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Diagnosis of filariasis: A case report of a reemerging neglected tropical disease 丝虫病的诊断:一种重新出现的被忽视热带疾病的病例报告
Pub Date : 2024-05-13 DOI: 10.51585/gjm.2024.1.0031
Filariasis is a neglected tropical disease (NTD) of humans caused by the helminthic filarial species Wuchereria (W.) bancrofti, Brugia (B.) timori, and B. malayi. Diverse species of mosquitoes transmit the microfilariae of these worms to cause filaria infection, with the disease presenting classical clinical manifestations such as lymphedema, adenolymphangitis, and hydrocele, which result in permanent disfigurement and psychosocial and economic stigmatization. These sequelae necessitate the need for proper identification and characterization of the etiological agent for therapy and prevention. In this study, we report a case of unilateral lymphedema in a 28-year-old gateman/farmer from the Sabon Gari Local Government Area of Kaduna State, Northern Nigeria. Microscopy of the patient’s blood sample demonstrated the presence of microfilariae, leading to PCR characterization to be W. bancrofti. Upon diagnosis, the patient was treated with tablets of doxycycline 200 mg daily and albendazole 200 mg bid for six weeks, followed by a single dose of ivermectin 150 mg/kg (15 mg) at the 4th week of initiating treatment. This treatment regimen was complemented by a combination of bed rest, use of compression bandage, and limb elevation at night, resulting in remarkable improvement of the patient’s health after six weeks. In conclusion, lymphatic filariasis diagnosis was microscopically confirmed by the demonstration of microfilaria in the blood film obtained at night, leading to molecular characterization by PCR to be W. bancrofti. This is a workup for treating filarial infections in patients with unilateral leg swelling and a history of living in or traveling to endemic areas. This should also be a wake-up call to policymakers and practitioners regarding the possible recrudescence of filariasis in Nigeria.
丝虫病是一种被忽视的热带疾病,由盘尾丝虫(W. bancrofti)、蒂莫里丝虫(B. timori)和马来丝虫(B. malayi)引起。不同种类的蚊子传播这些蠕虫的微丝蚴,导致丝虫感染,这种疾病会出现典型的临床表现,如淋巴水肿、腺淋巴管炎和鞘膜积液,导致永久性毁容以及社会心理和经济上的耻辱。鉴于这些后遗症,有必要对病原体进行适当的鉴定和定性,以便进行治疗和预防。在本研究中,我们报告了一例来自尼日利亚北部卡杜纳州萨本加里地方政府区的 28 岁门卫/农民的单侧淋巴水肿病例。患者血液样本的显微镜检查显示存在微丝蚴,经 PCR 鉴定为班克罗夫蒂丝蚴。确诊后,患者接受了为期六周的治疗,每天服用 200 毫克多西环素片剂和 200 毫克阿苯达唑,并在开始治疗的第 4 周服用单剂量伊维菌素 150 毫克/千克(15 毫克)。该治疗方案辅以卧床休息、使用加压绷带和夜间抬高肢体等综合措施,六周后患者的健康状况得到显著改善。总之,淋巴丝虫病的诊断是通过夜间采集的血片中的微丝蚴进行显微镜确诊的,并通过 PCR 进行分子鉴定,确定为班氏丝虫。这是对单侧腿部肿胀、有在流行地区生活或旅行史的患者进行丝虫感染治疗的一项工作。这也为决策者和从业人员敲响了警钟,警惕丝虫病可能在尼日利亚再次流行。
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引用次数: 0
Investigation of SARS-CoV-2 infection in domesticated animals from COVID-19 affected households in Bangladesh 孟加拉国受 COVID-19 影响家庭的驯养动物感染 SARS-CoV-2 的调查
Pub Date : 2024-05-13 DOI: 10.51585/gjm.2024.1.0032
The emergence and rapid global spread of the novel coronavirus disease (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has sparked significant interest in understanding its zoonotic origins. This study aims to investigate animal and environmental samples in Bangladesh to identify the zoonotic source and reverse zoonosis of SARS-CoV-2. This research adopted a comprehensive approach to gather and analyze samples from various animal species, including cattle, sheep, goats, cats, and dogs that are peridomestic in nature or remain in close contact, ensuring biosafety and avoiding cross-contamination. SARS-CoV-2 or related coronaviruses were identified using immunological detection and real-time reverse transcription-polymerase chain reaction (RT-qPCR). A total of 1028 samples from different regions of Bangladesh were collected from cattle (552), sheep (135), goats (112), cats (118), and dogs (111), of which 465 were rectal, 363 nasal swabs, and 200 blood samples. The samples were collected from those areas where there were human records of COVID-19 during July 2021- December 2022. The blood samples were collected and immediately used for antibody screening. No positive samples were found in both antibody test screens and RT-qPCR in fecal and nasal swab samples. The study indicated no COVID-19 infection was found in domestic animals and pets despite staying in close contact with COVID-19 patients or households, suggesting a limited risk of transmission from these animals to humans within the studied context. It's possible that domestic animals are not significantly involved in the COVID-19 epidemic in natural environment exposure conditions.
