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Update of diagnostic methods in tuberculosis (TB) 结核病诊断方法的更新。
IF 1.8 4区 生物学 Q4 MICROBIOLOGY Pub Date : 2025-01-01 DOI: 10.1016/j.ram.2024.12.008
Mario José Matteo , María Cecilia Latini , Davor Nicolás Martinovic , Marina Bottiglieri
The WHO aims to reduce the number of deaths from TB by 95% and decrease its incidence rate by 90% between 2015 and 2035. The recommended rapid diagnostic tests are accurate and cost-effective, allow for a prompt start to treatment, and influence other outcomes that are important to the patient. To detect latent infection, the tuberculin skin test and interferon γ release (IGRA) tests are used. Although IGRA is an expensive test, it has greater specificity and is not affected by previous exposure to the BCG vaccine, among other advantages. For the diagnosis of active TB, smear microscopy is commonly employed. Culture is a more sensitive, but also more complex method. It constitutes the definitive diagnosis and allows phenotypic sensitivity tests to be performed. TB-LAM has limited sensitivity; however, unlike other methodologies, it has shown promising results in individuals living with HIV and CD4 T-cell counts below 200/mm3. Finally, among the molecular biology-based tests, commercial methods using real-time PCR allow mass diagnosis and sensitivity testing to first- and second-line drugs to be conducted within a few hours of receiving the sample. These are highly sensitive and specific tests, and their use is recommended as the initial diagnostic test in both pulmonary and extrapulmonary TB cases.
世卫组织的目标是在2015年至2035年间将结核病死亡人数减少95%,将发病率降低90%。所推荐的快速诊断测试是准确和具有成本效益的,允许迅速开始治疗,并影响对患者重要的其他结果。为了检测潜伏感染,使用结核菌素皮肤试验和干扰素γ释放(IGRA)试验。虽然IGRA是一种昂贵的测试,但它具有更大的特异性,并且不受以前接触卡介苗的影响,此外还有其他优点。对于活动性结核病的诊断,涂片镜检是常用的方法。文化是一种更敏感,也更复杂的方法。它构成了明确的诊断,并允许进行表型敏感性试验。TB-LAM灵敏度有限;然而,与其他方法不同的是,它在艾滋病毒携带者和CD4 t细胞计数低于200/mm3的个体中显示出令人鼓舞的结果。最后,在基于分子生物学的检测中,使用实时PCR的商业方法允许在收到样品的几个小时内进行大规模诊断和对一线和二线药物的敏感性测试。这些是高度敏感和特异性的测试,建议将其作为肺部和肺外结核病例的初始诊断测试。
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引用次数: 0
Dairy effluent management systems as a potential persistence source of Shiga toxin-producing Escherichia coli (STEC) strains 作为产志贺毒素大肠杆菌 (STEC) 菌株潜在持久来源的奶制品污水管理系统。
IF 1.8 4区 生物学 Q4 MICROBIOLOGY Pub Date : 2025-01-01 DOI: 10.1016/j.ram.2024.09.005
Jessica Basualdo , Gastón A. Iocoli , Marisa A. Gómez , María Celina Zabaloy
Shiga toxin-producing Escherichia coli (STEC) is a group of pathogenic enterobacteria of significant public health importance due to their association with highly prevalent human diseases. STEC is ubiquitous in livestock environments, and its presence in the environment emphasizes the importance of properly managing agricultural effluents to reduce health risks from contamination. In order to detect STEC in the effluent treatment systems of two dairy farms (“A” and “B”) in the southwest of Buenos Aires province, samples (“A”, n = 88; “B”, n = 72) were taken at two different times of the year (winter and spring) and at various points in the treatment systems. Analysis markers for virulence genes (stx, eae, saa, and ehxA) revealed the presence of STEC in 13.1% of the samples, showing an increase in spring and differences between dairy farms possibly related to their maintenance conditions. After manure, sediments showed the highest proportion of STEC-positive samples, which is relevant due to the ability of these strains to survive in the environment through biofilm formation. Eight genetic profiles were identified among all STEC-positive samples, which are associated with STEC strains that can cause hemolytic uremic syndrome (HUS) and other gastrointestinal diseases. This demonstrates the role of dairy farm environments in the region as reservoirs of pathogenic STEC strains and their impact on public health.
