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Vaccination Schedule and Age Influence Impaired Responsiveness to Hepatitis B Vaccination: A Randomized Trial in Central Asia. 接种计划和年龄影响对乙型肝炎疫苗接种的反应性:中亚的一项随机试验。
IF 3.3 3区 医学 Q2 MICROBIOLOGY Pub Date : 2024-12-09 DOI: 10.3390/pathogens13121082
Janyn Heisig, Zuridin Sh Nurmatov, Peggy Riese, Stephanie Trittel, Gulsunai J Sattarova, Saikal N Temirbekova, Gulnara Zh Zhumagulova, Zhanylai N Nuridinova, Aisuluu A Derkenbaeva, Bubuzhan K Arykbaeva, Bakyt I Dzhangaziev, Jana Prokein, Norman Klopp, Thomas Illig, Carlos A Guzmán, Omor T Kasymov, Manas K Akmatov, Frank Pessler

Vaccination against hepatitis B virus (HBV) is the most cost-efficient measure to prevent infection. Still, vaccination coverage among adults in Central Asia, including Kyrgyzstan, remains suboptimal, and data about immune responses to HBV vaccination are lacking. HBV vaccination is given as three injections, whereby the second and third doses are given 1 and 6 months after the first (0-1-6 scheme). However, compliance with the third dose is low in Kyrgyzstan, presumably due to the long time interval between the second and third doses, suggesting that a shortened vaccination schedule could result in better adherence and increased seroconversion. Thus, we conducted a randomized trial of individuals aged 17-66 years comparing the 0-1-6 scheme against a shorter 0-1-3 scheme. Primary outcome measures were post-vaccination titers and the percentage of participants with protective post-vaccination titers (≥10 mIU/mL). Compliance with the completeness of blood draws and administered third vaccine dose was better with the 0-1-3 scheme than with the 0-1-6 scheme. In both study arms combined, younger age (<40 years) was associated with better vaccine protection. The 0-1-6 scheme resulted in higher post-vaccination titers (52 versus 15 mIU/mL, p = 0.002) and a higher seroprotection rate (85% versus 64%, p = 0.01) than the 0-1-3 scheme, whereby post-vaccination titers correlated negatively with age in the 0-1-3 scheme. Thus, the 0-1-6 scheme should continue to be the preferred HBV vaccination schedule, but interventions to improve compliance with the third vaccine dose are needed.

乙型肝炎病毒(HBV)疫苗接种是预防感染的最具成本效益的措施。尽管如此,包括吉尔吉斯斯坦在内的中亚成年人的疫苗接种覆盖率仍然不够理想,并且缺乏关于乙肝疫苗接种免疫反应的数据。乙肝疫苗接种分三次注射,第二剂和第三剂分别在第一次接种后1个月和6个月注射(0-1-6方案)。然而,在吉尔吉斯斯坦,第三剂的依从性很低,可能是由于第二剂和第三剂之间的时间间隔较长,这表明缩短疫苗接种时间表可能导致更好的依从性和增加血清转化。因此,我们对17-66岁的个体进行了一项随机试验,比较了0-1-6方案和较短的0-1-3方案。主要结局指标是疫苗接种后滴度和疫苗接种后具有保护性滴度(≥10 mIU/mL)的参与者百分比。0-1-3方案比0-1-6方案对抽血完整性和第三次疫苗接种的依从性更好。在两个研究组中,与0-1-3方案相比,年龄更小(p = 0.002)和更高的血清保护率(85%对64%,p = 0.01),因此在0-1-3方案中,接种后滴度与年龄呈负相关。因此,0-1-6方案应继续作为首选的HBV疫苗接种方案,但需要采取干预措施以提高对第三剂疫苗的依从性。
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引用次数: 0
In Vitro Antibacterial Activity of Essential Oils from Origanum vulgare, Satureja montana, Thymus vulgaris, and Their Blend Against Necrotoxigenic (NTEC), Enteropathogenic (EPEC), and Shiga-Toxin Producing Escherichia coli (STEC) Isolates. 芫花、大黄花、麝香及其混合物精油对坏死性(NTEC)、肠致病性(EPEC)和产志贺毒素大肠杆菌(STEC)分离株的体外抗菌活性
IF 3.3 3区 医学 Q2 MICROBIOLOGY Pub Date : 2024-12-08 DOI: 10.3390/pathogens13121077
Giulia Cagnoli, Fabrizio Bertelloni, Valentina Virginia Ebani

