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Pathogenic Fungi - Neglected Infectious Agents? A Commentary on the Gambian Situation 病原真菌-被忽视的传染因子?关于冈比亚局势的评论
Pub Date : 2015-04-02 DOI: 10.4172/2161-0703.1000181
B. Lawal, O. Secka
This Commentary is aimed at examining the current attitude of healthcare providers towards pathogenic fungi, with more emphasis on The Gambia setting, and to make recommendations for better infectious disease diagnosis and management. It is a known fact that fungi are important infectious diseases causative agents, clinicians however hardly request for medical mycology laboratory tests either because they choose to treat empirically or due to lack of competent mycology laboratories around. Various literature reviewed shows that some signs and symptoms of fungal infections are similar to those caused by bacteria and viruses or both; therefore, there are possibilities of misdiagnosis and missed diagnosis of some diseases. Further mycological studies among Gambian population and inclusion of pathogenic fungal investigations in routine disease diagnosis should be considered.
本评论的目的是审查卫生保健提供者目前对致病真菌的态度,更加强调冈比亚的环境,并提出更好的传染病诊断和管理建议。众所周知,真菌是重要的传染病病原体,但临床医生很少要求医学真菌学实验室检测,要么是因为他们选择经验治疗,要么是因为周围缺乏合格的真菌学实验室。各种文献综述表明,真菌感染的一些体征和症状与细菌和病毒引起的症状相似,或两者兼而有之;因此,存在一些疾病的误诊和漏诊的可能性。应考虑在冈比亚人群中进行进一步的真菌学研究,并将病原真菌调查纳入常规疾病诊断。
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引用次数: 1
Q Fever Osteomyelitis - DonâÂÂt Treat the Scan Q发热性骨髓炎- DonâÂÂt扫描治疗
Pub Date : 2015-02-24 DOI: 10.4172/2161-0703.1000178
T. Marrie
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引用次数: 0
Nasal Carriage, Risk Factors and Antimicrobial Susceptibility Pattern of Methicillin Resistant Staphylococcus aureus among School Children in Ethiopia 埃塞俄比亚学龄儿童耐甲氧西林金黄色葡萄球菌鼻腔携带、危险因素及药敏模式
Pub Date : 2015-02-22 DOI: 10.4172/2161-0703.1000177
Alemayehu Reta, Lealem Gedefaw, Tsegaye Sewunet, Getenet Beyene
Background: Young children are major reservoir for community acquired Methicillin-resistant Staphylococcus aureus (CA-MRSA) and accelerate transmission of CA-MRSA. Objective: The aim of this study was to determine the nasal carriage and antimicrobial resistance patterns of MRSA isolates among school children in Bahir Dar town, Ethiopia. Methods: A community based cross-sectional study was conducted to determine the nasal carriage rate and antimicrobial susceptibility pattern of MRSA isolates among school children. A total of 300 nasal swabs were collected from March 1 to June 30, 2013. MRSA was detected using both Cefoxitin (30 μg) and Oxacillin (1 μg) discs in combination and risk factors were assessed using self-administered structured questionnaires. Statistical analysis was done using SPSS V-20. Result: Of 123 S. aureus isolates 17(13.8%) were MRSA isolates. The main risk factors for nasal carriage of MRSA in the study area were, having recurrent acute otitis media and use of an antibiotic in the previous year. The Susceptibility profiles of MRSA isolates were (94.1%) to Chloramphenicol, Ciprofloxacin and Clindamycin, (88.2%) to Ceftriaxone, Erythromycin and Trimethoprim-sulphamethoxazole and (58.8%) to Doxycycline. All the isolates were resistant to Penicillin G and sensitive to Gentamycin. Conclusion: This study showed a rising rate of nasal carriage of MRSA among school children. Previous use of antibiotics by the children was statistically associated with MRSA carriage. Therefore developing decolonization protocols and proper utilization of drugs are needed in order to reduce the transmission and the burden of MRSA.
