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Review on Major Disease Threats in Case of Emergencies 紧急情况下的重大疾病威胁综述
Pub Date : 2017-04-14 DOI: 10.4172/2161-0703.1000253
Hylemariam Mihiretie, Asaye Birhanu
Emergencies, caused by growth of world’s population, affects weather conditions and cause outbreaks of several communicable diseases that result in high morbidity and mortality specially in developing countries. The cumulative effects of these disasters include displacement, increasing vector breeding sites, unplanned and overcrowded shelters, poor water and sanitation conditions, poor nutritional status and poor personal hygiene, low levels of immunity to vaccine-preventable diseases or insufficient vaccination coverage, and limited access to healthcare services. Flooding is one of the commonest natural disasters which results in contamination of drinking-water facilities, facilitation of the transmission of water-borne diseases (typhoid fever, cholera, leptospirosis and hepatitis A) and vector-borne diseases (malaria, dengue and dengue hemorrhagic fever, yellow fever, and West Nile Fever). Malaria is among the most important diseases that are aggravated by movement and migration. The transmission of malaria is strongly influenced by population movements and by the process of urbanization. Pneumonia is one of the diseases which is more prevalent in overcrowded and unprotected communities. Similarly, diarrhoea is aggravated by unhygienic lifestyles which is common in case of emergencies. Since the occurrence of emergencies and natural disasters is uncertain, every country should develop a way of preventing infectious disease that may occur in consequence of natural disasters, war and terrorism.
世界人口增长所造成的紧急情况影响天气条件,并引起几种传染病的爆发,造成高发病率和死亡率,特别是在发展中国家。这些灾害的累积影响包括流离失所、病媒滋生地点增加、无规划和过度拥挤的住所、水和卫生条件差、营养状况差和个人卫生状况差、对疫苗可预防疾病的免疫力水平低或疫苗接种覆盖率不足,以及获得保健服务的机会有限。洪水是最常见的自然灾害之一,它导致饮用水设施受到污染,促进水媒疾病(伤寒、霍乱、钩端螺旋体病和甲型肝炎)和媒介传播疾病(疟疾、登革热和登革出血热、黄热病和西尼罗河热)的传播。疟疾是因流动和移徙而恶化的最重要疾病之一。疟疾的传播受到人口流动和城市化进程的强烈影响。肺炎是在过度拥挤和无保护的社区中更为流行的疾病之一。同样,在紧急情况下常见的不卫生生活方式也会加重腹泻。由于紧急情况和自然灾害的发生是不确定的,每个国家都应该制定一种预防自然灾害、战争和恐怖主义可能导致的传染病的方法。
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引用次数: 0
Surgical Site infections: Distribution Studies of Sample, Outcome and Antimicrobial Susceptibility Testing 手术部位感染:样本分布研究,结果和抗菌药物敏感性试验
Pub Date : 2017-03-28 DOI: 10.4172/2161-0703.1000252
R. Bastola, P. Parajuli, Anjita Neupane, A. Paudel
Background: The present study was conducted in the clinical lab of Microbiology department, College of Medical Sciences. The samples that were sent for culture and sensitivity from patients developing signs and symptoms collected from patients developing symptoms of SSIs in different wards as well as ICUs of this hospital were included in this study. A total of 206 pus samples were processed and result was interpreted on the basis of different tests. Isolation and identification of the organism was done by gram stains and culture growth. Antibiotic susceptibility test was performed by Kirby Bauer disc diffusion method and result was interpreted as per Clinical and Laboratory Standards Institute (CLSI) guidelines. Result: Out of 206 clinically suspected cases 106 (51.4%) were culture negative and 100 (48.6%) were culture positive. The growths were found to be higher in male patients than in female patients. The most commonly isolated pathogens were Staphylococcus aureus 24 (21.8%) and Escherichia coli 24 (21.8%), followed by Pseudomonas aeruginosa 17 (15.4%). Amikacin (86.4%) was the most sensitive drug. 14 isolates of Methicillin resistant S. aureus (MRSA) were found. Conclusion: The study helped in the assessment of the current anti-microbial resistance patterns of bacterial isolates in post-operative wound infections and helps in formulation of the strategy to reduce the infection rate in College of Medical Sciences-Teaching Hospital, Bharatpur.