Enteropathogenic (EPEC), necrotoxigenic (NTEC), and Shiga-toxin producing Escherichia coli (STEC) are pathotypes responsible for severe clinical forms in humans and animals. They can be shed in the feces of animals with consequent environmental contamination. This study evaluated the antibacterial activity of essential oils (EOs) from oregano (Origanum vulgare), savory (Satureja montana), thyme (Thymus vulgaris), and their blend against EPEC, NTEC, and STEC strains previously isolated from avian fecal samples. Minimum inhibitory concentration values between 0.039% and 0.156% were found with O. vulgare EO, between ≤0.0195% and 0.156% with both S. montana and T. vulgaris EOs, and between 0.039% and ≤0.0195% with the blend. The mixture with equal parts of EOs from oregano, savory and thyme seems a promising alternative product to combat pathogenic E. coli strains responsible for environmental contamination.

肠致病性(EPEC)、坏死性(NTEC)和产生志贺毒素的大肠杆菌(STEC)是导致人类和动物严重临床形式的病原体。它们会随动物粪便排出,造成环境污染。本研究评估了牛至(Origanum vulgare)、香熏(Satureja montana)、百里香(thyymus vulgaris)精油及其混合物对先前从禽类粪便样本中分离到的EPEC、NTEC和STEC菌株的抗菌活性。赤芍的最低抑菌浓度在0.039% ~ 0.156%之间,赤芍和赤芍的最低抑菌浓度在≤0.0195% ~ 0.156%之间,赤芍和赤芍的最低抑菌浓度在0.039% ~≤0.0195%之间。从牛至、咸味和百里香中等量提取EOs的混合物似乎是一种有希望的替代产品,可以对抗造成环境污染的致病性大肠杆菌菌株。
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引用次数: 0
Seasonal Dynamics of Ticks and Tick-Borne Pathogens in Republic of Korea. 韩国蜱和蜱传病原体的季节动态。
IF 3.3 3区 医学 Q2 MICROBIOLOGY Pub Date : 2024-12-08 DOI: 10.3390/pathogens13121079
Sezim Monoldorova, Sungkyeong Lee, Seungri Yun, Sunho Park, Jong-Uk Jeong, Jiro Kim, In-Yong Lee, Hojong Jun, Chan-Ho Park, Hyeon-Seop Byeon, Mina Han, So-Youn Youn, Yun-Sang Cho, Young-Min Yun, Kwang-Jun Lee, Bo-Young Jeon

Tick-borne diseases are a public health problem and a significant burden on the livestock industry. The seasonal abundance of ticks and tick-borne pathogens strongly correlates with the prevalence of these diseases. To investigate the seasonal variation in ticks and tick-borne pathogens, ticks were collected from Gangwon State, Korea, and the tick-borne pathogens Borrelia, Anaplasma, Babesia, and Theileria were examined. In total, 14,748 ticks were collected, comprising ticks from two genera and three species: Haemaphysalis longicornis, Haemaphysalis flava, and Ixodes nipponensis, with H. longicornis being the predominant species. Of 7445 ticks (455 pools) examined for pathogens, Theileria was detected in 61 pools, whereas Borrelia and Anaplasma were observed in 17 pools. H. longicornis nymphs and adults were collected beginning in April, with nymph numbers peaking in May and June and adult ticks peaking in June and July. In contrast, the larvae were collected in May and peaked in September. Tick-borne pathogens were detected in April, peaking in July and September. Borrelia, the causative agent of Lyme disease, exhibits a temporal association between its detection in ticks and its occurrence in humans. In conclusion, tick-borne diseases seem to be closely linked not only to changes in tick numbers throughout the seasons but also to the seasonal variations of the pathogens within them.