产志贺毒素大肠杆菌(STEC)是一类致病性肠道细菌,与人类高发疾病有关,对公共卫生具有重要意义。STEC 在畜牧业环境中无处不在,它在环境中的存在强调了妥善管理农业污水以降低污染对健康造成的风险的重要性。为了检测布宜诺斯艾利斯省西南部两个奶牛场("A "和 "B")污水处理系统中的 STEC,我们在一年中的两个不同时期(冬季和春季)和处理系统的不同位置采集了样本("A",样本数为 88;"B",样本数为 72)。毒力基因(STX、EAE、SAA 和 ehxA)分析标记显示,13.1% 的样本中存在 STEC,显示春季 STEC 数量增加,不同奶牛场之间的差异可能与其维护条件有关。粪便之后,沉积物中 STEC 阳性样本的比例最高,这与这些菌株通过形成生物膜在环境中存活的能力有关。在所有 STEC 阳性样本中发现了八种遗传特征,这些特征与可导致溶血性尿毒症(HUS)和其他胃肠道疾病的 STEC 菌株有关。这表明该地区的奶牛场环境是致病性 STEC 菌株的贮藏地,并对公共卫生产生影响。
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引用次数: 0
Detection of EPEC and STEC strains isolated from children with diarrhea in Argentina 检测从阿根廷腹泻儿童中分离出的 EPEC 和 STEC 菌株。
IF 1.8 4区 生物学 Q4 MICROBIOLOGY Pub Date : 2025-01-01 DOI: 10.1016/j.ram.2024.07.003
Daniel Fernández Fellenz , Julia M. Ruiz , Analía I. Etcheverría , Rocio Colello , María V. Velez , Marcelo E. Sanz , Mónica D. Sparo , Sabina Lissarrague , Josefina Pereyra , Gustavo Zanelli , Nora L. Padola
Rectal swabs (122) from pediatric patients were analyzed by polymerase chain reaction (PCR) for the detection of EPEC and STEC. STEC isolates were tested for the presence of stx1, stx2, eae, saa and ehxA. All eae-positive samples were tested for the presence of bfpA, and antigen O was determined using the agglutination test. Int1 and Int2 were detected to identify the presence of integrons class 1 and 2, respectively. Escherichia coli was detected in 68% of the samples, of which 18.8% were STEC (2.45%) and EPEC (16.3%). Serogroups STEC O145 and EPEC O130, O113 and O157 were observed, while three strains were non-typable. None of the EPEC strains carrying tbfpA and class 1 and 2 integrons was detected in any of the samples. The results obtained are important considering the virulence profiles found in the isolated EPEC and STEC strains and the serogroups associated with disease in humans.
通过聚合酶链反应 (PCR) 分析了儿科患者的直肠拭子(122 份),以检测 EPEC 和 STEC。对 STEC 分离物进行了 stx1、stx2、eae、saa 和 ehxA 检测。对所有 eae 阳性样本进行了 bfpA 检测,并使用凝集试验确定了抗原 O。检测 Int1 和 Int2 分别是为了确定是否存在 1 类和 2 类整合子。68% 的样本中检测到了大肠杆菌,其中 18.8% 是 STEC(2.45%)和 EPEC(16.3%)。发现了血清型为 STEC O145 和 EPEC O130、O113 和 O157 的菌株,还有三株菌株无法分型。在所有样本中均未检测到携带 tbfpA 和 1、2 类整合子的 EPEC 菌株。考虑到在分离出的 EPEC 和 STEC 菌株中发现的毒力特征以及与人类疾病相关的血清群,所获得的结果非常重要。
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引用次数: 0
First report of KPC-35-producing Klebsiella pneumoniae ST258 isolated in Peru 秘鲁首次分离到产kpc -35的肺炎克雷伯菌ST258。
IF 1.8 4区 生物学 Q4 MICROBIOLOGY Pub Date : 2025-01-01 DOI: 10.1016/j.ram.2024.10.008
Arturo Gonzales-Rodriguez , Juan Carlos Gómez-de-la-Torre , Luis Alvarado , Edgar Gonzales Escalante
Klebsiella pneumoniae sequence type 258 (ST258) is the main cause of the global spread of KPC and a significant public health problem. In 2015, ceftazidime/avibactam (CZA) was introduced as a therapeutic alternative and since it has contributed to the development of new KPC variants. Here we present the identification of two consecutive isolations of K. pneumoniae ST258 (KP1 and KP2), from a patient with urinary tract infection. KP1 and KP2 harbored blaKPC-2 and blaKPC-35, respectively. KP2 exhibited a modified susceptibility profile to carbapenems and resistance to CZA. To the best of our knowledge, this is the first report of K. pneumoniae ST258 in Peru, which highlights the increasing problem of CZA resistance.
