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Epidemiology of Rotavirus A in Nigeria: Molecular Diversity and Current Insights. 尼日利亚轮状病毒A的流行病学:分子多样性和当前见解。
IF 2.6 Q4 MICROBIOLOGY Pub Date : 2018-10-01 DOI: 10.1155/2018/6513682
Babatunde Olanrewaju Motayo, Adedayo Omotayo Faneye, Johnson Adekunle Adeniji

Rotavirus induced acute gastroenteritis AGE has been a major disease burden in Nigeria, since it was first reported in 1985. Prevalence rates have increased with severe public health consequences particularly among children. The vaccine Rotarix® has been introduced and is commercially available in Nigeria. However routine rotavirus vaccination is yet to be introduced into the National Immunization Program. Molecular epidemiology of rotavirus in Nigeria has shown the presence of various genotypes, with genotype G12P[8] being the most recent introduction. There are however gaps in molecular data on rotavirus in Nigeria. We therefore reviewed molecular data on rotavirus isolated in Nigeria and also analyzed VP4 and VP7 genes of Nigerian rotavirus strains in Genbank. We have shown that there is a distinct trend in rotavirus molecular epidemiology in Nigeria, with new genotype introductions occurring after the year 2010. We also observed from our analysis the emergence of genotype G12 Lineage III as a dominant genotype. This information elucidates rotavirus molecular epidemiology in Nigeria and gives insight to the expanding landscape of rotavirus genotypes. We recommend the institution of molecular surveillance country wide, before considering the inclusion of rotavirus vaccination into the National Immunization Program in Nigeria, in other to monitor evolution of divergent or recombinant strains.

自1985年首次报道以来,轮状病毒引起的急性胃肠炎一直是尼日利亚的主要疾病负担。患病率上升,对公共卫生造成严重后果,尤其是在儿童中。Rotarix®疫苗已在尼日利亚上市。然而,常规轮状病毒疫苗接种尚未纳入国家免疫计划。尼日利亚轮状病毒的分子流行病学显示存在各种基因型,基因型G12P[8]是最新引入的。然而,尼日利亚轮状病毒的分子数据存在空白。因此,我们回顾了在尼日利亚分离的轮状病毒的分子数据,并在Genbank中分析了尼日利亚轮状病毒株的VP4和VP7基因。我们已经表明,尼日利亚的轮状病毒分子流行病学有一个明显的趋势,2010年之后出现了新的基因型引入。我们还从我们的分析中观察到基因型G12谱系III作为显性基因型的出现。这一信息阐明了尼日利亚的轮状病毒分子流行病学,并深入了解了轮状病毒基因型的不断扩大。我们建议在考虑将轮状病毒疫苗纳入尼日利亚国家免疫计划之前,在全国范围内进行分子监测,以监测变异株或重组株的进化。
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引用次数: 10
Role of Taste Receptors as Sentinels of Innate Immunity in the Upper Airway. 味觉受体在上呼吸道先天免疫中的哨兵作用。
IF 2.6 Q4 MICROBIOLOGY Pub Date : 2018-10-01 eCollection Date: 2018-01-01 DOI: 10.1155/2018/9541987
Neil N Patel, Alan D Workman, Noam A Cohen

Evidence is emerging that shows taste receptors serve functions outside of taste sensation of the tongue. Taste receptors have been found in tissue across the human body, including the gastrointestinal tract, bladder, brain, and airway. These extraoral taste receptors appear to be important in modulating the innate immune response through detection of pathogens. This review discusses taste receptor signaling, focusing on the G-protein-coupled receptors that detect bitter and sweet compounds in the upper airway epithelium. Emphasis is given to recent studies which link the physiology of sinonasal taste receptors to clinical manifestation of upper airway disease.