蜱传疾病是一个公共卫生问题,也是畜牧业的一个重大负担。蜱和蜱传病原体的季节性丰度与这些疾病的流行密切相关。为了调查蜱和蜱传病原体的季节变化,在韩国江原道采集蜱,对蜱传病原体伯氏疏螺旋体、无原体、巴贝斯虫和伊氏菌进行了检测。共捕获蜱类14748只,分属长角血蜱、黄血蜱和日本硬蜱2属3种,以长角血蜱为优势种。在7445只蜱(455个蜱池)中,61个蜱池检出伊氏杆菌,17个蜱池检出伯氏疏螺旋体和无形体。4月开始采集长角蜱若虫和成虫,5、6月为若虫高峰期,6、7月为成蜱高峰期。幼虫采集时间为5月,高峰期为9月。4月发现蜱传病原体,7月和9月达到高峰。伯氏疏螺旋体是莱姆病的病原体,在蜱虫中检测到它与在人类中发生之间存在时间关联。总之,蜱传疾病似乎不仅与整个季节蜱虫数量的变化密切相关,而且与其中病原体的季节性变化密切相关。
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引用次数: 0
Effect of Lactic Acid Bacteria-Derived Postbiotic Supplementation on Tuberculosis in Wild Boar Populations. 补充乳酸菌衍生益生菌对野猪群体结核病的影响。
IF 3.3 3区 医学 Q2 MICROBIOLOGY Pub Date : 2024-12-08 DOI: 10.3390/pathogens13121078
Maria Bravo, Pilar Gonçalves, Waldo García-Jiménez, María José Montero, Rosario Cerrato, Pedro Fernández-Llario, David Risco

The Eurasian wild boar (Sus scrofa) is a key wildlife host for tuberculosis (TB) in central and southwestern Spain, posing a challenge to TB eradication in livestock. New strategies, including the use of beneficial microbes, are being explored to mitigate wildlife diseases. This study evaluated the effect of oral supplementation with postbiotic antimycobacterial metabolites produced using Ingulados' lactic acid bacteria (LAB) collection on TB development in wild boar. A total of 20 game estates in mid-western Spain were divided into two groups: one fed with standard feed containing the postbiotic product and a control group fed without postbiotics. Data were collected from wild boar during hunting events pre- and post-supplementation. The presence of TB-like lesions (TBLLs), lesion severity and seropositivity against Mycobacterium bovis were assessed. Postbiotic supplementation led to a 36.87% reduction in TBLLs and a 35.94% decrease in seropositivity. Notably, young wild boar showed a 64.72% reduction in TBLLs and an 81.80% drop in seropositivity, suggesting reduced transmission. These findings support the potential of postbiotics as a safe, feasible and sustainable tool to control TB in wild boar, offering a promising addition to broader TB eradication efforts.

欧亚野猪(Sus scrofa)是西班牙中部和西南部结核病(TB)的主要野生宿主,对牲畜中的结核病根除构成挑战。正在探索新的战略,包括使用有益微生物,以减轻野生动物疾病。本研究评估了口服添加由英瓜多乳酸菌(LAB)收集的生物后抗细菌代谢物对野猪结核病发展的影响。在西班牙中西部共有20个猎场被分为两组:一组饲喂含有后生物制剂的标准饲料,另一组饲喂不含后生物制剂的对照组。数据收集于野猪在补充前后的狩猎活动期间。评估结核样病变(tbll)的存在、病变严重程度和牛分枝杆菌血清阳性。补充后生物制剂可使tbll降低36.87%,血清阳性降低35.94%。值得注意的是,年轻野猪的tbll下降了64.72%,血清阳性下降了81.80%,表明传播减少了。这些发现支持了后生物制剂作为一种安全、可行和可持续的野猪结核病控制工具的潜力,为更广泛的结核病根除工作提供了有希望的补充。
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引用次数: 0
Advancements in Detection Methods for Salmonella in Food: A Comprehensive Review. 食品中沙门氏菌检测方法研究进展综述
IF 3.3 3区 医学 Q2 MICROBIOLOGY Pub Date : 2024-12-07 DOI: 10.3390/pathogens13121075
Aayushi Patel, Andrew Wolfram, Taseen S Desin

Non-typhoidal Salmonella species are one of the leading causes of gastrointestinal disease in North America, leading to a significant burden on the healthcare system resulting in a huge economic impact. Consequently, early detection of Salmonella species in the food supply, in accordance with food safety regulations, is crucial for protecting public health, preventing outbreaks, and avoiding serious economic losses. A variety of techniques have been employed to detect the presence of this pathogen in the food supply, including culture-based, immunological, and molecular methods. The present review summarizes these methods and highlights recent updates on promising emerging technologies, including aptasensors, Surface Plasmon Resonance (SPR), and Surface Enhanced Raman Spectroscopy (SERS).

