microbial load

微生物负荷
  • 文章类型: Journal Article
    蚕自古以来就被养殖为蚕丝。丝绸卷起来后,在几个亚洲国家,它们的蛹被当作食物食用。尽管这种昆虫有着悠久的饲养传统,很少有研究调查家蚕在整个生命周期中的微生物安全性,专注于检测家蚕病原体或食用的干of的安全性。然而,农场饲养过程,大约需要四十天,可能会影响家蚕和饲养环境的微生物负荷,以及鲜茧的质量等性能参数。没有关于微生物污染在饲养期间和不同农民之间如何变化的数据。此外,鉴于蛹可能用作食物,了解其微生物负荷如何根据含水量而变化是至关重要的。为了解决这些具体问题,我们进行了一项调查,涉及分析食物链中常用的特定微生物指标。我们从几个农场收集了环境和蚕样本。检查涵盖了蚕的整个生命周期,从第一龄幼虫开始,最后对新鲜收获和干燥的p进行审查。事实证明,意大利东北部的蚕养殖场是进行实验的适当模型系统。此外,对饲养性能进行了评估,重点关注新鲜茧的质量和昆虫的存活率。
    Silkworms have been farmed for their silk since ancient times. After silk reeling, their chrysalides are consumed as food in several Asian countries. Despite the long rearing tradition of this insect, few studies have investigated the silkworm\'s microbiological safety all along the life cycle, focusing on detecting silkworm pathogens or on the safety of the dried chrysalis for food consumption. However, the in-farm rearing process, which takes around forty days, may affect the microbial load of the silkworm and of the rearing environment, as well as the quality of fresh cocoon and other performance parameters. No data is available on how microbial contamination changes during the rearing period and between different farmers. Furthermore, in light of the possible use of the chrysalis as food, it is crucial to understand how its microbial load varies according to the water content. To address these specific questions, we conducted an investigation involving the analysis of specific microbial indicators commonly used in the food chain. We collected environmental and silkworm samples from several farms. The examination covered the entire life cycle of silkworms, beginning with the first instar larvae and concluding with the scrutiny of both freshly harvested and dried pupae. Silkworm farms in Northeast Italy proved to be an appropriate model system for carrying out the experimentation. Additionally, an evaluation of rearing performance was conducted, with a focus on the quality of fresh cocoons and the survival rate of the insects.
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  • 文章类型: Journal Article
    这项当前的研究解决了关于季节影响的知识差距,月,和THI对牛奶产量的影响,composition,体细胞计数(SCC),以及伊朗东北部地区奶牛场的细菌总数(TBC)。为此,随机选择十个奶牛群,并获得每日牛奶产量记录。在运送到乳制品加工设施后,系统地从个体牛群中收集牛奶样品,用于后续分析。包括脂肪,蛋白质,固体非脂肪(SNF),pH值,SCC,和TBC。季节的影响,月,和THI对牛奶产量的影响,composition,SCC,和TBC使用方差分析进行评估。为了解释这些影响,混合效应模型采用受限最大似然方法,将月份和THI视为固定因素。我们的调查揭示了关键牛奶参数和季节性之间值得注意的相关性,每月,和这些变化。冬季产奶量最高,脂肪,蛋白质,SNF,和pH(p<0.01),而SCC和TBC均在冬季达到最低值(p<0.01)。牛奶产量的最高值,脂肪,1月份记录pH值(p<0.01),而在3月观察到最高的蛋白质和SNF水平(p<0.01)。12月是最低的SCC和TBC值(p<0.01)。在整个光谱中,从-3.6到37.7,明显的趋势。二次回归模型占34.59%,21.33%,4.78%,20.22%,1.34%,15.42%,和13.16%的产奶量方差,脂肪,蛋白质,SNF,pH值,SCC,TBC,分别。总之,我们的发现强调了THI对牛奶生产的重大影响,composition,SCC,TBC,为乳制品管理策略提供有价值的见解。面对气候变化带来的持续挑战,这些结果为提高生产效率和坚持牛奶质量标准提供了重要指导。
