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A Case of Septic Renal Vein Thrombophlebitis Secondary to Pyelonephritis Responded to Medical Treatment 继发于肾盂肾炎的脓毒性肾静脉血栓性静脉炎1例
Pub Date : 2023-10-20 DOI: 10.29011/2577-1515.100237
Septic thrombophlebitis is a condition characterized by venous thrombosis, inflammation, and bacteremia or fungemia [1]. Several distinct clinical conditions have been identified, depending on the vessel involved. Septic phlebitis of the deep venous system is a rare, but life-threatening emergency that may fail to respond to even the most aggressive therapy. Renal vein septic thrombophlebitis is a very rare disease and carries a high mortality rate. Here we report a case admitted as community acquired pneumonia and found to have picture of septic emboli in the lungs and imaging showed acute pyelonephritis and renal vein thrombosis in which she responded to treatment and recovered fully with antibiotics and anticoagulation.
感染性血栓性静脉炎是一种以静脉血栓形成、炎症、菌血症或真菌血症为特征的疾病[1]。根据受累血管的不同,已经确定了几种不同的临床情况。脓毒性静脉炎的深静脉系统是一种罕见的,但危及生命的紧急情况,可能无法响应,即使是最积极的治疗。肾静脉化脓性血栓性静脉炎是一种非常罕见的疾病,死亡率很高。在此,我们报告一例社区获得性肺炎,发现肺部脓毒性栓塞,影像学显示急性肾盂肾炎和肾静脉血栓形成,她对治疗有反应,并在抗生素和抗凝治疗下完全恢复。
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引用次数: 0
Antimicrobial Resistance Trends in Urinary Tract Infection at Secondary Care Centres in Central India: Carbepenem Resistance Crossing 20% in Community 印度中部二级保健中心尿路感染的抗微生物药物耐药性趋势:社区卡贝南烯耐药性超过20%
Pub Date : 2023-09-28 DOI: 10.29011/2577-1515.100235
Background: Urinary tract Infection (UTI) is a significant global health burden, with high morbidity and mortality especially in developing nations. This study assessed the changing pattern of anti-microbial resistance (AMR) in UTI in secondary care centres of central India. Methodology: This was a prospective observational study conducted in 10 secondary care centres in smaller cities of Central India in the state of Madhya Pradesh. Result: Among the 8856 number of symptomatic urinary tract infections whose urine was sent for microbiological culture and sensitivity, 2409 (27.2%) showed significant pathological growth out of which 92.1% (2221/2409) showed bacterial growth and 7.8% (188/2409) showed fungal growth. Gram-negative bacteria accounted for 85.0% (1890/2221) and Gram-positive bacteria for 14.9% (331/2221). E. coli was the most prevalent Gram-negative isolate (57.4%), followed by K. pneumoniae (21.3%), Pseudomonas aeruginosa (12.1%). Third generation cephalosporin resistance was observed in 76.2% in E. coli and 71.6% in K. pneumonia . Carbapenem resistance was highest in P. aeruginosa (61.8%) followed by Acinetobacter spp (52.2%), Enterobacter spp. (50%) , K. pneumoniae (35.4%) and E. coli (22.6%). Colistin resistance was observed in Enterobacter spp. (15.0%) followed by Acinetobacter spp (9.1%), K. pneumoniae (7.6%), E. Coli (6.9%) and P. aeruginosa (4.9%). Among the gram-positive isolates, 47.5% of Staphylococcus aureus were Methicillin resistant and 3.7% were resistance to vancomycin. Among the Enterococcus spp. 14.1% were resistance to vancomycin. Conclusion: It is of great concern, that 20% of Escherichia coli and Klebsiella pneumonia islates are resistant to carbpenems in community settings at smaller cities in India. Though negligible, UTI caused by VRSA and VRE cannot be neglected. There is definitely a rise the occurrence of UTI caused by Candida .
