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Meningoencephalitic Listeriosis in Iranian Sheep and Goats 伊朗绵羊和山羊的脑膜李斯特菌病
Pub Date : 2024-06-02 DOI: 10.18502/jmb.v12i2.15619
Hossein Esmaeili, S. M. Joghataei
Background: Meningoencephalitic listeriosis is a significant disease affecting goats and sheep, with potential implications for public health. This study aimed to investigate and report the occurrence, clinical manifestation, laboratory findings, and further understanding of neurolisteriosis in the goat and sheep populations in Tehran, Qazvin, and Kurdistan provinces of Iran. Methods: From 2018 to 2021, a program was implemented to monitor multiple flocks for meningoencephalitic listeriosis. Clinical manifestations of animals that showed suspected neurological signs of listeriosis (19 animals) were recorded, and necropsies were performed. Sampling of the brain tissue of infected animals was done. The specimens underwent a 'cold-enrichment' procedure, and subsequent culture and biochemical tests were conducted to confirm the presence of Listeria monocytogenes. Results: According to the clinical and bacteriological findings, 19 animals were diagnosed with neurolisteriosis. The affected animals exhibited various signs of the disease, including head deviation, head tilt, head pressing, mouthfuls, walking in circles, drooping of the ear, and unilateral hypalgesia. L. monocytogenes was isolated from brain samples of 11 animals. Conclusion: The study revealed potential indications of meningoencephalitic listeriosis in certain breeds of goats and sheep. Recognizing these typical signs can contribute to early detection, diagnosis, and proper management of listeriosis cases, improving welfare and health outcomes for affected animals. The results underscore the importance of strengthened disease surveillance, prevention, and control strategies.
背景:脑膜李斯特菌病是一种严重影响山羊和绵羊的疾病,对公共卫生具有潜在影响。本研究旨在调查和报告伊朗德黑兰省、加兹温省和库尔德斯坦省的山羊和绵羊群体中神经李斯特菌病的发生情况、临床表现、实验室结果,以及对该病的进一步了解。方法:从 2018 年到 2021 年,对多个羊群实施脑膜脑炎李斯特菌病监测计划。记录了疑似李斯特菌病神经症状动物(19 头)的临床表现,并进行了尸体解剖。对感染动物的脑组织进行了取样。对标本进行了 "冷富集 "处理,随后进行了培养和生化试验,以确认是否存在李斯特菌。结果:根据临床和细菌学检查结果,19 只动物被诊断为神经李斯特菌病。患病动物表现出各种病征,包括偏头、仰头、压头、张口、绕圈行走、耳下垂和单侧痛觉减退。从 11 只动物的脑样本中分离出了单核细胞增多症杆菌。结论这项研究揭示了某些品种山羊和绵羊脑膜脑炎李斯特菌病的潜在迹象。认识到这些典型迹象有助于及早发现、诊断和妥善处理李斯特菌病病例,改善患病动物的福利和健康状况。研究结果强调了加强疾病监测、预防和控制策略的重要性。
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引用次数: 0
Biofilm Formation by Quorum Sensing and Manners to Deal It 通过法定人数感应形成生物膜及其处理方法
Pub Date : 2024-06-02 DOI: 10.18502/jmb.v12i2.15626
Shahriar Bakhti, Ahdiyeh Saghabashi, Shahrzad Aliniay Sharafshadehi, Samad Rastmanesh, N. Bostanghadiri, Ali Jalilpiran, Javad Fathi, Alireza Gholipour Shahraki, Fatemeh Sameni
Background: Quorum sensing (QS) is one of the main regulatory systems which have various effects on populations of microorganisms. This process has been found in a diverse array of microorganisms (various bacterial taxa, microalgae and fungi). QS is required for different activities of microorganisms such as, virulence factor secretion, motility, competence, biofilm and sporulation. There are different molecules as signals in disparate microorganisms. Biofilm formation is one of the significant functions of QS. Biofilms are groups of microorganisms that are tied to a surface (biotic or abiotic). One of the remarkable effects of biofilm formation seems to be the persistence against hostile environmental condistions. Biofilm formation have been widely reported as a pathogenesis strategy in microorganisms. Here we describe QS and biofilm formation in some important microorganisms and describe some of the suggested strategies for eradication of microbial biofilms. Conclusion: Inhibition of biofilms formation can have detectable effects on the treatment of infectous diseases. In this line, multiple approaches have been suggested to inhibit the biofilm formation by microorganisms.
