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Prevalence of JC polyomavirus among rheumatoid arthritis and systemic lupus erythematosus patients and its correlation with vitamin D levels. 类风湿性关节炎和系统性红斑狼疮患者的 JC 多瘤病毒流行率及其与维生素 D 水平的相关性。
IF 1.3 Q4 MICROBIOLOGY Pub Date : 2024-10-01 DOI: 10.18502/ijm.v16i5.16803
Golnaz Irani Mokhtari, Azarakhsh Azaran, Elham Rajahi, Saeed Hesam, Azam Dehghani Ghahfarokhi, Manoochehr Makvandi

Background and objectives: Vitamin D deficiency in viral infection associated with autoimmune diseases is well documented. This study assessed the prevalence of JC virus in patients with rheumatoid arthritis (RA) and systemic lupus erythematosus (SLE), and its correlation with vitamin D level.

Materials and methods: Serum and urine samples were collected from 50 patients with RA and SLE. DNA was extracted and subjected to PCR test. Positive PCR products were sequenced, phylogenetic tree was constructed to determine the JC virus genotype. The patient's vitamin D level was evaluated.

Results: Of 50 patients, 19 (38%) were diagnosed as RA, and 31 (62%) were identified as SLE. JC virus DNA was detected in 17 (34%) patients' urine samples including 5 (26.3%) RA and 12 (38.7%) SLE cases. JC virus DNA was detected 2 (4%) in patients' serum samples (one RA. and one SLE). JC virus genotype 3A was dominant. Interestingly, the SLE patients with positive JC virus showed lowered vitamin D compared to patients with negative JC virus (P<0.005).

Conclusion: Given the high rate of JC virus, DNA detection and susceptibility of patients for PML development, it is recommended that detection of JC virus DNA and vitamin D level should be implemented for patients with RA/SLE prior to treatment.

背景和目的:与自身免疫性疾病相关的病毒感染导致的维生素 D 缺乏已得到充分证实。本研究评估了类风湿性关节炎(RA)和系统性红斑狼疮(SLE)患者中 JC 病毒的感染率及其与维生素 D 水平的相关性:收集了 50 名类风湿关节炎和系统性红斑狼疮患者的血清和尿液样本。提取 DNA 并进行 PCR 检测。对阳性 PCR 产物进行测序,构建系统发生树以确定 JC 病毒基因型。对患者的维生素 D 水平进行了评估:50名患者中,19人(38%)被诊断为RA,31人(62%)被确定为系统性红斑狼疮。在 17 名(34%)患者的尿液样本中检测到了 JC 病毒 DNA,其中包括 5 名(26.3%)RA 患者和 12 名(38.7%)系统性红斑狼疮患者。在患者的血清样本中检测到了 2 份(4%)JC 病毒 DNA(1 份为 RA,1 份为系统性红斑狼疮)。JC病毒的基因型为3A。有趣的是,与 JC 病毒阴性的患者相比,JC 病毒阳性的系统性红斑狼疮患者的维生素 D 含量较低:鉴于 JC 病毒、DNA 的高检出率以及患者对 PML 的易感性,建议在治疗前对 RA/SLE 患者进行 JC 病毒 DNA 和维生素 D 水平的检测。
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引用次数: 0
Serological and bacterial prevalence of Brucella spp. in suspected patients: a risk factor analysis in North Khorasan, Iran. 疑似布鲁氏菌患者的血清学和细菌流行率:伊朗北呼罗珊的风险因素分析。
IF 1.3 Q4 MICROBIOLOGY Pub Date : 2024-10-01 DOI: 10.18502/ijm.v16i5.16797
Niloofar Sadooghi, Saeed Alamian, Hamed Ghasemzadeh Moghadam, Mohammad Yazdanmanesh, Maryam Dadar

Background and objectives: Brucellosis, a zoonotic bacterial disease caused by Brucella, affects humans and domestic animals, leading to significant economic loss. This study examined suspected cases in North Khorasan, Iran, to understand the prevalence of infection and its characteristics in this region.

Materials and methods: Blood specimens were collected from 200 patients suspected of brucellosis after obtaining informed consent. Serum samples were tested using RBPT, Wright, and 2-ME agglutination tests. Blood samples were cultured on Brucella agar, and positive cultures underwent biotyping and PCR assays. A questionnaire identified correlated risk factors.