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引用次数: 0
Changing Patterns of Antimicrobial Susceptibility of Uro-pathogens in Community-acquired Urinary Tract Infections in Central India: Two Year Prospective Surveillance Report 印度中部社区获得性尿路感染中尿路病原体抗菌药物敏感性的变化模式:两年前瞻性监测报告
Pub Date : 2023-09-26 DOI: 10.29011/2577-1515.100234
Introduction: Antimicrobial resistance (AMR) is a global health crisis. Urinary tract Infection (UTI) are one of the most commonly encountered infections and its management is becoming increasingly difficult in view of AMR. The present study was conducted to determine the epidemiology of causative agents and their susceptibility antibiogram. Methods: The study was a prospective longitudinal study of UTI patients from 2020 to 2021 at AIIMS Bhopal, India. Patients presenting to outpatient department (OPD) or hospitalized to low priority area (LPA) like general ward or high priority area (HPA) like Intensive Care Unit (ICU) or High Dependency Unit (HDU) with symptoms of UTI and whose urine sample was sent for microbiological culture sensitivity test were included in the study. Urine samples were collected and processed in the department of microbiology using standard protocols. Antimicrobial susceptibility test was carried out using the Kirby-Bauer disc diffusion method as per the Clinical Laboratory Standards Institute (CLSI) guidelines on Muller Hinton agar. Samples growing more than two organisms were discarded as contaminant. Urine samples were collected and analyzed using standard protocols. Results: Out of 14526 patients of symptomatic UTI cases (58.0% from OPD, 35.9% from LPA and 6.0% from HPA), whose urine sample was sent for microbiological culture sensitivity test, 2222 (15.2%) showed positive growth. Among the 2222 number of positive growth, 1510 (67.9%) were community acquired, 186 (8.3%) was Health care Associated UTI and 526 (23.6%) cases could not be differentiated into either group. Among 1510 community acquired UTI cases, Gram Negative Bacilli (GNB) were identified in 88.7%, Gram Positive Cocci (GPC) in 10.1% and Candida in 1.0% cases. Among 1510 community acquired UTI cases, E. coli were identified in 58.9%, K. pneumonia in 15.4%, Enterococcus in 8.5% and P. aeruginosa in 4.2% cases. Among the E. coli isolates 3rd generation cephalosporin resistance was identified in 84% in OPD vs. 92% in LPA vs. 100% in HPA, fluroquinolone resisatnce was in 82% in OPD vs. 94% in LPA vs. 1000% in HPA, piperacillin resistance in 38% in OPD vs. 63% in LPA vs. 67% in HPA, carbapenem resistance in 13% in OPD vs. 40% in LPA vs. 47% in HPA. Among the K. pneumoniae isolates 3rd generation cephalosporin resistance was identified in 78% in OPD vs. 91% in LPA vs. 100% in HPA, fluroquinolone resisatnce was in 64% in OPD vs. 86% in LPA vs. 80% in HPA, piperacillin resistance in 53% in OPD vs. 75% in LPA vs. 56% in HPA, carbapenem resistance in 14% in OPD vs. 67% in LPA vs. 55% in HPA. Among the Enterococcus isolates, vancomycin resistance was observed in 21% in OPD Vs. 24% in hospitalized cases. Conclusion: E. coli and K. pneumoniae together accounted for about two third microbiologically confirmed cases. Carbapenem resistance of about 10% in OPD cases and 50% in hospitalized patients seems alarming. Customized Anti microbial stewardship program (AMSP) at each
