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Probiotics: truths and illusions. 益生菌:真相与幻想。
IF 1.4 Q3 Medicine Pub Date : 2024-02-01 DOI: 10.18502/ijm.v16i1.14865
Sogol Tavanaeian, Mohammad Mehdi Feizabadi
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引用次数: 0
Building the taxonomic profile of the Riniaie Marwah hot spring of Kishtwar in Jammu and Kashmir: the first high-throughput sequencing-based metagenome study. 建立查谟和克什米尔基什特瓦尔的 Riniaie Marwah 温泉的分类概况:首次基于高通量测序的元基因组研究。
IF 1.4 Q3 Medicine Pub Date : 2023-12-01 DOI: 10.18502/ijm.v15i6.14132
Atif Khurshid Wani, Suhail Ahmad, Juliana Heloisa Pinê Américo-Pinheiro, Nazli Tizro, Reena Singh

Background and objectives: Rinaie Marwah hot spring Kishtwar (RMHSK) is one of the geothermal springs located at 33°51'51″N 75°32'07″E with an elevation of 2134 meters above sea level in Jammu and Kashmir, India. We aimed to study the microbial diversity of this geothermal spring using metagenomics.

Materials and methods: In the present study, physiochemical parameters including temperature (65-75°C), pH (6. 9-8. 8), hardness (250 ppm), and mineral content was measured along with the microbial diversity using Illumina MiSeq metagenome-based 16s amplicon sequencing (V3-V4). The sequence reads were classified taxonomically into 31 phyla, 71 classes, 152 orders, 256 families, 410 genus, and 665 species. QIIME 2 (Quantitative Insights into Microbial Ecology), an extensible, powerful, and decentralized analytical tool, was used for taxonomic analysis.

Results: Bacteroidota (32. 57%) was the dominant phylum, Bacteroidia (32. 51%) the dominant class, Bacteroidales (16. 6%) the dominant order, and Lentimicrobiaceae (14. 23%) was the dominant family per the abundance analysis. Shannon (2. 28) and Chao 1 (87. 0) diversity indices support the existence of higher microbial diversity in RMHSK (50717 OTUs).

Conclusion: The microbial diversity of RMHSK is reported for the first time through a metagenomic study. Identification of microorganisms with characteristics that are relevant to industries.

背景和目标:Rinaie Marwah hot spring Kishtwar(RMHSK)是印度查谟和克什米尔地区的地热泉之一,位于北纬 33°51'51″ 东经 75°32'07″,海拔 2134 米。我们旨在利用元基因组学研究该地热泉的微生物多样性:在本研究中,使用基于 Illumina MiSeq 元基因组的 16s 扩增片段测序(V3-V4)测量了包括温度(65-75°C)、pH 值(6.9-8.8)、硬度(250 ppm)和矿物质含量在内的理化参数以及微生物多样性。序列读数按分类学分为 31 个门、71 个类、152 个目、256 个科、410 个属和 665 个种。QIIME 2(Quantitative Insights into Microbial Ecology)是一个可扩展、功能强大且分散的分析工具,用于分类分析:根据丰度分析,类杆菌科(32. 57%)是主要的门,类杆菌属(32. 51%)是主要的类,类杆菌目(16. 6%)是主要的目,扁囊菌科(14. 23%)是主要的科。Shannon(2.28)和 Chao 1(87.0)多样性指数支持 RMHSK 存在较高的微生物多样性(50717 个 OTUs):结论:首次通过元基因组研究报告了 RMHSK 的微生物多样性。鉴定与工业相关的微生物特征。
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引用次数: 0
Isolation and characterization of a bisphenol A-degrading strain, Pseudomonas aeruginosa DU2, from soil containing decaying plants. 从含有腐烂植物的土壤中分离双酚 A 降解菌株铜绿假单胞菌 DU2 并确定其特征。
IF 1.4 Q3 Medicine Pub Date : 2023-12-01 DOI: 10.18502/ijm.v15i6.14133
Navid Chamak, Parisa Farrokh, Roohollah Rostami, Fatemeh Salimi

Background and objectives: Bisphenol A (BPA) is a toxic compound with broad applications in the plastics industry. BPA has harmful effects on various organisms and its efficient removal is necessary. The microbial degradation of BPA is a safe and economical approach. In this research, soil samples containing decaying plants were screened to isolate a BPA-degradable bacterial strain.

