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Diversity and species composition of microbiota associated with dengue mosquito breeding habitats: A cross-sectional study from selected areas in Udapalatha MOH division, Sri Lanka 与登革热蚊子繁殖栖息地相关的微生物群多样性和物种组成:斯里兰卡卫生部Udapalatha区选定地区的横断面研究
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2023-08-01 DOI: 10.4103/1995-7645.380722
J. Kumari, L. D. Amarasinghe, H. Ranasinghe
Objective: To determine the diversity of microbiota associated with different breeding habitats of dengue vector mosquitoes Aedes (Ae.) aegypti and Ae. albopictus and to identify any parasitic, epibiont, pathogenic, competitive or predatory species. Methods: Sampling was performed from a variety of breeding habitats using dipping, pipetting and siphoning techniques. Microbiota in water samples were preserved using Rose Bengal solution and Lugol’s iodine, and were identified. Live samples of microbiota were kept under laboratory conditions to observe any pathogenic or parasitic microbiota interacting with larvae. Results: A total of eleven microbiota species (Canthocamptus staphylinus, Canthocamptus microstaphylinus, Parastenocaris brevipes, Lepadella ovalis, Lepadella patella, Rotatoria rotatoria, Rotatoria macrura, Asplanchna brightwelli, Trichocerca rattus, Euglena variabilis, and Flagilaria capucina) belonging to four (4) phyla (Arthropoda, Rotifera, Euglenozoa, and Ochrophyta) and 8 microbiota species belonged to four phyla (Arthropoda, Rotifera, Euglenozoa, and Ochrophyta) were identified from Ae. aegypti and Ae. albopictus breeding habitats respectively. There was a higher percentage (54.54%) of larval habitats positive for the secondary vector Ae. albopictus than through the primary vector Ae. aegypti in the Gampola urban area indicating higher possibility of transmitting the dengue virus through the secondary vector. However, no pathogenic or parasitic ciliates on mosquito larvae were encountered in the present study. Those findings may be due to sampling maingly from temporary container-type breeding habitats. Conclusions: The relative distribution of microbiota associated with mosquito species differed significantly among Ae. aegypti and Ae. albopictus. The overall findings of this study could help in implementing novel eco-friendly vector-control strategies in the study area.
目的:了解登革热媒介埃及伊蚊和伊蚊在不同孳生环境下的微生物多样性。白纹伊蚊,并鉴定任何寄生、外生、致病、竞争或掠食性物种。方法:采用浸渍、移液、虹吸等方法对不同的养殖生境进行取样。用孟加拉玫瑰溶液和卢戈尔碘保存水样中的微生物群,并对其进行鉴定。活菌群样本保存在实验室条件下,观察是否有病原微生物或寄生微生物与幼虫相互作用。结果:从Ae中共鉴定出11种微生物,分别为葡萄球菌、小葡萄球菌、短链副链绦虫、卵状鳞翅目、髌骨鳞翅目、大圆形鳞翅目、亮叶鳞翅目、毛丝状毛丝虫、绿藻目和绿藻目4门(节肢动物、轮虫目、绿藻目、绿藻目);8种微生物,分别属于节肢动物、轮藻目、绿藻目4门(节肢动物、轮藻目、绿藻目、绿藻目)。埃及伊蚊和伊蚊。白纹伊蚊孳生地。次生媒介伊蚊孳生地阳性率较高(54.54%);白纹伊蚊比主要媒介伊蚊更容易感染。在Gampola市区发现埃及伊蚊,表明通过次级媒介传播登革热病毒的可能性较高。然而,本研究未在蚊子幼虫上发现致病性或寄生性纤毛虫。这些发现可能是由于主要从临时容器型繁殖栖息地取样。结论:白纹伊蚊蚊种相关菌群相对分布差异显著。埃及伊蚊和伊蚊。蚊。本研究的总体结果有助于在研究区域实施新的生态友好型病媒控制策略。
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引用次数: 0
Molecular evidence and phylogenetic delineation of spotted fever group Rickettsia species in Amblyomma ticks from cattle in Gauteng and Limpopo Provinces, South Africa 南非豪登省和林波波省牛源肉芽肿蜱斑点热群立克次体的分子证据和系统发育描述
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2023-07-01 DOI: 10.4103/1995-7645.380724
Keneilwe Mhlambo, B. Iweriebor, N. Mkolo, Kayode Olayinka Afolabi, L. Obi
