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The Utility of Social Media during an Emerging Infectious Diseases Crisis: A Systematic Review of Literature 社交媒体在新出现的传染病危机中的效用:文献的系统回顾
Pub Date : 2020-12-15 DOI: 10.5799/jmid.839415
A. Agrawal, Ankita Gupta
Objectives: The use of social networking sites for monitoring emerging infectious diseases (EIDs) are on rise. This systematic review examines the available evidence supporting and refuting the use of social media in communicating with the public during the pandemic outbreaks of infectious disease, influencing people’s behavior, spreading the awareness, and creating or dispelling rumors. Methods: PubMed, Google Scholar, and Cochrane Library databases were systematically searched from 2012 till 2019 for studies on the use of social media in detecting the following EIDs: the Ebola virus, Zika virus, Nipah virus, West Nile, Bird flu and Swine flu. The included studies were evaluated and data were extracted and reviewed. Results: Preliminary search results showed that out of 6224 articles related to social media and EIDs, 49 articles were related to our study objectives. Out of 49 articles, most of the articles were related to the Zika virus (n=24), published in 2017 (n=15) and utilized the Twitter social media (n=26). Conclusion: The present systematic review supports the use of social media as an important medium for the clinicians, public health practitioners, and laypeople seeking health information for the detection of EIDs. J Microbiol Infect Dis 2020; 10(4):188-198.
目标:越来越多地利用社交网站监测新发传染病。本系统综述审查了支持和反驳在传染病大流行期间使用社交媒体与公众沟通,影响人们的行为,传播意识以及制造或消除谣言的现有证据。方法:系统检索PubMed、Google Scholar和Cochrane Library数据库,检索2012 - 2019年使用社交媒体检测以下eid的研究:埃博拉病毒、寨卡病毒、尼帕病毒、西尼罗河病毒、禽流感和猪流感。对纳入的研究进行评价,提取资料并进行回顾。结果:初步检索结果显示,在6224篇与社交媒体和eid相关的文章中,有49篇文章与我们的研究目标相关。在49篇文章中,大多数文章与寨卡病毒有关(n=24),发表于2017年(n=15),利用Twitter社交媒体(n=26)。结论:本系统综述支持社交媒体作为临床医生、公共卫生从业人员和非专业人员寻求健康信息以检测eid的重要媒介。中华微生物学杂志[J];(4): 188 - 198。
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引用次数: 2
Acute Diarrhea in Children Less than Five Years of Age: Epidemiology of Bacterial Pathogens 5岁以下儿童急性腹泻:细菌性病原体的流行病学
Pub Date : 2020-12-15 DOI: 10.5799/jmid.839445
F. S. Kalabamu, Pauline Lukumo Mpongo, E. Mwaikambo
Objectives: Acute diarrhea is among the leading causes of mortality and morbidity worldwide. Bacteria tend to cause more fatal illnesses and complications such as septicemia and persistent diarrhea. This study aimed to determine the causes of acute diarrhea, laboratory and clinical predictors of bacterial causes, and antimicrobial resistance pattern among the isolates among children in Dar es salaam, Tanzania. Methods: A cross-sectional hospital-based study was conducted in Dar es salaam Hospitals from April 2015 to March 2016 among children below five years of age who presented with acute diarrhea. Demographic characteristics and results from stool specimen analysis, complete blood count, C- reactive protein and antimicrobial resistance results were recorded using a pre-structured clinical research form. Results: Among 200 children enrolled, viruses were identified in 149 (74.5%) of the cases. Bacterial pathogens were found in 15 (7.5%) cases only. Elevated stool red blood cell count, stool white blood cell count, and fever were highly associated with enteric bacterial pathogens (p<0.001, p=0.002 and p=0.04 respectively). Most of the bacterial isolates were resistant to Cotrimoxazole and erythromycin but highly sensitive to ciprofloxacin and Ceftriaxone. Conclusion: Fever, elevated stool leukocyte and elevated stool red blood cells are significant predictors of bacterial enteric pathogens in children with acute diarrhea. These parameters may guide clinicians in resource-limited settings in the diagnosis and management of acute diarrhea. Further studies should be conducted to determine local antimicrobial resistance patterns. J Microbiol Infect Dis 2020; 10(3): 208-214.
