Background and objectives: The consumption of contaminated poultry meat is considered as a significant route of campylobacteriosis transmission. Lactic acid is a disinfectant agent with bactericidal effects on Campylobacter spp. The purpose of this study was to assess the low concentrations of lactic acid effect and different temperatures on the transcriptomic responses of Campylobacter jejuni (C. jejuni) adhesion and virulence-associated genes including peb4, ciaB, cdtA, cdtB, and cdtC.
Materials and methods: The samples were incubated at 10°C and 22°C for 48 h upon exposure to 30% and 60% lactic acid. The minimum inhibitory concentration (MIC) and minimum bactericidal concentration (MBC) of lactic acid was also determined. Then, gene expression was assessed using real-time polymerase chain reaction (RT-PCR).
Results: Lactic acid had lower MIC and MBC levels at lower temperature. The utilization of both levels of lactic acid significantly reduced the expression of peb4, ciaB, cdtB, and cdtC genes over 48 h of incubation at 22°C. However, no significant difference was found in the expression of the cdtA gene between 10 and 22°C at 30% lactic acid.
Conclusion: These results highlight the potential of low-concentration lactic acid in the downregulation of adhesion and virulence-associated genes as well as reduction of C. jejuni pathogenicity.
{"title":"Effect of low concentrations of lactic acid and temperature on the expression of adhesion, invasion, and toxin-encoding genes of <i>Campylobacter jejuni</i> from poultry.","authors":"Aliakbar Jadidi, Abdolmajid Ghasemian, Abbas Abdollahi, Tannaz Abbasi-Dokht, Esmail Abdollahzadeh, Rasoul Baharlou","doi":"10.18502/ijm.v16i4.16313","DOIUrl":"https://doi.org/10.18502/ijm.v16i4.16313","url":null,"abstract":"<p><strong>Background and objectives: </strong>The consumption of contaminated poultry meat is considered as a significant route of campylobacteriosis transmission. Lactic acid is a disinfectant agent with bactericidal effects on <i>Campylobacter</i> spp. The purpose of this study was to assess the low concentrations of lactic acid effect and different temperatures on the transcriptomic responses of <i>Campylobacter jejuni (C. jejuni)</i> adhesion and virulence-associated genes including <i>peb4, ciaB, cdtA, cdtB,</i> and <i>cdtC</i>.</p><p><strong>Materials and methods: </strong>The samples were incubated at 10°C and 22°C for 48 h upon exposure to 30% and 60% lactic acid. The minimum inhibitory concentration (MIC) and minimum bactericidal concentration (MBC) of lactic acid was also determined. Then, gene expression was assessed using real-time polymerase chain reaction (RT-PCR).</p><p><strong>Results: </strong>Lactic acid had lower MIC and MBC levels at lower temperature. The utilization of both levels of lactic acid significantly reduced the expression of <i>peb4, ciaB, cdtB,</i> and <i>cdtC</i> genes over 48 h of incubation at 22°C. However, no significant difference was found in the expression of the <i>cdtA</i> gene between 10 and 22°C at 30% lactic acid.</p><p><strong>Conclusion: </strong>These results highlight the potential of low-concentration lactic acid in the downregulation of adhesion and virulence-associated genes as well as reduction of <i>C. jejuni</i> pathogenicity.</p>","PeriodicalId":14633,"journal":{"name":"Iranian Journal of Microbiology","volume":"16 4","pages":"536-544"},"PeriodicalIF":1.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11389772/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142287444","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}
Background and objectives: Fungal burn wound infections (FBWIs) are one of the most disastrous complications in burn patients. The present study investigated the incidence and the species distribution of fungal agents isolated from burn lesions and reviewed the feautures, underlying conditions, and outcomes of patients.
Materials and methods: The wounds were swabbed and cultured on Sabouraud Dextrose Agar with chloramphenicol medium. Fungal identification was performed using internal transcribed spacer (ITS) and beta-tubulin sequencing.
Results: A total of 380 swab specimens were obtained. Of these, 101 patients (26.75 %) were positive in culture. Among the 101 positive cases, most isolates were from males (n= 68, 67.33%) and most of them were over 30 years old. Flame (n=38, 37.63%) was the predominant cause of burns, and previous history of ICU admission (n=35, 34.66%), presence of central venous catheter (n=25, 24.75%), and diabetes mellitus (n=17, 16.83%) were the main underlying conditions. Candida parapsilosis complex (n=36, 35.64%), and Pichia kudriavzevii (C. krusei) (n=8, 7.92%) represent the most commonly isolated species Also, 2 out of 101 patients (2%) died.
Conclusion: In the present study, non-albicans Candida species were much higher frequent than C. albicans with most cases associated with Candida parapsilosis complex.
