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Enteric Bacterial Infections, Antimicrobial Susceptibility Pattern, Intestinal Parasites, and Associated Factors Among Food Handlers in Yabelo Town, Borena Zone, Southern Ethiopia 埃塞俄比亚南部博雷纳区亚贝洛镇食品处理人员的肠道细菌感染、抗菌药敏感性模式、肠道寄生虫及相关因素
Pub Date : 2024-01-01 DOI: 10.1177/11786361231221717
Tibeso Gemechu, Alqeer Aliyo
Foodborne illnesses are the main cause of morbidity and mortality in the twenty-first century, and food handlers are the main source of these illnesses. The study aimed to assess the prevalence of intestinal parasites, enteric bacteria, antimicrobial susceptibility patterns, and associated factors among food handlers working in a food and drinking establishment in Yabelo town, Borena zone, Southern Ethiopia, in 2022. A facility-based cross-sectional study design was employed to assess the food handler’s state of health. Data were gathered using semistructured questionnaires and observational checklists, and 396 regular stool samples were collected. Samples were examined with microscopy and bacteriological culture to isolate enteric bacteria. Statistical Package for the Social Sciences, version 26 The factors that had a P-value of <.05 were considered statistically significant. Of the 396 stool samples collected, 164 (41.4%) were tested positive for intestinal parasites, while 40 (10.1%) were positive for enteric bacteria (Salmonella and Shigella). Among intestinal parasites, the most predominant parasite was Ascaris lumbricoides 48 (12.1%). All isolates of Salmonella and Shigella showed resistance to ampicillin. In multivariable analysis, not trimming fingernails regularly (AOR = 2.02, 95% CI 1.97-5.37), not washing hands with soap after the toilet (AOR = 3.02, 95% CI 2.37-5.62), and eating raw food (AOR = 2.1, 95% CI 1.79-6.51) have a significant association with the prevalence of bacteria and parasites. The majority of food handlers had poor hygiene practices, and the prevalence of parasites and bacteria was high in the study setting. Educational status, eating raw vegetables or fruit, hand washing after the toilet, and fingernail trimming have associations with the health status of food handlers.
食源性疾病是二十一世纪发病和死亡的主要原因,而食品处理人员是这些疾病的主要来源。这项研究旨在评估2022年在埃塞俄比亚南部博雷纳区亚贝洛镇一家餐饮店工作的食品处理人员肠道寄生虫、肠道细菌、抗菌药敏感性模式及相关因素的流行情况。该研究采用基于设施的横断面研究设计来评估食品处理人员的健康状况。研究采用半结构式问卷和观察核对表收集数据,并收集了 396 份常规粪便样本。样本经显微镜检查和细菌培养后分离出肠道细菌。社会科学统计软件包 26 版将 P 值小于 0.05 的因素视为具有统计学意义。在收集的 396 份粪便样本中,164 份(41.4%)对肠道寄生虫检测呈阳性,40 份(10.1%)对肠道细菌(沙门氏菌和志贺氏杆菌)检测呈阳性。在肠道寄生虫中,最主要的寄生虫是蛔虫 48 头(12.1%)。所有分离到的沙门氏菌和志贺氏杆菌都对氨苄西林有抗药性。在多变量分析中,不经常修剪指甲(AOR = 2.02,95% CI 1.97-5.37)、如厕后不用肥皂洗手(AOR = 3.02,95% CI 2.37-5.62)和生吃食物(AOR = 2.1,95% CI 1.79-6.51)与细菌和寄生虫的感染率有显著关联。大多数食物处理者的卫生习惯较差,研究环境中寄生虫和细菌的流行率较高。教育状况、生吃蔬菜或水果、便后洗手和修剪指甲与食物处理者的健康状况有关。
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引用次数: 0
Evolving VZV Strains: Necessity for Continuous Surveillance and Adaptation of Vaccination Strategies in India 不断演变的 VZV 株:印度持续监测和调整疫苗接种策略的必要性
Pub Date : 2024-01-01 DOI: 10.1177/11786361231220122
Sumitaksha Banerjee, Arghya Nath, Harendra Kumar, Dattatreya Mukherjee, N. P. Soni, Debankur Dey, Aymar Akilimali
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引用次数: 0
