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Life is in profession, profession is in life (to the 120th anniversary of Professor I.I. Elkin) 生命在于专业,专业在于生命(纪念 I.I. Elkin 教授诞辰 120 周年)
Pub Date : 2024-03-13 DOI: 10.36233/0372-9311-425
N. I. Briko, Tatiana V. Sokolova
The life and the career of a well-known Russian epidemiologist, health care organizer, public figure, authoritative scientist and pedagogue Professor I.I. Elkin has been portrayed in the article.
文章介绍了俄罗斯著名流行病学家、卫生保健组织者、公众人物、权威科学家和教育家 I.I. Elkin 教授的生平和职业生涯。
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引用次数: 0
Retrospective evaluation of the results of immunodiagnostics for tuberculosis in children 对儿童结核病免疫诊断结果的回顾性评估
Pub Date : 2024-03-13 DOI: 10.36233/0372-9311-477
Natalia A. Volkova, Irina V. Mikheeva, A. A. Melnikova, V. G. Akimkin
Introduction. For early immunodiagnostics of tuberculosis (TB) in Russia, the Mantoux test (MT) has been used for decades; since 2013, the recombinant tuberculosis antigen (RTA) test has seen widespread use. The objective of this retrospective analytic observational cohort study was to evaluate the results of immunodiagnostics for TB in children with newly diagnosed active TB. Materials and methods. We studied data from Russian TB institutions on the results of MT and RTA assay in children with active and inactive TB first detected in 2013–2018, as well as children with active TB first detected in Moscow in 2017–2022. Results and discussion. In 2013–2018, out of 12,902 examined children with active TB, 11,673 (90.5%) had positive results of both skin tests and 198 (1.5%) had negative results. A negative RTA assay result with positive MT was found in 861 (6.7%) patients, and a positive RTA assay result with negative MT in 170 (1.3%). The sensitivity of the RTA assay in detecting active TB was 91.3%, while the sensitivity of MT was 97.2% (p 0.01). Similar data were obtained in the same regions in 14,127 children with inactive TB: the sensitivity of MT was higher than that of the RTA assay — 97.2% versus 95.2% (p 0.01). In Moscow, due to the small number of observations in 2022, it was not possible to show statistical reliability of the difference between the sensitivity of MT and RTA assay in detecting active TB in 2017–2022 (95.8% and 92.1% respectively; p 0.5). For the results obtained in 2017–2021, the difference was significant (p 0.05). Conclusion. The sensitivity of MT is higher than that of the RTA assay in screening children for TB. It is recommended to use the more sensitive MT test for screening children; screening with the RTA assay will increase the number of undetected and undiagnosed cases of active TB in children. Currently, MT cannot be excluded from the algorithm of early TB diagnosis in children.
导言。在俄罗斯,早期肺结核(TB)免疫诊断使用曼氏试验(Mantoux test,MT)已有数十年历史;自 2013 年起,重组结核抗原(RTA)试验开始广泛使用。这项回顾性分析观察队列研究的目的是评估新确诊活动性肺结核患儿的肺结核免疫诊断结果。材料和方法。我们研究了俄罗斯结核病防治机构提供的数据,这些数据涉及 2013-2018 年首次发现的活动性和非活动性肺结核患儿以及 2017-2022 年莫斯科首次发现的活动性肺结核患儿的 MT 和 RTA 检测结果。结果与讨论。2013-2018年,在12902名接受检查的活动性肺结核儿童中,11673人(90.5%)的两种皮试结果均为阳性,198人(1.5%)为阴性。有 861 名(6.7%)患者的 RTA 检测结果为阴性,但 MT 检测结果为阳性;有 170 名(1.3%)患者的 RTA 检测结果为阳性,但 MT 检测结果为阴性。RTA 检测法检测活动性肺结核的灵敏度为 91.3%,而 MT 的灵敏度为 97.2%(P 0.01)。在同一地区的 14 127 名非活动性肺结核患儿中也获得了类似的数据:MT 的灵敏度高于 RTA 检测法,分别为 97.2% 和 95.2% (p 0.01)。在莫斯科,由于 2022 年的观察数量较少,无法显示 MT 和 RTA 检测法在 2017-2022 年检测活动性肺结核的灵敏度差异的统计可靠性(分别为 95.8% 和 92.1%;P 0.5)。就 2017-2021 年的结果而言,差异显著(P 0.05)。结论。在筛查儿童肺结核方面,MT 的灵敏度高于 RTA 检测法。建议使用灵敏度更高的 MT 检测方法筛查儿童;使用 RTA 检测方法筛查会增加未发现和未诊断的儿童活动性肺结核病例数量。目前,儿童结核病早期诊断的算法中不能排除 MT。
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引用次数: 0
An integrative approach to assessing the pathogenic potential of Escherichia coli strains isolated from urine 评估从尿液中分离出的大肠埃希氏菌株致病潜力的综合方法