目的:急性腹泻是世界范围内死亡和发病的主要原因之一。细菌往往会导致更致命的疾病和并发症,如败血症和持续性腹泻。本研究旨在确定坦桑尼亚达累斯萨拉姆儿童急性腹泻的病因、细菌病因的实验室和临床预测因素以及分离株的抗微生物药物耐药性模式。方法:2015年4月至2016年3月在达累斯萨拉姆医院对出现急性腹泻的5岁以下儿童进行了横断面医院研究。使用预先编制的临床研究表格记录人口统计学特征和粪便标本分析结果、全血细胞计数、C反应蛋白和抗菌素耐药性结果。结果:在200例儿童中,有149例(74.5%)被检出病毒。细菌性致病菌仅15例(7.5%)。粪便红细胞计数、粪便白细胞计数升高和发热与肠道细菌病原体高度相关(p<0.001, p=0.002和p=0.04)。多数菌株对复方新诺明和红霉素耐药,对环丙沙星和头孢曲松高度敏感。结论:发热、粪便白细胞和粪便红细胞升高是急性腹泻患儿肠道细菌致病菌的重要预测因素。这些参数可以指导临床医生在资源有限的情况下诊断和管理急性腹泻。应进行进一步研究以确定当地的抗菌素耐药模式。中华微生物学杂志[J];(3): 208 - 214。
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引用次数: 0
Deficiency in Fat-soluble Vitamins A, D, E in Patients with Pulmonary Multidrug-Resistant Tuberculosis 肺部耐多药结核病患者缺乏脂溶性维生素A、D、E
Pub Date : 2020-12-15 DOI: 10.5799/jmid.839440
L. Boyvin, B. Alexis, Y. Guillaume, Séri Kipré Laurent, Aké Aya Jeanne Armande, D. Joseph
Objective: The treatment management of Multidrug-Resistant Tuberculosis (MDR-TB) is a major global public health problem. The development of this form of tuberculosis increases immune deficiency and the production of free radicals in the body. Micronutrients, especially fat-soluble vitamins A, D, and E, play an essential role in the immune system by protecting and renewing cells. The objective of this study is to determine the profiles of vitamins A, D, and E in order to evaluate the performance of the immune defenses of MDR-TB under second-line anti-TB treatment. Methods: The analysis of vitamins A, D and E was carried out using an HPLC chain, in isocratic mode by UV-Visible detection after prior extraction of the lipid fraction from the serum in the hexane protected away from light. Results: MDR-TB showed a significant decrease in the concentration of vitamins A, D, and E (p˂0.05) with high reduction levels of 80%, 40% and 50%, respectively. Conclusion: The persistence of this deficit after six months of TB treatment highlights the need for corrective measures to be taken, such as the supplementation of vitamins A, D, and E. J Microbiol Infect Dis 2020; 10(4): 199-207.