背景:法定人数感应(QS)是对微生物种群产生各种影响的主要调节系统之一。在各种微生物(各种细菌类群、微藻和真菌)中都发现了这一过程。微生物的不同活动都需要 QS,如分泌毒力因子、运动、能力、生物膜和孢子。不同的微生物有不同的信号分子。生物膜的形成是 QS 的重要功能之一。生物膜是绑在表面(生物或非生物表面)上的微生物群。生物膜形成的显著效果之一似乎是能在恶劣的环境条件下持续存在。作为微生物的一种致病策略,生物膜的形成已被广泛报道。在此,我们描述了一些重要微生物的 QS 和生物膜形成,并介绍了一些消除微生物生物膜的建议策略。结论抑制生物膜的形成可对感染性疾病的治疗产生可察觉的效果。为此,人们提出了多种抑制微生物形成生物膜的方法。
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引用次数: 0
Relationship between Blood Groups and the Risk of Covid-19 Infection; a Cohort Study 血型与 Covid-19 感染风险的关系;一项队列研究
Pub Date : 2024-06-02 DOI: 10.18502/jmb.v12i2.15622
Mohamad Mahjoor, Abolfazl Askari, Mansoor Khaledi, Hamed Afkhami, Hamed Sadeghi-Dehsahraei, Javad Arabpour, Javad Fathi, Amir Valizadeh, Mohammad Esmaeil Amini, Mohammad Esmkhani, Reza Safarinia, Zahra Mottaghiyan
Background: ABO blood types are not known to cause diseases directly, but they can be vulnerable and surrender to diseases and health problems. This study aimed to evaluate the susceptibility to COVID-19 in individuals with different blood groups at different ages. Methods: An electronic health record was used in this retrospective cohort study at Shahid Beheshti Hospital. We studied 858 patients who were referred to Shahid Beheshti Hospital, we identified 434 of them as COVID-19 patients using RT-PCR. An analysis of the electronic record involved collecting retrospective laboratory data and demographic information, including age, sex, and blood type. Next, we examined the differences between the ABO blood groups of COVID-19 patients and the control group (1991 case). We used SPSS26 for statistical computations. Data were scrutinizeed with the χ2 test. P < 0.05 was considered statistically outstanding. Results: Based on the distribution of ABO blood groups in 434 COVID-19 patients, it was revealed that 288 of them were male and 146 were female, and the majority of them were in their third decade of life. A total of 159 patients (36.6%) had type B blood, 116 had type A (26.7%), 109 had type O (25.1%), and 50 had type AB (11.5%). COVID-19 patients had a higher percentage of type B and AB blood than the control group.
