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The effectiveness of the immune responses to SARS-CoV-2 SARS-CoV-2免疫应答的有效性
Q3 Medicine Pub Date : 2022-01-19 DOI: 10.1097/mrm.0000000000000306
B. Salih
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引用次数: 0
Reviews in Medical Microbiology become Reviews and Research in Medical Microbiology 《医学微生物学评论》改为《医学微生物学评论与研究》
Q3 Medicine Pub Date : 2022-01-01 DOI: 10.1097/mrm.0000000000000302
O. Schildgen
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引用次数: 0
A review on antiviral efficacy of Bifidobacterium species 双歧杆菌的抗病毒作用研究进展
Q3 Medicine Pub Date : 2021-09-27 DOI: 10.1097/mrm.0000000000000295
M. Abdi, R. Ranjbar
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引用次数: 2
Multifunctional dynamic toolbox 多功能动态工具箱
Q3 Medicine Pub Date : 2021-09-23 DOI: 10.1097/mrm.0000000000000294
Nur Syahirah H.S. Hadi, Anis A. Jamaludin, T. Kalaiyarasan, Kartikeya Tiwari
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引用次数: 0
A case of primary extragenital cutaneous gonorrhea involving the finger 原发性外阴皮肤淋病累及手指1例
Q3 Medicine Pub Date : 2021-06-14 DOI: 10.1097/MRM.0000000000000290
M. Schwerdt, Sudhir Butala, Elaine Hinds, D. Schron, G. J. Berry
A case of primary extragenital cutaneous gonorrhea affecting the left middle finger of a 16-year-old female patient is presented. The patient denied a history of sexual activity and the only reported symptoms were finger pain and associated lymphangitis. Wound culture was obtained from an incision, and drainage procedure was performed at an emergency room of a community hospital. Laboratory diagnosis was made at a clinical microbiology laboratory using Gram stain, agar culture, and matrix-assisted laser desorption ionization-time of flight mass spectrometry (MALDI-TOF MS). Concurrent blood cultures had no growth at 5 days. The patient was switched from Cephalexin and Trimethoprim-sulfamethoaxole to an appropriate regimen upon sensitivity testing. The patient was lost to follow-up, and it is unknown if the possibility of seeding mucosal infection, such as the pharynx, was investigated.
一例原发性外阴皮肤淋病影响了一个16岁的女性患者的左中指提出。患者否认性行为史,唯一报告的症状是手指疼痛和相关淋巴管炎。在一家社区医院的急诊室进行切口伤口培养和引流手术。实验室诊断在临床微生物实验室进行,使用革兰氏染色,琼脂培养和基质辅助激光解吸电离飞行时间质谱(MALDI-TOF MS)。并发血培养在第5天没有生长。在进行敏感性试验后,将患者从头孢氨苄和甲氧苄啶-磺胺甲氧索改为适当的治疗方案。患者没有随访,也不知道是否调查了播种粘膜感染的可能性,如咽部。
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引用次数: 0
Dissemination of blaOXA-48 like, blaNDM, blaKPC, blaIMP-1, blaVIM genes among carbapenem-resistant Escherichia coli and Klebsiella pneumoniae strains in Southeastern Turkey: first report of Klebsiella pneumoniae co-producing blaOXA-48-like, blaVIM and blaIMP-1 genes blaOXA-48样、blaNDM、blaKPC、blaIMP-1、blaVIM基因在土耳其东南部耐碳青霉烯大肠杆菌和肺炎克雷伯菌株中的传播:首次报道肺炎克雷伯菌共产blaOXA-48样、blaVIM和blaIMP-1基因
Q3 Medicine Pub Date : 2021-06-07 DOI: 10.1097/MRM.0000000000000287
Özge Alkan Bilik, M. Bayraktar, Nida Özcan, K. Gül, N. Akpolat
Introduction: Carbapenem-resistant Enterobacterales (CRE) cause serious and life-threatening infections with limited treatment options. The most common causes of carbapenem resistance are carbapenemases. We aimed to determine the most prevalent carbapenemase genes; blaNDM, blaKPC, blaIMP-1, blaVIM, blaOXA-48 like genes among Klebsiella pneumoniae and Escherichia coli strains in the southeast region of Turkey. Methods: Eighty-nine isolates (74 K. pneumoniae, 15 E. coli) were included in the study. The isolates were found as carbapenem-resistant by BD Phoenix automated system and Kirby Bauer disk diffusion test. Antibiotic susceptibility