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Expression of Phi11 Gp07 Causes Filamentation in Escherichia coli. 表达Phi11 Gp07导致大肠杆菌成丝。
Q3 Immunology and Microbiology Pub Date : 2018-04-30 eCollection Date: 2018-01-01 DOI: 10.2174/1874285801812010107
Avijit Das, Sumit Biswas, Malabika Biswas

Background: The Gp07 protein of aureophage Phi11 exhibits growth inhibitory effects when overexpressed in E. coli .The protein harbors two domains- an amino terminal Bro-like domain and a carboxy terminal Ant superfamily like KilA domain, of which the KilA domain retains the growth inhibitory effect of Gp07.

Methods: We studied the effects exerted by the overexpression of Gp07 and its separate domains upon the growth rate as well as the morphology of the E. coli cells. Additionally, we generated a mutant of Gp07 (designated as ΔGp07) by deleting the first eleven amino acid residues from the amino-terminal region of Gp07, and studied its growth inhibitory effects upon E. coli.

Results: Our results indicate that Gp07, ΔGp07 as well as the Carboxy-terminal region of Gp07 upon overexpression, retards the growth rate of the E. coli cells and also induces filamentation in the cells. Surprisingly, our data clearly suggests that the growth inhibition and filamentation induced by the the amino-terminal domain of Gp07 is temporal in nature.

Conclusion: The carboxy-terminal of domain of gp07 is essential for its activity.

背景:金黄色噬菌体Phi11的Gp07蛋白在大肠杆菌中过表达时表现出抑制生长的作用,该蛋白具有两个结构域——氨基端Bro-like结构域和羧基端类似蚂蚁超家族的KilA结构域,其中KilA结构域保留了Gp07的生长抑制作用。方法:研究过表达Gp07及其各结构域对大肠杆菌细胞生长速度和形态的影响。此外,我们通过删除Gp07氨基末端区域的前11个氨基酸残基,产生了Gp07的突变体(命名为ΔGp07),并研究了其对大肠杆菌的生长抑制作用。结果:我们的研究结果表明,Gp07, ΔGp07以及Gp07过表达后的羧基末端区域可以延缓大肠杆菌细胞的生长速度,并在细胞中诱导成丝。令人惊讶的是,我们的数据清楚地表明,Gp07的氨基末端结构域诱导的生长抑制和丝化本质上是暂时的。结论:gp07结构域羧基末端对其活性起重要作用。
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引用次数: 7
Physicochemical and Microbiological Qualities' Assessment of Popular Bangladeshi Mango Fruit Juice. 孟加拉国流行芒果果汁的理化和微生物质量评估
Q3 Immunology and Microbiology Pub Date : 2018-04-30 eCollection Date: 2018-01-01 DOI: 10.2174/1874285801812010135
Ruhul Amin, Shafkat S Rahman, Mahboob Hossain, Naiyyum Choudhury

Introduction: Mango juice has always been considered as a delicious, nutritious popular drink, but processed juice may not always be safe due to chemical and microbial risks. Determination of physicochemical and microbiological qualities of some packed mango juices of Bangladesh will help consumers to know the present scenario.

Material and methods: Six commercially available different juice samples were collected from the market. Carbohydrate profiles were determined using HPLC, crude protein content was calculated using the Kjeldahl method and other parameters were determined by standard AOAC methods. Standard culture techniques were followed to assess the total viable count (TVC), E. coli and other fecal coliforms.

Results: The highest quantity of monosaccharide (58.88%) was recorded in the AC1ME5 brand, while the lowest in Homemade (5.648%) and MN1GL2 (9.867%). The maximum content of acidity recorded was 0.24% and minimum 0.21%. The TSS content of all samples varied from 19% to 12%. The highest quantity 6.87% and the lowest 3.62% of reducing sugar were recorded. Most of the mango juices were low in protein and very low/negligible in fat content. Total viable count of different types of fruit juices varied from 1×103 - 3×103 CFU/ml. No significant amount of E. coli and fecal coliform was detected.

Conclusion: It can be concluded that the locally available mango juices contain a safe level of nutritional and microbial elements for human consumption, but not highly satisfactory.

