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Coronavirus Disease in Cardiovascular Patients: Clinical Characteristics and Final Prognosis 冠状病毒病在心血管患者:临床特点和最终预后
Pub Date : 2023-03-29 DOI: 10.34172/ajcmi.2023.3421
A. Yazdi, M. Alvandi, Z. Shaghaghi, S. H. Hashemi, Seyed Omid Inanloo, S. Hashemi, Tayeb Mohammadi, Surur Akbari
Background: Being infected with COVID-19 is a multifaceted syndrome that should be managed in the context of concurrent comorbidities. This study aimed to decipher the influence of cardiovascular diseases (CVDs) in the COVID-19 progression and its outcome. Methods: From a cohort of 184 consecutive CVD patients diagnosed with COVID-19, 86 and 98 cases were placed in the non-severe and severe groups. The clinical, laboratory, and outcome data were compared between two divisions. A logistic regression model was further applied to determine parameters associated with disease severity and outcomes. Results: Patients in the severe group had significantly a higher mean age and body mass index (BMI). Of laboratory parameters, neutrophil/lymphocyte (N/L) ratio, blood urea nitrogen, serum creatinine, troponin I, and creatine kinase-myocardial band increased significantly in the severe group. Heart failure (HF) was the only CVD type that was associated with disease severity and outcome. The overall mortality rate among CVD patients was 24.5%, and patients with age over 75, dyspnea, and lower O2 saturation at the admission time were at risk of an increased chance of death. Conclusion: The mortality rate of COVID patients with underlying CVDs is high, and identifying the factors associated with disease progression is of great value. Obesity and advanced age put cardiovascular patients at the stake of severe disease and poorer outcomes. Dyspnea and hypoxia at the admission time, as well as the N/L ratio, were associated with disease severity and outcome, and chances are that they can be used as suitable predictors for recognizing those who need intensive management care.
背景:COVID-19感染是一个多方面的综合征,应在并发合并症的情况下进行管理。本研究旨在揭示心血管疾病(cvd)对COVID-19进展及其结局的影响。方法:从184例连续诊断为COVID-19的CVD患者中,将86例和98例分别分为非重症组和重症组。比较两组患者的临床、实验室和预后数据。进一步应用逻辑回归模型确定与疾病严重程度和结局相关的参数。结果:重度组患者的平均年龄和体重指数(BMI)明显增高。实验室参数中,重症组中性粒细胞/淋巴细胞(N/L)比、血尿素氮、血清肌酐、肌钙蛋白I、肌酸激酶-心肌带均显著升高。心力衰竭(HF)是唯一与疾病严重程度和预后相关的CVD类型。心血管疾病患者的总死亡率为24.5%,年龄超过75岁、呼吸困难、入院时氧饱和度较低的患者死亡风险增加。结论:新冠肺炎合并cvd患者死亡率高,明确疾病进展相关因素具有重要价值。肥胖和高龄使心血管患者面临严重疾病和较差预后的风险。入院时的呼吸困难和缺氧,以及N/L比率,与疾病严重程度和预后相关,它们有可能被用作识别那些需要重症监护的合适预测指标。
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引用次数: 0
Decontamination of Salmonella Typhimurium and Listeria monocytogenes on Food-Related Surfaces by a Combination of Sodium Dodecyl Sulfate, Lactic Acid, or Citric Acid Under Different Temperatures 十二烷基硫酸钠、乳酸或柠檬酸在不同温度下对食品表面鼠伤寒沙门菌和单核增生李斯特菌的净化研究
Pub Date : 2022-12-29 DOI: 10.34172/ajcmi.2022.3416
S. Maktabi, Mehdi Pourmahdi Brojeni, Leila Elahinia
Background: Salmonella Typhimurium and Listeria monocytogenes are among the most important foodborne pathogens, and new methods to remove them from surfaces are useful. The aim of this study was to investigate the bactericidal effect of a combination of sodium dodecyl sulfate (SDS) and some food matrix-related factors such as temperature, salinity, acidity, and exposure time on L. monocytogenes and S. Typhimurium in suspension and on different food industry related surfaces. Methods: The bacterial strains were treated with different concentrations of SDS, citric acid, lactic acid, and NaCl at different temperatures at various times. At least one concentration was selected that caused one or less log reduction in the viability of each bacterium, and the combination treatments were examined in this regard. The best combination was then selected, and its bactericidal effect on the bacteria tested was evaluated on ceramic, stainless steel, and plastic surfaces. Results: The results showed that the sensitivity of the bacteria studied to different disinfectants was different. L. monocytogenes was highly sensitive to SDS, while S. Typhimurium was relatively resistant to SDS. Both bacteria were more sensitive to lactic acid than to citric acid, and the bactericidal effects of the disinfectants were enhanced in the combined treatments at 45º C compared to 35º C treatments. The addition of NaCl to the SDS solution resulted in a strong reduction in the bactericidal effect of SDS. The selected disinfectant removed bacterial biofilms from stainless steel surfaces in a shorter time than ceramic and plastic surfaces. Conclusion: The preparation of combined solutions using SDS and an organic acid at an appropriate concentration and temperature could be useful for removing or reducing bacterial biofilms. Therefore, the combination of SDS and the lactic acid at 45° C can effectively remove pathogenic bacteria from various surfaces.