testing was performed by BD Phoenix automated system. Combination disc method (CDM) was also carried out as phenotypic method of carbapenemase detection. The presence of blaNDM, blaKPC, blaIMP-1, blaVIM and blaOXA-48-like genes were investigated by Xpert CARBA-R (Cepheid, USA) multiplex PCR commercial system. Results: Antibiotic resistance rates by Phoenix were 48.3 97.8, 80.9, 96.6, 93.3, 96.6, 97.8, 69.7 and 97.8% for amikacin, aztreonam, cefepime, ceftazidime, ciprofloxacin, levofloxacin, moxifloxacin, trimethoprim sulfamethoxazole and piperacillin-tazobactam, respectively. The blaOXA-48-like gene was detected in 65 (73%); blaNDM gene in 4 (4.5%); co-production of blaOXA-48-like and blaNDM in 6 (6.7%); co-production of blaOXA-48-like, blaVIM and blaIMP-1 genes in 1(1.2%) isolate. None of the blaOXA-48-like, blaNDM, blaVIM, blaIMP-1, blaKPC genes were detected in 13 (14.6%) of the isolates. The sensitivity and specificity of CDM were calculated as 80 and 85% respectively. Conclusion: We detected blaOXA-48-like gene most frequently in our region. To our knowledge, this is the first report of K. pneumoniae-co-producing blaOXA-48-like, blaVIM and blaIMP-1 genes. The coexistence of these genes is alarming and causes both infection control and treatment problems. Effective infection control measures are essential to prevent the spread of antibiotic resistance.
碳青霉烯耐药肠杆菌(CRE)引起严重和危及生命的感染,治疗方案有限。碳青霉烯耐药的最常见原因是碳青霉烯酶。我们的目的是确定最普遍的碳青霉烯酶基因;土耳其东南地区肺炎克雷伯菌和大肠杆菌株中blaNDM、blaKPC、blaIMP-1、blaVIM、blaxa -48样基因方法:共分离89株,其中肺炎克雷伯菌74株,大肠杆菌15株。经BD Phoenix自动化系统和Kirby Bauer盘片扩散试验鉴定,分离菌株对碳青霉烯具有耐药性。药敏试验采用BD Phoenix自动检测系统。采用组合圆盘法(CDM)作为碳青霉烯酶的表型检测方法。采用Xpert CARBA-R(美国造父变星)多重PCR商用系统检测blaNDM、blaKPC、blaIMP-1、blaVIM和blaoxa -48样基因的存在。结果:凤凰对阿米卡星、氨曲南、头孢吡肟、头孢他啶、环丙沙星、左氧氟沙星、莫西沙星、甲氧苄啶磺胺甲恶唑和哌拉西林-他唑巴坦的耐药率分别为48.3、97.8、80.9、96.6、93.3、96.6、97.8、69.7和97.8%。65例(73%)检测到blaoxa -48样基因;blaNDM基因4例(4.5%);blaoxa -48 like和blaNDM合产6个(6.7%);在1株(1.2%)分离物中联合产生blaoxa -48样、blaVIM和blaIMP-1基因。13株(14.6%)分离株未检出blaoxa -48样、blaNDM、blaVIM、blaIMP-1、blaKPC基因。CDM的敏感性和特异性分别为80%和85%。结论:本地区blaoxa -48样基因检测频率最高。据我们所知,这是首次报道肺炎克雷伯菌共同产生blaoxa -48样、blaVIM和blaIMP-1基因。这些基因的共存令人担忧,并导致感染控制和治疗问题。有效的感染控制措施对于防止抗生素耐药性的蔓延至关重要。
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引用次数: 0
Coronavirus disease 2019: fundamentals, chronology and vaccine evolution 2019冠状病毒病:基本原理、年表和疫苗演变
Q3 Medicine Pub Date : 2021-06-04 DOI: 10.1097/MRM.0000000000000289
Y. Thirupathaiah, A. Chandel
The coronavirus disease 2019 (COVID-19) is caused by a novel coronavirus, which is recognized as Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2). The recent pandemic caused by SARS-CoV-2 is a concern of major public health emergency globally. The virus is highly contagious, enters through nasopharyngeal route into lungs and infects respiratory tracts and later disseminate to other organs in the body. If body immune response fails to eliminate or over responds to infection in affected persons, the condition turns to severe acute respiratory syndrome or pneumonia, multiple organ failure, septic shock and finally end-up with life in critical cases. Currently, there are no antiviral drugs available to eradicate the complete infection and the only treatment available to patients with critical illness is providing oxygen supply through ventilators along with few antiviral and anti-inflammatory drugs to relieve from the symptoms. Recently developed COVID-19 vaccines are available to the public in several countries for protecting against SARS-CoV-2. Further, researchers are vigorously being focused on development