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Nontuberculous Mycobacteria Isolated from Tuberculosis Suspects in Ibadan, Nigeria. 尼日利亚伊巴丹市疑似结核病例中分离的非结核分枝杆菌。
IF 2.6 Pub Date : 2016-01-01 Epub Date: 2016-03-23 DOI: 10.1155/2016/6547363
Simeon Idowu Cadmus, Bassirou Diarra, Brehima Traore, Mamoudou Maiga, Sophia Siddiqui, Anatole Tounkara, Olutayo Falodun, Wole Lawal, Isaac Folurunso Adewole, Rob Murphy, Dick van Soolingen, Babafemi Taiwo

In Nigeria, one of the highest tuberculosis (TB) burdened nations, sputum smear microscopy is routinely employed for TB diagnosis at Directly Observed Treatment Short-Course (DOTS) Centers. This diagnostic algorithm does not differentiate Mycobacterium tuberculosis complex (MTC) from nontuberculous mycobacteria (NTM). Between December 2008 and January 2009, consecutive patients diagnosed with TB were screened for inclusion at 10 DOTS centers in Ibadan, Nigeria. To verify Mycobacterium species in patients diagnosed, we cultured and identified mycobacterial isolates using PCR, line probe assay, and spoligotyping techniques. From 48 patients screened, 23 met the inclusion criteria for the study. All the 23 study patients had a positive culture. Overall, we identified 11/23 patients (48%) with MTC only, 9/23 (39%) with NTM only, and 3/23 (13%) with evidence of both MTC and NTM. Strains of MTC identified were Latin American Mediterranean (LAM) genotype (n = 12), M. africanum (n = 1), and the genotype family T (n = 1). Four M. avium-intracellulare-M. scrofulaceum complexes, one M. chelonae complex, one M. abscessus, and one M. intracellulare were identified. Our findings underscore the need to incorporate molecular techniques for more precise diagnosis of TB at DOTS centers to improve clinical outcomes and safe guard public health, particularly in TB endemic countries.

尼日利亚是结核病负担最高的国家之一,在直接观察短程治疗中心,痰涂片镜检被常规用于结核病诊断。该诊断算法不能区分结核分枝杆菌复合体(MTC)和非结核分枝杆菌(NTM)。2008年12月至2009年1月期间,尼日利亚伊巴丹的10个直接督导下的短程化疗中心对连续诊断为结核病的患者进行了筛查。为了验证确诊患者的分枝杆菌种类,我们使用PCR、线探针测定和孢子分型技术培养和鉴定分离的分枝杆菌。在筛选的48例患者中,23例符合研究的纳入标准。所有23例患者的培养结果均为阳性。总的来说,我们发现11/23例(48%)患者仅患有MTC, 9/23例(39%)患者仅患有NTM, 3/23例(13%)患者同时患有MTC和NTM。经鉴定的MTC菌株为拉丁美洲地中海(LAM)基因型(n = 12)、非洲支原体(n = 1)和T基因型家族(n = 1)。鉴定出囊状分枝杆菌复合体、一个螯合分枝杆菌复合体、一个脓肿分枝杆菌复合体和一个胞内分枝杆菌。我们的研究结果强调需要在DOTS中心采用分子技术更精确地诊断结核病,以改善临床结果和安全保护公共卫生,特别是在结核病流行国家。
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引用次数: 15
The Efficacy of Umbelliferone, Arbutin, and N-Acetylcysteine to Prevent Microbial Colonization and Biofilm Development on Urinary Catheter Surface: Results from a Preliminary Study. 伞形花酮、熊果苷和n -乙酰半胱氨酸对导尿管表面微生物定植和生物膜发育的影响:初步研究结果。
IF 2.6 Pub Date : 2016-01-01 Epub Date: 2016-04-05 DOI: 10.1155/2016/1590952
Tommaso Cai, Luca Gallelli, Francesca Meacci, Anna Brugnolli, Letizia Prosperi, Stefani Roberta, Cristina Eccher, Sandra Mazzoli, Paolo Lanzafame, Patrizio Caciagli, Gianni Malossini, Riccardo Bartoletti