Bacteriological Profile and Antibiotic Susceptibility Patterns of Sepsis-Causing Bacteria at the Neonatal Intensive Care Unit of a Tertiary Health Care Facility in Ghana 加纳三级医疗机构新生儿重症监护室败血症致病细菌的细菌学特征和抗生素敏感性模式
Pub Date : 2023-12-11 DOI: 10.1177/11786361231218169
Kwame Opare-Asamoah, E. K. Vicar, Samuel E Acquah, Lawrence Quaye, Abdul-Mumin Alhassan, Saeed F Majeed, Abigail Asantewaa Sakyi, Endorah Fotwe Blankson, Kwasi Boadu Mensah
Background: Neonatal sepsis is a clinical emergency that requires sound evaluation supported by accurate laboratory analysis and timely clinical intervention for its management. This study, therefore, was conducted to identify bacteria causing neonatal sepsis and their susceptibility to the commonly prescribed antibiotic at the Neonatal Intensive Care Unit of a tertiary health care facility in the Northern Region of Ghana. Methods: Neonatal biodata were collected from patient folders, after which identification, isolation, and susceptibility of isolated bacteria to prescribed anti-bacterial (Kirby-Bauer disk diffusion method) were carried out on single venipuncture blood samples aseptically drawn from 275 neonates clinically diagnosed with sepsis. Results: 275 neonates took part in the study, of which 218 (79.3%) presented with early-onset sepsis (EOS) and 57 (20.7%) with late-onset sepsis (LOS). The laboratory results confirmed a septicemia prevalence of 70.3% among neonates clinically diagnosed with sepsis. Preterm delivery (P = .01), hypothermia (P = .001), and delivery at the tertiary healthcare facility were significantly associated with EOS (P < .000), while low birth weight (P = .012), duration of hospital stay (P = .001), and delivery at the tertiary healthcare facility (P < .000) were found to be significantly associated with LOS. Gram-positive cocci constituted 54.9% (107), with Gram-negative constituting 45.1% (88) of all the bacteria isolates. Coagulase-negative staphylococcus (CoNS) 70.1% (75) and Klebsiella species 39.8% (35) were the dominant Gram-positive and Gram-negative isolates, respectively. 57.8% and 55.8% of CoNS isolates were susceptible to ampicillin and amoxicillin/clavulanic acid, respectively. 93.5% of CoNS and all the isolated Staphylococcus aureus and Klebsiella species were susceptible to amikacin. Conclusions: Coagulase-negative staphylococcus (CoNS) and Klebsiella species were the predominant Gram-positive and negative sepsis-causing agents at the NICU, respectively. Amikacin exhibited the highest sensitivity to Gram-positive and negative causative agents, making it a strong candidate for consideration in the facility’s empirical treatment of neonatal sepsis.
背景:新生儿脓毒症是一种临床急症,需要通过准确的实验室分析和及时的临床干预来进行合理的评估。因此,本研究是在加纳北部地区一家三级卫生保健机构的新生儿重症监护病房进行的,目的是确定导致新生儿败血症的细菌及其对常用抗生素的易感性。方法:从患者文件夹中收集新生儿生物资料,对临床诊断为败血症的275例新生儿无菌单次静脉穿刺采血标本进行鉴定、分离及分离菌对处方抗菌药物(Kirby-Bauer圆盘扩散法)的药敏试验。结果:275例新生儿参与研究,其中218例(79.3%)出现早发型脓毒症(EOS), 57例(20.7%)出现晚发型脓毒症(LOS)。实验室结果证实,在临床诊断为败血症的新生儿中,败血症患病率为70.3%。早产(P = 0.01)、体温过低(P = 0.001)和在三级医疗机构分娩与EOS显著相关(P < .000),而低出生体重(P = .012)、住院时间(P = .001)和在三级医疗机构分娩(P < .000)被发现与LOS显著相关。革兰氏阳性球菌107株占54.9%,革兰氏阴性球菌88株占45.1%。革兰氏阳性和革兰氏阴性菌株分别占70.1%(75株)和39.8%(35株)。对氨苄西林和阿莫西林/克拉维酸敏感者分别占57.8%和55.8%。93.5%的con及所有分离的金黄色葡萄球菌和克雷伯菌对阿米卡星敏感。结论:凝血酶阴性葡萄球菌(con)和克雷伯菌(Klebsiella)分别是新生儿重症监护病房主要的革兰氏阳性和阴性败血症致病菌。阿米卡星对革兰氏阳性和阴性病原体表现出最高的敏感性,使其成为该机构经验治疗新生儿败血症的有力候选。
