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Genomic characterization of Moraxella bovis and Moraxella bovoculi Uruguayan strains isolated from calves with infectious bovine keratoconjunctivitis 从患有传染性牛角膜结膜炎的犊牛身上分离出的牛莫拉菌和牛莫拉菌乌拉圭株的基因组特征。
IF 1.8 4区 生物学 Q3 Medicine Pub Date : 2024-04-01 DOI: 10.1016/j.ram.2023.12.003
Lucía Bilbao , Sofía Acquistapace , Ana Umpiérrez , Pablo Smircich , Pablo Alonzo , José R. Sotelo-Silveira , Pablo Zunino

Infectious bovine keratoconjunctivitis (IBK) is an ocular disease that affects bovines and has significant economic and health effects worldwide. Gram negative bacteria Moraxella bovis and Moraxella bovoculi are its main etiological agents. Antimicrobial therapy against IBK is often difficult in beef and dairy herds and, although vaccines are commercially available, their efficacy is variable and dependent on local strains. The aim of this study was to analyze for the first time the genomes of Uruguayan clinical isolates of M. bovis and M. bovoculi. The genomes were de novo assembled and annotated; the genetic basis of fimbrial synthesis was analyzed and virulence factors were identified. A 94% coverage in the reference genomes of both species, and more than 80% similarity to the reference genomes were observed. The mechanism of fimbrial phase variation in M. bovis was detected, and the tfpQ orientation of these genes confirmed, in an inversion region of approximately 2.18 kb. No phase variation was determined in the fimbrial gene of M. bovoculi. When virulence factors were compared between strains, it was observed that fimbrial genes have 36.2% sequence similarity. In contrast, the TonB-dependent lactoferrin/transferrin receptor exhibited the highest percentage of amino acid similarity (97.7%) between strains, followed by cytotoxins MbxA/MbvA and the ferric uptake regulator. The role of these virulence factors in the pathogenesis of IBK and their potential as vaccine components should be explored.

牛传染性角结膜炎(IBK)是一种影响牛的眼部疾病,对全世界的经济和健康都有重大影响。革兰氏阴性菌牛莫拉菌和牛莫拉菌是其主要病原体。在肉牛和奶牛群中,抗菌治疗 IBK 通常很困难,虽然市场上有疫苗出售,但其疗效不一,而且取决于当地的菌株。本研究的目的是首次分析乌拉圭临床分离的牛海绵状芽孢杆菌和牛小球海绵状芽孢杆菌的基因组。对基因组进行了全新的组装和注释;分析了纤丝合成的遗传基础,并确定了致病因子。两个物种的参考基因组覆盖率均为94%,与参考基因组的相似度均超过80%。在一个大约 2.18kb 的反转区域中,检测到了牛海绵状芽孢杆菌中的fimbrial 相位变异机制,并确认了这些基因的 tfpQ 方向。牛海绵状芽孢杆菌(M. bovoculi)的fimbrial基因未发现相位变异。对不同菌株的毒力因子进行比较后发现,fimbrial 基因有 36.2% 的序列相似性。相比之下,依赖于 TonB 的乳铁蛋白/转铁蛋白受体的氨基酸相似度最高(97.7%),其次是细胞毒素 MbxA/MbvA 和铁吸收调节器。应探讨这些毒力因子在 IBK 发病机制中的作用及其作为疫苗成分的潜力。
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引用次数: 0
The MVA vector expressing the F protein of bovine respiratory syncytial virus is immunogenic in systemic and mucosal immunization routes 表达牛呼吸道合胞病毒 F 蛋白的 MVA 载体在全身和粘膜免疫途径中具有免疫原性
IF 1.8 4区 生物学 Q3 Medicine Pub Date : 2024-04-01 DOI: 10.1016/j.ram.2023.07.006
Alejandra Ferella , Marina Mozgovoj , Débora Garanzini , María José Dus Santos , Gabriela Calamante , María Paula Del Médico Zajac