We evaluated, in a preliminary study, the efficacy of umbelliferone, arbutin, and N-acetylcysteine to inhibit biofilm formation on urinary catheter. We used 20 urinary catheters: 5 catheters were incubated with Enterococcus faecalis (control group); 5 catheters were incubated with E. faecalis in presence of umbelliferone (150 mg), arbutin (60 mg), and N-acetylcysteine (150 mg) (group 1); 5 catheters were incubated with E. faecalis in presence of umbelliferone (150 mg), arbutin (60 mg), and N-acetylcysteine (400 mg) (group 2); and 5 catheters were incubated with E. faecalis in presence of umbelliferone (300 mg), arbutin (60 mg), and N-acetylcysteine (150 mg) (group 3). After 72 hours, planktonic microbial growth and microorganisms on catheter surface were assessed. In the control group, we found a planktonic load of ≥10(5) CFU/mL in the inoculation medium and retrieved 3.69 × 10(6) CFU/cm from the sessile cells adherent to the catheter surface. A significantly lower amount in planktonic (p < 0.001) and sessile (p = 0.004) bacterial load was found in group 3, showing <100 CFU/mL and 0.12 × 10(6) CFU/cm in the incubation medium and on the catheter surface, respectively. In groups 1 and 2, 1.67 × 10(6) CFU/cm and 1.77 × 10(6) CFU/cm were found on catheter surface. Our results document that umbelliferone, arbutin, and N-acetylcysteine are able to reduce E. faecalis biofilm development on the surface of urinary catheters.

在一项初步研究中,我们评估了伞形花酮、熊果苷和n -乙酰半胱氨酸抑制导尿管生物膜形成的功效。我们使用20根导尿管:5根导尿管与粪肠球菌孵育(对照组);5根导管与粪肠杆菌一起孵育,添加伞花酮(150 mg)、熊果苷(60 mg)和n -乙酰半胱氨酸(150 mg)(1组);5根导管与粪肠杆菌一起孵育,添加伞花酮(150 mg)、熊果苷(60 mg)和n -乙酰半胱氨酸(400 mg)(第二组);将5根导管与粪肠杆菌一起孵育,添加伞草酮(300 mg)、熊果苷(60 mg)和n -乙酰半胱氨酸(150 mg)(3组),72h后观察导管表面浮游微生物生长情况和微生物数量。在对照组中,我们发现接种培养基中的浮游负荷≥10(5)CFU/mL,从粘附在导管表面的无根细胞中回收3.69 × 10(6) CFU/cm。3组浮游菌载量(p < 0.001)和无根菌载量(p = 0.004)显著降低
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引用次数: 14
Reproductive Pathological Changes Associated with Experimental Subchronic Corynebacterium pseudotuberculosis Infection in Nonpregnant Boer Does. 未孕波尔母鹿亚慢性假结核棒状杆菌实验感染引起的生殖病理变化
IF 2.6 Pub Date : 2016-01-01 Epub Date: 2016-02-23 DOI: 10.1155/2016/4624509
A M Othman, Y Abba, F F A Jesse, Y M Ilyasu, A A Saharee, A W Haron, M Zamri-Saad, M A M Lila

Corynebacterium pseudotuberculosis causes caseous lymphadenitis (CLA), which is a contagious and chronic disease in sheep and goats. In order to assess the histopathological changes observed in the reproductive organs of nonpregnant does infected with the bacteria, 20 apparently healthy adult Boer does were divided into four inoculation groups, intradermal, intranasal, oral, and control, consisting of five goats each. Excluding the control group, which was unexposed, other does were inoculated with 10(7) CFU/1 mL of live C. pseudotuberculosis through the various routes stated above. Thirty days after infection, the ovaries, uterus, and iliac lymph nodes were collected for bacterial recovery and molecular detection, as well as histopathological examination. The mean changes in necrosis, congestion, inflammatory cell infiltration, and oedema varied in severity among the ovaries, uterus, and iliac lymph nodes following different inoculation routes. Overall, the intranasal route of inoculation showed more severe (p < 0.05) lesions in all the organs examined. The findings of this study have shown that C. pseudotuberculosis could predispose to infertility resulting from pathological lesions in the uterus and ovaries of does.