背景:据了解,ABO 血型不会直接导致疾病,但却很容易导致疾病和健康问题。本研究旨在评估不同年龄段的不同血型个体对 COVID-19 的易感性。研究方法这项回顾性队列研究使用了沙希德-贝赫什提医院的电子健康记录。我们对转诊到沙希德-贝赫什提医院的 858 名患者进行了研究,并通过 RT-PCR 确定了其中 434 名患者为 COVID-19 患者。对电子病历的分析包括收集回顾性实验室数据和人口统计学信息,包括年龄、性别和血型。接下来,我们研究了 COVID-19 患者的 ABO 血型与对照组(1991 例)的差异。我们使用 SPSS26 进行统计计算。数据采用χ2检验。P<0.05为差异有统计学意义。结果根据 434 例 COVID-19 患者的 ABO 血型分布情况,发现其中 288 例为男性,146 例为女性,且大多数患者的年龄在 30 岁左右。共有 159 名患者(36.6%)为 B 型血,116 名为 A 型(26.7%),109 名为 O 型(25.1%),50 名为 AB 型(11.5%)。与对照组相比,COVID-19 患者的 B 型血和 AB 型血比例更高。
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引用次数: 0
Comparison of RT-PCR and ELISA Methods in the Diagnosis of Hepatitis C Virus in Patients RT-PCR 和 ELISA 方法在诊断患者丙型肝炎病毒中的比较
Pub Date : 2024-06-02 DOI: 10.18502/jmb.v12i2.15623
Faeze Beik Mahdavi, Haniyeh Bashizadehfakhar, Melika Jalalian, Shaghayegh Rangraz
Background: Since HCV virus is the primary cause of liver cirrhosis and cancer, prompt diagnosis and timely treatment of this disease can prevent many complications. Due to the importance and necessity of this study, it aims to comparatively evaluate RT-PCR and ELISA methods in order to detect the presence of HCV infection in patients admitted to Baghiyatallah Hospital. Methods: Sera of 49 patients admitted to Baghiyatallah Hospital since September, 2019 to August, 2020, were tested for RNA detection of HCV virus using RT-PCR and for the presence of anti-HCV antibody at the same time. Results: In this study, the mean age of patients was approximately 38.3+6.3. The percentage of positive cases of HCV virus in the studied patients according to ELISA test and PCR test were 28.6% and 20.4%, respectively. Percentage of HCV positive cases had p = 0.001 based on PCR and ELISA tests by age group, number of sexual partners, history previous HCV infection, liver cirrhosis, addiction and treatment of previous HCV infection which was significantly different; However, it was not significant in terms of gender (p = 0.5232). According to Kappa coefficient, the percentage of agreement is 91.8 in both methods which indicates that the two models are consistent (P = 0.001) and the diagnostic value of ELISA versus PCR with sensitivity and specificity were 100% and 89.7%, respectively. Conclusion: ELISA susceptibility to anti-HCV antibody is more than 99%, but its specificity is low compared to RT-PCR method. On the other hand, these tests show only hepatitis C affection and does not distinguish between chronic acute or improved infection. It is not able to detect patients in the window phase, so the simultaneous application of ELISA and molecular methods is recommended to diagnose and follow the treatment of HCV virus.
背景:由于 HCV 病毒是导致肝硬化和肝癌的主要原因,因此及时诊断和治疗这种疾病可以预防许多并发症。鉴于本研究的重要性和必要性,本研究旨在对 RT-PCR 和 ELISA 方法进行比较评估,以检测 Baghiyatallah 医院住院患者是否感染 HCV。研究方法自 2019 年 9 月至 2020 年 8 月,对入住 Baghiyatallah 医院的 49 名患者的血清进行检测,使用 RT-PCR 检测 HCV 病毒的 RNA,同时检测是否存在抗 HCV 抗体。结果显示本研究中,患者的平均年龄约为 38.3+6.3 岁。根据 ELISA 检测和 PCR 检测,HCV 病毒阳性病例的比例分别为 28.6% 和 20.4%。根据 PCR 和 ELISA 检测,HCV 阳性病例的百分比与年龄组、性伴侣数量、既往 HCV 感染史、肝硬化、嗜好和既往 HCV 感染治疗有关,P = 0.001,差异显著;但与性别有关,差异不显著(P = 0.5232)。根据卡帕系数(Kappa coefficient),两种方法的一致率均为 91.8,表明两种模型具有一致性(P = 0.001),ELISA 与 PCR 的敏感性和特异性诊断价值分别为 100%和 89.7%。结论ELISA 对抗-HCV 抗体的敏感性超过 99%,但与 RT-PCR 方法相比,其特异性较低。另一方面,这些检测仅能显示丙型肝炎,而不能区分慢性急性感染或好转感染。因此,建议同时应用 ELISA 和分子方法来诊断和跟踪治疗 HCV 病毒。