{"title":"Identification of fungal agents isolated from burn lesions using mycological and molecular methods in patients admitted to Velayat burn hospital in Rasht city during 2022-2023.","authors":"Pegah Ardi, Roshanak Daie Ghazvini, Seyed Jamal Hashemi, Mohammadreza Mobayen, Abolfazl Pourheidari, Sadegh Khodavaisy, Mahdi Abastabar, Zahra Rafat","doi":"10.18502/ijm.v16i4.16308","DOIUrl":"https://doi.org/10.18502/ijm.v16i4.16308","url":null,"abstract":"<p><strong>Background and objectives: </strong>Fungal burn wound infections (FBWIs) are one of the most disastrous complications in burn patients. The present study investigated the incidence and the species distribution of fungal agents isolated from burn lesions and reviewed the feautures, underlying conditions, and outcomes of patients.</p><p><strong>Materials and methods: </strong>The wounds were swabbed and cultured on Sabouraud Dextrose Agar with chloramphenicol medium. Fungal identification was performed using internal transcribed spacer (ITS) and beta-tubulin sequencing.</p><p><strong>Results: </strong>A total of 380 swab specimens were obtained. Of these, 101 patients (26.75 %) were positive in culture. Among the 101 positive cases, most isolates were from males (n= 68, 67.33%) and most of them were over 30 years old. Flame (n=38, 37.63%) was the predominant cause of burns, and previous history of ICU admission (n=35, 34.66%), presence of central venous catheter (n=25, 24.75%), and diabetes mellitus (n=17, 16.83%) were the main underlying conditions. <i>Candida parapsilosis</i> complex (n=36, 35.64%), and <i>Pichia kudriavzevii (C. krusei)</i> (n=8, 7.92%) represent the most commonly isolated species Also, 2 out of 101 patients (2%) died.</p><p><strong>Conclusion: </strong>In the present study, non-albicans <i>Candida</i> species were much higher frequent than <i>C. albicans</i> with most cases associated with <i>Candida parapsilosis</i> complex.</p>","PeriodicalId":14633,"journal":{"name":"Iranian Journal of Microbiology","volume":"16 4","pages":"490-496"},"PeriodicalIF":1.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11389763/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142287447","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}
Background and objectives: Cervical cancer global burden is highly skewed towards poor countries primarily due to lack of awareness, poor screening, and low uptake of prophylactic vaccines. The purpose of our study is to educate and raise awareness among young girls and women about the importance of cervical screening and HPV vaccination.
Materials and methods: The present study, conducted from January 2023 to December 2023, focused on students, teachers, housewives, and healthcare professionals in the Jammu region to assess their awareness of cervical cancer and the HPV vaccine. HPV DNA testing was carried out using the Truenat Real-Time PCR method at Swastik Diagnostic Laboratory, Jammu.
Results: Knowledge of cervical cancer, awareness of the HPV virus, and the vaccination status of women were assessed in survey. In the HPV screening test, out of 2,400 women, 106 tested positive for HPV. Among these 106 women, 19% had a high viral load (Ct < 20), 11% had a low viral load (25 ≤ Ct < 30), indicating a low relative concentration of HPV viruses, 40% had a medium viral load (20 ≤ Ct < 25), and 30% had very low viral loads (Ct ≥ 30).
Conclusion: These findings highlight the importance of routine cervical screenings, such as Pap smears and HPV tests, for the early detection of cervical cancer. There is an urgent need to implement cervical cancer screening and vaccination programs in the Jammu region.
{"title":"Assessing knowledge and awareness levels regarding cervical cancer and HPV vaccination in the Jammu regions.","authors":"Ridhima Jasrotia, Isha Kashyap, Jyotsna Suri, Chirag Chopra, Atif Khurshid Wani, Nazli Tizro, Abhineet Goyal, Reena Singh","doi":"10.18502/ijm.v16i4.16311","DOIUrl":"https://doi.org/10.18502/ijm.v16i4.16311","url":null,"abstract":"<p><strong>Background and objectives: </strong>Cervical cancer global burden is highly skewed towards poor countries primarily due to lack of awareness, poor screening, and low uptake of prophylactic vaccines. The purpose of our study is to educate and raise awareness among young girls and women about the importance of cervical screening and HPV vaccination.</p><p><strong>Materials and methods: </strong>The present study, conducted from January 2023 to December 2023, focused on students, teachers, housewives, and healthcare professionals in the Jammu region to assess their awareness of cervical cancer and the HPV vaccine. HPV DNA testing was carried out using the Truenat Real-Time PCR method at Swastik Diagnostic Laboratory, Jammu.</p><p><strong>Results: </strong>Knowledge of cervical cancer, awareness of the HPV virus, and the vaccination status of women were assessed in survey. In the HPV screening test, out of 2,400 women, 106 tested positive for HPV. Among these 106 women, 19% had a high viral load (Ct < 20), 11% had a low viral load (25 ≤ Ct < 30), indicating a low relative concentration of HPV viruses, 40% had a medium viral load (20 ≤ Ct < 25), and 30% had very low viral loads (Ct ≥ 30).</p><p><strong>Conclusion: </strong>These findings highlight the importance of routine cervical screenings, such as Pap smears and HPV tests, for the early detection of cervical cancer. There is an urgent need to implement cervical cancer screening and vaccination programs in the Jammu region.</p>","PeriodicalId":14633,"journal":{"name":"Iranian Journal of Microbiology","volume":"16 4","pages":"515-523"},"PeriodicalIF":1.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11389759/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142287421","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}
Background and objectives: The ocular surface is perpetually exposed to the external environment, rendering it susceptible to microbial contamination. The ocular surface microbiota consists of non-pathogenic microorganisms that inhabit the conjunctiva and cornea. This study's objective was to extensively review the prevalence of bacterial and fungal organisms in the conjunctiva of healthy and diseased cats. (Herpes- and Calici-infected groups).
