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Theoretical frameworks toward a nutraceutical approach to treating PTSD 治疗创伤后应激障碍的营养方法的理论框架
Pub Date : 2023-07-30 DOI: 10.53346/wjbpr.2023.5.1.0056
David A Dawson
This literature review examines theoretical frameworks related to applying the principles of biomolecular psychology and psychoneuroimmunology to devise a nutraceutical protocol utilizing phytochemicals for the treatment of posttraumatic stress disorder with a particular focus on modulating the endocannabinoid system through the utilization of molecules inherent in chemovars of Cannabis sativa. It provides a psychosocial overview of posttraumatic stress disorder and the historically controversial and noncontroversial nature of the biologically derived molecules that have demonstrated efficacy in addressing the effects major stressors have on the biomolecular mechanisms that cause mood disorders that manifest themselves as symptoms of PTSD.
本文献综述探讨了与应用生物分子心理学和精神神经免疫学原理相关的理论框架,以设计利用植物化学物质治疗创伤后应激障碍的营养方案,特别关注通过利用大麻化学物质固有的分子来调节内源性大麻素系统。它提供了创伤后应激障碍的社会心理概述,以及历史上有争议和无争议的生物衍生分子的性质,这些分子已经证明了在解决主要压力源对导致情绪障碍的生物分子机制的影响方面的有效性,这些机制导致情绪障碍表现为PTSD的症状。
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引用次数: 0
Bees of the Megachilidae family (Insecta: Hymenoptera) 大蜂科蜜蜂(昆虫亚目:膜翅目)
Pub Date : 2023-06-30 DOI: 10.53346/wjbpr.2023.4.2.0054
Carlos Henrique Marchiori
Bees of the Megachilidae family are solitary, they build their nests with pieces of leaves and vegetable remains or use holes in trunks. Bees of this family are found with high frequency, mainly in open areas. Frequent visitors to Asteraceae and Fabaceae flowers, the genus Megachile is the most diverse of the group. Megachilidae nests, built with pieces of plant leaves, are found inside the camera. Megachilidae bees cut the leaves of a plant to build their nests. The objective of this bibliographical production is to know the biology, ecology and taxonomic characteristics of the Megachilidae family. In terms of the type of research source, we worked with scientific articles published in national and international journals and other documents. This modality of production, in addition to being commonly the most valued in the set of bibliographic production, is the most easily accessed. Access to articles was through virtual libraries such as SciELO, ResearchGate, Hall, USP, UNB, CAPES, Qeios and LILACS.
大蜂科的蜜蜂是独居的,它们用树叶和蔬菜的残骸或用树干上的洞筑巢。这个科的蜜蜂出现频率很高,主要在开阔的地方。菊科和豆科花的常客,Megachile属是最多样化的群体。在相机内部发现了用植物叶子碎片建造的巨型甲虫巢。巨型蜜蜂割下植物的叶子来筑巢。本编目的目的是了解巨蝇科的生物学、生态学和分类特征。在研究来源的类型方面,我们使用了发表在国内和国际期刊上的科学文章和其他文件。这种生产方式,除了通常是书目生产中最受重视的,也是最容易获得的。文章可以通过虚拟图书馆访问,如SciELO、ResearchGate、Hall、USP、UNB、CAPES、Qeios和LILACS。
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引用次数: 0
Diclofenac sodium and Allopurinol induced Stevens Johnson Syndrome in pulmonary tuberculosis patients receiving intensive phase first-line antituberculosis drugs 双氯芬酸钠和别嘌呤醇在接受强化期一线抗结核药物治疗的肺结核患者中引起史蒂文斯·约翰逊综合征
Pub Date : 2023-06-30 DOI: 10.53346/wjbpr.2023.4.2.0051
Desdiani Desdiani