Pub Date : 2024-03-13 DOI: 10.36233/0372-9311-493
Mariia A. Makarova, Z. N. Matveeva, Lidiya A. Kaftyreva
Introduction. Uropathogenic Escherichia coli (UPEC) are characterized by the ability to survive and reproduce in the urinary tract due to the presence of specific virulence factors. In routine laboratory practice, the detection of diagnostically significant bacteriuria does not provide an idea of the level of infection of the urinary system (renal parenchyma, bladder), the pathogenic potential of the strain in the progression and chronicity of the infectious process, and the occurrence of life-threatening conditions (urosepsis, meningitis). Objective. To characterize the population structure, genetic diversity and pathogenic potential of E. coli strains isolated from urine. Materials and methods. 194 strains of E. coli isolated from urine were studied. Detection of 17 genes encoding the synthesis of: adhesins (pap, fimH, sfa, focG, afa), toxins (hlyA, cvaC, cnf, cdtB), capsular antigens (kpsMTII, kpsMTIII, kpsMT K1), siderophores (fyuA, iutA), invasins (ibeA), genetic markers of the pathogenicity island (PAI) of UPEC CFT073, the gene (traT) encoding serum resistance capacity and phylogenetic groups were performed by PCR (CXT-1000, BioRad, USA) with published primers (Synthol, Sibenzyme, Evrogen, Russia). To assess the statistical significance of differences, Fisher's exact test was used. Differences were considered significant at a confidence interval of 95% (p 0.05). Results. E. coli strains more often (p 0.05) belonged to the phylogenetic group B2 (57.7%). Pathogenetically significant virulence determinants were identified in 97.9% of strains. Based on the combination of 17 genes, 134 individual virulence genotypes were identified. In 93.3% of strains, a genetic predisposition to the occurrence of recurrent urinary tract infections (UTIs) was revealed, in 6.9% there was a potential for the development of pyelonephritis and recurrent cystitis. Markers of life-threatening complications of UTI were identified in 12% of strains, of which 10.7% were the development of urosepsis and 1.3% were meningitis. Conclusion. Detection of a complex of genes in E. coli strains isolated from urine confirms the etiological significance of the isolate and allows one to assess the pathogenic potential for the development of chronic and severe life-threatening complications.
导言。尿路致病性大肠埃希菌(UPEC)的特点是由于存在特定的毒力因子而能够在泌尿道中存活和繁殖。在常规实验室实践中,检测出具有诊断意义的菌尿并不能说明泌尿系统(肾实质、膀胱)的感染程度、菌株在感染过程的进展和慢性化过程中的致病潜力以及危及生命的情况(尿毒症、脑膜炎)。目标分析从尿液中分离出的大肠杆菌菌株的种群结构、遗传多样性和致病性。材料和方法。研究了从尿液中分离出的 194 株大肠杆菌。检测了 17 个编码合成以下物质的基因:粘附素(pap、fimH、sfa、focG、afa)、毒素(hlyA、cvaC、cnf、cdtB)、荚膜抗原(kpsMTII、kpsMTIII、kpsMT K1)、嗜苷酸(fyuA、iutA)、侵袭素(ibeA)、UPEC CFT073 致病性岛(PAI)的遗传标记、对编码血清抗性能力的基因(traT)和系统发生组的研究是通过 PCR(CXT-1000,BioRad,美国)和已发表的引物(Synthol、Sibenzyme、Evrogen,俄罗斯)进行的。为评估差异的统计学意义,采用了费雪精确检验。在置信区间为 95% 时,差异被认为是显著的(P 0.05)。结果大肠杆菌菌株更多属于系统发育组 B2(57.7%)(p 0.05)。在 97.9% 的菌株中发现了具有重要致病性的毒力决定因子。根据 17 个基因的组合,确定了 134 个毒力基因型。在 93.3% 的菌株中,发现了发生复发性尿路感染(UTIs)的遗传易感性,6.9% 的菌株有发生肾盂肾炎和复发性膀胱炎的可能性。在 12% 的菌株中发现了尿路感染危及生命并发症的标志物,其中 10.7% 出现尿毒症,1.3% 出现脑膜炎。结论在从尿液中分离出的大肠杆菌菌株中检测到复合基因,证实了该分离菌株的病原学意义,并可评估其引发慢性和严重危及生命的并发症的致病潜力。
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引用次数: 0
Assessment of the effect of using immunomodulatory drugs for emergency prevention of experimental plague caused by a virulent strain of the main subspecies Yersinia pestis 评估使用免疫调节药物紧急预防主要亚种鼠疫耶尔森菌毒株引起的实验性鼠疫的效果
Pub Date : 2024-02-17 DOI: 10.36233/0372-9311-415
Anastasiya Yu. Goncharova, S. Bugorkova, E. V. Kislitsina, V. Germanchuk