背景:鼠伤寒沙门氏菌和单核增生李斯特菌是最重要的食源性致病菌,将它们从表面清除的新方法是有用的。摘要本研究旨在探讨十二烷基硫酸钠(SDS)与食品基质相关因素如温度、盐度、酸度、暴露时间等共同作用对悬浮液中单核增生乳杆菌和鼠伤寒沙门氏菌的杀菌效果以及对不同食品工业相关表面的杀菌效果。方法:采用不同温度、不同时间、不同浓度的SDS、柠檬酸、乳酸和NaCl处理菌株。选择至少一种浓度,使每个细菌的活力降低一个或更少的对数,并在这方面检查联合处理。然后选择最佳组合,并在陶瓷、不锈钢和塑料表面上评估其对被测细菌的杀菌效果。结果:所研究的细菌对不同消毒剂的敏感性不同。单增乳杆菌对SDS高度敏感,鼠伤寒沙门氏菌对SDS相对耐药。两种细菌对乳酸的敏感性均高于对柠檬酸的敏感性,且45℃联合处理的杀菌剂杀菌效果优于35℃联合处理。在SDS溶液中加入NaCl后,SDS的杀菌效果明显降低。所选消毒剂去除不锈钢表面的细菌生物膜的时间比陶瓷和塑料表面短。结论:SDS与有机酸在合适的浓度和温度下制备复合溶液,可有效去除或还原细菌生物膜。因此,SDS与乳酸在45℃下结合,可有效去除各种表面的致病菌。
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引用次数: 0
Epidemiology and Antibiogram of Clinical Staphylococcus aureus Isolates from Tertiary Care Hospitals in Dhaka, Bangladesh 孟加拉国达卡三级医院临床分离金黄色葡萄球菌的流行病学和抗生素谱
Pub Date : 2022-12-29 DOI: 10.34172/ajcmi.2022.3391
F. Alam, T. Tasnim, Sonia Afroz, A. Alam, Nabila Afroze, Aysha Khatun, Sanjida Khondakar Setu, A. Saleh
Background: This study aimed to investigate the epidemiology and antibiogram of clinical Staphylococcus aureus isolates from three tertiary care hospitals in Dhaka , Bangladesh. Methods: A total of 185 clinical S. aureus isolates were studied from March 2016 to February 2017 and identified by standard microbiological methods and an antibiogram was determined by disc diffusion method. A duplex polymerase chain reaction (PCR) assay was performed on all isolates to detect femA and mecA genes of S. aureus. Results: Among the 185 isolates, all (100%) were positive for the femA gene, 76 (41.1%) were methicillinresistant S. aureus (MRSA), and 109 (58.9%) were methicillin-susceptible S. aureus (MSSA). The highest and the lowest frequency of both MRSA were isolated from pus and urine specimens, respectively. All 185 S. aureus were 100% sensitive to both vancomycin and linezolid and were highly sensitive towards rifampicin (94%), meropenem (87%), gentamicin (85.4%), and cotrimoxazole (82.2%), whereas the highest resistance was against penicillin G (94.6%) followed by amoxicillin/clavulanic acid (82.7%), azithromycin (72.4%), amoxicillin (66.5%), and ciprofloxacin (63.2%). After vancomycin and linezolid, MRSA showed good susceptibility to rifampicin, cotrimoxazole, and gentamicin, while MSSA exhibited high sensitivity toward rifampicin, gentamicin, cefoxitin, meropenem, cloxacillin, ceftriaxone, and cotrimoxazole. Furthermore, MRSA was significantly more resistant to antibiotics than MSSA (P value<0.05), and the majority of S. aureus (81.1%), MRSA (97.4%), and MSSA (69.7%) were multidrug-resistant (MDR). Conclusion: Our findings can guide physicians to provide effective antibiotic therapy, implement monitoring and control strategies to reduce antimicrobial resistance, and prevent the dissemination of MRSA and MDR in the environment.