To determine the prevalence of tick-borne pathogens with a particular focus on Rickettsia spp. in ticks collected from cattle in Gauteng and Limpopo Provinces, South Africa. A total of 200 ticks were collected from cattle within the Madala livestock, Pretoria, Gauteng Province and in Mankweng Township, Polokwane, Limpopo Province in 2019. The ticks were morphologically identified and processed individually for a total genomic DNA extraction. Specific primers targetting ompA, ompB, and the 17KDa genes were used for a molecular screening and delineation of Rickettsia from the extracted genetic materials using polymerase chain reaction (PCR) technique. PCR amplicons of positive samples were sequenced bidirectionally using the Sanger sequencing method. Sequences generated were processed and analysed using appropriate bioinformatics software. The ticks were morphologically identified as Amblyomma spp. PCR profiling of the genomic DNA samples revealed the presence of the Rickettsia pathogen in 42 (21%) of the ticks collected from both Provinces. Out of the genes profiled, 14 (7%) were positive for 17KDa, 42 (21%) for ompA and 32 (16%) were positive for ompB genes respectively. The nucleotide blast of the sequenced genomes showed high similarity, as high as 100% with other reference Rickettsia (R.) africae in the GenBank. The phylogenetic analysis of the sequences further validated them as R. africae with their characteristic clustering pattern with related reference sequences. There is an abundance of R. africae in Amblyomma ticks collected from cattle in the study areas. This has serious public health implications as individuals who accidentally get infested with the ticks could acquire R. africae. Hence, adequate precautions in terms of sensitization of farmers about the risk and mass mobilization drive to control the vectors in the areas are highly recommended to safeguard public health.
确定从南非豪登省和林波波省采集的牛蜱中蜱传病原体的流行情况,特别关注立克次体。2019年,在豪登省比勒陀利亚的Madala牲畜和林波波省Polokwane的mankeng镇的牛身上共收集到200只蜱虫。对蜱虫进行形态学鉴定,并单独处理以提取总基因组DNA。以ompA、ompB和17KDa基因为特异引物,利用聚合酶链反应(PCR)技术从提取的遗传物质中进行立克次体分子筛选和描述。阳性样品的PCR扩增子采用Sanger测序法进行双向测序。生成的序列使用适当的生物信息学软件进行处理和分析。两省采集的蜱中有42只(21%)携带立克次体致病菌。其中,14个(7%)基因为17KDa阳性,42个(21%)基因为ompA阳性,32个(16%)基因为ompB阳性。测序基因组的核苷酸blast与GenBank中其他参考立克次体(R.)非洲立克次体的相似性高达100%。系统发育分析表明,这些序列与相关参考序列具有典型的聚类模式,进一步证实了它们是非洲种。在研究区采集的牛蜱中有大量的非洲鼠。这具有严重的公共卫生影响,因为意外感染蜱虫的个人可能会感染非洲血吸虫。因此,强烈建议采取适当的预防措施,提高农民对风险的认识,并动员群众在这些地区控制病媒,以保障公众健康。
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引用次数: 0
Rare fungal infection in a 30-year-old male patient from the eastern India: A case report 印度东部一名30岁男性罕见真菌感染病例报告
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2023-07-01 DOI: 10.4103/1995-7645.380725
S. Kundu, Sambudhya Chakraborty
Fungal rhinosinusitis is a rare entity in immunocompetent patients and is a diagnostic challenge. Conidiobolomycosis is a rare cause of fungal rhinosinusitis which happens to affect immunocompetent patients. A 30-year-old male patient complained of painless progressive swelling of nose for 5 years and painless progressive swelling of upper lip for 4 years associated with nasal obstruction for 5 years. Rhinofacial conidiobolomycosis. Systemic anti-fungals and saturated solution of potassium iodide. Swelling initially reduced but again increased eventually as he discontinued treatment. Proper adherence to drugs and need for facial reconstructive surgery may need to be considered in such cases of conidiobolomycosis.