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引用次数: 0
Molecular Diagnosis of Chlamydia trachomatis in Women with Frequent Abortions 频繁流产妇女沙眼衣原体的分子诊断
Pub Date : 2024-06-02 DOI: 10.18502/jmb.v12i2.15621
Haniyeh Bashi Zadeh Fakhar, Sara Kazemirad, Melika Jalalian, Sahar Rabie Pour
Background: Chlamydia trachomatis is the commonest cause of bacterial sexually transmitted infections. This research aimed at scrutinizing the Chlamydia trachomatis screening tests with vaginal samples and at investigating the correlation between Chlamydia trachomatis infection and the abortion incidence. Methods: The current Cross sectional study was done at gynecology clinic of Razi Hospital in Chalus, Iran between August 2017 and January 2018. Fifty vaginal swabs were collected and detecting C. trachomatis DNA was done. Chi-square test and Independent t-test compared the variables. P <0.001 was significant Results: The total C. trachomatis infection prevalence was 5(10%) in endocervical swabs. A significant difference was found between duration of sexual activity and Chlamydia infection. No significant difference was detected between detection of Chlamydia l and abnormal vaginal discharged. Conclusion: Screening for Chlamydia trachomatis infection of the women experiencing a miscarriage should be done and, if positive, they should be treated to inhibit recurrent miscarriages.
背景:沙眼衣原体是细菌性性传播感染最常见的病原体。本研究旨在通过阴道样本仔细检查沙眼衣原体筛查试验,并调查沙眼衣原体感染与流产发生率之间的相关性。研究方法本次横断面研究于 2017 年 8 月至 2018 年 1 月期间在伊朗 Chalus 的 Razi 医院妇科诊所进行。收集了 50 份阴道拭子,并检测了沙眼衣原体 DNA。对变量进行了卡方检验和独立 t 检验。P <0.001 为显著结果:宫颈内膜拭子中沙眼衣原体的总感染率为 5(10%)。性活动持续时间与衣原体感染之间存在明显差异。衣原体感染与阴道分泌物异常之间无明显差异。结论应对流产妇女进行沙眼衣原体感染筛查,如果筛查结果呈阳性,则应进行治疗,以防止再次流产。
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引用次数: 0
Helicobacter Pylori and Alopecia Areata: A True Association or Coincidental Finding? 幽门螺杆菌与脱发:真实关联还是巧合发现?
Pub Date : 2024-06-02 DOI: 10.18502/jmb.v12i2.15625
D. Gandhi
Background: This article examines the possible correlation between Helicobacter pylori (H. pylori) infection and alopecia areata, a condition characterized by hair loss. Despite H. pylori's conventional association with gastrointestinal problems, recent investigations have explored its potential links to autoimmune disorders, including alopecia areata. Early research suggested a higher prevalence of H. pylori in alopecia patients, but subsequent studies presented conflicting findings. Some studies measured H. pylori surface antigen (HpSag) in stool samples, yielding diverse outcomes. Another study used the urea breath test (UBT) and found a significant association between H. pylori and alopecia areata. A unique case demonstrated symptom control and disease remission following H. pylori eradication. However, the article highlights the inconclusive nature of existing research, the limitations of study designs and the absence of post-eradication data on alopecia symptoms. Conclusion: The need for more advanced studies is emphasized, along with the importance of exploring therapeutic implications. The article concludes that while intriguing, the potential link between H. pylori and alopecia areata requires more comprehensive research, especially in diverse demographic groups, to gain a better understanding of its universality and broader implications.