由严重急性呼吸系统综合征冠状病毒 2(SARS-CoV-2)引起的新型冠状病毒病(COVID-19)的出现和在全球范围内的迅速传播引发了人们对了解其人畜共患病起源的极大兴趣。本研究旨在对孟加拉国的动物和环境样本进行调查,以确定 SARS-CoV-2 的人畜共患病源和逆向人畜共患病。本研究采用综合方法收集和分析不同动物物种的样本,包括牛、绵羊、山羊、猫和狗等家畜周围或密切接触的动物,确保生物安全,避免交叉感染。采用免疫学检测和实时反转录聚合酶链反应(RT-qPCR)方法鉴定 SARS-CoV-2 或相关冠状病毒。从孟加拉国不同地区共采集了 1028 份样本,分别来自牛(552 份)、绵羊(135 份)、山羊(112 份)、猫(118 份)和狗(111 份),其中 465 份为直肠样本,363 份为鼻拭子样本,200 份为血液样本。这些样本是从 2021 年 7 月至 2022 年 12 月期间有人感染 COVID-19 的地区采集的。血液样本采集后立即用于抗体筛查。粪便和鼻拭子样本的抗体检测筛查和 RT-qPCR 均未发现阳性样本。研究表明,尽管家养动物和宠物与 COVID-19 患者或家庭有密切接触,但并未发现它们感染 COVID-19,这表明在研究范围内这些动物传染给人类的风险有限。在自然环境接触条件下,家畜可能与 COVID-19 的流行关系不大。
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引用次数: 0
Arum Palaestinum-derived extracellular vesicles as antibacterial agents against ESKAPE pathogens 源自马钱子的细胞外囊泡作为 ESKAPE 病原体的抗菌剂
Pub Date : 2024-04-12 DOI: 10.51585/gjm.2024.3.0027
Plant phytosomes are tiny extracellular vesicles (EVs) that transport various molecules, facilitating communication both within and between cells. They can be found in different parts of plants and contain mir-RNA, m-RNA, DNA, lipids, proteins, and metabolites. These vesicles may play a critical role in plant immune response to microbial infections. EVs exert several biological activities, including anti-inflammatory, antioxidant, antiobesity, and anticancer effects. Recently, EVs have been used as a vehicle for drug delivery. Our recent preliminary data has identified antimicrobial effects of Oleaceae-derived EVs against multidrug-resistant bacteria such as Staphylococcus aureus, Enterococcus faecalis, and Klebsiella pneumoniae. This letter seeks scientists interested in studying the antimicrobial effects of EVs or their use in drug delivery using natural products against multi-drug resistance.
植物体是一种微小的细胞外囊泡 (EV),可运输各种分子,促进细胞内和细胞间的交流。它们存在于植物的不同部位,含有 mir-RNA、m-RNA、DNA、脂质、蛋白质和代谢物。这些囊泡可能在植物对微生物感染的免疫反应中发挥关键作用。EVs 具有多种生物活性,包括抗炎、抗氧化、抗肥胖和抗癌作用。最近,EVs 被用作药物输送的载体。我们最近的初步数据表明,油菜提取的 EVs 对金黄色葡萄球菌、粪肠球菌和肺炎克雷伯菌等耐多药细菌具有抗菌作用。本信征集有兴趣研究 EVs 抗菌效果或利用天然产品进行药物输送以对抗多重耐药菌的科学家。
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引用次数: 0
Brucellosis: Why is it eradicated from domestic livestock in the United States but not in the Nile River Basin countries? 布鲁氏菌病:为什么在美国家畜中消灭了布鲁氏菌病,而在尼罗河流域国家却没有?
