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Molecular Diversity and Homology in Six CFPs Genes in the Novel BioType, 'Indian Bison Type' of Mycobacterium avium subspecies paratuberculosis of Goat Origin vs. other Biotypes 山羊源禽分枝杆菌亚种副结核新生物型“印度野牛型”与其他生物型6个CFPs基因的分子多样性和同源性
Pub Date : 2018-01-01 DOI: 10.4172/2161-1068.1000267
Shoorvir V. Singh, K. Chaubey, G. Kumaresan, R. Gupta, A. K. Bhatia, A. Rathore, Saurabh Gupta, Manju Singh
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引用次数: 0
A Review: History, Structure, Diagnosis and Treatment of Tuberculosis Disease 综述:结核病的历史、结构、诊断和治疗
Pub Date : 2018-01-01 DOI: 10.4172/2161-1068.1000263
N. Khare, P. Khare, D. Singh
In the present scenario, tuberculosis is of the most infectious disease which is caused when Mycobacterium tuberculosis gets encountered into the body. Tuberculosis being a communicable disease or transferrable disease, it is easily passed down to other person who remains in contact to the infected person by the process of inhaling air droplets carrying that particular bacteria. Tuberculosis mainly affects the lungs, but it can also affect the other organs. When this bacteria encounters in the body, the immune cells checks and control pathogen. However this disease remains latent but can become active at any time after some years when the particular immune system is weakened. If this disease is not treated at that time, then this disease can also become life- threating illness.
在目前的情况下,结核病是传染性最强的疾病之一,它是由结核分枝杆菌进入人体引起的。结核病是一种传染病或可转移性疾病,它很容易通过吸入携带该特定细菌的飞沫传染给与感染者保持接触的其他人。肺结核主要影响肺部,但也会影响其他器官。当这种细菌在体内遇到时,免疫细胞会检查并控制病原体。然而,这种疾病仍然是潜伏的,但在几年之后,当特定的免疫系统减弱时,它可以在任何时候变得活跃。如果当时不治疗这种疾病,那么这种疾病也可能成为危及生命的疾病。
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引用次数: 0
Assessment of Training on Culture and Drug Sensitivity Testing of Mycobacterium tuberculosis at a National Reference Laboratory 某国家参比实验室结核分枝杆菌培养及药敏试验培训评估
Pub Date : 2018-01-01 DOI: 10.4172/2161-1068.1000264
R. Radhakrishnan, S. Prabuseenivasan, S. Balaji, D. Sangamithirai, P. Nagarajan, C. Ponnuraja, Uma Devi Kr, Kumar, N. Selvakumar
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引用次数: 1
Molecular Epidemiology of Tuberculosis and Transmission Dynamics of Mycobacterium tuberculosis Complex in Morocco 摩洛哥结核分子流行病学及结核分枝杆菌复合体传播动力学
Pub Date : 2018-01-01 DOI: 10.4172/2161-1068.1000268
I. Chaoui, A. Oudghiri, Mzibri Mei
The present review draw a picture of the epidemiology of tuberculosis in Morocco since 1997 based on many national studies that have analysed; MTB population structure, by applying genetic approaches such as IS6110RFLP, spoligotyping and MIRUs-VNTR, with the goal of presenting the MTB genetic landscape in Morocco and the transmission dynamics of TB within the population. Overall, MTBC population structure in Morocco is almost clonal, highly homogeneous and stable. Importantly, a prospective genotyping program has to be set up to better evaluate the routes of infection and transmission of TB in Morocco.
本综述根据许多国家研究分析了1997年以来摩洛哥的结核病流行病学情况;通过应用IS6110RFLP、spoligotyping和MIRUs-VNTR等遗传方法,研究MTB群体结构,目的是呈现摩洛哥MTB遗传景观和结核病在人群中的传播动态。总体而言,摩洛哥的MTBC种群结构几乎是无性系,高度同质和稳定的。重要的是,必须建立一个前瞻性的基因分型规划,以便更好地评估摩洛哥结核病的感染和传播途径。
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引用次数: 2
Treatment Outcomes among Patients Treated With Category II Antituberculosis Regimen: Short Review 第二类抗结核方案治疗患者的治疗结果:简短回顾
Pub Date : 2018-01-01 DOI: 10.4172/2161-1068.1000257
G. AngelineGrace
Tuberculosis (TB) is one of the leading causes of morbidity and mortality, especially in developing and underdeveloped nations. To add to the burden, drug resistant TB is on the rise and India is handling the dual burden of drug sensitive TB and resistant TB. Previously treated TB cases when compared to the newly diagnosed, have poor treatment success rates and nearly seven times higher incidence of multi drug resistant TB. Proper management of patients treated with Category-II anti-tuberculous treatment (ATT) can result in decrease in emergence of drug resistant bacilli and interruption of disease transmission. Very few studies have reported the treatment outcomes of re-treatment cases and the associated factors in the literature. Favourable outcome rates are highly variable among the failure, relapse and default subgroups. There are many challenges faced by the treating physicians in diagnosis, treatment and follow-up of the re-treatment cases. This review describes the outcomes of patients treated with Category-II ATT and the challenges in managing the previously treated cases successfully. Relapse type of retreatment cases had better success rates compared to other subgroups.