背景:本研究旨在调查孟加拉国达卡三所三级医院临床分离的金黄色葡萄球菌的流行病学和抗生素谱。方法:对2016年3月至2017年2月临床分离的185株金黄色葡萄球菌进行研究,采用标准微生物学方法进行鉴定,采用圆盘扩散法测定抗菌谱。采用双链聚合酶链反应(PCR)检测金黄色葡萄球菌的femA和mecA基因。结果:185株菌株中femA基因全部阳性(100%),耐甲氧西林金黄色葡萄球菌(MRSA) 76株(41.1%),耐甲氧西林金黄色葡萄球菌(MSSA) 109株(58.9%)。脓和尿标本中分别分离出最高和最低的MRSA。185株金黄色葡萄球菌对万古霉素和利奈唑胺均100%敏感,对利福平(94%)、美罗培南(87%)、庆大霉素(85.4%)、复方新诺明(82.2%)高度敏感,对青霉素G最高(94.6%),其次是阿莫西林/克拉维酸(82.7%)、阿奇霉素(72.4%)、阿莫西林(66.5%)、环丙沙星(63.2%)。继万古霉素、利奈唑胺之后,MRSA对利福平、复方新诺明、庆大霉素的敏感性较高,而MSSA对利福平、庆大霉素、头孢西丁、美罗培南、氯西林、头孢曲松、复方新诺明的敏感性较高。此外,MRSA对抗生素的耐药性明显高于MSSA (P值<0.05),金黄色葡萄球菌(81.1%)、MRSA(97.4%)和MSSA(69.7%)以多药耐药(MDR)为主。结论:本研究结果可以指导医生提供有效的抗生素治疗,实施监测和控制策略,减少抗生素耐药性,防止MRSA和MDR在环境中的传播。
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引用次数: 0
The Use of Ceftriaxone in Academic Emergency Departments: Evidence-Based Utilization or Overuse 头孢曲松在学术急诊科的使用:循证使用或过度使用
Pub Date : 2022-12-29 DOI: 10.34172/ajcmi.2022.3427
M. Rezai, Hasan Safehian, P. Hafezimoghadam, H. Amiri, A. Javan
Background: Nowadays, ceftriaxone is being used widely and its use is less compatible with the current guidelines. The aim of this study was to determine the appropriate use of ceftriaxone. The results may help to find a way to prevent its inappropriate use in the emergency department (ED). Methods: In this observational-analytical study, the patients who were referred to EDs of two teaching hospitals from September 23, 2019, to March 19, 2020, and treated with ceftriaxone were analyzed. The appropriate use of ceftriaxone was determined based on the latest evidence-based literature. Results: Ceftriaxone had been prescribed properly in 156 patients (38.4%; 95% CI, 33.5-42.9%) and its use did not meet logical criteria in the remaining 250 patients (69.6%; 95% CI, 57.1-66.5%). The appropriate use of ceftriaxone was independently related to goal-directed use, level I triage, urinalysis (U/A) indicating urinary tract infection (UTI), and chest radiographic evidence of pneumonia. Conclusion: Our study revealed the inappropriate use of ceftriaxone in teaching medical centers; therefore, further education seems to be necessary in this field.