258型肺炎克雷伯菌序列(ST258)是KPC全球传播的主要原因,也是一个重大的公共卫生问题。2015年,头孢他啶/阿维巴坦(CZA)作为一种治疗替代方案被引入,因为它促进了新的KPC变体的发展。在这里,我们提出鉴定两个连续分离的肺炎克雷伯菌ST258 (KP1和KP2),从尿路感染患者。KP1和KP2分别携带blaKPC-2和blaKPC-35。KP2表现出对碳青霉烯类的敏感性和对CZA的抗性。据我们所知,这是秘鲁首次报告肺炎克雷伯菌ST258,这凸显了CZA耐药性日益严重的问题。
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引用次数: 0
Impact of gestational diabetes mellitus in gut and human breast milk microbiome in Colombian women and their infants 妊娠期糖尿病对哥伦比亚妇女及其婴儿肠道和母乳微生物组的影响。
IF 1.8 4区 生物学 Q4 MICROBIOLOGY Pub Date : 2025-01-01 DOI: 10.1016/j.ram.2024.10.006
Sandra Y. Valencia-Castillo , Mayte J. Hernández-Beza , Irisbeth Powell-Cerda , Erika Acosta-Cruz , Guadalupe C. Rodríguez-Castillejos , Fernando Siller-López , Humberto Martínez-Montoya
Human breast milk (HBM) is a vital source of macronutrients and micronutrients that are crucial for an infant's development. Recent studies have shown that HBM contains diverse microorganisms, including bacteria, viruses, protozoa, and anaerobic fungi. Additionally, novel research has revealed that individuals with metabolic disorders, such as diabetes mellitus, are prone to dysbiosis in their gut microbiome. Our study aimed to investigate the impact of gestational diabetes mellitus (GDM) on HBM and the pair mother–infant gut microbiota. We conducted a comprehensive analysis of two groups from Pereira, Colombia: a GDM group and a non-GDM group. Each group consisted of five infants and their mothers. HBM and stool samples were collected from GDM and non-GDM mother–infant pairs. DNA was purified, and the 16S V3–V4 region was amplified and sequenced. Reads obtained were quality filtered and classified by homology according to the Ribosomal Small Subunit SILVA database. We found significant differences in the relative abundances of gut bacteria between GDM and non-GDM groups. Notably, Bifidobacterium, Serratia and Sutterella were negatively associated in women's gut with GDM. In HBM, Sutterella, Serratia and Lactococcus were found in low RA in the GDM group. Moreover, in the infants, Bifidobacterium, Lactobacillus, Sutterella, Serratia, Streptococcus, and Veillonella had a low presence in GDM. Our findings indicate that there are variations in gut bacteriome profiles between healthy women and those with GDM. These variations may impact the bacterial diversity in HBM, potentially leading to gut bacterial dysbiosis in their infants.
母乳是对婴儿发育至关重要的大量营养素和微量营养素的重要来源。最近的研究表明,HBM含有多种微生物,包括细菌、病毒、原生动物和厌氧真菌。此外,新的研究表明,患有代谢紊乱(如糖尿病)的个体,其肠道微生物群容易发生生态失调。本研究旨在探讨妊娠期糖尿病(GDM)对HBM和母婴肠道菌群的影响。我们对来自哥伦比亚Pereira的两组患者进行了综合分析:GDM组和非GDM组。每组由5名婴儿和他们的母亲组成。收集GDM和非GDM母婴对的HBM和粪便样本。纯化DNA,扩增16S V3-V4区并测序。根据核糖体小亚单位SILVA数据库对获得的Reads进行质量过滤和同源性分类。我们发现GDM组和非GDM组之间肠道细菌的相对丰度存在显著差异。值得注意的是,双歧杆菌、沙雷氏菌和萨特菌在女性肠道中与GDM呈负相关。在HBM中,GDM组低RA中发现沙氏菌、沙雷菌和乳球菌。此外,在婴儿中,双歧杆菌、乳酸菌、沙氏菌、沙雷菌、链球菌和细孔菌在GDM中的存在率较低。我们的研究结果表明,健康女性和GDM患者之间的肠道细菌群存在差异。这些变化可能影响HBM中的细菌多样性,可能导致婴儿肠道细菌生态失调。
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引用次数: 0
Identification of Salmonella Enteritidis, Salmonella Typhimurium, Bacillus cereus, Bacillus subtilis, and Clostridium perfringens in hospital food 医院食品中肠炎沙门氏菌、鼠伤寒沙门氏菌、蜡样芽孢杆菌、枯草芽孢杆菌和产气荚膜梭菌的鉴定。
IF 1.8 4区 生物学 Q4 MICROBIOLOGY Pub Date : 2025-01-01 DOI: 10.1016/j.ram.2024.11.005
Mohammad Hashemi , Arefeh Erfani , Fateme Asadi Touranlou , Maliheh Doustinouri , Afsaneh Shahraki , Asma Afshari