真菌性鼻窦炎在免疫功能正常的患者中是一种罕见的疾病,也是一种诊断挑战。真菌性鼻窦炎是真菌性鼻窦炎的一种罕见病因,它恰好影响免疫活性患者。一名30岁男性患者主诉无痛性进行性鼻肿胀5年,无痛性进行型上唇肿胀4年并伴有鼻梗阻5年。鼻腔分生孢子菌病。全身抗真菌药物和碘化钾饱和溶液。肿胀起初有所减少,但随着他停止治疗,肿胀最终再次增加。在这种分生孢子菌病的病例中,可能需要考虑适当的药物依从性和面部重建手术的需要。
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引用次数: 0
Hearing loss and tinnitus associated with COVID-19 vaccines: An analysis from the national pharmacovigilance database in Malaysia 与COVID-19疫苗相关的听力损失和耳鸣:来自马来西亚国家药物警戒数据库的分析
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2023-07-01 DOI: 10.4103/1995-7645.380718
L. Chet, W. Kee, Yeoh Sheong, Choo Mei, Ramli Azuana
To compare the reporting pattern of hearing loss and tinnitus across different vaccines brands used in Malaysia (BNT162b2, CoronaVac, ChAdOx1, Ad5.CoV2-S and BBIBP-CorV). This retrospective study included all reports of hearing loss and tinnitus occurring after COVID-19 vaccination that were received in the national pharmacovigilance database, QUEST, from February 24, 2021 through July 31, 2022. Reports given causality consistent or indeterminate were included. There were 21 cases of hearing loss, with overall reporting rate of 0.29 cases per million doses. The rate was similar across BNT162b2, CoronaVac and ChAdOx1. For tinnitus, 35 cases were reported, with the overall reporting rate of 0.49 cases per million doses, and the highest rate was reported for ChAdOx1. For both events, most cases aged 30 to 49 years. No gender disparity was observed. Both events were mainly reported to have occurred after the primary doses, with a median time-to-onset of two days. There were no statistically significant differences in the reporting patterns for both events across BNT162b2, CoronaVac and ChAdOx1 by age group, gender, race, and dose number. Despite the low reporting rates and insufficient evidence to confirm its relationship, hearing loss and tinnitus following vaccinations should not be ignored due to its disabling potential and impact on one's quality of life. Continual reporting is encouraged for better signal characterization in the future.
比较马来西亚使用的不同疫苗品牌(BNT162b2、CoronaVac、ChAdOx1、Ad5)的听力损失和耳鸣报告模式。CoV2-S和BBIBP-CorV)。这项回顾性研究纳入了2021年2月24日至2022年7月31日期间国家药物警戒数据库QUEST中收到的所有COVID-19疫苗接种后发生的听力损失和耳鸣报告。包括因果关系一致或不确定的报告。有21例听力损失,总体报告率为0.29例/百万剂量。BNT162b2、CoronaVac和ChAdOx1的感染率相似。对于耳鸣,报告了35例,总体报告率为0.49例/百万剂量,其中ChAdOx1报告率最高。对于这两种情况,大多数病例年龄在30至49岁之间。没有观察到性别差异。据报道,这两种事件主要发生在初次给药后,中位发病时间为2天。在BNT162b2、CoronaVac和ChAdOx1中,两种事件的报告模式按年龄组、性别、种族和剂量数没有统计学上的显著差异。尽管报告率很低,证据也不充分,但接种疫苗后听力损失和耳鸣不应被忽视,因为它可能会致残,并影响一个人的生活质量。鼓励持续报告,以便将来更好地表征信号。
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引用次数: 0
Insecticide resistance status of Aedes aegypti and Aedes albopictus in Malaysia (2010 to 2022): A review 马来西亚埃及伊蚊和白纹伊蚊杀虫剂耐药性现状(2010-2022)
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2023-07-01 DOI: 10.4103/1995-7645.378561
Nurul-Nastasea Sabar, K. Yu, Rohani Ahmad, Rezki Masse, Mohamad Wn, Nor, M. Zurainee, Tengku-Idzzan Idris, R. Dianita
