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Evaluation of Serum Levels of Anti-Helicobacter pylori IgG and IgA by ELISA Method in Patients with Gastric Ulcer in Chalous, Iran 用 ELISA 方法评估伊朗 Chalous 胃溃疡患者血清中的抗幽门螺杆菌 IgG 和 IgA 水平
Pub Date : 2024-03-02 DOI: 10.18502/jmb.v12i1.15015
Arezoo Taravat, Haniyeh Bashi Zadeh Fakhar, Babak Shaghai, Fatameh Rouhollah
Background: Considering the role of Helicobacter pylori in various diseases such as chronic gastritis, gastric ulcer and malignancies, this study was performed to evaluate the level of antiHelicobacter pylori antibodies in the serum of the population of Chalous and then its relationship with demographic characteristics. Methods: A descriptive study was conducted in the department of Microbiology in a tertiary care teaching hospital during December 2019 to May 2021. All hospitalized patients with diarrhea, who had a history of exposure to antibiotic drugs and all patients with IBD were included in the study. Stool samples were collected from all patients with diarrhea who have been on antibiotic or anticancer drug during last 6weeks or previously diagnosed case. Patient’s demographic features and clinical details were collected from medical records. Results: About 78% of people had IgA positive titer and about 48% had IgG positive titer. Serum IgA level in patients with bloating (P = 0.005) and in patients with nausea (P = 0.016) was statistically significant. Also, in patients studied there was a significant relationship between bloating (p = > 0.001), nausea (0.013) was seen with a serum IgG level . Conclusion: Due to the high percentage of positive titers of anti-Helicobacter pylori antibodies, especially IgA in the sample population, it seems that the follow-up of positive serological titers will help to prevent and control the prevalence of Helicobacter pylori infection.
研究背景考虑到幽门螺杆菌在慢性胃炎、胃溃疡和恶性肿瘤等多种疾病中的作用,本研究旨在评估查卢斯居民血清中的抗幽门螺杆菌抗体水平及其与人口统计学特征的关系。研究方法在 2019 年 12 月至 2021 年 5 月期间,在一家三级医疗教学医院的微生物科进行了一项描述性研究。所有有抗生素药物接触史的住院腹泻患者和所有 IBD 患者均被纳入研究范围。所有在过去 6 周内服用过抗生素或抗癌药物的腹泻患者或之前确诊的病例均被采集了粪便样本。从病历中收集患者的人口统计学特征和临床细节。结果显示约 78% 的人 IgA 滴度呈阳性,约 48% 的人 IgG 滴度呈阳性。腹胀患者(P = 0.005)和恶心患者(P = 0.016)的血清 IgA 水平具有统计学意义。此外,在所研究的患者中,腹胀(P = > 0.001)、恶心(0.013)与血清 IgG 水平之间存在明显关系。结论由于样本人群中抗幽门螺旋杆菌抗体滴度(尤其是 IgA)呈阳性的比例较高,因此对血清滴度呈阳性者进行随访似乎有助于预防和控制幽门螺旋杆菌感染的流行。
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引用次数: 0
Lucilia sericata Maggot Extract: A Promising Tool against Biofilms of Antimicrobial Resistant Strains of Staphylococcus aureus and Pseudomonas aeruginosa 蚕食琉璃苣蛆提取物:对抗金黄色葡萄球菌和铜绿假单胞菌耐药菌株生物膜的有效工具
Pub Date : 2024-03-02 DOI: 10.18502/jmb.v12i1.15020
Sara Rashid, Madjid Momeni-Moghaddam, Zahra Ghavidel
Background: This study explores the impact of Lucilia sericata maggots on the development and eradication of biofilms created by the pathogenic bacteria, Staphylococcus aureus and Pseudomonas aeruginosa. Methods: We assessed the influence of Lucilia sericata maggot extract on the viability of planktonic bacteria, the formation and disruption of biofilms, bacterial metabolic activity. Also the effect of simultaneous ES-antibiotic treatment in biofilm elimination was investigated. Additionally, the expression levels of genes associated with biofilm formation, namely LasI, psLA, agrA, and icaD was studied. Results: The results showed that ES can reduce the viability of planktonic S. aureus, significantly. Furthermore, ES of larvae fed on S. aureus-infected meat displayed the most substantial inhibition of biofilm formation (62.11% and 75.04% inhibition for S. aureus and P. aeruginosa, respectively). A similar trend was observed in biofilm destruction, with values of 56.67% and 68.50% inhibition for S. aureus and P. aeruginosa, respectively. The simultaneous application of ES of larvae that fed on S. aureus-infected meat and the minimum inhibitory concentration (MIC) of gentamicin resulted in 100% inhibition of biofilm formation by S. aureus. Notably, the group treated with ES of larvae fed on S. aureus-infected meat exhibited the most significant reduction in metabolic activity, with values of 95.03% and 68.25% for S. aureus and P. aeruginosa, respectively. The expression of LAsI and pslA genes in P. aeruginosa and the expression of agrA and icaD genes in S. aureus has decreased Conclusion: The findings of this study demonstrate that maggot extract has not only impacted the formation, but also eliminated the biofilms of S. aureus and P. aeruginosa.
