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Prevalence and risk factors of hepatitis E virus infection among patients with β-thalassemia major in South of Iran 伊朗南部β-地中海贫血患者戊型肝炎病毒感染的流行及危险因素
Pub Date : 2022-03-01 DOI: 10.1080/15321819.2022.2046602
F. Farshadpour, R. Taherkhani, Marziyeh Shaeri
ABSTRACT This study was performed to determine the prevalence and risk factors of hepatitis E virus (HEV) infection among thalassemia patients. All β-thalassemia major patients on regular blood transfusion attending the blood transfusion centers located in southern Iran were invited to participate in this study. ELISA was used to detect anti-HEV IgM and anti-HEV IgG antibodies. The molecular detection of HEV infection was performed by nested RT-PCR assay, targeting the ORF2 region of HEV genome, and sequencing. In this study, 16.67% of thalassemia patients were positive for anti-HEV IgG compared to 12.1% of the controls. Thalassemia patients were negative for anti-HEV IgM and HEV viremia. Patients with blood transfusion every two weeks had significantly higher anti-HEV IgG seroprevalence compared to the patients with blood transfusions at longer intervals (OR: 12.50; 95% CI: 1.76–88.74; P = .012). Anti-HEV IgG seroprevalence was not statistically associated with age, gender distribution, ethnicity, place of residency, education level, and serum levels of liver enzymes. This study reports a high seroprevalence of HEV among thalassemia patients, while frequency of blood transfusion was significantly associated with anti-HEV IgG seropositivity. This suggests that frequent blood transfusion may be a risk factor for exposure to HEV infection among thalassemia patients.
摘要:本研究旨在确定地中海贫血患者戊型肝炎病毒(HEV)感染的流行情况及其危险因素。邀请所有在伊朗南部输血中心定期输血的β-地中海贫血重症患者参加本研究。ELISA法检测抗hev IgM和抗hev IgG抗体。采用巢式RT-PCR技术,针对HEV基因组ORF2区进行HEV感染分子检测,并进行测序。在这项研究中,16.67%的地中海贫血患者抗hev IgG呈阳性,而对照组为12.1%。地中海贫血患者抗HEV IgM和HEV病毒血症均为阴性。与间隔较长时间输血的患者相比,每两周输血一次的患者抗hev IgG血清阳性率明显更高(OR: 12.50;95% ci: 1.76-88.74;P = .012)。抗hev IgG血清阳性率与年龄、性别分布、种族、居住地、教育水平和血清肝酶水平无统计学相关性。这项研究报告了地中海贫血患者中HEV的高血清患病率,而输血频率与抗HEV IgG血清阳性显著相关。这表明频繁输血可能是地中海贫血患者暴露于戊型肝炎感染的一个危险因素。
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引用次数: 0
Serosurvey of hepatitis A virus and E virus infection among municipal sweepers working in the largest city in the south of Iran 伊朗南部最大城市市政清洁工甲型肝炎病毒和戊型肝炎病毒感染的血清调查
Pub Date : 2021-07-16 DOI: 10.1080/15321819.2022.2052088
S. Hosseini, N. Joharinia, S. Hosseini, Saeed Firoozi Ghahestani, Rozita Ghojoghi, Kourosh Dorost, M. Moghadami, Abolfazl Gheshlaghi, O. Jaberi, Rohollah Khoshbakht, J. Sarvari
ABSTRACT This study was conducted to determine the exposure rate of Hepatitis A and Hepatitis E viruses in urban solid waste collectors/sweepers in the south of Iran. The 385 samples (serums) were collected from Shiraz Municipality waste sweepers.. A questionnaire was used to gather data on their demographic and occupational characteristics, as well as their awareness of viral hepatitis disease. The viral seroprevalence was determined by commercial IgG ELISA kit. All participants were male, mean age of 41 ± 8 years. ELISA assay showed that all of them were positive for anti-HAV IgG. Also, 62 out of 385 individuals were positive for anti-HEV IgG. The statistical analysis showed that the frequency of HEV IgG antibody among age groups 20–30, 31–40, 41–50 and >50 years old had an increasing trend, 4.5%, 10.1%, 17.4%, and 36.7%, respectively, indicating age factor significance (p = .001). Based on some investigated factors including the duration of work experience, current and previous jobs, habitation, personal hygiene status, and knowledge on viral hepatitis diseasees/their transmission, there was no statistically significant difference between anti-HEV IgG positive versus negative sweepers. The results indicated a slighty higher frequency of anti-HAV and anti-HEV IgG among sweepers compared to other pre-investigated population. It doesn’t seem that garbage collecting/sweeping could be a significant risk factor for HAV and HEV infection.