This review aimed to determine the prevalence of the insecticide resistance status of the field-collected Aedes aegypti and Aedes albopictus in Malaysia from 2010 to 2022 towards carbamates, organochlorines, organophosphates and pyrethroids. Biological and environmental controls were summarized with an emphasis on the mosquito vector control strategies in Malaysia. The information in this review was extracted from several databases such as PubMed (MEDLINE), Science Direct and Scopus by using keywords including “insecticide resistance”, “carbamate resistance”, “organochlorine resistance”, “organophosphate resistance”, “pyrethroid resistance”, “Aedes” and “Malaysia”, between January 2022 and December 2022. Distribution of resistant Aedes aegypti and Aedes albopictus in Malaysia was mapped using QGIS software. Insecticide resistance in both Aedes aegypti and Aedes albopictus is widespread in Malaysia, although the rates vary by states. The most notable was the steep increase in permethrin resistance of Aedes aegypti in Selangor, Malaysia, over the past decade. Aedes albopictus also displayed moderate resistance to permethrin, though not as widespread as Aedes aegypti in Selangor, but showed sign of resistance in Sarawak, East Malaysia. Resistance towards four main classes of insecticides have been widely documented in Malaysia. The extensive resistance towards permethrin in Malaysia which is one of the current insecticides used in Malaysia suggested that policies supporting the widespread use of permethrin fogging needs further evaluation.
本综述旨在确定2010年至2022年马来西亚野外采集的埃及伊蚊和白纹伊蚊对氨基甲酸酯、有机氯、有机磷和拟除虫菊酯类杀虫剂的耐药性状况。概述了生物和环境控制,重点介绍了马来西亚的蚊媒控制策略。本综述中的信息是在2022年1月至2022年12月期间从PubMed(MEDLINE)、Science Direct和Scopus等多个数据库中提取的,使用的关键词包括“杀虫剂抗性”、“氨基甲酸酯抗性”、”有机氯抗性“、”有机磷抗性“、“拟除虫菊酯类抗性”“伊蚊”和“马来西亚”。利用QGIS软件绘制了马来西亚抗埃及伊蚊和白纹伊蚊的分布图。埃及伊蚊和白纹伊蚊对杀虫剂的耐药性在马来西亚很普遍,尽管各州的耐药性不同。最值得注意的是,在过去十年中,马来西亚雪兰莪州的埃及伊蚊对氯氰菊酯的抗性急剧增加。白纹伊蚊对氯氰菊酯也表现出中度耐药性,尽管不像雪兰莪州的埃及伊蚊那样普遍,但在东马来西亚的砂拉越州表现出耐药性。马来西亚已广泛记录了对四类主要杀虫剂的耐药性。作为马来西亚目前使用的杀虫剂之一,马来西亚对氯氰菊酯的广泛耐药性表明,支持广泛使用氯氰菊酯雾化的政策需要进一步评估。
{"title":"Insecticide resistance status of Aedes aegypti and Aedes albopictus in Malaysia (2010 to 2022): A review","authors":"Nurul-Nastasea Sabar, K. Yu, Rohani Ahmad, Rezki Masse, Mohamad Wn, Nor, M. Zurainee, Tengku-Idzzan Idris, R. Dianita","doi":"10.4103/1995-7645.378561","DOIUrl":"https://doi.org/10.4103/1995-7645.378561","url":null,"abstract":"This review aimed to determine the prevalence of the insecticide resistance status of the field-collected Aedes aegypti and Aedes albopictus in Malaysia from 2010 to 2022 towards carbamates, organochlorines, organophosphates and pyrethroids. Biological and environmental controls were summarized with an emphasis on the mosquito vector control strategies in Malaysia. The information in this review was extracted from several databases such as PubMed (MEDLINE), Science Direct and Scopus by using keywords including “insecticide resistance”, “carbamate resistance”, “organochlorine resistance”, “organophosphate resistance”, “pyrethroid resistance”, “Aedes” and “Malaysia”, between January 2022 and December 2022. Distribution of