Campylobacter

弯曲杆菌
  • 文章类型: Journal Article
    背景。本系统评价和荟萃分析的目的是估计感染弯曲杆菌的个体的比例。埃希氏菌,沙门氏菌,志贺氏菌,或耶尔森氏菌会发展为反应性关节炎。方法。进行了系统的审查,包含2024年1月之前发表的英语文章,来自Embase,PubMed,Scopus,和WebofScience数据库。这篇综述包括观察性研究,这些研究报告了弯曲杆菌患者反应性关节炎(ReA)的发生,埃希氏菌,沙门氏菌,志贺氏菌,或耶尔森氏菌感染。数据提取由两名审阅者独立进行。随后,进行了随机效应荟萃分析,使用I2值评估异质性。此外,采用meta回归分析研究水平变量对观察到的异质性的潜在影响。结果。共确定了87项研究;23项报道了弯曲杆菌感染后的ReA发展,7例大肠杆菌感染后的ReA报告,30例报告沙门氏菌病后出现ReA,14在志贺氏菌病后报告了ReA,13例报告了耶尔森氏菌感染后的ReA。出现ReA的弯曲杆菌患者比例为0.03(95%CI[0.01,0.06],I2=97.62%);发生ReA的大肠埃希菌患者比例为0.01(95%CI[0.00,0.06],I2=92.78%);沙门氏菌患者比例为0.04(95%CI[0.02,0.08],I2=97.67%);志贺氏菌患者比例为0.01(95%CI[0.01,0.03],I2=90.64%);发生ReA的耶尔森氏菌患者比例为0.05(95%CI[0.02,0.13],I2=96%)。结论。沙门氏菌的比例很大,志贺氏菌,耶尔森氏菌病例导致了ReA。尽管如此,由于研究之间存在显著的异质性,因此谨慎解释研究结果非常重要.
    Background. The objective of this systematic review and meta-analysis was to estimate the proportions of individuals infected with Campylobacter, Escherichia, Salmonella, Shigella, or Yersinia who develop reactive arthritis. Methods. A systematic review was conducted, encompassing English-language articles published before January 2024, sourced from the Embase, PubMed, Scopus, and Web of Science databases. This review included observational studies that reported the occurrence of reactive arthritis (ReA) among patients with Campylobacter, Escherichia, Salmonella, Shigella, or Yersinia infections. Data extraction was carried out independently by two reviewers. Subsequently, a random-effects meta-analysis was performed, with heterogeneity assessed using the I2 value. Additionally, meta-regression was employed to investigate the potential influence of study-level variables on the observed heterogeneity. Results. A total of 87 studies were identified; 23 reported on ReA development after Campylobacter infection, 7 reported on ReA after Escherichia infection, 30 reported ReA onset after salmonellosis, 14 reported ReA after shigellosis, and 13 reported ReA after Yersinia infection. The proportion of Campylobacter patients who developed ReA was 0.03 (95% CI [0.01, 0.06], I2 = 97.62%); the proportion of Escherichia patients who developed ReA was 0.01 (95% CI [0.00, 0.06], I2 = 92.78%); the proportion of Salmonella patients was 0.04 (95% CI [0.02, 0.08], I2 = 97.67%); the proportion of Shigella patients was 0.01 (95% CI [0.01, 0.03], I2 = 90.64%); and the proportion of Yersinia patients who developed ReA was 0.05 (95% CI [0.02, 0.13], I2 = 96%). Conclusion. A significant proportion of Salmonella, Shigella, and Yersinia cases resulted in ReA. Nonetheless, it is important to interpret the findings cautiously due to the substantial heterogeneity observed between studies.
