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Indirect ELISAs Based on Nipah and Langya Virus Proteins for Detecting Antibodies in Animals. 基于尼帕病毒和琅琊病毒蛋白的间接elisa检测动物抗体。
IF 1.8 Q3 INFECTIOUS DISEASES Pub Date : 2025-09-29 eCollection Date: 2025-12-01 DOI: 10.1097/IM9.0000000000000190
Wanqi Wu, Junying She, Yeerzati Tuluhongtayi, Yawen Liu, Xinrui Kang, Xiaoai Zhang, Yang Han, Yuechao Hu, Yan Yang, Jianing Zhang, Beiwei Ye, Qian Gao, Yang Liu, Wei Liu, George Fu Gao, Yan Li, Jun Liu

Nipah virus (NiV) and Langya virus (LayV) are emerging zoonotic henipaviruses with serious public health risks. However, no vaccine or drug is available for either disease. To address the persistent threats posed by NiV and LayV, we preliminarily developed indirect ELISAs based on truncated fusion glycoprotein (F) and attachment glycoprotein (G) expressed in a mammalian expression system. We validated these assays using immunized BALB/c mice (for both NiV and LayV), immunized Syrian golden hamsters (for NiV), and goats and a dog that were naturally infected (for LayV). Specificity was assessed using negative sera from mice, ferrets, African green monkeys, hamsters and swine. The ELISAs demonstrated high sensitivity (1:64,000) for both viruses in immunized BALB/c mice, high specificity (approximately 95% in mice and 100% in ferrets, African green monkeys, hamsters and swine), and strong concordance with commercial NiV ELISA kits (>93%). The NiV ELISAs were further validated using immunized Syrian golden hamsters, which had sensitivities of 1:51,200 (F-based) and 1:6400 (G-based). The LayV ELISAs successfully detected antibodies in the sera of goats and a dog naturally infected with LayV. These preliminary indirect ELISAs serve as proof-of-concept tools and may be valuable for vaccine and therapeutic development, serological surveillance studies and future diagnostic platform development.

尼帕病毒(NiV)和琅雅病毒(LayV)是新出现的人畜共患亨尼帕病毒,具有严重的公共卫生风险。然而,目前还没有针对这两种疾病的疫苗或药物。为了解决NiV和LayV的持续威胁,我们初步开发了基于截断融合糖蛋白(F)和在哺乳动物表达系统中表达的附着糖蛋白(G)的间接elisa。我们用免疫的BALB/c小鼠(针对NiV和LayV)、免疫的叙利亚金仓鼠(针对NiV)以及自然感染的山羊和狗(针对LayV)验证了这些方法。使用小鼠、雪貂、非洲绿猴、仓鼠和猪的阴性血清评估特异性。ELISA在免疫BALB/c小鼠中对两种病毒均具有高灵敏度(1:64 000),高特异性(小鼠约95%,雪貂、非洲绿猴、仓鼠和猪约100%),且与商用NiV ELISA试剂盒高度一致(bb0 93%)。用免疫的叙利亚金仓鼠进一步验证了NiV elisa,其敏感性分别为1:51 200 (F-based)和1:6400 (G-based)。LayV酶联免疫吸附试验成功地检测了自然感染LayV的山羊和狗血清中的抗体。这些初步的间接elisa作为概念验证工具,可能对疫苗和治疗开发、血清学监测研究和未来诊断平台开发有价值。
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引用次数: 0
Liposomal Nanotraps Neutralize Listeria monocytogenes Toxins to Enhance Macrophage Viability and Antibacterial Capacity. 脂质体纳米捕集剂中和单核增生李斯特菌毒素增强巨噬细胞活力和抗菌能力。
IF 2 Q3 INFECTIOUS DISEASES Pub Date : 2025-04-17 DOI: 10.1097/IM9.0000000000000177
Hervé Besançon, Margherita Polidori, Andrea Hostettler, Victor Nizet, Anna Oevermann, Eduard Babiychuk

Listeria monocytogenes is a human and veterinary pathogen, one of the most common agents of foodborne infections worldwide. It can cause severe complications such as meningitis or miscarriage. Anti-virulence therapies, which target virulence factors such as pore-forming toxins, offer an alternative approach to combating infections. In this study, cholesterol-containing liposomal nanotraps effectively neutralized L. monocytogenes exotoxins, particularly listeriolysin O (LLO), thereby protecting mammalian cells. Notably, toxin neutralization was observed under both neutral and acidic conditions, where LLO activity is optimized to facilitate bacterial escape from the phagosome. Liposomal nanotraps were phagocytosed by macrophages and colocalized with intracellular Listeria, increasing the clearance rate of intracellular bacteria. These findings expand the potential use of broad-spectrum liposomal nanotrap therapy, which could be employed alongside current standard of care treatments to assist the immune system in controlling virulent pathogens.