目的:耐多药结核病(MDR-TB)的治疗管理是一个重大的全球性公共卫生问题。这种结核病的发展增加了免疫缺陷和体内自由基的产生。微量营养素,尤其是脂溶性维生素A、D和E,通过保护和更新细胞在免疫系统中起着至关重要的作用。本研究的目的是确定维生素A、D和E的谱,以评估二线抗结核治疗下耐多药结核病的免疫防御性能。方法:在避光的正己烷中预先提取血清脂质部分,用高效液相色谱(HPLC)链,等密度模式紫外可见检测方法分析维生素A、D和E。结果:耐多药结核病显著降低了维生素a、D和E的浓度(p小于0.05),分别降低了80%、40%和50%。结论:结核病治疗6个月后,这种缺陷持续存在,强调需要采取纠正措施,如补充维生素A、D和E. J微生物感染杂志2020;(4): 199 - 207。
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引用次数: 0
Molecular insights of melioidosis causing Burkholderia pseudomallei strains in Sri Lanka 斯里兰卡引起假马利氏伯克氏菌的类鼻疽的分子见解
Pub Date : 2020-12-15 DOI: 10.5799/JMID.839461
A. Gunasekara, L. Rajapaksha
Objectives: Objectives: Gram-negative pathogenic bacterium Burkholderia pseudomallei is the causative organism of melioidosis, predominantly reported in Southeast Asia. The infections in humans can be recurrent, and sometimes difficult to cure. Studying the genome of B. pseudomallei is the key to understand origins, transmission routes, and phylogenetic relationships. Methods: We compared all available B. pseudomallei genomes from the NCBI database representing Sri Lanka to 15 previously reported genomes in Asia. The analysis involved in silico MLST, wgMLST, single nucleotide polymorphism (SNP), average nucleotide identity (ANI), clonal complexes (CC), virulence, and antibiotic resistance profiles. Results: The MLST analyses of 24 strains revealed, 6 Sri Lankan and 1 Indian strain formed CC594*, a novel single locus variant clonal complex, and 3 strains from Malaysia, Vietnam, Thailand formed another clonal complex named CC70*. From 9 Sri Lankan strains, BPs122 and BPs133 had ancestral origins tied to BPs114 with 114/99.6% and 140/99.6% for SNPs/ANIs. In CC70*, Thailand and Vietnam strains had 1196/99.95% for SNPs/ANIs, respectively. Among the Sri Lankan strains, actin-based motility gene bimA detected in BPs110 only, whereas LPS antigen was presented in BPs112, BPs115, and BPs116 genomes. A total of 67 genes related to antibiotic resistance (22 multidrug efflux systems, 10 regulators modulating/expression of antibiotic resistance, and 11 antibiotic inactivation enzymes related genes) were identified. Conclusion: The B. pseudomallei strains in Sri Lanka represent a highly diverse nature and some of them had clonal relationships with other Asian strains. The present study concludes B. pseudomallei strains in Sri Lanka have probably risen from different ancestral origins. J Microbiol Infect Dis 2020; 10(4): 215-221.
目的:目的:革兰氏阴性病原菌伯克氏菌是类鼻疽的致病菌,主要在东南亚报道。人类感染可能会复发,有时难以治愈。研究假芽孢杆菌的基因组是了解其起源、传播途径和系统发育关系的关键。方法:我们比较了来自NCBI数据库中代表斯里兰卡的所有可获得的假芽孢杆菌基因组与先前报道的亚洲15个基因组。分析包括硅基MLST、wgMLST、单核苷酸多态性(SNP)、平均核苷酸同源性(ANI)、克隆复合物(CC)、毒力和抗生素耐药谱。结果:24株菌株的MLST分析显示,6株斯里兰卡菌株和1株印度菌株形成了新的单位点变异克隆复合体CC594*,来自马来西亚、越南、泰国的3株菌株形成了另一个克隆复合体CC70*。从9个斯里兰卡毒株中,BPs122和BPs133的祖先起源与BPs114相关,snp /ANIs分别为114/99.6%和140/99.6%。在CC70*中,泰国株和越南株的snp /ANIs阳性率分别为1196/99.95%。在斯里兰卡菌株中,仅在BPs110中检测到基于肌动蛋白的运动基因bimA,而在BPs112、BPs115和BPs116基因组中存在LPS抗原。共鉴定出67个与抗生素耐药相关的基因(22个多药外排系统,10个调节/表达抗生素耐药的调控因子,11个抗生素失活酶相关基因)。结论:斯里兰卡假马利氏双歧杆菌具有高度的多样性,其中一些菌株与其他亚洲菌株存在克隆关系。目前的研究得出结论,斯里兰卡的假假杆菌菌株可能来自不同的祖先起源。中华微生物学杂志[J];(4): 215 - 221。
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引用次数: 0
Post-vaccination Tubercular Cold Abscess of Thigh of An Infant 1例婴儿接种疫苗后大腿结核性感冒脓肿
Pub Date : 2020-12-15 DOI: 10.5799/jmid.839492
Tabindah Jahan, Nahid Nehvi, S. Farooq
We report a case of post immunization tubercular soft tissue cold abscess on a lateral part of the right thigh in an eight-month-old male baby following third dose of intramuscular Hepatitis B vaccination. The baby presented with gradual onset of fever for 10 days after hepatitis B vaccination this was followed by an erythematous, painless, firm small swelling on the anterolateral part of the right thigh which grew gradually to a size of 2 × 2.5 cm size. The baby was treated with empirical antibiotics (Amoxicillin) following which fever subsided but there was no improvement in swelling so the baby was advised for various laboratory investigations. The aspirate from the abscess was subjected to Acid fast staining using microscopy (Ziehl-Neelsen staining) that revealed Acid Fast Bacilli (2+). In addition (Cartridge Based Nucleic Acid Amplification Test) confirmed the presence of M. tuberculosis complex sensitive to Rifampicin. J Microbiol Infect Dis 2020; 10(4): 234-236.