One of the life-threatening multi-organ emergency conditions is Stevens-Johnson Syndrome (SJS). Although this is a rare disease and manifests as drug reactions, this condition can cause death.We present a case of a 63-year-old male with Diclofenac sodium and Allopurinol induced Stevens_Johnson Syndrome in pulmonary tuberculosis patients receiving intensive phase first-line antituberculosis drugs.The patient was undergoing outpatient TB treatment at the end of the first month. The patient comes to the emergency department of the hospital because of shortness of breath, fever, blistered skin, nasal and oral mucosa, cracks and wounds, visible pus, red eyes accompanied by erythematous rash all over the body after previously taking diclofenac sodium and allopurinol given by the doctor because felt joint pain all over body and uric acid increased. On physical examination of the lungs, crackles and wheezing were heard in both lung fields. The chest radiograph shows infiltrates in both lung fields. Laboratory results showed leukocytosis and the results of other blood laboratory tests were still within normal limits. Patient diagnosed Stevens-Johnson Syndrome based on clinical, laboratory, and radiology examination results. The patient was given treatments using nasal canule oxygen of 5 litres/minute, intravenous fluid dehydration D5% : NaCl 0.9%, ceftriaxone injection, gentamicin injection, dexamethasone injection, cetirizine ranitidine injection, compresses with 0.9% NaCl liquid, 2.5% hydrocortisone ointment. The patient was treated in the Intensive Care Unit for 8 days. The patient had no history of previous drug allergies. In this case, the likelihood of Diclofenac sodium and Allopurinol induced Stevens_Johnson Syndrome in pulmonary tuberculosis patients receiving intensive phase first-line antituberculosis drugs, needs to be a concerned, as well as the importance of evaluation and strict follow-up to prevent Stevens Johnson Syndrome disease.
史蒂文斯-约翰逊综合征(SJS)是危及生命的多器官紧急情况之一。虽然这是一种罕见的疾病,表现为药物反应,但这种情况可能导致死亡。我们报告一例63岁男性双氯芬酸钠和别嘌呤醇引起的斯蒂文斯-约翰逊综合征肺结核患者接受强化期一线抗结核药物。患者在第一个月末接受门诊结核病治疗。患者在服用医生给的双氯芬酸钠和别嘌呤醇后,因感到全身关节疼痛,尿酸增高,呼吸急促,发热,皮肤、鼻、口腔粘膜起水泡,出现裂痕和伤口,可见脓,眼睛发红,全身出现红斑疹,来到医院急诊科就诊。肺部体格检查,双肺野均可听到噼啪声和喘息声。胸片示双肺野浸润。化验结果显示白细胞增多,其他血液化验结果仍在正常范围内。患者根据临床、实验室和放射学检查结果诊断为史蒂文斯-约翰逊综合征。患者给予鼻灌氧5升/分钟,静脉液体脱水D5%: NaCl 0.9%,头孢曲松注射液,庆大霉素注射液,地塞米松注射液,西替利嗪雷尼替丁注射液,0.9% NaCl液敷,2.5%氢化可的松软膏。患者在重症监护室治疗8天。患者既往无药物过敏史。在这种情况下,需要关注双氯芬酸钠和别嘌呤醇在接受强化期一线抗结核药物治疗的肺结核患者中诱发史蒂文斯-约翰逊综合征的可能性,以及评估和严格随访以预防史蒂文斯-约翰逊综合征的重要性。
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引用次数: 0
Clinical and imaginological characterization of synovial chondromatosis in the temporomandibular joint: A systematic review 颞下颌关节滑膜软骨瘤病的临床和影像学特征:系统回顾
Pub Date : 2023-04-30 DOI: 10.53346/wjbpr.2023.4.2.0044
Isabelly Da Mata, Castro Lima, Daniely de, Almeida Andrade, Maria Eduarda Oliveira, Luciano Ambrósio Ferreira
Introduction: Synovial Chondromatosis (SC) is a metaplastic rheumatologic condition that manifests itself in the Temporomandibular Joints (TMJs). This causes common symptoms related to Temporomandibular Disorders (TMD). Differential diagnosis is obtained through clinical and imaging evaluation. Objective: To clarify, through a systematic review, the manifestations that characterize, differentiate and relate SC in the TMJ from the point of view of clinical and imaging diagnosis. Material and methods: The PubMed database