抗菌素耐药性(AMR)是一个全球性的健康危机。尿路感染(UTI)是最常见的感染之一,鉴于抗生素耐药性,其治疗变得越来越困难。本研究旨在确定病原体的流行病学及其药敏抗生素谱。方法:该研究是对印度博帕尔AIIMS医院2020年至2021年尿路感染患者的前瞻性纵向研究。出现尿路感染症状的门诊(OPD)或低优先区(LPA)如普通病房或高优先区(HPA)如重症监护病房(ICU)或高依赖病房(HDU)的患者,其尿液样本被送去进行微生物培养敏感性试验,均被纳入研究。尿液样本在微生物科按照标准规程收集和处理。根据临床实验室标准协会(CLSI)指南,采用Kirby-Bauer圆盘扩散法对Muller Hinton琼脂进行抗菌药敏试验。生长超过两种生物的样品被作为污染物丢弃。尿液样本采集和分析采用标准方案。结果:14526例有症状的尿路感染患者(OPD 58.0%, LPA 35.9%, HPA 6.0%)尿样进行微生物培养敏感性试验,2222例(15.2%)阳性。2222例阳性增长病例中,社区获得性尿路感染1510例(67.9%),卫生保健相关尿路感染186例(8.3%),526例(23.6%)无法区分为两组。1510例社区获得性UTI中检出革兰氏阴性杆菌(GNB)占88.7%,革兰氏阳性球菌(GPC)占10.1%,念珠菌(Candida)占1.0%。1510例社区获得性尿路感染中,大肠杆菌占58.9%,肺炎克雷伯菌占15.4%,肠球菌占8.5%,铜绿假单胞菌占4.2%。第三代头孢菌素耐药性在OPD组为84%,LPA组为92%,HPA组为100%,氟喹诺酮类药物耐药性在OPD组为82%,LPA组为94%,HPA组为1000%,哌西林耐药性在OPD组为38%,LPA组为63%,HPA组为67%,碳青霉烯类耐药在OPD组为13%,LPA组为40%,HPA组为47%。OPD组第三代头孢菌素耐药率为78%,LPA组为91%,HPA组为100%,OPD组为64%,LPA组为86%,HPA组为80%,OPD组为53%,LPA组为75%,HPA组为56%,OPD组为14%,LPA组为67%,HPA组为55%。在分离的肠球菌中,门诊患者中有21%对万古霉素耐药,住院患者中有24%对万古霉素耐药。结论:大肠杆菌和肺炎克雷伯菌共占微生物学确诊病例的2 / 3。碳青霉烯耐药性在门诊病例中约为10%,在住院患者中约为50%,这似乎令人担忧。定制的抗微生物管理程序(AMSP)在每个卫生保健机构是需要的时间。
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引用次数: 0
Molecular Characterisation of Cladophialophora species Isolated from Brain Abscess in a Renal Transplant Recipient 肾移植受者脑脓肿分离的Cladophialophora的分子特征
Pub Date : 2023-09-22 DOI: 10.29011/2577-1515.100233
Molecular Characterisation of
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引用次数: 0
Comparative Performance of a Rapid SARSCoV-2 Antigen Test with RT-PCR for the Diagnosis of COVID-19 快速SARSCoV-2抗原检测与RT-PCR诊断COVID-19的比较
Pub Date : 2023-09-18 DOI: 10.29011/2577-1515.100231
Background: The aim of this study was to estimate the diagnostic precision of the rapid COVID-19 antigen test DyonCovid-Ag compared to the gold standard method Reverse Transcription quantitative Polymerase Chain Reaction (RT-qPCR) for the diagnosis of SARS-CoV-2 infection. Methods: This prospective cohort study examined samples from non-hospitalized adults and children with possible SARS-CoV-2 infection from 01/2021–12/2021. The samples were double tested using the rapid SARS-CoV-2 antigen test DyonCovid-Ag and an RT-qPCR for SARS-CoV-2. Demographic data and clinical symptoms were also collected. Results: A total of 782 individuals with median age 36.6 years (IQR: 28-48) were included in this study. The positivity for SARS-CoV-2 was 128/782 (16.4%) with RT-qPCR and 123/782 (15.7%) with RAT. The concordance of positive samples between two methods was high (123/128, 96.1%), with only five false negative but no false positive results. The sensitivity and specificity of the RAT were estimated at 96.1% (95%CI: 91.1-98.7%) and 100% (95%CI: 99.4-100.0%), respectively. Accuracy was estimated at 99.4% (95%CI: 98.5-99.8%). Conclusion: DyonCovid-Ag RAT was highly sensitive and specific and could facilitate timely diagnosis in point-of-care settings.