越来越多的证据表明,味觉感受器在舌头的味觉感觉之外还有其他功能。味觉感受器存在于人体的各个组织中,包括胃肠道、膀胱、大脑和气道。这些口外味觉受体似乎是重要的调节先天免疫反应,通过检测病原体。本文综述了味觉受体信号,重点讨论了在上气道上皮中检测苦味和甜味化合物的g蛋白偶联受体。本文重点介绍了鼻味觉受体的生理功能与上呼吸道疾病临床表现之间的联系。
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引用次数: 24
Adaptive Metabolism in Staphylococci: Survival and Persistence in Environmental and Clinical Settings. 葡萄球菌的适应性代谢:在环境和临床环境中的生存和持久性。
IF 2.6 Q4 MICROBIOLOGY Pub Date : 2018-09-20 eCollection Date: 2018-01-01 DOI: 10.1155/2018/1092632
Laura A Onyango, Mousa M Alreshidi

Staphylococci are highly successful at colonizing a variety of dynamic environments, both nonpathogenic and those of clinical importance, and comprise the list of pathogens of global public health significance. Their remarkable survival and persistence can be attributed to a host of strategies, one of which is metabolic versatility-their ability to rapidly alter their metabolism in the presence of transient or long-term bacteriostatic and bactericidal conditions and facilitate cellular homeostasis. These attributes contribute to their widespread dissemination and challenging eradication particularly from clinical settings. The study of microbial behaviour at the metabolite level provides insight into mechanisms of survival and persistence under defined environmental and clinical conditions. This paper reviews the range of metabolic modulations that facilitate staphylococcal acclimatization and persistence in varying terrestrial and host conditions, and their public health ramifications in these settings.

葡萄球菌在各种动态环境中非常成功地定植,包括非致病性和具有临床重要性的环境,并构成具有全球公共卫生意义的病原体清单。它们卓越的生存和持久性可归因于一系列策略,其中之一是代谢多样性——它们在短暂或长期抑菌和杀菌条件下迅速改变代谢的能力,并促进细胞内稳态。这些特性有助于其广泛传播,尤其对临床环境下的根除构成挑战。在代谢物水平上对微生物行为的研究提供了在特定环境和临床条件下生存和持续的机制。本文综述了促进葡萄球菌在不同陆地和宿主条件下的适应性和持久性的代谢调节范围,以及它们在这些环境中的公共卫生影响。
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引用次数: 57
Prevalence of Panton-Valentine Leukocidin Gene among Community Acquired Staphylococcus aureus: A Real-Time PCR Study. 社区获得性金黄色葡萄球菌中潘顿-瓦伦丁白细胞介素基因的流行率:实时 PCR 研究。
IF 2.6 Q4 MICROBIOLOGY Pub Date : 2018-09-02 eCollection Date: 2018-01-01 DOI: 10.1155/2018/4518541
Amit Karmakar, Debarati Jana, Kunal Dutta, Parimal Dua, Chandradipa Ghosh

Panton-Valentine leukocidin (luk-pv) is a cytotoxin that causes leukocyte destruction and tissue necrosis. The aim of this study was to determine the prevalence of the pv1, mecA, and nuc genes in Staphylococcus aureus isolates obtained from anterior nares and superficial infection sites of skin in a slum population of West Bengal, India. Expression level of pv1 gene was also analysed. Twenty-two S. aureus strains were isolated, and phenotype and genotype specific examinations for S. aureus isolates were carried out. Molecular identification was done by PCR using species-specific 16S rRNA primer pairs and finally 22 isolates were found to be positive as S. aureus. The antibiotic responsiveness of all these isolates and the minimum inhibitory concentration (MIC) of MRSA isolates were determined using the broth dilution method with vancomycin. Antibiogram analysis of isolated S. aureus strains with respect to different antimicrobial agents revealed antibiotic resistance ranging from 27 to 91%. The results of MIC for vancomycin showed 95% of strains to be VSSA and 5% to be VISA. 68% isolates were resistant to methicillin. All the isolates were subjected to detection of pv1, mecA, and nuc genes, and 9%, 68%, and 27% were found to harbour pvl, mecA, and nuc genes, respectively. All the MRSA strains produced high to moderate levels of biofilm. pvl gene expression was carried out in vitro by Real-Time PCR. The low ∆Ct value (0.493) was indicative of high expression of pvl in one S. aureus strain. Thus, detection of pvl gene in community acquired S. aureus indicates the emergence of pathogenic S. aureus in community setup in the studied region. The existing exploration is extremely imperative and informative for the high level multi-drug resistant S. aureus infections inclusive of MRSA.