Introduction. Immunomodulatory drugs (ILP) have great potential to increase the nonspecific reactivity of the organism in a set of measures for emergency prevention of plague. The purpose of the work is to evaluate the protective effectiveness of the use of ILP of different groups in experiments on modeling infection with a highly virulent strain of the plague microbe. Materials and methods. ILP (rIFN-ɣ - recombinant interferon-gamma, PO - azoximer bromide, O1 - glutoxim, O2 - hepon, O3 - imunophan) was administered to white mice and guinea pigs subcutaneously with a virulent test strain of plague Y. pestis 231 (708). In addition, the effect of ILP on the production of interferon-gamma cytokines (IFN-ɣ) and interleukin-10 (IL-10) was investigated in white mice before infection. Results. The study of the effect of ILP on the survival of unvaccinated biomodels made it possible to establish that only rIFN-ɣ and PO increase the survival of two types of laboratory animals by 20-50% and significantly increase the LD50. However, all tested ILP contribute to an increase in the average life expectancy of biomodels by at least a day. An increase in spontaneous and mitogen-induced cytokine production was found only in white mice receiving rIFN-ɣ and PO, which correlates with animal survival rates. Conclusion. The obtained data indicate the effectiveness of the use of ILP, especially rIFN-ɣ and PO in protecting the macrocompany from infection with Y. pestis, which determines the prospects for research on the further improvement of emergency prevention of plague.
导言。在一套紧急预防鼠疫的措施中,免疫调节药物(ILP)在提高机体的非特异性反应能力方面具有巨大潜力。这项工作的目的是在鼠疫微生物高毒力菌株的模拟感染实验中,评估使用不同组别的ILP的保护效果。材料和方法给白鼠和豚鼠皮下注射ILP(rIFN-ɣ - 重组γ干扰素,PO - 溴化偶氮嘧啶,O1 - glutoxim,O2 - hepon,O3 - imunophan)和鼠疫Y. pestis 231 (708)毒力试验菌株。此外,还研究了 ILP 对白鼠感染前产生γ干扰素细胞因子(IFN-ɣ)和白细胞介素-10(IL-10)的影响。研究结果通过研究 ILP 对未接种疫苗的生物模型存活率的影响,可以确定只有 rIFN-ɣ 和 PO 能使两种实验动物的存活率提高 20-50%,并显著提高半数致死剂量。不过,所有测试过的 ILP 都能使生物模型的平均寿命至少延长一天。只有接受rIFN-ɣ和PO的白鼠自发和有丝分裂原诱导的细胞因子分泌有所增加,这与动物的存活率有关。结论获得的数据表明,使用 ILP(尤其是 rIFN-ɣ 和 PO)可有效保护大鼠免受鼠疫 Y. pestis 感染,这为进一步改善鼠疫紧急预防的研究工作指明了前景。
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引用次数: 0
Dampening of Proteomics Activity Associated with the COVID-19 Patients Afflicted with Asthma based on Gene Expression Pattern 基于基因表达模式的 COVID-19 哮喘患者蛋白质组学活动的减弱
Pub Date : 2024-02-12 DOI: 10.36233/0372-9311-399
Ali Adel Dawood
The SARS-CoV-2 infection has been associated with a variety of chronic and immune-related diseases, including asthma. Aim: The study aimed to assess the gene expression of COVID-19 patients with or without asthma. Materials and Methods: 20 patient profiles out of a total of 288 were selected from Gene Expression Omnibus (GSE178399). All patients have positive PCR tests and were divided into 4 groups. GEO2R was used to estimate the comparison between groups. STRING tool was used to measure the correlation between genes. The phylogenetic tree was extracted using iTOL. The heat map was extracted using iDEP.96. Results: MMP10 (Matrix metalloproteinase-10), TNFRSF11B (Tumor necrosis factor receptor superfamily member 11B), CCL23 (C-C motif chemokine ligand 23), CD274 (Programmed cell death 1) CX3CL1 (C-X3-C motif chemokine), and IL-17C (Interleukin-17C) had down-regulation for all patients. Transcriptome data conducted no correlation between the expression of MMP10 and asthma, although there is a significant correlation between the expression of MMP1 and sensitivity. The expression of IL17A, which is strongly related to allergic asthma, is decreased in non-asthmatic individuals but elevated in asthmatic patients, notably in survivors. Patients who were not asthmatic had significantly higher CXCL9 levels. Conclusions: The study revealed a disparity in the relationship between imbalanced gene expressions in the groups examined. The gene expression of asthma patients who survived and died was not significantly different.