Despite conducting studies to investigate food contamination in hospitals in different parts of Iran in recent years, there have been no reliable studies to identify Salmonella Enteritidis, Salmonella Typhimurium, Bacillus cereus, Bacillus subtilis, and Clostridium perfringens in hospital food in Mashhad. Therefore, this study was conducted with the aim of investigating some major foodborne pathogens in hospital food. In this study, 360 food samples were randomly selected from 12 different menus from 13 hospitals affiliated with Mashhad University of Medical Sciences, Mashhad, Iran. Microbial culture methods for the recovery/isolation or enumeration of Salmonella spp., Bacillus spp. and C. perfringens as well as toxinotyping of C. perfringens using the PCR method were performed. B. cereus and C. perfringens were detected in 4 out of 360 food samples, 2 (0.55%) of which were B. cereus and, the remaining 2 (0.55%) were C. perfringens; B. subtilis was not detected in any of the food samples. Furthermore, Salmonella was found in 21 (5.82%) food samples, 12 (3.33%) of which were S. Typhimurium, 4 (1.11%) were S. Enteritidis, and 5 (1.38%) belonged to other Salmonella species. The most contaminated foods were salad, kebab, and rice samples, which accounted for 36%, 16%, and 12% of the contaminated foods, respectively. In our study, two strains of S. Typhimurium and S. Enteritidis, were the primary causative agents of food contamination among the investigated pathogens. More stringent control measures should be implemented in hospital catering, particularly for unprocessed foods such as salads.
尽管近年来在伊朗不同地区的医院进行了食品污染调查研究,但没有可靠的研究来确定马什哈德医院食品中的肠炎沙门氏菌、鼠伤寒沙门氏菌、蜡样芽孢杆菌、枯草芽孢杆菌和产气荚膜梭菌。因此,本研究旨在调查医院食品中的一些主要食源性致病菌。在这项研究中,从伊朗马什哈德医学大学附属的13家医院的12种不同菜单中随机抽取了360份食物样本。采用微生物培养法对沙门氏菌、芽孢杆菌和产气荚膜梭菌进行回收、分离或计数,并采用PCR法对产气荚膜梭菌进行毒素分型。360份食品样品中检出蜡样芽孢杆菌和产气荚膜芽孢杆菌4份,其中蜡样芽孢杆菌2份(0.55%),产气荚膜芽孢杆菌2份(0.55%);所有食物样本均未检出枯草芽孢杆菌。检出沙门氏菌21份(5.82%),其中鼠伤寒沙门氏菌12份(3.33%),肠炎沙门氏菌4份(1.11%),其他沙门氏菌5份(1.38%)。受污染最严重的食品是沙拉、烤肉串和大米样品,分别占受污染食品的36%、16%和12%。在我们的研究中,两株鼠伤寒沙门氏菌和肠炎沙门氏菌是食品污染的主要病原体。医院餐饮应实施更严格的控制措施,特别是对沙拉等未加工食品。
{"title":"Identification of Salmonella Enteritidis, Salmonella Typhimurium, Bacillus cereus, Bacillus subtilis, and Clostridium perfringens in hospital food","authors":"Mohammad Hashemi ,&nbsp;Arefeh Erfani ,&nbsp;Fateme Asadi Touranlou ,&nbsp;Maliheh Doustinouri ,&nbsp;Afsaneh Shahraki ,&nbsp;Asma Afshari","doi":"10.1016/j.ram.2024.11.005","DOIUrl":"10.1016/j.ram.2024.11.005","url":null,"abstract":"<div><div>Despite conducting studies to investigate food contamination in hospitals in different parts of Iran in recent years, there have been no reliable studies to identify <em>Salmonella</em> Enteritidis, <em>Salmonella</em> Typhimurium, <em>Bacillus cereus</em>, <em>Bacillus subtilis</em>, and <em>Clostridium perfringens</em> in hospital food in Mashhad. Therefore, this study was conducted with the aim of investigating some major foodborne pathogens in hospital food. In this study, 360 food samples were randomly selected from 12 different menus from 13 hospitals affiliated with Mashhad University of Medical Sciences, Mashhad, Iran. Microbial culture methods for the recovery/isolation or enumeration of <em>Salmonella</em> spp., <em>Bacillus</em> spp. and <em>C. perfringens</em> as well as toxinotyping of <em>C. perfringens</em> using the PCR method were performed. <em>B. cereus</em> and <em>C. perfringens</em> were detected in 4 out of 360 food samples, 2 (0.55%) of which were <em>B. cereus</em> and, the remaining 2 (0.55%) were <em>C. perfringens</em>; <em>B. subtilis</em> was not detected in any of the food samples. Furthermore, <em>Salmonella</em> was found in 21 (5.82%) food samples, 12 (3.33%) of which were <em>S.</em> Typhimurium, 4 (1.11%) were <em>S.</em> Enteritidis, and 5 (1.38%) belonged to other <em>Salmonella</em> species. The most contaminated foods were salad, kebab, and rice samples, which accounted for 36%, 16%, and 12% of the contaminated foods, respectively. In our study, two strains of <em>S.