背景:本研究在医学院微生物系临床实验室进行。从本院不同病房及icu的ssi症状患者中采集的体征和症状患者进行培养和敏感的样本纳入本研究。共处理了206份脓液样品,并根据不同的检测方法对结果进行了解释。采用革兰氏染色法和培养法对病原菌进行分离鉴定。抗生素敏感性试验采用Kirby Bauer圆盘扩散法,结果按照临床与实验室标准协会(CLSI)指南解释。结果:206例临床疑似病例中培养阴性106例(51.4%),培养阳性100例(48.6%)。研究发现,男性患者的肿瘤生长高于女性患者。最常见的分离病原菌为金黄色葡萄球菌24(21.8%)和大肠杆菌24(21.8%),其次为铜绿假单胞菌17(15.4%)。阿米卡星(86.4%)是最敏感的药物。发现耐甲氧西林金黄色葡萄球菌(MRSA) 14株。结论:本研究有助于评估巴拉特普尔医学学院-教学医院手术后伤口感染细菌分离株的耐药性现状,有助于制定降低感染率的策略。
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引用次数: 11
Nucleic Acid Amplification using Recombinase Polymerase: Enzymatic Approach 利用重组酶聚合酶进行核酸扩增:酶法
Pub Date : 2017-02-23 DOI: 10.4172/2161-0703.1000250
Norah Abukhalid, M. Pastey
Rapid detection of infections is crucial for the prevention of infectious disease outbreaks, development of anti-microbial drugs and biodefense. When considering a diagnostic test the most important considerations are rapidity, ease of use, portability, specificity and sensitivity. Recently developed isothermal recombinase polymerase amplification (RPA) technology has been shown in many publications to be the most sensitive and effective for determining infections, require no sophisticated and expensive equipment, and is suitable for point-of-care field applications. Here we have described our viewpoints with regard to RPA technology’s suitability and usage in resource poor settings, its advantages and limitations. We have also developed a lateral flow assay to detect all serotypes of dengue virus following RPA procedure, demonstrating its suitability for field applications. We believe our suggestions may help in improving RPA procedures and may also help in transitioning to clinical applications.
快速检测感染对于预防传染病暴发、开发抗微生物药物和生物防御至关重要。在考虑诊断测试时,最重要的考虑因素是快速,易于使用,便携性,特异性和敏感性。最近开发的等温重组酶聚合酶扩增(RPA)技术在许多出版物中被证明是最敏感和有效的确定感染的技术,不需要复杂和昂贵的设备,并且适合于护理现场应用。在这里,我们描述了我们关于RPA技术在资源贫乏环境中的适用性和使用,它的优势和局限性的观点。我们还开发了一种横向流动测定法,根据RPA程序检测所有血清型登革热病毒,证明其适合现场应用。我们相信我们的建议可能有助于改进RPA程序,也可能有助于过渡到临床应用。
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引用次数: 4
Non-typhoidal Salmonella Gastroenteritis in Al Ain Hospital United Arab Emirates 阿拉伯联合大公国艾因医院非伤寒沙门氏菌肠胃炎
Pub Date : 2017-02-23 DOI: 10.4172/2161-0703.1000251
A. Khawla, F. A.Sheikh, A. Jaffal, M. Hammad, R. Baloushi
Objectives: The purpose of this study was to identify serogroups and antimicrobial susceptibility of non-typhoidal Salmonellas from gastroenteritis patients among out- and in-patient population of Al Ain Hospital in Al Ain, United Arab Emirates during the period of 1st April 2007 to 30th April 2013. .Methods: A retrospective study was carried out through review of the stool specimen record sent for bacteriological culture to Clinical Institute of Laboratory Services at Al Ain Hospital from 1st April 2007 to 30th April 2013. Culture and antimicrobial susceptibility of the isolates were carried out by using standard laboratory procedures. Serotyping was performed using commercial anti-sera. Results: During the study period of 6 years a total of 205 laboratory confirmed non-typhoidal Salmonellas were isolated from the stool of patients with diarrhea. The majority of these strains (69%) was from patients of 0-14 years of age. Salmonella group B was the most frequent serogroup (36%) followed by serogroup D (27%) and then Salmonella spp. (26%). Salmonella serogroups A & C were 1% and 10%, respectively. The most frequently detected antibiotic resistance was to Ampicillin (25%), Co-Trimaxazole (15%) and Chloramphenicol (5%). Salmonella group B was the most resistant. The majority were, however, susceptible to other drugs with low to very low resistance rates (5% to Ciprofloxacin, and 2% to Ceftriaxone). Overall, resistant strains were more prevalent among children (30%) than adults (23%). Conclusions: Salmonella gastroenteritis is an important clinical condition in children more than in adults In the United Arab Emirates. Salmonella serogroup B, D and Salmonella spp. are prevalent strains causing gastroenteritis. Most of the Salmonella serogroups isolated in this study showed a high resistance to Ampicillin in comparison to other antibiotics. The emergence of resistance against Ceftriaxone among non-typhoidal Salmonella spp. is an alarming sign.