背景:本研究探讨了蚕蛆对金黄色葡萄球菌和铜绿假单胞菌等致病菌形成的生物膜的发展和消除的影响。方法:我们评估了蚕蛆提取物对浮游细菌的活力、生物膜的形成和破坏、细菌代谢活动的影响。同时还研究了 ES-抗生素同时处理对消除生物膜的影响。此外,还研究了与生物膜形成相关的基因(即 LasI、psLA、agrA 和 icaD)的表达水平。结果显示结果表明,ES 能显著降低浮游金黄色葡萄球菌的活力。此外,用受金黄色葡萄球菌感染的肉喂养幼虫的 ES 对生物膜形成的抑制作用最大(对金黄色葡萄球菌和铜绿假单胞菌的抑制率分别为 62.11% 和 75.04%)。在破坏生物膜方面也观察到类似的趋势,对金黄色葡萄球菌和铜绿假单胞菌的抑制率分别为 56.67% 和 68.50%。同时使用以受金黄色葡萄球菌感染的肉为食的幼虫的 ES 和庆大霉素的最低抑菌浓度(MIC),可 100%地抑制金黄色葡萄球菌形成生物膜。值得注意的是,用受金黄色葡萄球菌感染的肉类喂养的幼虫的 ES 处理组的代谢活性下降最为显著,对金黄色葡萄球菌和铜绿假单胞菌的抑制率分别为 95.03% 和 68.25%。铜绿假单胞菌中 LAsI 和 pslA 基因的表达,以及金黄色葡萄球菌中 agrA 和 icaD 基因的表达均有所下降:本研究结果表明,蛆提取物不仅能影响金黄色葡萄球菌和铜绿假单胞菌生物膜的形成,还能消除它们的生物膜。
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引用次数: 0
Prevalence of Streptococcus agalactiae in Urinary Tract Infections of Pregnant Women 孕妇尿路感染中的无乳链球菌流行率
Pub Date : 2024-03-02 DOI: 10.18502/jmb.v12i1.15017
Ahdiyeh Saghabashi, Khadijeh Rostami, Maryam Allameh, Mansoor Khaledi, Hamed Afkhami, Javad Fathi, Rahmatullah Parvizi, Mohammad Esmkhani, A. Dezfuli, Shamin Shahriary, Mohamad Mahjoor
Background: Urinary tract infection is the most common bacterial infection in children and adults, especially females. Among urinary tract infection caused by bacteria, Streptococcus agalactiae can cause periodic, temporary, or persistent infection in women. The aim of this study was to evaluate the prevalence of S. agalactiae isolated from urine samples in pregnant women referred to Qom hospitals, Iran. Methods: In this descriptive study, 1264 pregnant women suspected for urinary tract infection were assessed. Midstream urine specimens collected from pregnant individuals in Ali-ibn-AbiTaleb hospital medical laboratory were passaged on blood agar media. Streptococcus agalactiae was detected using phenotype-based tests. Then, antibiotic susceptibility tests were conducted using the disc diffusion method according to CLSI protocols. Results: Out of 1264 pregnant patients, 17.64% were diagnosed with beta-hemolytic Streptococcus, and 13.37% were diagnosed with S. agalactiae. The highest rates of antibiotic resistance were found for Clindamycin and Erythromycin. In place, the lowest resistance rate was detected for Nitrofurantoin. The prevalence of resistance to Penicillin was about 33%. Conclusion: Regarding the results of this research, it would be better to perform urine culture tests before week 34 of pregnancy and the last weeks of pregnancy. Also, our results showed that Penicillin can be replaced by alternative antibiotics before week 34 of pregnancy to prevent further S. agalactiae antibiotic resistance.