{"title":"Comparative Performance of a Rapid SARSCoV-2 Antigen Test with RT-PCR for the Diagnosis of COVID-19","authors":"","doi":"10.29011/2577-1515.100231","DOIUrl":"https://doi.org/10.29011/2577-1515.100231","url":null,"abstract":"Background: The aim of this study was to estimate the diagnostic precision of the rapid COVID-19 antigen test DyonCovid-Ag compared to the gold standard method Reverse Transcription quantitative Polymerase Chain Reaction (RT-qPCR) for the diagnosis of SARS-CoV-2 infection. Methods: This prospective cohort study examined samples from non-hospitalized adults and children with possible SARS-CoV-2 infection from 01/2021–12/2021. The samples were double tested using the rapid SARS-CoV-2 antigen test DyonCovid-Ag and an RT-qPCR for SARS-CoV-2. Demographic data and clinical symptoms were also collected. Results: A total of 782 individuals with median age 36.6 years (IQR: 28-48) were included in this study. The positivity for SARS-CoV-2 was 128/782 (16.4%) with RT-qPCR and 123/782 (15.7%) with RAT. The concordance of positive samples between two methods was high (123/128, 96.1%), with only five false negative but no false positive results. The sensitivity and specificity of the RAT were estimated at 96.1% (95%CI: 91.1-98.7%) and 100% (95%CI: 99.4-100.0%), respectively. Accuracy was estimated at 99.4% (95%CI: 98.5-99.8%). Conclusion: DyonCovid-Ag RAT was highly sensitive and specific and could facilitate timely diagnosis in point-of-care settings.","PeriodicalId":93299,"journal":{"name":"Infectious diseases diagnosis & treatment","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135208992","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
Antimicrobial Resistance Trends in Community Acquired Pneumonia at Secondary care Centres in Central India: Time to Develop Community Antimicrobial Stewardship Program 印度中部二级保健中心社区获得性肺炎的抗微生物药物耐药性趋势:是时候制定社区抗微生物药物管理计划了
Pub Date : 2023-09-18 DOI: 10.29011/2577-1515.100232
Background: Community acquired pneumonia (CAP) is a significant global health burden, with high morbidity and mortality especially in developing nations. This study assessed the changing pattern of anti microbial resistance (AMR) in CAP in secondary care centres of central India. Methodology: This was a prospective observational study conducted in 10 secondary care centres in smaller cities of Central India in the state of Madhya Pradesh. Result: Among the 1315 respiratory samples analysed, 49.5% (651/1315 samples) showed significant pathological growth out of which 47.6% (626 /1315) showed bacterial growth and 1.9% (25/1315) showed fungal growth. Gram-negative bacteria accounted for 94.2% (590/626 samples) and Gram-positive bacteria for 5.7% (36/626 samples). Klebsiella pneumoniae was the most prevalent Gram-negative isolate (45%), followed by Pseudomonas aeruginosa (24.2%) and Acinetobacter spp (15.42%). Third generation cephalosporin resistance was observed in 84.6% in E. coli and 81.1% in K. pneumoniae . Carbapenem resistance was highest in Acinetobacter spp (79.1%) followed by E. Coli (45.6%), K. pneumoniae (37.2%) and P. aeruginosa (35.7%). Colistin resistance was observed in less than 10% of all gram negative isolates with the highest being in P. aeruginosa (9.8%), K. pneumoniae (7.9%), Acinetobacter spp (6.6%) and E. Coli (2.9%). Among the gram-positive isolates, 51.7% of Staphylococcus aureus were MRSA and 9.70% were resistance to vancomycin. Conclusion: AMR is no more restricted to tertiary care centres in bigger cities of India. The menace of AMR is too critical to be ignored in primary and secondary care settings. This study highlights the importance of adopting a community level ‘One-Health’ multidisciplinary approach in human-animal health and soil-environment.
