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Evaluation of microbiological profile and antibiogram of aerobic bacteria isolated from pus samples 脓液样品中需氧细菌微生物谱及抗生素谱的评价
Pub Date : 2018-01-01 DOI: 10.5455/JMAS.284747
Pilli Hema Prakash Kumari, P. U. Rani, P. V. Lakshmi
Purulent wound infections are quite complicated to manage because of multidrug resistant bacteria. The main purpose of the present study was to assess the prevalence, microbiological profile and antibiograms of aerobic bacteria isolated from pus samples. One hundred pus sam-ples sent to the microbiology laboratory from surgical departments over a period of six months were analyzed. Isolation and detection of culture isolates was done by using standard bacteriological techniques and antibiotic susceptibility testing was performed by disc diffusion method by following CLSI guidelines on Muller-Hinton (MH) agar. Highest number of pus samples were from incision and drainage (23.8%) followed by chronic non-healing ulcer (19.04%). Twenty one different bacterial isolates were obtained from one hundred pus samples. S. aureus was the predominant bacteria (28.5%) followed by coagulase-negative Staphylococci (23.8%). The results of the antibiotics susceptibility testing illustrated that majority of the isolated organisms were MDR. S. aureus showed highest sensitivity to antibiotics like linezolid (83.3%) and teicoplanin (50%). Among the five isolated strains of coagulase-negative Staphylococci (CONS), three of them were MDR and the other two showed sensitivity to antibiotics cefaperazone, co-trimoxazole and ticarcillin/clavulanic acid (20%). Among the 9 isolates of Enterobacteriaceae, one isolate of E. coli (11.1%), two isolates of Klebsiella species (22.2%) showed ESBL pro-duction. The isolated four strains of P. aeruginosa showed ESBL pro-duction (44.4%) by CAZ/CA antibiotic susceptibility testing. These or-ganisms were screened for carbapenemase production through Modified Hodge test, 5 strains possess carbapenemase enzyme pro-duction (71.4%) and thus acquire resistance to carbapenem antibiotics. Carbapenemase production was not detected in the 2 isolates of P. aeruginosa among the 4 tested strains. The overall results showed that 85% of the isolated strains showed MDR to certain classes of antibiotics.
由于多药耐药细菌的存在,脓性伤口感染的处理相当复杂。本研究的主要目的是评估从脓液样本中分离的需氧细菌的患病率,微生物谱和抗生素谱。对6个月来外科送至微生物实验室的100份脓液样本进行了分析。采用标准细菌学技术对培养分离物进行分离和检测,并按照CLSI指南在Muller-Hinton (MH)琼脂上采用圆盘扩散法进行抗生素药敏试验。脓液标本以切口引流最多(23.8%),其次为慢性不愈合溃疡(19.04%)。从100份脓液样本中分离出21种不同的细菌。金黄色葡萄球菌为优势菌(28.5%),其次为凝固酶阴性葡萄球菌(23.8%)。药敏试验结果显示,分离出的病原菌多数为耐多药。金黄色葡萄球菌对利奈唑胺(83.3%)和替柯planin(50%)敏感性最高。5株凝固酶阴性葡萄球菌(con)中,3株为耐多药,2株对头孢哌酮、复方新诺明和替卡西林/克拉维酸敏感(20%)。9株肠杆菌科分离株中,1株大肠杆菌(11.1%)和2株克雷伯菌(22.2%)产生ESBL。4株铜绿假单胞菌经CAZ/CA药敏试验均产ESBL(44.4%)。通过改良霍奇试验筛选产碳青霉烯酶的菌株,5株(71.4%)产碳青霉烯酶,对碳青霉烯类抗生素产生耐药性。4株铜绿假单胞菌中2株未检测到碳青霉烯酶的产生。总体结果显示,85%的分离菌株对某些类别的抗生素表现出耐多药。
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引用次数: 6
A cyto-histo pathological correlation of bladder tumors in relation to smoking as a risk factor 膀胱肿瘤的细胞组织病理学相关性与吸烟作为危险因素的关系
Pub Date : 2018-01-01 DOI: 10.5455/jmas.293731
Tanushree Satpathy, B. Satpathy, S. Chakraborty, P. K. Satpathy, P. Vijayalakshmi
73 Original article A cyto-histo pathological correlation of bladder tumors in relation to smoking as a risk factor Tanushree Satpathy, Binapani Satpathy, Sukumar Chakraborty, Prasanna Kumar Satpathy, Payala Vijayalakshmi 1 Department of Pathology and 4 Department of Microbiology, GITAM Institute of Medical Sciences and Research, GITAM University, Vishakhapatnam-530045, Andhra Pradesh, India. 2 Department of Obstetrics and Gynecology and 3 Department of Pathology, Hi-Tech Medical College, Pandara, Rasulgarh, Bhubaneswar-751025, Odisha, India. Article history: Abstract
[73]吸烟与膀胱肿瘤的细胞组织病理学相关性研究:Tanushree Satpathy, Binapani Satpathy, Sukumar Chakraborty, Prasanna Kumar Satpathy, Payala Vijayalakshmi 1 . GITAM大学医学科学与研究所病理学系、4 .微生物学系,Vishakhapatnam-530045, Andhra Pradesh,印度。Pandara, Rasulgarh, Bhubaneswar-751025,印度奥里萨邦。文章历史:
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引用次数: 0
Vaccine hesitancy - Issues and possible solutions 疫苗犹豫-问题和可能的解决办法
Pub Date : 2018-01-01 DOI: 10.5455/JMAS.290153
Dewesh Kumar, Nusrat Noor, V. Kashyap