背景:本文探讨了幽门螺杆菌(H. pylori)感染与脱发(一种以脱发为特征的疾病)之间可能存在的关联。尽管幽门螺杆菌传统上与胃肠道问题有关,但最近的调查发现它与包括斑秃在内的自身免疫性疾病有潜在联系。早期的研究表明,幽门螺杆菌在斑秃患者中的感染率较高,但随后的研究结果却相互矛盾。一些研究测量了粪便样本中的幽门螺杆菌表面抗原(HpSag),结果各不相同。另一项研究使用了尿素呼气试验(UBT),发现幽门螺杆菌与斑秃之间存在显著关联。一个独特的病例显示,根除幽门螺杆菌后症状得到控制,病情得到缓解。不过,文章强调了现有研究的不确定性、研究设计的局限性以及根除后脱发症状数据的缺失。结论:文章强调了进行更深入研究的必要性以及探索治疗意义的重要性。文章最后指出,幽门螺杆菌与斑秃之间的潜在联系虽然引人入胜,但需要进行更全面的研究,尤其是在不同人群中进行研究,以便更好地了解其普遍性和更广泛的影响。
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引用次数: 0
Determination of Serum Vitamin D Levels in Patients with COVID-19 测定 COVID-19 患者的血清维生素 D 水平
Pub Date : 2024-06-02 DOI: 10.18502/jmb.v12i2.15620
Nasim Kazemi Noraldinvand, Haniyeh Bashi Zadeh Fakhar, Forouzan Rostami, Shaghyegh Rangraz, Parnian Sadat Shahidi
Background: In 2019, the first cases of an acute respiratory infectious disease were announced in the city of Wuhan, China. In places where the speed of transmission and the resulting high prevalence and death from this virus is high, it is important to find things that help prevent and reduce the symptoms and complications of the disease, one of these things. Things are serum levels of vitamin D. As a result of this study, serum levels of vitamin D were measured in patients with Covid-19. Methods: From December to March of 1400, 100 samples of people hospitalized in Khurshid laboratory were examined to identify the RNA of the Covid-19 virus by Real Time PCR method and at the same time to check the serum levels of vitamin D. The data was statistically analyzed using SPSS software. Results: The average age of the patients was between 12.45 and 40.8 years. Comparison the two Covid-19 positive and negative groups in terms of symptoms, it was found that the patients with RH positive had more positive PCR percentage and a significant difference was reported between RH positive and Covid-19 (p=0.006). In comparing the relationship between disease symptoms and the rate of PCR positive reports of gastrointestinal symptoms, history of significant disease, cough, fever, a significant difference was reported (p<0.001). Also, 50% of the samples were PCR positive. Based on the t-test, a significant difference was reported between the serum levels of vitamin D and Covid-19 (p<0.001). Conclusion: The results showed that the vitamin D is an acceptable protective factor against Covid19 infection and its deficiency increases the probability of infection.