Results: RBPT, Wright, and 2-ME tests showed 25% brucellosis seroprevalence in symptomatic patients. In contrast, the prevalence was 2.5% among those with positive blood cultures. Notably, all culture-positive patients were also serologically positive, with titers exceeding 1:320 in Wright and 2-ME tests. Most positive cases were in people in their 30s, with B. melitensis biovar 1 identified as the causative agent, and the results were confirmed by multiplex PCR. Significant risk factors include contact with livestock and consumption of raw milk (P < 0.0001).

Conclusion: The findings highlighted the importance of comprehensive diagnostic approaches for accurate identification of brucellosis. Furthermore, education regarding close contact with animals and pasteurization of dairy products is essential for controlling human brucellosis.

背景和目标:布鲁氏菌病是由布鲁氏菌引起的人畜共患细菌性疾病,影响人类和家畜,造成重大经济损失。本研究对伊朗北呼罗珊的疑似病例进行了调查,以了解该地区的感染率及其特点:在获得知情同意后,从 200 名布鲁氏杆菌病疑似患者身上采集了血液标本。使用 RBPT、Wright 和 2-ME 凝集试验检测血清样本。血液样本在布鲁氏菌琼脂上进行培养,阳性培养物进行生物分型和 PCR 检测。问卷调查确定了相关的风险因素:结果:RBPT、赖特和 2-ME 检测显示,有症状的患者中布鲁氏菌血清阳性率为 25%。相比之下,血培养阳性患者的发病率为 2.5%。值得注意的是,所有培养阳性患者的血清学检测结果均为阳性,在莱特和 2-ME 检测中,滴度超过 1:320。大多数阳性病例出现在 30 多岁的人群中,梅里金单胞菌生物变种 1 被确定为致病菌,其结果通过多重 PCR 得到证实。重要的风险因素包括与牲畜接触和饮用生牛奶(P < 0.0001):研究结果强调了综合诊断方法对准确识别布鲁氏菌病的重要性。此外,有关与动物密切接触和乳制品巴氏消毒的教育对于控制人类布鲁氏菌病至关重要。
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引用次数: 0
Biofilm formation and drug susceptibility of biofilm Candida spp. clinically isolated from nasopharyngeal cancer patients in Vietnam. 从越南鼻咽癌患者中临床分离的生物膜念珠菌属的生物膜形成和药物敏感性。
IF 1.3 Q4 MICROBIOLOGY Pub Date : 2024-10-01 DOI: 10.18502/ijm.v16i5.16806
Bac Vu Giang Nguyen, Linh Xuan Thi Tran, Thanh-Hoa Vo, Anh-Tu Nguyen-Ha, Minh-Tri Le, Phuoc-Vinh Nguyen

Background and objectives: The biofilm formation has been widely recognized as one of the main mechanisms of antimicrobial resistance development in microorganisms. However, few studies are focusing on this phenomenon in Candida spp. in clinical settings, especially on immuno-compromised patients.

Materials and methods: In this study, both the rate of biofilm formation in those patients and its drug susceptibility in initial and mature biofilm were assessed using crystal violet assay and dilution method.

Results: The results demonstrated that the biofilm formation rate was similar between albicans and non-albicans Candida. However, the biofilm formation capacity was more pronounced in non-albicans Candida, especially, C. glabrata. As expected, there was a significant relationship between biofilm formation and drug resistance. In addition, our study reconfirmed that the age of high concentration of antifungal agents only affected Candida before its biofilm formation regardless of its biofilm formation capacity. In the contrary, once the biofilm was formed even elevated drug concentrations did not show sufficient efficacy, highlighting a need for high dosage at the early stage of treatment for those patients.

Conclusion: The results of this study highlighted the importance of using appropriate antifungal agents for Candida treatment before the formation of biofilm.

背景和目的:生物膜的形成已被广泛认为是微生物产生抗菌药耐药性的主要机制之一。然而,很少有研究关注临床环境中念珠菌属的这一现象,尤其是免疫力低下的患者:在这项研究中,使用水晶紫测定法和稀释法评估了这些患者的生物膜形成率及其对初始生物膜和成熟生物膜的药物敏感性:结果表明,白念珠菌和非白念珠菌的生物膜形成率相似。然而,生物膜形成能力在非白色念珠菌中更为明显,特别是在光滑念珠菌中。正如所料,生物膜的形成与耐药性之间存在着显著的关系。此外,我们的研究再次证实,无论念珠菌的生物膜形成能力如何,高浓度抗真菌剂的使用年限只对其生物膜形成前产生影响。相反,一旦形成了生物膜,即使药物浓度升高也不能显示出足够的疗效,这就突出了在治疗的早期阶段对这些患者进行高剂量治疗的必要性:本研究结果强调了在念珠菌形成生物膜之前使用适当的抗真菌药物进行治疗的重要性。
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引用次数: 0
The heterologous expression of novel recombinant protein composed of HN and F moieties of Newcastle disease virus and immunogenicity evaluation in mouse model. 由新城疫病毒 HN 和 F 分子组成的新型重组蛋白的异源表达及小鼠模型的免疫原性评价。
IF 1.3 Q4 MICROBIOLOGY Pub Date : 2024-10-01 DOI: 10.18502/ijm.v16i5.16801
Atena Mozafari, Mehregan Rahmani, Yasaman Yasini Nasab, Shahla Shahsavandi, Mahyat Jafari, Ali Hatef Salmanian