假结核棒状杆菌(Corynebacterium pseudotuberculosis)会引起绵羊和山羊的病例性淋巴结炎(CLA),这是一种传染性慢性疾病。为了评估未怀孕母山羊感染该细菌后生殖器官的组织病理学变化,20 头表面健康的成年波尔母山羊被分为四个接种组,分别为皮内、鼻内、口服和对照组,每组 5 头山羊。除未暴露的对照组外,其他母山羊均通过上述不同途径接种了 10(7) CFU/1 mL 的活伪结核杆菌。感染 30 天后,收集卵巢、子宫和髂淋巴结,进行细菌回收、分子检测和组织病理学检查。不同接种途径的卵巢、子宫和髂淋巴结在坏死、充血、炎性细胞浸润和水肿方面的平均变化程度不同。总体而言,鼻内接种途径在所有受检器官中都显示出更严重的病变(p < 0.05)。本研究结果表明,假结核杆菌可能会导致母猪子宫和卵巢发生病变,从而导致不孕。
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引用次数: 0
Virulence Genes among Enterococcus faecalis and Enterococcus faecium Isolated from Coastal Beaches and Human and Nonhuman Sources in Southern California and Puerto Rico. 南加州和波多黎各海岸海滩人源和非人源分离的粪肠球菌和粪肠球菌的毒力基因
IF 2.6 Pub Date : 2016-01-01 Epub Date: 2016-04-10 DOI: 10.1155/2016/3437214
Donna M Ferguson, Ginamary Negrón Talavera, Luis A Ríos Hernández, Stephen B Weisberg, Richard F Ambrose, Jennifer A Jay

Most Enterococcus faecalis and E. faecium are harmless to humans; however, strains harboring virulence genes, including esp, gelE, cylA, asa1, and hyl, have been associated with human infections. E. faecalis and E. faecium are present in beach waters worldwide, yet little is known about their virulence potential. Here, multiplex PCR was used to compare the distribution of virulence genes among E. faecalis and E. faecium isolated from beaches in Southern California and Puerto Rico to isolates from potential sources including humans, animals, birds, and plants. All five virulence genes were found in E. faecalis and E. faecium from beach water, mostly among E. faecalis. gelE was the most common among isolates from all source types. There was a lower incidence of asa1, esp, cylA, and hyl genes among isolates from beach water, sewage, septage, urban runoff, sea wrack, and eelgrass as compared to human isolates, indicating that virulent strains of E. faecalis and E. faecium may not be widely disseminated at beaches. A higher frequency of asa1 and esp among E. faecalis from dogs and of asa1 among birds (mostly seagull) suggests that further studies on the distribution and virulence potential of strains carrying these genes may be warranted.

大多数粪肠球菌和粪肠球菌对人类无害;然而,含有毒力基因的菌株,包括esp、gelE、cylA、asa1和hyl,与人类感染有关。粪肠杆菌和粪肠杆菌存在于世界各地的海滩水域,但对其潜在的毒力知之甚少。本研究采用多重PCR方法比较了从南加州和波多黎各海滩分离的粪肠球菌和粪肠球菌与从人类、动物、鸟类和植物等潜在来源分离的粪肠球菌的毒力基因分布。5种毒力基因均在粪肠杆菌和滩水粪肠杆菌中发现,且以粪肠杆菌居多。gelE在所有源型分离物中最为常见。海滩水、污水、污水、城市径流、海难和大叶藻分离株中asa1、esp、cylA和hyl基因的发生率低于人类分离株,表明毒力强的粪肠杆菌和粪肠杆菌可能不会在海滩广泛传播。asa1在狗的粪肠杆菌和鸟类(主要是海鸥)中的较高频率表明,对携带这些基因的菌株的分布和毒性潜力的进一步研究可能是有必要的。
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引用次数: 27
Prevalence of Tinea Capitis among School Children in Nok Community of Kaduna State, Nigeria. 尼日利亚卡杜纳州Nok社区学龄儿童头癣患病率
IF 2.6 Pub Date : 2016-01-01 Epub Date: 2016-07-04 DOI: 10.1155/2016/9601717
Josephine Dogo, Seniyat Larai Afegbua, Edward Christopher Dung