本研究旨在确定伊朗南部城市固体废物收集者/清洁工中甲型肝炎和戊型肝炎病毒的暴露率。385份样本(血清)采集自设拉子市垃圾清扫工。使用一份调查问卷收集有关他们的人口统计和职业特征以及他们对病毒性肝炎疾病的认识的数据。采用市售IgG ELISA试剂盒检测病毒血清阳性率。所有参与者均为男性,平均年龄41±8岁。ELISA检测结果均为抗hav IgG阳性。此外,385人中有62人抗hev IgG阳性。统计分析显示,20 ~ 30岁、31 ~ 40岁、41 ~ 50岁、50 ~ 50岁人群HEV IgG抗体阳性率呈上升趋势,分别为4.5%、10.1%、17.4%、36.7%,年龄因素显著(p = 0.001)。根据工作年限、目前和以前的工作、居住地、个人卫生状况、病毒性肝炎疾病/传播知识等调查因素,抗hev IgG阳性与阴性清扫者之间无统计学差异。结果表明,与其他预先调查的人群相比,清洁工中抗hav和抗hev IgG的频率略高。垃圾收集/清扫似乎不可能是甲型肝炎和戊型肝炎感染的重要危险因素。
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引用次数: 1
An update on investigations of autoimmune diseases affecting orofacial region 影响口面部的自身免疫性疾病的最新研究进展
Pub Date : 2020-01-02 DOI: 10.1080/15321819.2019.1680387
K. Garlapati, Mayuri Rallabandi, S. Shalini
ABSTRACT Autoimmune diseases are better diagnosed currently with advances in cellular immunology, molecular biology, and genetics. Clinical diagnosis of systemic and organ specific autoimmune diseases is a challenging task for the Oral physicians and the development of chairside investigation methods has not only saved the time but also cost factor. To understand patient’s immune status, the clinical chair side diagnostic aids along with laboratory testing methods are necessary. Laboratory investigations have great importance in detecting, confirming and analyzing the severity, and predicting the prognosis of the autoimmune disease. This article aims to list out the diagnostic methods to diagnose autoimmune conditions and focuses on various diagnostic methods to effectively evaluate autoimmune disease of orofacial region.
目前,随着细胞免疫学、分子生物学和遗传学的进步,自身免疫性疾病的诊断得到了更好的发展。全身和器官特异性自身免疫性疾病的临床诊断对口腔医生来说是一项具有挑战性的任务,而椅边调查方法的发展不仅节省了时间,而且节省了成本。为了了解患者的免疫状况,临床诊断辅助工具和实验室检测方法是必要的。实验室检查对自身免疫性疾病的发现、确认和严重程度分析以及预测预后具有重要意义。本文旨在列举自身免疫性疾病的诊断方法,重点介绍各种有效评价口腔颌面部自身免疫性疾病的诊断方法。
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引用次数: 0
Evaluation of the mucoadhesive strengths of Abelmoschus esculentus and Irvingia gabonensis gums for possible application in veterinary vaccine delivery: the effect of extraction methods 猪沙鼠和加蓬树胶黏附强度评价及其在兽医疫苗应用中的应用:提取方法的影响
Pub Date : 2020-01-02 DOI: 10.1080/15321819.2019.1680388
C. Ezeasor, B. Emikpe, M. O. Odeniyi, S. Shoyinka
ABSTRACT This study evaluates the effects of different gum extraction methods on the mucoadhesive strengths of Abelmoschus esculentus (AE) and Irvingia gabonensis (IG) gums and the release of vaccine antigen in vaccine–gum formulations. AE and IG gums were extracted employing previously documented methods with acetone or sodium chloride (NaCl) and either oven-dried or freeze-dried. Gum extracts were analyzed for mucoadhesive strengths using a modified rotational cylinder method on animal mucosa. The time taken to detach from the mucosa was taken as the Peak Adhesion Time (PAT). The gum extracts were charged with Peste des petits ruminant vaccine and the antigen release was evaluated using agar gel immunodiffusion technique. The means of the PATS were analyzed using Mann-whitney t-test at p < .05. The NaCl extracted and freeze-dried IG gum showed sustained mean PATs of 1766 ± 73 s; 2116 ± 101 s; 7044 ± 117 s, while the oven-dried IG gum and both AE gums showed short-lived average PATs. Vaccine-gum formulations of IG at ratios 2:1, 1:1 & 1:2 had strong positive reactions while only that of AE at 2:1 showed a strong positive reaction. This study shows that NaCl extracted and freeze-dried IG gum has immunomodulatory potential for mucoadhesive vaccine delivery in ruminants.