单核细胞增生李斯特菌是一种人类和动物病原体,是世界范围内食源性感染最常见的病原体之一。它会导致严重的并发症,如脑膜炎或流产。抗毒力疗法,其目标毒力因素,如成孔毒素,提供了另一种方法来对抗感染。在这项研究中,含胆固醇的脂质体纳米陷阱有效地中和了单核增生乳杆菌的外毒素,特别是李斯特菌溶素O (LLO),从而保护了哺乳动物细胞。值得注意的是,在中性和酸性条件下都观察到毒素中和,其中LLO活性被优化以促进细菌从吞噬体中逃逸。脂质体纳米陷阱被巨噬细胞吞噬并与细胞内李斯特菌共定位,提高了细胞内细菌的清除率。这些发现扩大了广谱脂质体纳米陷阱疗法的潜在应用,它可以与目前的标准护理治疗一起使用,以帮助免疫系统控制毒性病原体。
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引用次数: 0
Repurposing Diflunisal as an Antivirulence Agent Against Staphylococcus aureus. 重新利用双氟尼柳作为抗金黄色葡萄球菌的毒力剂。
IF 1.8 Q3 INFECTIOUS DISEASES Pub Date : 2025-03-01 Epub Date: 2025-01-27 DOI: 10.1097/im9.0000000000000174
Daniel Sun, Nina M Haste, Josh Sun, Mateus Sá Magalhães Serafim, Anna Salvioni, Joshua Olson, Jason Cole, Cheryl Okumura, Richard L Gallo, George Sakoulas, Anthony J O'Donoghue, Mary E Hensler, Victor Nizet

Infections refractory to standard antibiotic therapy are contributing to adverse treatment outcomes in patients suffering from deep-seated bacterial infections caused by increasingly resistant pathogens. Adjunctive strategies targeting bacterial virulence factors have been considered to supplement the host immune response in fighting the infection. Previous studies suggest that the FDA-approved anti-inflammatory drug diflunisal inhibits Staphylococcus aureus (SA) α-toxin expression by its interaction with the response regulator AgrA. We investigated the broader anti-virulence properties of diflunisal against pathogenic strains of SA and established proof-of-concept for its efficacy in blocking SA virulence. Our studies reveal that diflunisal inhibits α-toxin production, sensitizes SA to cationic antibiotics and human antimicrobial peptides, inhibits the production of the golden pigment staphyloxanthin, and reduces biofilm formation. Molecular docking simulations revealed potential interactions between diflunisal and AgrA binding sites. In addition, sequence alignment of the SA AgrA response regulator demonstrated similarities to other response regulators involved in controlling virulence factor expression. Appreciation of the antivirulence properties of diflunisal supports a therapeutic strategy distinct from structurally similar compounds, such as salicylic acid. The repurposing of diflunisal may mitigate disease severity and provide a unique adjunctive tool in the treatment of SA infection.