SARS-CoV-2 感染与包括哮喘在内的多种慢性免疫相关疾病有关。目的:本研究旨在评估 COVID-19 患者伴或不伴哮喘的基因表达。材料与方法:从基因表达总库(GSE178399)中选取了总共 288 例患者中的 20 例。所有患者的 PCR 检测结果均为阳性,并被分为 4 组。GEO2R 用于估计组间比较。STRING 工具用于测量基因之间的相关性。使用 iTOL 提取系统发生树。使用 iDEP.96 提取热图。结果所有患者的 MMP10(基质金属蛋白酶-10)、TNFRSF11B(肿瘤坏死因子受体超家族成员 11B)、CCL23(C-C 矩阵趋化因子配体 23)、CD274(程序性细胞死亡 1)、CX3CL1(C-X3-C 矩阵趋化因子)和 IL-17C(白细胞介素-17C)均出现下调。转录组数据显示,MMP10 的表达与哮喘没有相关性,但 MMP1 的表达与敏感性有显著相关性。与过敏性哮喘密切相关的 IL17A 的表达在非哮喘患者中降低,但在哮喘患者中升高,尤其是在幸存者中。非哮喘患者的 CXCL9 水平明显较高。结论:该研究揭示了所研究群体中不平衡基因表达之间关系的差异。存活和死亡的哮喘患者的基因表达没有明显差异。
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引用次数: 0
Dampening of Proteomics Activity Associated with the COVID-19 Patients Afflicted with Asthma based on Gene Expression Pattern 基于基因表达模式的 COVID-19 哮喘患者蛋白质组学活动的减弱
Pub Date : 2024-02-12 DOI: 10.36233/0372-9311-399
Ali Adel Dawood
The SARS-CoV-2 infection has been associated with a variety of chronic and immune-related diseases, including asthma. Aim: The study aimed to assess the gene expression of COVID-19 patients with or without asthma. Materials and Methods: 20 patient profiles out of a total of 288 were selected from Gene Expression Omnibus (GSE178399). All patients have positive PCR tests and were divided into 4 groups. GEO2R was used to estimate the comparison between groups. STRING tool was used to measure the correlation between genes. The phylogenetic tree was extracted using iTOL. The heat map was extracted using iDEP.96. Results: MMP10 (Matrix metalloproteinase-10), TNFRSF11B (Tumor necrosis factor receptor superfamily member 11B), CCL23 (C-C motif chemokine ligand 23), CD274 (Programmed cell death 1) CX3CL1 (C-X3-C motif chemokine), and IL-17C (Interleukin-17C) had down-regulation for all patients. Transcriptome data conducted no correlation between the expression of MMP10 and asthma, although there is a significant correlation between the expression of MMP1 and sensitivity. The expression of IL17A, which is strongly related to allergic asthma, is decreased in non-asthmatic individuals but elevated in asthmatic patients, notably in survivors. Patients who were not asthmatic had significantly higher CXCL9 levels. Conclusions: The study revealed a disparity in the relationship between imbalanced gene expressions in the groups examined. The gene expression of asthma patients who survived and died was not significantly different.