</em> Typhimurium and <em>S.</em> Enteritidis, were the primary causative agents of food contamination among the investigated pathogens. More stringent control measures should be implemented in hospital catering, particularly for unprocessed foods such as salads.</div></div>","PeriodicalId":21163,"journal":{"name":"Revista Argentina de microbiologia","volume":"57 1","pages":"Pages 78-85"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143067629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Epidemiology of colistin resistance mediated by mcr-1 in carbapenemase-producing Enterobacterales in Ecuador in three periods from 2016 to 2022 2016 - 2022年厄瓜多尔产碳青霉烯酶肠杆菌mcr-1介导的粘菌素耐药流行病学
IF 1.8 4区 生物学 Q4 MICROBIOLOGY Pub Date : 2025-01-01 DOI: 10.1016/j.ram.2024.12.007
Claudia Soria-Segarra , Carmen Soria-Segarra , José Gutierrez-Fernandez
Carbapenemase-producing Enterobacterales (CPE) have increased in the last decade. In low-income countries, colistin is considered a last resort antimicrobial to treat CPE infections, whose most worrisome mechanism of resistance is MCR-1 production. This study aims to understand the epidemiology of colistin resistance in CPE in the region, through the surveillance of the mcr-1 gene in CPE isolates in Ecuador. A total of 361 CPE isolates were collected across three periods, from 2016 to 2022. Colistin resistance was assessed using the broth microdilution method and the most frequent carbapenemase-encoding genes and the mcr-1 gene were studied. Colistin resistance rate increased from 3.76% to 23.74% during the study period. The mcr-1 gene was not identified in any of the isolates studied and Klebsiella pneumoniae blaKPC was the most prevalent microorganism (n = 322; 89.20%). In conclusion, colistin resistance increased in CPE in Ecuador and was not mediated by the mcr-1 gene. Our results highlight the need to closely monitor national politics on antimicrobial resistance under the One Health Approach.
产碳青霉烯酶肠杆菌(CPE)在过去十年中有所增加。在低收入国家,粘菌素被认为是治疗CPE感染的最后一种抗菌素,其最令人担忧的耐药机制是MCR-1的产生。本研究旨在通过对厄瓜多尔CPE分离株mcr-1基因的监测,了解该地区CPE中粘菌素耐药性的流行病学。从2016年到2022年,共收集了361株CPE分离株。采用肉汤微量稀释法测定粘菌素耐药性,并对最常见的碳青霉烯酶编码基因和mcr-1基因进行了研究。研究期间粘菌素耐药率由3.76%上升至23.74%。在研究的所有分离株中未发现mcr-1基因,肺炎克雷伯菌blakpc是最常见的微生物(n=322;89.20%)。结论:厄瓜多尔CPE患者粘菌素耐药增加,与mcr-1基因无关。我们的研究结果突出表明,有必要在“同一个卫生方针”下密切监测国家抗菌素耐药性政策。
{"title":"Epidemiology of colistin resistance mediated by mcr-1 in carbapenemase-producing Enterobacterales in Ecuador in three periods from 2016 to 2022","authors":"Claudia Soria-Segarra ,&nbsp;Carmen Soria-Segarra ,&nbsp;José Gutierrez-Fernandez","doi":"10.1016/j.ram.2024.12.007","DOIUrl":"10.1016/j.ram.2024.12.007","url":null,"abstract":"<div><div>Carbapenemase-producing <em>Enterobacterales</em> (CPE) have increased in the last decade. In low-income countries, colistin is considered a last resort antimicrobial to treat CPE infections, whose most worrisome mechanism of resistance is MCR-1 production. This study aims to understand the epidemiology of colistin resistance in CPE in the region, through the surveillance of the <em>mcr-1</em> gene in CPE isolates in Ecuador. A total of 361 CPE isolates were collected across three periods, from 2016 to 2022. Colistin resistance was assessed using the broth microdilution method and the most frequent carbapenemase-encoding genes and the <em>mcr-1</em> gene were studied. Colistin resistance rate increased from 3.76% to 23.74% during the study period. The <em>mcr-1</em> gene was not identified in any of the isolates studied and <em>Klebsiella pneumoniae</em> <em>bla</em><sub>KPC</sub> was the most prevalent microorganism (n<!--> <!