背景:尿路感染是儿童和成人,尤其是女性最常见的细菌感染。在由细菌引起的尿路感染中,无乳链球菌可导致女性周期性、暂时性或持续性感染。本研究旨在评估从伊朗库姆医院转诊的孕妇尿液样本中分离出的半乳链球菌的流行率。研究方法在这项描述性研究中,对 1264 名疑似尿路感染的孕妇进行了评估。在 Ali-ibn-AbiTaleb 医院医学实验室采集的孕妇中段尿液标本在血琼脂培养基上进行培养。使用基于表型的检测方法检测出了无乳链球菌。然后,根据 CLSI 协议,使用盘扩散法进行抗生素药敏试验。结果在 1264 名孕妇中,17.64% 被确诊为乙型溶血性链球菌,13.37% 被确诊为无乳链球菌。克林霉素和红霉素的抗生素耐药率最高。而硝基呋喃妥因的耐药率最低。青霉素的耐药率约为 33%。结论根据这项研究的结果,最好在妊娠第 34 周之前和妊娠最后几周进行尿培养检测。此外,我们的研究结果表明,可在妊娠第 34 周前用其他抗生素替代青霉素,以防止进一步出现对 S. agalactiae 的抗生素耐药性。
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引用次数: 0
Characterization of Bacteriophage vB_PaeS_TUMS_P6 Infecting Pseudomonas aeruginosa 噬菌体 vB_PaeS_TUMS_P6 感染铜绿假单胞菌的特征分析
Pub Date : 2024-03-02 DOI: 10.18502/jmb.v12i1.15021
H. Kamyab, Narges Torkashvand, A. Shahverdi, M. Khoshayand, Mohammad Sharifzadeh, Z. Sepehrizadeh
Background: Pseudomonas aeruginosa is an important pathogen in healthcare settings that poses significant challenges due to its ability to rapidly develop antibiotic resistance. Its propensity to form biofilms and adapt to host defenses makes it even more difficult to treat, leading to prolonged and debilitating illnesses. So, it is vital to prioritize efforts to develop new strategies for treating infections caused by this pathogen. In the present work, morphological and biological characteristics of vB_PaeS_TUMS_P6 (P6), a lytic phage against P. aeruginosa, belonging to the genus Luzseptimavirus were fully described. Methods: P. aeruginosa ATCC 27853 was used for propagation and biological characterization of P6. Its morphology was assessed using transmission electron microscopy (TEM). Adsorption rate assay, one-step growth curve analysis and time-kill experiment were analyzed. Host Range of P6, as well as pH and thermal stability were also determined. Results: The results showed that it was of classic podovirus morphology and had a short latent period. It could kill bacteria at multiplicity of infection as low as 0.01 and also infect some multidrug-resistant clinical isolates. Stability data suggested that P6 remained stable in various temperatures and pH levels, which is a beneficial characteristic for phage therapy in different situations Conclusion: This study presents promising data supporting the future use of P6 as a candidate for phage therapy.