Pub Date : 2023-11-01 DOI: 10.51585/gjm.2023.2.0026
Ahmed F. Hikal, G. Wareth, Ashraf Khan
Brucellosis is one of the most highly infectious zoonotic diseases worldwide and has substantial health and economic impact. Strenuous efforts are essential to combat and prevent this disease from the one-health perspective. Brucellosis is successfully eradicated from domestic animals in the United States, but control strategies continue to eradicate it from wildlife in the Greater Yellowstone Area (GYA). Brucellosis in the Nile River Basin countries (Egypt, Sudan, Ethiopia, and Tanzania) is highly prevalent and endemic. There are several factors behind the failure of eradication of Brucella in these countries. The lack of cooperation between policymakers, health officials, veterinary sectors, and farmers is the key reason that impedes the control and prevention strategies in brucellosis-endemic countries. This review will focus on the epidemiology, prevention, and control strategies of Brucella abortus and Brucella melitensis in the United States and the Nile Basin countries (Egypt, Sudan, Ethiopia, and Tanzania).
布鲁氏菌病是全球传染性最强的人畜共患病之一,对健康和经济都有重大影响。从整体健康的角度来看,必须付出艰苦的努力来防治这种疾病。在美国,布鲁氏菌病已成功地从家畜中根除,但在大黄石地区(GYA),控制策略仍在继续,以便从野生动物中根除这种疾病。布鲁氏菌病在尼罗河流域国家(埃及、苏丹、埃塞俄比亚和坦桑尼亚)高度流行并呈地方性。这些国家未能根除布鲁氏菌病的背后有几个因素。政策制定者、卫生官员、兽医部门和农民之间缺乏合作是阻碍布鲁氏菌病流行国家实施控制和预防战略的关键原因。本综述将重点介绍美国和尼罗河流域国家(埃及、苏丹、埃塞俄比亚和坦桑尼亚)流产布鲁氏菌和梅里塔尼亚布鲁氏菌的流行病学、预防和控制策略。
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引用次数: 0
Multiplex PCR detection of antibiotic resistance and virulence genes in multidrug-resistant Staphylococcus aureus isolated from chickens, humans, rodents, and soil in Northern Tanzania 坦桑尼亚北部鸡、人、啮齿动物和土壤中分离的多重耐药金黄色葡萄球菌抗生素耐药性和毒力基因的多重PCR检测
Pub Date : 2023-09-01 DOI: 10.51585/gjm.2023.2.0024
V. S. Sonola, A. Katakweba, Gerald Misinzo, M. I. Matee
Staphylococcus aureus (S. aureus) is a zoonotic pathogen with public health and veterinary importance. We investigated the presence of antibiotic resistance genes (ARGs) and virulence genes (VGs) in 57 multidrug-resistant (MDR) S. aureus isolated from humans (n=17), chickens (n=14), rodents (n=13), and soil (n=13) using multiplex PCR. Overall, the distribution of ARGs revealed that the tetK was found in 18/57 (31.6%), mecA in 16/57 (28.1%), tetL in 5/57 (8.9%), and ermC in 1/57 (1.8%), while ermA and tetM were not detected. For VGs, the clfB was found in 6/57 (10.5 %), coa in 8/57 (14.0%), clfA in 3/57 (5.3%), hlg in 1/57 (1.8%), ebpS in 2/57 (3.5%), fnbB in 2/57 (3.5%), luk-PV in 6/57 (10.5%) and tst in 1/57 (1.8%). Resistance genes (tetK and mecA) and virulence determinants (clfB, coa, and luk-PV) were common in all sample sources, while tst, hlg, and fnbB were specific to human, chicken, and rodent isolates, respectively. Erythromycin phenotypic resistance results correlated with the presence of ermC (r=0.42), tetL (r=0.98), and mecA (r=0.51), while tetracycline resistance correlated with tetL (r=1.00) and mecA (r=0.57) genes and methicillin resistance correlated with mecA (r=0.55) and tetL (r=0.98) genes. Positive correlations were noted between ARG (ermC) and VGs; clfA (r=0.57), hlg (r=1.00), and clfB (r=0.43), and between tetK and clfB (r=0.39); tetK and coa (r=0.36) genes. Principal component analysis (PCA) shows that tetL, ermC, and mecA contributed to tetracycline, erythromycin, and methicillin resistance, respectively. The widespread presence of resistance and virulence genes, often in combination, among MDR S. aureus in isolates from humans, chicken, rodents, and soil samples require comprehensive One-Health interventions.