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引用次数: 4
The effects of tomato ( Lycopersicon esculentum ) extract on carbimazole-induced biochemical alterations in pancreas of albino rats 番茄提取物对卡马唑诱导的白化大鼠胰腺生化改变的影响
Pub Date : 2018-01-01 DOI: 10.5455/JMAS.285861
I. Uchendu, C. Agu, O. C. Orji
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引用次数: 1
Genetic predisposition to COPD COPD的遗传易感性
Pub Date : 2018-01-01 DOI: 10.5455/JMAS.5706
A. Khan
hronic obstructive pulmonary disease (COPD) is a major cause of global morbidity and mortality and categorized by irreversible airflow obstruction. COPD is presently the fourth leading cause of death and by 2030 COPD will be third leading cause of death according to the World Health Organization (WHO) reports. It was observe that minority of cigarette smokers have chance to develop COPD. But investigation suggests that subsequent to smoking other factors seems to be of play significant role for the development of the COPD. Epidemiological data demonstrated that genetics to be one of those factors, as COPD is known to aggregate in families and this provides evidence that genetic predisposition plays an important role in COPD. Related traits and genome wide association investigation of COPD have exposed multiple genetic loci association and risk of COPD. The heritability of COPD cannot be completely elucidated by identifying the genetic risk factors as achieving genome-wide significance. The mutual influence of genetic variation to COPD risk has not been completely understood.
慢性阻塞性肺疾病(COPD)是全球发病率和死亡率的主要原因,以不可逆的气流阻塞为分类。根据世界卫生组织(世卫组织)的报告,慢性阻塞性肺病目前是第四大死因,到2030年,慢性阻塞性肺病将成为第三大死因。据观察,少数吸烟者有机会发展为慢性阻塞性肺病。但调查表明,吸烟后的其他因素似乎对慢性阻塞性肺病的发展起着重要作用。流行病学数据表明,遗传是其中一个因素,因为已知COPD在家族中聚集,这提供了遗传易感性在COPD中起重要作用的证据。COPD的相关性状和全基因组关联研究揭示了多个基因位点与COPD风险的关联。慢性阻塞性肺病的遗传性不能完全通过确定遗传危险因素来实现全基因组意义。遗传变异对COPD风险的相互影响尚未完全了解。
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引用次数: 0
Extracranial carotid doppler correlation to multidetector CT angiography in ischemic stroke patients 缺血性脑卒中患者颅外颈动脉多普勒与多探头CT血管造影的相关性
Pub Date : 2018-01-01 DOI: 10.5455/jmas.275895
J. Mohanty, Biswojeet Bisworanjan Sahoo, Mamata Singh
The purpose of this study was to compare the diagnostic value of Color Doppler Ultrasound (CDUS), Computed Tomographic Angiography (CTA), and advantage of their combined use in defining the degree of stenosis and morphological character of atheromatous plaque in ischemic stroke patients. This was a cross-sectional study with a total of 60 patients having 120 carotid arteries were observed. The percentage of stenosis was measured at the narrowest point by modified NASCET criteria for both CDUS & CTA. Incidence of stroke was highest in the age group 50-70years with male population commonly affected. Frequency of carotid stenosis was more in male patients aged above 60 years. Hemiparesis was most common symptoms in stroke patients. The various risk factors of carotid atherosclerosis and stenosis included hypertension, diabetes mellitus, hyperlipidemia and cardiovascular disease. Atheromatous plaques with stenosis were most commonly found on right side. Carotid bifurcation was the common site for atheromatous plaque .There was significant correlation between Color Doppler Ultrasound and Computed Tomographic Angiography for detecting 70-100% stenosis. However CTA is more accurate in comparison to duplex ultrasonography in detecting 70-99% stenosis and total occlusion. There was no significant correlation between CDUS and CTA in detecting 20-49% stenosis. Duplex ultrasonography is more sensitive in detecting these lesions. Out of 49 plaques, in this study 11 were soft plaques, 26 were non-homogenous and 13 were ulcerative plaques. Color doppler has better role in plaque characterization. Besides degree of extracranial stenosis, length of the stenosis, site of intracranial stenosis and total number of stenotic sites are better assessed by CTA. Area of effected brain parenchyma and extent of collateral circulation are better assessed by CTA which aids in prognostic value. In conclusion, the advantage of the combined use of CDUS and the CTA in the identification and quantification of ICA stenosis is higher. However ultrasound had a better role in plaque characterization.
