to the intensive care unit and wards were included in the study. Intervention period was 6 months (June 2021-Nov 2021) and post-intervention period was 5 months (Dec 2021- April 2022). Assessment of HAIs was made based on the criteria from the Centers for Disease Control and Prevention. The multifaceted intervention consisted of hand hygiene campaign, isolation of multidrug resistance organism’s patients, water and air quality analysis, training of health care workers in infection control practices, and antibiotic stewardship. Data was collected using an identical method in the intervention and post intervention periods.We observed a major reduction in HAIs, from 89% (198/222 patients) in the intervention period to 10.8% (24/222 patients) in the post intervention period (relative risk (RR) (95% CI) 0.48 (0.31 to 0.56). Antibiotic use in ICUs declined from 58% (780/1347) to 44% (442/995) (RR 0.44 (0.40 to 0.55). Overall, hand hygiene compliance among the health- care workers was maintained at 100% during both the periods. Multifaceted infection control interventions are effective in reducing HAI rates, improving the rational use of antibiotics, increasing hand hygiene compliance, and may reduce mortality in hospitalised patients in developing countries.
预防医院获得性感染(HAI)是提供安全和高质量医疗保健的核心。卫生工作者在患者之间传播感染以及抗生素的不合理使用已被确定为可预防的艾滋病病因因素。很少有研究在发展中国家解决这个问题。评估多方面感染控制和抗生素管理规划对重症感染和抗生素使用的有效性。在班加罗尔的Vydehi医院进行了为期11个月(2021年6月至2022年4月)的回顾性研究。所有入住重症监护室和病房的患者都被纳入研究。干预期6个月(2021年6月- 2021年11月),干预后期5个月(2021年12月- 2022年4月)。根据疾病控制和预防中心的标准,对HAIs进行了评估。多方面的干预包括手卫生运动、多药耐药患者的隔离、水和空气质量分析、对卫生保健工作者进行感染控制实践培训以及抗生素管理。在干预期间和干预后期间,采用相同的方法收集数据。我们观察到HAIs的显著降低,从干预期的89%(198/222例患者)降至干预后的10.8%(24/222例患者)(相对危险度(RR) (95% CI) 0.48(0.31 ~ 0.56)。icu抗生素使用率由58%(780/1347)下降至44% (442/995)(RR 0.44(0.40 ~ 0.55))。总的来说,在这两个时期,卫生保健工作者的手卫生依从性保持在100%。在发展中国家,多方面的感染控制干预措施可有效降低HAI发生率,改善抗生素的合理使用,提高手部卫生依从性,并可降低住院患者的死亡率。
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引用次数: 0
Detection of siderophore production in uropathogenic Escherichia coli causing urinary tract infection in patients of Ujjain M.P. (India) 印度Ujjain mp患者尿路感染尿路致病性大肠杆菌中铁载体的检测
Pub Date : 2022-09-15 DOI: 10.18231/j.ijmmtd.2022.043
Kaina Bhonsle, A. Vyas, H. Vyas, Abhiraj, K. Hemwani
Urinary tract infection is most frequently found bacterial infection in urinary tract of human beings and 75-95% of urinary tract infections are caused by uropathogenic . The uropathogenic bacteria produces several virulence factors, siderophore is one of them. Siderophore is iron acquisition protein and play significant role in pathogenicity of UTI’s by helping uropathogenic bacteria to persist in urinary tract of host cells in adverse conditions. The study was conducted at SRL laboratory in Ujjain Center from November 2018- October 2019. Midstream urine sample of suspected UTI patients were collected and was isolated and identified using standard microbiological procedure and after incubation, growth was observed. Colonies more than 10cfu/ml were considered as significant for UTI and detection of siderophore production in uropathogenic bacteria was done by using Chrome Azurol Assay (CAS). Out of 200 collected urine sample in 120 urine samples uropathogenic bacteria was identified and isolated. Among 120 isolates of siderophore production was observed in 48 isolates of , and their percentage was 40%. Iron acquisition protein or siderophores are a major virulence factor necessary for pathogenesis of UTI caused by and CAS assay is the most efficient method for detection of siderophore production in uropathogenic
尿路感染是人类尿路最常见的细菌感染,75-95%的尿路感染是由尿路致病菌引起的。尿路致病菌产生多种毒力因子,铁载体是其中之一。铁载体是一种铁获取蛋白,在不利条件下帮助尿路致病菌在宿主细胞的尿路中持续存在,在尿路感染的致病性中发挥重要作用。该研究于2018年11月至2019年10月在Ujjain中心的SRL实验室进行。收集疑似尿路感染患者的中游尿液样本,使用标准微生物程序进行分离和鉴定,孵育后观察生长。菌落大于10cfu/ml被认为是尿路感染的显著性病变,采用铬蓝染色法(CAS)检测尿路病原菌中铁载体的产生。在收集的200份尿液样本中,鉴定并分离出120份尿路致病菌。120株分离株中有48株产铁载体,产铁比例为40%。铁获取蛋白或铁载体是尿路感染发病所必需的主要毒力因子,CAS法是尿路致病中检测铁载体产生的最有效方法
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引用次数: 0
Comparative study of Clinicolaboratory parameters of dengue in diabetic and non-diabetic from a tertiary care hospital 三级医院糖尿病与非糖尿病患者登革热临床实验室参数的比较研究
Pub Date : 2022-09-15 DOI: 10.18231/j.ijmmtd.2022.051