潘通-瓦伦丁白细胞介素(luk-pv)是一种细胞毒素,可导致白细胞破坏和组织坏死。本研究旨在确定从印度西孟加拉邦贫民窟人群的前鼻孔和皮肤浅表感染部位分离到的金黄色葡萄球菌中 pv1、mecA 和 nuc 基因的流行情况。还分析了 pv1 基因的表达水平。共分离出 22 株金黄色葡萄球菌,并对分离出的金黄色葡萄球菌进行了表型和基因型特异性检查。使用物种特异性 16S rRNA 引物对 PCR 进行分子鉴定,最终发现 22 株分离物为阳性金黄色葡萄球菌。使用万古霉素肉汤稀释法测定了所有这些分离物的抗生素反应性和 MRSA 分离物的最低抑菌浓度(MIC)。分离出的金黄色葡萄球菌菌株对不同抗菌剂的抗菌谱分析显示,抗生素耐药性从 27% 到 91% 不等。万古霉素的 MIC 结果显示,95% 的菌株为 VSSA 菌株,5% 为 VISA 菌株。68%的分离菌株对甲氧西林耐药。对所有分离株进行了 pv1、mecA 和 nuc 基因检测,发现分别有 9%、68% 和 27% 的分离株携带 pvl、mecA 和 nuc 基因。所有 MRSA 菌株都会产生高到中等程度的生物膜。低 ∆Ct 值(0.493)表明一株金黄色葡萄球菌的 pvl 基因表达量较高。因此,在社区获得的金黄色葡萄球菌中检测到 pvl 基因表明,在研究区域的社区设置中出现了致病性金黄色葡萄球菌。对于包括 MRSA 在内的高水平多重耐药金黄色葡萄球菌感染,现有的探索是非常必要和有参考价值的。
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引用次数: 0
Propagation and Molecular Characterization of Bioreactor Adapted Very Virulent Infectious Bursal Disease Virus Isolates of Malaysia. 马来西亚非常强毒传染性法氏囊病病毒分离株的生物反应器适应性繁殖和分子特性。
IF 2.6 Q4 MICROBIOLOGY Pub Date : 2018-09-02 eCollection Date: 2018-01-01 DOI: 10.1155/2018/1068758
Nafi'u Lawal, Mohd Hair-Bejo, Siti Suri Arshad, Abdul Rahman Omar, Aini Ideris

Two Malaysian very virulent infectious bursal disease virus (vvIBDV) strains UPM0081 (also known as B00/81) and UPM190 (also known as UPM04/190) isolated from local IBD outbreaks in 2000 and 2004, respectively, were separately passaged for 12 consecutive times in 11-day-old specific pathogen free (SPF) chicken embryonated eggs (CEE) via the chorioallantoic membrane (CAM) route. The CEE passage 8 (EP8) isolates were passaged once in BGM-70 cell line yielding UPM0081EP8BGMP1 and UPM190EP8BGMP1, while the EP12 isolates were passaged 15 times in BGM-70 cell line yielding UPM0081EP12BGMP15 and UPM190EP12BGMP15 using T25 tissue culture flask. These isolates were all propagated once in bioreactor using cytodex 1 as microcarrier at 3 g per liter (3 g/L) yielding UPM0081EP8BGMP1BP1, UPM190EP8BGMP1BP1, UPM0081EP12BGMP15BP1, and UPM190EP12BGMP15BP1 isolates. The viruses were harvested at 3 days after inoculation, following the appearance of cytopathic effects (CPE) characterized by detachment from the microcarrier using standard protocol and filtered using 0.2 μm syringe filter. The filtrates were positive for IBDV by RT-PCR and immunofluorescence. Sequence and phylogenetic tree analysis indicated that the isolates were of the vvIBDV strains and were not different from the flask propagated parental viruses.