简介芒果汁一直被视为美味、营养的大众饮品,但由于化学和微生物风险,加工果汁并不总是安全的。测定孟加拉国一些包装芒果汁的理化和微生物质量将有助于消费者了解目前的情况:材料和方法:从市场上收集了六种市售的不同果汁样品。采用高效液相色谱法测定碳水化合物含量,采用凯氏定氮法计算粗蛋白含量,采用标准 AOAC 方法测定其他参数。采用标准培养技术评估总存活数(TVC)、大肠杆菌和其他粪大肠菌群:单糖含量最高的是 AC1ME5 品牌(58.88%),最低的是自制品牌(5.648%)和 MN1GL2 品牌(9.867%)。酸度最高为 0.24%,最低为 0.21%。所有样品的 TSS 含量从 19% 到 12% 不等。还原糖含量最高为 6.87%,最低为 3.62%。大多数芒果汁的蛋白质含量较低,脂肪含量极低/可忽略不计。不同类型果汁的总存活数在 1×103 - 3×103 CFU/ml 之间。没有检测到大量大肠杆菌和粪大肠菌群:可以得出结论,当地的芒果汁含有安全水平的营养和微生物元素,适合人类食用,但并不十分令人满意。
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引用次数: 0
Molecular Study of Quinolone Resistance Determining Regions of gyrA Gene and parC Genes in Clinical Isolates of Acintobacter baumannii Resistant to Fluoroquinolone. 氟喹诺酮类耐药鲍曼不动杆菌临床分离株gyrA基因和parC基因区域测定的分子研究
Q3 Immunology and Microbiology Pub Date : 2018-04-30 eCollection Date: 2018-01-01 DOI: 10.2174/1874285801812010116
Maysaa El Sayed Zaki, Nermen Abou ElKheir, Mohamed Mofreh

Introduction: Acinetobacterb aumannii (A. baumannii) is an important pathogen in health care associated infections. Quinolone resistance has emerged in this pathogen.

Aims & objectives: The aim of the present study was to determine the presence of mutations of gyrA gene and parC genes by Restriction Fragment Length Polymorphism Polymerase Chain Reaction (RFLP-PCR) among clinical isolates of A. baumanii.

Materials and methods: The study was carried out on 140 clinical isolates of A. baumannii. The isolates were subjected to molecular study of mutations of gyrA gene and parC genes by RFLP-PCR beside determination of Minimal Inhibitory Concentration (MIC) by macro dilution tube method.

Results: The isolates of A. baumannii were resistant to ciprofloxacine and levofloxacin at MIC >4 µg/ml. The most isolates had MIC >128 µg/ml (42.3%). All resistant strains to ciprofloxacin of A. baumannii had mutations in gyrA and parC. The most frequent mutations were combined mutations in both genes (85.5%) and 5% had single mutation either in gyrA or parC. The most frequently combined mutations were associated with MIC >128 µg/ml (42.3%).

Conclusion: From this study we can conclude that resistance to ciprofloxacin was common in clinical isolates of A. baumannii. The most frequent mutations were present in gyrA and parC. However, mutations in parC alone were not uncommon. Further large scale studies are required to elucidate the resistance pattern of A. baumannii and its molecular mechanisms.

人类不动杆菌(鲍曼不动杆菌)是卫生保健相关感染的重要病原体。这种病原体出现了喹诺酮类药物耐药性。目的:本研究的目的是利用限制性片段长度多态性聚合酶链反应(RFLP-PCR)检测鲍曼不动杆菌临床分离株中是否存在gyrA基因和parC基因突变。材料与方法:对140株鲍曼不动杆菌临床分离株进行研究。采用RFLP-PCR对分离菌株进行gyrA基因和parC基因突变的分子研究,并采用宏稀释管法测定最小抑制浓度(MIC)。结果:鲍曼不动杆菌对环丙沙星和左氧氟沙星均耐药,MIC >4µg/ml;大多数分离株MIC >128µg/ml(42.3%)。鲍曼不动杆菌环丙沙星耐药菌株均发生gyrA和parC突变。最常见的突变是两个基因的组合突变(85.5%),5%的突变是gyrA或parC的单一突变。最常见的组合突变与MIC >128µg/ml相关(42.3%)。结论:鲍曼不动杆菌临床分离株普遍对环丙沙星耐药。最常见的突变出现在gyrA和parC中。然而,仅parC的突变并不罕见。需要进一步的大规模研究来阐明鲍曼不动杆菌的耐药模式及其分子机制。
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引用次数: 11
Bacterial CRISPR Regions: General Features and their Potential for Epidemiological Molecular Typing Studies. 细菌CRISPR区域:一般特征及其在流行病学分子分型研究中的潜力。
Q3 Immunology and Microbiology Pub Date : 2018-04-23 eCollection Date: 2018-01-01 DOI: 10.2174/1874285801812010059
Zahra Karimi, Ali Ahmadi, Ali Najafi, Reza Ranjbar