对标准抗生素治疗难以治愈的感染正在导致耐药性越来越强的病原体引起的深层细菌感染患者的不良治疗结果。针对细菌毒力因子的辅助策略已被认为是在对抗感染中补充宿主免疫反应。先前的研究表明,fda批准的抗炎药双氟尼拉通过与反应调节因子AgrA相互作用抑制金黄色葡萄球菌(SA) α-毒素的表达。我们研究了双氟尼柳对SA致病菌株的更广泛的抗毒特性,并建立了其阻断SA毒力的概念证明。我们的研究表明,双氟尼柳可以抑制α-毒素的产生,使SA对阳离子抗生素和人类抗菌肽敏感,抑制金黄色葡萄黄质的产生,减少生物膜的形成。分子对接模拟揭示了双氟尼柳和AgrA结合位点之间潜在的相互作用。此外,SA - AgrA反应调节因子的序列比对显示与其他参与控制毒力因子表达的反应调节因子相似。对双氟尼柳抗毒特性的认识支持了一种不同于结构类似化合物(如水杨酸)的治疗策略。重新使用双氟尼拉可能会减轻疾病的严重程度,并为治疗SA感染提供一种独特的辅助工具。
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引用次数: 0
The Effect of Retinoic Acid on Neutrophil Innate Immune Interactions With Cutaneous Bacterial Pathogens. 维甲酸对中性粒细胞与皮肤细菌病原体的先天性免疫相互作用的影响
IF 2 Q3 INFECTIOUS DISEASES Pub Date : 2024-06-01 Epub Date: 2024-04-29 DOI: 10.1097/im9.0000000000000145
Alexandra Stream, Ross Corriden, Simon Döhrmann, Richard L Gallo, Victor Nizet, Ericka L Anderson

Vitamin A and its biologically active derivative, retinoic acid (RA), are important for many immune processes. RA, in particular, is essential for the development of immune cells, including neutrophils, which serve as a front-line defense against infection. While vitamin A deficiency has been linked to higher susceptibility to infections, the precise role of vitamin A/RA in host-pathogen interactions remains poorly understood. Here, we provided evidence that RA boosts neutrophil killing of methicillin-resistant Staphylococcus aureus (MRSA). RA treatment stimulated primary human neutrophils to produce reactive oxygen species, neutrophil extracellular traps, and the antimicrobial peptide cathelicidin (LL-37). Because RA treatment was insufficient to reduce MRSA burden in an in vivo murine model of skin infection, we expanded our analysis to other infectious agents. RA did not affect the growth of a number of common bacterial pathogens, including MRSA, Escherichia coli K1 and Pseudomonas aeruginosa; however, RA directly inhibited the growth of group A Streptococcus (GAS). This antimicrobial effect, likely in combination with RA-mediated neutrophil boosting, resulted in substantial GAS killing in neutrophil killing assays conducted in the presence of RA. Furthermore, in a murine model of GAS skin infection, topical RA treatment showed therapeutic potential by reducing both skin lesion size and bacterial burden. These findings suggest that RA may hold promise as a therapeutic agent against GAS and perhaps other clinically significant human pathogens.

维生素 A 及其生物活性衍生物视黄酸(RA)对许多免疫过程都很重要。尤其是视黄酸,它对包括中性粒细胞在内的免疫细胞的发育至关重要,而中性粒细胞是抵御感染的第一道防线。虽然维生素 A 缺乏与感染易感性增高有关,但人们对维生素 A/RA 在宿主与病原体相互作用中的确切作用仍然知之甚少。在这里,我们提供的证据表明,RA 能增强中性粒细胞对耐甲氧西林金黄色葡萄球菌(MRSA)的杀伤力。RA治疗刺激原代人中性粒细胞产生活性氧、中性粒细胞胞外捕获物和抗菌肽cathelicidin(LL-37)。由于在体内小鼠皮肤感染模型中,RA 治疗不足以减轻 MRSA 的负担,因此我们将分析范围扩大到了其他感染病原体。RA 不影响一些常见细菌病原体的生长,包括 MRSA、大肠杆菌 K1 和铜绿假单胞菌;但 RA 能直接抑制 A 组链球菌(GAS)的生长。这种抗菌作用可能与 RA 介导的中性粒细胞增殖相结合,在有 RA 存在的情况下进行的中性粒细胞杀伤试验中,GAS 被大量杀死。此外,在小鼠皮肤感染 GAS 的模型中,局部 RA 治疗通过减少皮损面积和细菌负担而显示出治疗潜力。这些研究结果表明,RA 有可能成为一种治疗 GAS 的药物,或许还能治疗其他临床上常见的人类病原体。
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引用次数: 0
Evaluation of 10 Different Pipelines for Bacterial Single-Nucleotide Variant Detection 评估用于细菌单核苷酸变异检测的 10 种不同管道
Q3 INFECTIOUS DISEASES Pub Date : 2023-11-22 DOI: 10.1097/IM9.0000000000000134
Zi-Hao Hu, Ying Wang, Long Yang, Qing-Yi Cao, Ming Ling, Xiao-Hua Meng, Yao Chen, Shu-Jun Ni, Zhi Chen, Cheng-Zhi Liu, Kun-Kai Su
Abstract Bacterial genome sequencing is a powerful technique for studying the genetic diversity and evolution of microbial populations. However, the detection of genomic variants from sequencing data is challenging due to the presence of contamination, sequencing errors and multiple strains within the same species. Several bioinformatics tools have been developed to address these issues, but their performance and accuracy have not been systematically evaluated. In this study, we compared 10 variant detection pipelines using 18 simulated and 17 real datasets of high-throughput sequences from a bundle of representative bacteria. We assessed the sensitivity of each pipeline under different conditions of coverage, simulation and strain diversity. We also demonstrated the application of these tools to identify consistent mutations in a 30-time repeated sequencing dataset of Staphylococcus hominis. We found that HaplotypeCaller, but not Mutect2, from the GATK tool set showed the best performance in terms of accuracy and robustness. CFSAN and Snippy performed not as well in several simulated and real sequencing datasets. Our results provided a comprehensive benchmark and guidance for choosing the optimal variant detection pipeline for high-throughput bacterial genome sequencing data.