本研究的目的是比较彩色多普勒超声(CDUS)和计算机断层血管造影(CTA)在缺血性脑卒中患者动脉粥样硬化斑块狭窄程度和形态学特征的诊断价值及其联合应用的优势。这是一项横断面研究,共观察了60名患者的120条颈动脉。采用改良的NASCET标准在最窄点测量狭窄的百分比,用于CDUS和CTA。50 ~ 70岁年龄组中风发病率最高,以男性居多。60岁以上男性颈动脉狭窄发生率较高。偏瘫是脑卒中患者最常见的症状。颈动脉粥样硬化和狭窄的危险因素包括高血压、糖尿病、高脂血症和心血管疾病。动脉粥样斑块伴狭窄最常见于右侧。颈动脉分叉是动脉粥样硬化斑块的常见部位,彩色多普勒超声与ct血管造影检出率70-100%具有显著相关性。然而,CTA在检测70-99%的狭窄和全闭塞方面比双工超声更准确。CTA与CDUS对20-49%狭窄的检出率无显著相关性。双超声检查对这些病变更敏感。在本研究的49个斑块中,11个为软斑块,26个为非均匀斑块,13个为溃疡斑块。彩色多普勒在斑块表征中有较好的作用。除颅外狭窄程度外,CTA能更好地评估狭窄长度、颅内狭窄部位及狭窄部位总数。CTA能更好地评估脑实质受损面积和侧支循环范围,有助于预后。综上所述,cdu与CTA联合应用在ICA狭窄的鉴别和定量方面优势更大。而超声在斑块表征中有更好的作用。
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引用次数: 1
Thrombocytopenia as a presenting manifestation of sarcoidosis 血小板减少症是结节病的一种表现
Pub Date : 2018-01-01 DOI: 10.5455/JMAS.296940
S. Reddy, A. Ravicharan, N. Narendrakumar, K. Bhaskar, G. Paramjyothi
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引用次数: 0
Report of two rare cases of Kindlers syndrome in siblings 兄弟姐妹中罕见的Kindlers综合征二例报告
Pub Date : 2017-01-01 DOI: 10.5455/JMAS.260417
Neha Koganti, N. Haneef, F. Razvi, B. Kumar, Nikhat Fatima, Mohammed Zubair, D. Chakraborty
Kindler’s syndrome is a rare autosomal recessive disorder. It is charac-terized by trauma-induced blistering, photosensitivity, poikiloderma and mucosal inflammation. It occurs due to mutation on chromosome 20p. This report describes two siblings with history of blistering and photosensitivity in childhood and later developed poikiloderma with histopathology of effected skin showing features of poikiloderma.