-->=<!--> <!-->322; 89.20%). In conclusion, colistin resistance increased in CPE in Ecuador and was not mediated by the <em>mcr-1</em> gene. Our results highlight the need to closely monitor national politics on antimicrobial resistance under the One Health Approach.</div></div>","PeriodicalId":21163,"journal":{"name":"Revista Argentina de microbiologia","volume":"57 1","pages":"Pages 33-38"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143060490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Low-cost antiseptic-impregnated tracheostomy tube for the prevention of ventilator-associated pneumonia caused by multidrug-resistant bacteria: In vitro and pilot study in humans 用于预防耐多药细菌引起的呼吸机相关肺炎的低成本消毒浸渍气管造口管:体外和人体试验研究。
IF 1.8 4区 生物学 Q4 MICROBIOLOGY Pub Date : 2024-10-01 DOI: 10.1016/j.ram.2024.05.004
Juliano Gasparetto , Leandro Bressianini Jurkonis , Leticia Ramos Dantas , Paula Hansen Suss , Felipe Francisco Tuon
Ventilator-associated pneumonia (VAP) is one of the most common causes of nosocomial infections. The aim of this study was to evaluate the antimicrobial and anti-biofilm activity of an in-house low-cost tracheostomy tube impregnated with chlorhexidine and violet crystal. The impregnated tracheostomy tubes demonstrated antimicrobial activity, including for multidrug-resistant bacteria. Fourteen patients were evaluated. During ventilation, VAP occurred in one patient in the coated group and in three patients in the control group (p = 0.28). A reduction of biofilm cells was observed. This study provides preliminary evidence to support that the antiseptic impregnation of a tracheostomy tube provides significant antimicrobial activity.
呼吸机相关肺炎(VAP)是最常见的院内感染病因之一。本研究旨在评估用洗必泰和紫晶体浸渍的内部低成本气管造口管的抗菌和抗生物膜活性。浸渍过的气管造口管具有抗菌活性,包括对耐多药细菌的抗菌活性。对 14 名患者进行了评估。在通气过程中,涂层组有一名患者出现 VAP,对照组有三名患者出现 VAP(P=0.28)。观察到生物膜细胞有所减少。这项研究提供了初步证据,证明对气管造口管进行防腐浸渍具有显著的抗菌活性。
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引用次数: 0
The potential use of arginine kinase from the brown tick Rhipicephalus sanguineus as a biomarker for vector exposure in the surveillance of Rocky Mountain spotted fever 将棕色蜱 Rhipicephalus sanguineus 的精氨酸激酶用作监测落基山斑疹热的病媒接触生物标志物的可能性。
IF 1.8 4区 生物学 Q4 MICROBIOLOGY Pub Date : 2024-10-01 DOI: 10.1016/j.ram.2024.08.001
Ana C. Gomez-Yanes , Karina D. Garcia-Orozco , Veronica Vazquez-Villarce , Elena N. Moreno-Cordova , Veronica Mata-Haro , Marcia Leyva-Gastelum , Adan Valenzuela-Castillo , Alonso A. Lopez-Zavala , Ana M. Calderon de la Barca , Jesus G. Valenzuela , Rogerio R. Sotelo-Mundo
The brown dog tick (Rhipicephalus sanguineus) is the vector of Rickettsia rickettsii, the causative agent of Rocky Mountain spotted fever (RMSF) in Northern Mexico and Southwestern United States. The immune response to a tick protein in the sera of humans or animals may reveal the zones with a high propensity to acquire RMSF, and vector control strategies may be focused on these zones. Arginine kinase (AK) is a highly antigenic invertebrate protein that may serve as a marker for tick exposure. We used R. sanguineus recombinant AK in an indirect ELISA assay with RMSF-positive patient sera. The response to AK was significantly higher against the sera of RMSF patients than the control sera from healthy participants without contact with dogs. To validate the antigenicity of tick AK, we mutated one predicted conformational epitope to alanine residues, which reduced the recognition by RMSF patients’ immunoglobulins. This preliminary result opens a perspective towards the development of a complimentary technique based on RsAK as an antigen biomarker for vector serological surveillance for Rickettsia RMSF prevention.