SARS-CoV-2 感染与包括哮喘在内的多种慢性免疫相关疾病有关。目的:本研究旨在评估 COVID-19 患者伴或不伴哮喘的基因表达。材料与方法:从基因表达总库(GSE178399)中选取了总共 288 例患者中的 20 例。所有患者的 PCR 检测结果均为阳性,并被分为 4 组。GEO2R 用于估计组间比较。STRING 工具用于测量基因之间的相关性。使用 iTOL 提取系统发生树。使用 iDEP.96 提取热图。结果所有患者的 MMP10(基质金属蛋白酶-10)、TNFRSF11B(肿瘤坏死因子受体超家族成员 11B)、CCL23(C-C 矩阵趋化因子配体 23)、CD274(程序性细胞死亡 1)、CX3CL1(C-X3-C 矩阵趋化因子)和 IL-17C(白细胞介素-17C)均出现下调。转录组数据显示,MMP10 的表达与哮喘没有相关性,但 MMP1 的表达与敏感性有显著相关性。与过敏性哮喘密切相关的 IL17A 的表达在非哮喘患者中降低,但在哮喘患者中升高,尤其是在幸存者中。非哮喘患者的 CXCL9 水平明显较高。结论:该研究揭示了所研究群体中不平衡基因表达之间关系的差异。存活和死亡的哮喘患者的基因表达没有明显差异。
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引用次数: 0
Hepatitis B virus preCore/Core region variability in pregnant women in the Republic of Guinea 几内亚共和国孕妇体内乙肝病毒前核/核心区变异情况
Pub Date : 2024-01-22 DOI: 10.36233/0372-9311-447
Introduction. The vertical route of hepatitis B virus (HBV) transmission is a significant problem in African countries, which is characterized by late diagnosis of the disease and high mortality. The high prevalence of hepatocellular carcinoma (HCC) in Africa may be due to variability in the HBV preCore/Core region, mutations in which contribute to disease progression. Molecular genetic characterization of strains circulating among pregnant women may reflect the overall mutational profile of the pathogen in the population.The objective of this study was to analyze the variability of the HBV preCore/Core region circulating among pregnant women in the Republic of Guinea.Materials and methods. The study material included 480 plasma samples obtained from HBV-positive pregnant women from the Republic of Guinea. For all samples, the nucleotide sequences of the preCore/Core region of the HBV genome were sequenced and analyzed.Results. Amino acid variability in the preCore region was determined in 211 (43.96%), and in the Core region in 473 (98.54%) patients. 12 polymorphic sites of the preCore region were identified in which amino acid substitutions occurred, including 8, 2 and 5 positions identified for genotypes E, A and D, respectively. In the Core region, 67 substitution positions were identified, including 46 in samples of genotype E, 23 in HBV genotype A and 26 in genotype D. It was shown that the distribution of substitutions in the preCore and Core regions in HBV genotypes E, A and D differs significantly with a predominance in mutations among HBV genotype E —p 0.0001. Individual characteristic mutations have been identified for each genotype. The most common clinically significant mutations in the preCore/Core region in the study group were identified, including pc-H5D (27,08%), pc-W28* (35,21%), c-E64D (33,54%), c-L116I/V/G (91,46 %), c-T146N (73,13%). The double mutation A1762T/G1764A in the basal core promoter was shown in 74 samples of HBV genotype E, which accounted for 15.42% of the total group and 16.59% of patients with HBV genotype E.Conclusion. The frequency of clinically significant preCore/Core mutations among pregnant women in the Republic of Guinea was determined. The data obtained reflect their prevalence in the general population and can be used to predict the progression of chronic HBV among the region's population.