Materials and methods: The current study was performed on 240 cats that had visited veterinary health centers (Tehran, Iran) for examination. Sterile swabs from each cat's eyes were investigated for microbiological assessment. After sample collection, viral pathogens (Herpes and Calici viruses) were isolated and identified using the PCR method. The ages of the investigated group were 3.76, 3.93, and 4.15 months.
Results: The highest frequency of bacteria in the normal, Herpes-infected/Calici-infected, and Herpes/Calici-infected groups were associated with Staphylococcus intermedius and Streptococcus agalactiae, Staphylococcus epidermidis, and Staphylococcus intermedius, respectively. In addition, it was found that the high prevalence of fungal microorganisms in the isolated samples was related to yeasts, Aspergillus (Aspergillus fumigatus, Aspergillus niger), and Penicillium species.
Conclusion: Bacterial prevalence was significantly higher in all groups than the prevalence of fungi in the eyes of cats. The statistical comparison between the study groups regarding microbial and fungal frequency showed that significant differences were found between them, such that the frequency was higher in all disease groups, against the control group. In addition, a significant relation was observed between the Herpes-infected and Calici-infected groups regarding microbial and fungal prevalence.
{"title":"Investigation of eye flora in cats infected with Herpesvirus and Calicivirus.","authors":"Mojtaba Mohammadzadeh Vazifeh, Gazelle Safavi Haas, Nakisa Sohrabi Haghdoost, Ghazal Aftab","doi":"10.18502/ijm.v16i4.16318","DOIUrl":"https://doi.org/10.18502/ijm.v16i4.16318","url":null,"abstract":"<p><strong>Background and objectives: </strong>The ocular surface is perpetually exposed to the external environment, rendering it susceptible to microbial contamination. The ocular surface microbiota consists of non-pathogenic microorganisms that inhabit the conjunctiva and cornea. This study's objective was to extensively review the prevalence of bacterial and fungal organisms in the conjunctiva of healthy and diseased cats. (Herpes- and Calici-infected groups).</p><p><strong>Materials and methods: </strong>The current study was performed on 240 cats that had visited veterinary health centers (Tehran, Iran) for examination. Sterile swabs from each cat's eyes were investigated for microbiological assessment. After sample collection, viral pathogens (Herpes and Calici viruses) were isolated and identified using the PCR method. The ages of the investigated group were 3.76, 3.93, and 4.15 months.</p><p><strong>Results: </strong>The highest frequency of bacteria in the normal, Herpes-infected/Calici-infected, and Herpes/Calici-infected groups were associated with <i>Staphylococcus intermedius</i> and <i>Streptococcus agalactiae, Staphylococcus epidermidis</i>, and <i>Staphylococcus intermedius,</i> respectively. In addition, it was found that the high prevalence of fungal microorganisms in the isolated samples was related to yeasts, <i>Aspergillus (Aspergillus fumigatus, Aspergillus niger)</i>, and <i>Penicillium</i> species.</p><p><strong>Conclusion: </strong>Bacterial prevalence was significantly higher in all groups than the prevalence of fungi in the eyes of cats. The statistical comparison between the study groups regarding microbial and fungal frequency showed that significant differences were found between them, such that the frequency was higher in all disease groups, against the control group. In addition, a significant relation was observed between the Herpes-infected and Calici-infected groups regarding microbial and fungal prevalence.</p>","PeriodicalId":14633,"journal":{"name":"Iranian Journal of Microbiology","volume":"16 4","pages":"576-583"},"PeriodicalIF":1.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11389774/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142287470","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}
Pub Date : 2024-08-01DOI: 10.18502/ijm.v16i4.16315
Shahriar Keyhani, Mohammad Yousef Alikhani, Amin Doosti-Irani, Leili Shokoohizadeh
Background and objectives: Today, medicinal plants and their derivatives are considered to reduce the prevalence of antibiotic resistance. The aim of this study was to investigate the effect of Mentha longifolia essential oil on oqxA efflux pump gene expression and biofilm formation in ciprofloxacin-resistant Klebsiella pneumoniae strains.
Materials and methods: A total of 50 clinical strains of K. pneumoniae resistant to ciprofloxacin were studied. The minimum inhibitory concentration (MIC) of M. longifolia essential oil and its synergistic effect with ciprofloxacin were determined using the microbroth dilution method and the fractional inhibitory concentration (FIC) method. Minimum biofilm inhibition concentration (MBIC) of M. longifolia essential oil was detected. The effect of essential oils on the expression level of the oqxA gene was detected by Real-time PCR.
Results: M. longifolia essential oil showed inhibitory activity against ciprofloxacin-resistant strains of K. pneumoniae. When M. longifolia essential oil was combined with ciprofloxacin, the MIC was reduced 2-4 times. In 28% of the strains, M. longifolia with ciprofloxacin showed a synergistic effect. M. longifolia essential oil reduces the strength of biofilm formation and alters the biofilm phenotype. A significant decrease in oqxA gene expression was observed in all isolates after treatment with M. longifolia essential oil.