Ramakrishna Pai Jakribetu, T. George, M. Pais, P. D’silva, S. Natarajan, M. Baliga
Dengue, neglected tropical disease, caused by a RNA virus belonging to Flaviviridae family. Comorbid conditions like diabetes mellitus, can lead to severe dengue leading to higher morbidity and mortality. This study was undertaken to compare the clinical and laboratory profile of dengue patients with and without diabetes mellitus. A retrospective study conducted at the tertiary care hospital. The clinical and laboratory details of the adult patients diagnosed with dengue from January 2014 to March 2019 were included in the studied. The data was entered in Microsoft excel and analyzed. We have analyzed the hematological, hepatic and renal parameters in three groups: healthy individuals (n= 80), patients with diabetes (n= 66) and dengue (n= 422). Among the patients diagnosed with dengue, 393/422 (93. 12%) survived. Among the dengue patients who were diabetic (129), 115 (89. 14%) survived and 14 (10. 85%) succumbed. The most common symptoms in dengue patients were fever (100%), vomiting (53. 32%) and body ache (51. 9%). In deceased patients, symptoms of severe dengue like reduced urine output, bleeding manifestations, pedal oedema, altered sensorium were noted. Signs of fluid leak like ascites and pleural effusion were higher in deceased patients. Among the deceased patients, anaemia, thrombocytopenia, increased renal parameters were observed in diabetic patients. Dengue in diabetic patients is associated with anemia, thrombocytopenia and higher mortality. There is no significant difference in hepatic and renal parameters in survived dengue diabetic and non-diabetic patients, but deceased patients had significant thrombocytopenia and increased renal parameters.
登革热,一种被忽视的热带病,由黄病毒科RNA病毒引起。糖尿病等合并症可导致严重的登革热,从而导致更高的发病率和死亡率。本研究旨在比较伴有和不伴有糖尿病的登革热患者的临床和实验室情况。在三级保健医院进行的回顾性研究。研究纳入了2014年1月至2019年3月诊断为登革热的成年患者的临床和实验室详细信息。将数据输入到Microsoft excel中并进行分析。我们分析了健康个体(n= 80)、糖尿病患者(n= 66)和登革热患者(n= 422)三组的血液学、肝脏和肾脏参数。在诊断为登革热的患者中,393/422例(93。12%)幸存下来。其中合并糖尿病者129例,合并糖尿病者115例。14%存活,14例存活。85%)死。登革热患者最常见的症状是发热(100%)、呕吐(53%)。32%)和身体疼痛(51%)。9%)。死亡患者出现严重登革热症状,如尿量减少、出血、足部水肿、感觉改变。腹水和胸腔积液等液体泄漏的迹象在死亡患者中较高。在死亡患者中,糖尿病患者出现贫血、血小板减少、肾脏参数增高。糖尿病患者的登革热与贫血、血小板减少症和较高的死亡率有关。存活的登革热糖尿病患者和非糖尿病患者的肝脏和肾脏参数无显著差异,但死亡患者有明显的血小板减少和肾脏参数升高。
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引用次数: 0
Microbiological study of vaginitis among women of reproductive age group 育龄妇女阴道炎的微生物学研究
Pub Date : 2022-09-15 DOI: 10.18231/j.ijmmtd.2022.045
Ushangishvili Mg, S. P
: Vaginitis is the most common health problem among women of reproductive age group, which is associated with gynaecological and obstetrical complications and also increases the transmission of HIV and other sexually transmitted diseases.: This study aimed at estimating the various etiological agents causing vaginitis, different laboratory methods for its diagnosis, isolation of different species and antibiotic susceptibility pattern of aerobic bacterial isolates.: In present study, 104 clinically suspected cases of vaginitis attending gynaecology OPD was included after obtaining informed consent and various data were collected using via questionnaire. Three high vaginal swabs collected from each patient and subjected to PH, Whiff test, Microscopic examination (Grams staining, KOH mount, Acridine orange staining (AO), Saline wet mount) Culture and Biochemical reactions following standard protocols. Aerobic isolates were subjected to antibiotic susceptibility testing as per CLSI guidelines.: Out of 104 Clinically suspected cases most common type of vaginitis were Bacterial vaginosis (BV)51.9% followed by Candidiasis 41.3%, Trichomoniasis 3.9%. Most common species isolated in vulvovaginal Candidiasis is 32.5%. Majority of Gram positive organisms were susceptible to Linezolid and Gram negative organisms to Azithromycin.: Bacterial vaginosis, Candidiasis and Trichomoniasis are common problem in women of reproductive age, therefore screening of vaginal infection in women of reproductive age should be implemented. Culture and sensitivity should be mandatory and treatment should be based on invitro susceptibility testing. So that misuse of antibiotics will be avoided.
