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Emergence of Tetracycline Resistant Vibrio cholerae O1 Biotype El Tor Serotype Ogawa with Classical ctxB Gene from a Cholera Outbreak in Odisha, Eastern India. 印度东部奥迪沙爆发的霍乱疫情中出现了带有经典ctxB基因的耐四环素霍乱弧菌O1生物型El Tor血清型Ogawa。
IF 2.6 Q4 MICROBIOLOGY Pub Date : 2016-01-01 Epub Date: 2016-01-03 DOI: 10.1155/2016/1695410
M Jain, P Kumar, A K Goel

In September 2010, a cholera outbreak was reported from Odisha, Eastern India. V. cholerae isolated from the clinical samples were biochemically and serologically confirmed as serogroup O1, biotype El Tor, and serotype Ogawa. Multiplex PCR screening revealed the presence of various genes, namely, ompW, ctxB, zot, rfbO1, tcp, ace, hlyA, ompU, rtx, and toxR, in all of the isolates. The isolates were resistant to co-trimoxazole, nalidixic acid, polymyxin B, spectinomycin, streptomycin, sulfamethoxazole, tetracycline, trimethoprim, and vibriostatic agent 2,4-diamino-6,7-diisopropylpteridine (O/129). Minimum inhibitory concentration of tetracycline decreased in the presence of carbonyl cyanide m-chlorophenylhydrazone (CCCP), suggesting the involvement of efflux pumps. PCR analysis confirmed the presence of class I integrons as well as SXT elements harbouring antibiotic resistance genes in all isolates. Sequencing revealed the presence of ctxB gene of classical biotype in all the isolates. The isolates harboured an RS1-CTX prophage array with El Tor type rstR and classical ctxB on the large chromosome. The study indicated that the V. cholerae El Tor variants are evolving in the area with better antibiotic resistance and virulence potential.

2010 年 9 月,印度东部的奥迪沙爆发了霍乱疫情。从临床样本中分离出的霍乱弧菌经生化和血清学证实为 O1 血清群、El Tor 生物型和 Ogawa 血清型。多重聚合酶链式反应筛选显示,所有分离物中都含有多种基因,即 ompW、ctxB、zot、rfbO1、tcp、ace、hlyA、ompU、rtx 和 toxR。这些分离物对联合三唑、萘啶酸、多粘菌素 B、广谱霉素、链霉素、磺胺甲噁唑、四环素、三甲双胍和弧菌抑制剂 2,4-二氨基-6,7-二异丙基蝶啶(O/129)具有抗药性。四环素的最小抑制浓度在间氯苯基腙(CCCP)的作用下降低,这表明有外排泵的参与。PCR 分析证实,在所有分离物中都存在 I 类整合子和携带抗生素耐药基因的 SXT 元件。测序结果显示,所有分离物中都含有经典生物型的ctxB基因。这些分离物的大染色体上都有一个 RS1-CTX 原噬菌体阵列,其中包含 El Tor 型 rstR 和经典的 ctxB。该研究表明,霍乱弧菌 El Tor 变体正在该地区进化,具有更好的抗生素耐药性和毒力潜能。
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引用次数: 0
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 Q4 MICROBIOLOGY 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
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 Q4 MICROBIOLOGY 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 Q4 MICROBIOLOGY 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 Q4 MICROBIOLOGY 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
Evaluation of Antibiotic Susceptibility of Gram-Positive Anaerobic Cocci Isolated from Cancer Patients of the N. N. Blokhin Russian Cancer Research Center 俄罗斯癌症研究中心N. N. Blokhin癌症患者革兰氏阳性厌氧球菌的抗生素敏感性评价
IF 2.6 Q4 MICROBIOLOGY Pub Date : 2015-12-21 DOI: 10.1155/2015/648134
I. I. Shilnikova, N. Dmitrieva
In total, 81 nonduplicate gram-positive anaerobic cocci (GPAC) were involved in this study. The GPAC were isolated from samples collected from cancer patients between 2004 and 2014. Species identification was carried out by matrix-assisted laser desorption ionization time of flight mass spectrometry (MALDI-TOF MS). The majority of isolates were identified as Finegoldia magna (47%) and Peptoniphilus harei (28%). The susceptibility of six species of GPAC was determined for eight antibiotics according to E-test methodology. Furthermore, all isolates were susceptible to imipenem, vancomycin, and linezolid. Susceptibility to penicillin G, amoxicillin/clavulanate, metronidazole, ciprofloxacin, and levofloxacin varied for different species. One Finegoldia magna isolate was multidrug-resistant (i.e., parallel resistance to five antimicrobial agents, including metronidazole, was observed). Two Parvimonas micra isolates were highly resistant to metronidazole (MIC 256 μg/mL) but were sensitive to other tested antibiotics.