Conclusion: Based on the results of this study, it was observed that supplementing M. longifolia essential oil can help reduce ciprofloxacin resistance and inhibit biofilm formation in fluoroquinolone-resistant K. pneumoniae strains.
背景和目的:如今,药用植物及其衍生物被认为可以减少抗生素耐药性的流行。本研究旨在探讨长叶薄荷精油对环丙沙星耐药肺炎克雷伯菌株中 oqxA 外排泵基因表达和生物膜形成的影响:共研究了50株对环丙沙星耐药的肺炎克雷伯菌临床菌株。采用微流稀释法和分数抑制浓度法测定了龙脑香精油的最低抑菌浓度(MIC)及其与环丙沙星的协同作用。检测了 M. longifolia 精油的最小生物膜抑制浓度(MBIC)。通过实时 PCR 检测精油对 oqxA 基因表达水平的影响:结果:长叶木兰精油对耐环丙沙星的肺炎双球菌菌株具有抑制活性。当龙脑香精油与环丙沙星混合使用时,其 MIC 降低了 2-4 倍。在 28% 的菌株中,长叶木香精油与环丙沙星具有协同作用。长叶木兰精油可降低生物膜形成的强度并改变生物膜表型。用龙脑香叶精油处理后,所有分离物的 oqxA 基因表达量都明显下降:根据本研究的结果,补充长叶木兰精油有助于降低耐氟喹诺酮肺炎克氏菌菌株对环丙沙星的耐药性并抑制生物膜的形成。
{"title":"Effect of <i>Mentha longifolia</i> essential oil on <i>oqx</i>A efflux pump gene expression and biofilm formation in ciprofloxacin-resistant <i>Klebsiella pneumoniae</i> strains.","authors":"Shahriar Keyhani, Mohammad Yousef Alikhani, Amin Doosti-Irani, Leili Shokoohizadeh","doi":"10.18502/ijm.v16i4.16315","DOIUrl":"https://doi.org/10.18502/ijm.v16i4.16315","url":null,"abstract":"<p><strong>Background and objectives: </strong>Today, medicinal plants and their derivatives are considered to reduce the prevalence of antibiotic resistance. The aim of this study was to investigate the effect of <i>Mentha longifolia</i> essential oil on <i>oqx</i>A efflux pump gene expression and biofilm formation in ciprofloxacin-resistant <i>Klebsiella pneumoniae</i> strains.</p><p><strong>Materials and methods: </strong>A total of 50 clinical strains of <i>K. pneumoniae</i> resistant to ciprofloxacin were studied. The minimum inhibitory concentration (MIC) of <i>M. longifolia</i> essential oil and its synergistic effect with ciprofloxacin were determined using the microbroth dilution method and the fractional inhibitory concentration (FIC) method. Minimum biofilm inhibition concentration (MBIC) of <i>M. longifolia</i> essential oil was detected. The effect of essential oils on the expression level of the <i>oqx</i>A gene was detected by Real-time PCR.</p><p><strong>Results: </strong><i>M. longifolia</i> essential oil showed inhibitory activity against ciprofloxacin-resistant strains of <i>K. pneumoniae.</i> When <i>M. longifolia</i> essential oil was combined with ciprofloxacin, the MIC was reduced 2-4 times. In 28% of the strains, <i>M. longifolia</i> with ciprofloxacin showed a synergistic effect. <i>M. longifolia</i> essential oil reduces the strength of biofilm formation and alters the biofilm phenotype. A significant decrease in <i>oqx</i>A gene expression was observed in all isolates after treatment with <i>M. longifolia</i> essential oil.</p><p><strong>Conclusion: </strong>Based on the results of this study, it was observed that supplementing <i>M. longifolia</i> essential oil can help reduce ciprofloxacin resistance and inhibit biofilm formation in fluoroquinolone-resistant <i>K. pneumoniae</i> strains.</p>","PeriodicalId":14633,"journal":{"name":"Iranian Journal of Microbiology","volume":"16 4","pages":"552-559"},"PeriodicalIF":1.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11389758/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142287443","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}
Background and objectives: This study evaluated the efficacy of the TrueLab™ Real Time mini-PCR system in providing rapid and accurate diagnostic results for tuberculosis (TB) detection in India. The goal is to improve case detection and accelerate treatment in settings with limited resources.
Materials and methods: This prospective study was conducted by the Department of Microbiology on 120 patients, age ranging from >=15 years with at least two clinical symptoms of pulmonary TB. Molbio and Universal Cartridge Based Sample Prep were the 2 methods used for processing sputum samples. The diagnosis was based on the MTB Real Time PCR test, which has a detection limit of 100 CFU/mL. Patients under 15 years, samples lacking clinical background, saliva specimens or extra-pulmonary TB cases were excluded from the study.
Results: A total of 44.17% samples were positive for TB with maximum positivity in the age group 31-45 years. Positivity rate was found to be higher in females. In 4.17% of cases there was rifampicin resistance, which was significantly high in previously treated cases. Comparison of Truenat with Ziehl-Neelsen and fluorescent method revealed that it was more sensitive and less time consuming.
