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Loss of control of the pandemic during vaccination in Uruguay 在乌拉圭接种疫苗期间失去对大流行的控制
Pub Date : 2023-09-15 DOI: 10.15406/jmen.2023.11.00396
Juan Martín Marqués
In countries where lockdown was not strictly enforced during vaccination and the vaccination rate was near 1% of the population per day, a loss of control or a multiplying effect in virus spread was observed when the vaccination program was implemented. Particularly, in Uruguay between March and June 2021, there was a clear link between the vaccination rate and the number of positive cases of SARS-CoV-2 observed each day. The peaks in the vaccination rate by day were followed by peaks in positive cases with an 8-day lag. Typically, 10% to 20% non-detected positive cases are considered superspreaders due to their high viral load despite experiencing mild or no symptoms. These superspreaders or undetected positive cases were responsible for 80% of the virus's spread. The data we got access to allow us to define a cohort study for whole individuals being vaccinated during 5 consecutive days during March 2021 when vaccination starts. In this cohort there was a 75% reduction in tested positive cases in vaccinated individuals compared to what was expected. We have some extra data that suggest these number were maintained during the 4 months with high vaccination rate. We propose that this reduction is due to individuals they thought they were experiencing side effects from the vaccine and were not tested, but in fact they had COVID. These non-tested positives individuals, representing nearly 5% of positive cases per day, may have unknowingly become superspreaders, increasing the odds ratio to be infected during vaccination by 1.20x to 1.4x compared to a non-vaccination situation with same control measures applied. Previously, Uruguay had been considered one of the first countries in the world in pandemic management for a year without vaccination, with a particular health politic: “responsible freedom”. However, during a period of four months with high vaccination rate in 2021, the country exhibited the worst levels of disease Worldwide, applying the same politic.
在疫苗接种期间没有严格执行封锁,疫苗接种率接近每天人口的1%的国家,在实施疫苗接种计划时,观察到病毒传播失去控制或倍增效应。特别是,在乌拉圭,2021年3月至6月期间,疫苗接种率与每天观察到的SARS-CoV-2阳性病例数之间存在明显联系。疫苗接种率在白天出现高峰后,阳性病例出现高峰,并有8天的滞后。通常,10%至20%未检测到的阳性病例被认为是超级传播者,因为尽管症状轻微或没有症状,但病毒载量很高。这些超级传播者或未被发现的阳性病例造成了80%的病毒传播。我们获得的数据使我们能够定义一项队列研究,该研究针对2021年3月开始接种疫苗时连续5天接种疫苗的整个个体。在这个队列中,与预期相比,接种疫苗的个体中检测阳性病例减少了75%。我们有一些额外的数据表明,在疫苗接种率高的4个月里,这些数字保持不变。我们认为,这种减少是由于他们认为自己正在经历疫苗的副作用,没有接受测试,但实际上他们患有COVID。这些未经检测的阳性个体,占每天阳性病例的近5%,可能在不知不觉中成为超级传播者,与采用相同控制措施的未接种疫苗情况相比,接种疫苗期间感染的优势比增加了1.20倍至1.4倍。在此之前,乌拉圭被认为是世界上第一批在一年内不接种疫苗的情况下管理大流行病的国家之一,其卫生政策是“负责任的自由”。然而,在2021年疫苗接种率高的四个月期间,该国在采用相同政策的情况下表现出世界上最严重的疾病水平。
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引用次数: 0
Nodular periorbital dirofilariasis in a child in Romania: case report 罗马尼亚一例儿童结节性眶周dirofilasis病例报告
Pub Date : 2021-12-24 DOI: 10.15406/jmen.2021.09.00344
L. Lazăr, A. Popescu
The Dirofilaria repens infection is now recognised as a worldwide emerging parasitic zoonosis, with rare reported human cases in Romania. Herein the clinico-diagnosis features of the nodular periorbital dirofilariasis case in a child are portrayed. This case emphasizes that dirofilariasis should be included in the differential diagnosis of the human nodular disorders at any age and the growing concern from the public health outlook.