我们报告一例免疫后结核性软组织冷脓肿的外侧部分右大腿的八个月大的男婴在第三剂肌肉注射乙肝疫苗。婴儿在接种乙肝疫苗后10天逐渐发热,随后右大腿前外侧出现红斑、无痛、坚硬的小肿胀,逐渐增大至2 × 2.5 cm大小。婴儿接受经验性抗生素(阿莫西林)治疗,随后发烧消退,但肿胀没有改善,因此建议婴儿进行各种实验室检查。用显微镜对脓肿抽吸液进行抗酸染色(Ziehl-Neelsen染色),显示抗酸杆菌(2+)。此外(核酸扩增试验)证实存在对利福平敏感的结核分枝杆菌复合体。中华微生物学杂志[J];(4): 234 - 236。
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引用次数: 0
DRESS Syndrome- Uncommon Drug Reaction with Common Disease Treatment: A Case Report DRESS综合征-常见病治疗的罕见药物反应:1例报告
Pub Date : 2020-12-15 DOI: 10.5799/jmid.839481
B. Prusty, M. Momin, Y. Goud, K. Ramineni, S. Perveen
Drug Reaction with Eosinophilia and Systemic symptoms (DRESS syndrome), is a severe adverse reaction associated with diverse collection of drugs, characterized by severe mucocutaneous rash, eosinophilia, fever, lymphadenopathy and extensive systemic involvement. We report a case of a 21-year-old female who developed clinical manifestations of fever, maculopapular rash, lymphadenopathy, eosinophilia and systemic symptoms after taking antitubercular medication for pulmonary tuberculosis, with subsequent development of acute liver failure with encephalopathy and coagulopathy. She was managed successfully with withdrawal of the offending medication and supportive care in intensive care unit. This case highlights the importance of consideration of antitubercular medication related drug reaction even with delayed onset of symptoms. J Microbiol Infect Dis 2020; 10(4): 225-229.
伴有嗜酸性粒细胞增多和全身症状的药物反应(DRESS综合征)是一种与多种药物相关的严重不良反应,其特征是严重的皮肤粘膜皮疹、嗜酸性粒细胞增多、发热、淋巴结病和广泛的全身累及。我们报告一例21岁女性患者,在服用抗结核药物治疗肺结核后,临床表现为发热、斑疹、淋巴结病、嗜酸性粒细胞增多和全身症状,随后发展为急性肝功能衰竭并脑病和凝血功能障碍。她在重症监护室成功地进行了治疗,停用了令人不快的药物并接受了支持性护理。本病例强调了考虑抗结核药物相关药物反应的重要性,即使是延迟发作的症状。中华微生物学杂志[J];(4): 225 - 229。
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引用次数: 1
A Case of Gastroduodenal Strongyloidiasis Causing Protein Losing Enteropathy 胃十二指肠圆线虫病致失蛋白肠病1例
Pub Date : 2020-12-15 DOI: 10.5799/jmid.839495
Sandheep Janardhanan, B. Sebastian, M. George, S. Mathai, Ashfaq Ahmed, S. Varghese
Strongylodiasis is an intestinal parasitic infection which can cause cataclysmic hyper infection syndrome in immunocompromised. Here we report an interesting and rare case of gastroduodenal strongyloidiasis presenting as protein losing enteropathy which was promptly diagnosed and dramatically reversed with antihelminthic therapy. J Microbiol Infect Dis 2020; 10(4): 237-239.
