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Investigating the Inhibitory Effect of Probiotic Lactobacillus Species Isolated From Dairy Products 乳制品中分离的益生菌乳酸菌的抑菌作用研究
Pub Date : 2022-09-29 DOI: 10.34172/ajcmi.2022.3337
A. Rahi, M. Marhamatizadeh
Background: Lactobacilli are among the most important known probiotic species, and efforts are underway to isolate them from various sources. The beneficial effect of probiotics on health is the main reason for their wide use in dairy products, including yogurt. This research was conducted to isolate and identify Lactobacillus species present in traditional Iranian yogurt. Methods: Thirty samples of traditional yogurt were collected from different regions of the Gachsaran district south of Iran. Bacterial isolations were performed according to the standard international protocols. Following successive culturing on selective media, obtaining typical colonies, and conducting microscopic examinations, five isolates were selected and analyzed for anti-microbial activities against three bacteria and two pathogenic fungi. To confirm biochemical results, three bacterial isolates were selected for molecular analysis and identified by 16S rRNA sequencing. Results: Lactobacillus paracasei JCM1171 with 1384 nucleotides and Lactobacillus plantarum subsp. Plantarum.A1 with 1380 nucleotides were isolated based on investigations. The most anti-microbial activities were related to strain A, and the least effects belonged to strain X3. Moreover, among the applied pathogenic microorganisms, Staphylococcus aureus and the fungus, Aspergillus niger had the highest sensitivity. Conclusion: Probiotic bacteria have highly beneficial effects on the host, and their mechanism of action is through functions such as the production of bioactive compounds. In addition to dairy products, this bacterium has the potential to be isolated from non-dairy products and even plant products, and this issue can be an idea to isolate this bacterium from other sources and even identify new species with probiotic potential.
背景:乳酸杆菌是已知最重要的益生菌物种之一,人们正在努力从各种来源分离它们。益生菌对健康的有益作用是其在乳制品(包括酸奶)中广泛使用的主要原因。本研究旨在分离和鉴定传统伊朗酸奶中存在的乳杆菌种类。方法:从伊朗南部Gachsaran地区的不同地区收集了30份传统酸奶样品。按照国际标准规程进行细菌分离。在选择培养基上连续培养,获得典型菌落,并进行显微镜检查,筛选出5株分离株,分析其对3种细菌和2种致病真菌的抑菌活性。为确认生化结果,选取3株分离菌进行分子分析,并进行16S rRNA测序鉴定。结果:含有1384个核苷酸的副干酪乳杆菌JCM1171和植物乳杆菌亚种;杆菌。经调查,分离出含有1380个核苷酸的A1。菌株A的抑菌活性最高,菌株X3的抑菌活性最低。应用病原菌中,金黄色葡萄球菌和真菌对黑曲霉的敏感性最高。结论:益生菌对宿主具有高度的有益作用,其作用机制可能是通过产生生物活性物质等功能。除了乳制品,这种细菌也有可能从非乳制品甚至植物产品中分离出来,这个问题可以从其他来源分离这种细菌,甚至鉴定出具有益生菌潜力的新物种。
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引用次数: 0
Royal Jelly Feeding as a Main Inducer of Bcl-2-associated X Protein in the Peripheral Blood Immune Cells of Patients With Chronic Hepatitis B 饲喂蜂王浆作为慢性乙型肝炎患者外周血免疫细胞bcl -2相关X蛋白的主要诱导剂
Pub Date : 2022-09-29 DOI: 10.34172/ajcmi.2022.3399
Morteza Bahaaldin-Beygi, A. Kariminik, M. Arababadi
Aim: Chemokines, cytokines, and their related molecules play crucial roles in the fight against the hepatitis B virus (HBV) and its related complications. Royal jelly (RJ) is considered an immunomodulatory factor for humans. This clinical trial study aimed to explore the RJ effects on the relative expression of CCL2, CCL3, CCL8, IFN-β, NANOG, OCT4, BAX, and MAVS in chronic hepatitis B (CHB) patients. Methods: The CHB patients were under one month of RJ treatment, 1 g/d. The relative expressions of CCL2, CCL3, CCL8, IFN-β, NANOG, OCT4, BAX, and MAVS were evaluated using the real-time polymerase chain reaction (PCR) technique. Results: RJ feeding significantly increased the expression of BAX in the peripheral blood immune cells of CHB patients. However, relative expressions of CCL2, CCL3, CCL8, IFN-β, NANOG, OCT4, and MAVS were not altered following RJ feeding. Conclusion: RJ can modulate immune responses via induction of homeostasis in the peripheral blood immune cells of CHB patients. Reduced inflammation following RJ feeding may be a result of homeostasis in the peripheral blood immune cells.