Bovine respiratory syncytial virus (BRSV) affects both beef and dairy cattle, reaching morbidity and mortality rates of 60–80% and 20%, respectively. The aim of this study was to obtain a recombinant MVA expressing the BRSV F protein (MVA-F) as a vaccine against BRSV and to evaluate the immune response induced by MVA-F after systemic immunization in homologous and heterologous vaccination (MVA-F alone or combined with a subunit vaccine), and after intranasal immunization of mice. MVA-F administered by intraperitoneal route in a homologous scheme elicited levels of neutralizing antibodies similar to those obtained with inactivated BRSV as well as better levels of IFN-γ secretion. In addition, nasal administration of MVA-F elicited local and systemic immunity with a Th1 profile. This study suggests that MVA-F is a good candidate for further evaluations combining intranasal and intramuscular routes, in order to induce local and systemic immune responses, to improve the vaccine efficacy against BRSV infection.

牛呼吸道合胞病毒(BRSV)对肉牛和奶牛都有影响,发病率和死亡率分别高达 60-80% 和 20%。本研究旨在获得表达 BRSV F 蛋白的重组 MVA(MVA-F)作为 BRSV 疫苗,并评估 MVA-F 在同源和异源(MVA-F 单独或与亚单位疫苗联合)全身免疫以及小鼠鼻内免疫后诱导的免疫反应。在同源方案中,MVA-F通过腹腔给药引起的中和抗体水平与灭活的BRSV相似,IFN-γ的分泌水平也更高。此外,鼻腔给药 MVA-F 还能激发局部和全身的 Th1 型免疫。这项研究表明,MVA-F 是一种很好的候选药物,可以结合鼻腔和肌肉注射途径进行进一步评估,以诱导局部和全身免疫反应,提高疫苗对 BRSV 感染的效力。
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引用次数: 0
Bacterial diversity using metagenomics of 16s rDNA in water kefir, an innovative source of probiotics for bee nutrition 利用 16s rDNA 元基因组学研究水酸乳中的细菌多样性--蜜蜂营养的创新益生菌来源
IF 1.8 4区 生物学 Q3 Medicine Pub Date : 2024-04-01 DOI: 10.1016/j.ram.2023.12.002
María A. Rodríguez , Leticia A. Fernández , Marina L. Díaz , Cristian A. Gallo , Miguel Corona , Jay D. Evans , Francisco J. Reynaldi

Water kefir is a sparkling, slightly acidic fermented beverage made from sugar, water, and water kefir grains, which are a mixture of yeast and bacteria. These grains produce a variety of fermentation compounds such as lactic acid, acetaldehyde, acetoin, ethanol and carbon dioxide. In this study, a high-throughput sequencing technique was used to characterize the bacterial composition of the original water kefir from which potential probiotics were obtained. We studied the bacterial diversity of both water kefir grains and beverages. DNA was extracted from three replicate samples of both grains and beverages using the Powerlyzer Microbial Kit. The hypervariable V1–V2 region of the bacterial 16S ribosomal RNA gene was amplified to prepare six DNA libraries. Between 1.4 M and 2.4 M base-pairs were sequenced for the library. In total, 28 721 971 raw reads were obtained from all the samples. Estimated species richness was higher in kefir beverage samples compared to grain samples. Moreover, a higher level of microbial alpha diversity was observed in the beverage samples. Particularly, the predominant bacteria in beverages were Anaerocolumna and Ralstonia, while in grains Liquorilactobacillus dominated, with lower levels of Leuconostoc and Oenococcus.

Although the bacterial diversity in kefir grains was low because only three genera were the most represented, all of them are LAB bacteria with the potential to serve as probiotics in the artificial feeding of bees.