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引用次数: 0
Syphilis Outbreak in Japan, an Emerging Concern. 日本爆发梅毒,令人担忧。
Pub Date : 2023-11-24 eCollection Date: 2023-01-01 DOI: 10.1177/11786361231209610
Dattatreya Mukherjee, Sumitaksha Banerjee, Harendra Kumar, Ananya Bhowmick, Md Maniruzzaman, Aymar Akilimali
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引用次数: 0
Safeguarding India Amidst the EG.5 Variant: A Pragmatic Outlook. 在EG.5变体中保护印度:一个务实的观点。
Pub Date : 2023-11-18 eCollection Date: 2023-01-01 DOI: 10.1177/11786361231206128
Novonil Deb, Poulami Roy, Vikash Jaiswal, Ranjit Sah
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引用次数: 0
The Rising Tide of a Deadly Bacteria: How Warming Waters are Fueling the Spread of Vibrio Vulnificus. 一种致命细菌的上升趋势:变暖的海水如何助长创伤弧菌的传播。
Pub Date : 2023-11-10 eCollection Date: 2023-01-01 DOI: 10.1177/11786361231204672
Priyanka Choudhary, Prakasini Satapathy, Amit Kumar Mital, Sarvesh Rustagi, Keerti Bhusan Pradhan, Aroop Mohanty, Bijaya K Padhi, Ranjit Sah
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引用次数: 0
Candida Auris: An Emerging Multidrug-Resistant Fungal Pathogen in the United States and the Urgent Call for Action. 耳念珠菌:一种在美国出现的耐多药真菌病原体和紧急行动呼吁。
Pub Date : 2023-09-22 eCollection Date: 2023-01-01 DOI: 10.1177/11786361231200836
Harendra Kumar, Dattatreya Mukherjee, Sumitaksha Banerjee, Prasant Upadhyay, Vagisha Sharma, Aymer Akilimali
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引用次数: 0
SARS-CoV-2 Burden in Wastewater and its Elimination Using Disinfection. 废水中严重急性呼吸系统综合征冠状病毒2型的负担及其消毒消除。
Pub Date : 2023-09-22 eCollection Date: 2023-01-01 DOI: 10.1177/11786361231201598
Prashanna Koirala, Sandesh Dhakal, Bikram Malla, Archana Ghimire, Mohammad Ataullah Siddiqui, Prabin Dawadi

Background: Pathogenic viruses have been abundant and diverse in wastewater, reflecting the pattern of infection in humans. Human feces, urine, and perhaps other washouts that frequently circulate in sewage systems may contaminate wastewater with SARS-CoV-2. It's crucial to effectively disinfect wastewater since poorly handled wastewater could put the population at risk of infection.

Aims: To emphasize the presence and spread of SARS-CoV-2 in sewage (wastewater) through viral shedding from the patients to detect the virus in the population using wastewater-based epidemiology. Also, to effectively manage the transmission of SARS-CoV-2 and reduce the spread of the virus in the population using disinfectants is highlighted.

Methods: We evaluated articles from December 2019 to August 2022 that addressed SARS-CoV-2 shedding in wastewater and surveillance through wastewater-based epidemiology. We included the papers on wastewater disinfection for the elimination of SARS-CoV-2. Google Scholar, PubMed, and Research4Life are the three electronic databases from which all of the papers were retrieved.

Results: It is possible for viral shedding to get into the wastewater. The enumeration of viral RNA from it can be used to monitor virus circulation in the human community. SARS-CoV-2 can be removed from wastewater by using modern disinfection techniques such as sodium hypochlorite, liquid chlorine, chlorine dioxide, peracetic acid, and ultraviolet light.