背景:铜绿假单胞菌是医疗机构中的一种重要病原体,由于它能够迅速产生抗生素耐药性,因此带来了巨大的挑战。铜绿假单胞菌具有形成生物膜和适应宿主防御系统的倾向,这使其更加难以治疗,从而导致病程延长和衰弱。因此,必须优先开发治疗这种病原体引起的感染的新策略。本研究全面描述了属于卢塞普噬菌体属(Luzseptimavirus)的针对铜绿假单胞菌的溶菌噬菌体 vB_PaeS_TUMS_P6(P6)的形态学和生物学特征。研究方法绿脓杆菌 ATCC 27853 用于 P6 的繁殖和生物学特性鉴定。使用透射电子显微镜(TEM)对其形态进行评估。分析了吸附率测定、一步生长曲线分析和时间杀灭实验。还测定了 P6 的宿主范围、pH 值和热稳定性。结果显示结果表明,它具有典型的荚膜病毒形态,潜伏期短。它能在感染倍率低至 0.01 时杀死细菌,也能感染一些耐多药的临床分离株。稳定性数据表明,P6 在不同的温度和 pH 值下都能保持稳定,这是噬菌体在不同情况下进行治疗的有利特性:本研究提供的数据很有希望支持未来将 P6 用作噬菌体疗法的候选药物。
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引用次数: 0
Comparative Evaluation of ELISA and Real-time PCR Tests to Detect COVID-19 检测 COVID-19 的酶联免疫吸附试验和实时 PCR 试验的比较评估
Pub Date : 2024-03-02 DOI: 10.18502/jmb.v12i1.15019
Saye Moshashei, Haniyeh Bashi Zadeh Fakhar, Babak Shaghaghi, Melika Jalalian
Background: Considering the wide spread of covid-19 and its high death rate, it is very important to find a sensitive and accurate diagnostic method. Thus, this study compared two main diagnostic approaches; PCR and ELISA, to detect COVID-19. Methods: Fifty patients admitted to Baghiyatalah Hospital were examined to detect COVID-19 RNA by Real-time PCR method, as well as for the presence of IgG and IgM antibodies by ELISA method. The results were statistically analysed by SPSS software. Results: The mean age of patients is 38.4 years old. The percentage of positive cases of COVID-19 in the studied patients according to PCR and ELISA tests was 66% and 70%, respectively. There was a statistically significant difference between positive cases of COVID-19 detected by PCR and ELISA with emerging fever, weakness, and lethargy . The diagnostic value of ELISA versus PCR showed that the sensitivity, specificity, positive likelihood ratio, and true positive rate were 100%, 88.2%, 8.5, and 94.29%, respectively. Conclusion: Although the sensitivity of detection in Real-time PCR is higher than that in ELISA, there is a high agreement between the two methods when used for diagnosis of COVID-19.
背景:考虑到 COVID-19 的广泛传播和高死亡率,找到一种敏感而准确的诊断方法非常重要。因此,本研究比较了检测 COVID-19 的两种主要诊断方法:PCR 和 ELISA。方法对巴吉雅塔拉医院收治的 50 名患者进行检查,采用实时 PCR 法检测 COVID-19 RNA,并采用 ELISA 法检测是否存在 IgG 和 IgM 抗体。结果通过 SPSS 软件进行统计分析。结果患者平均年龄为 38.4 岁。根据聚合酶链反应和酶联免疫吸附试验,研究对象中 COVID-19 阳性病例的比例分别为 66% 和 70%。PCR和ELISA检测出的COVID-19阳性病例与新出现的发热、虚弱和嗜睡之间存在明显的统计学差异。ELISA 与 PCR 的诊断价值显示,两者的灵敏度、特异性、阳性似然比和真阳性率分别为 100%、88.2%、8.5 和 94.29%。结论虽然实时 PCR 的检测灵敏度高于 ELISA,但这两种方法在用于诊断 COVID-19 时具有很高的一致性。
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引用次数: 0
Zoliflodacin: A hope to treat antibiotic-resistant Neisseria gonorrhoeae 佐利氟达辛治疗耐抗生素淋病奈瑟菌的希望所在
Pub Date : 2023-12-09 DOI: 10.18502/jmb.v11i1-2.14372
Mohammad Reza Mohammadi
Background: Neisseria gonorrhoeae is a gram negative diplococci which causess a sexually transmitted infection. N. gonorrhoeae is an obligate human pathogen that causes infection to the mucussecreting epithelial cells both in male and female. In 2017, the centre of disease control and World Health Organization published the list of global priority pathogens with denting therapeutic options, including antibiotic-resistant N. gonorrhoeae. During the covid-19 pandemic, excessive use of antibiotics led to raise of drug resistance. The infection is widespread and intractable. If this happens, more people will be left with an incurable infection which may cause serious health problems. Results: We characterized zoliflodacin thoroughly. Here is discussed the clinical trials and side effects on human health by searching different keywords like “zoliflodacin”, “covid-19”, “clinical trials” from different data sources like Pub-Med, Google-Scholar, and