白氏Dirofilaria repens感染现在被认为是一种全球新出现的寄生虫病,罗马尼亚报告的人类病例很少。本文描述了一例儿童结节性眶周dirofilasis的临床诊断特征。该病例强调,在任何年龄段的人类结节性疾病的鉴别诊断中都应包括dirofialiasis,并引起公众越来越大的关注。
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引用次数: 0
Acinetobacter baumannii, a global health-threatening bacterium: a short review 鲍曼不动杆菌,一种全球性的健康威胁细菌:简要综述
Pub Date : 2021-11-22 DOI: 10.15406/jmen.2021.09.00341
E. Abdallah, R. Abdalla
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引用次数: 0
Pandemic parameters: history revisited 大流行参数:回顾历史
Pub Date : 2021-11-03 DOI: 10.15406/jmen.2021.09.00340
S. Wood
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引用次数: 0
Nasal carriage of Staphylococcus aureus among a healthy suburban population: genotypic diversity and frequency of pathogenicity genes 健康郊区人群中金黄色葡萄球菌的鼻腔携带:致病基因的基因型多样性和频率
Pub Date : 2021-10-25 DOI: 10.15406/jmen.2021.09.00337
L. Jiménez, Sibora Peca, J. Bochis, Jenifer Vasquez, S. Zapata, Rozan Ramadan, M. Gardner, Stephanie Perez, Arianna Pinto, Lisa Pincus, Kadiatou Fadiga, Adelajda Turku
We analyzed the frequency and genotypic diversity of Staphylococcus aureus nasal carriage in a healthy suburban population in the state of New Jersey, United States of America, from 2011 to 2018, and the presence of virulence and antibiotic resistance genes. A total of 77 isolates were analyzed by phenotypic tests and PCR testing using genes coding for S. aureus 16S rRNA, methicillin resistant ( mecA ), vancomycin resistant ( vanA ), tetracycline resistant ( tetM ), macrolide resistant ( ermA ), Panton Valentine Leukocidin ( lukF ), arginine catabolic element (ACME), enterotoxin A ( sea ), staphylococcal protein A ( spa ), and toxic shock syndrome ( tst ). Percentage of nasal carriers of S. aureus was 11% and 3% for MRSA. Based upon spa gene typing, 41 different genotypes were found. The most common types were t008, t012, and t363. Frequencies in S. aureus for spa and ACME genes were 100% and 62%. However, percentages for sea, tst, and lukF genes were 38%, 27% and 22%, respectively. The ermA and tetM were detected in 57% and 13% of isolates. None of the mecA positive isolates showed the presence of vanA . Staphylococcal cassette chromosome (SCC) mec typing was performed using a multiplex PCR. SCC mec type IV was the most common among all MRSA isolates. In conclusion, healthy individuals carried a genetically diverse population of S. aureus with different virulence and antibiotic resistance genes in the nasal cavities representing an unrecognized and understudy human reservoir for antimicrobial resistance and genotypic diversity.
我们分析了2011年至2018年美国新泽西州郊区健康人群中金黄色葡萄球菌鼻腔携带的频率和基因型多样性,以及毒力和抗生素耐药基因的存在。采用金黄色葡萄球菌16S rRNA、耐甲氧西林基因(mecA)、耐万古霉素基因(vanA)、耐四环素基因(tetM)、耐大环内酯基因(ermA)、Panton Valentine Leukocidin基因(lukF)、精氨酸分解代谢素基因(ACME)、肠毒素A基因(sea)、葡萄球菌蛋白A基因(spa)、中毒性休克综合征基因(tst)编码基因对77株分离株进行表型检测和PCR检测。金黄色葡萄球菌鼻腔携带者比例为11%,MRSA鼻腔携带者比例为3%。根据spa基因分型,共发现41种不同的基因型。最常见的类型是t008、t012和t363。spa和ACME基因在金黄色葡萄球菌中的频率分别为100%和62%。然而,sea、test和lukF基因的百分比分别为38%、27%和22%。ermA和tetM分别在57%和13%的分离株中检出。mecA阳性分离株均未显示出vanA的存在。葡萄球菌盒式染色体(SCC) mec分型采用多重PCR。在所有MRSA分离株中,SCC mec IV型最为常见。总之,健康个体在鼻腔中携带具有不同毒力和抗生素抗性基因的金黄色葡萄球菌遗传多样性群体,这代表了一个未被认识和未被研究的人类抗菌素耐药性和基因型多样性库。
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引用次数: 0
Case report: subcutaneous Exophiala xenobiotica infection successfully treated with a combined medical and surgical approach 病例报告:采用内科和外科联合方法成功治疗皮下外源性外费城感染
Pub Date : 2021-09-28 DOI: 10.15406/jmen.2021.09.00336
H. Shinmar, E. Macnaughton
Exophiala xenobiotica is a black yeast from the Exophiala genus. Literature suggests it has consistently been underdiagnosed in recent years, because of poor microbiological identification techniques and the discovery of multiple new species within the genus. Exophiala xenobiotica most commonly causes subcutaneous infections. It often thrives in damp places, and places where there are aromatic compounds. This report describes a multi-comorbid patient including previous basal cell carcinoma and prostate cancer who developed this infection. An 88-year-old caucasian man presented to the orthopaedic clinic with a lump on the dorsum of his right wrist, he was given a provisional diagnosis of a ganglion cyst. The lesion had been there for two years and had steadily increased in size. The patient had no pain or systemic symptoms and was not prescribed any immunosuppressive medication. After the yeast was isolated, he was prescribed an eight-week course of itraconazole, with surgical excision of the lesion two weeks into the course. The procedure was a success, and the lesion showed no signs of recurrence at the six-week follow up. This case report adds to the literature supporting a combined surgical and medical approach for the treatment of subcutaneous Exophiala xenobiotica infections.