of novel vaccines, recombinant interferons, monoclonal antibodies against virus, finding of antiviral drugs to block coronaviral specific structural proteins or multiplication in infected persons, drugs for suppression of over production of pro-inflammatory cytokines by the human body and disease mechanisms of virus. However, because of combined treatment strategies and reduced pathogenicity of SARS-CoV-2, the current mortality rate has been reduced to less than 1--1.5% globally from 5 to 6% of initial COVID-19 pandemic. Unfortunately, sudden increase in number of cases in several countries and evolution of new pathogenic strains of SARS-CoV-2 variants from existing strains make another challenging task both for public and scientific communities. Hence, public health officials are recommending public to continue social distancing, avoid contact with infected persons, isolation and quarantine of exposed persons till COVID-19 prevention is under control.
2019冠状病毒病(COVID-19)是由一种新型冠状病毒引起的,这种冠状病毒被认为是严重急性呼吸综合征冠状病毒-2 (SARS-CoV-2)。最近由SARS-CoV-2引起的大流行是全球关注的重大突发公共卫生事件。该病毒具有高度传染性,通过鼻咽途径进入肺部,感染呼吸道,然后传播到身体其他器官。如果机体免疫反应不能消除或对感染者的感染反应过度,病情就会转变为严重急性呼吸综合征或肺炎、多器官衰竭、感染性休克,危重病例最终死亡。目前,没有抗病毒药物可以完全根除感染,对危重患者的唯一治疗方法是通过呼吸机提供氧气,同时使用少量抗病毒和抗炎药物来缓解症状。最近开发的COVID-19疫苗已在一些国家向公众提供,用于预防SARS-CoV-2。此外,研究人员正积极致力于开发新型疫苗、重组干扰素、抗病毒单克隆抗体、寻找阻断冠状病毒特异性结构蛋白或在感染者体内增殖的抗病毒药物、抑制人体过度产生促炎细胞因子的药物和病毒的发病机制。然而,由于采取了综合治疗策略和降低了SARS-CoV-2的致病性,目前全球死亡率已从最初的COVID-19大流行的5%至6%降至1.5%以下。不幸的是,一些国家的病例数量突然增加,以及从现有菌株演变成新的SARS-CoV-2变异致病性菌株,使公众和科学界面临另一项具有挑战性的任务。因此,公共卫生官员建议公众继续保持社交距离,避免与感染者接触,隔离和检疫暴露者,直到COVID-19的预防得到控制。
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引用次数: 0
In-vitro antifungal susceptibility of the genus Sporothrix and correlation with treatment options for sporotrichosis: a systematic review 孢子菌属的体外抗真菌敏感性及其与孢子菌病治疗方案的相关性:系统综述
Q3 Medicine Pub Date : 2021-06-01 DOI: 10.1097/MRM.0000000000000291
A. Koehler, D. M. Pagani, A. H. da Silva Hellwig, M. L. Scroferneker
Supplemental Digital Content is available in the text Sporotrichosis is an infection with global distribution caused by the dimorphic fungi of the genus Sporothrix, whose main pathogenic species include Sporothrix schenckii, Sporothrix brasiliensis, Sporothrix globosa, and Sporothrix luriei. Itraconazole and amphotericin B are the most used antifungals for the treatment. The aim of this review was to compile the in-vitro susceptibility data of Sporothrix spp. found in literature and correlate this data with the treatment guidelines for sporotrichosis. The systematic review was performed according to the Cochrane methodology and with PICOS (Participants, Intervention, Comparators, Outcomes, Study Design) strategy. Thirty-six studies were included that used the filamentous and/or the yeast phases to perform the susceptibility tests. Three studies that evaluated the association of antifungals using the checkerboard method were also included. The data found were, whenever possible, compared with the defined Epidemiological Cutoff Values (ECVs). Analyzing only the minimum inhibitory concentration (MIC) values, the most effective antifungal in vitro was terbinafine. However, this is not the same result as observed in vivo. Both itraconazole and amphotericin B presented in-vitro activity. However, many studies have shown that isolates can acquire resistance mechanisms to these antifungals (MIC > ECV), which deserves attention. Further studies are needed to translate in-vitro susceptibility data into clinical practice, and also to determine ECVs for more antifungals and Sporothrix species.