摘要 细菌基因组测序是研究微生物种群遗传多样性和进化的一项强大技术。然而,由于存在污染、测序错误和同一物种中的多个菌株,从测序数据中检测基因组变异具有挑战性。为了解决这些问题,已经开发了几种生物信息学工具,但尚未对其性能和准确性进行系统评估。在这项研究中,我们使用了 18 个模拟数据集和 17 个真实数据集,对 10 个变异检测管道进行了比较,这些数据集来自一束具有代表性的细菌的高通量序列。我们评估了每种管道在不同覆盖率、模拟和菌株多样性条件下的灵敏度。我们还展示了这些工具在人葡萄球菌 30 次重复测序数据集中识别一致突变的应用。我们发现,GATK 工具集中的 HaplotypeCaller(而非 Mutect2)在准确性和鲁棒性方面表现最佳。CFSAN 和 Snippy 在几个模拟和真实测序数据集中的表现不尽如人意。我们的研究结果为高通量细菌基因组测序数据选择最佳变异检测管道提供了全面的基准和指导。
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引用次数: 0
A Ten-Year Retrospective Cohort Study of Real-World Effectiveness of Sofosbuvir-Based Regimens for Hepatitis C in a Single Center in China 基于索非布韦的丙型肝炎治疗方案在中国单中心的十年回顾性队列研究
Q3 INFECTIOUS DISEASES Pub Date : 2023-10-24 DOI: 10.1097/im9.0000000000000131
Qiao Yang, Fangping Xu, Yi Shen, Borui Pi, Fangfang Lv
Abstract This study aimed to review the trends of hepatitis C virus (HCV) treatment over the past decade and to analyze the effectiveness of sofosbuvir (SOF)-based direct-acting antiviral regimens in the heterogeneous population of patients with chronic hepatitis C (CHC) in clinical practice. This retrospective cohort study included CHC patients attending the Sir Run Run Shaw Hospital between January 1, 2012 and December 31, 2022. All of the 194 patients treated with SOF-based regimens completed 12 weeks of treatment and were followed up for at least 12 weeks after completion of the therapy. Sustained virologic response (SVR) 12 weeks after the end of treatment was the primary endpoint. A total of 194 patients treated with SOF-based regimens were included, among which 121, 56, 10 and 7 patients received SOF + velpatasvir±ribavirin, SOF + daclatasvir, SOF + ledipasvir or SOF + ribavirin, respectively. With 36.1%, HCV genotype 1 predominated in CHC patients treated with SOF-based regimens, followed by genotype 2a with 17.5% and genotype 3 with 14.9%. Comorbidities among patients included hypertension (4.1%), diabetes (2.1%), depression (1.0%) and neoplastic disease (2.6%). All patients treated with SOF-based regimens achieved SVR. There was no association between SVR and factors such as HCV genotype, sex, age, presence of cirrhosis or previous treatment history. There were no reports of any serious adverse events in the study. This single-center retrospective study represented the latest 10-year treatment trends for HCV in real-world clinical practice and provided useful information on the excellent efficacy of SOF-based direct-acting antiviral regimens for treatment of CHC patients in Eastern China.