分别从2000年和2004年当地IBD暴发中分离出两株马来西亚非常强毒的传染性法氏囊病病毒(vvIBDV) UPM0081(也称为B00/81)和UPM190(也称为UPM04/190),分别通过绒毛尿囊膜(CAM)途径在11日龄的无特异性病原体(SPF)鸡胚蛋(CEE)中连续传代12次。CEE传代8 (EP8)分离物在BGM-70细胞系中传代1次,产生UPM0081EP8BGMP1和UPM190EP8BGMP1, EP12分离物在BGM-70细胞系中传代15次,产生UPM0081EP12BGMP15和UPM190EP12BGMP15,使用T25组织培养瓶。这些分离株均在生物反应器中以3 g/L (3 g/L)的cytodex 1为微载体繁殖一次,获得UPM0081EP8BGMP1BP1、UPM190EP8BGMP1BP1、UPM0081EP12BGMP15BP1和UPM190EP12BGMP15BP1分离株。接种后3天,病毒出现细胞病变效应(CPE),采用标准方案从微载体分离,并用0.2 μm注射器过滤器过滤。RT-PCR和免疫荧光检测结果均为IBDV阳性。序列分析和系统进化树分析表明,分离株为vvIBDV株,与烧瓶繁殖的亲本病毒无明显差异。
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引用次数: 4
Prevalence of Asymptomatic Mycobacterium tuberculosis Infection in Charcoal Producers: A Cross-Sectional Study in Kaase, Ghana. 木炭生产者无症状结核分枝杆菌感染的流行:加纳Kaase的横断面研究。
IF 2.6 Q4 MICROBIOLOGY Pub Date : 2018-08-02 eCollection Date: 2018-01-01 DOI: 10.1155/2018/9094803
Benjamin Kwame Senya, Nketiah Bernard Anim, Bright Segu Kobena Domson, Patrick Adu

Background: Charcoal production is a significant economic activity in Ghana. However, there is scarcity of data on the risk of acquiring Mycobacterium tuberculosis infection among charcoal producers in Ghana, even though persistent smoke exposure is a known predisposition factor.

Methods: This cross-sectional study recruited 40 charcoal producers: 6 males and 34 females. Two sets of early morning sputum samples were collected from each participant and examined for the presence of acid-fast bacilli (AFB) using fluorescent microscopy. Structured questionnaires were used to retrieve demographic data from each participant. Data were analyzed using SPSS version 21 and presented as frequencies and proportions. Categorical variables were compared using Chi-square test. Significant difference was identified as p < 0.05 at 95% confidence interval.

Results: Overall, 2/40 (5%) of the participants demonstrated AFB in their sputum. All participants with AFB positive sputum were females and had 6-10 years of experience in charcoal production. Whereas coughing was the most self-reported symptom by the charcoal producers, none complained of blood in sputum. Also, only 9/40 (22.5%) had knowledge about the Mycobacterium tuberculosis-infection risk associated with charcoal production. Moreover, 62.5% (25/40) of participants had no formal education.

Conclusion: Education on personal protection equipment must be a public health priority in these charcoal producers in Ghana as sawdust and smoke exposure may predispose charcoal producers to acquisition of tuberculosis.