目的:本研究的目的是确定2007年4月1日至2013年4月30日期间阿拉伯联合酋长国Al Ain医院门诊和住院人群中肠胃炎患者非伤寒沙门氏菌的血清群和抗菌药物敏感性。通过审查2007年4月1日至2013年4月30日送到Al Ain医院临床实验室服务研究所进行细菌培养的粪便标本记录,进行了回顾性研究。采用标准实验室程序进行菌株培养和药敏试验。使用市售抗血清进行血清分型。结果:在6年的研究期间,共从腹泻患者粪便中分离出实验室确认的非伤寒沙门氏菌205株。这些菌株中的大多数(69%)来自0-14岁的患者。以B组沙门氏菌最多(36%),其次是D组(27%),最后是沙门氏菌(26%)。沙门氏菌血清组A和C分别为1%和10%。最常见的抗生素耐药是氨苄西林(25%)、复方三新唑(15%)和氯霉素(5%)。沙门氏菌B组的耐药性最强。然而,大多数人对其他药物敏感,耐药率低至极低(对环丙沙星5%,对头孢曲松2%)。总体而言,耐药菌株在儿童(30%)中比成人(23%)更为普遍。结论:在阿拉伯联合酋长国,儿童沙门氏菌胃肠炎是一种重要的临床疾病,其发病率高于成人。沙门氏菌血清B、D组和沙门氏菌属是引起肠胃炎的常见菌株。与其他抗生素相比,本研究中分离的大多数沙门氏菌血清群对氨苄青霉素具有较高的耐药性。非伤寒沙门氏菌对头孢曲松的耐药性的出现是一个令人震惊的迹象。
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引用次数: 0
In Silico Analysis, Cloning and Expression of Recombinant CD166 in E. coliBL21 (DE3) as a Marker for Detection and Treatment of Colorectal Cancer 大肠杆菌bl21 (DE3)重组CD166基因的克隆与表达及其在大肠癌检测与治疗中的应用
Pub Date : 2017-02-13 DOI: 10.4172/2161-0703.1000249
Vahid Marmari, H. Mahmoodzadeh, Hassan Dana, Ghanbar Mahmoodi Chalbatani, A. Mazraeh, A. Ghamari, Fateme Moazzen, M. Ebrahimi, Narges Mehm, Oost
Introduction: Colorectal cancer is the third most common type of tumors, with more than 1.2 million new cases resulted in 600 thousand deaths annually and ranks fourth in terms of mortality worldwide. The activated leukocyte cell adhesion molecule (ALCAM) also called CD166 is a marker of colorectal cancer (CRC) stem cells. The expression of CD166 increase in colorectal cancer. Also with advancement of illness in different stages of cancer, this expression increased. So, it could be a reasonable marker for Detection and Treatment of Colorectal cancer. The purpose of this study is to produce recombinant protein CD166 for cancer therapy or early detection of colorectal cancer cells. Methods: In this study, the sequence of CD166 was optimized for expression in E. coli using online tools and cloned into pET28a as an expression vector. The recombinant pET28a was transformed into the E. coli BL21DE3 using heat shock method and expression of recombinant CD166 was examined using SDS-PAGE. Results: The synthetic gene of CD166 was located between NcoI/BamHI and XhoI restriction sites and cloned into pBSK (+) vector. The presence of this gene in pET28a was determined by colony and confirmed by restriction digestion. Gene of CD166 were expressed in E. coli BL21 DE3. The results of the SDS-PAGE technique confirmed the expression of recombinant 53 kDa CD166 in a bacterial expression system. Conclusion: A portion of the CD166 gene was expressed as a recombinant in E. coli. This could be a good candidate to produce a vaccine for cancer therapy or colorectal cancer diagnostic test.