    This current study addresses the knowledge gap regarding the influence of seasons, months, and THI on milk yield, composition, somatic cell counts (SCC), and total bacterial counts (TBC) of dairy farms in northeastern regions of Iran. For this purpose, ten dairy herds were randomly chosen, and daily milk production records were obtained. Milk samples were systematically collected from individual herds upon delivery to the dairy processing facility for subsequent analysis, including fat, protein, solids-not-fat (SNF), pH, SCC, and TBC. The effects of seasons, months, and THI on milk yield, composition, SCC, and TBC were assessed using an analysis of variance. To account for these effects, a mixed-effects model was utilized with a restricted maximum likelihood approach, treating month and THI as fixed factors. Our investigation revealed noteworthy correlations between key milk parameters and seasonal, monthly, and THI variations. Winter showed the highest milk yield, fat, protein, SNF, and pH (p < 0.01), whereas both SCC and TBC reached their lowest values in winter (p < 0.01). The highest values for milk yield, fat, and pH were recorded in January (p < 0.01), while the highest protein and SNF levels were observed in March (p < 0.01). December marked the lowest SCC and TBC values (p < 0.01). Across the THI spectrum, spanning from -3.6 to 37.7, distinct trends were evident. Quadratic regression models accounted for 34.59%, 21.33%, 4.78%, 20.22%, 1.34%, 15.42%, and 13.16% of the variance in milk yield, fat, protein, SNF, pH, SCC, and TBC, respectively. In conclusion, our findings underscore the significant impact of THI on milk production, composition, SCC, and TBC, offering valuable insights for dairy management strategies. In the face of persistent challenges posed by climate change, these results provide crucial guidance for enhancing production efficiency and upholding milk quality standards.
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  • 文章类型: Journal Article
    目的:评估危险因素,健康个体和义齿口炎(DS)的局部和全身免疫生物标志物。
    方法:对于这项观察性横向研究,27名没有DS的参与者(第0组),24具有中等DS(第1组),25例重度DS患者(第2组)进行了社会人口统计学评估,行为,和临床参数,念珠菌的微生物负荷。,葡萄球菌属。,变形链球菌,假单胞菌属。,和肠杆菌,细胞因子和C反应蛋白水平。方差分析,费希尔的精确,Kruskal-Wallis,Mann-Whitney,采用Wilcoxon和Pearson卡方检验进行数据分析(α=0.05)。
    结果:第1组的平均年龄明显高于其他组(P=0.018),但年龄与DS之间无相关性(P=0.830;r=0.025)。在其他社会人口统计学和行为特征方面,各组之间没有发现显着差异。第1组的上部和下部假牙明显较老;然而,上(P=0.522;r=0.075)和下(P=0.143;r=0.195)假牙年龄与DS无相关性。假牙(P=0.035)和念珠菌对假牙的微生物负荷。组1和组2的腭上(P=0.008)高于组0。第1组和第2组念珠菌属较高。义齿计数(P=0.003)比0组。细菌分析组之间没有差异。与第0组相比,第1组显示更高的IL-6水平,第2组显示中间唾液水平。各组之间的C反应蛋白水平没有差异。
    结论:念珠菌的微生物负荷。是与DS关系最强的因素,具有通过IL-6进行本地信号传导的能力。
    OBJECTIVE: Assess risk factors, local and systemic immunological biomarkers in healthy individuals and with Denture Stomatitis (DS).
    METHODS: For this observational transversal study, 27 participants without DS (Group 0), 24 with moderate DS (Group 1), and 25 with severe DS (Group 2) were assessed for sociodemographic, behavioral, and clinical parameters, microbial load of Candida spp., Staphylococcus spp., Streptococcus mutans, Pseudomonas spp., and enterobacteria, and cytokine and C-reactive protein levels. ANOVA, Fisher\'s exact, Kruskal-Wallis, Mann-Whitney, Wilcoxon and Pearson\'s chi-square tests were used for data analysis (α = 0.05).