导言。乙型肝炎病毒(HBV)的垂直传播途径是非洲国家的一个重大问题,其特点是疾病诊断晚、死亡率高。非洲肝细胞癌(HCC)的高发病率可能是由于 HBV 前核/核心区的变异造成的,这种变异会导致疾病进展。在孕妇中循环的菌株的分子遗传特征可反映病原体在人群中的整体变异情况。本研究的目的是分析在几内亚共和国孕妇中循环的 HBV 前核/核心区的变异性。研究材料包括 480 份血浆样本,这些样本来自几内亚共和国的 HBV 阳性孕妇。对所有样本的 HBV 基因组前核/核心区的核苷酸序列进行了测序和分析。在 211 例(43.96%)患者中确定了前核心区的氨基酸变异,在 473 例(98.54%)患者中确定了核心区的氨基酸变异。在前核心区确定了 12 个发生氨基酸置换的多态位点,其中基因型 E、A 和 D 分别确定了 8、2 和 5 个位点。结果表明,HBV 基因型 E、A 和 D 在前核心区和核心区的取代分布有显著差异,HBV 基因型 E 的突变占优势 -p 0.0001。每个基因型都有各自的特征性突变。研究组中最常见的具有临床意义的前核心/核心区突变包括 pc-H5D (27.08%)、pc-W28* (35.21%)、c-E64D (33.54%)、c-L116I/V/G (91.46 %)、c-T146N (73.13%)。在 74 例 HBV 基因 E 型样本中,基核启动子出现了 A1762T/G1764A 双突变,占样本总数的 15.42%,占 HBV 基因 E 型患者的 16.59%。该研究确定了几内亚共和国孕妇中具有临床意义的前核心/核心突变的频率。所获得的数据反映了这些变异在普通人群中的流行情况,可用于预测该地区人群中慢性 HBV 的进展情况。
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引用次数: 0
The increase in the incidence of syphilis in the Russian Federation: foreign migrant citizens as a risk group for the spread of the disease 俄罗斯联邦梅毒发病率的增加:外国移民公民是疾病传播的危险群体
Pub Date : 2024-01-04 DOI: 10.36233/0372-9311-382
M. Rakhmatulina, N. I. Briko, E. Novoselova, P. D. Lopukhov
Relevance. The incidence of sexually transmitted infections (STIs) has a serious impact on the health and lives of children, adolescents and adults. Syphilis, like most STIs, is a socially significant disease, while among the factors influencing the spread of this infection, migration processes, including labor migration, occupy a special place. Aims. To study syphilis in foreign migrants in the Russian Federation and individual subjects of the state in recent years. Material and methods. A retrospective epidemiological analysis of the incidence of syphilis among the population of the Russian Federation and foreign migrants was performed. The data from Federal Statistical Monitoring Form No. 9 and No. 34 was used with reference to STIs incidence in 2011–2022 in Russia and in its regions. Results. Among foreign migrant citizens, the incidence rates were higher than the Russian average: 1.5–2.0 times before 2020, and 4 times in 2021 and 2022. The proportion of registered cases of syphilis among foreign citizens in 2021 was 36.4%, significantly exceeding this figure not only in 2020 (18.2%), but also in previous years (16.7–21.2%). An increase in the number of foreign citizens with syphilis was observed in 2021 in all federal districts of the Russian Federation, while the number of syphilis cases detected in this contingent of people varied significantly between different regions of the Russian Federation. The main share (98.1%) in the structure of syphilis detected in foreign citizens was latent forms of the disease. Conclusions. The high level of detection of syphilis in foreign migrant citizens and the predominance of latent forms of the disease in this population represent a potential epidemiological danger of the spread of infection. In connection with the current situation, it seems necessary to develop and implement permanent and controlled algorithms for monitoring STIs in risk groups, including foreign migrant citizens.
相关性。性传播感染(STI)的发病率严重影响着儿童、青少年和成年人的健康和生活。梅毒与大多数性传播疾病一样,是一种具有社会意义的疾病,而在影响梅毒传播的因素中,包括劳动力迁移在内的迁移过程占有特殊的地位。研究目的研究近年来俄罗斯联邦境内外国移民和国家个体主体的梅毒情况。材料和方法。对俄罗斯联邦人口和外国移民梅毒发病率进行了回顾性流行病学分析。数据来自第9号和第34号联邦统计监测表,参考了2011-2022年俄罗斯及其各地区的性传播疾病发病率。结果显示外国移民公民的发病率高于俄罗斯的平均水平:2020 年前为 1.5-2.0 倍,2021 年和 2022 年为 4 倍。2021 年登记在册的外国公民梅毒病例比例为 36.4%,不仅大大超过了 2020 年(18.2%),也超过了前几年(16.7-21.2%)。2021 年,俄罗斯联邦所有联邦区的外国公民梅毒感染人数都有所增加,而在这一人群中发现的梅毒病例数 量在俄罗斯联邦不同地区之间存在显著差异。在外国公民中发现的梅毒病例结构中,潜伏型梅毒占主要比例(98.1%)。结论外国移民中梅毒的高检出率以及潜伏期梅毒在这一人群中占主导地位,是一种潜在的传染病传播危险。鉴于目前的情况,似乎有必要制定并实施永久性的控制算法,以监测包括外国移民在内的高危人群的性传播疾病。
