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Quinolone-Resistant Isolates of Acinetobacter baumannii in a Teaching Hospital in Iran 伊朗一所教学医院中对喹诺酮耐药的鲍曼不动杆菌分离株
Q4 Medicine Pub Date : 2023-08-01 DOI: 10.61186/iem.9.2.107
Sareh Bagheri, F. Firoozeh, elahe sasani, Tayebe Shahbazi, rezavan moniri
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引用次数: 0
Seroprevalence of Zika Virus IgM Antibodies in Pregnant Woman in Nigeria 尼日利亚孕妇的寨卡病毒 IgM 抗体血清流行率
Q4 Medicine Pub Date : 2023-08-01 DOI: 10.61186/iem.9.2.179
H. Adekola, David Ojo, Saka Balogun, M. Dipeolu, Musa Mohammed, Adeolu Amusan
non-specific
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引用次数: 0
Prevalence of Chlamydia trachomatis Sequence Types 4 and 80 in Infertile Couples in North Khorasan, Iran 伊朗北呼罗珊不育夫妇中沙眼衣原体序列 4 型和 80 型的流行率
Q4 Medicine Pub Date : 2023-08-01 DOI: 10.61186/iem.9.2.127
Araz Majnooni, K. Ghazvini, A. Azimian, Saeed Amel-Jamehdar
were not typable. Only two sequence types were detected among 34 typeable isolates: 25 (73.5%) isolates belonged to ST80, and nine (26.5%) samples belonged to ST4. Conclusion : The high prevalence of ST4 and ST80 in most symptomatic infertile patients may be attributed to the higher pathogenicity of these types in the urogenital tract. However, our sample size was insufficient to draw such a conclusion., Further research on the prevention and treatment of Chlamydial infections could potentially help to reduce infertility in Iran.
无法分型。在 34 个可分型的分离物中,只检测到两种序列类型:25个(73.5%)分离株属于ST80型,9个(26.5%)样本属于ST4型。结论:ST4 和 ST80 在大多数有症状的不育患者中的高流行率可能是由于这些类型在泌尿生殖道中的致病性较高。然而,我们的样本量不足以得出这样的结论。
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引用次数: 0
Inhibition of Bacterial growth, mineral, proximate and vitamin contents of a syrup prepared from Vitex doniana fruits 荆芥果实糖浆的抑菌作用、矿物质、近似物和维生素含量
Q4 Medicine Pub Date : 2023-08-01 DOI: 10.61186/iem.9.2.137
Fred Akharaiyi, Muniratu Maliki
Background : This study aims to investigate the in-vitro antibacterial activity, mineral and vitamin compositions, proximate composition, and organoleptic properties of a syrup derived from Vitex doniana fruits. Materials & Methods : V . doniana fruits were mashed, mixed with water, strained, and boiled to thicken the filtrate . The syrup’s antibacterial activity was tested on 7 clinical and 6 American Type Culture Collection (ATCC) isolates using well-in-agar diffusion method on Mueller Hinton agar. The fruit juice underwent mineral analysis using atomic spectroscopy and mass spectrometry. Proximate composition, vitamin, and organoleptic properties of a syrup were evaluated. Findings : Clinical Escherichia coli 0157:
背景:本研究的目的是调查荆条果实提取的糖浆的体外抗菌活性、矿物质和维生素成分、近似物成分和感官特性。材料与方法:将牡荆果捣碎,加水混合,过滤,煮沸,使滤液变稠。在穆勒欣顿琼脂上采用琼脂井扩散法对 7 种临床分离菌和 6 种美国类型培养物保藏中心(ATCC)分离菌进行了糖浆抗菌活性测试。使用原子光谱和质谱对果汁中的矿物质进行了分析。对糖浆的近似成分、维生素和感官特性进行了评估。研究结果:临床大肠埃希氏菌 0157:
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引用次数: 0
Monitoring and Investigation of Resistance Genes gyrA, parC, blaZ, ermA, ermB, and ermC in Staphylococcus saprophyticus Isolated from Urinary Tract Infections in Mazandaran Province 监测和调查马赞达兰省尿路感染中分离出的溶血性葡萄球菌的抗性基因 gyrA、parC、blaZ、ermA、ermB 和 ermC
Q4 Medicine Pub Date : 2023-08-01 DOI: 10.61186/iem.9.2.117