背景:目前头孢曲松被广泛使用,但其使用与现行指南的相容性较差。本研究的目的是确定头孢曲松的适当使用。研究结果可能有助于找到防止其在急诊科(ED)不当使用的方法。方法:对两所教学医院2019年9月23日至2020年3月19日转诊急诊科使用头孢曲松治疗的患者进行观察分析。根据最新循证文献确定头孢曲松的合理使用。结果:156例患者正确使用头孢曲松,占38.4%;95% CI, 33.5-42.9%),其余250例患者(69.6%;95% ci, 57.1-66.5%)。头孢曲松的适当使用与目标导向的使用、I级分诊、尿路感染(UTI)的尿液分析(U/A)和肺炎的胸片证据独立相关。结论:本研究揭示了头孢曲松在教学医疗中心的不当使用;因此,在这一领域进一步的教育似乎是必要的。
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引用次数: 0
Epidemiology and Risk Factors Associated with Zoonotic Ectoparasite Infestation Among Human and Small Ruminants in Sanandaj, West Iran 伊朗西部Sanandaj地区人类和小反刍动物人畜共患外寄生虫感染的流行病学和相关危险因素
Pub Date : 2022-12-29 DOI: 10.34172/ajcmi.2022.3426
Z. Sadeghi Dehkordi, Ali Akbar Mahmoudi, Ali Saeghinasab, Gamal Gharekhani
Background: Ectoparasites in domestic animals (sheep and goats) play important roles in transmitting the widest range of pathogens and can induce considerable economic losses in the animal husbandry industry. This study was undertaken to evaluate the prevalence and species’ variation of ectoparasites in the sheep and goats and its risk factors in Sanandaj, Kurdistan province, western Iran. Methods: The ectoparasites of 4576 animals; that is, 1954 sheep (416+1538) and 2622 goats (1084+1538) were collected in the abattoir and different rural regions (N=32) of Sanandaj. Determination of ectoparasites was done using a stereomicroscope according to the identification keys. Results: Results indicated that 925 sheep (47.33%) and 811 goats (30.93%) were infested with ectoparasites. There was a significant difference between the prevalence and sex in sheep aged less than one-year old (P≤0.05). Moreover, the highest and lowest prevalence of ixodid tick infestations was observed for Boophilus spp. (35.36%) and Rhipicephalus spp. (3.06%), respectively. In addition, the highest body infestation to be detected was on the ears (24.82%) of Rhipicephalus (P≤0.05) with 2.13 ticks in each animal. The frequency of tick infestation was remarkably higher in spring (33.82%) than in other seasons. Furthermore, 143/416 (34.37%) and 109/416 (26.2%) sheep as well as 113/1084 (10.42%) and 87/1084(0.86%) goats were infested with Ctenocephalides canis and Pulex irritans, respectively. Myiasis resulting from Przhevalskiana fly larvae was merely observed in the goat population at the abattoir. Haematopinus spp, Linognathus spp., and Damalinia were detected, and the prevalence of lice infestation was significantly higher in the goats 831/1538 (54.03%) rather than in the sheep 20/1538 (1.3%). Conclusion: This is the first report on ectoparasites fauna in the sheep and goats in Sanandaj, western Iran. Furthermore, it was confirmed that various ticks can not only transmit pathogens to humans but also induce tick-borne disease in animals in the region.
背景:家畜(绵羊和山羊)的体外寄生虫在传播范围最广的病原体方面发挥着重要作用,可给畜牧业造成相当大的经济损失。本研究旨在评估伊朗西部库尔德斯坦省萨南达季地区绵羊和山羊体表寄生虫的流行情况、种类变异及其危险因素。方法:对4576只动物进行体外寄生虫检测;在Sanandaj屠宰场和不同农村地区(N=32)共采集绵羊1954只(416+1538只),山羊2622只(1084+1538只)。采用体视显微镜根据鉴定键测定体外寄生虫。结果:共有925只绵羊(47.33%)和811只山羊(30.93%)染有体外寄生虫。1岁以下绵羊的患病率和性别差异有统计学意义(P≤0.05)。其中,伊蚊感染率最高的是乳蜱(35.36%),最低的是鼻头蜱(3.06%)。蜱体侵害率最高的部位为耳部(24.82%)(P≤0.05),每头蜱2.13只。蜱虫侵害频率以春季(33.82%)显著高于其他季节。143/416羊(34.37%)、109/416羊(26.2%)、113/1084羊(10.42%)、87/1084羊(0.86%)分别被犬头螨和刺足螨感染。由普氏蝇幼虫引起的蝇蛆病仅在屠宰场的山羊种群中观察到。其中山羊831/1538的染虱率(54.03%)显著高于绵羊20/1538的染虱率(1.3%)。结论:本文首次报道了伊朗西部Sanandaj地区绵羊和山羊的体外寄生虫区系。此外,还证实了该地区各种蜱不仅可以向人类传播病原体,还可以在动物中诱发蜱传疾病。
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引用次数: 0
Molecular Characterization and Antibiotic Resistance Profile of Methicillin-Resistant Staphylococcus aureus (MRSA) Strains Isolated From Milk Samples of Apparently Healthy Cattle in Hamedan, Iran 伊朗Hamedan表面健康牛乳中耐甲氧西林金黄色葡萄球菌(MRSA)分离株的分子特征和耐药性分析