孢子丝菌病是由孢子丝菌属的二态真菌引起的一种全球分布的感染,其主要致病物种包括申克孢子丝菌、巴西孢子丝菌、全球孢子丝菌和luriei孢子丝菌。伊曲康唑和两性霉素B是治疗中最常用的抗真菌药物。本综述的目的是汇编文献中发现的孢子丝菌的体外敏感性数据,并将这些数据与孢子丝菌病的治疗指南相关联。根据Cochrane方法学和PICOS(参与者、干预、比较者、结果、研究设计)策略进行系统评价。36项研究采用丝状和/或酵母相进行药敏试验。还包括三项使用棋盘法评估抗真菌药物相关性的研究。如果可能,将发现的数据与定义的流行病学临界值(ecv)进行比较。仅对最小抑菌浓度(MIC)值进行分析,特比萘芬的体外抑菌效果最好。然而,这与在体内观察到的结果不同。伊曲康唑和两性霉素B均有体外活性。然而,许多研究表明,分离株可以获得对这些抗真菌药物的耐药机制(MIC > ECV),这值得关注。需要进一步的研究将体外敏感性数据转化为临床实践,并确定更多抗真菌和孢子菌种类的ecv。
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引用次数: 1
Combinatorial treatment of sophoraflavanone G and rhein with ampicillin, oxacillin, or oxytetracycline synergistically increased antibacterial activity against oral bacteria 槐黄酮G和大黄与氨苄西林、氧西林或土霉素联合治疗可协同增加对口腔细菌的抗菌活性
Q3 Medicine Pub Date : 2021-06-01 DOI: 10.1097/MRM.0000000000000288
Daseul Kim, Ki-Young Kim
Various antibacterial agents have been developed to prevent dental diseases but many oral bacteria have been come out with resistance. In this study, antibacterial activities of sophoraflavanone G and rhein were investigated against oral bacteria using the microdilution assay, the checkerboard assay, the growth curve assay, and the disc diffusion assay. Minimum inhibitory concentration(MIC) values of sophoraflavanone G were 1.56 μg/ml against Streptococcus mutans and Fusobacterium nucleatum, 3.125 μg/ml against Streptococcus sobrinus and Actinomyces viscosus, and more than 100 μg/ml against Porphyromonas gingivalis after 24 h treatment, respectively. MIC values of rhein were 100 μg/ml against Strep. mutans and Strep. sobrinus, and 25 μg/ml against A. viscosus, F. nucleatum and Porphyromonas gingivalis after 24 h treatment, respectively. As both of the compounds showed antibacterial activity, combined treatment was accomplished to know synergistic activity between sophoraflavanone G and rhein, and with commercially available antibacterial agents, such as ampicillin, oxacillin, and oxytetracycline. Sophoraflavanone G with rhein showed synergistic antibacterial activity [fractional inhibitory concentration index (FICI) < 0.5] against all tested oral bacteria. Sophoraflavanone G with antibiotics usually showed additive antibacterial activity (0.5 < FICI < 1.0) but interestingly sophoraflavanone G showed strong synergistic activity with ampicillin, which showed resistance against all tested strains, and with oxacillin, which showed resistance against Strep. mutans, and Strep. sobrinus. Even though rhein possessed low antibacterial activity, it showed synergistic activity with ampicillin and oxacillin against drug-resistant strain. These results suggest that sophoraflavanone G and rhein combined with other antibacterial agents may be beneficial and provide the better option to treat the oral bacteria.