Conclusion: Truenat MTB/RIF is a sensitive detection system for TB with rapid results, which serves as an important tool in the early management of tuberculosis patients and drug-resistant-TB cases.
{"title":"Diagnostic evaluation of Tru-Nat MTB/Rif test in comparison with microscopy for diagnosis of pulmonary tuberculosis at tertiary care hospital of eastern Uttar Pradesh.","authors":"Piyush Ranjan, Atul R Rukadikar, Vivek Hada, Aroop Mohanty, Parul Singh","doi":"10.18502/ijm.v16i4.16305","DOIUrl":"https://doi.org/10.18502/ijm.v16i4.16305","url":null,"abstract":"<p><strong>Background and objectives: </strong>This study evaluated the efficacy of the TrueLab™ Real Time mini-PCR system in providing rapid and accurate diagnostic results for tuberculosis (TB) detection in India. The goal is to improve case detection and accelerate treatment in settings with limited resources.</p><p><strong>Materials and methods: </strong>This prospective study was conducted by the Department of Microbiology on 120 patients, age ranging from >=15 years with at least two clinical symptoms of pulmonary TB. Molbio and Universal Cartridge Based Sample Prep were the 2 methods used for processing sputum samples. The diagnosis was based on the MTB Real Time PCR test, which has a detection limit of 100 CFU/mL. Patients under 15 years, samples lacking clinical background, saliva specimens or extra-pulmonary TB cases were excluded from the study.</p><p><strong>Results: </strong>A total of 44.17% samples were positive for TB with maximum positivity in the age group 31-45 years. Positivity rate was found to be higher in females. In 4.17% of cases there was rifampicin resistance, which was significantly high in previously treated cases. Comparison of Truenat with Ziehl-Neelsen and fluorescent method revealed that it was more sensitive and less time consuming.</p><p><strong>Conclusion: </strong>Truenat MTB/RIF is a sensitive detection system for TB with rapid results, which serves as an important tool in the early management of tuberculosis patients and drug-resistant-TB cases.</p>","PeriodicalId":14633,"journal":{"name":"Iranian Journal of Microbiology","volume":"16 4","pages":"470-476"},"PeriodicalIF":1.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11389762/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142287441","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}
Background and objectives: SARS-CoV-2 is a newly discovered viral infection. It's still unclear how antibodies react in infected individuals, and there is not enough evidence to support the clinical use of antibody examination. This study evaluates the diagnostic value of serologic tests for diagnosing COVID-19.
Materials and methods: 32 patients for whom serologic testing was performed within 7 to 21 days from symptom onset and whether they were diagnosed with COVID-19 by both PCR and lung HRCT as gold standard tests at the same time, were included in the study.
Results: Serologic tests (IgM / IgG) compared to PCR and lung HRCT scan to diagnose COVID-19, were 89.3% specific and 59.6% sensitive. Positive predictive value (PPV) was 95% and negative predictive value (NPV) was 37%. The diagnostic accuracy index of the serologic test was 0.745 (CI 0.651-0.838) (p-value <0.001).
Conclusion: Serologic testing can be a complementary alternative for SARA-CoV-2 nucleic acid RT-PCR, although it cannot replace it completely. IgG/IgM combo test kits and RT-PCR together can give more insight into the diagnosis of SARS-CoV-2.
{"title":"Diagnostic value of antibody testing in comparison with lung scan and PCR in patients suspected of having COVID-19.","authors":"Kiana Shirani, Milad Hajihashemi, Ashkan Mortazavi, Alireza Assadi, Azar Baradaran, Behrooz Ataei, Hossein Badei","doi":"10.18502/ijm.v16i4.16310","DOIUrl":"https://doi.org/10.18502/ijm.v16i4.16310","url":null,"abstract":"<p><strong>Background and objectives: </strong>SARS-CoV-2 is a newly discovered viral infection. It's still unclear how antibodies react in infected individuals, and there is not enough evidence to support the clinical use of antibody examination. This study evaluates the diagnostic value of serologic tests for diagnosing COVID-19.</p><p><strong>Materials and methods: </strong>32 patients for whom serologic testing was performed within 7 to 21 days from symptom onset and whether they were diagnosed with COVID-19 by both PCR and lung HRCT as gold standard tests at the same time, were included in the study.</p><p><strong>Results: </strong>Serologic tests (IgM / IgG) compared to PCR and lung HRCT scan to diagnose COVID-19, were 89.3% specific and 59.6% sensitive. Positive predictive value (PPV) was 95% and negative predictive value (NPV) was 37%. The diagnostic accuracy index of the serologic test was 0.745 (CI 0.651-0.838) (p-value <0.001).</p><p><strong>Conclusion: </strong>Serologic testing can be a complementary alternative for SARA-CoV-2 nucleic acid RT-PCR, although it cannot replace it completely. IgG/IgM combo test kits and RT-PCR together can give more insight into the diagnosis of SARS-CoV-2.</p>","PeriodicalId":14633,"journal":{"name":"Iranian Journal of Microbiology","volume":"16 4","pages":"509-514"},"PeriodicalIF":1.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11389766/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142287442","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}
Pub Date : 2024-08-01DOI: 10.18502/ijm.v16i4.16307
Mehmet Yildiz, Merve Buyukkoruk, Seyma Arslan, Ulas Gokalp, Hasan Bostanci, Kursat Dikmen, Cagri Buyukkasap, Hasan Selcuk Ozger, Murat Dizbay
Background and objectives: This study aimed to evaluate the frequency of multidrug-resistant (MDR) bacteria in biliary samples, MDR-bacteria risk factors, and the relationship between MDR-bacteria positivity and some clinical outcomes.