In recent years, the prevalence of tinea capitis, an infection of the scalp by dermatophytes, has increased in children worldwide. This cross-sectional study was carried out to determine the prevalence and risk factor of tinea capitis among school children in Nok community of Kaduna State, Nigeria. A total of 100 children were screened and 45% were diagnosed to have tinea capitis after fungal culture and microscopy. The prevalence of tinea capitis among girls was higher (51.4%) than that among boys (41.5%) but not significantly different (p = 0.402). The prevalence with respect to age was lower for the age group 5-10 years (42.6%) than that of 11-15 years (50%) but was not significantly different (p = 0.524). Trichophyton rubrum (28.8%) and Microsporum canis (22.7%) were the most prevalent dermatophytes isolated and the least were Trichophyton verrucosum (4.5%) and Trichophyton tonsurans (4.5%). There were 73.3% single infection while 26.7% had 2-4 dermatophytes of the genera Microsporum and Trichophyton. The predisposing factors with statistically significant association with tinea capitis were number of children in the family (p = 0.02) and sharing of the same bed (p = 0.002). This indicates the high tendencies of spread of tinea capitis through human-to-human mode of transmission and possible animal contact. Community health education on the cause, mode of transmission, prevention, and prompt treatment of tinea capitis is recommended.

近年来,头癣(一种由皮肤真菌引起的头皮感染)在全球儿童中的发病率有所上升。本横断面研究旨在确定尼日利亚卡杜纳州Nok社区学龄儿童头癣的患病率和危险因素。共筛选100名儿童,其中45%经真菌培养和显微镜检查诊断为头癣。女孩头癣患病率(51.4%)高于男孩(41.5%),但差异无统计学意义(p = 0.402)。5 ~ 10岁年龄组的患病率(42.6%)低于11 ~ 15岁年龄组(50%),但差异无统计学意义(p = 0.524)。分离到的毛癣菌以红毛癣菌(28.8%)和犬小孢子菌(22.7%)最多,疣毛癣菌(4.5%)和疣毛癣菌(4.5%)最少。单株感染占73.3%,小孢子菌属和毛癣菌属2-4株感染占26.7%。家庭子女数(p = 0.02)和同床共枕(p = 0.002)是与头癣有统计学意义的易感因素。这表明头癣极有可能通过人与人之间的传播方式和可能的动物接触传播。建议对头癣的病因、传播方式、预防和及时治疗进行社区卫生教育。
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引用次数: 29
Phenotypic Detection of Metallo-Beta-Lactamases in Carbapenem Resistant Acinetobacter baumannii Isolated from Pediatric Patients in Pakistan. 巴基斯坦儿童耐碳青霉烯鲍曼不动杆菌金属- β -内酰胺酶表型检测
IF 2.6 Pub Date : 2016-01-01 Epub Date: 2016-03-30 DOI: 10.1155/2016/8603964
Muneeza Anwar, Hassan Ejaz, Aizza Zafar, Hamdan Hamid

Multidrug resistant A. baumannii has emerged as an important and problematic human pathogen as it is the causative agent of several types of infections especially in neonates and immunocompromised patients because they have least capacity to fight against infections. Carbapenems are used as last resort antibiotics for treating these infections but currently resistance against carbapenems due to MBL production is on the rise. The objective of this study was to determine the frequency of antibiotic resistance in A. baumannii and also to compare the efficacy of combined disk test and double disk synergy test for detection of metallo-beta-lactamases. A total of 112 A. baumannii were identified from various clinical samples and antibiotic susceptibility profile was determined by Kirby-Bauer Disk Diffusion method. Out of 112, 66 (58.9%) isolates were resistant to both imipenem and meropenem (OXOID). These resistant isolates were tested for carbapenemase production, and 55 (83.3%) were carbapenemase producers by Modified Hodge Test. These isolates were further tested for MBL production by combined disk test and double disk synergy test. Out of 66, 49 isolates were positive by both methods, CDT and DDST, and only one isolate was detected as negative (with kappa value = 0.038). All MBL producing strains showed remarkable resistance to cephalosporins, fluoroquinolones, aminoglycosides, and piperacillin/tazobactam (OXOID). The antibiotic resistance was very high in A. baumannii which were isolated from children in Pakistan specially attending a nephrology unit.