水克菲尔是一种气泡型微酸发酵饮料,由糖、水和水克菲尔颗粒(酵母和细菌的混合物)制成。这些颗粒会产生多种发酵化合物,如乳酸、乙醛、乙酰丙酮、乙醇和二氧化碳。在这项研究中,我们采用了高通量测序技术来描述从中获得潜在益生菌的原始水酸乳的细菌组成特征。我们研究了开菲尔水颗粒和饮料中的细菌多样性。我们使用 Powerlyzer 微生物试剂盒从三个重复的谷物和饮料样本中提取了 DNA。扩增细菌 16S 核糖体 RNA 基因的 V1-V2 超变区,以制备六个 DNA 文库。对文库进行了 1.4 M 到 2.4 M 碱基对的测序。所有样本共获得 28 721 971 个原始读数。与谷物样品相比,克菲尔饮料样品的估计物种丰富度更高。此外,在饮料样品中还观察到了更高水平的微生物阿尔法多样性。特别是,饮料中最主要的细菌是 Anaerocolumna 和 Ralstonia,而在谷物中则以 Liquorilactobacillus 为主,Leuconostoc 和 Oenococcus 的含量较低。虽然克菲尔谷物中的细菌多样性较低,因为只有三个菌属的代表性最高,但所有这些菌属都是 LAB 菌,有可能成为蜜蜂人工饲养中的益生菌。
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引用次数: 0
Parásitos humanos en aguas superficiales de uso recreativo en Salta, Argentina 阿根廷萨尔塔娱乐性地表水中的人体寄生虫
IF 1.8 4区 生物学 Q3 Medicine Pub Date : 2024-04-01 DOI: 10.1016/j.ram.2023.11.001
Diego G. Sanguino-Jorquera , Hugo R. Poma , Verónica B. Rajal , María M. Juárez , Verónica P. Irazusta

Waterborne diseases can have different origins, micro-organisms such as bacteria and parasites being the most important ones. In this study, two recreational aquatic environments were studied in the province of Salta, Argentina. Water samples collected from three different locations, two from a creek and one from the outlet of a thermal complex, were monitored at four time points. Physicochemical and microbiological characterization of each point was conducted, as well as a search for parasites and amebae. Parasites were identified through optical microscopy observations and free-living amebae (FLA) were isolated by spiking in Petri dishes followed by subsequent molecular identification. Water samples from the outlet of the thermal complex showed different physicochemical characteristics from those of the creek. Bacterial indicators of contamination were detected at all points; however, the creek water had a significantly higher concentration of Pseudomonas sp. Sporadically, creek samples exhibited Ascaris spp. eggs, Giardia sp. cysts, and ancylostomid eggs. The presence of FLA was observed in all samples, 15 of which were isolated and identified as Acanthamoeba sp., mostly belonging to the T4 genotype. Parasite surveillance in recreational aquatic environments is an important complement to traditional microbial indicators for assessing water quality. The identified parasites represent a potential health risk for people using these environments.

水传播疾病有不同的起源;细菌和寄生虫是最重要的致病因子。在这项工作中,我们在萨尔塔省(阿根廷)一个休闲区附近的三个地点对水样进行了监测:两个地点位于一个热能综合体周围的溪流中,分别位于综合体排水口的上游和下游;第三个地点位于综合体排水口。一年中有四个月采集样本。对每个取样点的水样进行了物理化学和细菌学鉴定,并对水中的寄生虫和自由生活阿米巴虫(FLA)进行了检测。热工综合体出口处的水样显示出与溪流不同的物理化学特征。溪水样本中零星发现了蛔虫卵、贾第鞭毛虫包囊和蛔虫卵。在所有样本中都发现了 AVL;分离并鉴定出 15 个 AVL 为棘阿米巴虫,大部分属于 T4 基因型。对休闲水生环境中寄生虫的监测是对传统水质评估微生物指标的重要补充。所发现的寄生虫对使用这类环境的人群构成潜在的健康风险。
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引用次数: 0
Differential diagnosis of human Entamoeba infections: Morphological and molecular characterization of new isolates in Argentina 人类恩塔米巴感染的鉴别诊断:阿根廷新分离株的形态和分子特征
IF 1.9 4区 生物学 Q3 Medicine Pub Date : 2024-01-01 DOI: 10.1016/j.ram.2023.05.003
Andrea Servián, María Lorena Zonta, Graciela T. Navone