为了预防口腔疾病,人们开发了各种各样的抗菌剂,但许多口腔细菌却产生了耐药性。采用微量稀释法、棋盘法、生长曲线法和圆盘扩散法研究了苦参黄酮G和大黄酸对口腔细菌的抑菌活性。苦参黄酮G对变形链球菌和核梭杆菌的最小抑制浓度(MIC)分别为1.56 μg/ml,对黑链球菌和粘放线菌的最小抑制浓度(MIC)为3.125 μg/ml,对牙龈卟啉单胞菌的最小抑制浓度(MIC)均大于100 μg/ml。大黄酸对链球菌的MIC值为100 μg/ml。突变体和链球菌。24 h后,分别对粘单胞菌、核单胞菌和牙龈卟啉单胞菌产生25 μg/ml的抑制作用。由于这两种化合物都具有抗菌活性,因此我们完成了联合处理,以了解槐黄酮类化合物G与大黄酸之间以及与市售抗菌剂(如氨苄西林、氧西林和土霉素)的协同活性。槐黄酮G与大黄酸对所有口腔细菌均有协同抑菌作用[分数抑制浓度指数(FICI) < 0.5]。苦参黄酮类化合物G与抗生素通常表现出加性抗菌活性(0.5 < FICI < 1.0),但有趣的是,苦参黄酮类化合物G与氨苄西林具有较强的协同作用,氨苄西林对所有被试菌株都具有耐药性,与恶西林对链球菌具有耐药性。突变体和链球菌。sobrinus。尽管大黄酸具有较低的抗菌活性,但它与氨苄西林和奥西林对耐药菌株具有协同作用。上述结果提示,槐黄酮G和大黄酸与其他抗菌药物联合使用可能是治疗口腔细菌的更好选择。
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引用次数: 2
Perspectives of using photodynamic therapy as antimicrobial therapy in endodontics 光动力疗法在牙髓学抗菌治疗中的应用前景
Q3 Medicine Pub Date : 2021-04-09 DOI: 10.1097/MRM.0000000000000278
D. Piatek, Y. Gerasymchuk, I. Korona-Głowniak, T. Bachanek, A. Malm, A. Łukowiak
In times of multidrug resistance of bacteria, photodynamic therapy (PDT) seems to be promising in many fields of medicine, including endodontics, especially in the case of previous failures of root canal treatment and periapical lesions formation. PDT is based on the use of a light source and photosensitizers (PSs). Irradiation caused by the appropriately selected wavelength of light initiates the formation of singlet oxygen and/or free radicals, which provides the antimicrobial activity responsible for effective disinfection. In this manuscript, we compare the findings from all available papers of authors who perform their research in vivo. Despite the fact that they conducted their research in various ways, the results obtained in the course of these studies indicated an effective antibacterial effect of PDT in endodontic treatment. The second part of our work focuses on the perspectives of finding the best PSs that are used in PDT method with great expectations for materials based on graphene oxide as those which are not only carriers but also factors influencing the increase in the efficiency of the particles attached to them.
在细菌多药耐药的时代,光动力疗法(PDT)似乎在包括牙髓学在内的许多医学领域都有前景,特别是在以前根管治疗失败和根尖周病变形成的情况下。PDT是基于光源和光敏剂(ps)的使用。适当选择波长的光照射可引发单线态氧和/或自由基的形成,从而提供负责有效消毒的抗菌活性。在这篇手稿中,我们比较了作者在体内进行研究的所有可用论文的发现。尽管他们的研究方式多种多样,但在研究过程中获得的结果表明,PDT在牙髓治疗中具有有效的抗菌作用。我们工作的第二部分侧重于寻找用于PDT方法的最佳ps的观点,并对基于氧化石墨烯的材料寄予厚望,因为这些材料不仅是载体,而且是影响附着在其上的颗粒效率提高的因素。
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引用次数: 1
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Reviews in Medical Microbiology
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