棕狗蜱(Rhipicephalus sanguineus)是落基山斑疹热(RMSF)病原体立克次体在墨西哥北部和美国西南部的传播媒介。人或动物血清中对蜱蛋白的免疫反应可能会揭示洛矶山斑疹热的高发区,病媒控制策略可能会侧重于这些区域。精氨酸激酶(AK)是一种高抗原性的无脊椎动物蛋白,可作为蜱接触的标记物。我们使用 R. sanguineus 重组 AK 与 RMSF 阳性患者血清进行间接 ELISA 检测。RMSF 患者血清对 AK 的反应明显高于未接触过狗的健康参与者的对照血清。为了验证蜱虫 AK 的抗原性,我们将一个预测的构象表位突变为丙氨酸残基,从而降低了 RMSF 患者免疫球蛋白的识别率。这一初步结果为开发基于RsAK的辅助技术开辟了前景,RsAK是一种抗原生物标记物,可用于预防立克次体RMSF的病媒血清学监测。
{"title":"The potential use of arginine kinase from the brown tick Rhipicephalus sanguineus as a biomarker for vector exposure in the surveillance of Rocky Mountain spotted fever","authors":"Ana C. Gomez-Yanes ,&nbsp;Karina D. Garcia-Orozco ,&nbsp;Veronica Vazquez-Villarce ,&nbsp;Elena N. Moreno-Cordova ,&nbsp;Veronica Mata-Haro ,&nbsp;Marcia Leyva-Gastelum ,&nbsp;Adan Valenzuela-Castillo ,&nbsp;Alonso A. Lopez-Zavala ,&nbsp;Ana M. Calderon de la Barca ,&nbsp;Jesus G. Valenzuela ,&nbsp;Rogerio R. Sotelo-Mundo","doi":"10.1016/j.ram.2024.08.001","DOIUrl":"10.1016/j.ram.2024.08.001","url":null,"abstract":"<div><div>The brown dog tick (<em>Rhipicephalus sanguineus</em>) is the vector of <em>Rickettsia rickettsii</em>, the causative agent of Rocky Mountain spotted fever (RMSF) in Northern Mexico and Southwestern United States. The immune response to a tick protein in the sera of humans or animals may reveal the zones with a high propensity to acquire RMSF, and vector control strategies may be focused on these zones. Arginine kinase (AK) is a highly antigenic invertebrate protein that may serve as a marker for tick exposure. We used <em>R. sanguineus</em> recombinant AK in an indirect ELISA assay with RMSF-positive patient sera. The response to AK was significantly higher against the sera of RMSF patients than the control sera from healthy participants without contact with dogs. To validate the antigenicity of tick AK, we mutated one predicted conformational epitope to alanine residues, which reduced the recognition by RMSF patients’ immunoglobulins. This preliminary result opens a perspective towards the development of a complimentary technique based on <em>Rs</em>AK as an antigen biomarker for vector serological surveillance for <em>Rickettsia</em> RMSF prevention.</div></div>","PeriodicalId":21163,"journal":{"name":"Revista Argentina de microbiologia","volume":"56 4","pages":"Pages 364-367"},"PeriodicalIF":1.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142366385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mycobacterium tuberculosis Beijing in the State of Nuevo Leon, Mexico 墨西哥新莱昂州的北京结核分枝杆菌。
IF 1.8 4区 生物学 Q4 MICROBIOLOGY Pub Date : 2024-10-01 DOI: 10.1016/j.ram.2023.12.007
Nohemí Catana-Botello , Pola Becerril-Montes , Jorge Castro-Garza , Francisco González-Salazar , Horacio Almanza-Reyes , María De Los Ángeles Del Bosque-Moncayo , Alejandro Morales-Vargas , Víctor Manuel Velázquez-Moreno
Tuberculosis remains a serious threat to human health as an infectious disease in Mexico. Data about the genotypes of circulating Mycobacterium tuberculosis isolates (MTB) in the State of Nuevo Leon, Mexico are scarce. We aimed to determine the genotypes of circulating MTB belonging to the Beijing lineage recovered from patients in the State of Nuevo Leon, Mexico. A total of 406 MTB isolates from this state were genotyped using the spoligotyping method and 18-locus MIRU-VNTR. Lineage classification and MTB transmission analysis were performed. Based on the spoligotyping analysis, we found 24 strains belonging to the Beijing genotype that were characterized phylogenetically. The MIRUs showed greater discriminatory power than the standard RFLP-IS6110 method; therefore, the greatest allelic diversity among the Beijing strains was observed with MIRU10, MIRU31, MIRU39, MRU40, and MIRU 26. MVLA analysis showed a profile variation between Beijing and non-Beijing strains. The minimum spanning tree (MST) showed that 79% (19) of the strains are related. All Beijing strains exhibited the deletion of region TbD1, which is a characteristic of modern strains. The application of spoligotyping and MIRU-VNTR-18 methods together proved to be more sensitive, discriminatory, and rapid than the standard method for the epidemiological analysis of Mycobacterium Beijing isolates. This study is one of the first to describe the genomic diversity of M. Beijing in the State of Nuevo Leon, Mexico.