Entamoeba infections occur worldwide, with higher frequency in countries of low socioeconomic status and poor public health. Since Entamoeba histolytica has long been recognized as the only pathogenic species, making a differential diagnosis of other morphologically identical Entamoeba is important. This study aimed to determine the prevalence of Entamoeba species in two populations from Argentina, make a differential diagnosis by PCR and characterize Entamoeba isolates at the SSU rRNA gene. A total of 493 serial fecal samples were obtained from individuals in the provinces of Buenos Aires (n = 210) and Misiones (n = 283). Samples were examined by conventional methods (formalin–ethyl acetate and Willis flotation) and specific PCRs to differentiate Entamoeba species. Entamoeba isolates were characterized by sequencing a fragment of the SSU rRNA gene. The overall prevalence of Entamoeba infection was 12.4%, being more prevalent in Buenos Aires than in Misiones (14.8% vs. 10.6%). A case of E. histolytica confirmed by PCR and sequence analysis was reported for the first time in Buenos Aires. Moreover, new genetic data on Entamoeba coli and Entamoeba dispar were recorded. The phylogenetic analysis revealed a congruence between morphological characteristics and SSU rRNA gene sequences. This study increases the amount of information on the distribution of these species in Argentina and the region of the Americas.

恩塔米巴感染发生在世界各地,在社会经济地位低和公共卫生条件差的国家发生率更高。由于组织溶解恩塔米巴虫一直被认为是唯一的致病物种,因此对其他形态相同的恩塔米巴虫进行鉴别诊断非常重要。本研究旨在确定阿根廷两个人群中恩塔米巴虫的流行情况,通过 PCR 进行鉴别诊断,并通过 SSU rRNA 基因鉴定恩塔米巴虫分离物的特征。研究人员从布宜诺斯艾利斯省(n = 210)和米西奥内斯省(n = 283)的人群中采集了 493 份序列粪便样本。样本采用传统方法(福尔马林-乙酸乙酯法和威利斯浮选法)和特异性 PCR 进行检测,以区分恩塔米巴菌的种类。通过对 SSU rRNA 基因的一个片段进行测序,对分离出的恩塔米巴原虫进行鉴定。恩塔米巴虫感染的总发病率为 12.4%,布宜诺斯艾利斯的发病率高于米西奥内斯(14.8% 对 10.6%)。布宜诺斯艾利斯首次报告了一例通过聚合酶链反应和序列分析确认的组织溶解埃塔巴虫病例。此外,还记录了关于大肠埃希氏肠虫和变形肠虫的新基因数据。系统进化分析表明,形态特征与 SSU rRNA 基因序列之间存在一致性。这项研究增加了这些物种在阿根廷和美洲地区分布的信息量。
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引用次数: 0
Acute viral hepatitis: What we do know and still do not know about hepatitis A and E in Argentina 急性病毒性肝炎:阿根廷甲型和戊型肝炎的已知和未知情况
IF 1.9 4区 生物学 Q3 Medicine Pub Date : 2024-01-01 DOI: 10.1016/j.ram.2024.03.001
Maria Laura Minassian
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引用次数: 0
Comparison of two MALDI-TOF MS systems for the identification of clinically relevant anaerobic bacteria in Argentina 比较两种 MALDI-TOF MS 系统鉴定阿根廷临床相关厌氧菌的方法。
IF 1.9 4区 生物学 Q3 Medicine Pub Date : 2024-01-01 DOI: 10.1016/j.ram.2023.12.001
Mirta Litterio , Liliana Castello , María Elena Venuta , Sofía Abel , Liliana Fernández-Canigia , María Cristina Legaria , Raquel Rollet , Daniela Vaustat , Natalia Azula , Bárbara Fox , Silvina Otero , María Laura Maldonado , Natalia Alejandra Mangieri , María Adelaida Rossetti , Silvia Carla Predari , Daniela Cejas , Claudia Barberis

The aim of this study was to compare the performance of two MALDI-TOF MS systems in the identification of clinically relevant strict anaerobic bacteria. The 16S rRNA gene sequencing was the gold standard method when discrepancies or inconsistencies were observed between platforms. A total of 333 isolates were recovered from clinical samples of different centers in Buenos Aires City between 2016 and 2021. The isolates were identified in duplicate using two MALDI-TOF MS systems, BD Bruker Biotyper (Bruker Daltonics, Bremen, Germany) and Vitek MS (bioMèrieux, Marcy-l’Etoile, France). Using the Vitek MS system, the identification of anaerobic isolates yielded the following percentages: 65.5% (n: 218) at the species or species–complex level, 71.2% (n: 237) at the genus level, 29.4% (n: 98) with no identification and 5.1% (n: 17) with misidentification. Using the Bruker Biotyper system, the identification rates were as follows: 85.3% (n: 284) at the species or species–complex level, 89.7% (n: 299) at the genus level, 14.1% (n: 47) with no identification and 0.6% (n: 2) with misidentification. Differences in the performance of both methods were statistically significant (p-values <0.0001). In conclusion, MALDI-TOF MS systems speed up microbial identification and are particularly effective for slow-growing microorganisms, such as anaerobic bacteria, which are difficult to identify by traditional methods. In this study, the Bruker system showed greater accuracy than the Vitek system. In order to be truly effective, it is essential to update the databases of both systems by increasing the number of each main spectrum profile within the platforms.