resistant Aedes aegypti and Aedes albopictus in Malaysia was mapped using QGIS software. Insecticide resistance in both Aedes aegypti and Aedes albopictus is widespread in Malaysia, although the rates vary by states. The most notable was the steep increase in permethrin resistance of Aedes aegypti in Selangor, Malaysia, over the past decade. Aedes albopictus also displayed moderate resistance to permethrin, though not as widespread as Aedes aegypti in Selangor, but showed sign of resistance in Sarawak, East Malaysia. Resistance towards four main classes of insecticides have been widely documented in Malaysia. The extensive resistance towards permethrin in Malaysia which is one of the current insecticides used in Malaysia suggested that policies supporting the widespread use of permethrin fogging needs further evaluation.","PeriodicalId":8559,"journal":{"name":"Asian Pacific journal of tropical medicine","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47323256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A step towards zero leprosy: Active case finding through Community-Based Approach 迈向零麻风的一步:通过基于社区的方法积极发现病例
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2023-07-01 DOI: 10.4103/1995-7645.380726
Senthilkumar Ramasamy, Sanjana Agrawal, Hafseera Paradan
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引用次数: 0
Therapeutic response and safety of different treatments for cutaneous leishmaniasis in patients treated at a research center in Medellin - Antioquia, Colombia, between 2016 – 2021 2016年至2021年期间在哥伦比亚麦德林-安蒂奥基亚研究中心治疗的皮肤利什曼病患者不同治疗方法的治疗反应和安全性
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2023-07-01 DOI: 10.4103/1995-7645.380719
Nicolás Rozo Montoya, Juliana Quintero Pulgarín, L. Carvajal
To analyze the therapeutic response and safety of different treatments for cutaneous leishmaniasis, received by patients in the Program for the Study and Control of Tropical Diseases- PECET-Medellín-Colombia. This is a retrospective cross-sectional study of patients attended at PECET Research Center during 2016-2021. Relevant information regarding sociodemographic characteristics, history of leishmaniasis, characterization of current infection, treatment received, follow-up of therapeutic response and safety was collected from the medical records. Data were analyzed with Pearson's Chi-square association tests and Mann-Whitney U test using statistical software. A total of 486 clinical records of patients were analyzed, and 356 received treatment. Eight different therapeutic alternatives (systemic, local and in combination) were analyzed. The therapeutic response of the different alternatives used (except thermotherapy) was higher than 50%. Most frequent adverse events were myalgias, arthralgias and headache, and vesicles for systemic and local treatment, respectively. Safety profile and performance of local therapeutic alternatives and combined schemes for the treatment of uncomplicated cutaneous leishmaniasis are an interesting option for the management of the disease.