and the keywords were used: Synovial Chondromatosis, Clinical Diagnosis, Imaging Tests, TMD Patient, Healthy Patients, Signs and Symptoms. Inclusion criteria were: five years, English language, title covering the keywords and clinical and original research in humans, literature reviews and case reports. As exclusion criteria: cases that did not deal with SC in the ATM, articles that do not match the objective of the work. The characteristiSC, differences and relationships between TMD and SC were the main variables analyzed. Results: Initially, 335 articles were found, after application of filters, inclusion criteria and evaluation of abstracts, nine were selected. Five relevant publications were added. The signs and symptoms common to the alterations: localized joint pain, edema, limitation of mouth opening and joint noises. Magnetic resonance images, computed tomography and TMJ radiographs were fundamental for the differential diagnosis and indicated the presence of intraarticular fibrocartilaginous bodies in the SC. Conclusion: It is necessary to interpret the imaging tests in order to establish the differential diagnosis between TMD and SC.
滑膜软骨瘤病(SC)是一种化生的风湿病,表现在颞下颌关节(TMJs)。这导致与颞下颌紊乱(TMD)相关的常见症状。通过临床和影像学评价进行鉴别诊断。目的:通过系统综述,从临床和影像学诊断的角度阐明颞下颌关节SC的特征、鉴别和相关表现。材料和方法:使用PubMed数据库和关键词:滑膜软骨瘤病,临床诊断,影像学检查,TMD患者,健康患者,体征和症状。纳入标准为:5年,英文,标题涵盖关键词和人类临床和原始研究,文献综述和病例报告。作为排除标准:在ATM中没有处理SC的案例,不符合工作目标的文章。主要分析了TMD和SC的特征、差异和关系。结果:最初共发现335篇文章,经过筛选、纳入标准和摘要评价,最终筛选出9篇。增加了五份有关的出版物。病变的常见体征和症状:局部关节疼痛、水肿、开口受限和关节杂音。mri、ct和TMJ片是鉴别诊断的基础,提示SC内存在关节内纤维软骨体。结论:影像学检查对TMD和SC的鉴别诊断有必要。
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引用次数: 0
Efficacy of two contact lens disinfecting solutions in reducing growth rate of bacteria and eradication of biofilms 两种隐形眼镜消毒液对降低细菌生长速度和根除生物膜的效果
Pub Date : 2023-03-30 DOI: 10.53346/wjbpr.2023.4.1.0048
Hadeel T AL-Hadithi, Zahira M AL-Khani
Efficacy of two types of contact lens disinfecting (CLD) solutions, most frequently purchased from Jordanian pharmacies by contact lens wearers, was investigated for reducing growth rate of methicillin resistant and methicillin sensitive Staphylococcus aureus, Serratia marcesence, S. liquefacience and Acinetobacter spp., previously isolated from In-use disinfecting solutions in CL cases. Each species was cultured in a clean and dirty conditions (to mimic real situation) of two fresh CLD solutions separately: A and B whose active agents are: Polyhexamethylene biguanide hydrochloride and Polyaminopropyl biguanide respectively. Log reduction of these bacteria have exceeded ISO 14729 acceptable criteria (3 log) and reached up to 5 log reduction. Dirty conditions have marked effect in reducing efficacy of CLD solution (A) to kill bacterial species under test. Biofilms produced by S. marcescens and S. liquefaciens were reduced by more than 50% after 24 hrs. using either CLD solutions, though it was less than that reduced after 4 hrs. Biofilm of methicillin resistant Staphylococcus aureus (MRSA) was the most affected by either CLD solutions after 4 hours. This study concluded that CL wearers should pay great consideration to cleaning and disinfection practices to decrease bacterial growth, reduce chances of biofilm formation.