背景:木炭生产是加纳一项重要的经济活动。然而,关于加纳木炭生产者感染结核分枝杆菌风险的数据缺乏,尽管持续的烟雾暴露是已知的易感因素。方法:本横断面研究共招募40名木炭生产者,其中男性6名,女性34名。从每个参与者收集两组清晨痰样本,并使用荧光显微镜检查抗酸杆菌(AFB)的存在。使用结构化问卷从每个参与者那里获取人口统计数据。数据使用SPSS version 21进行分析,并以频率和比例表示。分类变量比较采用卡方检验。在95%置信区间p < 0.05为显著性差异。结果:总体而言,2/40(5%)的参与者在痰中表现出AFB。所有AFB阳性痰的参与者均为女性,具有6-10年的木炭生产经验。虽然咳嗽是木炭生产商自我报告的最多的症状,但没有人抱怨痰中有血。此外,只有9/40(22.5%)的人了解与木炭生产相关的结核分枝杆菌感染风险。此外,62.5%(25/40)的参与者没有受过正规教育。结论:关于个人防护装备的教育必须成为加纳这些木炭生产商的公共卫生优先事项,因为木屑和烟雾暴露可能使木炭生产商易患结核病。
{"title":"Prevalence of Asymptomatic <i>Mycobacterium tuberculosis</i> Infection in Charcoal Producers: A Cross-Sectional Study in Kaase, Ghana.","authors":"Benjamin Kwame Senya,&nbsp;Nketiah Bernard Anim,&nbsp;Bright Segu Kobena Domson,&nbsp;Patrick Adu","doi":"10.1155/2018/9094803","DOIUrl":"https://doi.org/10.1155/2018/9094803","url":null,"abstract":"<p><strong>Background: </strong>Charcoal production is a significant economic activity in Ghana. However, there is scarcity of data on the risk of acquiring <i>Mycobacterium tuberculosis</i> infection among charcoal producers in Ghana, even though persistent smoke exposure is a known predisposition factor.</p><p><strong>Methods: </strong>This cross-sectional study recruited 40 charcoal producers: 6 males and 34 females. Two sets of early morning sputum samples were collected from each participant and examined for the presence of acid-fast bacilli (AFB) using fluorescent microscopy. Structured questionnaires were used to retrieve demographic data from each participant. Data were analyzed using SPSS version 21 and presented as frequencies and proportions. Categorical variables were compared using Chi-square test. Significant difference was identified as <i>p</i> < 0.05 at 95% confidence interval.</p><p><strong>Results: </strong>Overall, 2/40 (5%) of the participants demonstrated AFB in their sputum. All participants with AFB positive sputum were females and had 6-10 years of experience in charcoal production. Whereas coughing was the most self-reported symptom by the charcoal producers, none complained of blood in sputum. Also, only 9/40 (22.5%) had knowledge about the <i>Mycobacterium tuberculosis</i>-infection risk associated with charcoal production. Moreover, 62.5% (25/40) of participants had no formal education.</p><p><strong>Conclusion: </strong>Education on personal protection equipment must be a public health priority in these charcoal producers in Ghana as sawdust and smoke exposure may predispose charcoal producers to acquisition of tuberculosis.</p>","PeriodicalId":16788,"journal":{"name":"Journal of Pathogens","volume":"2018 ","pages":"9094803"},"PeriodicalIF":2.6,"publicationDate":"2018-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2018/9094803","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36434330","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}
引用次数: 2
Dermatopathology of Orf Virus (Malaysian Isolates) in Mice Experimentally Inoculated at Different Sites with and without Dexamethasone Administration. 地塞米松给药和不给药小鼠不同部位接种口蹄疫病毒(马来西亚分离株)的皮肤病理
IF 2.6 Q4 MICROBIOLOGY Pub Date : 2018-08-01 eCollection Date: 2018-01-01 DOI: 10.1155/2018/9207576
Jamilu Abubakar Bala, Krishnan Nair Balakrishnan, Ashwaq Ahmed Abdullah, Tay Kimmy, Yusuf Abba, Ramlan Bin Mohamed, Faez Firdaus Abdullah Jesse, Abd Wahid Haron, Mustapha Mohamed Noordin, Asinamai Athliamai Bitrus, Idris Umar Hambali, Mohd Azmi Mohd Lila