{"title":"Antimicrobial Resistance Trends in Community Acquired Pneumonia at Secondary care Centres in Central India: Time to Develop Community Antimicrobial Stewardship Program","authors":"","doi":"10.29011/2577-1515.100232","DOIUrl":"https://doi.org/10.29011/2577-1515.100232","url":null,"abstract":"Background: Community acquired pneumonia (CAP) is a significant global health burden, with high morbidity and mortality especially in developing nations. This study assessed the changing pattern of anti microbial resistance (AMR) in CAP in secondary care centres of central India. Methodology: This was a prospective observational study conducted in 10 secondary care centres in smaller cities of Central India in the state of Madhya Pradesh. Result: Among the 1315 respiratory samples analysed, 49.5% (651/1315 samples) showed significant pathological growth out of which 47.6% (626 /1315) showed bacterial growth and 1.9% (25/1315) showed fungal growth. Gram-negative bacteria accounted for 94.2% (590/626 samples) and Gram-positive bacteria for 5.7% (36/626 samples). Klebsiella pneumoniae was the most prevalent Gram-negative isolate (45%), followed by Pseudomonas aeruginosa (24.2%) and Acinetobacter spp (15.42%). Third generation cephalosporin resistance was observed in 84.6% in E. coli and 81.1% in K. pneumoniae . Carbapenem resistance was highest in Acinetobacter spp (79.1%) followed by E. Coli (45.6%), K. pneumoniae (37.2%) and P. aeruginosa (35.7%). Colistin resistance was observed in less than 10% of all gram negative isolates with the highest being in P. aeruginosa (9.8%), K. pneumoniae (7.9%), Acinetobacter spp (6.6%) and E. Coli (2.9%). Among the gram-positive isolates, 51.7% of Staphylococcus aureus were MRSA and 9.70% were resistance to vancomycin. Conclusion: AMR is no more restricted to tertiary care centres in bigger cities of India. The menace of AMR is too critical to be ignored in primary and secondary care settings. This study highlights the importance of adopting a community level ‘One-Health’ multidisciplinary approach in human-animal health and soil-environment.","PeriodicalId":93299,"journal":{"name":"Infectious diseases diagnosis & treatment","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135255755","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
Correlation of Clinical Findings with Innate Immunity Against SARS-CoV-2 and Nucleic Acid Expression of SARS-CoV-2 Among Patients in Mongolia 蒙古国患者SARS-CoV-2先天免疫及核酸表达与临床表现的相关性
Pub Date : 2023-03-31 DOI: 10.29011/2577-1515.100210
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引用次数: 0
Modeling COVID-19 in Different Countries as Sequences of SI Waves 用SI波序列模拟不同国家的COVID-19
Pub Date : 2023-03-13 DOI: 10.29011/2577-1515.100207
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引用次数: 0
Strategies and Control the Seasonal Influenza 控制季节性流感的策略
Pub Date : 2022-01-10 DOI: 10.29011/2577-1515.100183
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引用次数: 0
The Influence of a blend of Probiotic Lactobacillus and Prebiotic Inulin on the Duration and Severity of Symptoms among Individuals with Covid-19 益生菌乳酸菌和益生元菊糖混合物对Covid-19患者症状持续时间和严重程度的影响
Pub Date : 2021-11-16 DOI: 10.29011/2577-1515.100182
Robert Thomas, J. Aldous, R. Forsyth, A. Chater, Madeleine Williams