研究了两种类型的隐形眼镜消毒液(最常由隐形眼镜佩戴者从约旦药店购买)对降低耐甲氧西林和敏感甲氧西林金黄色葡萄球菌、粘质沙雷氏菌、液化链球菌和不动杆菌的生长速度的效果,这些细菌以前从CL病例中使用的消毒液中分离出来。每个物种分别在清洁和肮脏的条件下(模拟真实情况)培养两种新鲜的CLD溶液:a和B,其活性物质分别为:聚六亚甲基双胍盐酸盐和聚氨丙基双胍。这些细菌的对数降低已超过ISO 14729可接受标准(3对数),并达到5对数降低。肮脏的环境对CLD溶液(A)杀灭被试细菌的效果有明显的影响。粘质葡萄球菌和液化葡萄球菌产生的生物膜在24小时后减少了50%以上。使用任何一种CLD解决方案,尽管在4小时后减少的比这少。两种CLD溶液对耐甲氧西林金黄色葡萄球菌(MRSA)生物膜的影响在4小时后最大。这项研究的结论是,CL的佩戴者应该非常重视清洁和消毒措施,以减少细菌的生长,减少生物膜形成的机会。
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引用次数: 0
Antiulcer activity of hydroalcoholic extract of Bombacopsis glabra (Pasq.) A. Robyns. Leaves (Bombacaceae) in rat 光Bombacopsis glabra水醇提取物的抗溃疡活性答:罗宾。大鼠的叶(Bombacaceae)
Pub Date : 2023-03-30 DOI: 10.53346/wjbpr.2023.4.1.0045
Solofoniaina Gabriel ANDRIAMALALA, TianarilalainaTantely ANDRIAMAMPIANINA, Fanantenanirainy RANDIMBIVOLOLONA, Nathaniel QUANSAH, Patricia RANDRIANAVONY
The purpose of this study was to investigate the activity of the hydroalcoholic extract ofBombacopsis glabra leaves in rat. The mucoprotector effect of B. glabra leaves hydroalcoholic extract was studied by evaluating its ability to protect the mucosa from aggression of repeated oral administration of indomethacin at a dose of 30 mg/kg while pylorus ligature was used to study its anti-secretory effect. The results show that hydroalcoholic extract of the leaves of B. glabra, at doses 300 and 600mg/kg, decrease the surface area of lesions induced by indomethacin from 6.2 observed in the control group animals to 2.51 and 1.19 0.073 mm² respectively, in the treated animals (p 0.05). The extract decreases gastric acidity by increasing the pH of the gastric content from 1.7 0.03 of the control animals to 2.27 3.59 0.11 of the animals that received the extract at dose 300 and 600mg/kg respectively (p<0.05). These results show that the hydroalcoholic extract of B. glabra leaves possesses an anti-secretory effect and acts as a mucoprotector, and therefore has an antiulcer activity. The alkaloids, flavonoids, tannins, or polysaccharides in the extract could be responsible for this activity.