Orf is a clinical manifestation of parapoxvirus infection often fatal in goats and sheep especially when they are under stress or influenced by unfavorable environment. This study investigated the pathogenicity of two Orf virus isolates (ORFV UPM1/14 and UPM2/14) and host response in mouse model by using different inoculation sites with/without prior exposure to dexamethasone. Treatments with dexamethasone served as an immunosuppressant that may mimic stress situation in affected animals. Groups of five mice were given intradermal injection of 0.2 mL of tissue culture infective dose 50 (TCID50) of UPM1/14 (Group 1) and UPM2/14 (Group 2) at the dorsum (Group 1A; Group 2A), ear pinna (Group 1B; Group 2B), and labial commissure (Group 1C; Group 2C). An inoculum 0.2 mL of UPM1/14 was administered to animals treated with dexamethasone (n=5; 5 mg/kg/day intraperitoneally) and nondexamethasone (n=5) groups at the dorsum, ear pinna, and labial commissure. No significant difference (p>0.05) was observed in the mean lesion scores among the groups of different inoculation sites or between dexamethasone-treated and nontreated groups. However, there was a significant difference (p<0.05) in the mean stratum thickness of affected skin following inoculation with UPM2/14 isolate at the ear pinna and labial commissure. Histopathology examination revealed keratosis, acanthosis, and ballooning degeneration in the skin of affected mice. Orf virus DNA was detected in the skin samples by targeting F1L and B2L virus-specific genes in polymerase chain reaction (PCR) assay. Intradermal inoculation with UPM1/14 or UPM2/14 isolate produced a mild skin lesion in mice, and there was no significant difference in orf disease manifestation despite variation of inoculation sites. Similarly, short-term dexamethasone administration gave no adverse effects on pathogenicity of orf virus isolates.

羊口疮是一种副痘病毒感染的临床表现,在山羊和绵羊处于应激状态或受不利环境影响时往往是致命的。本研究通过不同接种部位观察两株ORFV (ORFV UPM1/14和UPM2/14)在小鼠模型中的致病性和宿主对地塞米松的反应。地塞米松作为一种免疫抑制剂治疗,可以模拟受影响动物的应激情况。每组5只小鼠,分别在背侧皮下注射组织培养感染剂量50 (TCID50)的UPM1/14(1组)和UPM2/14(2组)0.2 mL (1A组);2A组),耳耳廓(1B组;2B组)和唇连合(1C组;组2 c)。给地塞米松治疗动物接种0.2 mL UPM1/14 (n=5;5 mg/kg/天腹腔注射)和非地塞米松(n=5)组在背侧、耳廓和唇部连接处。不同接种部位组之间、地塞米松治疗组与未治疗组之间的平均病变评分差异无统计学意义(p>0.05)。两组间差异有统计学意义(p
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引用次数: 8
Comparing the Yield of Staphylococcus aureus Recovery with Static versus Agitated Broth Incubation. 静态与搅拌培养液培养金黄色葡萄球菌产率的比较。
IF 2.6 Q4 MICROBIOLOGY Pub Date : 2018-07-26 eCollection Date: 2018-01-01 DOI: 10.1155/2018/1462671
Carol E Muenks, Patrick G Hogan, Carey-Ann D Burnham, Stephanie A Fritz

Given the lack of standardization of methodologies for microbial recovery from built environments, we sought to compare the yield of Staphylococcus aureus with a broth enrichment method when incubated in agitated versus static conditions. Five unique strains of S. aureus at five different concentrations were cultured to compare direct plating, agitated broth enrichment, and static broth enrichment culture methods. All samples were incubated at 35° in ambient air. The lowest concentration recovered across three replicates and five strains did not differ between culture methods (Fisher's exact test, p=0.50); notably, recovery of S. aureus was equivalent between static and agitated broth incubation. When broth enrichment was used (both static and agitated), the burden of S. aureus growth was higher (by semiquantitative assessment of 4-quadrant streaking) compared to the direct plating culture method. Optimizing strategies for microbial recovery is essential, particularly in areas of lower biomass, given the paucity of research concerning microbial communities of built environments. The results of this study, in conjunction with other experiments investigating microbiomes of built environments, can help inform protocols for standardizing culturing methods within built environments.