背景:幼儿是社区获得性耐甲氧西林金黄色葡萄球菌(CA-MRSA)的主要感染源,并加速了CA-MRSA的传播。目的:本研究的目的是确定在巴希尔达尔镇,埃塞俄比亚学龄儿童的MRSA鼻腔携带和抗菌药物的耐药模式。方法:采用以社区为基础的横断面研究方法,测定学龄儿童MRSA鼻腔携带率和药敏型。2013年3月1日至6月30日共收集鼻拭子300份。采用头孢西丁(30 μg)和奥西林(1 μg)联合用药检测MRSA,采用自填式结构化问卷评估危险因素。采用SPSS V-20进行统计学分析。结果:123株金黄色葡萄球菌中有17株为MRSA,占13.8%。研究区MRSA鼻腔传播的主要危险因素为复发性急性中耳炎和前一年使用抗生素。MRSA分离株对氯霉素、环丙沙星、克林霉素的敏感性为94.1%,对头孢曲松、红霉素、甲氧苄啶-磺胺甲恶唑的敏感性为88.2%,对多西环素的敏感性为58.8%。所有菌株均对青霉素G耐药,对庆大霉素敏感。结论:本研究显示,MRSA在学龄儿童中鼻腔传播率呈上升趋势。儿童以前使用抗生素与MRSA携带有统计学关联。因此,为了减少MRSA的传播和负担,需要制定去殖民化方案和正确使用药物。
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引用次数: 21
Pathogenesis of Leptospirosis: Important Issues 钩端螺旋体病的发病机制:重要问题
Pub Date : 2015-01-29 DOI: 10.4172/2161-0703.1000E127
M. Marinho, T. C. C. Silva
The leptospirosis is a re-emerging anthropozoonos is worldwide distribution. The immunopathogenesis of the disease is extremely complex. Which one the role of inflammatory mediatorys, cytokines, outer membrane proteins, apoptosis and others factors related with the virulence of the pathogen during the infection.
钩端螺旋体病是一种重新出现的全球分布的人畜共患病。本病的免疫发病机制极为复杂。其中炎症介质、细胞因子、外膜蛋白、细胞凋亡等与病原菌的毒力有关的因素在感染过程中的作用。
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引用次数: 4
All about Mycobacterium simiae in Brief 简要介绍类似分枝杆菌
Pub Date : 2014-12-29 DOI: 10.4172/2161-0703.1000175
M. Nasser
More than hundreds pathogens of mycobacterium have been identified till now but a minority of these bugs cause diseases in humans. M. simiae, an emerging bacterium that has been discovered recently, commonly recovered from human sputum especially in patients with underlying lung diseases. Most commonly this bacterium is a bystander rather than a true culprit. Such differentiation is critical to avoid unnecessary long term treatment not free of side effects.
到目前为止,已经发现了数百多种分枝杆菌病原体,但这些细菌中的少数会引起人类疾病。猿猴分枝杆菌是一种新近发现的新细菌,通常从人类痰中恢复,特别是在有潜在肺部疾病的患者中。大多数情况下,这种细菌是一个旁观者,而不是真正的罪魁祸首。这种区分对于避免没有副作用的不必要的长期治疗至关重要。
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引用次数: 4
Prolonged Viral Shedding of Influenza Virus: Which Definition? 流感病毒的长时间病毒脱落:哪个定义?
Pub Date : 2014-11-27 DOI: 10.4172/2161-0703.1000171
M. Schuurmans, N. Mueller
Influenza virus infection poses a considerable risk for complications to the general population and in particular to solid organ transplant recipients (SOTR). Life-long immunosuppression in SOTR likely contributes to delayed clearance of influenza virus from the airways: Prolonged Viral Shedding (PVS) has important implications for potential infectivity and infection control measures. Duration of infectivity as measured by viral culture has been reported to last 4-6 days in the non-transplant setting. Shedding measured by Polymerase Chain Reaction (PCR) in immune competent patients is similar, 5-6 days. To date there is no recommended or widely accepted definition of PVS for influenza virus infections. The lack of a PVS definition makes comparisons between studies difficult. Most studies assess shedding duration by serial PCR of nasopharyngeal swabs. A number of studies calculate shedding from the time of onset of symptoms to the last positive detection. Shedding is considered to be “prolonged” if it continues on or beyond day 7 or 14. However, considerable variability exists in defining PVS. A large number of studies rely on two objective measures to define the duration of shedding: This requires at least two positive detections of viral material, usually by PCR. We discuss the different aspects of these definitions and propose a practical definition that takes into account a number of factors relevant to the topic.