Background: Gut microfloral dysbiosis is known to affect the majority individuals suffering with a Covid-19 infection. This study evaluated whether a specific lactobacillus and inulin blend, which aimed to improve gut health, could reduce the severity of early and chronic Covid-19 symptoms. Methods: From May 2020 to May 2021, we evaluated 126 participants with Covid-19, with an average duration of symptoms of 108 days, who were given 30 days of this pre and probiotic capsule within the ongoing UK national Phyto-v study. Symptoms were recorded using the validated Cough Symptom Score, the Subjective Well-Being questionnaire and the Chandler fatigue questionnaire. The group was analysed as a whole and then subdivided into 40 (32%) in an early phase of infection (average symptoms 10 days before baseline) and the 86 (68%) in a chronic phase (average symptoms 120 days before trial baseline). Results: Cough, fatigue and subjective well-being scores significantly improved over the 30 days in both the early and chronic phase cohorts. Participants who were more likely to have gut dysbiosis at trial entry, such as sedentary, hospitalised, older males with GI symptoms, had a statistically significantly better response to the probiotics. Gut symptoms improved in 25 of 31 (82%) who reported them at baseline. Two (1.5%) patients reported mild increased bloating and diarrhoea. Discussion: Following this nutritional intervention, participants had a significant improvement in GI and non-GI symptoms resulting in a meaningful improvement in overall well-being. Although some participants with early disease would have improved spontaneously, such a rapid improvement in the majority who had been experiencing symptoms for over 6 months, was clinically relevant and welcomed, especially among those more likely to have pre-existing gut dysbiosis. Going forward, our research group are now evaluating whether intake of this blend now known as yourgutplus+, could also enhance antibody titres levels post Covid vaccination. Infectious Diseases Diagnosis & Treatment Thomas R, et al. Infect Dis Diag Treat 5: 182. https://www.doi.org/ 10.29011/25771515.100182 https://www.gavinpublishers.com/ Citation: Thomas R, Aldous J, Forsyth R, Chater A, Williams M (2021) The Influence of a blend of Probiotic Lactobacillus and Prebiotic Inulin on the Duration and Severity of Symptoms among Individuals with Covid-19. Infect Dis Diag Treat 5: 182. DOI: 10.29011/2577-1515.100182 2 Volume 5; Issue 01 Infect Dis Diag Treat, an open access journal ISSN: 2577-1515
背景:已知肠道微生态失调会影响大多数新冠肺炎感染者。这项研究评估了旨在改善肠道健康的特定乳酸菌和菊粉混合物是否可以降低早期和慢性新冠肺炎症状的严重程度。方法:从2020年5月到2021年5月,我们评估了126名新冠肺炎参与者,他们的平均症状持续时间为108天,在正在进行的英国国家植物抗病毒研究中,他们服用了30天的这种益生菌胶囊。使用经验证的咳嗽症状评分、主观幸福感问卷和Chandler疲劳问卷记录症状。将该组作为一个整体进行分析,然后将其细分为感染早期的40组(32%)(基线前10天的平均症状)和慢性期的86组(68%)(试验基线前120天的平均病例)。结果:咳嗽、疲劳和主观幸福感评分在30天内,在早期和慢性期队列中都有显著改善。在试验开始时更有可能出现肠道微生态失调的参与者,如久坐、住院、有胃肠道症状的老年男性,对益生菌的反应在统计上显著更好。在基线报告肠道症状的31人中,有25人(82%)的肠道症状有所改善。两名(1.5%)患者报告轻度腹胀和腹泻加重。讨论:在这种营养干预之后,参与者的胃肠道和非胃肠道症状得到了显著改善,从而使整体健康状况得到了有意义的改善。尽管一些早期疾病的参与者会自发改善,但在大多数症状超过6个月的参与者中,这种快速改善是临床相关的,也是受欢迎的,尤其是在那些更有可能预先存在肠道微生态失调的人中。展望未来,我们的研究小组目前正在评估摄入这种现在被称为yourgutplus+的混合物是否也能提高新冠肺炎疫苗接种后的抗体滴度水平。传染病诊断与治疗Thomas R,等。传染病诊断治疗5:182。https://www.doi.org/10.29011/225771515.100182https://www.gavinpublishers.com/引用:Thomas R,Aldous J,Forsyth R,Chater A,Williams M(2021)益生菌乳酸杆菌和益生元菊粉的混合物对新冠肺炎患者症状持续时间和严重程度的影响。感染性疾病诊断治疗5:182。DOI:10.29011/22577-1515.100182第5卷;第01期感染疾病诊断治疗,开放获取期刊ISSN:2577-1515
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引用次数: 6
期刊
Infectious diseases diagnosis & treatment
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