本研究旨在比较两种 MALDI-TOF MS 系统在鉴定临床相关严格厌氧菌方面的性能。当发现不同平台之间存在差异或不一致时,16S rRNA 基因测序是金标准方法。2016 年至 2021 年期间,从布宜诺斯艾利斯市不同中心的临床样本中共分离出 333 株细菌。使用两套 MALDI-TOF MS 系统(BD Bruker Biotyper,Bruker Daltonics,Bremen,Germany)和 Vitek MS(bioMèrieux,Marcy-l'Etoile,France)对分离物进行了重复鉴定。使用 Vitek MS 系统对厌氧分离物进行鉴定的百分比如下:65.5%(n:218)为种或种复合物级,71.2%(n:237)为属级,29.4%(n:98)未鉴定,5.1%(n:17)鉴定错误。使用布鲁克生物鉴定系统的鉴定率如下:种或种复合体水平的鉴定率为 85.3%(人数:284),属水平的鉴定率为 89.7%(人数:299),未鉴定率为 14.1%(人数:47),误鉴定率为 0.6%(人数:2)。两种方法的性能差异具有显著的统计学意义(P 值为
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引用次数: 0
Detection of plasma anti-lipopolysaccharide (LPS) antibodies against enterohemorrhagic Escherichia coli (EHEC) in asymptomatic kindergarten teachers from Buenos Aires province 检测布宜诺斯艾利斯省无症状幼儿园教师血浆中抗肠道出血性大肠杆菌(EHEC)的抗脂多糖(LPS)抗体
IF 1.9 4区 生物学 Q3 Medicine Pub Date : 2024-01-01 DOI: 10.1016/j.ram.2023.05.006
Romina J. Fernandez-Brando , Flavia Sacerdoti , María M. Amaral , Alan M. Bernal , Marcelo Da Rocha , Marcela Belardo , Marina S. Palermo , Cristina A. Ibarra

In Argentina, hemolytic uremic syndrome (HUS) caused by EHEC has the highest incidence in the world. EHEC infection has an endemo-epidemic behavior, causing 20–30% of acute bloody diarrhea syndrome in children under 5 years old. In the period 2016–2020, 272 new cases per year were notified to the National Health Surveillance System. Multiple factors are responsible for HUS incidence in Argentina including person-to-person transmission. In order to detect possible EHEC carriers, we carried out a preliminary study of the frequency of kindergarten teachers with anti-LPS antibodies against the most prevalent EHEC serotypes in Argentina. We analyzed 61 kindergarten teachers from 26 institutions from José C. Paz district, located in the suburban area of Buenos Aires province, Argentina. Fifty-one percent of the plasma samples had antibodies against O157, O145, O121 and O103 LPS: 6.4% of the positive samples had IgM isotype (n = 2), 61.3% IgG isotype (n = 19) and 32.3% IgM and IgG (n = 10). Given that antibodies against LPS antigens are usually short-lived specific IgM detection may indicate a recent infection. In addition, the high percentage of positive samples may indicate a frequent exposure to EHEC strains in the cohort studied, as well as the existence of a large non-symptomatic population of adults carrying pathogenic strains that could contribute to the endemic behavior through person-to-person transmission. The improvement of continuous educational programs in kindergarten institutions could be a mandatory measure to reduce HUS cases not only in Argentina but also globally.