Reyhaneh Amiri, Majid Alipour, Ali Khajir Engasi, Ali Reza Amiri, Ramin Mofarrah
Background: Bacterial urinary tract infections are observed in all age groups due to the development of antibiotic-resistant species. This study aimed to investigate resistance genes gyrase subunit A ( gyrA) , topoisomerase IV ( parC ) subunit gene, beta lactamase ( blaZ ), erythromycin ribosome methylase ( ermC ), ermB , and ermA in Staphylococcus saporophyticus isolated from patients with urinary tract infections (UTIs) in Mazandaran Province, Iran. Materials & Methods: In this cross-sectional descriptive study, 3280 clinical samples were collected from patients with UTIs in Mazandaran Province from April to December 2022. Isolates were identified by biochemical tests. Microbial sensitivity tests were performed by disk diffusion method according to Clinical and Laboratory Standards Institute (CLSI) guidelines. Polymerase chain reaction (PCR) was used to check the presence of resistance genes. Findings: Out of a total of 3280 clinical samples collected, 2088 samples were detected by biochemical tests at the genus level
背景:由于抗生素耐药菌种的发展,所有年龄段的人群都可观察到细菌性尿路感染。本研究旨在调查伊朗马赞达兰省从尿路感染(UTIs)患者中分离出的水肿葡萄球菌的耐药基因回旋酶亚基 A(gyrA)、拓扑异构酶 IV(parC)亚基基因、β-内酰胺酶(blaZ)、红霉素核糖体甲基化酶(ermC)、ermB 和 ermA。材料与方法:在这项横断面描述性研究中,从 2022 年 4 月至 12 月期间收集了 3280 份马赞达兰省尿路感染患者的临床样本。通过生化检验对分离菌进行鉴定。根据临床与实验室标准协会(CLSI)指南,采用磁盘扩散法进行微生物敏感性检测。聚合酶链反应(PCR)用于检测耐药基因的存在。研究结果在收集到的 3280 份临床样本中,有 2088 份样本通过生化检验检测到了属一级的细菌
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引用次数: 0
Investigating the Association between COVID-19 Prognosis and Demographic and Clinical Features, Underlying Diseases, and Drug and Supplement Use in Patients Hospitalized in Zabol, Iran: A Single-Center Retrospective Study 调查伊朗扎布尔住院患者 COVID-19 预后与人口统计学特征、临床特征、基础疾病以及药物和补充剂使用之间的关联:单中心回顾性研究
Q4 Medicine Pub Date : 2023-08-01 DOI: 10.61186/iem.9.2.167
Shaghayegh Hemat jouy, farzan Lotfi, Rahim Akrami, jafar shahraki, R. Sheervalilou, Omolbanin Shahraki, H. Ghaznavi
Backgrounds: The primary goal of this study was to identify the potential association between COVID-19 prognosis and demographic and clinical features, underlying diseases, and drug and supplement use in patients admitted to Amir al-Momenin hospital in Zabol. Materials & Methods: This retrospective study surveyed the electronic health records of 848 COVID-19 patients hospitalized in a tertiary referral hospital in southeastern Iran from the beginning of the COVID-19 outbreak until the end of February 2021. Univariate and multiple analytical tests including unconditional and penalized logistic regressions were used for statistical analysis. Findings: Out of a total of 848 patients, 371 (43.75%) patients were female, and 477 (56.25%) patients were male. Age, underlying pulmonary and cardiovascular diseases, and loss of consciousness predicted a higher mortality rate. On the contrary, a negative chest X-ray was associated with a lower risk of death. Conclusion: Identifying predisposing factors of mortality in COVID-19 patients will help physicians provide more intensive care to those at higher risk of death by classifying patients based on risk factors and underlying diseases.