流感病毒感染对普通人群,特别是实体器官移植受者(SOTR)造成相当大的并发症风险。SOTR患者的终身免疫抑制可能导致流感病毒从呼吸道清除的延迟:延长病毒脱落(PVS)对潜在的传染性和感染控制措施具有重要意义。据报道,在非移植环境中,通过病毒培养测量的传染性持续时间为4-6天。聚合酶链反应(PCR)测定的免疫正常患者的脱落情况相似,为5-6天。迄今为止,尚无推荐或广泛接受的流感病毒感染的PVS定义。缺乏PVS的定义使得研究之间的比较变得困难。大多数研究通过鼻咽拭子序列PCR评估脱落持续时间。许多研究计算了从出现症状到最后一次阳性检测的脱落时间。如果脱落持续到第7天或第14天或更长时间,则被认为是“长时间”的。然而,在定义pv时存在相当大的可变性。大量的研究依靠两种客观的方法来确定脱落的持续时间:这需要至少两次病毒物质的阳性检测,通常是通过PCR。我们讨论了这些定义的不同方面,并提出了一个实际的定义,考虑到一些与主题相关的因素。
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引用次数: 5
Identification of Imipenem-Resistant Genes in Acinetobacter baumannii Isolated from Baghdad Hospitals 巴格达医院鲍曼不动杆菌亚胺培南耐药基因的鉴定
Pub Date : 2014-11-22 DOI: 10.4172/2161-0703.1000170
N. Hussein, H. Al-Mathkhury, M. Sabbah
Imipenem-resistant Acinetobacter baumannii (IRAB) represents one of the important causing agents of nosocomial infections especially in immunocompromised and Intensive Care Units (ICUs) patients. The aim of this work was to identify the Imipenem-Resistant genes in Acinetobacter baumannii isolated from Baghdad hospitals. Among 128 A. baumannii isolates, 67 isolates (58.26%) were resistant to imipenem and meropenem. Four genes for imipenem resistance (blaOXA-23 like, blaOXA-24 like, blaOXA-51like and blaOXA-58 like) were amplified and sequenced. The presence of blaOXA-23-like genes in 91.03% of IRAB isolates indicated that the blaOXA-23-like genes are the predominant mechanism for imipenem resistance in our isolates. Sequencing of PCR products showed the presence of new OXA-genes in local A. baumannii isolates including: OXA-207, OXA-239 and OXA-229 among the genes of OXA-24-like, OXA-23-like and OXA-58-like genes, respectively. In conclusion, this study identifies the genes responsible for the imipenem resistance in Baghdad which is important to understand the imipenem resistance and to suggest plans for treatment of patients in future.