多药耐药鲍曼不动杆菌已成为一种重要且有问题的人类病原体,因为它是几种类型感染的病原体,特别是在新生儿和免疫功能低下的患者中,因为他们抵抗感染的能力最低。碳青霉烯类抗生素被用作治疗这些感染的最后手段,但由于MBL的产生,目前对碳青霉烯类抗生素的耐药性正在上升。本研究的目的是确定鲍曼不动杆菌的耐药频率,并比较联合圆盘试验和双圆盘协同试验检测金属-内酰胺酶的效果。在不同临床样本中共鉴定出112株鲍曼不动杆菌,采用Kirby-Bauer纸片扩散法测定其药敏谱。其中66株(58.9%)对亚胺培南和美罗培南均耐药。对这些耐药菌株进行产碳青霉烯酶检测,经改良霍奇试验,55株(83.3%)产碳青霉烯酶。通过联合圆盘试验和双圆盘协同试验进一步验证了这些分离株的MBL产率。66株分离株CDT和DDST均阳性49株,kappa值为0.038,阴性1株。所有产生MBL的菌株对头孢菌素、氟喹诺酮类药物、氨基糖苷类药物和哌拉西林/他唑巴坦(OXOID)均表现出显著的耐药性。鲍曼不动杆菌对抗生素的耐药性非常高,该不动杆菌是从巴基斯坦肾病科的儿童中分离出来的。
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引用次数: 44
In Vivo Antimalarial Activity of Annona muricata Leaf Extract in Mice Infected with Plasmodium berghei. 番荔枝叶提取物对伯氏疟原虫感染小鼠体内抗疟活性的研究。
IF 2.6 Pub Date : 2016-01-01 Epub Date: 2016-03-22 DOI: 10.1155/2016/3264070
Voravuth Somsak, Natsuda Polwiang, Sukanya Chachiyo

Malaria is one of the most important infectious diseases in the world. The choice for the treatment is highly limited due to drug resistance. Hence, finding the new compounds to treat malaria is urgently needed. The present study was attempted to evaluate the antimalarial activity of the Annona muricata aqueous leaf extract in Plasmodium berghei infected mice. Aqueous leaf extract of A. muricata was prepared and tested for acute toxicity in mice. For efficacy test in vivo, standard 4-day suppressive test was carried out. ICR mice were inoculated with 10(7) parasitized erythrocytes of P. berghei ANKA by intraperitoneal injection. The extracts (100, 500, and 1000 mg/kg) were then given orally by gavage once a day for 4 consecutive days. Parasitemia, percentage of inhibition, and packed cell volume were subsequently calculated. Chloroquine (10 mg/kg) was given to infected mice as positive control while untreated control was given only distilled water. It was found that A. muricata aqueous leaf extract at doses of 100, 500, and 1000 mg/kg resulted in dose dependent parasitemia inhibition of 38.03%, 75.25%, and 85.61%, respectively. Survival time was prolonged in infected mice treated with the extract. Moreover, no mortality to mice was observed with this extract up to a dose of 4000 mg/kg. In conclusion, the A. muricata aqueous leaf extract exerted significant antimalarial activity with no toxicity and prolonged survival time. Therefore, this extract might contain potential lead molecule for the development of a new drug for malaria treatment.