研究背景:本研究的主要目的是确定扎布尔市 Amir al-Momenin 医院住院患者的 COVID-19 预后与人口统计学特征、临床特征、基础疾病以及药物和补充剂使用之间的潜在关联。材料与方法:这项回顾性研究调查了伊朗东南部一家三级转诊医院从 COVID-19 爆发之初到 2021 年 2 月底住院的 848 名 COVID-19 患者的电子健康记录。统计分析采用了单变量和多重分析测试,包括无条件和惩罚性逻辑回归。研究结果在总共 848 名患者中,371 名(43.75%)患者为女性,477 名(56.25%)患者为男性。年龄、潜在的肺部和心血管疾病以及意识丧失预示着较高的死亡率。相反,胸部 X 光片呈阴性则死亡风险较低。结论找出 COVID-19 患者的死亡诱因将有助于医生根据风险因素和潜在疾病对患者进行分类,从而为死亡风险较高的患者提供更周到的护理。
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引用次数: 0
Evaluation of the Relative Frequency of Carbapenemase Genes by Phenotypic and Genotypic Methods in Pseudomonas aeruginosa Isolates from Patients with Open Heart Surgery in Iran 用表型和基因型方法评价伊朗心脏直视手术患者铜绿假单胞菌碳青霉烯酶基因相对频率
Q4 Medicine Pub Date : 2023-03-01 DOI: 10.52547/iem.9.1.55
M. Mokhtari, A. Mojtahedi, N. Mahdieh, A. Jafari, Zahra Atrkar Roushan, M. Arya
Article Type Original Article 1 Department of Microbiology, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran 2 Cardiogenetic Research Center, Rajaei Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran 3 Urology Research Center, Razi Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran 4 School of Medicine, Guilan University of Medical Sciences, Rasht, Iran 5 Anatomical and clinical pathologist, Fellowship of dermatopathology, Head of Sina Pathobiology Lab, Yazd, Iran. * Correspondence Department of Microbiology, School of Medicine, Guilan University Campus, 7th Km of Rasht-Tehran Highway, Rasht, Guilan, Iran. E-mail: mojtahedi.a@iums.ac.ir Article History Received: January 06, 2023 Accepted: February 21, 2023 Published: March 10, 2023 Backgrounds: Carbapenem resistance among Pseudomonas aeruginosa strains is alarming. This study aimed to investigate the relative frequency of carbapenem-resistant P. aeruginosa strains by phenotypic and genotypic methods. Materials & Methods: The antibiotic susceptibility pattern of 60 P. aeruginosa isolates was determined by disk diffusion method (Kirby-Bauer). BD Phoenix automated microbiology system was used to identify carbapenem-resistant isolates, and the minimum inhibitory concentration (MIC) was determined using E-Test. In addition, mCIM (modified carbapenem inactivation method) phenotypic test was performed to evaluate carbapenem resistance genes in P. aeruginosa isolates. The prevalence of metallo-beta-lactamase (MβL) genes in carbapenem-resistant P. aeruginosa isolates was determined using conventional polymerase chain reaction (PCR). Findings: The frequency of carbapenem-resistant P. aeruginosa isolates was 36% (22 of 60). The highest resistance was observed to imipenem and meropenem (36.6%), and the highest sensitivity was observed to amikacin (75%). All carbapenem-resistant P. aeruginosa isolates were confirmed by the BD Phoenix automated system (MIC>8 μg/mL for imipenem and meropenem), E-test (MIC ˂ 32 μg/mL), and mCIM assay (the growth inhibition zone diameter was 6-8 mm). In carbapenem-resistant P. aeruginosa isolates, the frequency of blaVIM, blaIMP, and blaSPM genes was 9.1% (2 of 22), 4.5% (1 of 22), and 4.5% (1 of 22), respectively. BlaKPC and blaNDM genes were not found in any of the isolates. Conclusion: Based on the present study results, all phenotypic tests used to identify carbapenemase-producing isolates had the same sensitivity (100%) and specificity (100%). Copyright@ 2023, TMU Press. This open-access article is published under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License which permits Share (copy and redistribute the material in any medium or format) and Adapt (remix, transform, and build upon the material) under the Attribution-NonCommercial terms. 10.52547/iem.9.1.55