Pub Date : 2022-12-08 DOI: 10.34172/ajcmi.2022.3395
H. Ghaderi, A. Mohammadzadeh, Mohamadreza Pajohi-alamoti, A. Sadeghi-Nasab, P. Mahmoodi, A. Goudarztalejerdi
Background: Staphylococcus aureus, as a major food-borne pathogen, is the most commonly isolated bacterium from bovine mastitis. However, some S. aureus strains exhibit a high rate of antibiotic resistance, among which, methicillin-resistant S. aureus (MRSA) is very important. The present study was conducted to isolate, characterize, and determine the antibiotic resistance profile of MRSA strains in milk. Methods: Staphylococcus aureus strains were isolated and identified from 415 milk samples collected from apparently healthy cattle in Hamedan province, Iran. Molecular characteristics of the strains were identified using multiplex polymerase chain reaction (PCR) and the antibiotic resistance profile of the isolates was determined by Kirby-Bauer disk diffusion susceptibility test. Results: A total of 76 S. aureus strains were isolated and identified. The PCR results indicated that 50 (65.78%) isolates possessed mecA gene and were found to be MRSA strains. Twelve isolates (15.78%) showed phenotypic resistance to oxacillin in disk diffusion method. All 76 S. aureus isolates (100%) were resistant to penicillin and susceptible to ciprofloxacin and gentamicin. Conclusion: The results of the present study indicated that bovine milk may contain MRSA strains and this is worrying as these isolates may transfer multi-drug resistance to the isolates that circulate among humans, animals, and food chains.
背景:金黄色葡萄球菌是一种主要的食源性病原体,是牛乳腺炎中最常见的分离细菌。然而,一些金黄色葡萄球菌菌株表现出很高的抗生素耐药率,其中耐甲氧西林金黄色葡萄球菌(MRSA)非常重要。本研究旨在分离、表征和确定牛奶中MRSA菌株的抗生素耐药性。方法:从伊朗哈马丹省415例奶牛乳样品中分离鉴定金黄色葡萄球菌菌株。采用多重聚合酶链反应(PCR)鉴定菌株的分子特征,采用Kirby-Bauer盘片扩散药敏试验测定菌株的耐药谱。结果:共分离鉴定出76株金黄色葡萄球菌。PCR结果显示,50株(65.78%)具有mecA基因,为MRSA菌株。经盘片扩散法鉴定,12株(15.78%)对苯唑西林表现出表型抗性。76株金黄色葡萄球菌(100%)均对青霉素耐药,对环丙沙星和庆大霉素敏感。结论:本研究结果表明,牛乳可能含有MRSA菌株,这是令人担忧的,因为这些分离株可能会将多重耐药性转移到在人类,动物和食物链中传播的分离株。
{"title":"Molecular Characterization and Antibiotic Resistance Profile of Methicillin-Resistant Staphylococcus aureus (MRSA) Strains Isolated From Milk Samples of Apparently Healthy Cattle in Hamedan, Iran","authors":"H. Ghaderi, A. Mohammadzadeh, Mohamadreza Pajohi-alamoti, A. Sadeghi-Nasab, P. Mahmoodi, A. Goudarztalejerdi","doi":"10.34172/ajcmi.2022.3395","DOIUrl":"https://doi.org/10.34172/ajcmi.2022.3395","url":null,"abstract":"Background: Staphylococcus aureus, as a major food-borne pathogen, is the most commonly isolated bacterium from bovine mastitis. However, some S. aureus strains exhibit a high rate of antibiotic resistance, among which, methicillin-resistant S. aureus (MRSA) is very important. The present study was conducted to isolate, characterize, and determine the antibiotic resistance profile of MRSA strains in milk. Methods: Staphylococcus aureus strains were isolated and identified from 415 milk samples collected from apparently healthy cattle in Hamedan province, Iran. Molecular characteristics of the strains were identified using multiplex polymerase chain reaction (PCR) and the antibiotic resistance profile of the isolates was determined by Kirby-Bauer disk diffusion susceptibility test. Results: A total of 76 S. aureus strains were isolated and identified. The PCR results indicated that 50 (65.78%) isolates possessed mecA gene and were found to be MRSA strains. Twelve isolates (15.78%) showed phenotypic resistance to