    RESULTS: Group 1 had a significantly higher mean age compared to the other groups (P = 0.018), but no correlation was identified between age and DS (P = 0.830; r = 0.025). No significant differences were found among the groups for other sociodemographic and behavioral characteristics. Group 1 had significantly older upper and lower dentures; however, no correlation was identified between age of upper (P = 0.522; r = 0.075) and lower (P = 0.143; r = 0.195) dentures and DS. The microbial load of Candida albicans on the dentures (P = 0.035) and Candida spp. on the palate (P = 0.008) of the groups 1 and 2 was higher than group 0. Group 1 and 2 had higher Candida spp. counts on denture (P = 0.003) than group 0. There was no difference among groups for bacterial analyzed. Group 1 showed higher and Group 2 intermediate salivary levels of IL-6 compared to Group 0. There was no difference in the C-reactive protein levels among groups.
    CONCLUSIONS: Microbial load of Candida spp. is the factor with the strongest relationship with DS, with capacity for local signaling through IL-6.
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  • 文章类型: Journal Article
    孟加拉国Chattogram城市地区的居民使用三种来源的饮用水,即CWASA(交通供水和污水处理管理局),地下水(管井),和商业罐子。在这项研究中,根据分析和居民的看法,我们检查了这些来源的饮用水质量。从Chattogram市的六个地点收集了来自上述三个来源的水样(未处理和处理过的),pH值,总溶解固体(TDS),总悬浮固体(TSS),碳酸氢盐,电导率(EC),盐度,和微生物负荷是按照最先进的测试方法进行研究的。总共采访了149名受访者,以了解他们对水的物理性质的看法。来自所有来源和位置的水的pH值,无论处理方式如何,从6.54到7.02不等。两个位置的管井水的TDS超过了标准限值(1000mg/l)。在大多数地方,TSS从40到1888mg/l(处理和未处理)变化,而标准值为10mg/l,而大多数地方的CWASA和管井水的碳酸氢盐也高于允许量(500mg/l)。除了罐子里的水,大多数位置的CWASA和管井水(处理过的和未处理过的)的EC高于标准值(500μS),盐度含量也观察到类似的情况。对于所有来源和位置,发现微生物负荷超过允许的极限(0CFU/ml)。这些水质参数也反映在居民对饮用水的看法中。受访者报告有难闻的气味(56%),悬浮颗粒的存在(17%),因此,CWASA水不适合饮用(76%)。当局(CWASA)需要采取行动,为居民提供安全的饮用水。
    Residents of Chattogram city areas in Bangladesh use drinking water from three sources, namely CWASA (Chattogram Water supply and Sewerage Authority), groundwater (tube-well), and commercial jar. In this study, we examined the quality of drinking water from these sources following an analytical and residents\' perception. Water samples (both untreated and treated) from above three sources were collected from six locations across Chattogram city, and pH, total dissolved solids (TDS), total suspended solids (TSS), bicarbonate, electrical conductivity (EC), salinity, and microbial load were studied following the state-of-art testing methods. A total of 149 respondents were interviewed to understand their perception on the physical properties of water. The pH value of water from all sources and locations and irrespective of treatments, varied from 6.54 to 7.02. TDS of tube-well water in two locations exceeded the standard limit (1000 mg/l). In most locations, TSS varied from 40 to 1888 mg/l (treated and untreated) against the standard value of 10 mg/l, while bicarbonate of CWASA and tube-well water in most locations was also higher than the permissible amount (500 mg/l). Except for jar water, EC of CWASA and tube-well water (treated and untreated) in most locations were higher than the standard value (500 μS) and a similar situation was observed for salinity content. The microbial load was found beyond the permissible limit (0 CFU/ml) for all sources and locations. These parameters of water quality have also been reflected in residents\' perceptions of drinking water. Respondents reported an unpleasant odour (56%), the presence of suspended particles (17%), and so CWASA water is not good for drinking (76%). Authorities (CWASA) need to take action toward a safe drinking water supply for residents.