Conclusion: SARS-CoV-2 burden estimates at the population level can be obtained via longitudinal examination of wastewater, and SARS-CoV-2 can be removed from the wastewater through disinfection.

背景:废水中的致病病毒丰富多样,反映了人类的感染模式。经常在污水系统中循环的人类粪便、尿液和其他冲洗物可能会污染严重急性呼吸系统综合征冠状病毒2型的废水。有效地对废水进行消毒至关重要,因为处理不当的废水可能会使人们面临感染的风险。目的:强调严重急性呼吸系统综合征冠状病毒2型在污水(废水)中的存在和传播,通过从患者身上脱落病毒,利用基于废水的流行病学检测人群中的病毒。此外,还强调了使用消毒剂有效管理严重急性呼吸系统综合征冠状病毒2型的传播并减少病毒在人群中的传播。方法:我们评估了2019年12月至2022年8月的文章,这些文章涉及废水中严重急性呼吸系统综合征冠状病毒2型的脱落,并通过基于废水的流行病学进行监测。我们收录了关于废水消毒以消除严重急性呼吸系统综合征冠状病毒2型的论文。Google Scholar、PubMed和Research4Life是检索所有论文的三个电子数据库。结果:病毒脱落有可能进入废水中。从中计数病毒RNA可用于监测人类社区中的病毒循环。可以使用次氯酸钠、液氯、二氧化氯、过乙酸和紫外线等现代消毒技术从废水中去除严重急性呼吸系统综合征冠状病毒2型。结论:通过对废水的纵向检查,可以获得人群水平上的严重急性呼吸系统综合征冠状病毒2型负荷估计值,并且可以通过消毒从废水中去除严重急性呼吸系冠状病毒2型。
{"title":"SARS-CoV-2 Burden in Wastewater and its Elimination Using Disinfection.","authors":"Prashanna Koirala,&nbsp;Sandesh Dhakal,&nbsp;Bikram Malla,&nbsp;Archana Ghimire,&nbsp;Mohammad Ataullah Siddiqui,&nbsp;Prabin Dawadi","doi":"10.1177/11786361231201598","DOIUrl":"https://doi.org/10.1177/11786361231201598","url":null,"abstract":"<p><strong>Background: </strong>Pathogenic viruses have been abundant and diverse in wastewater, reflecting the pattern of infection in humans. Human feces, urine, and perhaps other washouts that frequently circulate in sewage systems may contaminate wastewater with SARS-CoV-2. It's crucial to effectively disinfect wastewater since poorly handled wastewater could put the population at risk of infection.</p><p><strong>Aims: </strong>To emphasize the presence and spread of SARS-CoV-2 in sewage (wastewater) through viral shedding from the patients to detect the virus in the population using wastewater-based epidemiology. Also, to effectively manage the transmission of SARS-CoV-2 and reduce the spread of the virus in the population using disinfectants is highlighted.</p><p><strong>Methods: </strong>We evaluated articles from December 2019 to August 2022 that addressed SARS-CoV-2 shedding in wastewater and surveillance through wastewater-based epidemiology. We included the papers on wastewater disinfection for the elimination of SARS-CoV-2. Google Scholar, PubMed, and Research4Life are the three electronic databases from which all of the papers were retrieved.</p><p><strong>Results: </strong>It is possible for viral shedding to get into the wastewater. The enumeration of viral RNA from it can be used to monitor virus circulation in the human community. SARS-CoV-2 can be removed from wastewater by using modern disinfection techniques such as sodium hypochlorite, liquid chlorine, chlorine dioxide, peracetic acid, and ultraviolet light.</p><p><strong>Conclusion: </strong>SARS-CoV-2 burden estimates at the population level can be obtained via longitudinal examination of wastewater, and SARS-CoV-2 can be removed from the wastewater through disinfection.</p>","PeriodicalId":74187,"journal":{"name":"Microbiology insights","volume":"16 ","pages":"11786361231201598"},"PeriodicalIF":0.0,"publicationDate":"2023-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/96/c6/10.1177_11786361231201598.PMC10517603.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41175566","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: 0