耐亚胺培南鲍曼不动杆菌(IRAB)是引起医院感染的重要病原体之一,特别是在免疫功能低下和重症监护病房(icu)患者中。这项工作的目的是鉴定从巴格达医院分离的鲍曼不动杆菌的亚胺培南耐药基因。128株鲍曼不雅杆菌中,亚胺培南和美罗培南耐药67株(58.26%);扩增亚胺培南耐药基因(blaOXA-23 like、blaOXA-24 like、blaOXA-51like和blaOXA-58 like)并测序。91.03%的IRAB分离株中存在blaoxa -23样基因,表明blaoxa -23样基因是我们分离株亚胺培南耐药的主要机制。PCR产物测序结果显示,本地鲍曼不动杆菌分离株中存在新的oxa基因,oxa -24样基因、oxa -23样基因和oxa -58样基因中分别有OXA-207、OXA-239和OXA-229。总之,本研究确定了巴格达地区亚胺培南耐药基因,这对了解亚胺培南耐药情况,并为今后患者的治疗方案提供建议具有重要意义。
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引用次数: 8
Characterization of Methicillin-Resistant Staphylococcus aureus in a Tertiary Care Teaching Hospital, South India 南印度三级护理教学医院耐甲氧西林金黄色葡萄球菌的特征
Pub Date : 2014-10-31 DOI: 10.4172/2161-0703.1000169
Latha Jp, S. Rajendran, G. Umamaheswari, Sumathi
S. aureus causes superficial to deep seated infections in human beings. Methicillin-resistant Staphylococcus arueus (MRSA) evolved in the 1960s and since then has become a worldwide concern owing to increasing morbidity and mortality in health-care settings and even community. (MRSA) is a resistant variant of S. aureus which are resistant to beta-lactum antibiotics and other classes of antimicrobials. Early and accurate detection of MRSA and their antimicrobial susceptibility profile is therefore imperative for the selection of appropriate antimicrobial therapy. A total of 300 isolates of S. aureus collected from January 2010 to December 2012 were included in the study. S. aureus was characterized based on morphological and biochemical characters. To receive a pure culture, the isolates were grown on mannitol salt agar with supplement 5% v/v egg yolk emulsion. Antibiotic susceptibility testing was carried out on the strains by disc diffusion technique and the results interrupted according to Clinical laboratory standards International (CLSI) guidelines. A significant proportion of the S. aureus isolates were obtained from the exudates (226) specimens in all the three years followed by blood (48), urine (16) and respiratory (10). The average resistance seen in the 300 isolates tested was ampicillin (97.2%), cephelaxin (94%), cefotaxime (96.4%), cloxacillin (100%), erythromycin (82.6%), Gentamycin (76.3%), ciprofloxacin (54.4%), clindamycin (40.4%) and linezolid and vancomycin were susceptible for all the strains. In conclusion, the prevalence of MRSA in our health-care setting is 45% among the clinical isolates of S. aureus. Active screening and proper infection control procedures need to be adopted to control the MRSA infection.
金黄色葡萄球菌在人类中引起浅表到深层感染。耐甲氧西林金黄色葡萄球菌(MRSA)是在20世纪60年代发展起来的,自那时以来,由于卫生保健机构甚至社区的发病率和死亡率不断上升,它已成为全世界关注的问题。(MRSA)是金黄色葡萄球菌的一种耐药变种,它对-乳抗生素和其他种类的抗菌素具有耐药性。因此,早期准确检测MRSA及其抗菌药物敏感性对选择适当的抗菌治疗至关重要。2010年1月至2012年12月采集的300株金黄色葡萄球菌被纳入研究。根据形态学和生化特征对金黄色葡萄球菌进行鉴定。为了获得纯培养,分离菌在甘露醇盐琼脂上生长,并添加5% v/v的蛋黄乳。采用圆盘扩散法对菌株进行药敏试验,结果按国际临床实验室标准(CLSI)指南中断。在所有三年中,从渗出液(226)标本中分离出的金黄色葡萄球菌占很大比例,其次是血液(48),尿液(16)和呼吸道(10)。300株分离菌的平均耐药率为氨苄西林(97.2%)、头孢霉素(94%)、头孢噻肟(96.4%)、氯西林(100%)、红霉素(82.6%)、庆大霉素(76.3%)、环丙沙星(54.4%)、克林霉素(40.4%),所有菌株均对利奈唑胺和万古霉素敏感。总之,在我们的卫生保健机构中,金黄色葡萄球菌临床分离株中MRSA的患病率为45%。需要采取积极筛查和适当的感染控制程序来控制MRSA感染。
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引用次数: 0
Application of Bleach Concentration Method in Tissue Samples Received for Diagnosis of Extra Pulmonary Tuberculosis Diagnosis 漂白剂浓度法在肺外结核诊断组织标本中的应用
Pub Date : 2014-10-31 DOI: 10.4172/2161-0703.1000168
P. Pingle
Extra pulmonary Tuberculosis (TB) comprises 15% of the total tuberculosis cases. In cases of suspected extrapulmonary tuberculosis, rapid and accurate laboratory diagnosis is of prime importance, since traditional techniques of detecting acid-fast bacilli have limitations. The major difficulty with mycobacteria in tissue samples is achieving optimal cell lysis. A comparison of two methods, pretreatment of tissue with 4% Sodium Hypochlorite in Bleach concentration method and pretreatment with petroff’s method before culture on Lowenstein Jensen medium, was conducted on 18 extrapulmonary tissue specimens collected from different sites of suspected TB patients to evaluate the use of Bleach concentration method in tissue samples. The aim of this study is to apply this method for demonstration of AFB in tissue samples obtained from extrapulmonary sites and to correlate with Ziehl Neelson staining and LJ culture. A total of 18 tissue samples were studied from clinically suspected cases of Extra pulmonary TB which included endometrial tissue (15), (1) from kidney and (1) from brain. All the samples were processed for conventional ZN staining, bleach concentration method, PCR and AFB culture on LJ media. Out of 18 samples none were suggestive for TB by ZN staining, while 1(5.55%) was positive by PCR, 3(16.66%) were suggestive by bleach concentration method and the same i.e. 3(16.66%) came positive on LJ culture hence confirming the method. However to the best of our knowledge this is the pioneer study applied to the tissue samples and the results of the present study shows improved detection of AFB.