1伊朗拉什特吉兰医科大学医学院微生物系2伊朗德黑兰伊朗医科大学心血管医学研究中心心脏遗传学研究中心3伊朗拉什特吉兰医科大学医学院拉兹医院泌尿外科研究中心4伊朗拉什特吉兰医科大学医学院5解剖与临床病理学家;伊朗亚兹德,新浪病理生物学实验室主任,皮肤病理学研究员。*伊朗吉兰市拉什特,吉兰大学校区医学院微生物学系,拉什-德黑兰高速公路7公里处。E-mail: mojtahedi.a@iums.ac.ir文章历史收稿日期:2023年1月6日收稿日期:2023年2月21日发表日期:2023年3月10日背景:铜绿假单胞菌对碳青霉烯的耐药性令人担忧。本研究旨在通过表型和基因型方法研究耐碳青霉烯P. aeruginosa菌株的相对频率。材料与方法:采用纸片扩散法(Kirby-Bauer)测定60株铜绿假单胞菌的药敏谱。采用BD Phoenix自动微生物系统对碳青霉烯耐药菌株进行鉴定,采用E-Test法测定最低抑菌浓度(MIC)。此外,采用改良碳青霉烯失活法(mCIM)表型检验对铜绿假单胞菌碳青霉烯耐药基因进行鉴定。采用常规聚合酶链反应(PCR)检测耐碳青霉烯P. aeruginosa分离株中金属β -内酰胺酶(MβL)基因的流行率。结果:碳青霉烯耐药铜绿假单胞菌分离株的频率为36%(60例中有22例)。亚胺培南和美罗培南耐药最高(36.6%),阿米卡星敏感最高(75%)。采用BD Phoenix自动化系统(亚胺培南、美罗培南MIC>8 μg/mL)、E-test (MIC小于32 μg/mL)和mCIM法(生长抑制带直径为6 ~ 8 mm)对耐碳青霉烯类铜绿假单胞菌进行鉴定。在耐碳青霉烯P. aeruginosa分离株中,blaVIM、blaIMP和blaSPM基因的频率分别为9.1%(22例中2例)、4.5%(22例中1例)和4.5%(22例中1例)。在所有分离株中均未发现BlaKPC和blaNDM基因。结论:基于本研究结果,所有用于鉴定产生碳青霉烯酶的分离株的表型试验具有相同的敏感性(100%)和特异性(100%)。TMU出版社版权所有。这篇开放获取的文章是在知识共享署名-非商业4.0国际许可证的条款下发布的,该许可证允许在署名-非商业条款下共享(以任何媒介或格式复制和再分发材料)和改编(重新混合,转换和构建材料)。10.52547 / iem.9.1.55
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引用次数: 1
SARS-CoV-2 Reinfection Rate: A Systematic Review and Meta-analysis SARS-CoV-2再感染率:系统回顾和meta分析
Q4 Medicine Pub Date : 2023-03-01 DOI: 10.52547/iem.9.1.63
Y. Alimohamadi, Kiana Bahani, Kolsoom Alimohammadi, M. Sepandi
Backgrounds: Reinfection among COVID-19 patients is still a challenging issue in the medical literature. Therefore, the current meta-analysis was conducted to estimate the pooled incidence rate of reinfection among COVID-19 patients. Material(s) and Method(s): A comprehensive search was conducted in PubMed, Web of Science, and Scopus databases from July 1 to October 1, 2021. Original studies which estimated the incidence rate of COVID-19 reinfection were included. CASP (Critical Appraisal skills program) was used to assess the quality of studies. Data were analyzed by STATA statistical software Version 15 (StataCorp, College Station, TX, USA). Finding(s): A total of 3803 articles were found, of which 16 articles remained after title, , and full text screening. The minimum and maximum incidence rates of reinfection were 0.001 and 0.73%, respectively. The pooled estimated incidence rate of COVID-19 reinfection was 0.11% (95% confidence interval: 0.02-0.20, p< .001, I2 = 100.0). The highest pooled estimated incidence rate of reinfection was observed in people <50 years old (0.14%) (95% CI: 0.001-0.34, p<.001, I2 = 100). Regarding the time elapsed after the first infection, the highest reinfection rate occurred four months after the first infection (0.12%) (95% CI: 0.001-0.27, p< .001, I2 = 100). Conclusion(s): The incidence rate of reinfection among COVID-19 patients is expected to be high. However, it seems that the influence of factors including the age of patients and the time elapsed after the first infection must be considered.Copyright A© 2023, TMU Press.