在墨西哥,结核病作为一种传染病仍然严重威胁着人类健康。有关墨西哥新莱昂州循环结核分枝杆菌(MTB)分离株基因型的数据很少。我们的目的是确定从墨西哥新莱昂州患者身上分离出的属于北京系的循环性 MTB 的基因型。我们使用spoligotyping方法和18-locus MIRU-VNTR对来自该州的406株MTB分离株进行了基因分型。进行了菌系分类和 MTB 传播分析。根据spoligotyping分析,我们发现了属于北京基因型的24株菌株,并对其进行了系统发育鉴定。与标准的 RFLP-IS6110 方法相比,MIRUs 显示出更强的分辨能力;因此,在北京菌株中,MIRU10、MIRU31、MIRU39、MRU40 和 MIRU26 的等位基因多样性最大。MVLA 分析表明,北京菌株与非北京菌株之间存在剖面差异。最小生成树(MST)显示,79% 的菌株(19 株)具有亲缘关系。所有北京菌株都表现出 TbD1 区的缺失,这是现代菌株的特征。事实证明,在对北京分枝杆菌分离株进行流行病学分析时,联合应用spoligotyping和MIRU-VNTR-18方法比标准方法更灵敏、更有鉴别力、更快速。这项研究是首次描述墨西哥新莱昂州北京分枝杆菌基因组多样性的研究之一。
{"title":"Mycobacterium tuberculosis Beijing in the State of Nuevo Leon, Mexico","authors":"Nohemí Catana-Botello ,&nbsp;Pola Becerril-Montes ,&nbsp;Jorge Castro-Garza ,&nbsp;Francisco González-Salazar ,&nbsp;Horacio Almanza-Reyes ,&nbsp;María De Los Ángeles Del Bosque-Moncayo ,&nbsp;Alejandro Morales-Vargas ,&nbsp;Víctor Manuel Velázquez-Moreno","doi":"10.1016/j.ram.2023.12.007","DOIUrl":"10.1016/j.ram.2023.12.007","url":null,"abstract":"<div><div>Tuberculosis remains a serious threat to human health as an infectious disease in Mexico. Data about the genotypes of circulating <em>Mycobacterium tuberculosis</em> isolates (MTB) in the State of Nuevo Leon, Mexico are scarce. We aimed to determine the genotypes of circulating MTB belonging to the Beijing lineage recovered from patients in the State of Nuevo Leon, Mexico. A total of 406 MTB isolates from this state were genotyped using the spoligotyping method and 18-locus MIRU-VNTR. Lineage classification and MTB transmission analysis were performed. Based on the spoligotyping analysis, we found 24 strains belonging to the Beijing genotype that were characterized phylogenetically. The MIRUs showed greater discriminatory power than the standard RFLP-IS6110 method; therefore, the greatest allelic diversity among the Beijing strains was observed with MIRU10, MIRU31, MIRU39, MRU40, and MIRU 26. MVLA analysis showed a profile variation between Beijing and non-Beijing strains. The minimum spanning tree (MST) showed that 79% (19) of the strains are related. All Beijing strains exhibited the deletion of region TbD1, which is a characteristic of modern strains. The application of spoligotyping and MIRU-VNTR-18 methods together proved to be more sensitive, discriminatory, and rapid than the standard method for the epidemiological analysis of <em>Mycobacterium Beijing</em> isolates. This study is one of the first to describe the genomic diversity of <em>M. Beijing</em> in the State of Nuevo Leon, Mexico.</div></div>","PeriodicalId":21163,"journal":{"name":"Revista Argentina de microbiologia","volume":"56 4","pages":"Pages 380-389"},"PeriodicalIF":1.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141470562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Revista Argentina de microbiologia
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