Introduction: CRISPR (Clustered Regularly Interspaced Short Palindromic Repeats) loci as novel and applicable regions in prokaryotic genomes have gained great attraction in the post genomics era.

Methods: These unique regions are diverse in number and sequence composition in different pathogenic bacteria and thereby can be a suitable candidate for molecular epidemiology and genotyping studies. Results:Furthermore, the arrayed structure of CRISPR loci (several unique repeats spaced with the variable sequence) and associated cas genes act as an active prokaryotic immune system against viral replication and conjugative elements. This property can be used as a tool for RNA editing in bioengineering studies.

Conclusion: The aim of this review was to survey some details about the history, nature, and potential applications of CRISPR arrays in both genetic engineering and bacterial genotyping studies.

简介:CRISPR (Clustered Regularly Interspaced Short Palindromic Repeats,群集规则间隔短回文重复序列)基因座作为一种新颖的、可应用于原核生物基因组的区域,在后基因组学时代受到了极大的关注。方法:这些独特区域在不同病原菌中数量和序列组成不同,可作为分子流行病学和基因分型研究的合适候点。结果:此外,CRISPR基因座的排列结构(与可变序列间隔的几个独特重复序列)和相关cas基因作为一个活跃的原核免疫系统,可抵抗病毒复制和偶联元件。这一特性可作为生物工程研究中RNA编辑的工具。结论:本文综述了CRISPR阵列在基因工程和细菌基因分型研究中的历史、性质和潜在应用。
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引用次数: 28
Probiotics Strains Modulate Gut Microbiota and Lipid Metabolism in Mule Ducks. 益生菌菌株调节母鸭肠道菌群和脂质代谢。
Q3 Immunology and Microbiology Pub Date : 2018-04-23 eCollection Date: 2018-01-01 DOI: 10.2174/1874285801812010071
Maxime Even, Stéphane Davail, Mikael Rey, Annabelle Tavernier, Marianne Houssier, Marie Dominique Bernadet, Karine Gontier, Géraldine Pascal, Karine Ricaud

Background: Livestock production should respond to societal, environmental and economic changes. Since 2006 and the ban on antibiotics as growth factors in European Union, the use of probiotics has become widespread and has demonstrated the effect of intestinal microbiota on the performance of farm animals.

Objective: The aim of this study was to investigate the effect of supplementation with Lactobacillus salivarius (as a probiotics strain or combined with other strains) on zootechnical performance, metabolic and immune gene expression and intestinal microbiota diversity in mule ducks using high-throughput sequencing and real-time PCR.

Method: The mule ducks were reared for 79 days and overfed for 12 days with or without probiotics. Samples were collected at 14 (starting period) and 91 days (end of overfeeding period), 3 hours post feeding.

Results: Irrespective of digestive content, age, level of feed intake or supplementation with probiotics, Firmicutes, Proteobacteria and Bacteroidetes were the dominant phyla in the bacterial community in mule ducks. At 14 days, both the ileal and cecal samples were dominated by Firmicutes (in particular the Clostridiales order). Overfeeding induced a shift between Clostridiales and Lactobacillales in the ileal samples whereas in the cecal samples, the relative abundance of Firmicutes decreased. Overfeeding also induced hepatic over-expression of Fatty Acid Synthase (FAS) and of the lipid transporter gene Fatty Acid Binding Protein 4 (FABP4). This increase in lipid metabolism genes is associated with a decrease in inflammatory response.