摘要本研究旨在回顾近十年来丙型肝炎病毒(HCV)的治疗趋势,并分析基于索非布韦(SOF)的直接抗病毒治疗方案在异质慢性丙型肝炎(CHC)患者中的临床应用效果。本回顾性队列研究纳入2012年1月1日至2022年12月31日在邵逸夫爵士医院就诊的CHC患者。所有194名接受基于soff方案治疗的患者完成了12周的治疗,并在治疗完成后随访至少12周。治疗结束后12周的持续病毒学应答(SVR)是主要终点。共纳入194例以软膏为基础的方案,其中软膏+维帕他韦±利巴韦林121例,软膏+ daclatasvir 56例,软膏+ ledipasvir 10例,软膏+利巴韦林7例。在以sofd为基础的方案治疗的CHC患者中,HCV基因1型占36.1%,其次是基因2a型占17.5%,基因3型占14.9%。患者合并症包括高血压(4.1%)、糖尿病(2.1%)、抑郁症(1.0%)和肿瘤疾病(2.6%)。所有接受基于sofs方案治疗的患者均达到SVR。SVR与HCV基因型、性别、年龄、是否存在肝硬化或既往治疗史等因素无相关性。研究中没有任何严重不良事件的报告。这项单中心回顾性研究代表了现实世界临床实践中HCV治疗的最新10年趋势,并为基于sofd的直接作用抗病毒方案治疗中国东部CHC患者的卓越疗效提供了有用的信息。
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引用次数: 0
Prevalence of Depression in Elderly People Living with HIV: A Systematic Review and Meta-analysis 老年艾滋病毒感染者抑郁患病率:系统回顾和荟萃分析
Q3 INFECTIOUS DISEASES Pub Date : 2023-10-24 DOI: 10.1097/im9.0000000000000132
Gasmelseed Y. Ahmed, Chandni Saha, Eman M. Almusalami, Ali A. Rabaan, Saad Alhumaid, Abdelraheem A. Ali, AbdAllah A. Basheer, Yousra Babikir, Ziyad Fahad Aljofan, Abbas Al Mutair
Abstract We conducted a systematic review and meta-analysis to determine the prevalence of depression among elderly people living with HIV. We searched electronic databases and included 12 observational studies that reported on depression among people who were 50 years of age or older and had HIV. The studies were mostly hospital-based and from Western and African countries. They included a total of 5868 older people with HIV, of whom 1667 had depression. Pooled prevalence of depression was 28% with heterogeneity of 95.2%. Prevalence ranged from 14.5% in the Netherlands to 42.4% in South Africa. Although there was asymmetry in the funnel plot, the Egger’s test showed no significant publication bias. Our meta-analysis found a high burden of depression among older people with HIV. Comprehensive health services addressing psychosocial needs and interventions to prevent and treat depression are needed, especially in community settings. Healthcare providers and policymakers should address the prevalence of depression in such communities.
我们进行了一项系统综述和荟萃分析,以确定老年艾滋病病毒感染者中抑郁症的患病率。我们搜索了电子数据库,并纳入了12项观察性研究,这些研究报告了50岁及以上感染艾滋病毒的人的抑郁症。这些研究大多以医院为基础,来自西方和非洲国家。他们共包括5868名携带艾滋病毒的老年人,其中1667人患有抑郁症。抑郁症的总患病率为28%,异质性为95.2%。流行率从荷兰的14.5%到南非的42.4%不等。虽然漏斗图中存在不对称性,但Egger’s检验显示没有显著的发表偏倚。我们的荟萃分析发现,老年艾滋病毒感染者的抑郁负担很高。需要提供全面的保健服务,满足社会心理需求,并采取干预措施预防和治疗抑郁症,特别是在社区环境中。医疗保健提供者和政策制定者应该解决这些社区中抑郁症的流行问题。
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引用次数: 0
Erysipeloid and Erysipelothrix rhusiopathiae Bacteremia Secondary to a Crab Stab Wound: A Case Report and Literature Review 蟹刺伤致类丹毒及红唇丹毒菌血症1例报告及文献复习
Q3 INFECTIOUS DISEASES Pub Date : 2023-10-24 DOI: 10.1097/im9.0000000000000133
Chaowen Deng, Xin Li, Defu Liu, Linlin Sun, Haiyan Ye, Fanfan Xing
Abstract Erysipelothrix rhusiopathiae is a facultative anaerobic, non-motile, non-spore-forming, gram-positive bacillus. It is a zoonotic pathogen that rarely infects humans, but causes swine erysipelas. The disease caused by E. rhusiopathiae can manifest in three main forms: erysipeloid, diffuse cutaneous infections, and bacteremia with or without endocarditis. In this article, we present the case study of a healthy Chinese man who developed erysipeloid and an E. rhusiopathiae bloodstream infection after being stabbed by a crab. Additionally, we conducted a thorough review of the available literature on E. rhusiopathiae bacteremia within the past two decades, and provided a summary of the key findings. Early diagnosis and proper treatment are crucial in mitigating recurrence risk and avoiding sepsis. Understanding the risk factors for death from E. rhusiopathiae bacteremia is essential, and appropriate personal protective equipment should be used to prevent occupational exposure to this bacterium.