本研究的目的是研究光芽冈叶水醇提取物在大鼠体内的活性。通过观察大鼠反复口服吲哚美辛(30mg /kg)对大鼠粘膜的保护作用,观察大鼠幽门结扎液的抗分泌作用。结果表明,300和600mg/kg剂量的光棘叶水醇提取物可使吲哚美辛致伤的表面积分别从对照组的6.2 mm²减少到治疗组的2.51 mm²和1.19 0.073 mm²(p < 0.05)。300 mg/kg和600mg/kg剂量组胃内容物pH分别为1.7 0.03和2.27 3.59 0.11,显著降低了胃酸性(p<0.05)。上述结果表明,光光草叶水醇提取物具有抗分泌作用和粘膜保护剂作用,具有抗溃疡活性。提取物中的生物碱、类黄酮、单宁或多糖可能是这种活性的原因。
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引用次数: 0
Mechanism of Pain 疼痛机制
Pub Date : 2023-01-30 DOI: 10.53346/wjbpr.2023.4.1.0047
Maria Dalamagka
Word "pain" derives its origin from the Indo-European root aleg meaning to suffer. Word "pain" is later and comes from the Latin word "poena" meaning punishment. Since ancient times there has been disagreement regarding the perception of pain and its evaluation. Unlike sight, hearing and smell, pain does not seem to be a primary sensation, but rather an emotional experience. Most pain researchers view pain as a complex perception, induced by noxious stimuli. Although pain is the most frequent symptom in medicine and despite the enormous advances that have been made in the field of analgesia and anesthesia, the pathophysiological mechanisms involved in its generation and maintenance are not fully understood. Definition of pain was given in 1979 by the classification committee of the international association for the study of pain (IASP) "as an unpleasant aesthetic and emotional experience, associated with actual or potential tissue damage or described in terms of such damage". In other words, although physiology and anatomy determine a precise point of reference for the detection and transmission of messages interpreted as painful, what differentiates the experience of pain is the fact that there is always an emotional gradient to the experience of pain. The purpose of the review is to investigate the analgesic system. Pain signals can be blocked at their initial point of entry into the spinal cord. Analgesia system may also inhibit pain transmission elsewhere in the nociceptive pathway. Because most drugs that alter neuronal excitability act on synaptic receptors, it has been suggested that the "morphine receptors" of the analgesia system must actually be receptors for some morphine-like neurotransmitter that is secreted normally from the brain.
“pain”一词源于印欧语系词根aleg,意思是受苦。“痛苦”这个词是后来出现的,来自拉丁语“poena”,意思是惩罚。自古以来,关于疼痛的感知及其评价一直存在分歧。与视觉、听觉和嗅觉不同,疼痛似乎不是一种主要感觉,而是一种情感体验。大多数疼痛研究人员认为疼痛是一种由有害刺激引起的复杂感知。尽管疼痛是医学上最常见的症状,尽管在镇痛和麻醉领域取得了巨大进展,但其产生和维持的病理生理机制尚不完全清楚。疼痛的定义是1979年由国际疼痛研究协会(IASP)的分类委员会给出的。“作为一种不愉快的审美和情感体验,与实际或潜在的组织损伤有关,或用这种损伤来描述”。换句话说,尽管生理学和解剖学确定了检测和传递被解释为疼痛的信息的精确参考点,但区分疼痛体验的是疼痛体验总是存在情感梯度这一事实。本综述的目的是研究镇痛系统。疼痛信号可以在最初进入脊髓的地方被阻断。镇痛系统也可能抑制疼痛在伤害通路的其他地方的传递。由于大多数改变神经元兴奋性的药物作用于突触受体,因此有人提出,镇痛系统中的“吗啡受体”实际上一定是大脑正常分泌的一些吗啡样神经递质的受体。
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引用次数: 0
Troponin level in SARS-CoV-2 patients in a biochemistry lab in Antananarivo Madagascar 马达加斯加塔那那利佛生化实验室SARS-CoV-2患者的肌钙蛋白水平
Pub Date : 2023-01-30 DOI: 10.53346/wjbpr.2023.4.1.0046
FH RAKOTONJAFINIARIVO, S NIRY MANANTSOA, HJ HERINIAINA, MK RANAIVOSOA, A RASAMINDRAKOTROKA
Objective: To describe the epidemiological and biological profile and the cardiac troponin level of patients infected with SARS-CoV-2 who underwent troponinemia testing. Methods: Retrospective descriptive and analytical study during a period of 5 months in which were included all patients with COVID-19, hospitalized at the Joseph Ravoahangy Andrianavalona University Hospital (CHU-JRA) in Antananarivo Madagascar and having performed a high sensitive cardiac troponin (hs-cTn) determination at the Biochemistry Laboratory of the same Hospital. . Study parameters were demographics, reasons for admission, medical history, oxygen saturation and patient outcome and paraclinical parameters were troponin level, chest CT image. Results: Among the 103 cases collected, 46.6% had an elevated hs-cTn level and mostly patients aged 71 to 80 years. Of the 43 patients who died, 60.5% were men. Most had cardiovascular risk factors, oxygen desaturation and critical parenchymal damage on chest CT. There was a significant difference between hs-cTn positivity and female gender and that therapeutic management was corrected after the troponin result. Among the deceased patients, 28 (65,11%) have high troponin levels. Conclusion: Troponin testing is important in patients with COVID-19 to detect the risk of mortality due to cardiovascular complications.