Materials and methods: Soil samples were collected from different locations in Damghan, Semnan province, Iran. To enrich BPA-degrading bacteria, the samples were cultured in a stepwise manner in a mineral medium containing increasing BPA concentrations (5 to 40 mg/L). The ability of isolated bacteria in degrading BPA was assayed by Folin-Ciocalteu and high-performance liquid chromatography methods. The biodegradation efficiency of the most efficient isolate was assayed under distinct conditions and it was identified through the sequencing of the 16S rRNA gene.

Results: Among the isolated bacteria, Pseudomonas aeruginosa DU2 (GenBank accession number: OP919484) showed the most BPA biodegradation ability. The highest BPA degradation (52.98%) was observed in the mineral medium containing 5 mg/L BPA and the inoculum size of 6 × 107 CFU/mL at pH 9 and in the presence of 0.05% (w/v) NaCl during 10 days.

Conclusion: These results offer soil containing decaying plants as a promising source for finding BPA-degrading bacteria. P. aeruginosa DU2 has basal BPA removal ability, which could be improved by optimization of medium components and growth conditions.

背景和目的:双酚 A(BPA)是一种有毒化合物,广泛应用于塑料工业。双酚 A 会对各种生物产生有害影响,因此必须有效地去除双酚 A。微生物降解双酚 A 是一种安全、经济的方法。本研究对含有腐烂植物的土壤样本进行了筛选,以分离出一种可降解双酚 A 的细菌菌株:土壤样本采集自伊朗塞姆南省 Damghan 的不同地点。为了富集双酚 A 酸降解细菌,在含有浓度不断增加的双酚 A 酸(5 至 40 毫克/升)的矿物培养基中逐步培养样品。采用 Folin-Ciocalteu 和高效液相色谱法检测了分离细菌降解双酚 A 的能力。在不同条件下测定了最有效分离菌的生物降解效率,并通过 16S rRNA 基因测序对其进行了鉴定:结果:在分离出的细菌中,铜绿假单胞菌 DU2(GenBank 编号:OP919484)对双酚 A 的生物降解能力最强。在含有 5 mg/L 双酚 A 的矿物培养基中,接种量为 6 × 107 CFU/mL,pH 值为 9,存在 0.05% (w/v) NaCl 的条件下,10 天内观察到的双酚 A 降解率最高(52.98%):这些结果表明,含有腐烂植物的土壤是寻找双酚 A 降解菌的一个很有前景的来源。铜绿微囊藻 DU2 具有基本的双酚 A 去除能力,可通过优化培养基成分和生长条件来提高这种能力。
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引用次数: 0
Distribution of group a Rotavirus circulating in Mashhad, Iran. 伊朗马什哈德流行的 a 组轮状病毒的分布情况。
IF 1.4 Q3 Medicine Pub Date : 2023-12-01 DOI: 10.18502/ijm.v15i6.14160
Kiana Ketabi, Zahra Meshkat, Hoorieh Soleimanjahi, Ali Teimoori, Hamid Tanzadepanah, Faezeh Bakhshi

Background and objectives: Group A Rotavirus (RVA) is the most important causative agent of acute diarrheal disease in pediatrics 5 years and below. This study aimed to determine the distribution of circulating RVA in Mashhad, Iran to develop health improvement strategies and vaccine decision making.

Materials and methods: A total of 106 fecal specimens were collected from children admitted to Akbar and Dr. Sheikh referral pediatric hospitals of Mashhad City during the December 2020 to March 2021 and December 2021 to March 2022. All specimens were tested for specific bacterial, parasitic, and amoebic infections. Negative samples were analyzed for RVA infections using the RT-PCR method.