在阿根廷,由 EHEC 引起的溶血性尿毒症(HUS)的发病率居世界首位。EHEC感染具有地方流行性,导致20-30%的5岁以下儿童出现急性血痢综合征。在 2016-2020 年期间,全国卫生监督系统每年收到 272 例新病例的通报。阿根廷的 HUS 发病率由多种因素造成,包括人际传播。为了检测可能的 EHEC 病毒携带者,我们针对阿根廷最常见的 EHEC 血清型,开展了一项关于幼儿园教师抗 LPS 抗体频率的初步研究。我们分析了来自阿根廷布宜诺斯艾利斯省郊区何塞-C-帕斯区 26 所机构的 61 名幼儿园教师。51%的血浆样本中含有针对O157、O145、O121和O103 LPS的抗体:6.4%的阳性样本为IgM同型(n = 2),61.3%为IgG同型(n = 19),32.3%为IgM和IgG(n = 10)。鉴于针对 LPS 抗原的抗体通常持续时间较短,特异性 IgM 的检测可能预示着近期的感染。此外,高比例的阳性样本可能表明研究人群经常接触 EHEC 菌株,以及存在大量携带致病菌株的无症状成年人,这可能会通过人际传播导致地方病流行。改进幼儿园的持续教育计划可能是一项强制性措施,不仅能减少阿根廷的 HUS 病例,还能减少全球的 HUS 病例。
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引用次数: 0
Reduction in the incidence of invasive infections caused by encapsulated bacteria after the onset of the COVID-19 pandemic COVID-19 大流行后包裹细菌引起的侵入性感染发病率降低
IF 1.9 4区 生物学 Q3 Medicine Pub Date : 2024-01-01 DOI: 10.1016/j.ram.2023.06.003
Leda Guzzi , Juan Manuel Sambade , Martin Diego Christin , Federico Rodriguez Cairoli , Alejandra Rodriguez , Silvia Vicario , Miriam Hinojosa Del Carpio , Juan Molinos , Pablo Dimitroff

Interaction between severe acute respiratory coronavirus 2 (SARS-CoV-2) and IIEB remains under investigation. Objective: to compare IIEB incidence before and during COVID-19 pandemic, and assess incidence of coinfection with COVID-19 and case fatality. A cross-sectional study was performed on data from a centralized microbiology laboratory serving a network of healthcare centers comprising 713 pediatric and adult inpatient beds, expanded by 20% during the pandemic. Three periods were evaluated: (1) pre-pandemic: March 1, 2019–February 29, 2020; (2) pandemic year 1: March 1, 2020–February 28, 2021; (3) pandemic year 2: March 1, 2021–July 31, 2021. Descriptive statistical analysis was performed. 56 502 samples (96% blood cultures) from 27 224 patients were analyzed. Of these, 54 samples (from 54 patients) were positive for encapsulated bacteria. IIEB incidence was: 167.4, 32.6, and 50.4 per 100 000 samples for periods 1, 2, and 3, respectively. Twelve IIEB episodes occurred during the pandemic period: 10 Streptococcus pneumoniae, and 2 Haemophilus influenzae, of which 7 were SARS-CoV-2/S. pneumoniae coinfections, with an incidence of 5.68 per 10 000 COVID-19-related hospitalizations (0.056%). IIEB case fatality was 31%, 29%, and 60% for each period, respectively, 3/7 patients with coinfection died (43%). Case fatality for invasive pneumococcal disease (IPD) in patients without COVID-19, was 32.5%. Significant reduction in IIEB incidence was observed during the pandemic, coinciding with implementation of containment measures. The incidence of SARS-CoV-2/S. pneumoniae coinfection was low, with higher case fatality than IPD patients without COVID-19.