目的:趋化因子、细胞因子及其相关分子在对抗乙型肝炎病毒(HBV)及其相关并发症中发挥重要作用。蜂王浆(RJ)被认为是人类的免疫调节因子。本临床研究旨在探讨RJ对慢性乙型肝炎(CHB)患者CCL2、CCL3、CCL8、IFN-β、NANOG、OCT4、BAX和MAVS相对表达的影响。方法:慢性乙型肝炎患者给予RJ治疗1个月,1 g/d。采用实时聚合酶链反应(real-time polymerase chain reaction, PCR)技术检测CCL2、CCL3、CCL8、IFN-β、NANOG、OCT4、BAX、MAVS的相对表达。结果:RJ饲喂显著提高慢性乙型肝炎患者外周血免疫细胞BAX的表达。而饲喂RJ后,CCL2、CCL3、CCL8、IFN-β、NANOG、OCT4和MAVS的相对表达量没有变化。结论:RJ可通过诱导慢性乙型肝炎患者外周血免疫细胞稳态来调节免疫应答。RJ喂养后炎症减轻可能是外周血免疫细胞稳态的结果。
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引用次数: 0
Viral Gastroenteritis Prevalence in Iranian Pediatric Population: A Systematic Review 伊朗儿童病毒性肠胃炎患病率:系统综述
Pub Date : 2022-09-29 DOI: 10.34172/ajcmi.2022.3389
Nooshin Mojahed, Mohammad Ali Mohammadkhani, M. Pourasgari, Golnosh Gol-Jah Rad, A. Mohamadkhani
Background: Viral gastroenteritis infection, a prevalent condition in adolescents and children, is still a rigid and serious problem among humans. This disease is responsible for up to three million fatalities nationwide. noroviruses, rotaviruses, astroviruses, adenoviruses, and sapoviruses are the most common and well-known pathogens associated with viral gastroenteritis agents. In this systematic review, we extracted all original articles and data on viral gastroenteritis that were performed on the Iranian pediatric population. Methods: To investigate the viral agent pathogens of gastroenteritis in Iran, 48 articles on the identification of viral gastroenteritis were gathered from the existing data. Viral gastroenteritis was detected in fourteen provinces, including the southern and northern parts of Iran. The seasonal distribution in Iran was analyzed as well. Finally, all the data from 1978-2021, along with their detailed information, were summarized, including the number of patients, the number of positive cases, applied technics, and the region of the studied cases in Iran. Results: Based on the results, most of the viral detection was associated with Rotavirus, the major pathogen responsible for gastroenteritis disease, followed by Adenovirus, Norovirus, Parechovirus, Bocavirus, Astrovirus, Aichivirus, Sapovirus, and three case reports of SARS-CoV-2 that were associated with viral gastroenteritis. Conclusion: Different studies conducted over Iran, including the northern, southern, and central regions, were obtained based on the data. Most studies had been merely dedicated to rotavirus, which had the highest prevalence of all other viral gastroenteritis. Our review clearly demonstrated that Rotavirus genotype G1P [8] is the dominating sereotype among the other studied gastroenteritis viral agents in Iran in which the most frequency rate was during the winter (44.26%), while the least frequency rate was observed during summer (8.96%).