Conclusion: Finally, probiotic supplementation had only a slight impact on gene expression and microbiota diversity, both at 14 days and after overfeeding.

背景:畜牧业生产应响应社会、环境和经济的变化。自2006年欧盟禁止使用抗生素作为生长因子以来,益生菌的使用已变得广泛,并已证明肠道微生物群对农场动物生产性能的影响。目的:采用高通量测序和实时荧光定量PCR技术,研究饲粮中添加唾液乳杆菌(作为一种益生菌或与其他益生菌联合使用)对骡鸭动物生产性能、代谢和免疫基因表达及肠道菌群多样性的影响。方法:饲养79 d,分别饲喂和不饲喂益生菌12 d。分别于饲喂后第14天和第91天(过饲期结束)、3小时采集样品。结果:无论消化内容物、年龄、采食量或益生菌添加水平如何,厚壁菌门、变形菌门和拟杆菌门都是骡子鸭细菌群落的优势门。14 d时,回肠和盲肠样品均以厚壁菌门(尤其是梭菌门)为主。在回肠样品中,过度喂养导致梭菌门和乳酸杆菌门之间的转变,而在盲肠样品中,厚壁菌门的相对丰度下降。过量饲养还会引起肝脏脂肪酸合成酶(FAS)和脂质转运基因脂肪酸结合蛋白4 (FABP4)的过度表达。脂质代谢基因的增加与炎症反应的减少有关。结论:最后,益生菌补充对14 d和过量喂养后的基因表达和微生物群多样性均有轻微影响。
{"title":"Probiotics Strains Modulate Gut Microbiota and Lipid Metabolism in Mule Ducks.","authors":"Maxime Even,&nbsp;Stéphane Davail,&nbsp;Mikael Rey,&nbsp;Annabelle Tavernier,&nbsp;Marianne Houssier,&nbsp;Marie Dominique Bernadet,&nbsp;Karine Gontier,&nbsp;Géraldine Pascal,&nbsp;Karine Ricaud","doi":"10.2174/1874285801812010071","DOIUrl":"https://doi.org/10.2174/1874285801812010071","url":null,"abstract":"<p><strong>Background: </strong>Livestock production should respond to societal, environmental and economic changes. Since 2006 and the ban on antibiotics as growth factors in European Union, the use of probiotics has become widespread and has demonstrated the effect of intestinal microbiota on the performance of farm animals.</p><p><strong>Objective: </strong>The aim of this study was to investigate the effect of supplementation with <i>Lactobacillus salivarius</i> (as a probiotics strain or combined with other strains) on zootechnical performance, metabolic and immune gene expression and intestinal microbiota diversity in mule ducks using high-throughput sequencing and real-time PCR.</p><p><strong>Method: </strong>The mule ducks were reared for 79 days and overfed for 12 days with or without probiotics. Samples were collected at 14 (starting period) and 91 days (end of overfeeding period), 3 hours post feeding.</p><p><strong>Results: </strong>Irrespective of digestive content, age, level of feed intake or supplementation with probiotics, <i>Firmicutes</i>, <i>Proteobacteria</i> and <i>Bacteroidetes</i> were the dominant phyla in the bacterial community in mule ducks. At 14 days, both the ileal and cecal samples were dominated by <i>Firmicutes</i> (in particular the <i>Clostridiales</i> order). Overfeeding induced a shift between <i>Clostridiales</i> and <i>Lactobacillales</i> in the ileal samples whereas in the cecal samples, the relative abundance of <i>Firmicutes</i> decreased. Overfeeding also induced hepatic over-expression of Fatty Acid Synthase (<i>FAS</i>) and of the lipid transporter gene Fatty Acid Binding Protein 4 (<i>FABP4</i>). This increase in lipid metabolism genes is associated with a decrease in inflammatory response.</p><p><strong>Conclusion: </strong>Finally, probiotic supplementation had only a slight impact on gene expression and microbiota diversity, both at 14 days and after overfeeding.</p>","PeriodicalId":38953,"journal":{"name":"Open Microbiology Journal","volume":"12 ","pages":"71-93"},"PeriodicalIF":0.0,"publicationDate":"2018-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2174/1874285801812010071","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36094424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 8
Mycobacteriosis and Tuberculosis: Laboratory Diagnosis. 分枝杆菌病和肺结核:实验室诊断。
Q3 Immunology and Microbiology Pub Date : 2018-03-30 eCollection Date: 2018-01-01 DOI: 10.2174/1874285801812010041
Davood Azadi, Tahereh Motallebirad, Kazem Ghaffari, Hasan Shojaei