Background and objectives: The rapid spread of Newcastle disease (ND), driven by extensive commercial exchange in the poultry industry, necessitates urgent preventive measures. Although effective vaccines against the Newcastle disease virus (NDV) have been used since 1940, recent outbreaks and the limitations of current vaccines highlight the need for improved solutions. Advances in synthetic biology, reverse vaccinology, molecular biology, and recombinant DNA technology over the past 20 years have led to the development of recombinant vaccines, which offer enhanced protection and broader immunogenic coverage against NDV. This study aimed to express the immunogenic domains of Hemagglutinin Neuraminidase (HN) and Fusion (F) glycoproteins, linked to the heat-labile enterotoxin B subunit (LTB) bio-adjuvant, to develop an effective and reliable recombinant vaccine for NDV.

Materials and methods: In this study, the L(HN)2F protein, composed of the LTB bio-adjuvant and the immunogenic regions of the doubled Hemagglutinin Neuraminidase (HN-HN) and Fusion (F) epitope, was expressed in Escherichia coli. Subcutaneous injection was used to evaluate the humoral immune response in mice and the result was compared with B1 vaccine.

Results: The induction of strong humoral immune responses proved the strong immunoreactivity of the recombinant protein.

Conclusion: The IgG elicited by the recombinant proteins was comparable to that of the commercial B1 vaccine against NDV, indicating its potential as a viable candidate for further development and evaluation as a recombinant vaccine against NDV.

背景和目标:在家禽业广泛商业交换的推动下,新城疫(ND)迅速蔓延,因此必须采取紧急预防措施。尽管自 1940 年以来一直在使用有效的新城疫病毒 (NDV) 疫苗,但近期的疫情爆发和现有疫苗的局限性凸显了改进解决方案的必要性。过去 20 年中,合成生物学、反向疫苗学、分子生物学和 DNA 重组技术的进步促进了重组疫苗的发展,重组疫苗可提供更强的保护和更广的 NDV 免疫原覆盖范围。本研究旨在表达血凝素神经氨酸酶(HN)和融合(F)糖蛋白的免疫原结构域,并与热嗜性肠毒素 B 亚基(LTB)生物佐剂连接,以开发一种有效、可靠的 NDV 重组疫苗:本研究在大肠杆菌中表达了 L(HN)2F 蛋白,该蛋白由 LTB 生物佐剂和双倍血凝素神经氨酸酶(HN-HN)及融合(F)表位的免疫原区域组成。采用皮下注射法评估小鼠的体液免疫反应,并将结果与 B1 疫苗进行比较:结果:诱导的强烈体液免疫反应证明了重组蛋白的强免疫活性:结论:重组蛋白诱导的 IgG 与抗 NDV 的商业 B1 疫苗相当,表明其有潜力作为抗 NDV 重组疫苗进行进一步开发和评估。
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引用次数: 0
Prevalence, antimicrobial resistance, virulence gene distribution and SCCmec typing of methicillin-resistant Staphylococcus aureus isolated from raw milk and dairy products. 从生乳和乳制品中分离出的耐甲氧西林金黄色葡萄球菌的流行率、抗菌药耐药性、毒力基因分布和 SCCmec 分型。
IF 1.3 Q4 MICROBIOLOGY Pub Date : 2024-10-01 DOI: 10.18502/ijm.v16i5.16793
Najmeh Vahed Dehkordi, Ebrahim Rahimi, Noosha Zia Jahromi

Background and objectives: Researchers have focused on Staphylococcus aureus because it is transmitted through food, such as milk and dairy products, and causes human diseases. Prevalence, antimicrobial resistance, presence, and distribution of methicillin-resistant S. aureus (MRSA) virulence genes isolated from raw milk and dairy products were evaluated.

Materials and methods: 300 samples of dairy products were collected from Shahrekord, Iran. S. aureus was identified using biochemical tests and screened for sensitivity to 13 antibiotics to identify resistance genes. In addition, SCCmec typing was performed.