Science-Direct. Zoliflodacin targets antibiotic-resistant N. gonorrhoeae. Zoliflodacin is mainly known based on its therapeutic effects against N. gonorrhoeae. It acts by inhibiting bacterial type 2 topoisomerase with binding site in bacterial gyrase. Zoliflodacin is effective in treating gonococcal urogenital and rectal infection. Conclusion: Antibiotic is the only option to treat N. gonorrhoeae. There is no vaccine available to treat gonorrhea. The new drug, zoliflodacin, specifically targets antibiotic-resistant gonorrhea and its is why researchers have studied this antibiotic from different point of views. In this study, we elaborate the discovery of zoliflodacin, its mechanism of action, the current clinical trials, and the effectiveness of zoliflodacin.
背景:淋病奈瑟菌是一种革兰氏阴性双球菌,可引起性传播感染。淋病奈瑟菌是一种专性人类病原体,可引起男性和女性粘液分泌上皮细胞的感染。2017年,疾病控制中心和世界卫生组织公布了全球重点病原体清单,其中包括具有抗生素耐药性的淋病奈瑟菌。在2019冠状病毒病大流行期间,过度使用抗生素导致耐药性上升。这种感染广泛且难以治愈。如果发生这种情况,更多的人将会患上无法治愈的感染,这可能会导致严重的健康问题。结果:我们对唑氟达星进行了彻底的表征。本文通过在Pub-Med、Google-Scholar、Science-Direct等不同数据源中搜索“zoliflodacin”、“covid-19”、“临床试验”等关键词,讨论了临床试验对人体健康的影响及其副作用。唑氟菌素靶向耐抗生素淋病奈瑟菌。唑氟达星主要因其对淋病奈瑟菌的治疗作用而为人所知。它通过抑制细菌2型拓扑异构酶与细菌旋切酶的结合位点起作用。唑氟哌啶对淋球菌性泌尿生殖和直肠感染有效。结论:抗生素是治疗淋病奈瑟菌的唯一选择。目前还没有治疗淋病的疫苗。这种名为唑氟达星(zoliflodacin)的新药专门针对耐抗生素淋病,这就是为什么研究人员从不同的角度研究这种抗生素的原因。在本研究中,我们阐述了唑氟达星的发现、作用机制、目前的临床试验以及唑氟达星的有效性。
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引用次数: 0
Genital Infections and Associated Risk Factors in Women on Contraception Monitored at the Bacteriology and Virology Laboratory of Aristide Le Dantec Hospital 阿里斯蒂德-勒丹泰克医院细菌学和病毒学实验室监测的避孕妇女生殖器感染情况及相关风险因素
Pub Date : 2023-12-09 DOI: 10.18502/jmb.v11i5-6.14357
A. Dieng, Souleymane Aidara, Amary Fall, Ndeye Fatou Diouf, Serigne Mbaye Lo Ndiaye, Alioune Tine, Safietou Ngom Cisse, H. Diagne, Moustapha Cisse, Marième Samb, Siny Ndiaye, Djibril Diop, Awa Ba Diallo, H. Ndiaye, M. Camara
Background: Contraception is a strategy of choice for spacing births but also for avoiding early and unwanted pregnancies. However, through hormonal modification, this contraception constitutes a favorable state for the proliferation in the genital tract of agents responsible for vaginal infections. The objective of this study was to evaluate the prevalence of genital infections in women on contraception followed up at the bacteriology-virology laboratory of Aristide Le Dantec Hospital. Methods: This is a retrospective descriptive study conducted over a one-year period between January 2019 and December 2020. Microbial assessemnets were performed on genital secretions according to standard bacteriology laboratory procedures. Sociodemographic data and bacteriological examination results obtained were entered using File Maker Pro Advanced (version 16) software. Statistical analyses were performed using SPSS software (version 20). Results: This research studied 1771 women, of whom 1609 were on contraceptives. The most represented age group was over 40 years (27.06%). The majority of patients were women on oral contraceptives (32.07%). Women with secondary education (31.45%) and women with 1 to 3 children (43.03%) were most often on contraception. The germs most frequently detected in women on contraception were Gardnerella vaginalis (51.78%) and Candida albicans (24.19%) and the use of intrauterine device (IUD) as a means of contraception was statistically associated with vaginal infection (p=0.0004). Conclusion: This study showed a high frequency of vaginal infections in women on contraception and that the intrauterine device was significantly associated with the occurrence of these infections.