分析热带疾病研究和控制项目(PECET Medellín-Colombia)患者对皮肤利什曼病不同治疗方法的治疗效果和安全性。这是一项对2016-2021年PECET研究中心就诊患者的回顾性横断面研究。从医疗记录中收集有关社会人口学特征、利什曼病病史、当前感染特征、接受的治疗、治疗反应的随访和安全性的相关信息。数据采用Pearson卡方关联检验和Mann-Whitney U检验进行统计分析。共分析了486例患者的临床记录,356例接受了治疗。分析了八种不同的治疗方案(全身、局部和联合)。使用的不同替代方案(热疗除外)的治疗效果均高于50%。最常见的不良事件分别是肌痛、关节痛和头痛,以及全身和局部治疗的囊泡。治疗无并发症皮肤利什曼病的局部治疗替代方案和联合方案的安全性和性能是治疗该疾病的一个有趣的选择。
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引用次数: 0
Biofilm analyses and exoproduct release by clinical and environmental isolates of Burkholderia pseudomallei from Brazil 巴西假槌伯克霍尔德菌临床和环境分离株的生物膜分析和胞外产物释放
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2023-07-01 DOI: 10.4103/1995-7645.378565
G. Guedes, Crister J Ocadaque, A. Freitas, R. Pinheiro, G. Riello, S. Bandeira, R. Cordeiro, M. Rocha, J. Sidrim, D. Castelo-Branco
To characterize biofilm production by clinical (n=21) and environmental (n=11) isolates of Burkholderia pseudomallei and evaluate the production of proteases, hemolysins and siderophores. Initially, the 32 strains were evaluated for biofilm production in Müller-Hinton broth-1% glucose (MH-1% glucose) and BHI broth-1% glucose, using the crystal violet staining technique. Subsequently, growing (48 h) and mature (72 h) biofilms were evaluated by confocal microscopy. Finally, the production of proteases, hemolysins and siderophores by planktonic aggregates, growing biofilms and mature biofilms was evaluated. All isolates produced biofilms, but clinical isolates had significantly higher biomass in both MH-1% glucose (P<0.001) and BHI-glucose 1% (P=0.005). The structural analyses by confocal microscopy showed thick biofilms, composed of multiple layers of cells, homogeneously arranged, with mature biofilms of clinical isolates presenting higher biomass (P=0.019) and thickness of the entire area (P=0.029), and lower roughness coefficient (P=0.007) than those of environmental isolates. Protease production by growing biofilms was significantly greater than that of planktonic (P<0.001) and mature biofilms (P<0.001). Hemolysin release by planktonic aggregates was higher than that of biofilms (P<0.001). Regarding siderophores, mature biofilms presented higher production than growing biofilms (P<0.001) and planktonic aggregates (P<0.001). Clinical isolates have higher production of biofilms than their environmental counterparts; protease and siderophores seem important for growth and maintenance of Burkholderia pseudomallei biofilms.
通过临床(n=21)和环境(n=11)分离的假马氏伯克氏菌来表征生物膜的产生,并评估蛋白酶、溶血素和铁载体的产生。首先,采用结晶紫染色技术,对32株菌株在1%葡萄糖的m ller- hinton肉汤(MH-1%葡萄糖)和1%葡萄糖的BHI肉汤中产生生物膜的情况进行了评估。随后,用共聚焦显微镜观察生长(48 h)和成熟(72 h)的生物膜。最后,对浮游聚集体、生长生物膜和成熟生物膜的蛋白酶、溶血素和铁载体的产量进行了评价。所有分离株均产生生物膜,但临床分离株在MH-1%葡萄糖(P<0.001)和bhi -1%葡萄糖(P=0.005)中生物量均显著高于临床分离株。共聚焦显微镜结构分析显示,临床分离菌株成熟生物膜的生物量(P=0.019)和面积厚度(P=0.029)均高于环境分离菌株,且生物膜厚度(P=0.007)较低。生长生物膜的蛋白酶产量显著高于浮游生物(P<0.001)和成熟生物膜(P<0.001)。浮游聚集体溶血素释放量高于生物膜(P<0.001)。在铁载体方面,成熟生物膜的产量高于生长生物膜(P<0.001)和浮游聚集体(P<0.001)。临床分离株的生物膜产量高于环境分离株;蛋白酶和铁载体似乎对假杆菌伯克霍尔德菌生物膜的生长和维持很重要。
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引用次数: 0
Protection against symptomatic SARS-CoV-2 infection during the second wave among individuals with pre-existing binding antibodies to SARS-CoV-2: a population-based study from Puducherry, India 在已有SARS-CoV-2结合抗体的个体中预防第二波症状性SARS-CoV-2感染:来自印度普杜切里的一项基于人群的研究