外源性外费城酵母是一种来自外费城属的黑色酵母。文献表明,近年来,由于微生物鉴定技术差以及在该属中发现了多个新物种,它一直被诊断不足。外源性外费城最常见的是引起皮下感染。它经常在潮湿的地方和有芳香化合物的地方生长。本报告描述了一名多合并症患者,包括既往的基底细胞癌和癌症,他们出现了这种感染。一名88岁的高加索男子因右手腕背部有肿块而被送往整形外科诊所,他被临时诊断为神经节囊肿。病变已经存在了两年,并且大小稳步增加。患者没有疼痛或全身症状,也没有服用任何免疫抑制药物。分离出酵母后,给他开了一个为期八周的伊曲康唑疗程,并在疗程两周后对病变进行手术切除。手术是成功的,在六周的随访中,病变没有复发的迹象。该病例报告增加了支持外科和医学联合方法治疗皮下外源性外费城感染的文献。
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引用次数: 0
Fungal diversity in sacred groves vs. managed forests in Epirus, NW Greece 希腊西北部伊庇鲁斯的神圣树林与管理森林的真菌多样性
Pub Date : 2021-09-20 DOI: 10.15406/jmen.2021.09.00335
S. Diamandis, E. Topalidou, D. Avtzis, K. Stara, R. Tsiakiris, J. Halley
Old-growth forests are rare in Europe, particularly in the Mediterranean basin, because of a long history of human exploitation.1 In Epirus, NW Greece, ruined chapels, remote churches and abandoned monasteries which are scattered throughout the countryside are commonly surrounded by old trees, groves or woodland.2 Such “Sacred Natural Sites” have survived through time due to the fact that local people paid religious respect to these areas and avoided disturbing them for their personal use with activities such as cutting timber, harvesting firewood or grazing their animals. These ecosystems were established and flourished during the Ottoman occupation (1479–1912) when communities, along with Church authorities, imposed controlled management in sacred forests through social taboos. Management, or in this case non-management, of these sacred groves created patches of undisturbed, old-growth woodland.
在欧洲,特别是在地中海盆地,由于人类开发的长期历史,原始森林是罕见的在希腊西北部的伊庇鲁斯,散落在乡村各处的被毁坏的小教堂、偏僻的教堂和废弃的修道院,通常被古树、小树林或林地所包围这些“神圣的自然遗址”之所以能够保存下来,是因为当地人对这些地区给予了宗教上的尊重,并避免因个人使用而干扰这些地区的活动,如砍伐木材、采伐木柴或放牧动物。这些生态系统是在奥斯曼帝国占领期间(1479-1912)建立并蓬勃发展的,当时社区和教会当局通过社会禁忌对神圣森林进行控制管理。对这些神圣树林的管理,或者在这种情况下的不管理,创造了一片片未受干扰的古老林地。
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引用次数: 0
The use of biomarkers in the diagnostics of fungal infections complications in children with oncological and hematological diseases 生物标志物在诊断肿瘤和血液病患儿真菌感染并发症中的应用
Pub Date : 2021-08-31 DOI: 10.15406/jmen.2021.09.00334
Sviatlana Kandaurava, M. Tchernovetski, O. Aleinikova
Background and purpose: Patients with hematological malignancies are at risk of fungal infections and require quick diagnostics infection complications. The following study aimed to evaluate the effectiveness and relevance of the use of biomarkers of procalcitonin (PCT), C-reactive protein (CRP), galactomannan (GM), and bis (methylthio) gliotoxin (BMGT) in the diagnosis of fungal infections in patients with oncological and hematological diseases. Materials and methods: The prospective study was conducted at the Belarusian Research Center for Pediatric Oncology, Hematology, and Immunology from April 2015 to January 2020. The study included 66 children with malignant hematological diseases aged 1 to 17 years. Clinical, microbiological, and statistical methods were used in the study. Results: In the case of fungemia in children with oncological and hematological diseases, the PCT level during the infectious episode was significantly lower than with bacterial infections of the bloodstream (p = 0,0063); and the СРR level fungal and bacterial infections did not differ significantly (p = 0,1719). Diagnostic study of GM in bronchoalveolar lavage had a high predictive value of a negative result (91,7%). The method’s sensitivity was higher than in the study of GM in serum (50% versus 0%). There was no correlation between serum BMGT levels as measured by HPLC and the presence of invasive aspergillosis in children. Conclusion: An increase in СRP levels with normal PCT levels in immunocompromised children with clinical signs of bloodstream infection is indicative of a fungal etiology of the disease. Determination of the optical density index of galactomannan in the bronchoalveolar fluid is a sensitive marker for diagnosing invasive pulmonary aspergillosis in children. We cannot recommend BMGT for the diagnostics of invasive aspergillosis in children.