圆线虫病是一种肠道寄生虫感染,可引起免疫功能低下患者的剧烈过度感染综合征。在此,我们报告一个有趣而罕见的胃十二指肠圆线虫病,表现为蛋白质丧失性肠病,经及时诊断,并经抗寄生虫治疗显著逆转。中华微生物学杂志[J];(4): 237 - 239。
{"title":"A Case of Gastroduodenal Strongyloidiasis Causing Protein Losing Enteropathy","authors":"Sandheep Janardhanan, B. Sebastian, M. George, S. Mathai, Ashfaq Ahmed, S. Varghese","doi":"10.5799/jmid.839495","DOIUrl":"https://doi.org/10.5799/jmid.839495","url":null,"abstract":"Strongylodiasis is an intestinal parasitic infection which can cause cataclysmic hyper infection syndrome in immunocompromised. Here we report an interesting and rare case of gastroduodenal strongyloidiasis presenting as protein losing enteropathy which was promptly diagnosed and dramatically reversed with antihelminthic therapy. J Microbiol Infect Dis 2020; 10(4): 237-239.","PeriodicalId":16603,"journal":{"name":"Journal of Microbiology and Infectious Diseases","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84548285","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: 0
Schistosoma mansoni-Hepatitis B co-infection among adult patients with periportal fibrosis: a cross sectional study 成人门静脉周围纤维化患者的曼氏血吸虫-乙型肝炎合并感染:一项横断面研究
Pub Date : 2020-09-15 DOI: 10.5799/JMID.790280
D. Gunda, Elizabeth F. Mtui, S. Kilonzo, B. Kidenya, H. Mazigo
Objectives: Chronic Schistosoma mansoni infection is a common cause of periportal fibrosis in Sub Saharan Africa. About 20 million people are suffering complications of chronic S. mansoni infection with an annual mortality of 0.2million people. The outcome of periportal fibrosis is highly modified by hepatitis B co-infection which may cause a rapid progression to fibrosis and decompensation. In Tanzania both S. mansoni and hepatitis B are highly endemic; however, the co-infection among patients with periportal fibrosis in the hospital setting has not been described. Methods : A cross-sectional study was done among patients with S. mansoni related periportal fibrosis at Bugando hospital. A minimum sample of 193 patients was calculated and, patients’ clinical, laboratory, ultrasound and endoscopic data were analyzed using STATA 13. The prevalence of S. mansoni -hepatitis B co-infection was calculated and its correlates were determined by logistic regression model. Results : In total 250 patients were analyzed in this study and, 40 (16.0%) were found to have S. mansoni -Hepatitis B co-infection who were more likely to have higher AST levels, (58 vs. 38U/L; OR: 1.03; p=0.033), higher APRI levels, (1.8 vs. 1.05; OR: 2.1; P=0.03); ascites, (OR: 2.9; p=0.049) with higher mortality, (OR: 2.9; p=0.032). Conclusions : The S. mansoni -Hepatitis B co-infection is common among patients with periportal fibrosis. The correlates found in this study, suggest that co-infected patients are more likely to have a severe liver injury with increased risk of severe fibrosis, decompensation, and mortality. Regular screening for hepatitis B and vaccination of people at-risk is highly suggested in this study. J Microbiol Infect Dis 2020; 10(3):136-143.