背景:病毒性肠胃炎感染是青少年和儿童的常见病,在人类中仍然是一个顽固和严重的问题。这种疾病在全国造成多达300万人死亡。诺如病毒、轮状病毒、星状病毒、腺病毒和腺病毒是最常见和众所周知的与病毒性胃肠炎相关的病原体。在这篇系统综述中,我们提取了所有在伊朗儿科人群中进行的关于病毒性胃肠炎的原始文章和数据。方法:对伊朗地区胃肠炎病毒病原进行调查,收集已有资料中有关病毒性胃肠炎鉴定的文章48篇。在包括伊朗南部和北部在内的14个省发现了病毒性肠胃炎。分析了伊朗的季节分布。最后,总结了1978-2021年的所有数据及其详细信息,包括伊朗的患者数量、阳性病例数量、应用技术和研究病例的地区。结果:结果显示,与胃肠炎相关的主要病原为轮状病毒,其次为腺病毒、诺如病毒、Parechovirus、bocavvirus、Astrovirus、Aichivirus、Sapovirus,与病毒性胃肠炎相关的SARS-CoV-2报告3例。结论:根据这些数据,对伊朗北部、南部和中部地区进行了不同的研究。大多数研究只针对轮状病毒,而轮状病毒在所有其他病毒性肠胃炎中发病率最高。我们的综述清楚地表明,轮状病毒基因型G1P[8]是伊朗其他肠胃炎病毒媒介的主要血清型,其中冬季发生率最高(44.26%),夏季发生率最低(8.96%)。
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引用次数: 1
Inhibitory Activity of Oliveria decumbens Essential Oil on Staphylococcus aureus Biofilm and Planktonic Cells 卧枕橄榄精油对金黄色葡萄球菌生物膜和浮游细胞的抑制作用
Pub Date : 2022-09-29 DOI: 10.34172/ajcmi.2022.3397
Mahshad Javid Moghadam, S. Maktabi, M. Zarei, Pezhman Mahmoodi Koohi
Background: Staphylococcus aureus is a pathogenic bacterium that forms biofilms on biotic and abiotic surfaces. Biofilm formation is important for researchers because it increases the risk of food contamination in the food industry, increases the pathogenicity of bacteria, and damages the equipment. The main purpose of this study was to find out the antimicrobial and antibiofilm properties of Oliveria decumbens essential oil (Od-EO) against Staphylococcus aureus. Methods: In this study, the antibacterial and anti-biofilm properties of Od-EO were tested against four strong biofilm producers. S. aureus isolates were obtained from food and humans. The antibacterial properties of Od-EO on planktonic S. aureus were investigated using the disk diffusion method; further, the minimum inhibitory concentration (MIC) and minimum bactericidal concentration (MBC) were determined. The microtiter plate (MTP) method and slime production evaluation were used to assess the inhibitory effect of Od-EO on S. aureus biofilm formation. Results: Od-EO indicated strong antimicrobial activity against planktonic S. aureus. After performing tests related to the anti-biofilm activity of Od-EO, it was found that Od-EO significantly reduced slime production and thus inhibited biofilm formation. Conclusions: Od-EO and its components can be used as a new anti-biofilm agent in medical, dental, and food industry equipment.
背景:金黄色葡萄球菌是一种在生物和非生物表面形成生物膜的致病菌。生物膜的形成对研究人员来说很重要,因为它增加了食品工业中食品污染的风险,增加了细菌的致病性,并损坏了设备。本研究的主要目的是研究腰弯橄榄精油对金黄色葡萄球菌的抑菌作用和抗菌膜作用。方法:本研究对Od-EO对4种强生膜菌的抑菌和抗生物膜性能进行了测试。金黄色葡萄球菌从食物和人体内分离得到。采用圆盘扩散法研究了Od-EO对浮游金黄色葡萄球菌的抑菌性能;进一步测定了最小抑菌浓度(MIC)和最小杀菌浓度(MBC)。采用微滴板法(MTP)和产泥评价法评价Od-EO对金黄色葡萄球菌生物膜形成的抑制作用。结果:Od-EO对浮游金黄色葡萄球菌具有较强的抑菌活性。在对Od-EO的抗生物膜活性进行了相关测试后,发现Od-EO显著减少了黏液的产生,从而抑制了生物膜的形成。结论:Od-EO及其组分可作为一种新型的抗生物膜剂应用于医疗、牙科、食品等工业设备中。
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引用次数: 0
MicroRNA155 May Be an Important Part of Human Papilloma Virus-Related Cancers MicroRNA155可能是人类乳头瘤病毒相关癌症的重要组成部分
Pub Date : 2022-06-29 DOI: 10.34172/ajcmi.2022.12
Banafsheh Douzandeh-Mobarrez, A. Kariminik, B. Kheirkhah
Background: Micro-RNAs (miRs) play several roles during infections with viruses. Therefore, the roles of miR21 and mir155 in the induction of the viral-related cancers have been the focus of attention in several studies. High risk human papilloma viruses (HPVs) are the main factors negatively contributing to the induction of HPV-related cancers. This study aimed to evaluate the expression of miR21 and mir155 in the patients with HPV-high risk genotypes in order to explore the roles of the miRs in the induction of HPV-related cancers. Methods: In this study, 40 women infected with the high-risk HPV genotypes as well as 40 healthy controls were examined regarding the relative expression of miR21 and mir155 by adopting real-time polymerase chain reaction (PCR) technique. U6 was used for data normalization of miRNAs. Results: Relative expressions of both miR21 and miR155 were significantly higher in the HPV-infected patients compared to those in non-infected women. Conclusions: It was concluded that miR21 and miR155 may have played key roles in the induction of HPV-related cancers among Iranian patients.