导论:结直肠癌是第三大最常见的肿瘤类型,每年有120多万新病例导致60万人死亡,在全球死亡率中排名第四。活化的白细胞粘附分子(ALCAM)也称为CD166,是结直肠癌(CRC)干细胞的标志物。CD166在结直肠癌中的表达增加。在癌症的不同阶段,随着病情的进展,这种表达也增加。因此,它可能是一种合理的检测和治疗结直肠癌的标志物。本研究的目的是制备重组蛋白CD166用于肿瘤治疗或早期检测结直肠癌细胞。方法:利用在线工具优化CD166在大肠杆菌中的表达序列,并将其克隆到pET28a中作为表达载体。利用热休克法将重组pET28a转化到大肠杆菌BL21DE3中,利用SDS-PAGE检测重组CD166的表达。结果:合成的CD166基因位于NcoI/BamHI和XhoI酶切位点之间,并克隆到pBSK(+)载体中。该基因在pET28a中的存在是通过集落测定和限制性酶切证实的。CD166基因在大肠杆菌BL21 DE3中表达。SDS-PAGE技术的结果证实了重组53kda CD166在细菌表达系统中的表达。结论:部分CD166基因在大肠杆菌中以重组体表达。这可能是生产用于癌症治疗或结直肠癌诊断测试的疫苗的一个很好的候选者。
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引用次数: 2
Diagnostic Value of Widal Test in the Diagnosis of Typhoid Fever: A Systematic Review 维达尔试验在伤寒诊断中的诊断价值:系统综述
Pub Date : 2017-02-06 DOI: 10.4172/2161-0703.1000248
H. M. Mengist, K. Tilahun
Introduction: Typhoid fever the common cause of morbidity and mortality especially in the developing countries where Widal test is routinely used as diagnostic tool to rule out the disease. The diagnostic ability of Widal test is debatable as the test method has a low sensitivity, specificity and positive predictive value (PPV). Therefore, reviewing articles across the world regarding the diagnostic value of Widal test is necessary. Methods: Systematic review of published articles regarding the diagnostic value of Widal test to rule out typhoid fever was carried out. Published articles were identified from PubMed, Google scholar, HINARI and other sources. The mean, median, percentile and standard deviation of sensitivity, specificity, NPV and PPV of the reviewed articles were computed by SPSS software version 24. Results: A total of 16 articles were included in the systematic review with the oldest publication in the year 1994 and the recent in 2015. The mean sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) of Widal test was 73.5%, 75.7%, 60% and 75.2%, respectively. Conclusion: The systematic review results show that the reliability of Widal test is comparatively poor. Therefore, Widal test should not be used as a diagnostic tool to rule out typhoid fever unless supported by invasive clinical pictures and other confirmatory tests.