Background: Tuberculosis is one of the most important infectious diseases that has claimed its victims throughout much of known human history. With Koch's discovery of the tubercle bacillus as the etiologic agent of the disease, his sanitary and hygienic measures, which were based on his discovery and the development of a vaccine against tuberculosis by Albert Calmette and Camille Guérin in 1921, an attenuated Mycobacterium bovis strain, bacilli Calmette-Guérin (BCG), and the discovery of the first antibiotic against tuberculosis, streptomycin by Selman Waksman in 1943, soon led to the opinion that appropriate control measures had become available for tuberculosis and it had been assumed that the disease could ultimately be eradicated.The emergence of resistant strains of this bacteria and widespread distribution of the disease in the world, and the emergence of the AIDS epidemic destroyed any possibility of global control of tuberculosis in the foreseeable future.

Objectives: The purpose of this review is to highlight the current scientific literature on mycobacterial infections and provide an overview on the laboratory diagnosis of tuberculosis and non-tuberculosis infections based on conventional phenotypic and modern molecular assays.

Method: In this study, a number of 65 papers comprising 20 reviews, 9 case reports, and 36 original research in association with mycobacteriosis and the laboratory diagnosis of mycobacterial infections, were reviewed.

Results: Based on our analysis on the published documents methods applied for the laboratory diagnosis of tuberculosis are continually assessed and developed in order to achieve more rapid, less expensive, and accurate results. Acid-fast staining and culture for mycobacteria remain at the core of any diagnostic algorithm with the sensitivity of 20-70% and specificity of 95-98% for AFB microscopy and the sensitivity of 95% and the specificity of 98% for culture based diagnosis. Following growth in culture, molecular tests such as nucleic acid hybridization probes and DNA sequencing may be used for definitive species identification. Nucleic acid amplification methods provide the means for direct detection of Mycobacterium tuberculosis in respiratory specimens without the prerequisite to isolate or culture the organism, leading to more rapid diagnosis and better patient care.

Conclusion: As the researchers in a developing country, we strongly believe that despite significant advances in laboratory capacity, in many countries reliable confirmation of suspected mycobacterial diseases is hindered by a lack of knowledge on proper standardized methods, sufficient funds, suitably trained staff and laboratory supplies.

背景:结核病是最重要的传染病之一,在人类已知历史的大部分时间里都有受害者。科赫发现结核病的病因是结核杆菌,他的卫生和卫生措施是基于他在1921年由阿尔伯特·卡尔梅特和卡米尔·古萨林发现和开发的结核病疫苗,一种减毒的牛分枝杆菌菌株卡尔梅特-古萨林(卡介苗),以及1943年由塞尔曼·瓦克斯曼发现的第一种抗结核病抗生素链霉素,很快就产生了一种看法,认为结核病已经有了适当的控制措施,并认为这种疾病最终可以根除。这种细菌的耐药菌株的出现和这种疾病在世界上的广泛分布,以及艾滋病流行病的出现,破坏了在可预见的将来在全球控制结核病的任何可能性。目的:本综述的目的是重点介绍目前关于分枝杆菌感染的科学文献,并提供基于传统表型和现代分子检测的结核病和非结核病感染的实验室诊断综述。方法:回顾性分析与分枝杆菌病和分枝杆菌感染实验室诊断相关的65篇文献,包括20篇综述、9篇病例报告和36篇原创研究。结果:根据我们对已发表文献的分析,不断评估和发展用于结核病实验室诊断的方法,以获得更快速、更便宜和更准确的结果。分枝杆菌的抗酸染色和培养仍然是任何诊断算法的核心,AFB显微镜的灵敏度为20-70%,特异性为95-98%,培养诊断的灵敏度为95%,特异性为98%。在培养物中生长后,核酸杂交探针和DNA测序等分子测试可用于确定物种鉴定。核酸扩增方法提供了直接检测呼吸道标本中结核分枝杆菌的手段,而无需分离或培养该生物体,从而实现更快速的诊断和更好的患者护理。结论:作为一个发展中国家的研究人员,我们坚信,尽管实验室能力取得了重大进展,但在许多国家,由于缺乏关于适当标准化方法的知识、充足的资金、受过适当培训的工作人员和实验室用品,对可疑分枝杆菌疾病的可靠确认受到阻碍。
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引用次数: 32
A Case Series and Review of Bacillus Cereus Endocarditis from India. 印度脊髓灰质炎芽孢杆菌心内膜炎病例系列及综述
Q3 Immunology and Microbiology Pub Date : 2018-03-30 eCollection Date: 2018-01-01 DOI: 10.2174/1874285801812010028
Anusha Gopinathan, Anil Kumar, Amitabh C Sen, Srisruthy Sudha, Praveen Varma, Sunil Gs, Malini Eapen, Kavitha R Dinesh