目的:慢性曼氏血吸虫感染是撒哈拉以南非洲地区门静脉周围纤维化的常见原因。大约有2000万人患有慢性曼森氏杆菌感染的并发症,每年有20万人死亡。门静脉周围纤维化的结果被乙型肝炎合并感染高度改变,可能导致纤维化和代偿失代偿的快速进展。在坦桑尼亚,曼索尼链球菌和乙型肝炎都是高度流行的;然而,合并感染的患者在医院设置门静脉周围纤维化尚未被描述。方法:对Bugando医院与曼氏梭菌相关的门静脉周围纤维化患者进行横断面研究。计算193例患者的最小样本,并使用STATA 13分析患者的临床、实验室、超声和内窥镜数据。计算曼氏杆菌-乙型肝炎合并感染的流行率,并通过logistic回归模型确定其相关因素。结果:本研究共分析了250例患者,其中40例(16.0%)被发现患有曼氏梭菌-乙型肝炎合并感染,这些患者更有可能具有较高的AST水平,(58例vs. 38U/L;OR: 1.03;p=0.033),较高的APRI水平(1.8 vs. 1.05;OR: 2.1;P = 0.03);腹水,OR: 2.9;p=0.049),死亡率较高(OR: 2.9;p = 0.032)。结论:曼氏杆菌-乙型肝炎合并感染在门静脉周围纤维化患者中较为常见。本研究中发现的相关因素表明,合并感染的患者更有可能发生严重的肝损伤,并增加发生严重纤维化、代偿失调和死亡的风险。本研究强烈建议定期进行乙型肝炎筛查,并为高危人群接种疫苗。中华微生物学杂志[J];(3): 136 - 143。
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引用次数: 2
Asymptomatic COVID-19 in a Kidney Transplant Recipient 肾移植受者无症状COVID-19
Pub Date : 2020-09-15 DOI: 10.5799/jmid.790294
Gizem Kumru Şahin, P. Atasoy
In December 2019, a novel Coronavirus has been reported to cause wide spectrum of diseases in human and the disease, called Coronavirus Disease 2019, has become an outbreak all around the world with high mortality rate. The disease can present atypically and develop severe complications in immunocompromised solid organ transplantation recipients. Herein we report a kidney transplant patient infected with SARS-CoV-2 infection and presented with an asymptomatic disease despite immunosuppression and comorbidities. Our report shows the importance of social isolation, contact-tracing program and early diagnosis of infection, especially in these high-risk populations. J Microbiol Infect Dis 2020; 8(3):172-175.
据报道,2019年12月,一种新型冠状病毒在人类中引起了广泛的疾病,这种疾病被称为2019年冠状病毒病,已在全球范围内爆发,死亡率很高。该疾病可在免疫功能低下的实体器官移植受者中呈现非典型并发展为严重的并发症。在此,我们报告一例肾移植患者感染SARS-CoV-2,尽管免疫抑制和合并症,但表现为无症状疾病。我们的报告显示了社会隔离、接触者追踪计划和早期诊断感染的重要性,特别是在这些高危人群中。中华微生物学杂志[J];8(3): 172 - 175。
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引用次数: 0
Real Time Loop Mediated Isothermal Amplification Assay of Urine for Diagnosis of Neurocysticercosis: A Preliminary Observation Study 实时循环介导的尿液等温扩增法诊断神经囊虫病:初步观察研究
Pub Date : 2020-09-15 DOI: 10.5799/jmid.790287
Gunjan Goyal, A. Phukan, Masaraf Hussain, V. Lal, M. Modi, M. Goyal, K. Mahesh, R. Sehgal
Objectives: Neurocysticercosis (NCC) is one of the commonly Neglected tropical disease worldwide. Improvement in Living conditions with better diagnostics can reduce the incidence of this disease. The burden of NCC is high in areas with poor socio-economic development. Despite high prevalence in India, the diagnostic challenge remains especially when differentiating from tuberculosis which is also common in the same setting. We describe a novel and rapid diagnostic method for NCC, which might add to our diagnostic Repertoire. Methods: It was prospective case control study involving consecutive patients of definite and probable NCC at a tertiary teaching hospital in Northern India. LAMP assay in urine was performed in all the patients. LAMP amplified target Taenia solium cox1 gene at 60oC in 120min. The results were compared with 24 controls. The specificity, sensitivity, positive predictive value and negative value were calculated using a 2X 2 contingency table. Results: Total of 58 patients recruited, 53 were definitive NCC and 5 had probable NCC based on Del Brutto criteria and 24 volunteers were taken as control all of them underwent urine LAMP of T. solium. T. solium cox1 gene was detected in 60% of Urine samples in patients of NCC, overall specificity of LAMP assay was 92%. The negative predictive value and positive predictive value of real time LAMP assay was 50% and 95%. Conclusions: Conclusion: Real time urine LAMP assay for T. solium gene offers noninvasive, cost effective and rapid method to detect Taenia parasite in patients, in Addition to available investigations. Specially in resource limited setting of endemic countries. J Microbiol Infect Dis 2020; 10(3):154-159.