结核病是发病和死亡的主要原因之一,特别是在发展中国家和不发达国家。使负担更加沉重的是,耐药结核病呈上升趋势,印度正在处理药物敏感结核病和耐药结核病的双重负担。与新诊断的结核病病例相比,以前治疗过的结核病病例的治疗成功率较低,耐多药结核病的发病率高出近7倍。对接受第二类抗结核治疗的患者进行适当管理可减少耐药杆菌的出现并阻断疾病传播。文献中很少有研究报道再治疗病例的治疗结果及其相关因素。在失败、复发和默认亚组中,良好的转归率变化很大。治疗医师在再治疗病例的诊断、治疗和随访等方面面临着诸多挑战。这篇综述描述了ii类ATT患者治疗的结果以及成功管理先前治疗病例的挑战。复发型再治疗病例与其他亚组相比成功率更高。
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引用次数: 2
Modeling Time to Recovery of Adult Tuberculosis (Tb) Patients in MizanTepi University Teaching Hospital, South-West Ethiopia 埃塞俄比亚西南部米津特皮大学教学医院成人结核病患者康复时间模型
Pub Date : 2018-01-01 DOI: 10.4172/2161-1068.1000258
A. Terefe, Lami Abebe Gebrewold
Background: Tuberculosis (TB) is a chronic infectious disease that has a major health problem over the centuries and it has accounted for more human misery suffering and loss of earning and failure of economic and social development than any other disease. The aim of the study was to assess the effect of prognostic factors associated with time to recovery of adult TB patients who were under treatment follow-up of Mizan-Tepi University Teaching Hospital. Study Design: A retrospective cohort study. Methods: The data was obtained from medical records of TB patients registered during September 2011 to August 2016 and treated under the DOTS program. Kaplan-Meier and Cox proportional hazards model were applied. Backward selection procedure was used in variable selection. Results: In this study, 75% were recovered, 4.4% died, 9.7% defaulted, and 4.9% failure, while 6% transferred out rate. The median recovery time of the patients was 185 days (6 months and 5 days) but it varies depending on the covariates included in the study. TB Type (P<0.001), family size (P=0.035), Co-morbidity (P=0.045) and bodyweight (P=0.044) at baseline had a statistically significant. Conclusion: The effects of TB type, family size, co-morbidity and bodyweight at baseline had a statistically significant impact on time-to-recovery. The variables that are significant should be considered during the selection phase a treatment (combination of treatments) for TB.
背景:结核病是一种慢性传染病,几个世纪以来一直是一个主要的健康问题,它造成的人类苦难、痛苦和收入损失以及经济和社会发展的失败比任何其他疾病都要多。本研究的目的是评估在米赞特皮大学教学医院接受治疗随访的成年结核病患者与康复时间相关的预后因素的影响。研究设计:回顾性队列研究。方法:数据来源于2011年9月至2016年8月在DOTS项目下治疗的结核病患者病历。采用Kaplan-Meier和Cox比例风险模型。变量选择采用逆向选择程序。结果:本组康复率为75%,死亡率为4.4%,违约率为9.7%,失败率为4.9%,转出率为6%。患者的中位恢复时间为185天(6个月零5天),但因纳入研究的协变量而异。结核病类型(P<0.001)、家庭规模(P=0.035)、合并发病率(P=0.045)和体重(P=0.044)基线时差异均有统计学意义。结论:结核病类型、家庭规模、合并症和基线体重对恢复时间有统计学意义。在结核病治疗(联合治疗)的选择阶段应考虑重要的变量。
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引用次数: 2
Endobronchial Tuberculosis in Serbia over a 20 Year Period: Analysis and Review of Current Literature 支气管内结核在塞尔维亚超过20年的时间:当前文献的分析和回顾
Pub Date : 2018-01-01 DOI: 10.4172/2161-1068.1000271
D. Jovanovic, A. Rich, N. Samardžić, S. Popević, L. Marković-Denić, V. Škodrić-Trifunović, Marina Roks, ic Milenkovic, S. Bilaçeroğlu, M. Gajić, V. Ćeriman, Ivana Vukanić, B. Ilić
Setting: Endobronchial tuberculosis (EBTB) is a chronic, often unrecognized form of the disease with a complicated clinical course and significant airway complications. Objective: The aim of this study was to evaluate common clinical features amongst individuals with bronchoscopic biopsy proven EBTB during a 20 year period in Serbia. Design: An observational study of 212 patients with bronchoscopic biopsy proven EBTB between January 1993 and December 2012. Retrospective case note review was undertaken, including all clinical, microbiological and radiological evidence, at the University Hospital of Pulmonology, Belgrade. Results: All patients were caucasian and HIV-negative, with a male to female ratio of 1.28:1. Every patient had an abnormal chest X-ray. The most common endoscopic features were oedematous hypereamic (39.2%) and nonspecific bronchitis (35.8%). Microbiological culture rate was 64.6%. Sputum culture was positive in 55.2%, bronchial washing culture positive in 36.8%, and both in 27.4%. Conclusion: Most patients with EBTB have concurrent pulmonary lesions. Bronchoscopy is an essential diagnostic tool for EBTB. Early diagnosis and early onset of therapy is of crucial importance to prevent the development of bronchostenosis.
