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Recent advances in phage display technology 噬菌体展示技术的最新进展
Pub Date : 2019-01-28 DOI: 10.4172/2332-0877-C6-052
pSharad Kumar Yadavp
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引用次数: 0
Effect of Hepatitis C Virus on Erythropoiesis among Sudanese Haemodialysis Patients at Ibn-sena Hospital and Alnao Teaching Hospital 丙型肝炎病毒对Ibn-sena医院和Alnao教学医院苏丹血液透析患者红细胞生成的影响
Pub Date : 2019-01-01 DOI: 10.4172/2332-0877.1000393
Essamaddin Ahmed Abdelhamid Ibrahim
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引用次数: 0
Universal vaccine and artificial pandemics by infectious attenuated live vaccine to save people from dangerous new influenza pandemic 通用疫苗和传染性减毒活疫苗的人工大流行,以拯救人们免受危险的新流感大流行
Pub Date : 2019-01-01 DOI: 10.4172/2332-0877-c2-061
Y. Hayakawa
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引用次数: 0
Knowledge, attitudes and practices on schistosomiasis in sub-saharan africa: A systematic review 撒哈拉以南非洲关于血吸虫病的知识、态度和做法:系统回顾
Pub Date : 2018-12-14 DOI: 10.4172/2332-0877-C3-045
Hlengiwe Sacolo
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引用次数: 59
Chronicle of EBOLA epidemics (2017): The return of EBOLA 埃博拉疫情纪事(2017):埃博拉的回归
Pub Date : 2018-12-14 DOI: 10.4172/2332-0877-C3-043
pEugenie Bergogne Berezinp
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引用次数: 0
Systemic Nocardiosis as Unusual Clinical Onset of Late Advanced HIV Infection: A Case Report 系统性无心脏病是晚期HIV感染的罕见临床发病:一例报告
Pub Date : 2018-10-25 DOI: 10.11648/J.IJIDT.20180303.13
Santoro Carmen Rita, Brindicci Gaetano, M. Michele, Giannelli Anna, I. Giovanni, Fiore Silvia, Pappalettera Antonio, Capodivento Saverio, Cascarano Marina, Quinto Nicola, L. Ruggero, L. Monno
The genus Nocardia includes aerobic actinomycetes causing disease in both humans and animals. Nocardiosis is a rare bacterial infection, but the incidence of human disease has increased in the recent years in association with an increasing population of immune-compromised hosts and the improved methods for detection and identification of Nocardia spp. in the clinical laboratory. All those situations of immune-system compromise are conditions associated with increased risk, especially when cell-mediated immunity is involved. The prognosis depends both upon the immediacy of therapy initiation, concomitant disorders and the immune status of the patient. Recently cases of multi-drug resistance nocardiosis and the epidemiology and drug susceptibility of less common Nocardia species have been described. In HIV positive patients pulmonary nocardiosis, the most common clinical presentation, has a low reported prevalence of 0.3%, and it is not considered an AIDS-defining disease. The difficulties in isolation, the non-specific clinical and radiologic presentation, and the widespread use of cotrimoxazole (TMP/SMX) prophylaxis could be responsible for this low prevalence. In this paper, it is described a rare and fatal case of systemic nocardiosis arising with chest pain in a patient with a severe immune deficiency, unaware of his HIV positivity. Systemic nocardiosis is generally caused by N. asteroids and the prognosis is good, but in patients with AIDS, mortality in disseminated forms with central nervous system involvement is more than 50%.