非伤寒沙门氏菌是北美胃肠道疾病的主要原因之一,给卫生保健系统带来了沉重的负担,造成了巨大的经济影响。因此,根据食品安全条例及早发现食品供应中的沙门氏菌,对于保护公众健康、防止疫情爆发和避免严重的经济损失至关重要。各种各样的技术已经被用来检测食品供应中这种病原体的存在,包括基于培养的、免疫学的和分子的方法。本文总结了这些方法,并重点介绍了最近有前途的新兴技术,包括适体传感器、表面等离子体共振(SPR)和表面增强拉曼光谱(SERS)。
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引用次数: 0
Exploring Emerging Challenges: Survey on Phlebotomine Sand Flies and Leishmania infantum at the Northern Endemic Border in Europe. 探索新出现的挑战:对白蛉和利什曼原虫在欧洲北部流行边境的调查。
IF 3.3 3区 医学 Q2 MICROBIOLOGY Pub Date : 2024-12-07 DOI: 10.3390/pathogens13121074
Damiana Ravasi, Manuela Schnyder, Valeria Guidi, Tim Haye, Diego Parrondo Monton, Eleonora Flacio

Although Switzerland is currently not endemic for canine leishmaniosis (CanL), imported cases of this emerging zoonosis are regularly detected. Also, phlebotomine sand flies, vectors of the causative agent Leishmania infantum, are present in the southern part of the country, in Canton Ticino, and endemic foci of CanL have been recently described in neighboring Italian municipalities. In 2022 and 2023, we evaluated the distribution of phlebotomine sand flies and the presence of antibodies against L. infantum in domestic dogs and cats in Ticino and Mesolcina (Canton of Grisons). An entomological survey was also carried out in the northwest of Switzerland (cantons Basel-Stadt and Basel-Landschaft) close to an area in Germany where potential vectors are present. No sand flies were caught there. In Ticino, 15 out of 20 sites surveyed (75%) were positive for phlebotomine sand flies. Phlebotomus perniciosus, a potential vector of L. infantum, was the most abundant species, with site densities ranging from 0.1 to 5.3. The parasite was not detected in females. Leishmania infantum seroprevalences of 3.0% and 1.6% were observed in 101 and 126 dog and cat sera, respectively. Although, at this time, the risk of endemic CanL is extremely low, integrated surveillance and prevention measures should be considered.

虽然瑞士目前没有犬利什曼病(CanL)的地方病,但经常发现这种新出现的人畜共患病的输入病例。此外,在该国南部提契诺州也发现了致病菌幼年利什曼原虫的病媒白蛉,最近在意大利邻近城市也发现了利什曼原虫的地方性疫源地。在2022年和2023年,我们评估了提契诺州和Mesolcina (Grisons州)家养狗和猫中白蛉的分布和婴儿L.抗体的存在。还在瑞士西北部(巴塞尔城市州和巴塞尔landschaft州)进行了昆虫学调查,该地区靠近德国一个存在潜在病媒的地区。那里没有捕捉到沙蝇。在提契诺州,20个调查地点中有15个(75%)呈白蛉阳性。准媒介白蛉(Phlebotomus perniciosus)数量最多,点密度在0.1 ~ 5.3之间。雌虫未检出该寄生虫。101份犬和126份猫血清中,利什曼原虫婴儿血清患病率分别为3.0%和1.6%。虽然目前地方性CanL的风险极低,但应考虑采取综合监测和预防措施。
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引用次数: 0
Impact of Human Papillomavirus (HPV) on Male and Female Fertility. 人乳头瘤病毒(HPV)对男性和女性生育能力的影响。
IF 3.3 3区 医学 Q2 MICROBIOLOGY Pub Date : 2024-12-07 DOI: 10.3390/pathogens13121076
Sara Chenafi-Adham, Oulfa Boussetta-Charfi, Sylvie Pillet, Thomas Bourlet