背景:2019 年,中国武汉市公布了首例急性呼吸道传染病病例。在这种病毒传播速度快并由此导致高发病率和高死亡率的地方,找到有助于预防和减少疾病症状和并发症的东西非常重要,其中之一。本研究对 Covid-19 患者的血清维生素 D 水平进行了测量。方法:从 1400 年 12 月到 3 月,对胡尔希德实验室的 100 份住院病人样本进行了检查,通过实时 PCR 方法鉴定 Covid-19 病毒的 RNA,同时检查血清中维生素 D 的水平。结果患者的平均年龄在 12.45 岁至 40.8 岁之间。比较两组 Covid-19 阳性和阴性患者的症状,发现 RH 阳性患者的 PCR 阳性率更高,且 RH 阳性与 Covid-19 阳性之间存在显著差异(P=0.006)。在比较疾病症状与胃肠道症状、重大疾病史、咳嗽、发热的 PCR 阳性率之间的关系时,发现两者之间存在显著差异(P<0.001)。此外,50% 的样本呈 PCR 阳性。根据 t 检验,维生素 D 和 Covid-19 的血清水平之间存在显著差异(p<0.001)。结论结果表明,维生素 D 是预防 Covid19 感染的一个可接受的保护因素,缺乏维生素 D 会增加感染的几率。
{"title":"Determination of Serum Vitamin D Levels in Patients with COVID-19","authors":"Nasim Kazemi Noraldinvand, Haniyeh Bashi Zadeh Fakhar, Forouzan Rostami, Shaghyegh Rangraz, Parnian Sadat Shahidi","doi":"10.18502/jmb.v12i2.15620","DOIUrl":"https://doi.org/10.18502/jmb.v12i2.15620","url":null,"abstract":"Background: In 2019, the first cases of an acute respiratory infectious disease were announced in the city of Wuhan, China. In places where the speed of transmission and the resulting high prevalence and death from this virus is high, it is important to find things that help prevent and reduce the symptoms and complications of the disease, one of these things. Things are serum levels of vitamin D. As a result of this study, serum levels of vitamin D were measured in patients with Covid-19. \u0000Methods: From December to March of 1400, 100 samples of people hospitalized in Khurshid laboratory were examined to identify the RNA of the Covid-19 virus by Real Time PCR method and at the same time to check the serum levels of vitamin D. The data was statistically analyzed using SPSS software. \u0000Results: The average age of the patients was between 12.45 and 40.8 years. Comparison the two Covid-19 positive and negative groups in terms of symptoms, it was found that the patients with RH positive had more positive PCR percentage and a significant difference was reported between RH positive and Covid-19 (p=0.006). In comparing the relationship between disease symptoms and the rate of PCR positive reports of gastrointestinal symptoms, history of significant disease, cough, fever, a significant difference was reported (p<0.001). Also, 50% of the samples were PCR positive. Based on the t-test, a significant difference was reported between the serum levels of vitamin D and Covid-19 (p<0.001). \u0000Conclusion: The results showed that the vitamin D is an acceptable protective factor against Covid19 infection and its deficiency increases the probability of infection.","PeriodicalId":30437,"journal":{"name":"Journal of Medical Bacteriology","volume":"50 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141274006","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
In Silico Exploring of the Antibiotic Adjuvant Potential of some Natural Ligands in Carbapenem-Resistance Acinetobacter baumannii 在碳青霉烯耐药鲍曼不动杆菌中对一些天然配体的抗生素佐剂潜力的硅学探索
Pub Date : 2024-03-02 DOI: 10.18502/jmb.v12i1.15022
Elaheh Zadeh Hosseingholi, Ghader Molavi, Mohammad Sadra Mohammadi
Background: A. baumannii is a gram-negative pathogen that has become one of the most important challenges in the world due to its high antibiotic resistance, and today many efforts are being made to treat infections caused by it. In recent years, there have been many concerns about increasing resistance to the beta-lactam antibiotic, carbapenem. Because resistance to these antibiotics greatly narrows the treatment options for the infections. The main source of carbapenem resistance in A. baumannii is the production of class D carbapenemase enzymes. Methods: In this study, 27 plant ligands that have been shown to have antibacterial effects against A. baumannii and other resistant bacteria were selected. The chemical structure of the ligands and the three-dimensional structure of carbapenemase OXA-58 were extracted. The requirements of oral consumption of ligands were examined and ligand and OXA-58 docking were performed. 9 ligands including baicalein, berberine, curcumin, ellagic acid, epicatechin, honokiol, magnolol, norwogonin, and thymol, which met the requirements of Rule 5 and had better binding affinity than 6-alphahydroxymethyl penicillanate were selected. Redocking with a focus on the active position was performed by AutoDock software. Results: The amino acids involved in the hydrogen bonding of an antibiotic-representative ligand to the receptor were identified. Ligands that bind to at least one of these amino acids at the binding site by hydrogen bond were selected. Pharmacological and toxicity studies were performed and finally, the epicatechin ligand was introduced as the best ligand. Conclusion: Plant ligands can be further investigated as promising antibiotic adjuvants and used in the future.