金黄色葡萄球菌(金黄色葡萄球菌)是一种具有公共卫生和兽医重要性的人畜共患病原体。采用多重聚合酶链反应(multiple - PCR)技术,对从人(n=17)、鸡(n=14)、啮齿动物(n=13)和土壤(n=13)分离的57株多重耐药(MDR)金黄色葡萄球菌进行了抗生素耐药基因(ARGs)和毒力基因(VGs)检测。总体而言,ARGs分布显示,tetK在18/57 (31.6%),mecA在16/57 (28.1%),tetL在5/57 (8.9%),ermC在1/57(1.8%),而ermA和tetM未检出。对于VGs, clfB在6/57 (10.5%),coa在8/57 (14.0%),clfA在3/57 (5.3%),hlg在1/57 (1.8%),ebpS在2/57 (3.5%),fnbB在2/57 (3.5%),luk-PV在6/57 (10.5%),tst在1/57(1.8%)。耐药基因(tetK和mecA)和毒力决定因素(clfB、coa和luk-PV)在所有样本来源中都是常见的,而test、hlg和fnbB分别是人类、鸡和啮齿动物分离株所特有的。红霉素表型耐药结果与ermC (r=0.42)、tetL (r=0.98)和mecA (r=0.51)相关,四环素耐药与tetL (r=1.00)和mecA (r=0.57)基因相关,甲氧西林耐药与mecA (r=0.55)和tetL (r=0.98)基因相关。ARG (ermC)与VGs呈正相关;clfA (r=0.57)、hlg (r=1.00)和clfB (r=0.43), tetK和clfB之间(r=0.39);tetK和coa基因(r=0.36)。主成分分析(PCA)表明,tetL、ermC和mecA分别对四环素、红霉素和甲氧西林耐药起作用。从人、鸡、啮齿动物和土壤样本分离的耐多药金黄色葡萄球菌中广泛存在耐药性和毒力基因(通常是组合存在),需要全面的“一种健康”干预措施。
{"title":"Multiplex PCR detection of antibiotic resistance and virulence genes in multidrug-resistant Staphylococcus aureus isolated from chickens, humans, rodents, and soil in Northern Tanzania","authors":"V. S. Sonola, A. Katakweba, Gerald Misinzo, M. I. Matee","doi":"10.51585/gjm.2023.2.0024","DOIUrl":"https://doi.org/10.51585/gjm.2023.2.0024","url":null,"abstract":"Staphylococcus aureus (S. aureus) is a zoonotic pathogen with public health and veterinary importance. We investigated the presence of antibiotic resistance genes (ARGs) and virulence genes (VGs) in 57 multidrug-resistant (MDR) S. aureus isolated from humans (n=17), chickens (n=14), rodents (n=13), and soil (n=13) using multiplex PCR. Overall, the distribution of ARGs revealed that the tetK was found in 18/57 (31.6%), mecA in 16/57 (28.1%), tetL in 5/57 (8.9%), and ermC in 1/57 (1.8%), while ermA and tetM were not detected. For VGs, the clfB was found in 6/57 (10.5 %), coa in 8/57 (14.0%), clfA in 3/57 (5.3%), hlg in 1/57 (1.8%), ebpS in 2/57 (3.5%), fnbB in 2/57 (3.5%), luk-PV in 6/57 (10.5%) and tst in 1/57 (1.8%). Resistance genes (tetK and mecA) and virulence determinants (clfB, coa, and luk-PV) were common in all sample sources, while tst, hlg, and fnbB were specific to human, chicken, and rodent isolates, respectively. Erythromycin phenotypic resistance results correlated with the presence of ermC (r=0.42), tetL (r=0.98), and mecA (r=0.51), while tetracycline resistance correlated with tetL (r=1.00) and mecA (r=0.57) genes and methicillin resistance correlated with mecA (r=0.55) and tetL (r=0.98) genes. Positive correlations were noted between ARG (ermC) and VGs; clfA (r=0.57), hlg (r=1.00), and clfB (r=0.43), and between tetK and clfB (r=0.39); tetK and coa (r=0.36) genes. Principal component analysis (PCA) shows that tetL, ermC, and mecA contributed to tetracycline, erythromycin, and methicillin resistance, respectively. The widespread presence of resistance and virulence genes, often in combination, among MDR S. aureus in isolates from humans, chicken, rodents, and soil samples require comprehensive One-Health interventions.","PeriodicalId":222095,"journal":{"name":"German Journal of Microbiology","volume":"103 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131649015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Antimicrobial susceptibility patterns and molecular phylogenetics of Proteus mirabilis isolated from domestic rats: An environmental driver to antimicrobial resistance in public health in Arusha Tanzania 从家鼠分离的奇异变形杆菌的抗菌素敏感性模式和分子系统发育:坦桑尼亚阿鲁沙公共卫生中抗菌素耐药性的环境驱动因素
Pub Date : 2023-07-01 DOI: 10.51585/gjm.2023.1.0022
F. P. Ndakidemi, M. E. Baravuga, A. Mzula, A. Katakweba