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  • 文章类型: Journal Article
    目的:评估糖尿病足溃疡(DFU)的微生物负荷是否有助于预测预后。
    方法:在门诊(2017年9月1日至2019年1月31日)对患有DFU的糖尿病患者进行了一项多中心前瞻性队列研究。在基线访视时获得DFU组织活检的定量培养物;高和低微生物负荷定义为≥6logCFU/mL和<6logCFU/mL,分别。根据既定指南进行DFU感染的诊断和管理。在6个月随访时将结果评估为失败(持续/新感染/截肢)或治愈。
    结果:在65名患者中,52(80%)患有长期DFU(≥4周),具有较高的微生物负荷19(29%)。DFU感染(n=24,37%)与所有患者的高微生物负荷无关,但DFU持续时间较短的患者。治疗失败发生在20/57(35%)患者中;高DFU微生物负荷与较差的预后相关(n=9/20,失败率为45%,调整后的OR4.69;95%CI,1.22-18.09;p=0.03),主要是由于微生物负荷高和长期DFU的患者亚组。
    结论:由于微生物负荷高的患者预后较差,来自DFU的定量培养物可以识别将从抗生素治疗中受益的患者。
    OBJECTIVE: To evaluate if microbial load from diabetic foot ulcers (DFUs) can help in predicting outcomes.
    METHODS: A multicenter prospective cohort study was performed in an outpatient setting (September 1, 2017-January 31, 2019) in diabetic patients with DFU.Quantitative cultures from DFU tissue biopsies at a baseline visit were obtained; high and low microbial loads were defined as ≥6logCFU/mL and <6logCFU/mL, respectively. Diagnosis of DFU infection was made and managed according to established guidelines. The outcome was evaluated at 6 month-visit as failure (persistence/new infection/amputation) or cure.
    RESULTS: Out of 65 patients, 52 (80%) had long-standing DFUs (≥4 weeks), with high microbial load in 19 (29%).DFU infection (n = 24, 37%) was not associated with high microbial load in all patients but those with shorter DFU duration.Treatment failure occurred in 20/57 (35%) patients; high DFU microbial load was associated with worse outcome (n = 9/20, 45% failure rate, adjusted OR4.69; 95% CI, 1.22-18.09; p = 0.03),mainly due to the subgroup of patients with high microbial load and long-stand DFUs.
    CONCLUSIONS: Since patients with high microbial load had a worse outcome, quantitative cultures from DFUs can identify patients who would benefit from antibiotic therapy.