背景:鲍曼尼杆菌是一种革兰氏阴性病原体,因其对抗生素的高度耐药性而成为世界上最重要的挑战之一。近年来,β-内酰胺类抗生素碳青霉烯的耐药性不断增加,引起了许多人的关注。因为对这些抗生素的耐药性大大缩小了治疗感染的选择范围。鲍曼不动杆菌对碳青霉烯类抗生素产生耐药性的主要原因是产生了 D 类碳青霉烯酶。研究方法本研究选择了 27 种已被证明对鲍曼不动杆菌和其他耐药菌有抗菌作用的植物配体。提取了配体的化学结构和碳青霉烯酶 OXA-58 的三维结构。研究了配体的口服要求,并进行了配体与 OXA-58 的对接。筛选出了黄芩苷、小檗碱、姜黄素、鞣花酸、表儿茶素、本诺可醇、木兰醇、诺沃戈宁和百里酚等 9 种配体,这些配体既符合规则 5 的要求,又比 6-alphahydroxymethyl penicillanate 具有更好的结合亲和力。利用 AutoDock 软件进行了重新对接,重点是活性位置。结果:确定了参与抗生素代表配体与受体氢键结合的氨基酸。筛选出的配体在结合位点上至少与其中一个氨基酸通过氢键结合。进行了药理和毒性研究,最后推出表儿茶素配体为最佳配体。结论:植物配体可作为有前途的抗生素佐剂进行进一步研究,并在未来得到应用。
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引用次数: 0
Incidence of Clostridium difficile in Patients with Antibiotic Associated Diarrhea 抗生素相关腹泻患者中艰难梭菌的发病率
Pub Date : 2024-03-02 DOI: 10.18502/jmb.v12i1.15016
Iswarya Babu P, C. Valsan, Ardra M, John Paul
Background: This study was performed to determine the magnitude of Clostridioides difficile infection (CDI) in a tertiary care hospital in patients with antibiotic associated diarrhea (AAD) and to study the risk factors associated with this disease. Methods: A descriptive study was conducted in the department of Microbiology in a tertiary care hospital during December 2019 to May 2021. Stool samples were collected from patients with signs and symptoms of AAD who had been consuming antibiotic or anticancer drugs durng six weeks before the sampling. The samples were subjected to C. difficile glutamate dehydrogenase (GDH) enzyme and CD toxin A & B detection by Enzyme Linked Fluorescent Assay (ELFA). Patient’s demographic features and clinical details were noted and statistically correlated with the test results Results: Among the total 70 samples tested 20 (28%) were positive for GDH alone and 12 (17%) were positive for both GDH and CD toxin A and B. Fluoroquinolones was a significant risk factor in the study. Sepsis and colitis was found to have significant association with C.difficile infection in our study. The crude mortality rate was 17%. Conclusion: Prompt and precise diagnosis and knowledge about the risk factors of CDI helps in effective management and prevention of CDI.