Results: Out of 300, S. aureus was found in 82 samples. Raw milk had the highest contamination with S. aureus (60 of 82), followed by cheese (15 of 82), and butter (7 of 82). At least one resistance gene was present in every isolate of S. aureus. Virulence factors and enterotoxin-coding genes, such as sea, seb, sec, and sed were highly distributed.

Conclusion: The results of this study revealed the presence of toxin-producing MRSA strains in raw milk and dairy products. MRSA in dairy farms is an important risk factor for the spread of staphylococcal infections; therefore, further studies are needed to find strategies for controlling the presence of S. aureus, especially MRSA, in dairy products.

背景和目的:研究人员关注金黄色葡萄球菌,因为它通过牛奶和乳制品等食物传播并导致人类疾病。材料和方法:从伊朗沙赫雷科德收集了 300 份乳制品样本。使用生化测试鉴定金黄色葡萄球菌,并筛查其对 13 种抗生素的敏感性,以确定耐药基因。此外,还进行了 SCCmec 分型:结果:在 300 个样本中,有 82 个样本发现了金黄色葡萄球菌。生牛奶中的金黄色葡萄球菌含量最高(82 个样本中有 60 个),其次是奶酪(82 个样本中有 15 个)和黄油(82 个样本中有 7 个)。每个金黄色葡萄球菌分离物中至少存在一种抗性基因。毒力因子和肠毒素编码基因(如 sea、seb、sec 和 sed)分布广泛:本研究结果显示,生奶和乳制品中存在产毒 MRSA 菌株。奶牛场中的 MRSA 是葡萄球菌感染传播的一个重要风险因素;因此,需要进一步研究以找到控制奶制品中金黄色葡萄球菌(尤其是 MRSA)存在的策略。
{"title":"Prevalence, antimicrobial resistance, virulence gene distribution and SCCmec typing of methicillin-resistant <i>Staphylococcus aureus</i> isolated from raw milk and dairy products.","authors":"Najmeh Vahed Dehkordi, Ebrahim Rahimi, Noosha Zia Jahromi","doi":"10.18502/ijm.v16i5.16793","DOIUrl":"https://doi.org/10.18502/ijm.v16i5.16793","url":null,"abstract":"<p><strong>Background and objectives: </strong>Researchers have focused on <i>Staphylococcus aureus</i> because it is transmitted through food, such as milk and dairy products, and causes human diseases. Prevalence, antimicrobial resistance, presence, and distribution of methicillin-resistant <i>S. aureus</i> (MRSA) virulence genes isolated from raw milk and dairy products were evaluated.</p><p><strong>Materials and methods: </strong>300 samples of dairy products were collected from Shahrekord, Iran. <i>S. aureus</i> was identified using biochemical tests and screened for sensitivity to 13 antibiotics to identify resistance genes. In addition, SCCmec typing was performed.</p><p><strong>Results: </strong>Out of 300, <i>S. aureus</i> was found in 82 samples. Raw milk had the highest contamination with <i>S. aureus</i> (60 of 82), followed by cheese (15 of 82), and butter (7 of 82). At least one resistance gene was present in every isolate of <i>S. aureus.</i> Virulence factors and enterotoxin-coding genes, such as <i>sea, seb, sec,</i> and <i>sed</i> were highly distributed.</p><p><strong>Conclusion: </strong>The results of this study revealed the presence of toxin-producing MRSA strains in raw milk and dairy products. MRSA in dairy farms is an important risk factor for the spread of staphylococcal infections; therefore, further studies are needed to find strategies for controlling the presence of <i>S. aureus</i>, especially MRSA, in dairy products.</p>","PeriodicalId":14633,"journal":{"name":"Iranian Journal of Microbiology","volume":"16 5","pages":"605-613"},"PeriodicalIF":1.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11551661/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142636055","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Is routine screening for Candida auris necessary in ICU? 重症监护病房是否有必要对念珠菌进行常规筛查?
IF 1.3 Q4 MICROBIOLOGY Pub Date : 2024-10-01 DOI: 10.18502/ijm.v16i5.16807
Arun Sachu, Harisree Sudersanan, Sanjo Sunny, Philip Mathew, Ajeesh Kumar, Alice David

Background and objectives: The capability to cause invasive infection, multi-drug resistance, and health care-associated outbreaks of Candida auris have made it a pathogen of great concern. Estimating how many patients in our intensive care unit had C. auris colonization and what characteristics put patients at risk for having Candida spp. colonization were the primary goals of the study.