Results: RVA was detected in 31.3% of the specimens, indicating no statistical significance in gender distribution or between fall and winter positivity rates. The number of RVA-positive specimens increased following age increasing in the range of 1 to 60 months.

Conclusion: Today, acute diarrheal disease (ADD) is still caused mostly by Rotavirus infections in pediatrics in Mashhad. Comprehensive studies are needed to determine the genetic diversity of circulating Rotavirus strains in this era.

背景和目的:A 组轮状病毒(RVA)是 5 岁及以下儿童急性腹泻病的最主要病原体。本研究旨在确定 RVA 在伊朗马什哈德的分布情况,以制定健康改善策略和疫苗决策:在 2020 年 12 月至 2021 年 3 月和 2021 年 12 月至 2022 年 3 月期间,从马什哈德市 Akbar 和 Sheikh 医生儿科转诊医院住院的儿童中收集了 106 份粪便标本。对所有样本进行了特定细菌、寄生虫和阿米巴感染检测。采用 RT-PCR 方法对阴性样本进行 RVA 感染分析:31.3%的样本中检测到了 RVA,表明性别分布或秋冬季阳性率之间没有统计学意义。随着年龄在 1 到 60 个月之间的增长,RVA 阳性标本的数量也在增加:如今,在马什哈德的儿科中,急性腹泻病(ADD)仍主要由轮状病毒感染引起。需要进行全面研究,以确定当前流行的轮状病毒毒株的遗传多样性。
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引用次数: 0
Persistence of SARS-CoV-2-antibodies against N, S and RBD after natural infection. 自然感染后,针对 N、S 和 RBD 的 SARS-CoV-2 抗体持续存在。
IF 1.4 Q3 Medicine Pub Date : 2023-12-01 DOI: 10.18502/ijm.v15i6.14161
Mitra Jafari, Samira Asli, Fateme Moghbeli, Mohammad Gholami Fesharaki, Nazila Hajiahmadi, Faezeh Mojtahedzadeh, Saeid Amel Jamehdar, Taravat Bamdad

Background and objectives: Coronavirus disease 2019 (COVID-19) pandemic has affected most countries in the world. Monitoring the humoral immune responses during the natural course of Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) infection and the duration of them provide useful information for the development of vaccination strategies against this virus and its emerging variants. The importance of the antibody response especially neutralizing antibodies in long-term immunity to SARS-CoV-2 is significant.

Materials and methods: The present study is a cross-sectional study of sero-epidemiological type that has been proposed to compare the persistence of Immunoglobulin G (IgG) against N (nucleocapsid), S (spike) and RBD (receptor-binding domain) proteins in the community after the time of primary disease. A total of 652 serum samples were collected from hospital staff working in COVID wards, as well as a number of community members with different occupations, among those with positive antibody titers, 86 participated in the resampling test before vaccination.

Results: There was no association between antibody titer and disease severity (p>0.05). A significant decrease in Ab levels was observed in the paired second samples. The highest rate of decrease was related to anti-N, then anti-RBD and anti-S IgG levels, respectively. There is a significant relationship between the initial antibody titer and its reduction over time (p-value <0.05).

Conclusion: Our data revealed that humoral immunity following natural infection of SARS-CoV-2 is detectable for at least 4 months, regardless of disease severity. The most decrease in antibody titer over time was related to anti-N IgG levels.