{"title":"The increase in the incidence of syphilis in the Russian Federation: foreign migrant citizens as a risk group for the spread of the disease","authors":"M. Rakhmatulina, N. I. Briko, E. Novoselova, P. D. Lopukhov","doi":"10.36233/0372-9311-382","DOIUrl":"https://doi.org/10.36233/0372-9311-382","url":null,"abstract":"Relevance. The incidence of sexually transmitted infections (STIs) has a serious impact on the health and lives of children, adolescents and adults. Syphilis, like most STIs, is a socially significant disease, while among the factors influencing the spread of this infection, migration processes, including labor migration, occupy a special place. \u0000Aims. To study syphilis in foreign migrants in the Russian Federation and individual subjects of the state in recent years. \u0000Material and methods. A retrospective epidemiological analysis of the incidence of syphilis among the population of the Russian Federation and foreign migrants was performed. The data from Federal Statistical Monitoring Form No. 9 and No. 34 was used with reference to STIs incidence in 2011–2022 in Russia and in its regions. \u0000Results. Among foreign migrant citizens, the incidence rates were higher than the Russian average: 1.5–2.0 times before 2020, and 4 times in 2021 and 2022. The proportion of registered cases of syphilis among foreign citizens in 2021 was 36.4%, significantly exceeding this figure not only in 2020 (18.2%), but also in previous years (16.7–21.2%). An increase in the number of foreign citizens with syphilis was observed in 2021 in all federal districts of the Russian Federation, while the number of syphilis cases detected in this contingent of people varied significantly between different regions of the Russian Federation. The main share (98.1%) in the structure of syphilis detected in foreign citizens was latent forms of the disease. \u0000Conclusions. The high level of detection of syphilis in foreign migrant citizens and the predominance of latent forms of the disease in this population represent a potential epidemiological danger of the spread of infection. In connection with the current situation, it seems necessary to develop and implement permanent and controlled algorithms for monitoring STIs in risk groups, including foreign migrant citizens.","PeriodicalId":508236,"journal":{"name":"Journal of microbiology, epidemiology and immunobiology","volume":"55 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139386019","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
Development of a methodology for molecular genetic monitoring for the cholera causative agent 开发霍乱病原体分子遗传监测方法
Pub Date : 2024-01-04 DOI: 10.36233/0372-9311-388
A. S. Vodopyanov, S. O. Vodopyanov, R. V. Pisanov, I. P. Oleynikov, A. Noskov
Background. The ongoing cholera pandemic determines the relevance of the development and improvement of methods for analysis of data on genome-wide sequencing of the cholera pathogen. This is of particular importance in the light of the challenges of import substitution of foreign products, including software. The aim of the study was to develop a methodology for molecular genetic monitoring for the cholera causative agent using online geographic information system (GIS) and analysis with its help of strains isolated in Russia earlier. Materials and methods. Data from genome-wide sequencing of 2598 toxigenic (ctxAB+tcpA+) strains of V. cholerae O1 El Tor, both obtained by the authors on the MiSeq (Illumina) platform, and retrieved from the NCBI database were used in the study. The SNP analysis software was developed in the Java and Python programming languages. Cytoscape program was used to visualize the dendrogram. The development of online GIS was carried out using the programming languages HTML, JavaScript and PHP. The freely distributed Leaflet library written in JavaScript was used as the core. Maps obtained from the OpenStreetMap community were used as cartographic data. Results and discussion. A universal set of SNPs and software have been developed to analyze the data of genome-wide sequencing of cholera vibrio strains. It was shown that the majority of strains were distributed among several large clusters. The most closely related strains for cholera vibrions isolated in Russia since 2001 have been identified. An online GIS "Molecular genetic monitoring for V. cholerae" has been created, which allows the recognition of closely related strains directly on an electronic map.