Materials and methods: Swabs from axilla and groin were collected from 229 patients getting admitted to the ICU. Samples were inoculated into CHROMagarTM Candida Plus medium. Colonies presumptively identified as C. auris by the presence of light blue with blue halo and were confirmed by VITEK-2.

Results: Our study showed that only one patient was colonized with C. auris. A total of 47 (20.5%) patients were colonized with Candida spp., of which Candida parapislosis was the predominant organism. History of antibiotic use and cerebrovascular accident were independent risk factors in Candida colonization.

Conclusion: Active screening for Candida auris in all patients is not required in our hospital as the prevalence was very low and not cost-effective. Therefore we plan to modify our screening strategy and use risk factors based surveillance strategy as it may serve as an ideal strategy.

背景和目的:念珠菌可引起侵袭性感染、多重耐药性以及与医疗保健相关的疫情爆发,这使其成为一种备受关注的病原体。本研究的主要目的是估算重症监护病房中有多少患者有念珠菌定植,以及哪些特征会导致患者有念珠菌定植的风险:从 229 名重症监护室住院患者的腋窝和腹股沟处采集拭子。将样本接种到 CHROMagarTM Candida Plus 培养基中。结果显示,只有一名患者被确诊为白色念珠菌感染:我们的研究表明,只有一名患者体内有念珠菌菌落。共有 47 名患者(20.5%)定植了念珠菌属,其中副咽峡炎念珠菌是主要病原菌。使用抗生素史和脑血管意外是念珠菌定植的独立风险因素:结论:在我们医院,不需要对所有患者进行积极的念珠菌筛查,因为念珠菌的流行率很低,而且不符合成本效益。因此,我们计划修改筛查策略,采用基于风险因素的监测策略,因为这可能是一种理想的策略。
{"title":"Is routine screening for <i>Candida auris</i> necessary in ICU?","authors":"Arun Sachu, Harisree Sudersanan, Sanjo Sunny, Philip Mathew, Ajeesh Kumar, Alice David","doi":"10.18502/ijm.v16i5.16807","DOIUrl":"https://doi.org/10.18502/ijm.v16i5.16807","url":null,"abstract":"<p><strong>Background and objectives: </strong>The capability to cause invasive infection, multi-drug resistance, and health care-associated outbreaks of <i>Candida auris</i> have made it a pathogen of great concern. Estimating how many patients in our intensive care unit had <i>C. auris</i> colonization and what characteristics put patients at risk for having <i>Candida</i> spp. colonization were the primary goals of the study.</p><p><strong>Materials and methods: </strong>Swabs from axilla and groin were collected from 229 patients getting admitted to the ICU. Samples were inoculated into CHROMagar<sup>TM</sup> <i>Candida</i> Plus medium. Colonies presumptively identified as <i>C. auris</i> by the presence of light blue with blue halo and were confirmed by VITEK-2.</p><p><strong>Results: </strong>Our study showed that only one patient was colonized with <i>C. auris</i>. A total of 47 (20.5%) patients were colonized with <i>Candida</i> spp., of which <i>Candida parapislosis</i> was the predominant organism. History of antibiotic use and cerebrovascular accident were independent risk factors in <i>Candida</i> colonization.</p><p><strong>Conclusion: </strong>Active screening for <i>Candida auris</i> in all patients is not required in our hospital as the prevalence was very low and not cost-effective. Therefore we plan to modify our screening strategy and use risk factors based surveillance strategy as it may serve as an ideal strategy.</p>","PeriodicalId":14633,"journal":{"name":"Iranian Journal of Microbiology","volume":"16 5","pages":"708-715"},"PeriodicalIF":1.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11551662/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142619643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Increased incidence of methicillin resistant Staphylococcus aureus and methicillin resistant Staphylococcus epidermidis in the skin and nasal carriage among healthcare workers and inanimate hospital surfaces after the COVID-19 pandemic. COVID-19 大流行后,医护人员和医院无生命表面的皮肤和鼻腔携带物中耐甲氧西林金黄色葡萄球菌和耐甲氧西林表皮葡萄球菌的发病率增加。
IF 1.3 Q4 MICROBIOLOGY Pub Date : 2024-10-01 DOI: 10.18502/ijm.v16i5.16791
Esraa H Al-Nsour, Hadeel T Al-Hadithi, Rania Mhammad Al-Groom, Saqr Abushattal, Abdallah Y Naser, Ahmad H Al Nsour, Rawand A Sallam, Lara M Kollab, Laila Alswalha, Mohd Sajjad Ahmad Khan

Background and objectives: Healthcare workers in hospitals are exposed to infectious diseases that occur in the hospital making them a source of infection for the patients. It is interfaced as cross-contamination agents for MRSA and MR-CoNS, and preventive measures need to be adapted accordingly. The study aimed to assess Methicillin-Resistant Staphylococcus (MRS) on the skin and nasal cavities of healthcare workers (HCWs) and identifying isolates to the species level.