背景:微rna (miRs)在病毒感染过程中发挥着多种作用。因此,miR21和mir155在诱导病毒相关癌症中的作用一直是多项研究关注的焦点。高危人乳头瘤病毒(hpv)是诱发hpv相关癌症的主要不利因素。本研究旨在评估miR21和mir155在hpv高危基因型患者中的表达,以探讨miR21和mir155在hpv相关肿瘤诱导中的作用。方法:采用实时聚合酶链反应(real-time polymerase chain reaction, PCR)技术检测40例高危HPV基因型感染女性和40例健康对照者miR21和mir155的相对表达水平。使用U6对mirna进行数据归一化。结果:hpv感染患者中miR21和miR155的相对表达量明显高于未感染女性。结论:miR21和miR155可能在伊朗人hpv相关癌症的诱导中起关键作用。
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引用次数: 0
Elevated Levels of Anti-SARS-Cov2 IgG Antibody in Health Care Workers in Hospitals From Hamadan Province, Iran: A Prospective Study 伊朗哈马丹省医院医护人员抗sars - cov2 IgG抗体水平升高的前瞻性研究
Pub Date : 2022-06-29 DOI: 10.34172/ajcmi.2022.13
E. Jalili, S. Bashirian, M. Faryabi, Mina Noroozbeygi, Ebrahim Daneshyar, S. Ghelichkhani, S. Khazaei, G. Solgi
Aim: Seroprevalence among health care workers (HCWs) has been estimated in different studies in various regions and countries. This study aimed to screen the immunoglobulin M (IgM) and IgG seroprevalences and to assess the durability of IgG seropositivity, as well as the incidence of subsequent severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in a group of Iranian HCWs. Methods: This voluntary serological screening was prospectively performed on 800 HCWs (492 females and 308 males) in Hamadan between November 2020 and February 2021. Anti-SARS-CoV-2 IgG and IgM antibodies were assessed by the enzyme-linked immunosorbent assay method at two-time intervals. Results: Overall, 243 out of 800 (30.38%) and 66 (8.25%) cases were IgG and IgM seropositive at their first antibody assessment, respectively. The male staff had a higher seroprevalence than females (31.49% vs. 29.67% for IgG, P=0.59 and 10.39% vs. 6.91% for IgM, P=0.08). Higher prevalences for both antibodies were found in the age group of 30-39.9 years (P=0.12 and P=0.05, respectively). In the second antibody screening, 81 (56.6%) cases were IgG seropositive. The mean titer of the first IgG antibody assessment in seropositive cases was lower than that of the second titer (2.95±2.07 vs. 5.08±4.01 cut-off index (COI) , P=1.4×10-5 ). Moreover, the comparison of the first and second IgG titers among 81 seropositive cases demonstrated a significantly increased level of anti-SARS-CoV-2 antibody (5.08±4.01 vs. 3.49±2.41 COI, P=0.002). Conclusions: Our findings revealed that the mean level of the anti-SARS-CoV-2 IgG antibody was significantly increased in the seropositive individuals after 2 months of follow-up.