疟疾是世界上最重要的传染病之一。由于耐药,治疗的选择非常有限。因此,迫切需要找到治疗疟疾的新化合物。本研究旨在评价番麻叶水提物对伯氏疟原虫感染小鼠的抗疟活性。本文制备了水提物,并对小鼠进行了急性毒性试验。体内药效试验采用标准的4天抑制试验。将10(7)个寄生白僵菌ANKA红细胞腹腔注射给ICR小鼠。提取液(100、500、1000 mg/kg)灌胃,每天1次,连续4 d。随后计算寄生虫率、抑制率和填充细胞体积。感染小鼠给予氯喹(10 mg/kg)作为阳性对照,未处理的对照组只给予蒸馏水。结果表明,100mg /kg、500mg /kg和1000mg /kg的水提液对寄生虫的抑制率分别为38.03%、75.25%和85.61%。该提取物可延长感染小鼠的存活时间。此外,该提取物高达4000 mg/kg的剂量未观察到小鼠死亡。综上所述,野槐树叶水提物具有显著的抗疟活性,且无毒副作用,可延长存活时间。因此,该提取物可能含有潜在的先导分子,用于开发治疗疟疾的新药。
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引用次数: 40
Susceptibility Pattern and Distribution of Oxacillinases and bla PER-1 Genes among Multidrug Resistant Acinetobacter baumannii in a Teaching Hospital in Iran 伊朗某教学医院耐多药鲍曼不动杆菌Oxacillinases和bla PER-1基因的易感模式及分布
IF 2.6 Pub Date : 2015-12-31 DOI: 10.1155/2015/957259
Sareh Bagheri Josheghani, R. Moniri, F. Firoozeh, M. Sehat, Yasaman Dasteh Goli
Acinetobacter baumannii (A. baumannii) is an important nosocomial pathogen in healthcare institutions. β-Lactamase-mediated resistance is the most common mechanism for carbapenem resistance in A. baumannii. The aim of this study was to determine the antibiotic resistance pattern, to detect OXA encoding genes, class A, bla PER-1, and to detect the presence of ISAba1. A total of 124 A. baumannii isolates were collected from hospitalized patients in a teaching hospital in Kashan, Iran. The susceptibility of isolates to different antibiotics was determined by disk-diffusion method. PCR was used to detect bla PER-1, bla OXA-23, bla OXA-24, bla OXA-51, bla OXA-58, and ISAba1 genes. All isolates were resistant to ceftazidime, ceftriaxone, and cefotaxime. All of the isolates revealed susceptibility to polymyxin B and colistin. Ninety-six percent of the isolates were extensive drug resistance (XDR), 5.6% extended spectrum beta-lactamase (ESBL), and 54.8% metallo-beta-lactamase (MBL). All isolates were positive for bla OXA-51 and ISAba1. bla OXA-23,  bla OXA-24, and bla OXA-58 were found in 79.8%, 25%, and 3.2%, respectively. The frequency rate of bla PER-1 gene was 52.4%. Multidrug resistant A. baumannii isolates are increasing in our setting and extensively limit therapeutic options. The high rate presence of class D carbapenemase-encoding genes, mainly bla OXA-23 carbapenemases, is worrying and alarming as an emerging threat in our hospital.
鲍曼不动杆菌(鲍曼不动杆菌)是卫生保健机构中重要的医院病原体。β-内酰胺酶介导的耐药是鲍曼不动杆菌对碳青霉烯类耐药最常见的机制。本研究的目的是确定抗生素耐药模式,检测OXA编码基因,A类,bla PER-1,以及检测ISAba1的存在。从伊朗卡尚一教学医院住院患者中共收集到124株鲍曼不动杆菌分离株。采用纸片扩散法测定菌株对不同抗生素的药敏。PCR检测bla PER-1、bla OXA-23、bla OXA-24、bla OXA-51、bla OXA-58和ISAba1基因。所有分离株均对头孢他啶、头孢曲松和头孢噻肟耐药。所有分离株均对多粘菌素B和粘菌素敏感。广泛耐药(XDR)占96%,扩展谱β -内酰胺酶(ESBL)占5.6%,金属β -内酰胺酶(MBL)占54.8%。所有分离株均为bla OXA-51和ISAba1阳性。bla OXA-23、bla OXA-24和bla OXA-58分别占79.8%、25%和3.2%。bla PER-1基因检出率为52.4%。在我们的环境中,耐多药鲍曼不动杆菌分离株正在增加,并广泛限制了治疗选择。D类碳青霉烯酶编码基因,主要是bla OXA-23碳青霉烯酶,作为一种新出现的威胁,在我院的高发率令人担忧和警惕。
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引用次数: 22
Endemicity of Acinetobacter calcoaceticus-baumannii Complex in an Intensive Care Unit in Malaysia 马来西亚重症监护病房内钙酸钙-鲍曼复合不动杆菌的地方性
IF 2.6 Pub Date : 2015-12-27 DOI: 10.1155/2015/789265
A. Dhanoa, Ganeswrie Rajasekaram, Soo-Sum Lean, Y. Cheong, K. Thong