摘要本研究考察了不同树胶提取方法对esculentus Abelmoschus (AE)和Irvingia gabonensis (IG)树胶黏附强度和疫苗-树胶制剂中疫苗抗原释放的影响。AE和IG树胶采用先前文献记载的方法,用丙酮或氯化钠(NaCl)和烘箱干燥或冷冻干燥提取。采用改进的旋转圆筒法分析了胶提取物在动物粘膜上的黏附强度。以与粘膜分离的时间作为峰值粘附时间(Peak Adhesion time, PAT)。采用琼脂凝胶免疫扩散技术对胶提取物进行抗原释放评价,并将其与反刍小虫疫苗进行对照。PATS均数采用Mann-whitney t检验,p < 0.05。NaCl提取和冻干IG胶的平均持续时间为1766±73 s;2116±101秒;(7044±117)s,而IG胶和AE胶均表现出短暂的平均PATs。比例为2:1、1:1和1:2的IG疫苗胶配方有强烈的阳性反应,只有比例为2:1的AE疫苗胶配方有强烈的阳性反应。本研究表明,NaCl提取和冷冻干燥的IG胶对反刍动物黏附疫苗具有免疫调节作用。
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引用次数: 5
Cyclin D1 and PSA act as good prognostic and clinicopathological indicators for breast cancer Cyclin D1和PSA是乳腺癌良好的预后和临床病理指标
Pub Date : 2020-01-02 DOI: 10.1080/15321819.2019.1677706
N. Holah, A. Hemida
ABSTRACT Breast cancer is one of the main causes of malignancies in females. Many prognostic parameters are verified but they do not give sufficient data about patients’ outcome. So, we must search for new prognostic and clinicopathological parameters. This study aimed to evaluate immunohistochemical expression of cyclin D1 and PSA in breast carcinoma and their relation to prognosis. It includes 79 specimens of breast invasive duct carcinoma. Overall survival time was available for all patients. There is a statistically significant association between positive PSA expression and lower tumor stage, nodal stage and tumor grade and between negative PSA expression and presence of metastasis (P value = .05, 0.01, 0.03 and 0.011, respectively). There is a highly statistically significant association between low percentage of cyclin D1 expression (<10%) and advanced tumor stage, advanced grade and presence of metastasis (P value = .002, 0.003 and 0.000, respectively) and between low and moderate percentage of Cyclin D1 expression (<10% and 10–50%) and advanced nodal stage (P value = .0.01). We concluded that Cyclin D1 and PSA were associated with good prognostic and clinicopathological parameters and therefore we suggested that they might be used as favorable prognostic indicators and should be analyzed in the context of molecular subtypes.
乳腺癌是女性恶性肿瘤的主要病因之一。许多预后参数得到了验证,但它们不能提供关于患者预后的充分数据。因此,我们必须寻找新的预后和临床病理参数。本研究旨在探讨细胞周期蛋白D1和PSA在乳腺癌中的免疫组化表达及其与预后的关系。其中包括79例乳腺浸润性导管癌。所有患者的总生存时间均可获得。PSA阳性表达与较低的肿瘤分期、淋巴结分期、肿瘤分级相关,PSA阴性表达与有无转移相关,差异均有统计学意义(P值分别为0.05、0.01、0.03、0.011)。cyclin D1低表达率(<10%)与肿瘤分期、分级、转移相关(P值分别为0.002、0.003、0.000),cyclin D1低表达率与中度表达率(<10%、10-50%)与淋巴结分期相关(P值分别为0.01),具有高度统计学意义。我们得出结论,Cyclin D1和PSA与良好的预后和临床病理参数相关,因此我们认为它们可能被用作有利的预后指标,应该在分子亚型的背景下进行分析。
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引用次数: 9
Effects of fructooligosaccharides (FOS) on growth, survival, gut microflora, stress, and immune response in Pacific white shrimp, Litopenaeus vannamei, cultured in a recirculating system 低聚果糖(FOS)对循环水养殖凡纳滨对虾生长、存活、肠道菌群、应激和免疫反应的影响
Pub Date : 2020-01-02 DOI: 10.1080/15321819.2019.1680386
A. Mustafa, A. Buentello, D. Gatlin, D. Lightner, M. Hume, A. Lawrence
ABSTRACT The present study investigated the effects of short-chain fructooligosaccharides (FOS) as dietary supplements on stress, immune response, gut microbiota, growth, and survivability of three different treatment groups of Pacific white shrimp, Litopaneous vennamei, cultured in a recirculating system. The experiment was conducted over a 35-day trial period. Shrimps were fed diets, 15 times a day using automated feeder, supplemented with GOS at 0%, 0.15%, and 0.30% by weight. Denaturing gradient gel electrophoresis analysis revealed that the enteric microbial community of shrimp fed the basal diet differed markedly (<80.0% similarity coefficient) from those fed FOS-supplemented diets. However, shrimp survival, weight gain, and immune responses among the treatment groups were good but not significantly different (P > 0.05), probably due to the limited length of the feeding trial.