Materials and methods: Swab samples were cultured on mannitol salt agar (MSA) to obtain MRS and determine their ability to produce coagulase. Their susceptibility to antibiotics were determined by agar screening and disk diffusion methods and further identification was done at the species level.

Results: The highest percentage of methicillin resistant coagulase positive Staphylococci (MRCoPS) was reported among skins of male HCWs, (71.4%) were identified as MRSA. The highest levels of methicillin resistant coagulase negative Staphylococci (MRCoNS) were mainly detected in both nasal cavities, (75%) were identified as MRSE. MRSA was reported from doctors (p-value 0.033), whereas the highest incidence of MRSE was obtained from the nurses (p-value 0.048).

Conclusion: This study highlighted that incidence of MRSA was mainly detected in doctors and MRCoNS in both nasal cavities. The highest percentage of MRCoNS was recovered from the patients' room followed by the reception table. Moreover, vancomycin is suggested to be highly effective in managing and controlling S. aureus, MRSA- and MRSE related infections.

背景和目标:医院中的医护人员会接触到医院中发生的传染病,从而成为病人的传染源。他们是 MRSA 和 MR-CoNS 的交叉感染媒介,因此需要采取相应的预防措施。本研究旨在评估医护人员(HCWs)皮肤和鼻腔中的耐甲氧西林金黄色葡萄球菌(MRS),并对分离菌种进行鉴定:在甘露醇盐琼脂(MSA)上培养拭子样本,以获得 MRS 并确定其产生凝固酶的能力。通过琼脂筛选法和盘扩散法测定它们对抗生素的敏感性,并进一步进行菌种鉴定:结果:在男性高危职业工人的皮肤中,耐甲氧西林凝固酶阳性葡萄球菌(MRCoPS)的比例最高,(71.4%)被鉴定为 MRSA。耐甲氧西林凝固酶阴性葡萄球菌(MRCoNS)含量最高,主要在两个鼻腔中检出,(75%)被鉴定为 MRSE。医生报告了 MRSA(P 值为 0.033),而护士的 MRSE 发生率最高(P 值为 0.048):本研究强调,MRSA 主要在医生和 MRCoNS 的两个鼻腔中发现。从病人房间发现的 MRCoNS 比例最高,其次是接待台。此外,万古霉素被认为在管理和控制金黄色葡萄球菌、MRSA 和 MRSE 相关感染方面非常有效。
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引用次数: 0
Molecular detection of Epstein-Barr virus in paraffin-embedded tissue samples of patients suffering gastric cancer in Ahvaz, Iran: a case-control study. 伊朗阿瓦士胃癌患者石蜡包埋组织样本中 Epstein-Barr 病毒的分子检测:一项病例对照研究。
IF 1.3 Q4 MICROBIOLOGY Pub Date : 2024-10-01 DOI: 10.18502/ijm.v16i5.16805
Mehdi Gharibzadeh, Shahram Jalilian, Manoochehr Makvandi, Seyed Saeid Seyedian, Azarakhsh Azaran

Background and objectives: Gastric cancer (GC) is the third most common cause of cancer-related mortality. Epstein-Barr virus (EBV) is associated with several human tumors. The present research was performed to investigate the prevalence of EBV-associated gastric cancer (EBVaGC) among Iranian patients.

Materials and methods: Seventy cases of gastric cancer and 30 cases of gastric ulcer, all preserved in formalin-fixed paraffin-embedded (FFPE), were examined in a case-control study conducted between 2011 and 2018. The specimens underwent analysis to detect the presence of the EBV genome using a Nested-PCR method targeting EBNA1. Subsequently, samples testing positive for the EBNA1 underwent further testing for the presence of the EBER gene using PCR. Finally, Positive samples were subjected to sequencing.

Results: Five out of 70 cases (7%) were found to be positive for EBV based on EBNA1 testing, while all EBNA1 positive samples were negative for EBER. Notably, EBV was not detected in patients with gastric ulcer. The mean age of EBV-positive gastric carcinomas pateints was 64.5 years. Within this group, 60% were male and 40% were female. A higher prevalence of EBV association was observed in diffuse-type cases, with 60% (3 out of 24) testing positive, compared to intestinal-type cases where 40% (2 out of 46) were EBV-positive. Most cases of EBVaGC belonged to grade Ⅰ.