诺卡菌属包括能引起人类和动物疾病的需氧放线菌。诺卡菌病是一种罕见的细菌感染,但近年来,随着免疫功能低下宿主群体的增加以及临床实验室检测和鉴定诺卡菌的方法的改进,人类疾病的发病率有所增加。所有这些免疫系统受损的情况都与风险增加有关,特别是当涉及细胞介导的免疫时。预后取决于治疗开始的即时性、伴随疾病和患者的免疫状态。最近的诺卡菌病多药耐药病例和不常见的诺卡菌种类的流行病学和药物敏感性已被描述。在艾滋病毒阳性患者中,肺诺卡菌病是最常见的临床表现,报告的患病率很低,为0.3%,它不被认为是艾滋病的定义疾病。分离的困难,非特异性的临床和放射学表现,以及复方新诺明(TMP/SMX)预防的广泛使用可能是这种低患病率的原因。在这篇论文中,它描述了一个罕见的和致命的系统性诺卡菌病引起胸痛的病人有严重的免疫缺陷,不知道他的HIV阳性。全身诺卡菌病一般由N.小行星引起,预后良好,但在艾滋病患者中,播散性诺卡菌病累及中枢神经系统的死亡率超过50%。
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引用次数: 0
Treatment of Clostridium Difficile Infection in Community Teaching Hospital: A Retrospective Study 社区教学医院难辨梭菌感染治疗的回顾性研究
Pub Date : 2018-10-23 DOI: 10.11648/J.IJIDT.20180303.12
Ali Elbeddini
Clostridium difficile infection (CDI) is responsible for 15 – 25% cases of health-care associated diarrhea. The CDI treatment algorithm used at our hospital is adapted from the Infectious Diseases Society of America 2010 C. difficile guideline. The primary objective of this study was to assess the treatment adherence to our algorithm; this was defined as therapy consisting of the appropriate antibiotic, dose, route, interval and duration indicated based on the disease severity and episode within 24 hours of diagnosis. In addition, our study also described the population and their risk factors for CDI at our hospital. This was a single-centre, retrospective cohort chart review of CDI cases that were diagnosed at admission or during hospitalization from June 1st 2017 to June 30th 2018. Sixty cases were included, of which adherence to our algorithm was 50%. Overall, severe CDI had the highest treatment non-adherence (83%) and the biggest contributing factor was prescribing the wrong antibiotic (72%). In severe CDI, which warrants vancomycin monotherapy, wrong antibiotic consisted of metronidazole monotherapy (55%) or dual therapy with metronidazole and vancomycin (45%). Patients were mostly older, females being treated for an initial episode of mild to moderate CDI. Common risk factors identified were age over 65 years (80%), use of antibiotics (83%) and proton pump inhibitors (PPI) (68%) within the previous three months. The use of a PPI in this study, a modifiable risk factor without a clear indication was 35%. The conclusion was that there is an area for antimicrobial stewardship intervention in CDI treatment at our hospital is prescribing the right antibiotic based on the CDI indication. In severe CDI, an emphasis should be on prescribing vancomycin monotherapy as the drug of choice. PPI use should be reassessed for tapering when appropriate.
难辨梭菌感染(CDI)导致15 - 25%的卫生保健相关腹泻病例。我院采用的CDI治疗算法改编自美国传染病学会2010年艰难梭菌指南。本研究的主要目的是评估我们算法的治疗依从性;这被定义为治疗包括适当的抗生素、剂量、途径、间隔和持续时间,根据疾病严重程度和诊断后24小时内的发作情况。此外,我们的研究还描述了我们医院的人群及其CDI的危险因素。这是一项针对2017年6月1日至2018年6月30日入院或住院期间诊断的CDI病例的单中心、回顾性队列图综述。纳入60例,其中遵守我们算法的比例为50%。总体而言,严重CDI的治疗不依从性最高(83%),最大的影响因素是处方错误的抗生素(72%)。在需要万古霉素单药治疗的严重CDI中,错误的抗生素包括甲硝唑单药治疗(55%)或甲硝唑和万古霉素双药治疗(45%)。患者大多是年龄较大的女性,因轻中度CDI的初始发作而接受治疗。确定的常见危险因素是年龄超过65岁(80%),在过去三个月内使用抗生素(83%)和质子泵抑制剂(PPI)(68%)。在这项研究中,没有明确适应症的可改变危险因素的PPI使用率为35%。结论是,在CDI治疗中,抗菌药物管理干预存在一个领域,即根据CDI的适应症处方正确的抗生素。对于严重的CDI,重点应放在万古霉素单药治疗上。在适当的时候,应该重新评估PPI的使用。
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引用次数: 0
Co-Infection Prevalence of Herpes Simplex Virus Types 1 and 2 with Human Papillomavirus and Associated Risk Factors among Asymptomatic Women in Ghana 加纳无症状妇女中1型和2型单纯疱疹病毒与人乳头瘤病毒共同感染的患病率及相关危险因素
Pub Date : 2018-10-23 DOI: 10.11648/j.ijidt.20180303.11
Agyemang-Yeboah Francis, Debrah Oksana, D. Timmy, Asmah Harry Richard, Seini Mustapha Mohammed