Occurrence of Diarrheagenic Pathogens and Their Coinfection Profiles in Diarrheic Under Five Children and Tracked Human Contacts in Urban and Rural Settings of Eastern Ethiopia. 埃塞俄比亚东部城市和农村地区五岁以下腹泻儿童和追踪的人类接触者腹泻病原体的发生及其共感染情况。
Pub Date : 2023-09-19 eCollection Date: 2023-01-01 DOI: 10.1177/11786361231196527
Dinaol Belina, Tesfaye Gobena, Ameha Kebede, Meseret Chimdessa, Yonas Hailu, Tine Hald

Diarrheagenic Escherichia coli, Campylobacter, Nontyphoidal Salmonella, and Shigella are common cause of childhood diarrhea in countries like Ethiopia, but data on their sources and coinfection profiles is limited. A cross sectional study was conducted from November 2021 to January 2023 to determine the prevalence, coinfection, and monthly occurrence rates of major diarrheagenic bacteria in diarrheic under five children and asymptomatic contacts at urban and rural settings in Ethiopia. A total of 345 stool samples were collected from; 262 diarrheic children visiting Hiwot Fana Hospital, Kersa, and Adelle Health Centers; and 83 caretakers and siblings through case based contact tracing. Samples were analyzed using standard laboratory procedures and the overall prevalence of enteric pathogens was 26.96%, with the highest isolation rate during the winter and peaks of 73.91% in February. The occurrence of the pathogens in children and tracked contacts was 27.86 and 24.09%, respectively. In our study, 8.53% coinfection and 23.66% single pathogen infection was recorded in diarrheic children. The study also showed 4.51 and 3.88% of diarrhea in children from urban and rural had attributed to bacterial coinfection, respectively. The most prevalent pathogen in diarrheic children was Diarrheagenic E. coli (10.31%), and followed by Campylobacter. On the other hand, Diarrheagenic E. coli was the second dominant bacteria following Shigella in the traced contacts, with prevalence of 8.43% and 9.64%, respectively. Based on the study site, the prevalence of Diarrheagenic E. coli and Nontyphoidal Salmonella was higher in children from urban than those from rural. However, the occurrence of each pathogen had no significant differences (P > .05) between settings. The high pathogens occurrence rate in the current study indicates the need for strong control strategies and better child carrying and treatment of diarrheal diseases at both urban and rural settings. Further studies on possible sources and factors attributing to the occurrence of enteric pathogens in children are also recommended.

在埃塞俄比亚等国,腹泻性大肠杆菌、弯曲杆菌、非伤寒沙门氏菌和志贺菌是儿童腹泻的常见原因,但关于其来源和合并感染情况的数据有限。2021年11月至2023年1月进行了一项横断面研究,以确定埃塞俄比亚城市和农村环境中五岁以下腹泻儿童和无症状接触者的主要腹泻细菌的流行率、合并感染率和月发生率。共收集了345份粪便样本;262名腹泻儿童访问Hiwot Fana医院、Kersa和Adele健康中心;83名看护人和兄弟姐妹通过基于病例的接触者追踪。使用标准实验室程序分析样本,肠道病原体的总体流行率为26.96%,冬季隔离率最高,2月份达到73.91%的峰值。病原菌在儿童和追踪接触者中的发生率分别为27.86%和24.09%。在我们的研究中,腹泻儿童共感染8.53%,单病原体感染23.66%。研究还表明,城市和农村儿童腹泻的发生率分别为4.51%和3.88%。腹泻儿童最常见的病原体是腹泻性大肠杆菌(10.31%),其次是弯曲杆菌。另一方面,在追踪到的接触者中,腹泻性大肠杆菌是仅次于志贺菌的第二优势细菌,患病率分别为8.43%和9.64%。根据研究地点,城市儿童腹泻性大肠杆菌和非伤寒沙门氏菌的患病率高于农村儿童。但各致病菌的发生率无显著差异(P > .05)。当前研究中的高病原体发生率表明,需要在城市和农村环境中采取强有力的控制策略,更好地携带儿童和治疗腹泻疾病。还建议对儿童肠道病原体发生的可能来源和因素进行进一步研究。