背景和目标:2019年冠状病毒病(COVID-19)大流行已影响到世界上大多数国家。监测严重急性呼吸系统综合征冠状病毒-2(SARS-CoV-2)感染自然过程中的体液免疫反应及其持续时间,可为制定针对该病毒及其新变种的疫苗接种策略提供有用信息。抗体反应,尤其是中和抗体,对 SARS-CoV-2 的长期免疫具有重要意义:本研究是一项血清流行病学类型的横断面研究,旨在比较原发疾病发生后社区中针对 N(核头)、S(尖峰)和 RBD(受体结合域)蛋白的免疫球蛋白 G(IgG)的持续存在情况。我们从在 COVID 病房工作的医院员工以及一些从事不同职业的社区成员中收集了 652 份血清样本,其中抗体滴度呈阳性的 86 人在接种疫苗前参加了再采样试验:结果:抗体滴度与疾病严重程度之间没有关联(P>0.05)。在第二次配对样本中观察到抗体水平明显下降。抗-N、抗-RBD和抗-S IgG水平的下降率分别最高。初始抗体滴度与随着时间推移抗体滴度的降低之间存在明显的关系(P 值 结论):我们的数据显示,无论疾病严重程度如何,自然感染 SARS-CoV-2 后的体液免疫至少可持续 4 个月。随着时间的推移,抗体滴度下降最多的是抗 N IgG 水平。
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引用次数: 0
Microbiological profile of multidrug resistant bacteria before and during COVID-19 in CHU Mohammed VI. 穆罕默德六世医院在 COVID-19 之前和期间耐多药细菌的微生物概况。
IF 1.4 Q3 Medicine Pub Date : 2023-12-01 DOI: 10.18502/ijm.v15i6.14138
Hind Bennani, Morad Guennouni, Assia El Ouarradi, Asmae Lamrani Hanchi, Nabila Soraa

Background and objectives: A new type of corona virus has caused Corona virus disease-19 and, subsequently, a global pandemic. All individuals are prone to the disease, so drastic measures were taken to prevent its spread. This study aimed to evaluate the impact of COVID-19 on the progression of the antimicrobial resistance rate by comparing two periods: before and during COVID-19.

Materials and methods: We used a cross-sectional design to investigate the Antimicrobial Resistance (AMR) rate before (03/2019 to 03/2020) and during COVID-19 (03/2020 to 03/2021) in a University Hospital in Marrakech. The data were analyzed using SPSS Version 25.0.

Results: Among the 7106 specimens, there was a significant increase in the multidrug-resistant bacterial from 27.38% to 35.87% during COVID-19 (p<0.001), particularly in blood culture, cerebrospinal fluid, catheter, and pus. However, there was a non-significant change in puncture fluid, expectoration, protected distal sampling, joint fluid, stool culture, and genital sampling. A decrease in Multidrug-resistant bacteria (MDRB) was observed only in cytobacteriological urine tests (p<0.05). According to species, there was an increase in extended-spectrum beta-lactamase-producing Enterobacteriaceae, carbapenem-resistant Enterobacteriaceae, and methicillin-resistant Staphylococcus aureus.

Conclusion: In our study, it is particularly noticeable that the MDRB has increased. These results highlight the importance that the pandemic has not been able to slow the progression.