肺结核(TB)占肺结核病例总数的15%。在疑似肺外结核的病例中,快速准确的实验室诊断至关重要,因为传统的检测抗酸杆菌的技术有局限性。组织样本中分枝杆菌的主要困难是实现最佳的细胞裂解。对18例疑似结核患者不同部位肺外组织标本进行了比较,采用4%次氯酸钠漂白浓度法和petroff法对组织进行预处理,然后在Lowenstein Jensen培养基上培养,以评价漂白浓度法在组织样本中的应用。本研究的目的是应用该方法在肺外部位获得的组织样本中证明AFB,并与Ziehl Neelson染色和LJ培养相关联。临床疑似肺外结核病例共18例组织标本,包括子宫内膜组织(15例)、肾脏组织(1例)和脑组织组织(1例)。所有样品在LJ培养基上进行常规ZN染色、漂白剂浓缩法、PCR和AFB培养。18份样品中,没有一份ZN染色提示结核,PCR阳性1份(5.55%),漂白剂浓度法提示3份(16.66%),LJ培养阳性3份(16.66%),证实了该方法。然而,据我们所知,这是应用于组织样本的先驱研究,本研究的结果表明,AFB的检测得到了改善。
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引用次数: 4
Genotypic Analysis of a New Fungal Pathogen, Trichosporon faecale, Isolated from Japanese Subjects 日本新分离的粪毛孢毛霉的基因型分析
Pub Date : 2014-10-29 DOI: 10.4172/2161-0703.1000167
Otomi Cho, N. Mekha, A. Kalkancı, M. Takashima, S. Kurakado, T. Sugita
The basidiomycetous yeast Trichosporon faecale is considered to be a non-pathogenic fungus; however, the microorganism has been isolated from clinical specimens in several countries. Trichosporon faecale is classified as type I, II, or III depending on the sequence of the intergenic spacer (IGS) region in its rRNA gene. In this study, 28 T. faecale strains obtained from Japanese subjects and environmental samples were found to be type I. In addition, T. faecale was detected by PCR in 32 scale samples from 146 Japanese healthy subjects, and all 32 samples were found to be type I. Our findings suggest a lack of intraspecific diversity among T. faecale samples originating from Japanese subjects and that T. faecale is part of the skin fungal microbiome.
担子菌酵母粪毛霉被认为是一种非致病性真菌;然而,在一些国家的临床标本中已分离出这种微生物。粪毛丝虫根据其rRNA基因中基因间间隔区(IGS)的序列分为I型、II型和III型。在本研究中,从日本受试者和环境样本中获得的28株粪便绦虫为i型,此外,对来自146名日本健康受试者的32份规模样本进行PCR检测,发现32份样本均为i型。我们的研究结果表明,来自日本受试者的粪便绦虫样本缺乏种内多样性,粪便绦虫是皮肤真菌微生物群的一部分。
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引用次数: 0
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Journal of Medical Microbiology and Diagnosis
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