目的:神经囊虫病(NCC)是世界范围内最常被忽视的热带病之一。生活条件的改善和更好的诊断可以减少这种疾病的发病率。在社会经济发展较差的地区,非传染性疾病的负担很高。尽管印度的发病率很高,但诊断方面的挑战仍然存在,特别是在与结核病区分时,结核病在同一环境中也很常见。我们描述了一种新的快速诊断NCC的方法,这可能会增加我们的诊断库。方法:对印度北部某三级教学医院确诊和疑似NCC患者进行前瞻性病例对照研究。所有患者均行尿LAMP测定。LAMP扩增目标猪带绦虫cox1基因,在60℃下,120min。结果与24例对照进行比较。采用2x2列联表计算特异性、敏感性、阳性预测值和阴性预测值。结果:共纳入58例患者,根据Del Brutto标准确诊NCC 53例,疑似NCC 5例,并以24名志愿者为对照,均行猪绦虫尿LAMP检测。60%的NCC患者尿液中检出猪弓形虫cox1基因,LAMP检测的总特异性为92%。实时LAMP法的阴性预测值为50%,阳性预测值为95%。结论:实时尿LAMP法检测猪带绦虫基因是一种无创、经济、快速的检测方法。特别是在流行病国家资源有限的情况下。中华微生物学杂志[J];(3): 154 - 159。
{"title":"Real Time Loop Mediated Isothermal Amplification Assay of Urine for Diagnosis of Neurocysticercosis: A Preliminary Observation Study","authors":"Gunjan Goyal, A. Phukan, Masaraf Hussain, V. Lal, M. Modi, M. Goyal, K. Mahesh, R. Sehgal","doi":"10.5799/jmid.790287","DOIUrl":"https://doi.org/10.5799/jmid.790287","url":null,"abstract":"Objectives: Neurocysticercosis (NCC) is one of the commonly Neglected tropical disease worldwide. Improvement in Living conditions with better diagnostics can reduce the incidence of this disease. The burden of NCC is high in areas with poor socio-economic development. Despite high prevalence in India, the diagnostic challenge remains especially when differentiating from tuberculosis which is also common in the same setting. We describe a novel and rapid diagnostic method for NCC, which might add to our diagnostic Repertoire. Methods: It was prospective case control study involving consecutive patients of definite and probable NCC at a tertiary teaching hospital in Northern India. LAMP assay in urine was performed in all the patients. LAMP amplified target Taenia solium cox1 gene at 60oC in 120min. The results were compared with 24 controls. The specificity, sensitivity, positive predictive value and negative value were calculated using a 2X 2 contingency table. Results: Total of 58 patients recruited, 53 were definitive NCC and 5 had probable NCC based on Del Brutto criteria and 24 volunteers were taken as control all of them underwent urine LAMP of T. solium. T. solium cox1 gene was detected in 60% of Urine samples in patients of NCC, overall specificity of LAMP assay was 92%. The negative predictive value and positive predictive value of real time LAMP assay was 50% and 95%. Conclusions: Conclusion: Real time urine LAMP assay for T. solium gene offers noninvasive, cost effective and rapid method to detect Taenia parasite in patients, in Addition to available investigations. Specially in resource limited setting of endemic countries. J Microbiol Infect Dis 2020; 10(3):154-159.","PeriodicalId":16603,"journal":{"name":"Journal of Microbiology and Infectious Diseases","volume":"121 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76692825","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: 0
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Journal of Microbiology and Infectious Diseases
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