目的:在不同地区和国家的不同研究中估计了卫生保健工作者(HCWs)的血清患病率。本研究旨在筛选一组伊朗卫生保健工作者的免疫球蛋白M (IgM)和IgG血清患病率,评估IgG血清阳性的持久性,以及随后的严重急性呼吸综合征冠状病毒2 (SARS-CoV-2)感染的发生率。方法:在2020年11月至2021年2月期间,对哈马丹800名医护人员(492名女性和308名男性)进行前瞻性自愿血清学筛查。酶联免疫吸附法每隔2个时间间隔检测抗sars - cov -2 IgG和IgM抗体。结果:800例患者首次抗体检测IgG阳性243例(30.38%),IgM阳性66例(8.25%)。男性员工血清IgG阳性率为31.49%比29.67% (P=0.59), IgM阳性率为10.39%比6.91% (P=0.08)。两种抗体在30 ~ 39.9岁年龄组中均有较高的阳性率(P=0.12和P=0.05)。第二次抗体筛查IgG血清阳性81例(56.6%)。血清阳性患者第一次IgG抗体评估的平均滴度低于第二次滴度(2.95±2.07∶5.08±4.01 cut-off index, COI), P=1.4×10-5)。此外,81例血清阳性患者的第一、第二IgG滴度比较显示抗sars - cov -2抗体水平显著升高(5.08±4.01比3.49±2.41 COI, P=0.002)。结论:随访2个月后,血清阳性个体抗sars - cov -2 IgG抗体的平均水平明显升高。
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引用次数: 0
Determination of Helicobacter Pylori Infection Prevalence by Non-invasive Methods 无创法测定幽门螺杆菌感染率
Pub Date : 2022-06-29 DOI: 10.34172/ajcmi.2022.09
M. Gharavi, J. Zarei, Parisa Roshani Asl, Zahra Yazdanyar, Masoud Sharif, Niloufar Rashidi
Background: Helicobacter pylori (H. pylori) is identified as the most frequent agent of bacterial infections in humans which can cause various gastrointestinal diseases. This pathogen has infected approximately half of the world’s population, and its outbreak has varied across different regions. The purpose of this study was to estimate the H. pylori infection prevalence amongst patients in Fardis county, Alborz province, Iran, using noninvasive methods. Methods: A total of 5677 patients were analyzed from September 2020 to October 2021 to detect H. pylori by the use of enzyme-linked immunosorbent assay (ELISA) IgG, IgA, and IgM tests, stool antigen test (SAT), and urea breath test (UBT). Results: Of 5677 patients, 3486 (61.4%) were female and 2191 (38.6%) were male with the mean age of 38.82 ± 18.289 years old. The overall rate of H. pylori infection positive was 31.46%, and the serological tests were the most prescribed types of tests. The IgG test and then SAT detected the most positive cases. Further, the infection rate was significantly associated with age. Except for the case of IgM, which was higher in females compared to males, no significant difference was found between gender and bacteria outbreak. Conclusions: This study indicated a decline in H. pylori infection prevalence compared with the prior survey conducted at this center. However, its rate amongst the patients referring to Fardis laboratory is still high.
背景:幽门螺杆菌(Helicobacter pylori, H. pylori)被认为是人类最常见的细菌感染病原体,可引起各种胃肠道疾病。这种病原体感染了世界上大约一半的人口,其爆发在不同地区有所不同。本研究的目的是使用无创方法估计伊朗阿尔博尔兹省法尔迪斯县患者中幽门螺杆菌感染的患病率。方法:对2020年9月至2021年10月共5677例患者进行分析,采用酶联免疫吸附试验(ELISA)、IgG、IgA和IgM试验、粪便抗原试验(SAT)和尿素呼气试验(UBT)检测幽门螺杆菌。结果:5677例患者中,女性3486例(61.4%),男性2191例(38.6%),平均年龄38.82±18.289岁。幽门螺杆菌感染检出率为31.46%,血清学检查是最常用的检查类型。IgG检测和SAT检测阳性病例最多。此外,感染率与年龄显著相关。除了IgM在女性中高于男性外,性别和细菌爆发之间没有显著差异。结论:本研究表明,与该中心先前进行的调查相比,幽门螺杆菌感染率有所下降。然而,在转诊到法迪斯实验室的患者中,其发病率仍然很高。
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引用次数: 0
A Short Review of Forensic Microbiology 法医微生物学综述
Pub Date : 2022-06-29 DOI: 10.34172/ajcmi.2022.14
Fatemeh Yousefsaber, Z. Naseri, Amir Hossein Hasani
Background: Microbial forensics is a multidisciplinary area, which has been recently considered an effective tool in forensic investigations. This growing field of forensics covers a wide spectrum of different branches of science, including biology, chemistry, physics, geology, mathematics, and computer sciences, leading to a practical approach that can be applied in several areas such as bioterrorist actions, environmental issues, emerging and reemerging diseases, as well as reliable trace evidence at a crime scene. Methods: The information has been gathered via Google Scholar using several keywords, including forensic microbiology, bioterrorism, forensic investigation, and trace evidence. The data were from reliable articles and books published over 50 years. This paper is a short review of forensic microbiology with a bioinformatics perspective to use in different fields such as the court. Results: It is known that using either microorganisms or their toxins is a low-cost potential tool with serious morbidity and mortality rates that can spread all around the world by food or water supplies or even through the air, making them a perfect candidate bioweapon with minimum traceability. Studies have indicated that environmental conditions plus biological and abiotic factors would affect the following analysis and the final validation, which is an essential step in the forensic investigation due to its highly effective role in the court vote. To face different challenges, law enforcement has the infrastructure for attribution and deterrence (e.g., following the exact microbial forensics program) so that it can be used in court. Developing more reproducible, sensitive, and accurate methods, preparing a wide reliable database, and devoting the right amount of budget will help improve the whole forensic procedure in the legal system. Conclusions: The current paper is a short review of how forensic scientists can use microbial features on a crime scene to clarify and enhance the procedure to solve different criminal cases.