oxacillin in disk diffusion method. All 76 S. aureus isolates (100%) were resistant to penicillin and susceptible to ciprofloxacin and gentamicin. Conclusion: The results of the present study indicated that bovine milk may contain MRSA strains and this is worrying as these isolates may transfer multi-drug resistance to the isolates that circulate among humans, animals, and food chains.","PeriodicalId":8689,"journal":{"name":"Avicenna Journal of Clinical Microbiology and Infection","volume":"110 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76114945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Eco-Friendly Synthesis, Characterization, and Antimicrobial Study of Chitosan/Bi (OH)3 Nanocomposites 壳聚糖/Bi (OH)3纳米复合材料的环保合成、表征及抗菌研究
Pub Date : 2022-10-27 DOI: 10.34172/ajcmi.2022.3413
F. Mehrabi, M. Moshafi, Sina Bahraminejad, M. Ranjbar
Background: Nowadays, antimicrobial resistance is one of the most important concerns caused by the extensive use of antibiotics. Efforts to find new materials with antimicrobial effects have been continued more seriously than before. Nanoparticles (NPs) with very small dimensions and extraordinary properties have the potential to overcome antimicrobial resistance, so the use of previous antimicrobial substances at the nanometer dimensions to investigate physicochemical and antimicrobial effects could help overcome these universal concerns. Methods: In this study, NPs were synthesized by hydrothermal-assisted microwave technique. Scanning electron microscopy (SEM), dynamic light scattering (DLS), and atomic force microscopy (AFM) were carried out to investigate the physicochemical properties. Further, energy dispersive spectroscopy and Fourier-transform infrared spectroscopy analyses were carried out to analyze the chemical composition of nanocomposites. Then, their minimum inhibitory concentration was measured on seven bacterial isolates. Results: The majority of NPs were in the range of 40-100 nanometers which is the well-optimized size for our purpose. Antimicrobial analysis revealed the effect of synthesized nanocomposites on every seven microbial isolates, including three gram-positive isolates (i.e., Staphylococcus aureus, Micrococcus luteus, Bacillus subtilis) and four gram-negative isolates (i.e., Serratia marcescens, Escherichia coli, Pseudomonas aeruginosa, Klebsiella pneumoniae). Conclusion: Synthesized nanocomposite revealed a good antimicrobial effect on all bacterial isolates. It is suggested to investigate the cellular toxicity of synthesized nanocomposite in the next studies.
背景:目前,抗菌素耐药性是抗生素广泛使用引起的最重要问题之一。寻找具有抗菌作用的新材料的努力比以前更加认真。纳米颗粒(NPs)具有非常小的尺寸和非凡的性能,具有克服抗菌素耐药性的潜力,因此使用以前的抗微生物物质在纳米尺度上研究物理化学和抗菌作用可能有助于克服这些普遍关注的问题。方法:采用水热辅助微波技术合成NPs。采用扫描电镜(SEM)、动态光散射(DLS)和原子力显微镜(AFM)对其理化性质进行了研究。利用能量色散光谱和傅里叶变换红外光谱分析了纳米复合材料的化学成分。然后,他们的最低抑菌浓度测量了七个细菌分离。结果:大部分NPs的粒径在40 ~ 100纳米之间,是我们研究的最佳粒径。抗菌分析显示合成的纳米复合材料对每7株微生物分离株的影响,包括3株革兰氏阳性分离株(即金黄色葡萄球菌、黄体微球菌、枯草芽孢杆菌)和4株革兰氏阴性分离株(即粘质沙雷菌、大肠杆菌、铜绿假单胞菌、肺炎克雷伯菌)。结论:合成的纳米复合材料对各菌株均有良好的抑菌效果。建议下一步研究合成的纳米复合材料的细胞毒性。
{"title":"Eco-Friendly Synthesis, Characterization, and Antimicrobial Study of Chitosan/Bi (OH)3 Nanocomposites","authors":"F. Mehrabi, M. Moshafi, Sina Bahraminejad, M. Ranjbar","doi":"10.34172/ajcmi.2022.3413","DOIUrl":"https://doi.org/10.34172/ajcmi.2022.3413","url":null,"abstract":"Background: Nowadays, antimicrobial resistance is one of the most important concerns caused by the extensive use of antibiotics. Efforts to find new materials with antimicrobial effects have been continued more seriously than before. Nanoparticles (NPs) with very