Herpes simplex virus type 1 (HSV-1) and type 2 (HSV-2) are among the most common human viral infections worldwide and associated with increased risk for other sexually transmitted infections, such as HPV. Unfortunately, there is a dearth of population data on the joint epidemiology of HPV-HSV infections in Ghana. In order to determine the prevalence of HSV-1 and HSV-2 co-infection with HPV and associated risk factors, 317 asymptomatic women attending the Cervicare Centers in Ghana were invited to participate in cross-sectional study. Serum HSV-1 and HSV-2 IgG were determined by ELISA method. Genomic DNA from cervical swabs was extracted using QIAamp Mini kit. HPV-DNA detection was carried out by nested multiplex PCR as was described by Sotlar et al., (2004). The mean age of study participants was 40.7 years (SD ± 11.2). Our result showed the prevalence of HSV-1 and HSV-2 infection among HPV positive women as 98.6% and 80.4% respectively. Among unscreened women participating in the study the co-infection of HSV-1/HPV and HSV-2/HPV was 42.9% and 35.0%, respectively. Age of coitache was associated with sero-prevalence of HSV-1 (p=0.010), HPV infection (p=0.016), and with co-infection HPV and HSV-1 (p=0.025), HPV and HSV-2 (p=0.011) and weakly with single HSV-2 infection (p=0.054). In conclusion, the high prevalence of co-infection was due to the endemicity and inadequate intervention in the study population. A woman’s age of sexual debut was a strong risk factor for co-infection of HPV and HSV-1 or HSV-2. The outcome of this novel observation stresses the urgent need to develop appropriate interventional strategies to manage and cancel patients presenting with asymptomatic genital herpes.
单纯疱疹病毒1型(HSV-1)和2型(HSV-2)是世界范围内最常见的人类病毒感染之一,与其他性传播感染(如HPV)的风险增加有关。不幸的是,加纳缺乏关于HPV-HSV感染联合流行病学的人口数据。为了确定HSV-1和HSV-2合并感染HPV的患病率和相关风险因素,邀请了317名在加纳Cervicare中心就诊的无症状女性参与横断面研究。用ELISA法测定血清HSV-1和HSV-2IgG。使用QIAamp Mini试剂盒从宫颈拭子中提取基因组DNA。如Sotlar等人(2004)所述,通过嵌套多重PCR进行HPV-DNA检测。研究参与者的平均年龄为40.7岁(SD±11.2)。我们的结果显示,HPV阳性女性中HSV-1和HSV-2感染的患病率分别为98.6%和80.4%。在参与研究的未筛查女性中,HSV-1/HPV和HSV-2/HPV的共同感染率分别为42.9%和35.0%。性交年龄与HSV-1(p=0.010)、HPV感染(p=0.016)、HPV和HSV-1共感染(p=0.025)、HPV与HSV-2共感染(p=0.011)以及单一HSV-2感染的弱感染(p=0.054)的血清患病率相关。总之,共感染的高患病率是由于研究人群的地方性和干预不力。女性初次性生活的年龄是HPV和HSV-1或HSV-2共同感染的一个重要风险因素。这一新观察结果强调,迫切需要制定适当的干预策略来管理和取消出现无症状生殖器疱疹的患者。
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引用次数: 7
Serodiagnosis of Hepatitis B Virus Infection among Jessu Community of Gombe State, Nigeria 尼日利亚贡贝州杰苏社区乙型肝炎病毒感染的血清学诊断
Pub Date : 2018-09-17 DOI: 10.11648/J.IJIDT.20180302.14
Z. Sheyin, Frama Ishaku, E. U. Cosmas, S. John, B. E. Isa
Hepatitis B virus causes disease of the liver and is a global health problem that leads to liver cirrhosis and hepatocellular carcinoma. Despite the dangers posed by this silent and deadly disease, there is little or no documented work on Hepatitis B infections in Jessu community, Gombe State, North East Nigeria. This study was undertaken to determine the sero-prevalence of Hepatitis B Virus infection and possible risk factors associated with the transmission of HBV. Blood samples (3ml) were collected from 196 eligible consented subjects and the serum samples were tested for the presence of HBsAg using On Site HBsAg Rapid Test Kit manufactured by CTK Biotech, USA. The OnSite HBV 5-Parameter Rapid Test also manufactured by CTK Biotech, USA was used to confirm those that were positive. Of the 196 eligible subjects examined, 5.6% were confirmed positive for HBsAg, 8.6% were males and 2.9% were females. Age distribution of HBsAg among the population shows the highest seroprevalence of 8.9% HBsAg in ages 16-30 years, followed by 4.5% in ages 31-45 years while ages 0-15 years had 3.5% seroprevalence. Participants who share sharp objects recorded the highest prevalence of 6.3% HCV infection followed by blood transfusion with 5.9% prevalence and those with multiple sex partners had the least prevalence of 1.8% HCV infection. The seroprevalence of 5.6% HBV in this study indicated the presence of HBV in Jessu Community in Gombe State, North East Nigeria.