鉴于建筑环境中微生物回收方法缺乏标准化,我们试图比较在搅拌和静态条件下培养时,用肉汤富集法培养金黄色葡萄球菌的产量。对5株不同浓度的金黄色葡萄球菌进行了培养,比较了直接培养、搅拌培养基培养和静态培养基培养方法。所有样品在35°环境空气中孵育。3个重复和5个菌株的最低回收率在培养方法之间没有差异(Fisher精确检验,p=0.50);值得注意的是,金黄色葡萄球菌的回收率在静态和搅拌培养液之间是相同的。当采用肉汤富集(静态和搅拌)时,金黄色葡萄球菌的生长负担(通过四象限条纹的半定量评估)比直接电镀培养法更高。考虑到建筑环境中微生物群落研究的缺乏,优化微生物恢复策略至关重要,特别是在低生物量地区。这项研究的结果与其他研究建筑环境微生物组的实验相结合,可以帮助制定建筑环境中标准化培养方法的协议。
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引用次数: 0
The Bacteriology and Its Virulence Factors in Neonatal Infections: Threats to Child Survival Strategies. 新生儿感染的细菌学及其致病因素:对儿童生存战略的威胁》。
IF 2.6 Q4 MICROBIOLOGY Pub Date : 2018-07-02 eCollection Date: 2018-01-01 DOI: 10.1155/2018/4801247
Obiora Shedrach Ejiofor, Onyinye Mercy Ajunwa, Chijioke Elias Ezeudu, George Ogonna Emechebe, Kenneth Nchekwube Okeke, Christian Chukwuemeka Ifezulike, Ifeoma Mercy Ekejindu, Jude Nnaemeka Okoyeh, Eunice Ogonna Osuala, Angus Nnamdi Oli

Background: Neonatal infection refers to the infection of the newborn during the first twenty-eight days of life. It is one of the causes of infant morbidity and mortality worldwide. The aim of the study is to determine the relative contribution of the different pathogens to the overall disease burden. It will also determine the mechanisms of virulence of these pathogens that cause neonatal infections at Chukwuemeka Odumegwu Ojukwu University Teaching Hospital (COOUTH), Awka.

Methods: Biological samples were collected from 30 neonates admitted at the special care baby unit (SCBU) of COOUTH and cultured using selective media and nutrient agar. The isolates were identified using microbiological and biochemical tests. The antibiogram study was determined using Kirby-Bauer disc diffusion method on Mueller Hinton Agar. Several methods previously reported in literature were used for the characterization of the virulence factors.

Results: From the 30 blood samples collected, Pseudomonas spp. (19.7%), Escherichia coli (23%), Salmonella spp. (24.6%), and Staphylococcus aureus (32.8%) were isolated. Male to female ratio of study population was 1.5: 1. The isolates were 100 % resistant to ticarcillin, cephalothin, ceftazidime, and cefuroxime but appreciably susceptible to only levofloxacin (88.85%). They were moderately susceptible to ceftriaxone/sulbactam (39.05%) and azithromycin (26.46%). Common virulence factors identified among the isolates (up to 90 %) were hemolysin, biofilm formation, and acid resistance. Less common virulence factors were proteases (50 %), deoxyribonucleases (50 %), enterotoxins (63%), and lipopolysaccharide (70%). The virulence factors were found mostly among the S. aureus isolates.

Conclusions: Pseudomonas spp., Escherichia coli, Salmonella spp., and Staphylococcus aureus were implicated in neonatal infections in the center and most of them were resistant to conventional antibiotics. The organisms showed marked virulence and multidrug resistance properties. Levofloxacin, a fluoroquinolone, had superior activity on the isolates compared to other antibiotics used in the study.