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引用次数: 0
Vaginal Carriage of Group B Streptococcus (GBS) in Pregnant Women, Antibiotic Sensitivity and Associated Risk Factors in Dakar, Senegal. 塞内加尔达喀尔孕妇阴道携带 B 群链球菌 (GBS)、抗生素敏感性及相关风险因素。
Pub Date : 2023-05-29 eCollection Date: 2023-01-01 DOI: 10.1177/11786361231174419
Ndeye Safietou Ngom, Omar Gassama, Assane Dieng, Elhadji Bambo Diakhaby, Serigne Mbaye Lo Ndiaye, Alioune Tine, Farba Karam, Gora Lo, Awa Ba-Diallo, Cheikh Saad Bouh Boye, Coumba Toure-Kane, Abdoulaye Seck, Halimatou Diop-Ndiaye, Makhtar Camara

The eradication of neonatal Group B Streptococcus (GBS) infections, considered as a major public health priority, necessarily requires a mastery of the data on vaginal carriage in pregnant women. The aims of this study were to determine the prevalence of vaginal carriage of GBS in pregnant women, antibiotic susceptibility, and associated risk factors. This was a cross-sectional, descriptive study conducted over a period of 9 months (July 2020 to March 2021) in pregnant women between 34 and 38 weeks of gestation (WG) followed at the Nabil Choucair health center in Dakar. Identification and antibiotic susceptibility of GBS isolates were performed on the Vitek 2 from vaginal swabs cultured on Granada medium. Demographic and obstetric interview data were collected and analyzed on SPSS (version 25). The level of significance for all statistical tests was set at P < .05. The search of GBS vaginal carriage had involved 279 women aged 16 to 46 years, with a median pregnancy age of 34 (34-37) weeks' gestation. GBS was found in 43 women, for a vaginal carriage rate of 15.4%. In 27.9% (12/43) of volunteers screened, this carriage was monomicrobial, while in 72.1% (31/43) of women, GBS was associated with other pathogens such as Candida spp. (60.5%), Trichomonas vaginalis (2.3%), Gardnerella vaginalis (34.9%) and/or Mobiluncus spp. (11.6%). The level of resistance was 27.9% (12/43) for penicillin G, 53.5% (23/43) for erythromycin, 25.6% (11/43) for clindamycin and 100% for tetracycline. However, the strains had retained fully susceptible to vancomycin and teicoplanin. The main risk factor associated with maternal GBS carriage were ectocervical inflammation associated with contact bleeding (OR = 3.55; P = .005). The high rate of maternal vaginal GBS carriage and the levels of resistance to the various antibiotics tested confirm the importance of continuous GBS surveillance in our resource-limited countries.

根除新生儿乙型链球菌(GBS)感染被视为公共卫生的重中之重,必须掌握孕妇阴道带菌的相关数据。本研究旨在确定孕妇阴道携带 GBS 的流行率、抗生素敏感性及相关风险因素。这是一项横断面描述性研究,为期9个月(2020年7月至2021年3月),在达喀尔纳比勒-丘凯尔医疗中心对妊娠34周至38周(WG)的孕妇进行随访。用格拉纳达培养基培养的阴道拭子在 Vitek 2 上进行 GBS 分离物的鉴定和抗生素敏感性检测。收集了人口统计学和产科访谈数据,并用 SPSS(25 版)进行了分析。所有统计检验的显著性水平均定为 P 念珠菌属(60.5%)、阴道毛滴虫(2.3%)、阴道加德纳菌(34.9%)和/或莫匹伦克菌属(11.6%)。青霉素 G 的耐药率为 27.9%(12/43),红霉素为 53.5%(23/43),克林霉素为 25.6%(11/43),四环素为 100%。然而,这些菌株对万古霉素和替考拉宁仍然完全敏感。与母体携带 GBS 相关的主要风险因素是与接触性出血相关的宫颈炎(OR = 3.55;P = .005)。孕产妇阴道GBS携带率高以及对各种抗生素的耐药性水平证实了在资源有限的国家持续监测GBS的重要性。
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引用次数: 0
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