small dimensions and extraordinary properties have the potential to overcome antimicrobial resistance, so the use of previous antimicrobial substances at the nanometer dimensions to investigate physicochemical and antimicrobial effects could help overcome these universal concerns. Methods: In this study, NPs were synthesized by hydrothermal-assisted microwave technique. Scanning electron microscopy (SEM), dynamic light scattering (DLS), and atomic force microscopy (AFM) were carried out to investigate the physicochemical properties. Further, energy dispersive spectroscopy and Fourier-transform infrared spectroscopy analyses were carried out to analyze the chemical composition of nanocomposites. Then, their minimum inhibitory concentration was measured on seven bacterial isolates. Results: The majority of NPs were in the range of 40-100 nanometers which is the well-optimized size for our purpose. Antimicrobial analysis revealed the effect of synthesized nanocomposites on every seven microbial isolates, including three gram-positive isolates (i.e., Staphylococcus aureus, Micrococcus luteus, Bacillus subtilis) and four gram-negative isolates (i.e., Serratia marcescens, Escherichia coli, Pseudomonas aeruginosa, Klebsiella pneumoniae). Conclusion: Synthesized nanocomposite revealed a good antimicrobial effect on all bacterial isolates. It is suggested to investigate the cellular toxicity of synthesized nanocomposite in the next studies.","PeriodicalId":8689,"journal":{"name":"Avicenna Journal of Clinical Microbiology and Infection","volume":"34 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76420058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Prevalence and Molecular Mapping of Multidrug-resistant Mycobacterium tuberculosis in Sokoto, North-Western Nigeria 尼日利亚西北部索科托耐多药结核分枝杆菌的流行和分子定位
Pub Date : 2022-09-29 DOI: 10.34172/ajcmi.2022.3390
S. Hudu, A. Jimoh, Y. Mohammed
Background: The emergence of multidrug-resistant tuberculosis tuberculosis (MDR-TB) poses a significant danger to Nigeria’s TB control efforts. Nigeria records 570000 new TB cases each year, and it is one of the world’s greatest TB-burden countries as well as one of the top ten countries with MDR-TB. This study aimed to determine the MDR prevalence, phylogenetic analysis, and molecular mapping as well as the link between MDR prevalence and demographic data. Methods: The study comprised 100 TB patients recruited consecutively. The proportion method on Lowenstein-Jensen (LJ) medium was used for drug susceptibility testing. Conventional polymerase chain reaction (PCR) was used, and the rrs genes were amplified and sequenced. Multiple sequence alignment techniques were used to compare the PCR product sequences to reference sequences retrieved from GenBank. Results: Rifampicin (RIF) resistance was found in 29% (22.75), ethambutol resistance was found in 20% (15.75), and isoniazid (INH) resistance was found in 28% (21.75). Further, RIF and INH resistance were found in 20% (15.75) of the samples. At nucleotide position 892, four isolates (31%) contained a G-A transition, and the most prevalent mutation found in the rrs gene was S531L (80%, 12.15). The phylogenetic analysis indicated that three of the Sokoto isolates are closely linked to reference isolates from Iran, Germany, China, and Sudan in terms of geographical relatedness. Conclusions: The obtained data revealed that acquired resistance is a major factor in the establishment of MDR-TB in Sokoto, which could be owing to poor adherence to medication or poor treatment of TB patients.