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    文章类型: Journal Article
    在某些情况下,投诉的严重性之间存在分离,体检数据,和生物材料在各类前列腺炎的鉴别诊断中的污染水平(NIH-NIDDK,1995).在一些观察中,患者注意到在验证前列腺分泌物或按摩后尿液的微生物负荷阈值指标(104-105CFU/ml)时存在明显的症状。然而,在某些污染滴度较高的患者中,临床表现和客观指标的偏差并不那么明显。
    在实验条件下,以各种滴度评估“参考”尿路病原体大肠杆菌感染期间,微生物负荷指数与前列腺组织病理形态学变化程度之间的关系材料和方法:使用FELASA方案进行动物模型。实验个体:16只“新西兰”兔子,重量:3580[3480;3695](3300-4410),年龄:25[24;26](23-28)周。使用的尿病原体:大肠杆菌。滴度:103CFU/ml,105CFU/ml,107CFU/ml。感染途径:根据改良的J.C.Nickel技术通过尿道进行尿路病原体的接种。随机化:将所有实验动物均分为4组,每组4只动物,考虑到尿路病原体的初始滴度和观察期-实验组1(103CFU/ml),2(105CFU/ml),3(107CFU/ml);第4组为对照(Sol。NaCl0.9%)。观察期限:1、3、7和14天,之后对动物实施安乐死并解剖。4次细菌学活检(1A-1D)(MacConkey琼脂-“HiMedia”,印度)和2个形态学活检(P1-P2)(苏木精-伊红-“BlikMediklProduction”,俄罗斯;magn.10x,40x,100x,400x)的研究是从前列腺复合物的各个部分(前列腺+前列腺+前列腺旁)形成的。三点分级系统用于形态学评估不同组前列腺组织的破坏性变化。使用软件包Microsoft365(\“Microsoft\”,美国)和Statistica10.2(“StatSoftInc.”,美国)通过描述性和非参数统计的方法。
    显示了前列腺复合物活检标本接种的最大总绝对/中值(滴度,1A-1D)在第1组中,总计76lgCFU/ml/5.00[4.00;5.25]lgCFU/ml,在第2组中定义为中间-57lgCFU/ml/3.50[3.00;4.00]lgCFU/ml,在第3组中,根据细菌学研究的指标,在第1至14天期间,lgCFU/ml/3.00[3.00;3.25]lgCFU/ml最小-48。然而,发现在第2组中记录了前列腺组织学变化的累积最大程度(第84页),在第1组中,它被定义为中间(第68页),在第3组中,根据病理形态学研究的数据,它是最小的(第64页)。当比较播种值的每日变化和前列腺组织炎症病变的标称指标时,仅在第1组中,趋势图具有同步趋势-微生物负荷的增加导致第7天形成更严重的病理形态学转变;在第2组中,破坏性变化显着,以及污染率,相反,在第7天最小;在第3组中,在第3天和第7天注意到组织中明显的病理形态学转化,但从第1天开始组织的微生物负荷逐渐降低。此外,确定了受影响组织中变化的“反应性”增加的差异:在第1组和第3组中,显示出强直性反应,伴随着第1天中度炎症变化的发展和第3天破坏强度的“突然”增加;在第2组中,确定了快速反应,其特征是从第1天开始形成更明显的破坏性过程。
    发现污染参数不能完全反映前列腺病理变化的性质和严重程度。低滴度的尿路病原体诱导炎症过程的发展,其变化的严重程度与较高浓度时相当。相反,专性致病滴度的接种并不总是导致微生物负荷的显着增加,但会引起前列腺的显着炎症变化。
    In some cases, there is a dissociation between the severity of complaints, physical examination data, and levels of contamination of the biomaterial in the differential diagnosis of various categories of prostatitis (NIH-NIDDK, 1995). Patients note the presence of pronounced symptoms when verifying the threshold indicators of microbial load (104-105 CFU / ml) of prostate secretion or post-massage urine in a few observations. However, clinical manifestations and deviations in objective indicators are not so significant in some patients with higher titers of contamination.
    To evaluate the relationship between the microbial load indices and the degree of pathomorphological changes in the prostate tissue during infection with the \"reference\" uropathogen E. coli in various titers under experimental conditions MATERIALS AND METHODS: Animal model was carried out using the FELASA protocols. Experimental individuals: 16 \"New Zealand\" rabbits, weight: 3580 [3480; 3695] (3300-4410), age: 25 [24; 26] (23-28) weeks. Uropathogen used: E. coli. Titers: 103 CFU / ml, 105 CFU / ml, 107 CFU / ml. Infection pathway: inoculation of the uropathogen was performed through urethra according to the modified technique of J.C. Nickel. Randomization: all lab animals were evenly divided into 4 groups of 4 animals, taking into account the initial titer of the uropathogen and the observation period - experimental groups 1 (103 CFU / ml), 2 (105 CFU / ml), 3 (107 CFU / ml); group 4 was control (Sol.NaCl 0.9%). Observation terms: 1, 3, 7 and 14 days, after which the animals were euthanized and dissected. 4 biopsies (1A-1D) for bacteriological (MacConkey agar - \"HiMedia\", India) and 2 biopsies (P1-P2) for morphological (Hematoxylin-eosin - \"BlikMediklProduction\", Russia; magn. 10x, 40x, 100x, 400x) studies were formed from various parts of the prostatic complex (prostate + proprostate + paraprostate). A three-point grading system was used for morphometric assessment of destructive changes in the prostate tissue in different groups. Analytical processing of the results was carried out using the software packages Microsoft 365 (\"Microsoft\", USA) and Statistica 10.2 (\"StatSoft Inc.\", USA) by methods of descriptive and nonparametric statistics.