背景:避孕是间隔生育的一种选择策略,也是为了避免早孕和意外怀孕。然而,通过激素的调整,这种避孕构成了一个有利的状态,在生殖道的代理人负责阴道感染的增殖。本研究的目的是评估在阿里斯蒂德·勒丹特克医院细菌学-病毒学实验室随访的避孕妇女生殖器感染的流行情况。方法:这是一项回顾性描述性研究,研究时间为2019年1月至2020年12月,为期一年。根据标准细菌学实验室程序对生殖器分泌物进行微生物评估。使用File Maker Pro Advanced (version 16)软件输入社会人口学数据和细菌学检查结果。采用SPSS软件(version 20)进行统计分析。结果:本研究对1771名妇女进行了调查,其中1609名妇女服用了避孕药。最具代表性的年龄组是40岁以上(27.06%)。口服避孕药患者以女性居多(32.07%)。受过中等教育的妇女(31.45%)和有1至3个子女的妇女(43.03%)最常采取避孕措施。避孕妇女中检出最多的细菌为阴道加德纳菌(51.78%)和白色念珠菌(24.19%),使用宫内节育器与阴道感染有统计学相关性(p=0.0004)。结论:本研究显示避孕妇女阴道感染的发生率较高,而宫内节育器与阴道感染的发生有显著关系。
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引用次数: 0
Antibiotic Resistance Pattern Among Isolated Bacteria from Urinary Tract Infection Patients in the Intensive Care Unit 重症监护病房尿路感染患者分离细菌的抗生素耐药性模式
Pub Date : 2023-12-09 DOI: 10.18502/jmb.v11i5-6.14360
Fatemeh Forouzani, Asghar Sharifi, Najmeh Mojarad, Zahra Mohammadi, Reza Shahriarirad
Background: Urinary tract infection (UTI) is one of the most important health care issues with a major role in occurrence of nosocomial infections. Rise in antibiotic resistance rate by UTIs not only lead to morbidity and mortality, but also impose a remarkable financial burden on health care infrastructure. This study was undertaken to evaluate the prevalence of UTIs and identify common microorganisms responsible for infection and their antibiotic resistance profile in our Intensive Care Unit (ICU). Methods: In this perspective cross-sectional study, data from patients admitted to the ICU of two main referral hospitals in Yasouj, Southern-west Iran from 2015- 2016 was collected. Patients were selected in a subsequent manner and were asked to provide a midstream urine sample. Positive cultures were subsequently placed in differential culture medium for the diagnosis of the causative pathogen, while also evaluating with Muller Hinton Agar culture for antibiogram through disc diffusion method, to evaluate the pathogens sensitivity and resistance towards the tested antibiotics. Results: Based on bacterial culture results among a total of 112 obtained urine samples, 100 (89.2%) were negative while 12 (10.8%) were positive, in which the majority were gram-negative (6.25%) and the most frequent pathogen was Escherichia coli (5.3%). All cases of UTI in our population were fully resistant to cephalexin, ampicillin, and amoxicillin. Also, all gram-negative cultures were sensitive to amikacin. There was also no significant association between the antibiogram results with age, gender, and gram results. Conclusion: we report actual data on the resistance patterns of uro-pathogens in a public hospital in Iran. Escherichia coli showed a high prevalence among all UTIs with lower resistance rates to the antibiotics. Resistance to nalidixic acid and trimethoprim-sulfamethoxazole were significantly lower than other oral antibiotics, making both a suitable and cheap alternative for the empirical treatment.