目的:了解SARS-CoV-2感染患者行肌钙蛋白血症检测的流行病学、生物学特征及心肌肌钙蛋白水平。方法:回顾性描述性和分析性研究,纳入在马达加斯加塔那那利佛Joseph Ravoahangy Andrianavalona大学医院(cho - jra)住院并在该医院生物化学实验室进行高灵敏度心肌肌钙蛋白(hs-cTn)测定的所有COVID-19患者,为期5个月。研究参数为人口统计学、入院原因、病史、血氧饱和度和患者预后,临床旁参数为肌钙蛋白水平、胸部CT图像。结果:103例患者hs-cTn水平升高46.6%,年龄以71 ~ 80岁居多。在43名死亡的患者中,60.5%是男性。多数胸部CT显示有心血管危险因素、氧饱和度过低及严重实质损伤。hs-cTn阳性与女性有显著性差异,且在肌钙蛋白检测结果出来后进行治疗处理。在死亡患者中,有28例(65.11%)存在高肌钙蛋白水平。结论:肌钙蛋白检测对检测COVID-19患者心血管并发症死亡风险具有重要意义。
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引用次数: 0
Perspectives of using of somatic cells fusion process in some aspects of car¬cino¬ge-nesis 体细胞融合过程在生物医学某些方面应用的展望
Pub Date : 2022-12-30 DOI: 10.53346/wjbpr.2022.3.2.0040
Gogichadze TG, Gedenidze SA, Gogichadze GK
Normal somatic cells sensitive to carcinogenic effects and capable of proliferation form firstly a binuclear cells (dikaryons) and then hybrid cells (mononucleated synkaryons) by means of fusion with another cells of the same organism, in particular with differentiated and non-differentiated cells of corresponding tissue or with cells capable to migrate. In all probability, during the perforation of the plasma membrane, i.e., after the formation of po­res, induced by different carcinogenic (and noncarcinogenic) agents and factors, the total negative charge of plasma membrane changes (decreases) and the cells develop the ability to come closer to each other, whi­ch will probably be the prerequisite to a fusion process. On the other hand, it is not excluded that perforation can assist the fusion of only neighboring cells. Initially, a set of chromosomes in a precancerous cell retains, even for a short time, the condition of tetraploidy. Because of cell fusion generates tetraploidy, it potentially might cause chromo­somal instability. The article emphasizes a possibility of using the fusion process in different aspects of carcino­genesis (therapy, prevention, etc.).