摘要本研究研究了短链低聚果糖(FOS)作为饲料添加剂对三种不同处理组在循环系统中培养的太平洋白对虾的应激、免疫反应、肠道菌群、生长和存活率的影响。试验期35 d。试验对虾采用自动投喂机,每天投喂15次,按体重的0%、0.15%和0.30%添加GOS。变性梯度凝胶电泳分析显示,饲喂基础饲料对虾的肠道微生物群落差异显著(0.05),这可能与饲喂试验时间有限有关。
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引用次数: 11
Serum levels of anti-hepatitis B surface antibodies among vaccinated children aged 1 to 12 years in a rural community in Fars Province, southern Iran 伊朗南部法尔斯省一个农村社区接种疫苗的1至12岁儿童的血清抗乙型肝炎表面抗体水平
Pub Date : 2020-01-02 DOI: 10.1080/15321819.2019.1675696
N. Arefkhah, Sina Vafazadeh, Sepehr Shahriarirad, F. Ghorbani, S. Zoghi, M. Emami, Bardia Zamiri, M. Cheraghi, J. Sarvari, B. Sarkari
ABSTRACT The present study aimed to find out the levels of anti-HBsAb among vaccinated children in a rural community in Fars Province, Southern Iran. Blood samples were taken from 550 children, aged 1–12 years (mean 6.4 ± 3.5), in 2017 from three villages in the area. A structured questionnaire was used to get the sociodemographic data of the subjects along with determinants concerning the Hepatitis B. Sera samples were examined for anti-HBsAb, using an ELISA commercial kit. Anti-HBsAb were detected in 468 (85.1%) of the subjects. Of the seropositive subjects, 37 (45.1%) were female and 45 (54.9%) were male. In the age group of 0–5 years, 88.7% of the subjects were seropositive. This rate was 84.3% and 78.1% in the age group of 6–10 years old and older than 10 years, respectively. There was a significant association (p < .05) between the anti-HBsAb and age. Findings of the current study revealed that children living in a rural community in southern Iran have appropriate protection against HBV even more than 10 years after being vaccinated. The decline in seropositivity rate of anti-HBsAb with age may further point out the need for a booster dose of HBV vaccine.
本研究旨在了解伊朗南部法尔斯省农村社区接种疫苗儿童的抗hbsab水平。2017年从该地区3个村庄采集了550名1-12岁儿童(平均6.4±3.5岁)的血液样本。使用结构化问卷获得受试者的社会人口学数据以及与乙肝有关的决定因素。使用ELISA商用试剂盒检测血清样本的抗hbsab。468例(85.1%)检测到抗hbsab。其中,女性37例(45.1%),男性45例(54.9%)。在0 ~ 5岁年龄组中,88.7%的受试者血清阳性。6 ~ 10岁和10岁以上年龄组患病率分别为84.3%和78.1%。抗hbsab与年龄有显著相关性(p < 0.05)。目前的研究结果表明,生活在伊朗南部农村社区的儿童在接种乙肝疫苗10多年后仍能得到适当的保护。抗hbsab血清阳性率随着年龄的增长而下降,这可能进一步指出需要加强乙肝疫苗的剂量。
{"title":"Serum levels of anti-hepatitis B surface antibodies among vaccinated children aged 1 to 12 years in a rural community in Fars Province, southern Iran","authors":"N. Arefkhah, Sina Vafazadeh, Sepehr Shahriarirad, F. Ghorbani, S. Zoghi, M. Emami, Bardia Zamiri, M. Cheraghi, J. Sarvari, B. Sarkari","doi":"10.1080/15321819.2019.1675696","DOIUrl":"https://doi.org/10.1080/15321819.2019.1675696","url":null,"abstract":"ABSTRACT The present study aimed to find out the levels of anti-HBsAb among vaccinated children in a rural community in Fars Province, Southern Iran. Blood samples were taken from 550 children, aged 1–12 years (mean 6.4 ± 3.5), in 2017 from three villages in the area. A structured questionnaire was used to get the sociodemographic data of the subjects along with determinants concerning the Hepatitis B. Sera samples were examined for anti-HBsAb, using an ELISA commercial kit. Anti-HBsAb were detected in 468 (85.1%) of the subjects. Of the seropositive subjects, 37 (45.1%) were female and 45 (54.9%) were male. In the age group of 0–5 years, 88.7% of the subjects were seropositive. This rate was 84.3% and 78.1% in the age group of 6–10 years old and older than 10 years, respectively. There was a significant association (p < .05) between the anti-HBsAb and age. Findings of the current study revealed that children living in a rural community in southern Iran have appropriate protection against HBV even more than 10 years after being vaccinated. The decline in seropositivity rate of anti-HBsAb with age may further point out the need for a booster dose of HBV vaccine.","PeriodicalId":15987,"journal":{"name":"Journal of Immunoassay and Immunochemistry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88017101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