金德勒综合征是一种罕见的常染色体隐性遗传病。它的特点是创伤性起泡,光敏性,千疮病和粘膜炎症。它的发生是由于染色体20p上的突变。本报告描述了两个兄弟姐妹的起泡和光敏的历史,在儿童时期,后来发展成千皮病与组织病理学影响的皮肤显示千皮病的特征。
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引用次数: 0
Effect of viral hepatitis E on maternal and fetal outcome 病毒性戊型肝炎对母胎结局的影响
Pub Date : 2017-01-01 DOI: 10.5455/JMAS.249914
Naushaba Rizwan, Syed Farhan Uddin
The outcome of Hepatitis during pregnancy has been observed to be broadly diverse by various researchers, ranging from the benign to fatal. A poor result has progressively been seen in pregnant women suffering Hepatitis in Pakistan. This study was planned to study the frequency, causative organisms and chief prognostic elements affecting the consequence of viral hepatitis in pregnant women. Sixty-eight pregnant ladies answering to the doctor's facilities with jaundice were enlisted and enrolled as cases and their hematological, biochemical and viral profiles were pondered. Sixteen non-pregnant women were chosen as controls and a comparable workup was carried out. A relationship was done between the two groups. We further separated the cases into two groups – survivors and nonsurvivors and attempted to discover the components anticipating mortality. The unpaired understudy t test and chi square test were utilized to figure out whether the distinctions were measurably noteworthy. All the information was entered and investigated utilizing SPSS form 20.0. Viral Hepatitis in pregnancy caused a very high maternal mortality (19.1%) and foetal wastage (42.6%). Hepatitis E virus was the commonest causative organism (77.9%) responsible for viral hepatitis during pregnancy. It also caused the highest maternal mortality due to fulminant hepatic failure. Maternal mortality was significantly higher in those women presenting with features of encephalopathy, SIRS, highbilirubin levels and prolonged prothrombin time. Vertical transmission was noted in Hepatitis B and E. Hepatitis E is the chief causative organism causing fulminant hepatic failure in pregnant women. It leads to very high rates of maternal mortality and foetal wastage.
怀孕期间肝炎的结果已经被不同的研究者观察到,从良性到致命。在巴基斯坦,患肝炎的孕妇的结果越来越差。本研究旨在研究影响孕妇病毒性肝炎发病的频率、病原生物及主要预后因素。68名黄疸孕妇接受了医生的检查,并被登记为病例,研究了她们的血液学、生化和病毒谱。16名未怀孕的妇女被选为对照,并进行了类似的随访。两组之间建立了关系。我们进一步将病例分为两组——幸存者和非幸存者,并试图发现预测死亡率的成分。使用未配对的替补t检验和卡方检验来确定差异是否具有可测量性显著性。使用SPSS 20.0表格对所有信息进行输入和调查。妊娠期病毒性肝炎导致很高的孕产妇死亡率(19.1%)和胎儿消瘦(42.6%)。戊型肝炎病毒是妊娠期病毒性肝炎最常见的致病生物(77.9%)。由于暴发性肝功能衰竭,产妇死亡率也是最高的。在那些表现为脑病、SIRS、高胆红素水平和凝血酶原时间延长的妇女中,产妇死亡率明显更高。在乙型肝炎和戊型肝炎中发现了垂直传播。戊型肝炎是引起孕妇暴发性肝衰竭的主要病原体。它导致产妇死亡率和胎儿消瘦率非常高。
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引用次数: 0
Report of three rare cases of Dowling Degos disease 三例罕见道林氏病报告
Pub Date : 2017-01-01 DOI: 10.5455/JMAS.260932
Mohammed Zubair, N. Haneef, F. Razvi, B. Kumar, Neha Koganti
Received 11 March 2017 Accepted 03 April 2017 Early online 23 June 2017 Print 31 July 2017 Dowling Dego’s disease is a rare autosomal dominant condition. It is caused by loss of function mutations in keratin 5 gene (kRT5) situated in keratin gene cluster on 12q13. We are reporting three cases of Dowling Dego’s disease out of which two belong to same family. The clinical manifestations and histopathology were analyzed. All the three patients of which two were mother and son had symmetric, reticulate hyperpigmentation, pitted scars and acneiform eruption over face (predominantly perioral area, nasolabial folds), pinnae, upper trunk, thighs were seen. Palms, soles and scalp were spared. Buccal mucosa also showed reticulate hyperpigmentation. In addition the female patient had vulval reticulate hyperpigmentation and hydradenitis suppurativa affecting axillae, groins and inframammary folds. Corresponding author
接收日期:2017年3月11日接收日期:2017年4月3日早期在线2017年6月23日打印2017年7月31日Dowling Dego病是一种罕见的常染色体显性遗传病。它是由位于12q13角蛋白基因簇上的角蛋白5基因(kRT5)功能突变缺失引起的。我们报告三例道林·戴戈病,其中两例属于同一家庭。分析两组患者的临床表现和组织病理学。3例患者(2例为母子)均有对称的网状色素沉着,面部(以口周区、鼻唇沟为主)、耳廓、上躯干、大腿等部位出现凹痕疤痕和痤疮状皮疹。手掌、脚底和头皮幸免。颊粘膜呈网状色素沉着。女性患者外阴网状色素沉着、腋窝、腹股沟及乳下褶皱化脓性水疱炎。相应的作者
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引用次数: 0
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Journal of Medical and Allied Sciences
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