背景与目的:血液学恶性肿瘤患者有真菌感染的危险,需要快速诊断感染并发症。本研究旨在评价生物标志物降钙素原(PCT)、c反应蛋白(CRP)、半乳甘露聚糖(GM)和双(甲基硫)胶质毒素(BMGT)在肿瘤和血液病患者真菌感染诊断中的有效性和相关性。材料和方法:该前瞻性研究于2015年4月至2020年1月在白俄罗斯儿科肿瘤学、血液学和免疫学研究中心进行。该研究包括66名1至17岁患有恶性血液病的儿童。本研究采用临床、微生物学和统计学方法。结果:在肿瘤和血液学疾病患儿真菌血症中,感染发作时PCT水平显著低于血液细菌感染(p = 0.0063);真菌和细菌感染СРR水平差异无统计学意义(p = 0,1719)。支气管肺泡灌洗中GM的诊断研究对阴性结果有很高的预测价值(91.7%)。该方法的灵敏度高于血清中GM的研究(50%对0%)。HPLC测定的血清BMGT水平与儿童侵袭性曲霉病的存在之间没有相关性。结论:在有血流感染临床体征的免疫功能低下儿童中,СRP水平升高与正常PCT水平升高表明该疾病的真菌病因。测定支气管肺泡液中半乳甘露聚糖的光密度指数是诊断儿童侵袭性肺曲霉病的敏感指标。我们不推荐BMGT用于诊断儿童侵袭性曲霉病。
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引用次数: 0
Detection of Giardia duodenalis in sewage of Ensenada, Baja California, Mexico 墨西哥下加利福尼亚州Ensenada污水中十二指肠贾第虫的检测
Pub Date : 2021-07-19 DOI: 10.15406/jmen.2021.09.00332
A. Portillo-López, Lucia Hoyos-Salazar
G. duodenalis is a pathogenic protozoan that affects animals and humans. This microorganism is transmitted by the fecal-oral route when it is ingested contaminated water or food. Giardia cysts are infectious, resistant to extreme environmental conditions, and their presence in sewage depends on the technologies used in the treatment plants. This study analyzes G. duodenalis and total (TC) and fecal (FC) coliforms in wastewater effluents of treatment plants (The Northeast, Gallo, Naranjo, Sauzal) and Emilio López Zamora dam of Ensenada Baja California. Water samples were taken monthly from June to November of 2019. Giardia was detected using the direct immunofluorescence (DFA) technique. TC and FC quantification were carried out according to the official Mexican standard (NOM- 001-SEMARNAT-1996). Giardia was observed in Gallo (80-280 cysts/L), Sauzal (0-240 cysts/L), and Naranjo (0-360 cysts/L) effluents from July to November. FC was generally within the official standard (NOM-003), less than 1000 FC/100 mL for waters that will have indirect or occasional contact with the human being. Except for Naranjo effluent, where coliforms exceeded 1800 NMP/100 mL.