Seroprevalence and trend of hepatitides among blood donors in a district hospital in Ghana: a nine-year retrospective, descriptive cross-sectional study 加纳一家地区医院献血者中肝炎的血清阳性率和趋势:一项9年回顾性描述性横断面研究
Pub Date : 2020-01-02 DOI: 10.1080/15321819.2019.1682601
C. Nkansah, Dorcas Serwaa, Felix Osei-Boakye, Richard Owusu-Ampomah
ABSTRACT Hepatitis infections are among the greatest threats to human existence and survival and hence poses a serious public health challenge in blood donation. This study aimed to determine the prevalence and trend of hepatitis infections among voluntary blood donors at Nkenkaasu District Hospital. A retrospective study of voluntary blood donors’ records from January 2010 to December 2018 was conducted. Data on the donors’ age, sex and serum HBsAg and Hepatitis C virus results were retrieved from the Laboratory’s register and analyzed with SPSS version 16.0. Out of the 3306 total donors, the seroprevalence of hepatitis C infection was 11.7% and hepatitis B infection was 10.3%. Only 1.4% of the donors were co-infected with both pathogens and 82.7% had no infection. Rhesus blood group had a significant association with Hepatitis B (P = 0.005). As at 2010, both hepatitis infections had the same prevalence (73), from 2011 to 2018 both showed inconsistent trends. The relatively high seroprevalence of hepatitis infections identified from the study poses a greater threat to blood safety. Extensive screening of blood donors using standard techniques is highly recommended to ensure that recipients receive safe blood.
肝炎感染是对人类生存和生存的最大威胁之一,因此对献血构成了严重的公共卫生挑战。本研究旨在确定恩肯卡苏地区医院自愿献血者中肝炎感染的流行情况和趋势。对2010年1月至2018年12月自愿献血者的记录进行回顾性研究。献血者的年龄、性别、血清HBsAg和丙型肝炎病毒结果数据从实验室的登记册中检索,并使用SPSS 16.0版进行分析。在3306名献血者中,丙型肝炎感染的血清患病率为11.7%,乙型肝炎感染为10.3%。只有1.4%的献血者同时感染两种病原体,82.7%的献血者没有感染。恒河血型与乙型肝炎有显著相关性(P = 0.005)。与2010年一样,这两种肝炎感染的患病率相同(73),从2011年到2018年,两者的趋势不一致。从研究中确定的相对较高的肝炎感染血清患病率对血液安全构成了更大的威胁。强烈建议使用标准技术对献血者进行广泛筛查,以确保受者获得安全的血液。
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引用次数: 9
Comparison of two therapeutic approaches for the management of ventilator-associated pneumonia due to multidrug-resistant Acinetobacter: a randomized clinical trial study 多药耐药不动杆菌引起的呼吸机相关性肺炎两种治疗方法的比较:一项随机临床试验研究
Pub Date : 2019-11-28 DOI: 10.1080/15321819.2019.1696818
F. Khorvash, Shoeleh Yaghoubi, Shadi Farsaei, B. Ataei, A. Hakamifard, F. Mohajeri, Mohsen Gudarzi
ABSTRACT Management of ventilator-associated pneumonia (VAP) is a puzzling issue for infectious disease specialist. The present clinical trial study was aimed to comparing the effects of injectable colistin plus nebulized colistin and injectable colistin plus nebulized tobramycin on management of patients with VAP due to multidrug-resistant Acinetobacter. VAP patients were randomly divided into two groups (n = 30/each): Group 1 – patients that received intravenous (IV) meropenem, injectable colistin plus nebulized colistin, as a routine treatment, and Group 2 – patients that received IV meropenem, injectable colistin plus nebulized tobramycin. A total of 14 days of therapeutic intervention are required for every case. Follow-up for subjects was performed at five time-points: days 1, 3, 5, 7, and 14 after intervention. Also, a mean of creatinine levels of patients was determined in five times. In the present study, the clinical pulmonary infection score (CPIS) was determined on the basis of points assigned for various clinically manifestations of VAP. Based on our statistical analysis, there was no significant difference between CPIS and creatinine level in both Groups 1 and 2 (p > .05). CPIS and other clinical investigation appeared effectiveness of the treatment with injected colistin plus nebulized tobramycin; on the other hand, the results of present clinical trial showed that aforementioned therapeutic approach can be used as an alternative treatment for the management of infection in VAP patients.