背景和目的:一种新型电晕病毒引发了电晕病毒病-19,并随之在全球大流行。所有人都容易感染这种疾病,因此采取了严厉措施防止其传播。本研究旨在通过比较 COVID-19 之前和期间两个时期,评估 COVID-19 对抗菌药耐药率进展的影响:我们采用横断面设计调查了马拉喀什一家大学医院在 COVID-19 之前(2019 年 3 月 3 日至 2020 年 3 月 3 日)和期间(2020 年 3 月 3 日至 2021 年 3 月 3 日)的抗菌药物耐药率(AMR)。数据采用 SPSS 25.0 版进行分析:在 7106 份标本中,COVID-19 期间耐多药细菌(金黄色葡萄球菌)从 27.38% 显著增加到 35.87%:在我们的研究中,多重耐药菌的增加尤为明显。这些结果突显了大流行未能减缓进展的重要性。
{"title":"Microbiological profile of multidrug resistant bacteria before and during COVID-19 in CHU Mohammed VI.","authors":"Hind Bennani, Morad Guennouni, Assia El Ouarradi, Asmae Lamrani Hanchi, Nabila Soraa","doi":"10.18502/ijm.v15i6.14138","DOIUrl":"10.18502/ijm.v15i6.14138","url":null,"abstract":"<p><strong>Background and objectives: </strong>A new type of corona virus has caused Corona virus disease-19 and, subsequently, a global pandemic. All individuals are prone to the disease, so drastic measures were taken to prevent its spread. This study aimed to evaluate the impact of COVID-19 on the progression of the antimicrobial resistance rate by comparing two periods: before and during COVID-19.</p><p><strong>Materials and methods: </strong>We used a cross-sectional design to investigate the Antimicrobial Resistance (AMR) rate before (03/2019 to 03/2020) and during COVID-19 (03/2020 to 03/2021) in a University Hospital in Marrakech. The data were analyzed using SPSS Version 25.0.</p><p><strong>Results: </strong>Among the 7106 specimens, there was a significant increase in the multidrug-resistant bacterial from 27.38% to 35.87% during COVID-19 (p<0.001), particularly in blood culture, cerebrospinal fluid, catheter, and pus. However, there was a non-significant change in puncture fluid, expectoration, protected distal sampling, joint fluid, stool culture, and genital sampling. A decrease in Multidrug-resistant bacteria (MDRB) was observed only in cytobacteriological urine tests (p<0.05). According to species, there was an increase in extended-spectrum beta-lactamase-producing Enterobacteriaceae, carbapenem-resistant Enterobacteriaceae, and methicillin-resistant <i>Staphylococcus aureus.</i></p><p><strong>Conclusion: </strong>In our study, it is particularly noticeable that the MDRB has increased. These results highlight the importance that the pandemic has not been able to slow the progression.</p>","PeriodicalId":14633,"journal":{"name":"Iranian Journal of Microbiology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10751609/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139058316","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
Prevalence of ventilator-associated events and antibiogram of bacterial isolates of ventilator-associated pneumonia in a tertiary care hospital of Uttarakhand. 北阿坎德邦一家三级护理医院的呼吸机相关事件发生率和呼吸机相关肺炎细菌分离抗生素图谱。
IF 1.4 Q3 Medicine Pub Date : 2023-12-01 DOI: 10.18502/ijm.v15i6.14137
Abhishek Kori, Nidhi Negi, Iva Chandola, Reshmi Roy, Shikha Gairola, Lipika Gaur

Background and objectives: Despite progress in diagnosing and managing ventilator-associated pneumonia (VAP), ongoing monitoring of ventilator-associated events (VAE) is crucial due to VAP's persistent prominence as the primary cause of Hospital-Acquired Infection (HAI) among Intensive Care unit patients. This study was done to illuminate the prevalence of VAE and antibiogram of bacterial isolates of VAP in a tertiary care hospital of Uttarakhand.

Materials and methods: This cross-sectional study focused on ICU patients. Adult patients ventilated for > 2 days were monitored daily, with VAE data analyzed using Center of Disease Control & Prevention (CDC) criteria. Specimens were sent to the Microbiology Department and cultured on Blood agar and MacConkey agar. Identification and antimicrobial profiles of isolates were determined using Vitek-2 Compact.

Results: 1220 ventilated individuals were assessed in total. VAE was diagnosed in 6.4% (78/1220) of the patients, the same later developed ventilator associated condition (VAC), 74 developed the infection-related VAC (IVAC), and 60 developed the possible/probable VAP (PVAP) among the 78 VAE cases. Klebsiella pneumoniae (35%), Acinetobacter baumannii (33%), and Pseudomonas aeruginosa (16%) were the most common isolated organisms. Colistin (57%) was the most effective against Klebsiella pneumoniae, followed by amikacin (28.5%) and trimethoprim+sulfamethoxazole (24%). Pseudomonas aeruginosa was most susceptible to imipenem (70%), meropenem, cefoperazone+sulbactam, and colistin (60%). Acinetobacter baumannii was most susceptible to colistin (85%), tigecycline (65%), and trimethoprim+sulfamethoxazole (25%).