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2023-07-01 DOI: 10.4103/1995-7645.380727
Premkumar Ramasubramani, D. Govindan, Nandini Krishnan, T. Kadhiravan, S. Kar
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引用次数: 0
Health Care-Associated Infections Caused by Staphylococcus aureus in children in Turkey: A six-year retrospective, single-center study 土耳其儿童金黄色葡萄球菌引起的医疗保健相关感染:一项为期六年的回顾性单中心研究
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2023-07-01 DOI: 10.4103/1995-7645.380721
N. Yakut, Z. Ergenç, Sevgi Tuncay, Sezin Bayraktar, Elvan Sayin, A. İlki, E. Kepenekli
To describe clinical and epidemiological characteristics, antimicrobial susceptibility and mortality-associated factors of healthcare-associated infections (HCAIs) caused by Staphylococcus (S.) aureus in children. We conducted a retrospective, single-centre study of pediatric HCAIs caused by S. aureus from a tertiary care hospital in Turkey between February 2014 and December 2019. The clinical and epidemiological characteristics and antimicrobial susceptibility of the methicillin-susceptible and methicillin-resistant S. aureus (MSSA and MRSA) isolates was evaluated. A total of 310 pediatric patients were examined. Overall, 225 (72.6%) isolates were MSSA and 85 (27.4%) were MRSA. All S. aureus isolates were susceptible to teicoplanin, vancomycin, linezolid, tigecycline, mupirocin, and daptomycin. Penicillin resistance rates were high (89.0%), while fosfomycin, gentamicin, and clindamycin resistance rates were low (1.3%, 1.0%, and 2.3%, respectively). Except susceptibility to fosfomycin, which was significantly lower in 2014 compared to 2018 and 2019, no significant difference was found in the antimicrobial susceptibility of S. aureus isolates between the years. Baseline characteristics and mortality rate were similar comparing MRSA and MSSA causing HCAIs. The mortality rate of HCAIs caused by S. aureus was 6.5% (20 patients). Malignancy was an independent risk factor associated with mortality in the multivariate analysis (OR 5.446, 95% CI 1.573-18.849). Our findings demonstrate that MSSA remained the most causative agent of HCAIs caused by S. aureus. The mortality rate was 6.5%, the antibiotic resistance rate was quite high for penicillin and diagnosis of malignancy was the main risk factor for increasing mortality in children. These findings could help improve the management of HCAIs caused by S. aureus in children.
描述儿童金黄色葡萄球菌引起的医疗保健相关感染(HCAI)的临床和流行病学特征、耐药性和死亡率相关因素。我们对2014年2月至2019年12月期间土耳其一家三级护理医院由金黄色葡萄球菌引起的儿科HCAI进行了一项回顾性单中心研究。对甲氧西林敏感和耐甲氧西林金黄色葡萄球菌(MSSA和MRSA)分离株的临床、流行病学特征和耐药性进行了评价。共有310名儿科患者接受了检查。总的来说,225个(72.6%)分离株是MSSA,85个(27.4%)是MRSA。所有金黄色葡萄球菌分离株均对替考拉宁、万古霉素、利奈唑胺、替加环素、莫匹罗星和达托霉素敏感。青霉素耐药率高(89.0%),而磷霉素、庆大霉素和克林霉素耐药率低(分别为1.3%、1.0%和2.3%)。与2018年和2019年相比,2014年对磷霉素的易感性显著降低,除此之外,金黄色葡萄球菌分离株的耐药性在这些年之间没有发现显著差异。MRSA和MSSA引起的HCAI的基线特征和死亡率相似。金黄色葡萄球菌引起的HCAI死亡率为6.5%(20例)。在多变量分析中,恶性肿瘤是与死亡率相关的独立危险因素(OR 5.446,95%CI 1.573-18.849)。我们的研究结果表明,MSSA仍然是金黄色葡萄球菌引起的HCAI的主要病原体。死亡率为6.5%,对青霉素的抗生素耐药性很高,恶性肿瘤的诊断是增加儿童死亡率的主要危险因素。这些发现可能有助于改善儿童金黄色葡萄球菌引起的HCAI的管理。
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Asian Pacific journal of tropical medicine
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