Human papillomaviruses (HPVs) are responsible for the majority of sexually transmitted infections (STIs), some of which are oncogenic and can cause oropharyngeal or genital cancers. The HPV prevalence at the genital level varies according to the population studied but is higher in the seminal fluid of men suffering from idiopathic infertility than in the general population. The involvement of HPV in male infertility is supported by several studies suggesting that this virus can affect sperm quality by altering sperm DNA integrity, motility, number, viability, and morphology, and by inducing the production of anti-sperm antibodies (ASAs). HPVs may also have an impact on female fertility, mainly by increasing the risk of miscarriage and premature delivery and by altering the implantation of endometrial trophoblastic cells. In addition, an association with vaginal bacterial dysbiosis, notably involving Gardnerella vaginalis, or co-infection with an STI agent, serves as an aggravating factor. The aim of this review is to present current data on the potential role of HPVs in male and female infertility, along with data on infertility prevention and treatment strategies and the impact of vaccination in this context.

人类乳头瘤病毒(hpv)是大多数性传播感染(STIs)的罪魁祸首,其中一些是致癌的,可导致口咽癌或生殖器癌。HPV在生殖器水平的流行率根据所研究的人群而有所不同,但在患有特发性不育症的男性精液中的流行率高于一般人群。一些研究支持HPV与男性不育的关系,这些研究表明,这种病毒可以通过改变精子DNA的完整性、活力、数量、活力和形态,以及诱导抗精子抗体(asa)的产生来影响精子质量。hpv也可能对女性生育能力产生影响,主要是通过增加流产和早产的风险以及改变子宫内膜滋养细胞的植入。此外,与阴道细菌生态失调有关,特别是涉及阴道加德纳菌,或与性传播感染病原体合并感染,是一个加重因素。本综述的目的是介绍hpv在男性和女性不育症中的潜在作用的当前数据,以及在此背景下关于不育症预防和治疗策略以及疫苗接种影响的数据。
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引用次数: 0
The Effectiveness of Salivary Sampling for the Detection and Quantification of Aggregatibacter actinomycetemcomitans in Periodontitis Patients. 唾液取样检测和定量牙周炎患者放线菌聚集菌的有效性。
IF 3.3 3区 医学 Q2 MICROBIOLOGY Pub Date : 2024-12-07 DOI: 10.3390/pathogens13121073
Nabil Khzam, Omar Kujan, Dorte Haubek, Aysen Arslan, Anders Johansson, Jan Oscarsson, Zeinab Razooqi, Leticia Algarves Miranda

The objective was to evaluate using unstimulated saliva in detecting Aggregatibacter actinomycetemcomitans and to compare the saliva and subgingival and mucosa membrane occurrence of this periodontal pathogen in patients diagnosed with advanced periodontitis. Patients with advanced forms of periodontitis (n = 220; mean age: 54.03 ± 03 years) at stage III/IV were sampled. Unstimulated saliva, buccal cheek mucosa, and pooled subgingival plaque samples were collected. The identification of A. actinomycetemcomitans was performed using qPCR. A descriptive analysis and Wilcoxon test and analysis of variance were performed. A. actinomycetemcomitans was isolated from 28.18% of the subjects. A total of 660 samples were obtained, 220 from unstimulated saliva, 220 from buccal cheek mucosa surfaces, and 220 from pooled subgingival plaque samples. A. actinomycetemcomitans was isolated from 21.80% of unstimulated saliva, 19.50% of buccal cheek swabs, and 17.70% of subgingival samples. There was a statistically significant difference between the presence of A. actinomycetemcomitans in the unstimulated saliva samples and in the buccal cheek mucosa swab samples and pooled subgingival plaque samples (p < 0.001). These results suggest that in advanced periodontitis, unstimulated saliva is representative of pooled subgingival plaque/buccal cheek mucosa samples and its use is adequate in the oral detection of A. actinomycetemcomitans in a cohort of patients with stage III and IV periodontitis.