Proteus mirabilis (P. mirabilis) is a bacterial pathogen contributing to opportunistic infections, nosocomial outbreaks, and mostly hematogenous ascending urinary tract infections. It has repeatedly been found in rats. Due to rat-human interaction, rats are likely responsible for spreading these bacteria and their antimicrobial-resistant. This study was performed to genetically characterize and assess antimicrobial susceptibility patterns of P. mirabilis isolated from rats cohabiting with humans in Arusha municipality, Tanzania. A total of 139 rats were trapped from March to May 2021 and identified at the species level using morphological and morphometric features. Deep-intestinal swabs were obtained and pre-enriched in buffered peptone water. P. mirabilis was isolated by conventional culture and biochemical methods and confirmed by 16S rRNA polymerase chain reaction and sequencing. Phylogenetics was used to assess the similarities of the isolates. Antimicrobial susceptibility test was done by disk diffusion method using seven antibiotics, including tetracycline, ciprofloxacin, gentamicin, cefotaxime, trimethoprim-sulfamethoxazole, azithromycin, and ampicillin. Resistance genes blaTEM, tetA, tetB, mphA, blaSHV, blaCTX-M, sul1, and sul2 were traced in each isolate using PCR. Mixed rat species, Rattus rattus (55.4%), Mus musculus (15.8%), and Mastomys natalensis (28.8%), were captured. P. mirabilis was isolated from four (2.9%) Rattus rattus samples. By PCR and sequencing, all were confirmed as P. mirabilis and 100% similar to strains from GenBank. Three isolates showed multidrug resistance (MDR) against trimethoprim-sulfamethoxazole, azithromycin, and ampicillin, while all isolates were resistant to azithromycin and ampicillin, and susceptible to ciprofloxacin, gentamicin, and cefotaxime. Three were resistance to trimethoprim-sulfamethoxazole and intermediate to tetracycline. PCR analysis detected tetA, blaTEM, sul1, and sul2 resistance genes. Constructed phylogenetic tree showed that all isolates from this study were closely related to isolates from Tunisia. The study has discovered the first P. mirabilis isolates from rats in Tanzania with antimicrobial resistance traits that could be of public health concern.
奇异变形杆菌(P. mirabilis)是一种细菌性病原体,可导致机会性感染、院内暴发和大多数血行性升尿路感染。在老鼠身上多次发现。由于老鼠与人类的相互作用,老鼠可能负责传播这些细菌及其抗菌素耐药性。本研究对从坦桑尼亚阿鲁沙市与人类同居的大鼠中分离的奇异假单胞菌进行了遗传表征和抗菌药敏模式评估。2021年3月至5月,共捕获大鼠139只,利用形态学和形态计量学特征在物种水平上进行鉴定。取深肠拭子,用缓冲蛋白胨水预先富集。采用常规培养和生化方法分离得到奇异假单胞菌,经16S rRNA聚合酶链反应和测序证实。采用系统发育学方法对分离株进行相似性分析。采用纸片扩散法对四环素、环丙沙星、庆大霉素、头孢噻肟、甲氧苄啶-磺胺甲恶唑、阿奇霉素、氨苄西林等7种抗生素进行药敏试验。利用PCR方法对每个分离株的抗性基因blaTEM、tetA、tetB、mphA、blaSHV、blaCTX-M、sul1和sul2进行了定位。捕获鼠种为家鼠(55.4%)、小家鼠(15.8%)和白腹鼠(28.8%)。从4份(2.9%)家鼠样本中分离到奇异假单胞菌。经PCR和测序证实,所有菌株均为奇异假单胞菌,与GenBank中的菌株100%相似。3株分离株对甲氧苄啶-磺胺甲恶唑、阿奇霉素和氨苄西林多重耐药,对阿奇霉素和氨苄西林均耐药,对环丙沙星、庆大霉素和头孢噻肟敏感。3例为甲氧苄啶-磺胺甲恶唑耐药和四环素中级耐药。PCR检测到tetA、blaTEM、sul1和sul2耐药基因。构建的系统发育树显示,所有分离株均与突尼斯分离株亲缘关系密切。这项研究已经从坦桑尼亚的大鼠身上发现了第一个具有抗菌素耐药性特征的奇异疟原虫,这可能会引起公共卫生问题。
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引用次数: 0
Anthrax in Pakistan 巴基斯坦的炭疽热
Pub Date : 2023-05-01 DOI: 10.51585/gjm.2023.1.0021
Shahzad Ali, Mohammad Ejaz
Anthrax is a highly fatal zoonotic disease caused by a Gram-positive and spore-forming bacterium, Bacillus anthracis. The epidemiological situation of anthrax is unstable worldwide, and outbreaks have been reported in all the continents and commonly cause high mortality in domestic and wild herbivores as well as several mammals and bird species. The disease is endemic in Pakistan, and outbreaks were reported in domestic animals and wildlife species in limited zones. Sporadic cases also reemerged infrequently in some areas, and anthrax became a public health concern in Pakistan. Bacillus anthracis has been isolated from soil samples in different localities of Pakistan, and the risk of the emergence of anthrax is increased after flooding that has occurred recently. Therefore, this review aims to provide an update on the current trends and incidence of anthrax in Pakistan to increase awareness and will be useful for stakeholders and healthcare providers to suspect and manage anthrax.