简介:伤寒是发病率和死亡率的常见原因,特别是在发展中国家,维达尔试验被常规用作诊断工具以排除该疾病。由于维达尔试验的敏感性、特异性和阳性预测值较低,其诊断能力尚存争议。因此,回顾国际上关于维达尔试验诊断价值的文章是必要的。方法:对已发表的有关维达尔试验对伤寒诊断价值的文献进行系统复习。发表的文章来自PubMed、Google scholar、HINARI和其他来源。采用SPSS软件进行敏感性、特异性、NPV和PPV的均值、中位数、百分位数和标准差计算。结果:系统评价共纳入16篇文献,最早发表时间为1994年,最近发表时间为2015年。Widal试验的平均敏感性为73.5%,特异度为75.7%,阳性预测值为60%,阴性预测值为75.2%。结论:系统评价结果显示,Widal检验的信度较差。因此,除非有侵入性临床图片和其他证实性检查的支持,否则不应将维达尔试验作为排除伤寒的诊断工具。
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引用次数: 24
Sets and Subsets of Mutating Amino Acids in Zika Virus Polyprotein 寨卡病毒多蛋白氨基酸突变的组和亚组
Pub Date : 2016-12-30 DOI: 10.4172/2161-0703.1000247
J. Weltman
In this communication the results of a study of Shannon information entropy (H) of ZIKV polyprotein sequences downloaded from the NCBI Zika Virus Resource (http://www.ncbi.nlm.nih.gov/ genome/viruses/variation/Zika/) on 21 Nov 2016. The dataset download consisted of the complete set of ZIKV full-length polyprotein sequences isolated either from humans (n=123) or from Aedes aegypti mosquitos (n=14). Sequence management was facilitated with Jalview 2.9.0b2 [5]. H was computed by the equation of Shannon [6], using Anaconda 2.4.0 (64-bit), Python 2.7.10, Numpy 1.10.1, Scipy 0.16.0 and Matplotlib 1.4.3. The Mann-Whitney nonparametric U test was performed with Scipy stats; a two-tail p-value is reported. Modeling of the data by sets and subsets was performed with Maple 18 (Maplesoft Group, Canada). Z-tests were performed using 1000 pseudo-random trials and are reported with two-tail probabilities.
本文报告了2016年11月21日从NCBI寨卡病毒资源(http://www.ncbi.nlm.nih.gov/ genome/viruses/variation/Zika/)下载的ZIKV多蛋白序列香农信息熵(H)的研究结果。下载的数据集包括从人类(n=123)或埃及伊蚊(n=14)分离的完整的ZIKV全长多蛋白序列。使用Jalview 2.9.0b2进行序列管理[5]。H采用Anaconda 2.4.0(64位),Python 2.7.10, Numpy 1.10.1, Scipy 0.16.0, Matplotlib 1.4.3,根据Shannon[6]的公式计算。采用Scipy统计量进行Mann-Whitney非参数U检验;报告了一个双尾p值。使用Maple 18 (Maplesoft Group, Canada)对数据进行集和子集建模。z检验使用1000个伪随机试验进行,并以双尾概率报告。
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引用次数: 1
Comparison of Direct Immunofluorescence (DIF) Method and Giemsa Staining with PCR Method for Detection of Chlamydia trachomatis in Patients with Follicular Conjunctivitis 直接免疫荧光法与PCR法检测滤泡性结膜炎沙眼衣原体的比较
Pub Date : 2016-12-29 DOI: 10.4172/2161-0703.1000246
Zohreh Abedinyfar, Farahnoosh Doustdar, F. A. Amoli, H. Goudarzi, F. Fallah
Background: Chlamydia trachomatis is the most common cause of chronic follicular conjunctivitis. As a rapid diagnosis is important in the reducing the long-term squeal of the diseases, the objective of this study was to compare the three methods, direct immunofluorescence (DIF), staining and PCR, for detection of Chlamydia trachomatis in patients with follicular conjunctivitis. Material and methods: Overall 90 patients with conjunctival were enrolled in this study smears were prepared for DIF and Giemsa staining. PCR amplification after Extraction performed using CT1 and CT5 primers designed from Omp1 gene. Results: Of the 90 patients, 28 (31.1%) were positive by DIF and 13 (14.4%) by Giemsa staining; and 35 patients (38.8%) showed positive results in PCR. Sensitivity, specificity, predictive positive value, and negative predictive value of DIF in comparison to PCR respectively were calculated as 88.33, 100, 100 and 88.70. Sensitivity, specificity, predictive positive value and negative predictive value of DIF in comparison to PCR respectively were calculated as 61.40, 100, 100 and 71.42. Therefore, sensitivity and negative predictive value of DIF are significantly higher than Giemsa staining. Conclusion: DIF is more sensitive and more reliable than Giemsa staining for detection of Chlamydia trachomatis in the conjunctiva samples of patients with follicular conjunctivitis.