背景:微生物法医是一个多学科领域,最近被认为是法医调查的有效工具。这一不断发展的法医领域涵盖了广泛的不同科学分支,包括生物学、化学、物理学、地质学、数学和计算机科学,从而形成了一种实用的方法,可应用于生物恐怖主义行动、环境问题、新出现和再出现的疾病以及犯罪现场可靠的痕迹证据等多个领域。方法:使用法医学微生物学、生物恐怖主义、法医学调查、痕量证据等关键词,通过Google Scholar收集相关信息。这些数据来自50多年来出版的可靠文章和书籍。本文从生物信息学的角度对法医微生物学在法庭等不同领域的应用进行了简要的综述。结果:众所周知,使用微生物或其毒素是一种低成本的潜在工具,具有严重的发病率和死亡率,可通过食物或水供应甚至通过空气传播到世界各地,使其成为可追溯性最低的完美候选生物武器。研究表明,环境条件加上生物和非生物因素会影响后续的分析和最终的验证,这是法医调查中必不可少的一步,因为它在法庭投票中起着非常有效的作用。为了面对不同的挑战,执法部门拥有归因和威慑的基础设施(例如,遵循确切的微生物法医程序),以便在法庭上使用。开发更具可重复性、敏感性和准确性的方法,建立广泛可靠的数据库,并投入适当的预算,将有助于完善整个司法程序的法律体系。结论:本文简要回顾了法医科学家如何利用犯罪现场的微生物特征来澄清和加强解决不同刑事案件的程序。
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引用次数: 0
The Relationship Between Positive Cultures With Multidrug-Resistant Microorganisms and Mortality in a General Intensive Care Unit 多药耐药微生物阳性培养与普通重症监护病房死亡率的关系
Pub Date : 2022-06-29 DOI: 10.34172/ajcmi.2022.11
Bahareh Marghoob, Malihe Khosravi-Khezri
Aim: The patients in the intensive care unit (ICU) are more susceptible to healthcare-associated infections (HAI). Higher rates of nosocomial infections in ICU patients are associated with higher morbidity, mortality, and costs. The primary outcome of our study was to investigate the relationship between antibiotic resistance and mortality in ICU patients, and the secondary outcome was to evaluate the relationship between antibiotic resistance and the length of ICU or hospital stay. Methods: A 5-year observational retrospective study was conducted on patients in the ICU of Hasheminejad Kidney Center affiliated with Iran University of Medical Sciences, Tehran, Iran from January 1, 2015, to January 1, 2020. The data related to age, gender, admission type, comorbidities, length of ICU stay, length of hospital stay, infection source, microorganism type, and resistance pattern of all isolates and outcomes were collected based on the study purpose. Results: During the 5-year study, 2899 patients were admitted to the ICU, but only 747 patients were enrolled in the study, including 426 males (57%). The median age was 65 years (19-97 years). The mean length of ICU stay was greater in culture-positive patients (8.42 vs. 3.5 days, P>0.001). Culture-positive patients had significantly higher mortality compared to culture-negative patients (63.8% vs. 36.2%, P>0.001). In our study, it was found that resistant microorganisms have increased mortality by 2.6 times in the ICU in the crude model (OR: 2.6, P>0.001). Conclusion: The findings of our study suggest that multidrug-resistant pathogens increase ICU stay and mortality.