背景:新生儿感染是指新生儿在出生后 28 天内受到感染。它是全球婴儿发病和死亡的原因之一。这项研究的目的是确定不同病原体对总体疾病负担的相对贡献。研究还将确定这些病原体在阿卡的丘库韦梅卡-奥杜梅格乌-奥朱克乌大学教学医院(COOUTH)引起新生儿感染的致病机制:从 COOUTH 特殊护理婴儿病房(SCBU)收治的 30 名新生儿身上采集生物样本,并使用选择性培养基和营养琼脂进行培养。通过微生物学和生化检验对分离菌进行鉴定。在穆勒欣顿琼脂上使用柯比鲍尔碟片扩散法进行抗生素图谱研究。文献中报道的几种方法被用于鉴定毒力因子:从采集的 30 份血液样本中分离出假单胞菌属(19.7%)、大肠杆菌(23%)、沙门氏菌属(24.6%)和金黄色葡萄球菌(32.8%)。这些分离菌株对替卡西林、头孢菌素、头孢他啶和头孢呋辛的耐药性为 100%,但只对左氧氟沙星有明显的敏感性(88.85%)。它们对头孢曲松/舒巴坦(39.05%)和阿奇霉素(26.46%)有中等敏感性。在分离物中发现的常见致病因子(高达 90%)是溶血素、生物膜形成和耐酸性。较少见的致病因子是蛋白酶(50%)、脱氧核糖核酸酶(50%)、肠毒素(63%)和脂多糖(70%)。这些致病因子主要出现在金黄色葡萄球菌分离物中:结论:假单胞菌属、大肠埃希菌、沙门氏菌属和金黄色葡萄球菌是该中心新生儿感染的病原菌,其中大多数对常规抗生素具有耐药性。这些细菌具有明显的毒性和耐多药特性。与研究中使用的其他抗生素相比,氟喹诺酮类药物左氧氟沙星对这些分离菌具有更强的活性。
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引用次数: 0
High Prevalence and Endemicity of Multidrug Resistant Acinetobacter spp. in Intensive Care Unit of a Tertiary Care Hospital, Varanasi, India. 印度瓦拉纳西某三级医院重症监护病房多重耐药不动杆菌的高流行率和流行率
IF 2.6 Q4 MICROBIOLOGY Pub Date : 2018-07-02 eCollection Date: 2018-01-01 DOI: 10.1155/2018/9129083
Tuhina Banerjee, Anwita Mishra, Arghya Das, Swati Sharma, Hiranmay Barman, Ghanshyam Yadav

The increasing emergence of Acinetobacter spp. with healthcare associated infections (HCAI) in intensive care units (ICU) is alarming. This study was a laboratory-based audit to determine the prevalence of Acinetobacter spp. associated with HCAI in the adult ICU of a tertiary care hospital in Varanasi, north India, with special reference to antimicrobial resistance and resistance determinants over a period of 5 years. A total of 993 cases of HCAI were analyzed. Isolates were characterized as multidrug resistance and extended drug resistance (MDR/XDR) based on antimicrobial susceptibility records. Few (100) randomly selected isolates of Acinetobacter baumannii (A. baumannii) were tested for imipenem, meropenem, and polymyxin B susceptibility by minimum inhibitory concentration (MIC) and for the presence of class A and B carbapenemases by multiplex PCR. Active surveillance of ICU environment was also performed. High prevalence of Acinetobacter related hospital acquired pneumonia (HAP) with significant resistance to imipenem (p<0.05) and 88.02% MDR and 61.97% XDR was detected along with persistence in the ICU environment. The isolates harbored blaIMP (89%), blaVIM (51%), blaNDM-1 (34%), and blaOXA-23-like (93%) genes. Specific interventional measures should be adopted to control these imipenem resistant Acinetobacter spp. which have attained the level of endemicity in our ICU setup.

在重症监护病房(ICU)越来越多的不动杆菌与医疗保健相关感染(HCAI)的出现是令人担忧的。本研究是一项以实验室为基础的审计,旨在确定印度北部瓦拉纳西一家三级医院成人ICU中与HCAI相关的不动杆菌的流行情况,并特别参考了5年来的抗菌素耐药性和耐药性决定因素。对993例HCAI进行分析。根据药敏记录对分离株进行多重耐药和扩展耐药(MDR/XDR)鉴定。随机选取100株鲍曼不动杆菌(A. baumannii),采用最低抑菌浓度(MIC)法检测其对亚胺培南、美罗培南和多粘菌素B的敏感性,采用多重PCR法检测A类和B类碳青霉烯酶的存在。同时对ICU环境进行主动监测。不动杆菌相关医院获得性肺炎(HAP)高发,对亚胺培南(blaimp(89%)、blaVIM(51%)、blaNDM-1(34%)和blaoxa -23样基因(93%)有显著耐药。这些耐亚胺培南不动杆菌在我院ICU已达到地方性流行水平,应采取针对性干预措施加以控制。
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引用次数: 49
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Journal of Pathogens
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