Materials and methods: The study was conducted between May 2018 and May 2023, including patients over the age of 18 who had positive culture results in biliary samples. The frequency of MDR-bacteria in biliary samples was evaluated. Risk factors for MDR bacteria were assessed using univariate and multivariate analyses. MDR and non-MDR groups were compared inappropriate empirical antibiotic treatment, total antibiotic treatment duration, length of stay, and in-hospital mortality.
Results: 342 microorganisms were isolated from 202 patients. Escherichia coli was the most commonly (37.2%) isolated Gram-negative microorganism, and Enterococcus spp. was the most commonly (70.2%) isolated Gram-positive microorganism. The incidence of MDR microorganisms was 42.3%. Gastrointestinal malignancy (OR: 1.96; 95% CI, 1.03-3.71) and previous antibiotic use (OR: 2.26; 95% CI, 1.09-4.68) were independent risk factors for MDR-bacteria. In the MDR group, inappropriate empirical antibiotic treatment (56.6% vs. 41%, p = 0.091), total antibiotic treatment duration (13 vs. 8 days, p = 0.054), length of stay (24 vs. 15 days, p = 0.001), and in-hospital mortality (27.3% vs. 22.3%, p = 0.416) were higher compared to the non-MDR group.
Conclusion: MDR-bacteria positivity is associated with inappropriate antibiotic treatment, prolonged hospitalization, and increased mortality. Screening, antibiotic prophylaxis, and empirical treatment approaches should be carefully performed in patients with malignancy and recent antibiotic use, which are significant risk factors for MDR-bacteria.
背景和目的:本研究旨在评估胆道样本中多重耐药(MDR)细菌的频率、MDR-细菌风险因素以及MDR-细菌阳性与一些临床结果之间的关系:研究时间为2018年5月至2023年5月,包括18岁以上胆道样本培养结果呈阳性的患者。评估了胆道样本中 MDR 细菌的频率。采用单变量和多变量分析评估了 MDR 细菌的风险因素。比较了MDR组和非MDR组的不恰当经验性抗生素治疗、抗生素治疗总时间、住院时间和院内死亡率:结果:从 202 名患者中分离出 342 种微生物。大肠埃希菌是最常见的革兰氏阴性微生物(37.2%),肠球菌属是最常见的革兰氏阳性微生物(70.2%)。耐药微生物的发生率为 42.3%。胃肠道恶性肿瘤(OR:1.96;95% CI,1.03-3.71)和既往使用抗生素(OR:2.26;95% CI,1.09-4.68)是MDR细菌的独立风险因素。与非MDR组相比,MDR组中不恰当的经验性抗生素治疗(56.6% vs. 41%,p = 0.091)、抗生素治疗总时间(13 vs. 8天,p = 0.054)、住院时间(24 vs. 15天,p = 0.001)和院内死亡率(27.3% vs. 22.3%,p = 0.416)均较高:结论:MDR-细菌阳性与抗生素治疗不当、住院时间延长和死亡率增加有关。对于恶性肿瘤患者和近期使用过抗生素的患者,应谨慎进行筛查、抗生素预防和经验性治疗,因为这些都是产生 MDR 细菌的重要风险因素。
{"title":"Evaluating the frequency and risk factors of multidrug-resistant bacteria in biliary samples.","authors":"Mehmet Yildiz, Merve Buyukkoruk, Seyma Arslan, Ulas Gokalp, Hasan Bostanci, Kursat Dikmen, Cagri Buyukkasap, Hasan Selcuk Ozger, Murat Dizbay","doi":"10.18502/ijm.v16i4.16307","DOIUrl":"https://doi.org/10.18502/ijm.v16i4.16307","url":null,"abstract":"<p><strong>Background and objectives: </strong>This study aimed to evaluate the frequency of multidrug-resistant (MDR) bacteria in biliary samples, MDR-bacteria risk factors, and the relationship between MDR-bacteria positivity and some clinical outcomes.</p><p><strong>Materials and methods: </strong>The study was conducted between May 2018 and May 2023, including patients over the age of 18 who had positive culture results in biliary samples. The frequency of MDR-bacteria in biliary samples was evaluated. Risk factors for MDR bacteria were assessed using univariate and multivariate analyses. MDR and non-MDR groups were compared inappropriate empirical antibiotic treatment, total antibiotic treatment duration, length of stay, and in-hospital mortality.</p><p><strong>Results: </strong>342 microorganisms were isolated from 202 patients. <i>Escherichia coli</i> was the most commonly (37.2%) isolated Gram-negative microorganism, and <i>Enterococcus</i> spp. was the most commonly (70.2%) isolated Gram-positive microorganism. The incidence of MDR microorganisms was 42.3%. Gastrointestinal malignancy (OR: 1.96; 95% CI, 1.03-3.71) and previous antibiotic use (OR: 2.26; 95% CI, 1.09-4.68) were independent risk factors for MDR-bacteria. In the MDR group, inappropriate empirical antibiotic treatment (56.6% vs. 41%, p = 0.091), total antibiotic treatment duration (13 vs. 8 days, p = 0.054), length of stay (24 vs. 15 days, p = 0.001), and in-hospital mortality (27.3% vs. 22.3%, p = 0.416) were higher compared to the non-MDR group.</p><p><strong>Conclusion: </strong>MDR-bacteria positivity is associated with inappropriate antibiotic treatment, prolonged hospitalization, and increased mortality. Screening, antibiotic prophylaxis, and empirical treatment approaches should be carefully performed in patients with malignancy and recent antibiotic use, which are significant risk factors for MDR-bacteria.</p>","PeriodicalId":14633,"journal":{"name":"Iranian Journal of Microbiology","volume":"16 4","pages":"484-489"},"PeriodicalIF":1.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11389767/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142287446","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}
Pub Date : 2024-08-01DOI: 10.18502/ijm.v16i4.16309
Mahdi Asghari Ozma, Hamideh Mahmoodzadeh Hosseini, Mohammad Hossein Ataee, Seyed Ali Mirhosseini