摘要:红喉丹毒是兼性厌氧、不运动、不产芽孢的革兰氏阳性杆菌。它是一种人畜共患的病原体,很少感染人类,但会引起猪丹毒。由红脓杆菌引起的疾病可表现为三种主要形式:丹毒样,弥漫性皮肤感染和菌血症伴或不伴心内膜炎。在这篇文章中,我们提出了一个案例研究,一个健康的中国男人在被螃蟹刺伤后发展为丹毒和红脓杆菌血液感染。此外,我们进行了全面的文献综述,在过去的二十年里,对红脓杆菌菌血症的现有文献,并提供了一个总结的关键发现。早期诊断和适当治疗对于降低复发风险和避免败血症至关重要。了解红喉杆菌菌血症死亡的危险因素至关重要,应使用适当的个人防护装备,以防止职业接触这种细菌。
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引用次数: 0
The Quest for Understanding Cutaneous Leishmaniasis in Northern Province, Sri Lanka: An Analysis of Clinical Data from the District General Hospital, Vavuniya 了解斯里兰卡北部省皮肤利什曼病的探索:对瓦武尼亚地区总医院临床数据的分析
Q3 INFECTIOUS DISEASES Pub Date : 2023-09-12 DOI: 10.1097/im9.0000000000000130
Rajadurai Arulenthiran, Arumugam Murugananthan, Kanchana P. Amarasinghe, Umashankar Mathivathani
Abstract The study aimed to examine the clinical and epidemiological patterns of cutaneous leishmaniasis (CL) in patients attending the Dermatology Unit, District General Hospital in Vavuniya, Sri Lanka. A total of 77 patients clinically suspected for CL were interviewed through a structured questionnaire and skin-lesion samples were obtained between January 2016 and January 2017. The definitive diagnosis of CL was made through microscopic identification of smears, histopathological examination of biopsies and kDNA PCR. Treatment modalities were chosen based on the location of the lesions on the body and complexity of the lesions. Of 77 suspected patients, 68 were confirmed for CL, with a mean age of 34.6 (±12.7) years, and included 54 males (79.4%) and 14 females (20.6%). Being a male was a significant risk factor ( P = 0.032, OR = 4.82) associated with CL. Lesions were observed mainly on the exposed areas of the body, of which the forearm (22.1%) was the most commonly affected site. Single lesions (75.0%) and ulcerated nodules with central crust (39.7%) were the prominent features among the infected group. The age-group of 21-40 years was significantly associated with healing lesions ( P = 0.028, ME = 0.55). However, a significant negative relationship was detected between ulcerated nodular lesions and lesion healing ( P = 0.0436, ME = -0.375). Males are at higher risk of CL. Early diagnosis and specific treatment, along with preventive measures such as protective clothing and sand fly repellents can limit the spread of the disease. There is a need for a comprehensive approach to prevent and control the transmission of CL.