炭疽是一种高度致命的人畜共患疾病,由革兰氏阳性芽孢杆菌引起。炭疽的流行病学情况在世界范围内不稳定,各大洲都报告了疫情,通常在家养和野生食草动物以及几种哺乳动物和鸟类中造成高死亡率。该病在巴基斯坦流行,据报告在有限地区的家畜和野生动物中暴发疫情。零星病例也在一些地区罕见地重新出现,炭疽成为巴基斯坦的一个公共卫生问题。已经从巴基斯坦不同地区的土壤样本中分离出炭疽杆菌,并且在最近发生的洪水之后,炭疽杆菌出现的风险增加了。因此,本综述旨在提供巴基斯坦目前炭疽趋势和发病率的最新情况,以提高认识,并将有助于利益攸关方和卫生保健提供者怀疑和管理炭疽。
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引用次数: 2
Urinary tract infection in urolithiasis: Antimicrobial resistance and clinico-microbiological association between risk factors and positive stone culture from a tertiary care hospital in south India 尿石症的尿路感染:抗微生物药物耐药性和临床微生物学风险因素与印度南部三级医院阳性结石培养之间的关联
Pub Date : 2023-03-01 DOI: 10.51585/gjm.2023.1.0020
Shanmugam Kaliappan, L. Vajravelu, T. Ravinder, R. Katragadda, A. Jayachandran
Urinary tract infections and urolithiasis are common conditions encountered in the healthcare setup. Urinary calculi with infection can lead to recurrence. Isolation of multidrug-resistant (MDR) bacteria is rising and seriously threatens public health. In the present study, a total of 221 urinary calculi and midstream urine samples were collected and processed. Antibiotic susceptibility testing (AST) was performed for all the isolates along with the detection of drug-resistant bacteria like extended-spectrum beta-lactamase (ESBL) producers and methicillin-resistant Staphylococcus aureus (MRSA). ESBL genes, i.e., blaSHV, blaCTX-M, and blaTEM, were identified by Polymerase Chain Reaction (PCR). The significance of the association between age group, gender, risk factors, and positive stone culture was analyzed by the chi-square test. Escherichia coli was the predominant bacteria isolated from 21 (30.88%) of both the midstream urine and urolithiasis samples, followed by Klebsiella pneumoniae 13 (19.11%). High susceptibility was observed for amikacin, nitrofurantoin, and ofloxacin. ESBL-producing bacteria were identified in 25 (36.76%) isolates from urinary calculi and from 46 (39.31%) midstream urine samples. The blaSHV and blaTEM genes were detected among them. MRSA was detected in 9.09% (2 out of 7) of S. aureus isolates recovered from midstream urine samples and 9.09% (1 out of 11) of isolates recovered from urinary calculi. A significant association was observed among cases of diabetes mellitus, hypertension, obesity, and a family history of renal stones (p-value < 0.05). Isolation of MDR bacteria from the calculi is alarming and can lead to treatment failure if not treated appropriately. Performing the culture of the urinary calculi and detecting drug resistance will be of immense value for adequately treating the infection.