乙型肝炎病毒引起肝脏疾病,是一个全球性的健康问题,可导致肝硬化和肝细胞癌。尽管这种无声而致命的疾病造成了危险,但在尼日利亚东北部贡贝州Jessu社区,很少或没有记录在案的乙型肝炎感染工作。本研究旨在确定乙型肝炎病毒感染的血清患病率以及与HBV传播相关的可能危险因素。从196名符合条件的同意受试者中采集血液样本(3ml),使用美国CTK Biotech公司生产的On Site HBsAg快速检测试剂盒检测血清样本是否存在HBsAg。同样由美国CTK生物技术公司生产的现场HBV 5参数快速检测仪用于确认阳性。在196名符合条件的受试者中,5.6%的人HBsAg阳性,其中8.6%为男性,2.9%为女性。人群中HBsAg的年龄分布显示,16-30岁人群血清阳性率最高,为8.9%,31-45岁人群次之,为4.5%,0-15岁人群血清阳性率为3.5%。共用尖锐物品的参与者HCV感染率最高,为6.3%,其次是输血,为5.9%,而有多个性伴侣的参与者HCV感染率最低,为1.8%。本研究中5.6%的HBV血清阳性率表明在尼日利亚东北部贡贝州Jessu社区存在HBV。
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引用次数: 0
Urinary Tract Infections in Patients Admitted to the Nephrology Department 肾内科住院患者的尿路感染
Pub Date : 2018-08-01 DOI: 10.11648/j.ijidt.20180302.13
Mouayche Ikhlas, H. Hana, Hiddou Abdesalam, El Assas Hajar, F. Wafaa, L. Inass, Soraa Nabila
Urinary infections (UI) remain among the most frequent problems faced by the clinician and occupy a prominent place in nephrological pathology due to their frequency and severity. The aim of this work is to study the aspect of UI in the nephrology service. Materials and methods: This is a prospective study over a periodof 5 months (July 2016 – December 2016). Results: 115 patients had benefited from cytobacterioligical urine exam. The prevalence of UI was 31%. The mean age of patients was 38 years with a female predominance. Renal failure was found in 33% of patients followedby nephrotic syndrome (25%) and kidney transplant (11%). Chronic renal insufficiency was foundin25% of patients and 23% receivedan Endoxanbolus. The mostincri minatedspecies were Enterobacteriae (81%) with the predominance of E. coli (44%) followed by Klebsiella pneumoniae (31%) Enterobacter cloacae (3%) resistance to C3G by production of Betalactamases with extended spectrum was found in 24% of Enterobacteriaceae. Resistance to amoxicillin-clavulanic acidwas 72%, fluoroquinolones (34%) and gentamicin (14%). Thefirst-lineantibioticwas Ciprofloxacinin (62%) and a third generation cephalosporin in 28% of cases. Conclusion: Area soned use of antibiotic sisnecessaryin order to prevent the extension of bacterial resistance.
尿路感染(UI)仍然是临床医生面临的最常见的问题之一,由于其频率和严重程度,在肾脏病理学中占有重要地位。这项工作的目的是研究UI在肾脏病服务中的作用。材料和方法:这是一项为期5个月(2016年7月至2016年12月)的前瞻性研究。结果:115例患者进行了细胞学尿液检查,UI发生率为31%。患者的平均年龄为38岁,以女性为主。33%的肾病综合征(25%)和肾移植(11%)患者出现肾功能衰竭。25%的患者发现慢性肾功能不全,23%的患者接受了Endoxanbolus治疗。最常见的菌株是肠杆菌科(81%),以大肠杆菌(44%)为主,其次是肺炎克雷伯菌(31%)阴沟肠杆菌(3%),24%的肠杆菌科细菌对C3G产生了扩展谱的β-半乳糖酰胺酶抗性。对阿莫西林-克拉维酸、氟喹诺酮类药物(34%)和庆大霉素(14%)的耐药性为72%。第一类抗生素是环丙沙星(62%)和第三代头孢菌素(28%)。结论:为防止细菌耐药性的扩大,有必要在区域内使用抗生素。
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引用次数: 1
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Journal of infectious disease and therapy
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