背景:在医学文献中,COVID-19患者的再感染仍然是一个具有挑战性的问题。因此,本荟萃分析旨在估计COVID-19患者再感染的合并发生率。材料和方法:综合检索PubMed、Web of Science和Scopus数据库,检索时间为2021年7月1日至10月1日。纳入了估计COVID-19再感染发生率的原始研究。CASP(批判性评估技能计划)用于评估研究的质量。数据采用STATA统计软件Version 15 (StataCorp, College Station, TX, USA)进行分析。结果:共发现3803篇文章,经标题、全文筛选后,剩余16篇文章。再感染的最小和最大发生率分别为0.001和0.73%。合并估计的COVID-19再感染发生率为0.11%(95%可信区间:0.02 ~ 0.20,p< 0.001, I2 = 100.0)。再感染的合并估计发生率最高的人群是50岁以下(0.14%)(95% CI: 0.001-0.34, p<。001, i2 = 100)。再感染率在首次感染后4个月内最高(0.12%)(95% CI: 0.001 ~ 0.27, p< 0.001, I2 = 100)。结论:2019冠状病毒病患者再感染发生率较高。然而,似乎必须考虑患者年龄和首次感染后的时间等因素的影响。版权所有©2023,TMU出版社。
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引用次数: 0
Investigation of Metallobetalactamase (blaIMP & blaVIM) and Carbapenemase (blaKPC & blaGES) Genes in Gram Negative Rods Isolated from Cancer Patients 肿瘤患者革兰氏阴性杆状细胞中金属β半内酰胺酶(blaIMP & blaVIM)和碳青霉烯酶(blaKPC & blaGES)基因的研究
Q4 Medicine Pub Date : 2023-03-01 DOI: 10.52547/iem.9.1.43
Fahimeh Maleki, M. Akbari, M. Arjomandzadegan, A. Ahmadi
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引用次数: 0
Prevalence of Salmonella Bloodstream Infection and Antimicrobial Resistance in Lagos, Nigeria. 尼日利亚拉各斯沙门氏菌血液感染的流行和抗菌素耐药性。
Q4 Medicine Pub Date : 2023-03-01 DOI: 10.52547/iem.9.1.1
F. Akinkunmi, S. Ajoseh, C. Fakorede, R. Abegunrin, W. Salami, Aminat K. Lawal, K. Akinyemi
(n=6, 10.91%), Proteus species (n=13, 23.64%), Serratia species (n=7, 12.73%), and Citrobacter species (n=2, 3.64%). In this study, the detection rate of Salmonella isolates in positive blood culture samples using qPCR and inv A gene primer set was 100%. Salmonella isolates were %100 resistant to ceftazidime, cefotaxime, and doripenem. Multidrug resistance (MDR) was observed in Salmonella and other bacterial isolates. Conclusion: In this study, qPCR using the inv A primer set was found to be highly specific for Salmonella detection. All the bloodstream bacterial pathogens in this study were MDR; thus, there is a need for continuous evaluation of antibiotics in medical settings. Further molecular studies on these bacterial isolates is essential.
(n=6, 10.91%), Proteus种(n=13, 23.64%), Serratia种(n=7, 12.73%), Citrobacter种(n=2, 3.64%)。本研究采用qPCR和inv A基因引物对阳性血培养样本中沙门氏菌的检出率为100%。分离的沙门氏菌对头孢他啶、头孢噻肟和多利培南的耐药率为100%。沙门氏菌和其他分离菌均存在多药耐药。结论:采用inv A引物对沙门氏菌进行qPCR检测具有较高的特异性。本研究血液病原菌均为耐多药;因此,有必要对医疗环境中的抗生素进行持续评估。对这些细菌分离物进行进一步的分子研究是必要的。
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引用次数: 0
期刊
Infection Epidemiology and Microbiology
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