Introduction. Acinetobacter calcoaceticus-baumannii complex (ACB complex) is a leading opportunistic pathogen in intensive care units (ICUs). Effective control of spread requires understanding of its epidemiological relatedness. This study aims to determine the genetic relatedness and antibiotic susceptibilities of ACB complex in an ICU in Malaysia. Methodology. Pulsed field gel electrophoresis (PFGE), E-test, and disk diffusion were used for isolates characterization. Results. During the study period (December 2011 to June 2012), 1023 patients were admitted to the ICU and 44 ACB complex (blood, n = 21, and blind bronchial aspirates, n = 23) were recovered from 38 ICU patients. Six isolates were from non-ICU patients. Of the 44 ICU isolates, 88.6% exhibited multidrug-resistant (MDR) patterns. There was high degree of resistance, with minimum inhibitory concentration90 (MIC90) of >32 μg/mL for carbapenems and ≥256 μg/mL for amikacin, ampicillin/sulbactam, and cefoperazone/sulbactam. Isolates from the main PFGE cluster were highly resistant. There was evidence of dissemination in non-ICU wards. Conclusion. High number of clonally related MDR ACB complex was found. While the ICU is a likely reservoir facilitating transmission, importation from other wards may be important contributor. Early identification of strain relatedness and implementation of infection control measures are necessary to prevent further spread.
介绍。钙醋-鲍曼不动杆菌复合体(ACB复合体)是重症监护病房(icu)的主要条件致病菌。有效控制传播需要了解其流行病学相关性。本研究旨在确定遗传关系和抗生素敏感性的ACB复合体在马来西亚ICU。方法。采用脉冲场凝胶电泳(PFGE)、E-test和纸片扩散法对分离物进行鉴定。结果。研究期间(2011年12月至2012年6月),ICU共收治1023例患者,38例ICU患者中恢复ACB复合物44例(血检21例,支气管盲吸23例)。6株分离株来自非icu患者。在44株ICU分离株中,88.6%呈现多重耐药(MDR)模式。耐药程度高,对碳青霉烯类的最低抑菌浓度(MIC90)为32 μg/mL,对阿米卡星、氨苄西林/舒巴坦、头孢哌酮/舒巴坦的最低抑菌浓度为256 μg/mL。主要PFGE集群的分离株具有高度抗性。有证据表明在非icu病房传播。结论。发现大量克隆相关的MDR ACB复合体。虽然重症监护室可能是促进传播的储存库,但从其他病房输入可能是重要因素。早期识别菌株相关性和实施感染控制措施是防止进一步传播的必要条件。
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引用次数: 8
Restriction Profiling of 23S Microheterogenic Ribosomal Repeats for Detection and Characterizing of E. coli and Their Clonal, Pathogenic, and Phylogroups 23S微异质核糖体重复序列的限制性内切分析用于大肠杆菌及其克隆、致病性和系统群的检测和鉴定
IF 2.6 Pub Date : 2015-12-22 DOI: 10.1155/2015/562136
Parvathi Jayasree Rajagopalan Nair, Sunita Singh
Correlating ribosomal microheterogenicity with unique restriction profiles can prove to be an efficacious and cost-effective approach compared with sequencing for microbial identification. An attempt to peruse restriction profiling of 23S ribosomal assemblage was ventured; digestion patterns with Bfa I discriminated E. coli from its colony morphovars, while Hae III profiles assisted in establishing distinct clonal groups. Among the gene pool of 399 ribosomal sequences extrapolated from 57 E. coli genomes, varying degree of predominance (I > III > IV > II) of Hae III pattern was observed. This was also corroborated in samples collected from clinical, commensal, and environmental origin. K-12 and its descendants showed type I pattern whereas E. coli-B and its descendants exhibited type IV, both of these patterns being exclusively present in E. coli. A near-possible association between phylogroups and Hae III profiles with presumable correlation between the clonal groups and different pathovars was established. The generic nature, conservation, and barcode gap of 23S rRNA gene make it an ideal choice and substitute to 16S rRNA gene, the most preferred region for molecular diagnostics in bacteria.
与测序相比,将核糖体微异质性与独特的限制性基因图谱相关联可以证明是一种有效且具有成本效益的微生物鉴定方法。尝试仔细研究23S核糖体组合的限制性谱;Bfa I的消化模式可以区分大肠杆菌的菌落形态,而Hae III的消化模式有助于建立不同的克隆群。在57个大肠杆菌基因组推断的399个核糖体序列基因库中,观察到不同程度的优势(I > III > IV > II)。从临床、共生和环境来源收集的样本也证实了这一点。K-12及其后代表现为I型,大肠杆菌b及其后代表现为IV型,这两种模式都只存在于大肠杆菌中。系统群与Hae III型基因谱之间存在近乎可能的关联,克隆群与不同的病原体之间可能存在相关性。23S rRNA基因的共性、保守性和条形码间隙使其成为细菌分子诊断最优选区域16S rRNA基因的理想选择和替代品。
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引用次数: 0
期刊
Journal of Pathogens
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