背景:支气管内结核(EBTB)是一种慢性的,通常未被识别的疾病形式,具有复杂的临床过程和显著的气道并发症。目的:本研究的目的是评估塞尔维亚20年间经支气管镜活检证实的EBTB患者的共同临床特征。设计:对1993年1月至2012年12月期间经支气管镜活检证实为EBTB的212例患者进行观察性研究。在贝尔格莱德大学肺病医院进行了回顾性病例记录审查,包括所有临床、微生物学和放射学证据。结果:所有患者均为白种人,hiv阴性,男女比例为1.28:1。每个病人都有异常的胸部x光片。最常见的内窥镜特征是水肿性高血(39.2%)和非特异性支气管炎(35.8%)。微生物培养率为64.6%。痰培养阳性占55.2%,支气管洗涤培养阳性占36.8%,两者均阳性占27.4%。结论:多数EBTB患者并发肺部病变。支气管镜检查是EBTB的基本诊断工具。早期诊断和早期治疗对预防支气管狭窄的发展至关重要。
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引用次数: 3
Recent Trends in Treatment of Multidrug Resistant-Tuberculosis-A Review 耐多药结核病治疗的最新趋势综述
Pub Date : 2017-09-21 DOI: 10.4172/2161-1068.1000250
Y. Himasree, K. Sukanya, K. Bhavyasri, K. Amrutha, Kothandam Hariprasath
Drug resistance is reduction in effectiveness of an anti-microbial agents used in inhibiting the microorganisms or curing a disease. Mycobacterium tuberculosis is responsible for causing tuberculosis can acquire multiple drug resistance by not responding to Isoniazid and Rifampicin the two most powerful anti-TB agents. The complications of drug resistance in TB elevates due to some of the risk factors like inadequate treatment compliance, noncompliance of the patients to the treatment. Proper diagnosis of the disease and switching to modified drug therapy may improve the treatment outcome. The drug treatment involves usage of combination of drugs Isoniazid, Rifampicin, Ethambutol along with other antimicrobial agents, and nutritional therapy, immunotherapy. In this review we discussed about the occurrence, treatment of multi drug resistance tuberculosis along with drugs under trials and nutritional requirements.
耐药性是用于抑制微生物或治疗疾病的抗微生物剂的有效性降低。结核分枝杆菌对异烟肼和利福平这两种最有效的抗结核药物无反应,可获得多重耐药。由于一些风险因素,如治疗依从性不足,患者不遵守治疗,结核病耐药并发症会增加。正确诊断疾病并改用改良药物治疗可改善治疗结果。药物治疗包括异烟肼、利福平、乙胺丁醇与其他抗菌剂联合使用,以及营养疗法、免疫疗法。本文综述了耐多药结核病的发生、治疗、试验药物和营养需求。
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引用次数: 1
Comparative Study of Smear Microscopy, Gene Xpert and Culture and Sensitivity Assays in Detection of Mycobacterium tuberculosis on Sputum Samples among Tuberculosis Suspected Cases in Nyamira County Referral Hospital 尼亚米拉县转诊医院肺结核疑似病例痰液中结核分枝杆菌涂片镜检、基因Xpert及培养及敏感性比较研究
Pub Date : 2017-09-10 DOI: 10.4172/2161-1068.1000249
Grace Moraa Orina, Samson Adoka Ong'wen, A. Amolo, Ondimu Thomas Orindi
The laboratory diagnosis of pulmonary tuberculosis and smear-negative pulmonary tuberculosis in resourcelimited countries are often based on X-ray and sputum smear microscopy. These diagnostic tools require experts, have long turnaround time, and cannot detect resistance to Tuberculosis (TB) drugs and TB in individuals with Human immunodeficiency virus. Recently there was development of GeneXpert MTB/Rif assay that has a short turnaround time and can detect resistance to rifampicin among TB patients but its utility has not been evaluated in Kenya. This study investigated the comparative sensitivity and specificity of smear microscopy and culture relative to GeneXpert MTB/Rif assay among suspected TB patients. A cross-sectional study was conducted in Nyamira County Referral Hospital among suspected TB patients and both results recorded. Culture for Mycobacterium tuberculosis served as the reference standard. The results of this study showed that among 682 enrolled participants, 182(26.69%) were diagnosed TB positive while 500 (73.31%) no TB. GeneXpert mtb/rif had a higher sensitivity (100%) and specificity (99.4%) relative to culture and a positive predictive value of (98.4%) and a negative predictive value of (100%). Smear microscopy revealed low sensitivity (26.4%) and a higher specificity (98.2%). A concordance analysis of smear microscopy and GeneXpert was done. The findings revealed a significant (patients showed resistance to either one of the TB drugs (rifampicin, isoniazid and Ethambutol) while none of the enrolled patients were resistant to streptomycin. In conclusion Gene Xpert MTB/Rif test had high sensitivity compared to smear microscopy. For rifampicin resistance detection, it provided accurate results. My recommendation to the Division of TB and lung diseases is to roll out the Gene Xpert mtb/rif machines to all health care facilities.