    The maximum total absolute / median values of the seeding of biopsy specimens of the prostatic complex were revealed ( titer, 1A-1D) in group 1 and amounted to 76 lg CFU / ml / 5.00 [4.00; 5.25] lgCFU / ml, in group 2 defined as intermediate - 57 lgCFU / ml / 3.50 [3.00; 4.00] lgCFU / ml, and in group 3 were minimal - 48 lgCFU / ml / 3.00 [3.00; 3.25] lg CFU / ml according to the indicators of bacteriological research in the period from 1 to 14 days. Nevertheless, it was found that the cumulative maximum degree of histological changes in the prostate was recorded in group 2 ( p. - 84), in group 1 it was defined as intermediate ( p. - 68), and in group 3, it was the smallest ( p. - 64) according to the data of pathomorphological studies. When comparing daily changes in the seeding values and nominal indicators of inflammatory lesions in the prostate tissue, only in group 1, the trend graphs had a synchronous trend - an increase in microbial load led to the formation of more severe pathomorphological transformations on the day 7; in group 2, destructive changes were significant, and the rates of contamination, on the contrary, were minimal on the day 7; in group 3 a pronounced pathomorphological transformations in the tissues were noted on the day 3 and 7, but the microbial load of the tissues gradually decreased from the day 1. Also, differences in the increase in the \"reactivity\" of changes in the affected tissues were determined: in groups 1 and 3, a torpid reaction was revealed, accompanied by the development of moderate inflammatory changes on the day 1 and an \"abrupt\" increase in the intensity of destruction by the day 3; in group 2, in turn, a rapid reaction was determined, that characterized by the formation of a more pronounced destructive process already from the day 1.
    It was found that the parameters of contamination do not fully reflect the nature and severity of pathological changes in the prostate. Low titers of the uropathogen induce the development of an inflammatory process comparable in the severity of changes with that at higher concentrations. On the contrary, inoculation of obligate pathogenic titers does not always lead to a pronounced increase in microbial load but causes significant inflammatory changes in the prostate.
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  • 文章类型: Journal Article
    我们综合评估了生命早期不同的室内和室外环境暴露对(亚)城市地区儿童呼吸和过敏性健康状况的影响。
    这项研究包括参与四个正在进行的欧洲出生队列的儿童,这些队列位于三个不同的地理区域:INMA(西班牙)。LISAPlus(德国),GINIplus(德国)和BAMSE(瑞典)。喘息,支气管炎,使用父母完成的问卷评估了儿童期的哮喘和过敏性鼻炎.我们设计了对应于不同室内的“环境分数”,绿色和灰色相关暴露(主要分析,a-先验方法)。使用随机效应荟萃分析评估了这些环境评分与呼吸健康结果之间的队列特异性关联。此外,基于用于开发环境评分的相同暴露信息进行因子分析(验证性分析,数据驱动方法)。
    较高的早期暴露于室内环境评分会增加生命第一年内发生喘息和支气管炎的风险(综合调整比值比:1.20[95%置信区间:1.13-1.27]和1.28[1.18-1.39],分别)。相比之下,6~8年与过敏性鼻炎呈负相关(0.85[0.79-0.92]).与室外相关的环境得分与任何测试的健康结果没有统计学上的显着关联。进行的因素分析证实了这些趋势。
    尽管通过居住者暴露于室内相关暴露的较高暴露与第1年内喘息和支气管炎的风险增加有关,通过加强与微生物制剂的共同接触,它可能作为预防城市化环境中儿童后期过敏性呼吸道结果的预防机制。
    We integratively assessed the effect of different indoor and outdoor environmental exposures early in life on respiratory and allergic health conditions among children from (sub-) urban areas.