Introduction: Bacillus cereus is a gram positive bacilli found commonly in the soil and environment. It is a bacteria rarely associated with endocarditis.

Case history: Intravenous drug abuse, presence of valvular defects, pacemakers, immunodeficiency are some of the known risk factors for B.cereus endocarditis. We present here a case series of two patients with B.cereus endocarditis along with a review of the literature.

Conclusion: This is the first report of B.cereus endocarditis from India to the best of our knowledge.

简介蜡样芽孢杆菌是一种常见于土壤和环境中的革兰氏阳性杆菌。它是一种很少与心内膜炎相关的细菌:静脉注射药物滥用、瓣膜缺损、心脏起搏器、免疫缺陷是导致蜡样芽孢杆菌心内膜炎的一些已知危险因素。我们在此报告了两例蜡样芽孢杆菌心内膜炎患者的系列病例,并回顾了相关文献:据我们所知,这是印度首次报道蜡样芽孢杆菌心内膜炎。
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引用次数: 0
Etiological Trends and Patterns of Antimicrobial Resistance in Respiratory Infections. 呼吸道感染中抗菌素耐药性的病原学趋势和模式。
Q3 Immunology and Microbiology Pub Date : 2018-03-30 eCollection Date: 2018-01-01 DOI: 10.2174/1874285801812010034
Salma M Al-Zain Ahmed, Sara S Abdelrahman, Doua M Saad, Isra S Osman, Modasir G Osman, Eltahir A G Khalil

Background: Respiratory infections are one of the commonest causes of morbidity and mortality related to infectious diseases worldwide. The emergence of antimicrobial resistance is a major global health problem which is well established in developing countries. Good clinical suspicion and correct laboratory identification of respiratory infection causing organisms followed by the appropriate management are needed to compact both community-acquired and nosocomial infection respiratory infections.

Objectives: A retrospective study was carried out to elucidate the etiology of respiratory infections in Sudan, as well as to guide the physician to the best antimicrobial alternatives used in the treatment of respiratory infection.

Method: Respiratory isolates that have been morphologically identified and biologically characterized were subjected to antibiotic susceptibility testing.

Results: A total of 1481 respiratory specimens were examined, recovering 377 organisms from 350 culture positive samples [225(59.7%) sputum, 94(24.9%) broncho-alveolar lavage (BAL), 58(15.4%) Pleural fluid], the commonest organisms were Klebsiella ssp. (25.20%) and mycobacterium tuberculosis (25.20%), followed by Staphylococcus aureus(19.89%) and Pseudomonas aeruginosa(8.49%). High rate of resistance of bacterial isolates was observed to Co-trimoxazole (BA), Ampicillin sulbactam (AS), Cefotaxime (CF) and Tetracycline (TE), being 80%, 72.3%, 68.8% and 66.9% respectively; on the other hand, very low resistance rate was found to Amikacin (AK) and Levofloxacin (LE), being 4.6% and 8.5%, respectively.

Conclusion: Guided prescription of antimicrobial agents must be implemented and controlled to limit further spread of antimicrobial resistance.