共有81株非重复革兰氏阳性厌氧球菌(GPAC)参与了本研究。GPAC是从2004年至2014年间收集的癌症患者样本中分离出来的。采用基质辅助激光解吸电离飞行时间质谱(MALDI-TOF MS)进行物种鉴定。大多数分离株被鉴定为大细粒菌(47%)和哈里胃杆菌(28%)。采用e检验方法测定6种GPAC对8种抗生素的药敏。此外,所有分离株对亚胺培南、万古霉素和利奈唑胺敏感。不同物种对青霉素G、阿莫西林/克拉维酸、甲硝唑、环丙沙星和左氧氟沙星的敏感性不同。一株大细戈利亚分离株具有多重耐药(即观察到对包括甲硝唑在内的五种抗菌素平行耐药)。两株微细小单胞菌对甲硝唑高度耐药(MIC 256 μg/mL),对其他抗生素敏感。
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引用次数: 21
Ziziphora clinopodioides Essential Oil and Nisin as Potential Antimicrobial Agents against Escherichia coli O157:H7 in Doogh (Iranian Yoghurt Drink) 对伊朗酸奶饮料中大肠埃希菌O157:H7的抑菌效果研究
IF 2.6 Q4 MICROBIOLOGY Pub Date : 2015-12-13 DOI: 10.1155/2015/176024
Y. Shahbazi
The aim of the present study was to evaluate the effects of Ziziphora clinopodioides essential oil (0.1 and 0.2%) and nisin (250 and 500 IU/mL) separately and in combination on survival of Escherichia coli O157:H7 inoculated in Doogh (Iranian yoghurt drink) during storage under refrigerated temperature (4 ± 1°C) for 9 days. Viability of Lactobacillus casei at different concentrations of Z. clinopodioides essential oil (0.1 and 0.2%) in Doogh was also examined. The major components were carvacrol (64.22%), thymol (19.22%), γ-terpinene (4.63%), and p-cymene (4.86%). There was no significant difference (p > 0.05) between samples treated with nisin and those of untreated samples. Samples treated with both concentrations of the essential oil (0.1 and 0.2%) showed populations of E. coli O157:H7 significantly (p < 0.05) lower than those of untreated samples. The essential oil of Z. clinopodioides in combination with nisin had a potential synergistic effect against E. coli O157:H7 in Doogh samples after 5 days. The count of L. casei was not inhibited by different concentrations of the Z. clinopodioides essential oil. It is concluded that the leaf essential oil of Z. clinopodioides in combination with nisin can be applied as alternative antimicrobial agents in Doogh to inhibit the growth of E. coli O157:H7.