Conclusion: This research demonstrates a low prevalence of EBVaGC in Iran. Discrepancies in EBVaGC occurrence among countries could be attributed to epidemiological variables and dietary practices. A comprehensive studies will provide significant contributions to understanding of its etiology.

背景和目的:胃癌(GC)是导致癌症相关死亡的第三大常见病因。爱泼斯坦-巴氏病毒(EBV)与多种人类肿瘤有关。本研究旨在调查伊朗患者中 EBV 相关胃癌(EBVaGC)的发病率:在 2011 年至 2018 年期间进行的一项病例对照研究中,对 70 例胃癌和 30 例胃溃疡病例进行了检查,所有病例均保存在福尔马林固定石蜡包埋(FFPE)中。标本经过分析,使用针对 EBNA1 的 Nested-PCR 方法检测 EBV 基因组的存在。随后,对 EBNA1 检测呈阳性的样本使用 PCR 进一步检测是否存在 EBER 基因。最后,对阳性样本进行测序:结果:根据 EBNA1 检测结果,70 例病例中有 5 例(7%)发现 EBV 阳性,而所有 EBNA1 阳性样本的 EBER 均为阴性。值得注意的是,胃溃疡患者未检测到 EBV。EBV阳性胃癌患者的平均年龄为64.5岁。其中男性占 60%,女性占 40%。弥漫型病例中EBV相关性较高,60%(24例中有3例)检测呈阳性,而肠道型病例中EBV阳性率为40%(46例中有2例)。大多数 EBVaGC 病例属于Ⅰ级:这项研究表明,EBVaGC 在伊朗的发病率较低。各国 EBVaGC 发病率的差异可能与流行病学变量和饮食习惯有关。全面的研究将为了解其病因做出重要贡献。
{"title":"Molecular detection of Epstein-Barr virus in paraffin-embedded tissue samples of patients suffering gastric cancer in Ahvaz, Iran: a case-control study.","authors":"Mehdi Gharibzadeh, Shahram Jalilian, Manoochehr Makvandi, Seyed Saeid Seyedian, Azarakhsh Azaran","doi":"10.18502/ijm.v16i5.16805","DOIUrl":"https://doi.org/10.18502/ijm.v16i5.16805","url":null,"abstract":"<p><strong>Background and objectives: </strong>Gastric cancer (GC) is the third most common cause of cancer-related mortality. Epstein-Barr virus (EBV) is associated with several human tumors. The present research was performed to investigate the prevalence of EBV-associated gastric cancer (EBVaGC) among Iranian patients.</p><p><strong>Materials and methods: </strong>Seventy cases of gastric cancer and 30 cases of gastric ulcer, all preserved in formalin-fixed paraffin-embedded (FFPE), were examined in a case-control study conducted between 2011 and 2018. The specimens underwent analysis to detect the presence of the EBV genome using a Nested-PCR method targeting EBNA1. Subsequently, samples testing positive for the EBNA1 underwent further testing for the presence of the EBER gene using PCR. Finally, Positive samples were subjected to sequencing.</p><p><strong>Results: </strong>Five out of 70 cases (7%) were found to be positive for EBV based on EBNA1 testing, while all EBNA1 positive samples were negative for EBER. Notably, EBV was not detected in patients with gastric ulcer. The mean age of EBV-positive gastric carcinomas pateints was 64.5 years. Within this group, 60% were male and 40% were female. A higher prevalence of EBV association was observed in diffuse-type cases, with 60% (3 out of 24) testing positive, compared to intestinal-type cases where 40% (2 out of 46) were EBV-positive. Most cases of EBVaGC belonged to grade Ⅰ.</p><p><strong>Conclusion: </strong>This research demonstrates a low prevalence of EBVaGC in Iran. Discrepancies in EBVaGC occurrence among countries could be attributed to epidemiological variables and dietary practices. A comprehensive studies will provide significant contributions to understanding of its etiology.</p>","PeriodicalId":14633,"journal":{"name":"Iranian Journal of Microbiology","volume":"16 5","pages":"689-697"},"PeriodicalIF":1.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11551666/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142619808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Robust contact tracing and screening needed for leprosy control and protection of vulnerable children. 控制麻风病和保护弱势儿童需要强有力的接触者追踪和筛查。
IF 1.3 Q4 MICROBIOLOGY Pub Date : 2024-10-01 DOI: 10.18502/ijm.v16i5.16808
Khyathi Reddy Pilaka, Michael Sukumar Pallapati, Zakaraiah Jaladi, Kumar Ebineshan