背景:耐多药结核病(MDR-TB)的出现对尼日利亚的结核病控制工作构成重大威胁。尼日利亚每年记录57万新发结核病病例,它是世界上结核病负担最重的国家之一,也是耐多药结核病十大国家之一。本研究旨在确定耐多药患病率、系统发育分析、分子定位以及耐多药患病率与人口统计学数据之间的联系。方法:连续招募100例结核病患者。采用Lowenstein-Jensen (LJ)培养基比例法进行药敏试验。采用常规聚合酶链反应(PCR),扩增rrs基因并测序。采用多种序列比对技术将PCR产物序列与GenBank检索的参考序列进行比对。结果:利福平(RIF)耐药占29%(22.75),乙胺丁醇耐药占20%(15.75),异烟肼(INH)耐药占28%(21.75)。20%(15.75%)的样本对RIF和INH耐药。在892核苷酸位置,4株(31%)含有G-A转位,rrs基因中最常见的突变为S531L(80%, 12.15)。系统发育分析表明,其中3个Sokoto分离株在地理亲缘性方面与来自伊朗、德国、中国和苏丹的参考分离株密切相关。结论:获得的数据显示,获得性耐药是索科托建立耐多药结核病的一个主要因素,这可能是由于结核病患者服药依从性差或治疗不良所致。
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引用次数: 0
Evaluation of Anti-leishmanial Effect of Selenium Nanoparticles on Leishmania major Promastigotes In Vitro 纳米硒对利什曼原虫原鞭毛菌体外抗利什曼原虫作用的评价
Pub Date : 2022-09-29 DOI: 10.34172/ajcmi.2022.3393
R. Norouzi, F. Mirzaei, Abolghasem Siadatpanah, Seyed Jafar Adnani Sadati
Background: Cutaneous leishmaniasis (CL) remains a major health threatening disease in Iran and many countries around the world. Antimony compounds are currently used to treat CL. Due to the side effects and high resistance, the use of alternative therapies, especially the use of nanoparticles, has been considered by researchers. The aim of this study was to investigate the anti-leishmanial activity of selenium nanoparticles (SeNPs) on Leishmania major in vitro. Methods: In this experimental study, the anti-leishmanial activity of the SeNPs was evaluated at concentrations of 1.25, 2.5, 5, 10, 25, 50, and 100 µg/mL at exposure times of 24, 48, and 72 hours on 106 live parasites. Then, the number of live parasites was counted by trypan blue using a neobar slide and light microscope (Hemocytometer method). Glucantime and distilled water were considered positive and negative controls, respectively. Then, 50% inhibitory concentration (IC50) values were calculated by SigmaPlot™ 13 software. All reactions were performed in triplicate, and the results were considered as average. Results: The results of this study revealed that all concentrations of SeNPs have anti-leishmanial activity. The concentration of 100 µg/mL of SeNPs had the highest anti-leishmanial effect (100%) after 72 hours of exposure. Further, the IC50 content of SeNPs on L. major after 24, 48, and 72 hours was calculated to be 42.76, 34.53, and 22.69 µg/mL, respectively. Conclusions: The results indicated that SeNPs in different concentrations has an inhibitory effect on the growth of L. major. However, further investigations are required to determine the efficacy of SeNPs in vivo.
背景:皮肤利什曼病(CL)仍然是伊朗和世界上许多国家的主要健康威胁疾病。锑化合物目前用于治疗CL。由于其副作用和高耐药性,研究人员一直在考虑使用替代疗法,特别是纳米颗粒的使用。本研究的目的是研究硒纳米颗粒(SeNPs)体外抗利什曼原虫的活性。方法:在实验研究中,以浓度为1.25、2.5、5、10、25、50和100µg/mL的SeNPs分别暴露于106只活寄生虫24、48和72小时,评估其抗利什曼原虫活性。然后用新条形载玻片和光镜(血细胞计法)进行台盼蓝染色计数。葡聚糖和蒸馏水分别作为阳性对照和阴性对照。然后,通过SigmaPlot™13软件计算50%抑制浓度(IC50)值。所有反应均为三次,结果均为平均。结果:本研究结果显示,所有浓度的SeNPs均具有抗利什曼原虫活性。暴露72小时后,浓度为100µg/mL的SeNPs抗利什曼原虫的效果最高(100%)。结果表明,在24、48和72 h后,大叶参多糖的IC50含量分别为42.76、34.53和22.69µg/mL。结论:不同浓度的SeNPs对L. major的生长有抑制作用。然而,需要进一步的研究来确定SeNPs在体内的功效。
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引用次数: 0
The Microbiome and the Future of Anesthesia 微生物组和麻醉的未来
Pub Date : 2022-09-29 DOI: 10.34172/ajcmi.2022.3406
Colton M Zeitler, Thomas Varkey, Zachary I. Merhavy
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引用次数: 0
期刊
Avicenna Journal of Clinical Microbiology and Infection
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