目的是评价未刺激唾液检测放线菌聚集菌的效果,并比较晚期牙周炎患者唾液和龈下及粘膜的发生情况。晚期牙周炎患者(n = 220;平均年龄:54.03±03岁)。收集未受刺激的唾液、颊颊粘膜和汇总的龈下菌斑样本。采用qPCR方法对放线菌进行鉴定。进行描述性分析、Wilcoxon检验和方差分析。从28.18%的受试者中分离到放线菌。总共获得660个样本,220个来自未刺激的唾液,220个来自颊颊粘膜表面,220个来自汇集的龈下斑块样本。从21.80%的未刺激唾液、19.50%的颊拭子和17.70%的龈下样本中分离出放线菌。未刺激唾液样本与颊颊粘膜拭子样本和合并龈下菌斑样本中放线菌样菌的存在差异有统计学意义(p < 0.001)。这些结果表明,在晚期牙周炎中,未刺激的唾液是龈下菌斑/颊颊粘膜样本的代表,并且在III期和IV期牙周炎患者的口腔检测中,它的使用是足够的。
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引用次数: 0
Molecular Detection of Kinetoplastid Species in Ticks and Fleas Associated with Dogs and Humans in Mexico. 墨西哥与狗和人有关的蜱和跳蚤中动着质体种类的分子检测。
IF 3.3 3区 医学 Q2 MICROBIOLOGY Pub Date : 2024-12-06 DOI: 10.3390/pathogens13121072
Héctor M Zazueta-Islas, Beatriz Salceda-Sánchez, Herón Huerta-Jiménez, Carlos I Miranda-Caballero, Marlene Solis-Cortés, Yaretzi de la Cruz-Pacheco, Ana Cristina Luquín-García, Laura V Mondragon-Peña, Jair Reyes-Hernández, José L Bravo-Ramos, María-Guadalupe Sánchez-Otero, Javier C Huerta-Peña, Rosa I Hernández-Herrera, Pablo San Martin-Del Angel, André Luiz Rodrigues Roque, Ángel Rodríguez-Moreno, Víctor Sánchez-Cordero, Héctor Abelardo Rodríguez Martínez, Estefania Grostieta, Ingeborg Becker, Sokani Sánchez-Montes

The Trypanosomatidae family encompasses around 24 genera of unicellular protozoans, many of which are transmitted by various hematophagous arthropods, particularly members of the Orders Diptera and Hemiptera. Fleas and ticks-an understudied group of ectoparasites-have been shown to be hosts of a wide and crescent variety of trypanosomatid species. Further, fleas and ticks of companion animals have been particularly neglected in trypanosomatid surveillance despite the proximity to human populations and the anthropophagous habits of many of these arthropods, which can potentially act as vectors of zoonotic trypanosomatids. We aimed to identify the presence, characterize the species, and establish the prevalence of Kinetoplastids, including members of the Trypanosomatidae family, in ectoparasites collected from dogs and humans from Mexico. A total of 537 ectoparasite specimens belonging to six ectoparasite taxa (Amblyomma mixtum, A. tenellum, Ctenocephalides felis felis, Pulex simulans, Rhipicephalus linnaei, and Rh. sanguineus s.s.) were collected from 15 States of Mexico. An 800 bp fragment of the 18S-rDNA gene from kinetoplastids was amplified and sequenced. The presence of two agents (Trypanosoma caninum and Parabodo sp.) was detected in R. linnaei ticks and one (Blechomonas lauriereadi) in the cat flea Ct. felis felis. This is the first record of genetic material of kinetoplastid species in ectoparasites from dogs and humans in Mexico.