Conclusion: The most common cause of HAI is VAP. The purpose of this study is to determine the importance of starting suitable antibiotics early for prognosis and the difficulty of diagnosing VAP.

背景和目标:尽管在诊断和管理呼吸机相关性肺炎(VAP)方面取得了进展,但由于呼吸机相关性肺炎一直是重症监护病房患者发生医院获得性感染(HAI)的主要原因,因此持续监测呼吸机相关性肺炎事件(VAE)至关重要。本研究旨在了解北阿坎德邦一家三级护理医院中 VAE 的流行情况以及 VAP 细菌分离的抗生素图谱:这项横断面研究主要针对重症监护病房的患者。每天对通气时间超过 2 天的成人患者进行监测,并根据疾病控制与预防中心(CDC)的标准分析 VAE 数据。标本送至微生物部,在血琼脂和麦康凯琼脂上进行培养。使用 Vitek-2 Compact 确定分离物的鉴定和抗菌谱:结果:共对 1220 名通气患者进行了评估。在 78 例 VAE 患者中,6.4%(78/1220)的患者被诊断为 VAE,同样的患者后来发展为呼吸机相关疾病(VAC),74 例发展为感染相关 VAC(IVAC),60 例发展为可能/疑似 VAP(PVAP)。肺炎克雷伯菌(35%)、鲍曼不动杆菌(33%)和铜绿假单胞菌(16%)是最常见的分离菌。可乐定(57%)对肺炎克雷伯菌最有效,其次是阿米卡星(28.5%)和三甲双胍+磺胺甲噁唑(24%)。铜绿假单胞菌对亚胺培南(70%)、美罗培南、头孢哌酮+舒巴坦和可乐定(60%)最敏感。鲍曼不动杆菌对秋水仙碱(85%)、替加环素(65%)和三甲双胍+磺胺甲噁唑(25%)最敏感:结论:造成 HAI 的最常见原因是 VAP。本研究的目的是确定尽早开始使用合适的抗生素对预后的重要性以及 VAP 诊断的难度。
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引用次数: 0
Comparison of culture and PCR-DGGE methods to evaluate the airways of cystic fibrosis patients and determination of their antibiotic resistance profile. 比较培养法和 PCR-DGGE 法评估囊性纤维化患者的气道并确定其抗生素耐药性情况。
IF 1.4 Q3 Medicine Pub Date : 2023-12-01 DOI: 10.18502/ijm.v15i6.14135
Somayeh Moazami Goudarzi, Yasamin Shahpouri Arani, Ahya Abdi Ali, Parisa Mohammadi, Nassim Ghorbanmehr, Mohammadreza Modaresi, Mahtab Ghorban Movahed, Tooba Ghazanfari

Background and objectives: Respiratory infections are the most serious condition in cystic fibrosis (CF) patients; therefore, a thorough comprehension of the diversity and dominant microbial species in CF airways has a crucial role in treatment. Our objective was to determine the antibiotic resistance profile of CF airways microbiota and compare culture methods and PCR-DGGE to evaluate bacterial diversity.

Materials and methods: Pharyngeal swabs from 121 CF patients were collected. The samples were then cultured, identified and antibiotic resistance testing was performed. Thirty samples were subjected to further molecular surveys. DNA contents of these samples were extracted and amplified using nested-PCR technique and their bacterial diversity was assessed by DGGE. The DGGE patterns were visualized and certain bands were excised and purified. Next, the DNA was amplified by another round of PCR and sent out for sequencing.

Results: Staphylococcus aureus, Pseudomonas aeruginosa, and Klebsiella pneumoniae were the most prevalent species isolated using culture methods. S. aureus was the most common bacteria among 6 years and younger patients; while, P. aeruginosa had more prevalence among older ones. The PCR-DGGE results showed more diversity than culture methods, particularly in younger patients who exhibited more bacterial diversity than the older groups. Sequencing results unveiled the presence of certain bacterial species including Haemophilus parainfluenzae and Stenotrophomonas maltophilia which were completely missed in culture.