背景。霍乱的持续流行决定了开发和改进霍乱病原体全基因组测序数据分析方法的重要性。鉴于包括软件在内的外国产品的进口替代所带来的挑战,这一点尤为重要。本研究的目的是利用在线地理信息系统(GIS)开发霍乱病原体分子遗传监测方法,并在其帮助下对俄罗斯早期分离的菌株进行分析。材料和方法本研究使用了作者在 MiSeq(Illumina)平台上获得的 2598 株霍乱弧菌 O1 El Tor 致病菌株(ctxAB+tcpA+)的全基因组测序数据,这些数据是从 NCBI 数据库中检索的。SNP 分析软件是用 Java 和 Python 编程语言开发的。Cytoscape程序用于树枝图的可视化。在线 GIS 的开发使用了 HTML、JavaScript 和 PHP 编程语言。以 JavaScript 编写的免费发布的 Leaflet 库为核心。从 OpenStreetMap 社区获得的地图被用作制图数据。结果与讨论我们开发了一套通用的 SNPs 和软件来分析霍乱弧菌菌株的全基因组测序数据。结果表明,大多数菌株分布在几个大的菌群中。自 2001 年以来在俄罗斯分离到的霍乱弧菌中,关系最密切的菌株已经确定。创建了在线地理信息系统 "霍乱弧菌分子遗传监测",可在电子地图上直接识别近缘菌株。
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引用次数: 0
Assessment of registered and hidden epidemic process of tick-borne encephalitis in the Republic of Karelia 评估卡累利阿共和国已登记和隐藏的蜱传脑炎流行过程
Pub Date : 2024-01-04 DOI: 10.36233/0372-9311-401
Lyudmila V. Rubis, V. E. Chevskaya, O. Ekimova, O. S. Safonova
Introduction. The incidence of tick-borne encephalitis in the Russia remains relevant. The assessment of the epidemic process in the Republic of Karelia is important not only in terms of understanding its general patterns, but in connection with the growth of tourist attendance in the region. Aims: To assess the current epidemic situation of tick-borne encephalitis in the Republic of Karelia, and to compare the characteristics of registered and hidden epidemic processes. Materials and methods. The risk of infection and incidence were estimated based on the analysis of the registered cases of seeking medical help in connection with tick bites, the results of a study of tick-borne encephalitis virus (TBEV) infection rate in ticks, and the epidemiological investigation of cases of tick-borne encephalitis in 1992–2022. Clinical, gender and age structure, territorial distribution of patients and victims of the tick bites were compared with the results of serological studies of 2379 blood samples of the adult population, conducted in 2011–2022. Results. Infection rates of ticks removed from humans ranged from 23.6–27.0% in 2002–2005 to 1.0% in 2022. In 2004, the TBEV antigen was detected in mosquitoes. The territory of risk is the southern part of Republic. However, the increase in number of cases of seeking medical help was observed in the northern part of Republic. The incidence rates exceeded the national average, especially in 2003–2004 (15.3–11.6 per 100 thousand). In 2021–2022, it decreased to 1.8–1.5 per 100,000. The dynamics of incidence had a high-degree correlation with the dynamics of seeking medical help and infection rates in ticks (R = 0.92 and 0.73). The reported incidence was lower than the estimated risk of infection. The meningeal forms of infection were most often diagnosed. The risk of the disease was higher in the elderly and in men, which was determined by the conditions of infection. Antibodies to TBEV were detected in 11.8 ± 0.7% of the examined persons. Conclusion. A steady decrease in rates of registered tick-borne encephalitis incidence has been revealed in the Republic of Karelia, mainly due to the action of biological and natural factors. The assessment of seroprevalence made it possible to reveal the hidden part of the epidemic process.
导言。蜱传脑炎在俄罗斯的发病率仍然很高。评估卡累利阿共和国的流行病进程不仅对了解其一般模式很重要,而且对该地区游客人数的增长也很重要。目的:评估卡累利阿共和国蜱传脑炎的流行现状,并比较登记流行过程和隐性流行过程的特点。材料与方法根据对蜱虫叮咬求医登记病例的分析、蜱虫脑炎病毒(TBEV)感染率的研究结果以及 1992-2022 年蜱虫脑炎病例的流行病学调查,估算感染风险和发病率。将蜱虫叮咬患者和受害者的临床、性别和年龄结构、地域分布与 2011-2022 年对 2379 份成年人口血液样本进行的血清学研究结果进行了比较。结果显示从人类身上清除的蜱虫感染率从 2002-2005 年的 23.6-27.0% 到 2022 年的 1.0%。2004 年,在蚊子体内检测到了 TBEV 抗原。存在风险的地区是共和国南部。然而,在共和国北部地区,发现寻求医疗帮助的病例数量有所增加。发病率超过了全国平均水平,尤其是在 2003-2004 年(每 10 万人中有 15.3-11.6 例)。2021-2022 年,发病率下降到每 10 万人 1.8-1.5 例。发病率动态与求医率和蜱虫感染率动态高度相关(R = 0.92 和 0.73)。报告的发病率低于估计的感染风险。脑膜感染的诊断率最高。老年人和男性的患病风险较高,这是由感染条件决定的。在 11.8 ± 0.7% 的受检者中检测到 TBEV 抗体。结论卡累利阿共和国已登记的蜱传脑炎发病率稳步下降,这主要是由于生物和自然因素的作用。对血清流行率的评估揭示了流行病过程中隐藏的部分。
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引用次数: 0
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Journal of microbiology, epidemiology and immunobiology
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