严重急性呼吸道冠状病毒 2(SARS-CoV-2)与 IIEB 之间的相互作用仍在调查之中。目的:比较 COVID-19 流行前和流行期间 IIEB 的发病率,评估 COVID-19 合并感染的发病率和病死率。一项横断面研究的数据来自一个中央微生物实验室,该实验室服务于一个由 713 张儿科和成人住院病床组成的医疗保健中心网络,该网络在大流行期间扩大了 20%。对三个时期进行了评估:(1) 大流行前:(1) 大流行前:2019 年 3 月 1 日至 2020 年 2 月 29 日;(2) 大流行第一年:2020 年 3 月 1 日至 2021 年 2 月 28 日;(3) 大流行第二年:2021 年 3 月 1 日至 2021 年 7 月 31 日。进行了描述性统计分析。分析了来自 27 224 名患者的 56 502 份样本(96% 为血液培养物)。其中,54 份样本(来自 54 名患者)的包裹细菌呈阳性。第一、第二和第三阶段的 IIEB 发生率分别为每 10 万个样本 167.4 例、32.6 例和 50.4 例。大流行期间发生了 12 例 IIEB:其中 10 例为肺炎链球菌感染,2 例为流感嗜血杆菌感染,7 例为 SARS-CoV-2/S. pneumoniae 合并感染,每 10 000 例 COVID-19 相关住院患者中有 5.68 例发病(0.056%)。IIEB 病死率在每个时期分别为 31%、29% 和 60%,3/7 的合并感染患者死亡(43%)。没有感染COVID-19的患者中,侵袭性肺炎球菌疾病(IPD)的病死率为32.5%。在大流行期间,随着遏制措施的实施,IIEB 的发病率显著下降。SARS-CoV-2/S.肺炎球菌合并感染的发病率较低,其病死率高于未感染 COVID-19 的 IPD 患者。
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引用次数: 0
Prevalence of Demodex spp. in patients with chronic blepharitis 慢性睑缘炎患者中的德霉菌感染率
IF 1.9 4区 生物学 Q3 Medicine Pub Date : 2024-01-01 DOI: 10.1016/j.ram.2023.05.005
Viviana Flores , Marina Ruf , Silvia Paola Abad Farfan , Andrea Vanessa Suárez Echávez , Dolores Pilar Bastard , Maria Celeste Puga , Luis Daniel Mazzuoccolo

Blepharitis is a very common disease in ophthalmology, dermatology and allergy practice. It generally follows a chronic course and is frequently associated with objective and/or subjective symptoms such as epiphora, red eye, dandruff, gritty sensation, itching, burning, photophobia, and blurred vision. The purpose of this study is to analyze the prevalence of Demodex spp. in patients with symptoms of chronic blepharitis. An analytical cross-sectional study was conducted in the period between 2016 and 2020. All patients with symptoms of chronic blepharitis who underwent a parasitological test of eyelashes (Rapitest) in the Dermatology Department of the Hospital Italiano de Buenos Aires were included. Those with previously established blepharitis due to another infectious cause were excluded. We analyzed 972 patients. Sixty percent (n = 585) underwent a positive Rapitest for the presence of Demodex spp. Seventy five percent (n = 728) were women. There were no significant differences in the prevalence associated with sex (p = 0.38). Among the patients positive for Demodex spp., 65% (n = 628) were older than 60 years old. The most frequently associated symptom was itching, present in 35% (n = 342). A statistically significant decrease in the number of consultations was observed during the cold months of the year (May–June–July–August). Our results show a high prevalence of Demodex spp. in patients with chronic blepharitis. As its presence reveals a direct association with age, we recommend looking for this parasite in this age group.

睑缘炎是眼科、皮肤科和过敏科常见的疾病。该病一般呈慢性过程,常伴有客观和/或主观症状,如眼睑上翻、红眼、皮屑、沙砾感、瘙痒、灼热、畏光和视力模糊等。本研究旨在分析有慢性睑缘炎症状的患者中蜕皮虫属的流行情况。在 2016 年至 2020 年期间进行了一项横断面分析研究。研究对象包括在布宜诺斯艾利斯意大利医院皮肤科接受睫毛寄生虫检测(Rapitest)的所有慢性睑缘炎患者。不包括那些曾因其他感染原因而患过眼睑炎的患者。我们对 972 名患者进行了分析。65%的患者(n = 585)在Rapitest检测中发现了阳性的Demodex病菌,75%的患者(n = 728)为女性。患病率与性别无明显差异(P = 0.38)。在德莫德克氏菌阳性的患者中,65%(n = 628)的年龄在 60 岁以上。最常见的相关症状是瘙痒,占 35%(342 人)。据统计,在每年的寒冷月份(5 月-6 月-7 月-8 月),就诊人数明显减少。我们的研究结果表明,慢性睑缘炎患者中的蜕皮虫感染率很高。由于这种寄生虫的存在与年龄有直接关系,因此我们建议在这个年龄段的患者中寻找这种寄生虫。
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引用次数: 0
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Revista Argentina de microbiologia
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