对致癌作用敏感并能增殖的正常体细胞首先形成双核细胞(双核细胞),然后通过与同一生物体的其他细胞融合,特别是与相应组织的分化细胞和未分化细胞或能够迁移的细胞融合,形成杂交细胞(单核合核细胞)。在质膜穿孔过程中,即pores形成后,在不同的致癌(和非致癌)剂和因子的诱导下,质膜的总负电荷变化(减少),细胞产生相互靠近的能力,这可能是融合过程的先决条件。另一方面,也不排除穿孔只有助于邻近细胞的融合。最初,癌前细胞中的一组染色体即使在很短的时间内也能保持四倍体的状态。由于细胞融合产生四倍体,它可能会导致染色体不稳定。本文强调了融合过程在肿瘤发生的不同方面(治疗、预防等)应用的可能性。
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引用次数: 0
A multidrug- resistance pattern of an Escherichia coli strain isolated from diarrheal stools at the China-Guinea Friendship Hospital of Kipé in Conakry 在科纳克里的基普伊普斯中国-几内亚友谊医院从腹泻粪便中分离出的大肠杆菌菌株的多重耐药模式
Pub Date : 2022-12-30 DOI: 10.53346/wjbpr.2022.3.2.0043
Abdoulaye Makanéra, Mariam Condé, Taliby Dos Camara, Mamadou Alpha Diallo, Mariama Condé, Daouda Camara, Alpha Oumar Barry, Tiguidanké Diakité, Oumar Souaré
Introduction: Diarrheal infections associated to multidrug resistant bacteria are a public health problem, particularly in the tropics. Objective: The aim of this study was to describe a Multidrug resistant strain of Escherichia coli (E. coli) isolated from diarrheal stools. Patients and methods: A sample of diarrheal stools from a 30 years old housekeeper patient was analysed at China-Guinea Friendship Hospital of Kipé/Conakry. Parasitological examination by optical microscopy, followed by bacteriological analysis were done. Cultures were carried out on different agar media. Bacterial identification, antibiograms and minimum inhibitory concentrations (MIC) were performed using the Vitek 2 System. Results: The isolated E. coli strain was sensitive only to 4 of 29 antibiotics tested including imipenem, ertapenem, amikacin and nitrofurantoin. Intermediate sensitivity was detected towards minocycline. In contrast, this strain was resistant to piperacillin, cefuroxime, cefuroxime axetil, cefixime, ceftriaxone, cefepime, aztreonam, meropenem, levofloxacin, ofloxacin, tetracycline, tigecycline, chloramphenicol, trimethoprim, ampicillin, amoxicillin/clavulanic acid, ticarcillin, piperacillin/tazobactam, cephalothin, cefotaxime, ceftazidime, gentamicin, tobramycin, nalidixic acid, ciprofloxacin, ofloxacin and trimethoprim/sulfamethoxazole with high MICs. Conclusion: The treatment of this multidrug-resistant Escherichia coli diarrheal infection requires appropriate antibiotic therapy, based on the results of an accurate antibiogram to be performed with rapid means for better patient care.
导言:与耐多药细菌相关的腹泻感染是一个公共卫生问题,特别是在热带地区。目的:本研究的目的是描述一株从腹泻性粪便中分离的多重耐药大肠杆菌。患者和方法:对基普奈尔/科纳克里中畿友谊医院一名30岁女管家患者的腹泻样进行了分析。光学显微镜下进行寄生虫学检查,然后进行细菌学分析。在不同的琼脂培养基上进行培养。使用Vitek 2系统进行细菌鉴定,抗生素图和最低抑制浓度(MIC)。结果:分离的大肠杆菌对亚胺培南、厄他培南、阿米卡星、呋喃妥英等29种抗生素仅4种敏感。对米诺环素检测到中等敏感性。该菌株对哌拉西林、头孢呋辛、头孢呋辛酯、头孢肟、头孢曲松、头孢吡肟、氨曲南、美罗培南、左氧氟沙星、氧氟沙星、四环素、替加环素、氯霉素、甲氧苄啶、氨苄西林、阿莫西林/克拉维酸、替卡西林、哌拉西林/他唑巴坦、头孢噻吩、头孢噻肟、头孢他嗪、庆大霉素、妥布霉素、萘啶酸、环丙沙星、氧氟沙星和甲氧苄啶/磺胺甲恶唑耐药,mic值较高。结论:这种多重耐药大肠杆菌腹泻感染的治疗需要适当的抗生素治疗,根据准确的抗生素谱结果,通过快速手段进行更好的患者护理。
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引用次数: 0
期刊
World Journal of Biological and Pharmaceutical Research
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