研究背景本研究旨在确定一家三级医院抗生素相关性腹泻(AAD)患者中艰难梭菌感染(CDI)的严重程度,并研究与该疾病相关的风险因素。研究方法2019年12月至2021年5月期间,在一家三级甲等医院的微生物科开展了一项描述性研究。研究人员采集了有 AAD 症状和体征的患者的粪便样本,这些患者在采样前六周内服用过抗生素或抗癌药物。样本通过酶联荧光检测法(ELFA)进行艰难梭菌谷氨酸脱氢酶(GDH)和CD毒素A和B的检测。记录患者的人口统计学特征和临床细节,并将其与检测结果进行统计学关联:在总共 70 份检测样本中,20 份(28%)仅对 GDH 呈阳性,12 份(17%)对 GDH 和 CD 毒素 A 和 B 均呈阳性。在我们的研究中发现,败血症和结肠炎与艰难梭菌感染密切相关。粗死亡率为 17%。结论及时、准确的诊断以及对 CDI 危险因素的了解有助于有效管理和预防 CDI。
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引用次数: 0
Study of the Bacterial and Nutritional Causes of Diarrhea in Alpine and Saanen Kids 阿尔卑斯山和萨南地区儿童腹泻的细菌和营养原因研究
Pub Date : 2024-03-02 DOI: 10.18502/jmb.v12i1.15014
Hossein Esmaeili, Ehsan Baghal Arani, M. M. Mokhber Dezfouli, Seyed Mehdi Joghataei, Mahdi Ganjkhanlou
Background: Infectious diarrhea in young goats is one of the most common and serious threats to the animals' health, influencing the profitability of the goat industry. Considering the need to investigate the factors involved in the occurrence of neonatal diseases, especially diarrhea, to improve livestock health and increase productivity, especially in Iran, the present study was conducted with the aim of investigating the bacterial agents involved in the diarrhea of Alpine and Saanen kids. Methods: Between 1421 goats (714 Saanen and 704 Alpine) under the supervision, 254 goats (17.8%) of different ages died due to diarrhea sign. Samples from the liver, heart, and lungs were taken during the necropsy process, and bacteriological examinations were performed. Results: Forty-four kids died of non-infectious cause. Diarrhea caused by bacterial agents (10.9%) was much more than non-infectious agents (3.1%). Significantly more so than at other ages, the bacterial agent was isolated from the age of less than 2 months. Isolated bacterial agents included Escherichia coli, Staphylococcus aureus (12.3%), Pseudomonas (7.1%), Bacillus (11%) and Klebsiella (2.6%). E. coli was isolated frequently (63.2%) , and mostly at the age of less than 2 months. The highest rate of isolation of bacterial agents was from the heart, especially E. coli. Conclusion: The findings of the current research showed that in Saanen and Alpine goats reared in intensive rearing systems, E. coli bacteria has a high contribution to the occurrence of digestive problems and diarrhea, which can be avoided by controlling environmental health, improvement and preventing the density of parturitions in a short time.
背景:幼山羊感染性腹泻是最常见且最严重威胁动物健康的疾病之一,影响着山羊产业的盈利能力。考虑到有必要调查新生儿疾病(尤其是腹泻)发生的相关因素,以改善牲畜健康并提高生产率,尤其是在伊朗,本研究旨在调查阿尔卑斯山和萨能山羊幼崽腹泻的细菌病原体。研究方法在受监督的 1421 只山羊(714 只萨能山羊和 704 只阿尔卑斯山羊)中,有 254 只(17.8%)不同年龄的山羊死于腹泻症状。在尸体解剖过程中采集了肝脏、心脏和肺部样本,并进行了细菌学检查。结果44名儿童死于非感染性原因。由细菌引起的腹泻(10.9%)远远多于非感染性原因(3.1%)。与其他年龄段的儿童相比,2 个月以下儿童的细菌病原体分离率明显更高。分离出的细菌包括大肠杆菌、金黄色葡萄球菌(12.3%)、假单胞菌(7.1%)、芽孢杆菌(11%)和克雷伯氏菌(2.6%)。大肠杆菌的分离率较高(63.2%),且多发生在 2 个月以下的婴儿身上。从心脏中分离出细菌的比例最高,尤其是大肠杆菌。结论目前的研究结果表明,在集约化饲养系统中饲养的萨能山羊和阿尔卑斯山羊中,大肠杆菌对消化问题和腹泻的发生有很大的影响,而这些问题可以通过控制环境卫生、改善和防止短时间内的产仔密度来避免。
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引用次数: 0
期刊
Journal of Medical Bacteriology
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