呼吸机相关性肺炎(VAP)的治疗一直是困扰传染病专家的难题。本临床试验旨在比较注射粘菌素加雾化治疗与注射粘菌素加雾化妥布霉素治疗多药耐药不动杆菌所致VAP的疗效。将VAP患者随机分为两组(每组30例):第1组常规给予静脉注射美罗培南、注射黏菌素加雾化黏菌素治疗;第2组静脉注射美罗培南、注射黏菌素加雾化妥布霉素治疗。每个病例总共需要14天的治疗干预。在干预后的第1天、第3天、第5天、第7天和第14天对受试者进行随访。同时,测定5次患者肌酐水平的平均值。在本研究中,临床肺部感染评分(CPIS)是根据VAP的各种临床表现的评分来确定的。经统计学分析,1、2组CPIS与肌酐水平比较,差异无统计学意义(p < 0.05)。CPIS等临床调查显示注射粘菌素加雾化妥布霉素治疗的有效性;另一方面,本临床试验结果表明,上述治疗方法可以作为VAP患者感染管理的替代治疗方法。
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引用次数: 5
Semi-solid phase assay for the alternative complement pathway activity assessment (AP100) 半固相法测定替代补体途径活性(AP100)
Pub Date : 2019-11-27 DOI: 10.1080/15321819.2019.1696819
K. Kerboua, K. Djenouhat
ABSTRACT Since the introduction of the most expensive drug in the world (Eculizumab) in the therapeutic arsenal of many diseases involving the alternative complement pathway (ACP) in their pathophysiology, the unmet need to perform simple ACP assays affordable for all countries has become one of the major challenges of the contemporary medicine. The assay currently used is AH50, despite it still challenging for several laboratories. This educational chapter consists of a detail protocol of standardized hemolytic assay AP100 and aims to help clinical laboratories over the world and especially those of the developing and low income countries to perform it. The procedure is essentially the same as for the timed lysis assay and dilution methods (AP50) except the concentration of ACP buffer and the chicken erythrocyte density used to make the gels. In clinical field, AP100 has at least nine applications in disease diagnosis and follow-up. AP100 has many advantages over the AH50 as it is more reliable for the Eculizumab monitoring and more practical with a purpose to be stored and transported for several weeks. AP100 is a portable and easy to use device both at the bedside and in the companion medical care.
摘要:自从世界上最昂贵的药物(Eculizumab)被引入许多涉及替代补体途径(ACP)病理生理的疾病的治疗库以来,对所有国家负担得起的简单ACP检测的需求未得到满足已成为当代医学的主要挑战之一。目前使用的测定方法是AH50,尽管对一些实验室来说仍然具有挑战性。本教育章节包括标准化溶血测定AP100的详细协议,旨在帮助世界各地的临床实验室,特别是发展中国家和低收入国家的临床实验室执行它。除了ACP缓冲液的浓度和用于制作凝胶的鸡红细胞密度不同外,该过程基本上与定时裂解和稀释法(AP50)相同。在临床领域,AP100在疾病诊断和随访方面至少有9个应用。与AH50相比,AP100具有许多优点,因为它对Eculizumab的监测更可靠,并且更实用,可以储存和运输数周。AP100是一种便携且易于使用的设备,既可用于床边,也可用于陪伴医疗。
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引用次数: 3
期刊
Journal of Immunoassay and Immunochemistry
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