Conclusion: Even though culture-dependent methods are cost-effective, PCR-DGGE appeared to be more efficient to determine bacterial diversity. PCR-DGGE detects less abundant species, though their viability could not be determined using this method.

背景和目的:呼吸道感染是囊性纤维化(CF)患者最严重的疾病;因此,全面了解 CF 气道微生物的多样性和主要种类对治疗至关重要。我们的目的是确定 CF 气道微生物群的抗生素耐药性概况,并比较培养方法和 PCR-DGGE 评估细菌多样性的方法:收集了 121 名 CF 患者的咽拭子。然后对样本进行培养、鉴定和抗生素耐药性测试。对 30 份样本进行了进一步的分子调查。采用巢式 PCR 技术提取和扩增这些样本中的 DNA 内容,并通过 DGGE 评估其细菌多样性。对 DGGE 模式进行可视化,并切除和纯化某些条带。然后,通过另一轮 PCR 扩增 DNA 并进行测序:结果:金黄色葡萄球菌、铜绿假单胞菌和肺炎克雷伯菌是用培养方法分离出的最常见菌种。金黄色葡萄球菌是 6 岁及以下患者中最常见的细菌,而铜绿假单胞菌在年龄较大的患者中更为常见。与培养方法相比,PCR-DGGE 结果显示出更多的多样性,尤其是在年轻患者中,他们比年长者表现出更多的细菌多样性。测序结果揭示了某些细菌种类的存在,包括副流感嗜血杆菌和嗜麦芽血单胞菌,而这些细菌在培养过程中完全没有被发现:尽管依赖培养的方法具有成本效益,但 PCR-DGGE 在确定细菌多样性方面似乎更有效。PCR-DGGE能检测到数量较少的物种,但使用这种方法无法确定它们的存活率。
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引用次数: 0
Cryptococcosis in oncology patients: a case series in a tertiary care cancer centre. 肿瘤患者中的隐球菌病:一家三级癌症治疗中心的系列病例。
IF 1.4 Q3 Medicine Pub Date : 2023-12-01 DOI: 10.18502/ijm.v15i6.14163
Sagila Savithri Gangadharan, Swapna Raveendranath

Cryptococcosis, a relatively uncommon infection in cancer patients is often associated with delayed diagnosis and high fatality rate due to its highly heterogeneous and protean manifestations. Early recognition and initiation of appropriate antifungal therapy might have a favourable outcome in such cases. Here we report three cases of Cryptococcosis among cancer patients in a tertiary care cancer centre in South India. All three patients were males of different ages at presentation with immunosuppression in the form of solid organ or hematologic malignancy and were using immunosuppressive medications like steroids or chemotherapeutic agents. They presented with cryptococcemia and cryptococcal meningitis. Patients with microbiologically proven cryptococcosis had poor outcome in this subgroup of patients.

隐球菌病是一种在癌症患者中较为少见的感染,由于其表现高度异质性和多形性,通常会导致诊断延迟和高致死率。及早识别并开始适当的抗真菌治疗可能会对此类病例产生有利的结果。在此,我们报告了南印度一家三级癌症中心的三例癌症患者隐球菌病病例。这三名患者均为男性,年龄各异,均因实体器官或血液系统恶性肿瘤而出现免疫抑制,并正在使用类固醇或化疗药物等免疫抑制药物。他们表现为隐球菌血症和隐球菌脑膜炎。在这一亚组患者中,经微生物学证实患有隐球菌病的患者预后较差。
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引用次数: 0
Detection of FOX-AmpC-β-lactamase gene and antibiogram of AmpC-beta-lactamase-producing pathogens isolated from chronic suppurative otitis media patients in Nigeria. 从尼日利亚慢性化脓性中耳炎患者中分离出的产 AmpC-β-内酰胺酶病原体的 FOX-AmpC-β-内酰胺酶基因检测和抗生素图谱。
IF 1.4 Q3 Medicine Pub Date : 2023-12-01 DOI: 10.18502/ijm.v15i6.14139
Ibiam Francis Amadi, Obasikene Catherine Nchedo, Ariom Thaddaeus Obaji, Monday Agbonifo, Egwu Eze, Iroha Chidinma Stacy, Moses Ikechukwu Benjamin, Iroha Ifeanyichukwu Romanus