摘要:本研究旨在调查斯里兰卡瓦武尼亚区总医院皮肤科患者皮肤利什曼病(CL)的临床和流行病学模式。2016年1月至2017年1月,通过结构化问卷对77例临床怀疑为CL的患者进行访谈,并获取皮肤病变样本。通过涂片显微镜鉴定,活检组织病理学检查和kDNA PCR确诊CL。治疗方式是根据病变在身体上的位置和病变的复杂性来选择的。77例疑似患者中,68例确诊为CL,平均年龄34.6(±12.7)岁,其中男性54例(79.4%),女性14例(20.6%)。男性是与CL相关的显著危险因素(P = 0.032, OR = 4.82)。病变主要发生在身体暴露部位,其中以前臂(22.1%)最为常见。感染组以单发病变(75.0%)和溃疡结节伴中心结皮(39.7%)为主要特征。21 ~ 40岁年龄组与愈合病灶显著相关(P = 0.028, ME = 0.55)。然而,溃疡结节病变与病变愈合呈显著负相关(P = 0.0436, ME = -0.375)。男性患CL的风险更高。早期诊断和特异性治疗,加上防护服和驱蚊剂等预防措施,可限制该病的传播。有必要采取综合措施来预防和控制艾滋病毒的传播。
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引用次数: 0
Comparative Evaluation of RT-PCR Kits Available in Sri Lanka for Diagnosis of COVID-19 斯里兰卡用于诊断COVID-19的RT-PCR试剂盒的比较评估
Q3 INFECTIOUS DISEASES Pub Date : 2023-08-07 DOI: 10.1097/IM9.0000000000000128
Kanchana P. Amarasinghe, A. Murugananthan, P. T. Amalraajan, Mithusha Thavaththurai, Gayathri Ravindran, K. Murugananthan, Shakila K. Gunathilake
Abstract Identification of gene targets by real-time reverse transcriptase PCR (rRT-PCR) is considered as the gold standard for diagnosis of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections. Although many commercial rRT-PCR kits are currently used in Sri Lanka, analytical performance of these kits have not been investigated adequately. Therefore, the objective of the present study was to evaluate the analytical performance of rRT-PCR kits used in the laboratory of the Faculty of Medicine, University of Jaffna (five kits). Performance of the five rRT-PCR kits selected for this study was compared with the CDC 2019-Novel Coronavirus (2019-nCoV) RT-PCR Diagnostic Panel as reference standard. The sensitivity, specificity, positive predictive value, negative predictive value and Cohen’s κ coefficient of the five different commercial kits were analyzed. SARS-CoV-2 positive (62) and negative (32) respiratory samples collected respectively from symptomatic individuals and asymptomatic healthy individuals were used in this study. Comparison of the cycle threshold (Ct) values of the five commercial kits revealed heterogeneity. Among them, the TaqPathTM kit showed the highest sensitivity (98.4%) and interrater reliability (0.976). The HBRT-COVID-19 kit showed the lowest sensitivity (91.9%), specificity (93.7%) and interrater reliability (0.838). Although the five RT-PCR kits exhibited varying sensitivity, specificity and Ct values, all of them are suitable for the routine diagnosis of SARS-CoV-2 infections as all values were higher than 90%.
摘要通过实时逆转录聚合酶链式反应(rRT PCR)鉴定基因靶点被认为是诊断严重急性呼吸综合征冠状病毒2型(SARS-CoV-2)感染的金标准。尽管斯里兰卡目前使用了许多商业rRT PCR试剂盒,但尚未对这些试剂盒的分析性能进行充分调查。因此,本研究的目的是评估贾夫纳大学医学院实验室使用的rRT PCR试剂盒(五个试剂盒)的分析性能。将选择用于本研究的五种rRT-PCR试剂盒的性能与作为参考标准的CDC 2019-nCoV RT-PCR诊断小组进行比较。分析了五种不同商业试剂盒的敏感性、特异性、阳性预测值、阴性预测值和Cohenκ系数。本研究使用了分别从有症状个体和无症状健康个体采集的严重急性呼吸系统综合征冠状病毒2型阳性(62)和阴性(32)呼吸道样本。五种商业试剂盒的循环阈值(Ct)值的比较显示了异质性。其中,TaqPathTM试剂盒显示最高的敏感性(98.4%)和试验者间可靠性(0.976)。HBRT-CVID-19试剂盒显示最低的敏感性(91.9%)、特异性(93.7%)和试验间可靠性(0.838)。尽管五个RT-PCR试剂盒显示出不同的敏感性、特异性和Ct值,它们都适用于严重急性呼吸系统综合征冠状病毒2型感染的常规诊断,因为所有值都高于90%。
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引用次数: 0
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Infectious microbes & diseases
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