背景:呼吸道感染是世界范围内与传染病相关的最常见的发病和死亡原因之一。抗菌素耐药性的出现是一个重大的全球卫生问题,这在发展中国家是公认的。要减少社区获得性和医院感染的呼吸道感染,需要良好的临床怀疑和正确的实验室鉴定引起呼吸道感染的微生物,并进行适当的管理。目的:进行一项回顾性研究,以阐明苏丹呼吸道感染的病因,并指导医生在治疗呼吸道感染时使用最佳的抗菌药物。方法:对经形态学鉴定和生物学鉴定的呼吸道分离菌进行抗生素敏感性试验。结果:共检出呼吸道标本1481份,培养阳性标本350份,检出病原菌377种[痰液225份(59.7%),支气管肺泡灌洗液94份(24.9%),胸膜液58份(15.4%)],其中最常见的病原菌为克雷伯氏菌。其次是金黄色葡萄球菌(19.89%)和铜绿假单胞菌(8.49%)。菌株对复方新诺明(BA)、氨苄西林舒巴坦(AS)、头孢噻肟(CF)和四环素(TE)的耐药率较高,分别为80%、72.3%、68.8%和66.9%;另一方面,阿米卡星(AK)和左氧氟沙星(LE)的耐药率极低,分别为4.6%和8.5%。结论:必须实施和控制抗菌药物的指导处方,以限制抗菌药物耐药性的进一步传播。
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引用次数: 20
Programmatic Impact of Implementing GeneXpert MTB/ RIF Assay for the Detection of Mycobacterium Tuberculosis in Respiratory Specimens from Pulmonary Tuberculosis Suspected Patients in Resource Limited Laboratory Settings of Eastern Nepal. 在尼泊尔东部资源有限的实验室环境中,实施GeneXpert MTB/ RIF检测肺结核疑似患者呼吸道标本中结核分枝杆菌的规划影响。
Q3 Immunology and Microbiology Pub Date : 2018-02-28 eCollection Date: 2018-01-01 DOI: 10.2174/1874285801812010009
Prakash Shrestha, Hemanta Khanal, Prasanna Dahal, Pranita Dongol

Background: In Nepal, introduction of GeneXpert MTB/RIF assay (Xpert assay) as an initial confirmation test for tuberculosis (TB) has been considered to have impact as a significant decrease in number of clinically diagnosed pulmonary tuberculosis (PTB) cases than previous years. This study aims to find out the distribution profile of suspected tuberculosis cases according to patients age, gender, treatment history and HIV status as well as to evaluate the utility of the Xpert assay over conventional acid-fast bacilli (AFB) staining method for the proper diagnosis of M. Tuberculosis in respiratory specimens from the tuberculosis (TB) suspected patient samples.

Methods: The prospective cross-sectional analytical study was conducted in National Anti-Tuberculosis Center (NATA) center- Biratnagar and Primary Healthcare Center (PHC) - Manglabare, Morang District, of eastern Nepal from January 2014 to August 2014. Laboratory investigation was done by conventional AFB staining followed by Xpert assay.

Results: A total of 1549 sputum samples were initially analyzed. AFB staining resulted in 1441 AFB smear negative samples and 88 AFB smear positive samples, whereas 20 samples were directly processed for Xpert assay. The male: female smear positive ratio was 2.8:1 and was higher among age groups (21-40) years. Tuberculosis among HIV patients was found 22.22%. Xpert assay demonstrates that out of 1441 smear negative AFB cases, 258 were found to have TB positive, whereas out of 88 smears positive AFB cases 12 were found to have TB negative. The sensitivity of the Xpert assay in patients classified as AFB smear positive was found 85.4% and the specificity in smear negative patients was 81%.

Conclusion: The study concluded that implementation of Gene Xpert MTB/RIF assay is a helpful tool for early and rapid detection of tuberculosis with greater sensitivity and specificity over traditional AFB staining techniques.