阴道炎是育龄妇女中最常见的健康问题,它与妇产科并发症有关,也增加了艾滋病毒和其他性传播疾病的传播。本研究旨在了解阴道炎的各种病因、诊断阴道炎的不同实验室方法、不同菌种的分离及好氧菌的药敏模式。本研究选取104例妇科门诊临床疑似阴道炎患者,经知情同意后,采用问卷调查的方式收集各项资料。从每位患者处收集三份阴道拭子,进行PH值、嗅嗅试验、显微镜检查(克染色、KOH染色、吖啶橙染色、生理盐水湿载)培养和生化反应。需氧菌株按照CLSI指南进行抗生素敏感性试验。104例临床疑似阴道炎中,细菌性阴道炎(BV)占51.9%,其次是念珠菌病(41.3%)和滴虫病(3.9%)。外阴阴道念珠菌病最常见的菌种为32.5%。革兰氏阳性菌对利奈唑胺敏感,革兰氏阴性菌对阿奇霉素敏感。细菌性阴道病、念珠菌病和滴虫病是育龄妇女的常见病,因此应对育龄妇女进行阴道感染筛查。培养和敏感性应该是强制性的,治疗应该基于体外药敏试验。这样就可以避免滥用抗生素。
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引用次数: 0
New perspectives for exploring Medical Microbiology and Tropical Diseases 探索医学微生物学和热带病的新视角
Pub Date : 2022-09-15 DOI: 10.18231/j.ijmmtd.2022.037
Bodhankar M G
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引用次数: 0
Evaluation of different phenotypic techniques in detection of metallo-betalactamases in pseudomonas aeruginosa 铜绿假单胞菌金属- β -内酰胺酶不同表型检测技术的评价
Pub Date : 2022-09-15 DOI: 10.18231/j.ijmmtd.2022.047
Aarushi Mangla, Hetal Vasani, M. Vegad
Metallo-beta-lactamase (MBL) producing Pseudomonas is a worrisome pathogen to hospital infection control due to production of resistance to multiple antibiotics. So, treatment options are narrowed down to only few antibiotics which will result in high morbidity and mortality. This study was conducted with the aim to detect prevalence of MBL producing Pseudomonas aeruginosa and to compare the different phenotypic methods for the detection of MBL production in Imipenem resistant clinical isolates of Pseudomonas aeruginosa. : In this prospective study total of 14,145 different clinical samples received from different wards. Out of which 804 Pseudomonas aeruginosa were isolated and antibiotic sensitivity testing was done by Kirby-Bauer disc diffusion method using CLSI guidelines. These were evaluated for Carbapenems resistance and MBL production. Imipenem resistant strains were subjected to screening tests like Double-disc synergy test, Combined disc diffusion test (CDT) and Modified-Hodge test. : In our study out of 804 isolates,153(19.02%) isolates are resistant to Imipenem. Out of 153 Imipenem resistant isolates, Combined disc diffusion test was positive in 100%, Double disc synergy test in 76.5% and Modified-hodge test in 84.15% isolates.: Combined disc diffusion test is very sensitive, cost effective and convenient screening test for detection of MBL producing Pseudomonas aeruginosa. So, all Imipenem resistant Pseudomonas isolates should be regularly screened for detection of MBL by Combined disc diffusion test (CDT) to prevent spread of resistance, longer hospital stay and treatment failure.
产生金属内酰胺酶(MBL)的假单胞菌对多种抗生素产生耐药性,是医院感染控制的一个令人担忧的病原体。因此,治疗选择被缩小到只有几种抗生素,这将导致高发病率和死亡率。本研究旨在检测产生MBL的铜绿假单胞菌的患病率,并比较不同表型方法检测耐亚胺培南铜绿假单胞菌临床分离株MBL的产生。在这项前瞻性研究中,共收到来自不同病房的14145份不同的临床样本。其中铜绿假单胞菌804株,采用Kirby-Bauer圆盘扩散法,按照CLSI指南进行抗生素敏感性试验。对这些菌株的碳青霉烯类耐药性和MBL产量进行了评估。对耐亚胺培南菌株进行双盘协同试验、联合盘扩散试验(CDT)和改良霍奇试验等筛选。在我们的研究中,804株菌株中有153株(19.02%)对亚胺培南耐药。153株亚胺培南耐药菌株中,联合纸片扩散试验阳性率为100%,双纸片协同试验阳性率为76.5%,改良霍奇试验阳性率为84.15%。联合盘片扩散试验是一种灵敏、经济、方便的检测MBL产铜绿假单胞菌的筛选试验。因此,应定期对所有亚胺培南耐药假单胞菌分离株进行联合光盘扩散试验(CDT)筛查,以检测MBL,防止耐药性扩散、延长住院时间和治疗失败。
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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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