目的:重症监护病房(ICU)患者更易发生卫生保健相关感染(HAI)。ICU患者较高的医院感染发生率与较高的发病率、死亡率和费用相关。本研究的主要结局是探讨抗生素耐药性与ICU患者死亡率之间的关系,次要结局是评估抗生素耐药性与ICU或住院时间之间的关系。方法:对2015年1月1日至2020年1月1日在伊朗德黑兰伊朗医科大学附属哈希米内贾德肾脏中心ICU就诊的患者进行为期5年的观察性回顾性研究。根据研究目的收集所有分离株的年龄、性别、住院类型、合并症、ICU住院时间、住院时间、感染源、微生物类型、耐药模式及结局等相关数据。结果:在5年的研究中,2899例患者入住ICU,但只有747例患者入组,其中男性426例(57%)。中位年龄为65岁(19-97岁)。培养阳性患者在ICU的平均住院时间更长(8.42天vs. 3.5天,P < 0.001)。培养阳性患者的死亡率明显高于培养阴性患者(63.8%比36.2%,P < 0.001)。在我们的研究中发现,在粗模型中,耐药微生物使ICU的死亡率增加了2.6倍(OR: 2.6, P < 0.001)。结论:本研究结果提示耐多药病原菌增加ICU住院时间和死亡率。
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引用次数: 0
The Prevalence of Nosocomial Infections and Related Microbial Agents Based on the NNIS System in Sabzevar During 2011-2015 基于NNIS系统的2011-2015年Sabzevar地区医院感染流行及相关微生物因子分析
Pub Date : 2022-06-29 DOI: 10.34172/ajcmi.2022.10
Zahra Souizi, M. Nematshahi, M. Sahebkar, Zahra Jafarabadi, Masoud Hiteh, R. Akrami
Background: Nosocomial infection is an infection that hospitalized patients get while receiving health care. This study aimed to determine the prevalence and factors involved in the incidence of nosocomial infections, related microbial agents, and antibiotic resistance profiles. Methods: This cross-sectional study was conducted on 390 patients with nosocomial infection admitted to Shahid Beheshti Hospital in Sabzevar from 2011 to 2015. The acquired data were assessed by the standard checklist of the National Nosocomial Infections Surveillance (NNIS) system of the Ministry of Health. The collected data were analyzed using the Stata 12 software. Results: Of the 41979 admitted patients during the mentioned period, 390 patients with an average age of 48.08 years suffered from a hospital-acquired infection. The prevalence of nosocomial infections was 1% with the highest rate related to the respiratory tract in men and surgical sites in women. Intravenous catheters, surgical wounds, urinary catheters, suction, ventilator, tracheotomy, and tracheostomy were the most commonly encountered factors (invasive measures) of nosocomial infection, respectively. The most prevalent causes of nosocomial infections were Klebsiella, Staphylococcus aureus, and Acinetobacter. Conclusions: Based on our findings, several factors play a pivotal role in preventing hospital-associated infections, including proper follow-up and timely reporting of nosocomial infection cases. The other influential factors were accurate identification of microorganisms involved, allocation of sufficient funds to provide appropriate facilities for infection prevention, the appropriate and timely medical interventions, and the rational use of antibiotics.
背景:院内感染是住院患者在接受医疗保健时发生的感染。本研究旨在确定医院感染发生率、相关微生物制剂和抗生素耐药性概况的患病率和相关因素。方法:对2011 - 2015年沙希德·贝赫什蒂医院收治的390例医院感染患者进行横断面研究。根据卫生部国家医院感染监测(NNIS)系统的标准清单对获得的数据进行评估。收集的数据使用Stata 12软件进行分析。结果:41979例住院患者中,390例发生院内感染,平均年龄48.08岁。医院感染的患病率为1%,其中男性呼吸道感染率最高,女性手术部位感染率最高。静脉置管、手术伤口、导尿管、吸引器、呼吸机、气管切开术和气管造口术分别是最常见的医院感染因素(侵入性措施)。医院感染最常见的原因是克雷伯氏菌、金黄色葡萄球菌和不动杆菌。结论:根据我们的研究结果,有几个因素在预防医院相关感染中起关键作用,包括适当的随访和及时报告医院感染病例。其他影响因素包括准确识别所涉及的微生物、分配足够的资金以提供适当的感染预防设施、适当和及时的医疗干预以及合理使用抗生素。
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Avicenna Journal of Clinical Microbiology and Infection
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