Background and objectives: The most common cause of healthcare-associated diarrhea is Clostridium difficile infection (CDI), which causes severe and recurring symptoms. The increase of antibiotic-resistant C. difficile requires alternate treatments. Postbiotics, metabolites produced by probiotics, fight CDI owing to their antibacterial capabilities. This study aims to evaluate the antibacterial, antibiofilm, and anti-toxigenic potential of postbiotics in combating CDI.
Materials and methods: GC-MS evaluated postbiotics from Bifidobacterium bifidum and Lactobacillus plantarum. Disk diffusion and broth microdilution determined C. difficile antibacterial inhibition zones and MICs. Microtiter plates assessed antibiofilm activity. MTT assay evaluated postbiotics anti-viability on HEK293. ELISA testing postbiotic detoxification of toxins A and B. Postbiotics were examined for tcdA and tcdB genes expression using real-time PCR.
Results: The most identified B. bifidum and L. plantarum postbiotic compounds were glycolic acid (7.2%) and butyric acid (13.57%). B. bifidum and L. plantarum displayed 13 and 10 mm inhibition zones and 2.5 and 5 mg/ml MICs against C. difficile. B. bifidum reduced biofilm at 1.25 mg/ml by 49% and L. plantarum by 31%. MTT assay showed both postbiotics had little influence on cell viability, which was over 80%. The detoxification power of postbiotics revealed that B. bifidum decreased toxin A and B production more effectively than L. plantarum, and also their related tcdA and tcdB genes expression reduction were statistically significant (p < 0.05).
Conclusion: Postbiotics' ability to inhibit bacterial growth, biofilm disruption, and toxin reduction makes them a promising adjunctive for CDI treatment and a good solution to pathogens' antibiotic resistance.
{"title":"Evaluating the antibacterial, antibiofilm, and anti-toxigenic effects of postbiotics from lactic acid bacteria on <i>Clostridium difficile</i>.","authors":"Mahdi Asghari Ozma, Hamideh Mahmoodzadeh Hosseini, Mohammad Hossein Ataee, Seyed Ali Mirhosseini","doi":"10.18502/ijm.v16i4.16309","DOIUrl":"https://doi.org/10.18502/ijm.v16i4.16309","url":null,"abstract":"<p><strong>Background and objectives: </strong>The most common cause of healthcare-associated diarrhea is <i>Clostridium difficile</i> infection (CDI), which causes severe and recurring symptoms. The increase of antibiotic-resistant <i>C. difficile</i> requires alternate treatments. Postbiotics, metabolites produced by probiotics, fight CDI owing to their antibacterial capabilities. This study aims to evaluate the antibacterial, antibiofilm, and anti-toxigenic potential of postbiotics in combating CDI.</p><p><strong>Materials and methods: </strong>GC-MS evaluated postbiotics from <i>Bifidobacterium bifidum</i> and <i>Lactobacillus plantarum</i>. Disk diffusion and broth microdilution determined <i>C. difficile</i> antibacterial inhibition zones and MICs. Microtiter plates assessed antibiofilm activity. MTT assay evaluated postbiotics anti-viability on HEK293. ELISA testing postbiotic detoxification of toxins A and B. Postbiotics were examined for <i>tcdA</i> and <i>tcdB</i> genes expression using real-time PCR.</p><p><strong>Results: </strong>The most identified <i>B. bifidum</i> and <i>L. plantarum</i> postbiotic compounds were glycolic acid (7.2%) and butyric acid (13.57%). <i>B. bifidum</i> and <i>L. plantarum</i> displayed 13 and 10 mm inhibition zones and 2.5 and 5 mg/ml MICs against <i>C. difficile. B. bifidum</i> reduced biofilm at 1.25 mg/ml by 49% and <i>L. plantarum</i> by 31%. MTT assay showed both postbiotics had little influence on cell viability, which was over 80%. The detoxification power of postbiotics revealed that <i>B. bifidum</i> decreased toxin A and B production more effectively than <i>L. plantarum</i>, and also their related <i>tcdA</i> and <i>tcdB</i> genes expression reduction were statistically significant (p < 0.05).</p><p><strong>Conclusion: </strong>Postbiotics' ability to inhibit bacterial growth, biofilm disruption, and toxin reduction makes them a promising adjunctive for CDI treatment and a good solution to pathogens' antibiotic resistance.</p>","PeriodicalId":14633,"journal":{"name":"Iranian Journal of Microbiology","volume":"16 4","pages":"497-508"},"PeriodicalIF":1.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11389761/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142287445","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}
Pub Date : 2024-08-01DOI: 10.18502/ijm.v16i4.16304
Monika Sultana, Mohammad Mamun Alam, Somen Kumar Mistri, S M Mostafa Kamal, Chowdhury Rafiqul Ahsan, Mahmuda Yasmin
Background and objectives: Rifampicin (RIF) and isoniazid (INH), two most potent antibiotics, are prescribed to cure tuberculosis. Mycobacterium tuberculosis, the causative agent of multidrug-resistant tuberculosis (MDR-TB), is resistant to these first-line drugs. Here, two molecular techniques were demonstrated such as PCR sequencing-based and GeneXpert assay for rapidly identifying MDR-TB.