背景:尿路感染(UTI)是最重要的卫生保健问题之一,在医院内感染中扮演着重要角色。尿路感染引起的抗生素耐药率上升不仅会导致发病率和死亡率,还会给医疗基础设施带来巨大的经济负担。本研究旨在评估重症监护病房(ICU)中尿毒症的发病率,并确定导致感染的常见微生物及其抗生素耐药性概况。研究方法在这项透视横断面研究中,收集了伊朗西南部亚苏季两家主要转诊医院重症监护室 2015- 2016 年收治的患者数据。患者以随后的方式被选中,并被要求提供中段尿液样本。随后将阳性培养物置于差异培养基中进行致病病原体诊断,同时使用穆勒-辛顿琼脂培养物通过盘式扩散法进行抗生素谱分析,以评估病原体对测试抗生素的敏感性和耐药性。结果根据细菌培养结果,在 112 份尿液样本中,100 份(89.2%)呈阴性,12 份(10.8%)呈阳性,其中大多数为革兰氏阴性菌(6.25%),最常见的病原体是大肠埃希菌(5.3%)。本研究人群中的所有尿毒症病例均对头孢氨苄、氨苄西林和阿莫西林完全耐药。此外,所有革兰氏阴性培养物都对阿米卡星敏感。抗生素图谱结果与年龄、性别和革兰氏结果之间也没有明显关联。结论:我们报告了伊朗一家公立医院尿路病原体耐药性模式的实际数据。大肠埃希菌在所有UTI中的发病率较高,但对抗生素的耐药率较低。对萘啶酸和三甲氧苄啶-磺胺甲噁唑的耐药性明显低于其他口服抗生素,因此这两种抗生素是经验性治疗的合适且廉价的替代药物。
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引用次数: 0
A Comprehensive Review of Herbal Recommendations with the Potential to Inhibit COVID-19 Infection 全面审查具有抑制 COVID-19 感染潜力的草药建议
Pub Date : 2023-12-09 DOI: 10.18502/jmb.v11i5-6.14362
Mansoor Khaledi, Fatemeh Sameni, Hossein Amini-Khoei, Mehran Bakhtiari, Najmeh Sedighimehr, Javad Fathi, Maede Ghiyasvand, Zahra Mottaghiyan, Saina Najafi, Pouneh Mohammadpour, Zahra Shirzazd, Azam Haghighatfard, Majid Validi
Background: The outbreak of Coronavirus Disease 2019 (COVID-19) has originated from Wuhan, China and rapidly spread all over the world. This disease is caused by a coronavirus termed Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) that mainly infects the human respiratory tract. Herbal agents including Atractylodes lancea, Ephedra, Curcumin, and Echinacea purpurea had immunomodulatory effects and antiviral activities on other respiratory viruses including Influenza virus. They strengthen the innate immunity through increasing the phagocytic activity and antiinflammatory activity. These herbs could be used as a complementary therapy to prevent entry of COVID-19 and improve immune system. This review delves into the role and therapeutic compounds of various herbal agents in relation to immunity, their effectiveness in treating other viral respiratory illnesses, and their potential influence on COVID-19 disease.