Leprosy in children is considered as an indicator of active disease transmission in the community. We report about a seven-year-old male from Telangana, India, with anesthetic skin lesions and familial leprosy history. Clinical examination revealed multiple, dry, scaly, hypopigmented, well-defined, raised punched out anesthetic skin lesions all over the body with both ulnar nerves enlarged. On clinical and laboratory examination, the child was diagnosed with borderline-borderline (BB), multibacillary (MB) leprosy, and Type-1 reaction. The child received a weight-adjusted MB multidrug therapy regimen and corticosteroids for type-1 reactions. This case emphasizes the need for contact tracing and screening for early diagnosis of child leprosy to prevent complications like leprosy reactions which are the risk factors for disability.

儿童麻风病被认为是麻风病在社区传播的一个指标。我们报告了一名来自印度特兰甘纳邦的七岁男性患者,他患有麻风性皮损并有家族麻风病史。临床检查发现,患儿全身出现多处干燥、鳞屑、色素减退、界限清楚、隆起的打孔麻风性皮损,两侧尺神经肿大。经临床和实验室检查,患儿被诊断为边缘型(BB)、多脓疱型(MB)麻风病和1型反应。患儿接受了调整体重的MB多药治疗方案和皮质类固醇治疗1型反应。本病例强调了对接触者进行追踪和筛查以早期诊断儿童麻风病的必要性,从而预防麻风反应等并发症,这些并发症是导致残疾的危险因素。
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引用次数: 0
Gut microbiota and graft-versus-host disease in hematopoietic stem cell transplant patients. 造血干细胞移植患者的肠道微生物群与移植物抗宿主疾病。
IF 1.3 Q4 MICROBIOLOGY Pub Date : 2024-10-01 DOI: 10.18502/ijm.v16i5.16800
Pegah Panahi, Amir Hossein Hashemian, Mehrdad Payandeh, Mahdi Taghadosi, Bizhan Nomanpour

Background and objectives: Graft-versus-host disease (GvHD) frequently complicates hematopoietic stem cell transplantation (HSCT). Emerging evidence suggests a correlation between gut microbiota and GvHD risk. This study aims to elucidate the microbiota profiles in HSCT patients before and after transplantation and their association with GvHD.

Materials and methods: This study, conducted from December 2022 to December 2023, involved the collection of 15 stool samples from HSCT patients. Bacterial content was quantified using real-time PCR, while interleukin-6 levels were assessed via ELISA.

Results: Among the 15 participants (8 male, 7 female), 9 underwent allogeneic HSCT (allo-HSCT) and 6 received autologous HSCT. In the aGvHD group, there was a significant reduction in the abundance of Bacteroides and Bifidobacterium compared to those without aGvHD. Additionally, declines were observed in Clostridium and Firmicutes populations. The genus Blautia also showed reduced prevalence in the aGvHD group, whereas no significant differences were noted in the uncomplicated group. ELISA analysis revealed that interleukin-6 levels remained within the normal range (30-960 pg/ml) with no significant elevation in the aGvHD group.

Conclusion: The study highlights a notable association between alterations in gut microbiota, specifically reductions in certain bacterial populations and the development of aGvHD following allo-HSCT.

背景与目的:移植物抗宿主疾病(GvHD)经常并发造血干细胞移植(HSCT)。新的证据表明,肠道微生物群与移植物抗宿主疾病风险之间存在相关性。本研究旨在阐明造血干细胞移植患者在移植前后的微生物群谱及其与GvHD的关系:本研究于 2022 年 12 月至 2023 年 12 月进行,收集了造血干细胞移植患者的 15 份粪便样本。使用实时 PCR 对细菌含量进行量化,同时通过 ELISA 评估白细胞介素-6 的水平:15名参与者(8男7女)中,9人接受了异基因造血干细胞移植(allo-HSCT),6人接受了自体造血干细胞移植。与未接受异基因造血干细胞移植的患者相比,接受异基因造血干细胞移植的患者体内乳酸杆菌和双歧杆菌的数量明显减少。此外,梭状芽孢杆菌(Clostridium)和真菌(Firmicutes)的数量也有所下降。布劳氏菌属在 aGvHD 组中的流行率也有所下降,而在无并发症组中则无明显差异。ELISA 分析显示,白细胞介素-6 水平仍在正常范围内(30-960 pg/ml),无并发症组的白细胞介素-6 水平没有明显升高:结论:这项研究强调了肠道微生物群的改变,特别是某些细菌群的减少与allo-HSCT后发生aGvHD之间的明显联系。
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Iranian Journal of Microbiology
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