背景:在尼泊尔,引入GeneXpert MTB/RIF测定法(Xpert测定法)作为结核病(TB)的初步确认试验被认为具有影响,因为临床诊断的肺结核(PTB)病例数量比前几年显著减少。本研究旨在根据患者的年龄、性别、治疗史和HIV感染状况,了解疑似结核病例的分布情况,并评估Xpert法比传统的抗酸杆菌(AFB)染色法更能准确诊断疑似结核患者呼吸道标本中的结核分枝杆菌。方法:2014年1月至2014年8月,在尼泊尔东部莫朗区国家抗结核中心(NATA) Biratnagar中心和初级卫生保健中心(PHC) Manglabare进行前瞻性横断面分析研究。实验室采用常规AFB染色和Xpert分析。结果:初步分析痰液样本1549份。AFB染色得到1441份AFB涂片阴性样品和88份AFB涂片阳性样品,其中20份样品直接进行Xpert分析。男性:女性涂片阳性比为2.8:1,在21-40岁年龄组中较高。艾滋病患者中肺结核占22.22%。Xpert分析表明,在1441例涂片阴性的AFB病例中,258例发现结核阳性,而在88例涂片阳性的AFB病例中,12例发现结核阴性。Xpert法对AFB涂片阳性患者的敏感性为85.4%,对涂片阴性患者的特异性为81%。结论:与传统的AFB染色技术相比,基因Xpert MTB/RIF检测具有更高的灵敏度和特异性,是早期和快速检测结核病的有用工具。
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引用次数: 7
Evaluation of Microbiological and Physicochemical Parameters of Alternative Source of Drinking Water: A Case Study of Nzhelele River, South Africa. 替代饮用水源的微生物学和理化参数评价——以南非恩切勒河为例
Q3 Immunology and Microbiology Pub Date : 2018-02-28 eCollection Date: 2018-01-01 DOI: 10.2174/1874285801812010018
Joshua N Edokpayi, John O Odiyo, Elizabeth O Popoola, Titus A M Msagati

Background: Access to clean and safe drinking water is still a problem in developing countries and more pronounced in rural areas. Due to erratic supply of potable, rural dwellers often seek for an alternative source of water to meet their basic water needs. The objective of this study is to monitor the microbiological and physicochemical water quality parameters of Nzhelele River which is a major alternative source of drinking water to villages along its course in Limpopo province of South Africa.

Methods: Membrane filtration method was employed in evaluating the levels of E. coli and Enterococci in the river water from January-June, 2014. Specialized multimeter was used to measure the pH, electrical conductivity and turbidity of the river water. Ion Chromatograph was used to measure major anions such as fluoride, chloride, nitrate and sulphate in the water.

Results: High levels of E. coli (1 x 102 - 8 x 104 cfu/100 mL) and enterococci (1 x 102 - 5.7 x 103 cfu/100 mL) were found in the river water and exceeded their permissible limits of 0 cfu/100 mL for drinking water. Turbidity values ranged from 1.12-739.9 NTU. The pH, electrical conductivity, chloride, fluoride, nitrate and sulphate levels were below their permissible limits for drinking water.

Conclusion: The river water is contaminated with faecal organisms and is unfit for drinking purposes. However, the levels of the major anions accessed were within the permissible limits of drinking water.

背景:在发展中国家,获得清洁和安全的饮用水仍然是一个问题,在农村地区更为突出。由于饮用水供应不稳定,农村居民经常寻找替代水源来满足其基本用水需求。本研究的目的是监测恩切勒河的微生物和物理化学水质参数,这是南非林波波省沿河村庄的主要替代饮用水源。方法:采用膜过滤法测定2014年1 - 6月该地区河水中大肠杆菌和肠球菌的含量。用专用万用表测定了河水的pH值、电导率和浊度。离子色谱仪用于测定水中的氟化物、氯化物、硝酸盐和硫酸盐等主要阴离子。结果:河水中大肠杆菌(1 × 102 ~ 8 × 104 cfu/100 mL)和肠球菌(1 × 102 ~ 5.7 × 103 cfu/100 mL)含量较高,均超过了饮用水允许限量0 cfu/100 mL。浊度值为1.12-739.9 NTU。pH值、电导率、氯化物、氟化物、硝酸盐和硫酸盐含量均低于饮用水的允许限度。结论:该河水受粪便微生物污染,不宜饮用。然而,所获得的主要阴离子的水平在饮用水的允许范围内。
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引用次数: 35
期刊
Open Microbiology Journal
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