    This study included children participating in four ongoing European birth cohorts located in three different geographical regions: INMA (Spain), LISAplus (Germany), GINIplus (Germany) and BAMSE (Sweden). Wheezing, bronchitis, asthma and allergic rhinitis throughout childhood were assessed using parental-completed questionnaires. We designed \"environmental scores\" corresponding to different indoor, green- and grey-related exposures (main analysis, a-priori-approach). Cohort-specific associations between these environmental scores and the respiratory health outcomes were assessed using random-effects meta-analyses. In addition, a factor analysis was performed based on the same exposure information used to develop the environmental scores (confirmatory analysis, data-driven-approach).
    A higher early exposure to the indoor environmental score increased the risk for wheezing and bronchitis within the first year of life (combined adjusted odds ratio: 1.20 [95% confidence interval: 1.13-1.27] and 1.28 [1.18-1.39], respectively). In contrast, there was an inverse association with allergic rhinitis between 6 and 8 years (0.85 [0.79-0.92]). There were no statistically significant associations for the outdoor related environmental scores in relation to any of the health outcomes tested. The factor analysis conducted confirmed these trends.
    Although a higher exposure to indoor related exposure through occupants was associated with an increased risk for wheezing and bronchitis within the 1st year, it might serve as a preventive mechanism against later childhood allergic respiratory outcomes in urbanized environments through enhanced shared contact with microbial agents.
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  • 文章类型: Journal Article
    背景:伤口愈合的科学正在迅速发展,特别是由于新的治疗方法。不同草药软膏的伤口愈合效果是巨大的,目前正在广泛使用。
    目的:评价Panchavalkala乳膏对创面清创(创面感染和微生物负荷)的疗效。
    方法:制备Panchavalkala的单个药物的Ghanasatwa(水提取物),并将提取物配制为草药软膏。这用于治疗感染的慢性不愈合伤口的患者。在治疗前和治疗过程中对感染的体征和症状进行分级。在治疗之前和期间进行组织活检以估计微生物负荷。
    结果:临床症状如Slough,肿胀,发红,疼痛,放电,压痛,治疗后,伤口中的恶臭显示出统计学上的显着减少。伤口的微生物负荷也显著降低。
    结论:在大多数情况下,随着时间的推移,微生物负荷逐渐减少,在治疗过程中,表明制剂在减少微生物负荷从而控制感染方面的功效,促进伤口愈合。
    BACKGROUND: The science of wound healing is advancing rapidly, particularly as a result of new therapeutic approaches. The wound healing effect of different herbal ointments have been enormous and are in wide practice these days.
    OBJECTIVE: To evaluate the efficacy of Panchavalkala cream over wound debridement (wound infection and microbial load).
    METHODS: Ghanasatwa (water extract) of the individual drugs of Panchavalkala was prepared and the extract formulated as herbal ointment. This was used to treat patients of infected chronic non healing wounds. The signs and symptoms of infection were graded before and during the course of treatment. Tissue biopsy to estimate the microbial load prior to and during the course of treatment was done.
    RESULTS: The clinical symptoms like Slough, swelling, redness, pain, discharge, tenderness, and malodor in wounds showed statistically significant reduction following treatment. The microbial load of the wounds was also reduced significantly.
    CONCLUSIONS: In most of the cases, there was a progressive reduction in the microbial load with time, during the course of treatment indicating the efficacy of the formulation in reducing the microbial load and thus controlling infection, facilitating wound healing.
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