在资源有限的国家,肺结核和涂阴性肺结核的实验室诊断通常基于X射线和痰涂片显微镜。这些诊断工具需要专家,周转时间长,无法检测出对结核病药物的耐药性和人体免疫缺陷病毒感染者的结核病。最近开发了GeneXpert MTB/Rif检测方法,该方法周转时间短,可以检测结核病患者对利福平的耐药性,但其实用性尚未在肯尼亚进行评估。本研究调查了在疑似结核病患者中,涂片显微镜检查和培养与GeneXpert MTB/Rif检测的相对敏感性和特异性。在尼亚米拉县转诊医院对疑似结核病患者进行了一项横断面研究,并记录了这两项结果。结核分枝杆菌培养作为参考标准。这项研究的结果显示,在682名入选参与者中,182人(26.69%)被诊断为结核病阳性,500人(73.31%)没有结核病。相对于培养物,GeneXpert mtb/rif具有更高的敏感性(100%)和特异性(99.4%),阳性预测值为(98.4%),阴性预测值(100%)。涂片镜检显示敏感性低(26.4%),特异性高(98.2%)。对涂片镜检和GeneXpert进行了一致性分析。研究结果显示,显著的(患者对任一种结核病药物(利福平、异烟肼和乙胺丁醇)表现出耐药性,而入选的患者均未对链霉素产生耐药性。结论Gene-Xpert MTB/Rif试验与涂片镜检相比具有较高的敏感性。对于利福平耐药性检测,它提供了准确的结果。我向结核病和肺病司提出的建议是在所有医疗机构推广Gene Xpert mtb/rif机器。
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引用次数: 8
Cattle as Experimental Model to Study Immunopathogenesis of Tuberculosis 牛作为研究结核病免疫发病机制的实验模型
Pub Date : 2017-08-20 DOI: 10.4172/2161-1068.1000248
P. Mehta, R. Dharra, Zoozeal Thakur
Various animal models are used to study the immunology, genetics and molecular biology of Tuberculosis (TB) as well as for testing the new vaccines and drugs. Mice are widely used to study the immunology of chronic TB infection, while guinea pigs are used for aerosol TB infection and rabbits are used to study the lung cavitations. Cattle are natural host to Mycobacterium bovis infection, which act as a connecting link between the small laboratory animals and human counterparts for testing the vaccine efficacy. By using cattle as an experimental model, the disease outcome is understood through natural infection with M. bovis and a comparison can be made with M. tuberculosis infection. In this manuscript, the utility of cattle in understanding the progression of disease and the immunological correlates to evaluate the protective efficacy of vaccines are described.
各种动物模型被用于研究结核病的免疫学、遗传学和分子生物学,以及测试新的疫苗和药物。小鼠被广泛用于研究慢性结核病感染的免疫学,豚鼠被用于气溶胶结核病感染,兔子被用于研究肺空洞。牛是牛分枝杆菌感染的天然宿主,牛分枝杆菌是小型实验室动物和人类同类之间的连接纽带,用于测试疫苗的效力。通过使用牛作为实验模型,可以通过自然感染牛分枝杆菌来了解疾病结果,并可以与感染结核分枝杆菌进行比较。在这篇手稿中,描述了牛在了解疾病进展方面的作用,以及评估疫苗保护效力的免疫学相关性。
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引用次数: 1
期刊
Mycobacterial diseases : tuberculosis & leprosy
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