本研究的目的是在4±1°C的冷藏温度下,分别评价0.1和0.2%的紫茎草精油和250和500 IU/mL的nisin对dogh(伊朗酸奶饮料)中接种的大肠杆菌O157:H7存活的影响。研究了不同浓度的羊角草精油(0.1和0.2%)对干酪乳杆菌活力的影响。主要成分为香芹酚(64.22%)、百里香酚(19.22%)、γ-萜烯(4.63%)和对伞花烃(4.86%)。nisin处理组与未处理组间差异无统计学意义(p < 0.05)。两种精油浓度(0.1和0.2%)处理的样品中,大肠杆菌O157:H7的数量显著低于未处理的样品(p < 0.05)。对Doogh样品中O157:H7大肠杆菌进行抑菌试验,结果表明,与nisin联合抑菌对Doogh样品有潜在的增效作用。不同浓度的羊角草精油对干酪乳杆菌的计数均无抑制作用。综上所述,牡丹叶挥发油与nisin联合使用可作为替代抗菌药物,抑制大肠杆菌O157:H7的生长。
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引用次数: 24
Iron Deprivation Affects Drug Susceptibilities of Mycobacteria Targeting Membrane Integrity 缺铁影响以膜完整性为目标的分枝杆菌的药物敏感性
IF 2.6 Q4 MICROBIOLOGY Pub Date : 2015-12-08 DOI: 10.1155/2015/938523
R. Pal, S. Hameed, Z. Fatima
Multidrug resistance (MDR) acquired by Mycobacterium tuberculosis (MTB) through continuous deployment of antitubercular drugs warrants immediate search for novel targets and mechanisms. The ability of MTB to sense and become accustomed to changes in the host is essential for survival and confers the basis of infection. A crucial condition that MTB must surmount is iron limitation, during the establishment of infection, since iron is required by both bacteria and humans. This study focuses on how iron deprivation affects drug susceptibilities of known anti-TB drugs in Mycobacterium smegmatis, a “surrogate of MTB.” We showed that iron deprivation leads to enhanced potency of most commonly used first line anti-TB drugs that could be reverted upon iron supplementation. We explored that membrane homeostasis is disrupted upon iron deprivation as revealed by enhanced membrane permeability and hypersensitivity to membrane perturbing agent leading to increased passive diffusion of drug and TEM images showing detectable differences in cell envelope thickness. Furthermore, iron seems to be indispensable to sustain genotoxic stress suggesting its possible role in DNA repair machinery. Taken together, we for the first time established a link between cellular iron and drug susceptibility of mycobacteria suggesting iron as novel determinant to combat MDR.
结核分枝杆菌(MTB)通过持续使用抗结核药物获得多药耐药(MDR),需要立即寻找新的靶点和机制。结核分枝杆菌感知并适应宿主变化的能力对其生存至关重要,并为感染提供了基础。结核分枝杆菌必须克服的一个关键条件是在感染建立期间对铁的限制,因为细菌和人类都需要铁。这项研究的重点是铁剥夺如何影响耻垢分枝杆菌(MTB的替代品)对已知抗结核药物的敏感性。我们发现缺铁可以增强最常用的一线抗结核药物的效力,而这种效力可以在补充铁后恢复。我们研究了铁剥夺时细胞膜的稳态被破坏,这可以通过增强细胞膜通透性和对膜干扰剂的超敏反应来揭示,从而导致药物的被动扩散增加,透射电镜图像显示出可检测到的细胞包膜厚度差异。此外,铁对于维持基因毒性应激似乎是不可或缺的,这表明它可能在DNA修复机制中起作用。综上所述,我们首次建立了细胞铁与分枝杆菌药物敏感性之间的联系,表明铁是对抗耐多药耐药的新决定因素。
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引用次数: 22
Evaluation of In Vivo Acaricidal Effect of Soap Containing Essential Oil of Chenopodium ambrosioides Leaves on Rhipicephalus lunulatus in the Western Highland of Cameroon 含藜叶精油皂对喀麦隆西部高原月牙棘螨体内杀螨效果评价
IF 2.6 Q4 MICROBIOLOGY Pub Date : 2015-12-06 DOI: 10.1155/2015/516869
M. Kouam, Vincent K. Payne, E. Miégoué, F. Tendonkeng, J. Lemoufouet, Jean R. Kana, B. Boukila, E. Pamo, Bertine Mnm
A study on the acaricidal properties of foam soap containing the essential oil of Chenopodium ambrosioides leaves was carried out on Rhipicephalus lunulatus. Four doses (0.03, 0.06, 0.09, and 0.12 µL of essential oil per gram of soap) and a control (soap without essential oil) with four replications for each treatment were used for in vitro trial. Each replication consisted of 10 ticks in a Petri dish with filter paper impregnated with the foam soap on the bottom. Following in vitro trials, three doses (0.06, 0.09, and 0.12 µL/g) and the control in two replications were selected for in vivo test based on mortality rate recorded from the in vitro trial. Each replication was made up of 10 goats naturally infested with ticks. Results show that soap containing essential oil is toxic to R. lunulatus. The in vivo mortality rate in the control on day 8 was 22.69% whereas the highest dose (0.12 µL/g) killed 96.29% of the ticks on day 8. The LD50 of the foam soap containing essential oil was 0.037 and 0.059 µL/g on day 2 in the laboratory and on the farm, respectively. This indicates the potentially high efficiency of this medicated soap on this parasite.