Background and objectives: AmpC-producing Gram-negative bacterial (GNB) pathogens are distributed worldwide, especially in clinical settings. This study aimed to determine the antibiogram and the type of AmpC-β-lactamase gene harboured by GNB pathogens implicated in chronic suppurative otitis media (CSOM) cases.

Materials and methods: Ear swab samples (300) collected from patients with active CSOM were analysed using standard microbiological techniques. Phenotypic and molecular detection of AmpC β-lactamase production was done by cefoxitin/cloxacillin double-disk synergy test and PCR respectively. Antibiogram was determined by disk diffusion technique.

Results: Among the GNB pathogens isolated from CSOM patients, P. aeruginosa was the most predominant (36.3%); followed by K. pneumoniae (22.3%), and E. coli (13.7%). Patients with active CSOM showed increased bacteria isolation rate from bilateral ear discharges than unilateral ear discharges. E. coli and P. aeruginosa were more prevalent among patients with duration of discharge >2 weeks; recording 9.0% and 20.3% respectively. AmpC β-lactamase producers accounted for 14.0%; they were highly resistant (60%-100%) to cephalosporins, trimethoprim-sulfamethoxazole, ofloxacin, amoxicillin, and tetracycline, but very susceptible (70.4%-100%) to ciprofloxacin, imipenem, and amikacin. Multiple antibiotic resistance indices of isolates ranged from 0.7-0.8. FOX-AmpC-β-lactamase gene was detected in 3.9% of the isolates.

Conclusion: The detection of AmpC β-lactamase-producing multidrug-resistant GNB pathogens harbouring FOX-AmpC-β-lactamase gene among patients with CSOM infections in our study is a serious public health problem which needs urgent intervention.

背景和目的:产AmpC的革兰氏阴性细菌(GNB)病原体分布于世界各地,尤其是在临床环境中。本研究旨在确定慢性化脓性中耳炎(CSOM)病例中的革兰氏阴性菌病原体所携带的抗生素图谱和 AmpC-β- 内酰胺酶基因类型:采用标准微生物学技术分析从活动性 CSOM 患者处采集的耳拭子样本(300 份)。通过头孢西丁/氯唑西林双盘协同试验和聚合酶链式反应分别对 AmpC β-内酰胺酶的产生进行表型和分子检测。抗菌谱通过盘扩散技术进行测定:在从 CSOM 患者体内分离出的 GNB 病原菌中,铜绿假单胞菌占多数(36.3%),其次是肺炎双球菌(22.3%)和大肠杆菌(13.7%)。与单侧耳分泌物相比,活动性 CSOM 患者双侧耳分泌物的细菌分离率更高。大肠杆菌和铜绿假单胞菌在出院时间超过两周的患者中更为常见,分别占 9.0% 和 20.3%。AmpC β-内酰胺酶产生者占 14.0%;它们对头孢菌素、三甲双氨-磺胺甲噁唑、氧氟沙星、阿莫西林和四环素高度耐药(60%-100%),但对环丙沙星、亚胺培南和阿米卡星非常敏感(70.4%-100%)。分离物对多种抗生素的耐药性指数在 0.7-0.8 之间。3.9%的分离株检测到 FOX-AmpC-β-内酰胺酶基因:结论:在我们的研究中,CSOM感染患者中检出了携带FOX-AmpC-β-内酰胺酶基因的产AmpC β-内酰胺酶多重耐药GNB病原体,这是一个严重的公共卫生问题,亟需干预。
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Iranian Journal of Microbiology
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