Materials and methods: Pulmonary samples (sputum) were collected from 55 MDR-TB suspected patients from the National Tuberculosis Reference Laboratory (NTRL), Dhaka where the research work was partially accomplished and continued in the department of Microbiology, University of Dhaka, Bangladesh. We strived for sequencing technique as well as GeneXpert assay to identify mutations in rpoB and katG genes in MTB strains and sputum directly. Culture-based drug susceptibility testing (DST) was performed to measure the efficacy of the molecular methods employed.
Results: When analyzed, rpoB gene mutations at codons 531 (54.54%), 526 (14.54%), and 516 (10.91%) were found by sequencing in 80% of the samples. Nucleotide substitution at katG315 (AGC→ACC) was spotted in 16 (76.19%) out of 21 samples. When comparing the sequencing results with DST, sensitivity and specificity were investigated to determine drug-resistance (rifampicin-resistance were 98 and 100% whereas isoniazid-resistance were 94 and 100% respectively). Additionally, as a point of comparison with DST, only 85.45% of RIF mono-resistant TB cases were accurately evaluated by the GeneXpert assay.
Conclusion: This research supports the adoption of PCR sequencing approach as an efficient tool in detecting MDR-TB, counting the higher sensitivity and specificity as well as the short period to produce the results.
{"title":"Multi-drug resistant gene mutation analysis in <i>Mycobacterium tuberculosis</i> by molecular techniques.","authors":"Monika Sultana, Mohammad Mamun Alam, Somen Kumar Mistri, S M Mostafa Kamal, Chowdhury Rafiqul Ahsan, Mahmuda Yasmin","doi":"10.18502/ijm.v16i4.16304","DOIUrl":"https://doi.org/10.18502/ijm.v16i4.16304","url":null,"abstract":"<p><strong>Background and objectives: </strong>Rifampicin (RIF) and isoniazid (INH), two most potent antibiotics, are prescribed to cure tuberculosis. <i>Mycobacterium tuberculosis</i>, the causative agent of multidrug-resistant tuberculosis (MDR-TB), is resistant to these first-line drugs. Here, two molecular techniques were demonstrated such as PCR sequencing-based and GeneXpert assay for rapidly identifying MDR-TB.</p><p><strong>Materials and methods: </strong>Pulmonary samples (sputum) were collected from 55 MDR-TB suspected patients from the National Tuberculosis Reference Laboratory (NTRL), Dhaka where the research work was partially accomplished and continued in the department of Microbiology, University of Dhaka, Bangladesh. We strived for sequencing technique as well as GeneXpert assay to identify mutations in <i>rpo</i>B and <i>kat</i>G genes in MTB strains and sputum directly. Culture-based drug susceptibility testing (DST) was performed to measure the efficacy of the molecular methods employed.</p><p><strong>Results: </strong>When analyzed, <i>rpo</i>B gene mutations at codons 531 (54.54%), 526 (14.54%), and 516 (10.91%) were found by sequencing in 80% of the samples. Nucleotide substitution at <i>kat</i>G315 (AGC→ACC) was spotted in 16 (76.19%) out of 21 samples. When comparing the sequencing results with DST, sensitivity and specificity were investigated to determine drug-resistance (rifampicin-resistance were 98 and 100% whereas isoniazid-resistance were 94 and 100% respectively). Additionally, as a point of comparison with DST, only 85.45% of RIF mono-resistant TB cases were accurately evaluated by the GeneXpert assay.</p><p><strong>Conclusion: </strong>This research supports the adoption of PCR sequencing approach as an efficient tool in detecting MDR-TB, counting the higher sensitivity and specificity as well as the short period to produce the results.</p>","PeriodicalId":14633,"journal":{"name":"Iranian Journal of Microbiology","volume":"16 4","pages":"459-469"},"PeriodicalIF":1.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11389769/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142287471","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}