尿路感染和尿石症是医疗机构中常见的情况。尿路结石伴感染可导致复发。耐多药细菌的分离越来越多,严重威胁着公众健康。本研究共收集和处理了221例尿结石和中游尿样本。对所有分离株进行抗生素药敏试验(AST),并检测出广谱β -内酰胺酶(ESBL)产生菌和耐甲氧西林金黄色葡萄球菌(MRSA)等耐药菌。采用聚合酶链反应(Polymerase Chain Reaction, PCR)鉴定ESBL基因blaSHV、blaCTX-M和blaTEM。采用卡方检验分析年龄、性别、危险因素与石培养阳性之间的相关性。中游尿和尿石症标本中检出的优势菌为大肠杆菌21株(30.88%),其次为肺炎克雷伯菌13株(19.11%)。对阿米卡星、呋喃妥因和氧氟沙星有较高的敏感性。从尿路结石中分离出25株(36.76%)产esbl细菌,从中游尿液中分离出46株(39.31%)产esbl细菌。其中检测到blaSHV和blaTEM基因。从中游尿液中分离出的金黄色葡萄球菌7株中检出2株,检出9.09%;从尿路结石中分离出的金黄色葡萄球菌11株中检出1株,检出MRSA。糖尿病、高血压、肥胖和肾结石家族史之间存在显著相关性(p值< 0.05)。从结石中分离出耐多药细菌是令人担忧的,如果治疗不当,可能导致治疗失败。进行尿路结石培养和检测耐药性对充分治疗感染具有重要价值。
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引用次数: 0
In-vivo characterization of multidrug-resistant Salmonella enterica Serovar Enteritidis (SE) recovered from fertile eggs and baby chicks 多药耐药肠道沙门氏菌血清型肠炎(SE)的体内鉴定
Pub Date : 2022-12-01 DOI: 10.51585/gjm.2022.3.0019
Mohamed E. Basuony, Hosni A. M. Hussien, E. Bakhiet, W. Kilany, Nermeen M. Abu‐Elala, Ahmed Ali
The present study was conducted to isolate and characterize Salmonella spp. from hatching eggs and baby chicks. Additionally, the pathogenicity of the isolated Salmonella strains was assessed in one-day-old specific pathogen-free (SPF) chicks in-vivo. Samples from sick baby chicks from 14 broiler chicken farms (including 1 duck farm) and 150 egg batches from three breeder chicken farms were collected from 4 different governorates. Phenotypically identified Salmonella isolates were confirmed using species-specific multiplex-PCR targeting the inv -A gene for Salmonella genus, E -1 gene for Salmonella Enteritidis (SE) serovar, and Flic-C gene for Salmonella Typhimurium (ST) serovar. Confirmed SE isolates were further subjected to Random Amplified Polymorphic DNA (RAPD) fingerprinting. Phenotypic, multiplex-PCR, and RAPD fingerprinting confirmed six isolates (42.9%) from broiler chicken farms and two isolates from hatching egg batches (1.33%) as SE, of which eight were multidrug-resistant (MDR) strains with 0.214-0.786 MDR indices. In-vivo pathogenicity of selected multidrug-resistant (MDR) SE isolates was evaluated in one-day-old SPF chicks. Despite minor phenotypic diversity, most SE strains were highly invasive with variable mortality (50-100%). Interestingly, the lowest MDR indices were associated with high virulence in SE strains (mortality ≥85%) and vice versa. The study results showed the presence of SE in poultry in Egypt. The uncontrolled usage of antibiotics in poultry could be the reason for the increased prevalence of MDR Salmonella spp., which may limit Salmonella control measures and threaten public health.