十二指肠虫是一种影响动物和人类的致病性原生动物。当摄入受污染的水或食物时,这种微生物通过粪口途径传播。贾第鞭毛虫囊肿具有传染性,对极端环境条件具有抵抗力,它们在污水中的存在取决于处理厂使用的技术。本研究分析了下加利福尼亚州恩塞纳达市处理厂(The Northeast,Gallo,Naranjo,Sauzal)和Emilio López Zamora大坝废水中的十二指肠杆菌、总(TC)和粪便(FC)大肠菌群。从2019年6月至11月,每月采集一次水样。采用直接免疫荧光(DFA)技术检测贾第鞭毛虫。TC和FC的定量根据墨西哥官方标准(NOM-001-SEMARNAT-1996)进行。从7月到11月,在Gallo(80-280个包囊/L)、Sauzal(0-240个包囊g/L)和Naranjo(0-360个包囊-L)流出物中观察到贾第鞭毛虫。FC通常在官方标准(NOM-003)范围内,对于将与人类间接或偶尔接触的水域,低于1000 FC/100 mL。纳兰霍污水除外,其大肠菌群超过1800 NMP/100 mL。
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引用次数: 0
Prevalence of Plasmodium spp. and helminths: Systematic review 2000-2018  2000-2018年我国疟原虫和蠕虫流行情况的系统回顾
Pub Date : 2021-07-15 DOI: 10.15406/jmen.2021.09.00331
Ana Luz Galvan Diaz, Santiago Gallego Agudelo, JA Cardona-Arias
Introduction: The parasites that cause malaria and helminthiases are distributed in the same geographical areas, affect the same groups and share risk factors; however, its coinfection is little studied. Objective: To estimate the global and specific prevalence by species of Plasmodium spp., Helminths and their coinfection based on studies published in the world scientific literature, 2000-2018. Methodology: Systematic review of the scientific literature based on studies published in Pubmed, Science Direct, SciELO, Web of Science, EBSCO and Google Scholar. Investigations were included based on the implementation of a search protocol that included inclusion and exclusion criteria, according to the PRISMA guide. Reproducibility of the search and selection of studies was guaranteed. The methodological quality was evaluated with STROBE. Results: We included 61 articles with a population of 45,060 people, mostly from Africa, with children and pregnant women. 51 evaluated coinfection in the general population and 10 analyzed helminth infection in a population with malaria. The prevalence of malaria was 41%, helminths 43.4% and the coinfection 17.2%. The most prevalent species were Plasmodium falciparum, Schistosoma haematobium, Uncinarias and Ascaris Lumbricoides . The coinfection between Plasmodium falciparum and Uncinarias was the most prevalent with 6.1% in the general population and 28% in people with malaria. Conclusion: We found a high prevalence of coinfection in a small number of studies, which shows that the study of the interactions between Plasmodium and helminths is an undeveloped area in parasitology. Despite the high magnitude of malaria and helminths in the Americas, studies of coinfection in the region are scarce, which constitutes an obstacle to impact its clinical and epidemiological effects, while preventing the development of public policies for parasitological control in endemic areas. keywords Helminths keywords Helminthiasis , in Helminthiasis TI Malaria
导言:引起疟疾和蠕虫病的寄生虫分布在同一地理区域,影响同一人群,具有共同的危险因素;然而,对其合并感染的研究却很少。目的:根据2000-2018年世界科学文献发表的研究,估计疟原虫、蠕虫及其共感染的全球和特定流行率。方法:基于Pubmed、Science Direct、SciELO、Web of Science、EBSCO和b谷歌Scholar发表的研究,对科学文献进行系统综述。根据PRISMA指南,根据包含纳入和排除标准的搜索协议的实施纳入调查。研究的搜索和选择的可重复性得到了保证。采用STROBE评价方法学质量。结果:我们纳入了61篇文章,共45,060人,主要来自非洲,包括儿童和孕妇。51项研究评估了一般人群中的合并感染情况,10项研究分析了疟疾人群中的寄生虫感染情况。疟疾患病率41%,寄生虫患病率43.4%,合并感染患病率17.2%。主要流行种为恶性疟原虫、血血吸虫、棘球蚴和类蚓蛔虫。恶性疟原虫和棘孔虫的合并感染最为普遍,在一般人群中占6.1%,在疟疾患者中占28%。结论:我们在少数研究中发现了较高的共感染发生率,这表明疟原虫与蠕虫相互作用的研究是寄生虫学研究的一个欠发达领域。尽管美洲的疟疾和寄生虫发病率很高,但对该区域共同感染的研究很少,这对影响其临床和流行病学影响构成了障碍,同时也阻碍了在流行地区制定寄生虫学控制的公共政策。关键词:寄生虫;关键词:寄生虫病
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引用次数: 0
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Journal of microbiology & experimentation
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