背景:2019冠状病毒病(COVID-19)疫情起源于中国武汉,并迅速蔓延至全球。这种疾病是由一种名为“严重急性呼吸综合征冠状病毒-2”(SARS-CoV-2)的冠状病毒引起的,主要感染人类呼吸道。苍术、麻黄、姜黄素、紫锥菊等中药制剂对流感病毒等呼吸道病毒具有免疫调节作用和抗病毒活性。它们通过提高机体的吞噬活性和抗炎活性来增强机体的先天免疫功能。这些草药可以作为预防COVID-19进入和提高免疫系统的补充疗法。本文综述了各种草药在免疫方面的作用和治疗化合物,治疗其他病毒性呼吸道疾病的有效性,以及它们对COVID-19疾病的潜在影响。
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引用次数: 0
Frequency of Vancomycin and Aminoglycoside Resistance Genes in Enterococcus spp. Isolated from Chicken Raw Meat Samples 鸡肉生肉样本中分离出的肠球菌对万古霉素和氨基糖苷类药物耐药基因的频率
Pub Date : 2023-12-09 DOI: 10.18502/jmb.v11i1-2.14369
Davoud Afshar, Reza Shakiba, F. Haghi, H. Zeighami
Background: Enterococci are main normal microbial flora of both humans and animals and can survive in a diverse range of environments. These bacteria carry out aminoglycoside and vancomycin resistance genes and spread them in environment by many routs such as chicken meat products. The present study was aimed to determine the frequency of aminoglycoside and vancomycin resistant genes in Enterococcus species isolated from chicken meat specimens. Methods: A total of 250 chicken raw meat specimens was prepared from slaughterhouses at Zanjan province, cultured at BHI broth and incubated at 37°C for 24h. The positive cultures were sub-cultured in blood agar plates and grown colonies identified using phenotypical and biochemical tests. Antibiotic susceptibility was determined according to the Clinical and Laboratory Standards Institute (CLSI) standards and PCR assays were performed to detect vanA, vanB, aph (2")1c, aph (2")1b, aph (2")1d, ant(3'), aph(3')IIIa, ant(4')1a, ant(6') and aac(6') genes. Results: In total, 100 Enterococcus species isolated from 250 specimens and 35% of them belonged to E. faecalis and the others were E. faecium (65%). The prevalence of the vanA, vanB, aph (2")1c, aph (2")1b, aph (2")1d, ant(3'), aph(3')IIIa, ant(4')1a, ant(6') and aac(6') genes among the 100 Enterococcus species was 14%, 12%, 10%, 1%, 2%, 50%, 26%, 9%, 18% and 22%, respectively. Conclusion: The current study revealed that the rate of antimicrobial resistance genes to aminoglycosides and vancomycin was worrying and health measurements in meat products industries must be performed to prevent spread of antimicrobial resistance elements among bacteria.
背景:肠球菌是人类和动物的主要正常微生物菌群,可以在多种环境中生存。这些细菌携带氨基糖苷和万古霉素耐药基因,并通过鸡肉制品等多种途径在环境中传播。本研究旨在确定从鸡肉标本中分离的肠球菌中氨基糖苷和万古霉素耐药基因的频率。方法:从赞詹省屠宰场制备250份鸡肉生肉标本,在BHI肉汤中培养,37℃孵育24h。阳性培养物在血琼脂板中继代培养,用表型和生化试验鉴定生长菌落。按照美国临床与实验室标准协会(CLSI)标准进行药敏检测,PCR检测vanA、vanB、aph(2”)1c、aph(2”)1b、aph(2”)1d、ant(3”)、aph(3”)IIIa、ant(4”)1a、ant(6”)和aac(6”)基因。结果:250份标本共分离到100种肠球菌,其中粪肠球菌占35%,其余为粪肠球菌(65%)。在100种肠球菌中,vanA、vanB、aph(2’)1c、aph(2’)1b、aph(2’)1d、ant(3’)、aph(3’)IIIa、ant(4’)1a、ant(6’)和aac(6’)基因的阳性率分别为14%、12%、10%、1%、2%、50%、26%、9%、18%和22%。结论:目前的研究表明,对氨基糖苷类和万古霉素的耐药基因的比例令人担忧,肉制品行业必须采取卫生措施,防止耐药元素在细菌中传播。
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引用次数: 0
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Journal of Medical Bacteriology
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