本研究从鸡蛋和雏鸡中分离和鉴定了沙门氏菌。此外,对分离的沙门氏菌菌株在1日龄SPF雏鸡体内的致病性进行了评估。从4个不同省份的14个肉鸡养殖场(包括1个鸭养殖场)的病雏鸡和3个种鸡场的150批鸡蛋中采集了样本。表型鉴定的沙门菌分离株分别针对沙门菌属的inv -A基因、肠炎沙门菌(SE)血清型的E -1基因和鼠伤寒沙门菌(ST)血清型的flicc基因,采用种特异性多重聚合酶链反应(pcr)技术进行表型鉴定。经证实的SE分离株进一步进行RAPD指纹图谱分析。表型分析、多重pcr和RAPD指纹图谱均证实肉鸡养殖场分离株6株(42.9%)和孵化蛋批分离株2株(1.33%)为SE,其中8株为多药耐药(MDR)菌株,MDR指数为0.214 ~ 0.786。选取多药耐药(MDR) SE分离株,在1日龄SPF雏鸡体内进行致病性评估。尽管表型多样性较小,但大多数SE菌株具有高度侵袭性,死亡率可变(50-100%)。有趣的是,最低的MDR指数与SE菌株的高毒力相关(死亡率≥85%),反之亦然。研究结果显示埃及家禽中存在SE。在家禽中不加控制地使用抗生素可能是耐多药沙门氏菌流行率上升的原因,这可能限制沙门氏菌控制措施并威胁公众健康。
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引用次数: 1
Acinetobacter baumannii from the one health perspective in Nigeria: A systematic review of literature in the last decade (2011-2021) 尼日利亚单一健康视角下的鲍曼不动杆菌:近十年(2011-2021)文献系统综述
Pub Date : 2022-10-01 DOI: 10.51585/gjm.2022.3.0018
S. Ajoseh, K. O. Akinyemi, R. Abegunrin, H. Neubauer, G. Wareth
Multidrug drug-resistant (MDR)-Acinetobacter baumannii (A. baumannii) is one of the most feared nosocomial bacterial agents worldwide, and the World Health Organization classified carbapenem-resistant strains as a priority ”1” critical pathogen. In Nigeria, the paucity of information on this pathogen makes it difficult to estimate its potential impact on public health and veterinary medicine. This systemic review was done to prepare an impact assessment for One Health based on the occurrence of A. baumannii in different environments and the antimicrobial resistance. A detailed search of articles on A. baumannii in Nigeria was conducted using search strings in the following databases: PubMed, Scopus, Google search engine, and Google scholars. This study revealed that 14 out of the 36 states in Nigeria reported A. baumannii. Specifically, 19/24 articles described isolates from clinical settings, 4/24 from the environment, and 1/24 from animal sources. A. baumannii occurrence of 9.15% (503/5496) was recorded from 8.4% (418/4950), 16.06% (80/498), and 10.42% (5/48) of samples of clinical, environmental, and animal origin by culture, respectively. The most common antibiotics to which A. baumannii was resistant were chloramphenicol, ampicillin-sulbactam, amoxicillin, amoxicillin-clavulanate, cefuroxime, ceftazidime, ceftriaxone, gentamycin, and tetracycline. Seventeen resistance determinants were described for A. baumannii isolates originating mostly from clinical sources with blaOXA-51 and blaOXA-23 gene makers frequently reported. This study demonstrates the lack of data on A. baumannii from animals. Clinical MDR- A. baumannii isolates, particularly in Intensive Care Units (ICUs), are a severe public health concern in Nigeria. Thus, findings from this review will form a baseline for future surveillance research.
多药耐药-鲍曼不动杆菌(鲍曼不动杆菌)是世界范围内最令人恐惧的医院细菌之一,世界卫生组织将碳青霉烯耐药菌株列为优先“1”级关键病原体。在尼日利亚,由于缺乏关于这种病原体的信息,因此难以估计其对公共卫生和兽医的潜在影响。本系统综述的目的是根据鲍曼不动杆菌在不同环境中的发生情况和抗菌素耐药性对One Health的影响进行评估。利用PubMed、Scopus、Google搜索引擎和Google scholars等数据库中的搜索字符串,对尼日利亚的鲍曼不动杆菌相关文章进行了详细的检索。这项研究显示,尼日利亚36个州中有14个州报告了鲍曼不动杆菌。具体来说,19/24的文章描述了来自临床环境的分离株,4/24来自环境,1/24来自动物来源。临床、环境和动物源培养样本中鲍曼不动杆菌的发生率分别为8.4%(418/4950)、16.06%(80/498)和10.42%(5/48),分别为9.15%(503/5496)、9.15%(503/5496)。鲍曼不动杆菌最常见的耐药抗生素是氯霉素、氨苄西林-舒巴坦、阿莫西林、阿莫西林-克拉维酸、头孢呋辛、头孢他啶、头孢曲松、庆大霉素和四环素。鲍曼不动杆菌的17个耐药决定因素主要来自临床来源,blaOXA-51和blaOXA-23基因制造者经常被报道。本研究表明缺乏来自动物的鲍曼不动杆菌数据。临床耐多药-鲍曼不动杆菌分离株,特别是在重症监护病房(icu),是尼日利亚一个严重的公共卫生问题。因此,本综述的发现将为今后的监测研究奠定基础。
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引用次数: 1
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German Journal of Microbiology
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