背景:沙眼衣原体是慢性滤泡性结膜炎最常见的病因。由于快速诊断对降低疾病的长期危象非常重要,本研究的目的是比较直接免疫荧光(DIF)、染色和PCR三种方法对滤泡性结膜炎患者沙眼衣原体的检测效果。材料和方法:本研究共纳入90例结膜患者,涂片进行DIF和Giemsa染色。提取后用从Omp1基因设计的CT1和CT5引物进行PCR扩增。结果:90例患者中,DIF阳性28例(31.1%),Giemsa染色阳性13例(14.4%);PCR阳性35例(38.8%)。与PCR比较,DIF的敏感性为88.33,特异性为100,预测阳性率为100,阴性预测值为88.70。与PCR相比,DIF的敏感性、特异性、预测阳性率和阴性预测值分别为61.40、100、100和71.42。因此,DIF的敏感性和阴性预测值明显高于Giemsa染色。结论:DIF检测滤泡性结膜炎患者结膜标本中沙眼衣原体比吉姆萨染色更敏感、更可靠。
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引用次数: 0
Effect of GXM (Glucuronoxylomannan) on the Inflammatory Response in Lung Infection Caused by Cryptococcus neoformans (Serotype A) in Immunodeficient Murine Model (BALB/c-SCID) 葡萄糖醛酸甘露聚糖(GXM)对免疫缺陷小鼠(BALB/c-SCID)肺隐球菌(血清A型)感染炎症反应的影响
Pub Date : 2016-12-01 DOI: 10.4172/2161-0703.1000244
E. G. Silva, ra Silva, C. R. Paula, L. Ruiz
GXM (glucuronoxylomannan) is the major component surrounding the capsule of Cryptococcus neoformans having multiple biological functions, one of them and most important, the reduction in production of inflammatory cytokines. They were evaluated in this study the correlation of the production GXM with TNF, IL-6, IL-10, as well, as survival in murine model (BALB-c) and severe combined immunodeficiency (SCID). The animals were infected intravenously with 0.1 ml of a suspension containing 3.0 × 106 model, BALB-c compared to the model. The high production GXM as well as the induction of viable cells of C. neoformans. There was an increase in the production of GXM, as well as a decrease in survival in (SCID) a severe inflammatory response in this model may be due to a compromised immune system.
GXM (glucuronoxylomannan)是新生隐球菌被膜周围的主要成分,具有多种生物学功能,其中最重要的是减少炎症细胞因子的产生。在本研究中,他们评估了GXM的产生与TNF、IL-6、IL-10以及小鼠模型(BALB-c)和严重联合免疫缺陷(SCID)的存活率的相关性。动物静脉注射含有3.0 × 106模型的混悬液0.1 ml, BALB-c与模型比较。高产GXM及诱导新生弧菌活细胞。在SCID中,GXM的产生增加,同时生存期降低。在该模型中,严重的炎症反应可能是由于免疫系统受损。
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引用次数: 1
Assessment of Microbicidal Activity of Atmospheric Pressure Non-Thermal Plasma Against Planktonic and Biofilm Forms 大气压非热等离子体对浮游生物和生物膜形式的杀微生物活性评估
Pub Date : 2016-11-29 DOI: 10.4172/2161-0703.1000245
Shymaa Abdel Azim, R. Sadeq, M. Shaer, H. Mohamed
Background:Atmospheric pressure non-thermal plasma (APNTP) is a promising, relatively novel method for destroying microorganisms either in planktonic or biofilm form, alternative to “conventional” methods which have numerous drawbacks. Aim of the work: To assess the microbicidal activity of atmospheric pressure non-thermal plasma (APNTP) on planktonic and biofilm forms. Subjects and methods: This study was performed on Staphylococcus aureus (S. aureus), coagulase negative staphylococci (CoNS), Pseudomonas (P.) aeruginosa and Escherichia (E.) coli isolates from patients with indwelling medical devices associated infections in different intensive care units (ICUs), Zagazig University Hospitals. Detection of biofilm forming ability of these isolates was done by tube method (TM). Planktonic and biofilm counterpart of selected biofilm forming isolates were exposed to APNTP for different durations to assess the biocidal efficacy of plasma on both microbial forms by colony forming unit (CFU) count and/or 2,3-Bis-(2-Methoxy-4-Nitro-5- Sulfophenyl)-2H-Tetrazolium-5-Carboxanilide (XTT), assay. APNTP morphological changes in E. coli and S. aureus were assessed by transmission electron microscopic (TEM) imaging. Results: APNTP treatment of S. aureus, E. coli suspensions caused progressive reduction in surviving bacterial count and metabolic activity with increasing treatment duration and at 180 seconds of exposure complete sterilization achieved. Similar but more prolonged effect was detected on CoNS and P. aeruginosa suspensions. Its exposure for 240 seconds was needed for their complete sterilization. There was no difference between bacterial percentage reduction calculated by CFU count and XTT assay except in P. aeruginosa suspension for 60 seconds. No observed difference between APNTP effect on planktonic gram positive (GP) and gram negative (GN) bacteria. On the other hand, GN bacterial biofilm was more resistant to APNTP than GP bacterial biofilm. TEM showed that in both S. aureus and E. coli there were significant morphological changes after exposure to plasma. Conclusion: The efficacy of APNTP was proved for in vitro decontamination of planktonic and biofilm forms of S. aureus, CoNS, P. aeruginosa and E. coli that are responsible for many healthcare-acquired infections (HCAIs).
背景:大气压非热等离子体(APNTP)是一种很有前途的、相对新颖的方法,用于破坏浮游或生物膜形式的微生物,可以替代具有许多缺点的“常规”方法。目的:研究常压非热等离子体(APNTP)对浮游生物和生物膜的杀微生物活性。对象与方法:本研究对扎加齐格大学附属医院不同重症监护病房(icu)留置医疗器械相关感染患者中分离的金黄色葡萄球菌(S. aureus)、凝固酶阴性葡萄球菌(CoNS)、铜绿假单胞菌(P.)和大肠杆菌(E.)进行了研究。采用试管法(TM)检测菌株的生物成膜能力。将选定的生物膜形成分离物的浮游和生物膜对应物暴露在APNTP中不同时间,通过菌落形成单位(CFU)计数和/或2,3-双-(2-甲氧基-4-硝基-5-巯基)- 2h -四氮唑-5-羧基苯胺(XTT)测定,评估血浆对这两种微生物的杀灭效果。采用透射电子显微镜(TEM)观察大肠杆菌和金黄色葡萄球菌APNTP的形态变化。结果:APNTP处理金黄色葡萄球菌、大肠杆菌悬浮液,随着处理时间的延长,存活细菌数量和代谢活性逐渐减少,暴露180秒后完全灭菌。在con和铜绿假单胞菌悬浮液中检测到类似但更持久的效果。完全消毒需要240秒的时间。除铜绿假单胞菌悬浮60秒外,CFU计数计算的细菌减少百分比与XTT法计算的细菌减少百分比没有差异。APNTP对浮游革兰氏阳性菌(GP)和革兰氏阴性菌(GN)的影响无显著差异。另一方面,GN细菌生物膜比GP细菌生物膜对APNTP的抗性更强。透射电镜显示,金黄色葡萄球菌和大肠杆菌暴露于血浆后均有明显的形态学改变。结论:APNTP对医疗保健获得性感染(HCAIs)的病原菌金黄色葡萄球菌(S. aureus)、con、铜绿假单胞菌(P. aeruginosa)和大肠杆菌(E. coli)的浮游和生物膜形式有较好的体外净化效果。
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引用次数: 0
期刊
Journal of Medical Microbiology and Diagnosis
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