研究了含山藜叶精油泡沫皂对月牙棘虫的杀螨性能。体外试验采用4个剂量(0.03、0.06、0.09和0.12µL / g肥皂精油)和对照(不含精油的肥皂),每个处理4个重复。每次复制由10个蜱虫在一个培养皿中组成,底部有浸渍泡沫肥皂的滤纸。在体外试验之后,根据体外试验记录的死亡率,选择三个剂量(0.06、0.09和0.12µL/g)和两个重复的对照进行体内试验。每次复制由10只自然感染蜱虫的山羊组成。结果表明,含精油皂对月牙蛾有毒性。对照组第8天体内死亡率为22.69%,最高剂量(0.12µL/g)第8天杀灭率为96.29%。第2天,含精油泡沫皂在实验室和农场的LD50分别为0.037和0.059µL/g。这表明这种药皂对这种寄生虫有潜在的高效率。
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引用次数: 12
Clinical Presentation and Antibiotic Susceptibility of Contact Lens Associated Microbial Keratitis 隐形眼镜相关性细菌性角膜炎的临床表现及抗生素敏感性
IF 2.6 Q4 MICROBIOLOGY Pub Date : 2015-12-03 DOI: 10.1155/2015/152767
Hesam Hedayati, M. Ghaderpanah, S. A. Rasoulinejad, M. Montazeri
Introduction. In recent years, the number of contact lens wearers has dramatically increased in Iran, particularly in youngsters. The purpose of current study was to assess the clinical presentation and antibiotic susceptibility of contact lens related microbial keratitis in Ahvaz, southwest of Iran. Methodology. A cross-sectional investigation of 26 patients (33 eyes) with contact lens induced corneal ulcers who were admitted to Imam Khomeini Hospital, Ahwaz City, from June 2012 to June 2013 was done. In order to study microbial culture and susceptibility of corneal ulcers, all of them were scraped. Results. Eight samples were reported as sterile. Pseudomonas aeruginosa (80%) in positive cultures was the most widely recognized causative organism isolated. This is followed by Staphylococcus aureus 12% and Enterobacter 8%. The results showed that 84% of the microorganism cases were sensitive to ciprofloxacin, while imipenem, meropenem, and ceftazidime were the second most effective antibiotics (76%). Conclusion. Results of current study show the importance of referring all contact lens wearers with suspected corneal infection to ophthalmologists for more cure. The corneal scraping culture and contact lens solution should be performed to guide antibiotic therapy.
介绍。近年来,伊朗佩戴隐形眼镜的人数急剧增加,尤其是年轻人。本研究的目的是评估伊朗西南部阿瓦士地区与隐形眼镜相关的微生物角膜炎的临床表现和抗生素敏感性。方法。对2012年6月至2013年6月在阿瓦士市伊玛目霍梅尼医院就诊的26例(33只眼)接触镜性角膜溃疡患者进行了横断面调查。为了研究角膜溃疡的微生物培养和敏感性,所有患者都被刮除。结果。8份样品报告为无菌。阳性培养中铜绿假单胞菌(80%)是分离到的最广泛认识的病原菌。其次是金黄色葡萄球菌12%,肠杆菌8%。结果显示,84%的微生物病例对环丙沙星敏感,其次是亚胺培南、美罗培南和头孢他啶(76%)。结论。目前的研究结果表明,将所有怀疑角膜感染的隐形眼镜佩戴者转介给眼科医生以获得更多治疗的重要性。角膜刮拭培养和隐形眼镜溶液应指导抗生素治疗。
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引用次数: 26
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Journal of Pathogens
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