锥虫科包括大约24属的单细胞原生动物,其中许多是由各种噬血节肢动物传播的,特别是双翅目和半翅目的成员。跳蚤和蜱虫——一种未被充分研究的体外寄生虫——已被证明是各种各样的锥虫种类的宿主。此外,伴侣动物的跳蚤和蜱虫在锥虫病监测中尤其被忽视,尽管这些节肢动物接近人类种群,并且许多节肢动物有食人的习惯,它们可能作为人畜共患锥虫病的载体。我们的目的是在墨西哥收集的狗和人的体外寄生虫中确定存在,表征物种,并确定包括锥虫科成员在内的着丝质体的流行程度。共采集外寄生虫537份,分属6个外寄生虫类群(混交虫、tenellum、猫头虫、拟马尾虫、linnai和Rh)。在墨西哥的15个州采集了血蜱(sanguineus s.s)。从着丝质体中扩增了18S-rDNA基因的800 bp片段并进行了测序。蜱中检出犬锥虫和弓形虫两种病原,猫蚤中检出lauriereblechomonas一种病原。猫属猫属。这是在墨西哥首次记录到犬和人体外寄生虫的着丝质体物种遗传物质。
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引用次数: 0
Bartonella quintana Infection in Canada: A Retrospective Laboratory Study and Systematic Review of the Literature. 加拿大的金塔纳巴尔通体感染:回顾性实验室研究和文献系统综述。
IF 3.3 3区 医学 Q2 MICROBIOLOGY Pub Date : 2024-12-06 DOI: 10.3390/pathogens13121071
Carl Boodman, Leslie R Lindsay, Antonia Dibernardo, Courtney Loomer, Yoav Keynan, Matthew P Cheng, Cédric P Yansouni, Nitin Gupta, Heather Coatsworth

Background:Bartonella quintana is a body-louse-borne bacterium. Canadian B. quintana disease has been reported primarily in populations experiencing homelessness and in Indigenous communities with limited access to water. We sought to understand the epidemiology of B. quintana in Canada. Methods: This study combined an analysis of laboratory data from Canada's National Microbiology Laboratory (NML) with a systematic review of the literature. Laboratory data included quantitative polymerase chain reaction (qPCR) cycle threshold values and indirect immunofluorescent antibody titers with the year and province of the sample acquisition. For the systematic review, we searched PubMed, Scopus, Embase, and Web of Science for articles published before 15 July 2024, with terms related to B. quintana in Canada. Results: Thirty-three individuals with qPCR-positive B. quintana were documented in seven provinces and one territory. The number of cases increased over time (p-value = 0.005), with the greatest number of cases being reported in 2022 and 2023. The percent positivity for the B. quintana qPCR performed at the NML increased over time (p-value = 0.036). The median immunoglobulin G titer demonstrated a sustained increase starting in 2017. The systematic review identified fourteen individuals with qPCR-positive B. quintana (none had a qPCR performed at the NML) and seven probable cases of B. quintana disease. Four of these twenty-one individuals from the systematic review died (19%). All fatalities were attributed to endocarditis. Conclusions: The detection of B. quintana disease in seven provinces and one territory suggests that B. quintana has a national distribution. B. quintana disease is increasingly diagnosed in Canada, indicating ongoing transmission across geographic settings.

背景:昆塔纳巴尔通体是一种体虱传播的细菌。据报告,加拿大金塔纳白杆菌病主要发生在无家可归的人群和用水有限的土著社区。我们试图了解加拿大金塔纳白杆菌的流行病学。方法:本研究结合了对加拿大国家微生物实验室(NML)实验室数据的分析和对文献的系统回顾。实验室数据包括定量聚合酶链反应(qPCR)周期阈值和间接免疫荧光抗体滴度与样品采集的年份和省份有关。为了进行系统评价,我们检索了PubMed、Scopus、Embase和Web of Science,检索了2024年7月15日之前发表的与加拿大B. quintana相关的文章。结果:在7个省和1个地区共发现33例qpcr阳性金塔纳白刺蚴。病例数随着时间的推移而增加(p值= 0.005),2022年和2023年报告的病例数最多。在NML上进行的quintana qPCR阳性率随着时间的推移而增加(p值= 0.036)。免疫球蛋白G滴度中位数从2017年开始持续上升。系统评价确定了14例qPCR阳性的金塔纳白螺旋体(没有人在NML进行qPCR)和7例可能的金塔纳白螺旋体病病例。系统评价的21例患者中有4例死亡(19%)。所有死亡病例均为心内膜炎。结论:在7个省和1个地区发现了金龟子病,表明金龟子病具有全国性分布。加拿大越来越多地诊断出金塔纳白杆菌病,表明跨地理环境的持续传播。
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