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  • 文章类型: Journal Article
    尽管可食用的犀牛甲虫(Oryctessp。)幼虫在世界许多国家普遍消费,它们使用不同的方法制备,如煮沸,烘烤,敬酒,油炸,其对营养价值和微生物安全性的影响鲜为人知。在这里,我们研究了这些方法对Oryctessp的营养价值和微生物安全性的影响。幼虫.我们的假设是,使用这四种方法烹饪g对其营养成分,微生物负荷和多样性没有影响。分析了g的近似成分,使用标准化学程序的脂肪和氨基酸谱;以及使用标准培养程序的微生物安全性。油炸降低蛋白质和碳水化合物含量,但脂肪含量升高.沸腾降低了灰分含量,但增加了纤维和碳水化合物的成分。烘烤和烘烤增加了蛋白质和灰分含量,分别。在幼虫中检测到40种脂肪酸,其中只有5个水平没有受到烹饪方法的显著影响,而其他人的水平受到不同烹饪方法的不同影响。氨基酸谱和水平在不同的治疗中基本相当,但是所有煮熟的g中的赖氨酸和精氨酸都高于原始形式。所有的烹饪方法都消除了肠杆菌科细菌,志贺氏菌sp.和弯曲杆菌sp.从grubs。除了沸腾,所有方法都将总可行计数降低到安全水平。沙门氏菌sp.仅通过烘烤和烘烤消除;煮沸促进酵母和霉菌的生长。金黄色葡萄球菌的水平超过了所有烹饪方法的安全限制。这些发现为准备所需的营养和安全结果提供了有关方法类型的指导。
    Although edible rhinoceros beetle (Oryctes sp.) larvae are popularly consumed in many countries worldwide, they are prepared using different methods such as boiling, roasting, toasting, and deep-frying, whose effect on nutritional value and microbial safety is scarcely known. Here we investigated the effect of these methods on the nutritional value and microbial safety of Oryctes sp. larvae. Our hypothesis was that cooking the grubs using the four methods had no effect on their nutritional content and microbial loads and diversity. The grubs were analyzed for proximate composition, and fatty and amino acid profiles using standard chemical procedures; and microbial safety using standard culturing procedures. Deep-frying reduced protein and carbohydrate content, but elevated fat content. Boiling lowered ash content, but increased fibre and carbohydrate composition. Roasting and toasting increased protein and ash contents, respectively. Forty fatty acids were detected in the larvae, of which levels of only five were not significantly affected by cooking method, while the levels of the others were differentially affected by the different cooking methods. Amino acid profiles and levels were largely comparable across treatments, but lysine and arginine were higher in all cooked grubs than raw form. All the cooking methods eliminated Enterobacteriaceae, Shigella sp. and Campylobacter sp. from the grubs. Except boiling, all methods reduced total viable count to safe levels. Salmonella sp. were only eliminated by toasting and roasting; while boiling promoted growth of yeast and moulds. Staphylococcus aureus levels exceeded safety limits in all the cooking methods. These findings offer guidance on the type of method to use in preparing the grubs for desired nutritional and safety outcomes.
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  • 文章类型: Journal Article
    微生物群落组成与宿主疾病的发生和进展密切相关,强调在各种健康环境中了解宿主微生物群动态的重要性。
    在这项研究中,我们利用全长16SrRNA基因测序对患有口腔恶性纤维瘤的大熊猫(Ailuropodamelanoleuca)口腔中的微生物进行物种级鉴定。
    我们观察到大熊猫口腔肿瘤侧和非肿瘤侧的微生物群落之间存在显着差异,后者表现出更高的微生物多样性。肿瘤侧以特定的微生物为主,比如镰刀菌,卟啉单胞菌sp.猫科动物口服分类单元110,弯曲杆菌。猫科动物口服分类单元100和奈瑟氏菌。猫口服分类单元078,据报道与其他生物体的致瘤过程和牙周疾病相关。根据线性判别分析效应大小分析,在肿瘤侧样本和非肿瘤侧样本之间获得了超过9种不同的生物标志物.此外,《京都基因和基因组百科全书》分析显示,大熊猫口腔微生物群与遗传信息处理和代谢显著相关,特别是辅因子和维生素,氨基酸,和碳水化合物代谢。此外,预计在肿瘤侧有明显的细菌侵袭上皮细胞。
    这项研究为大熊猫口腔微生物群与口腔肿瘤之间的关系提供了重要的见解,并提供了潜在的生物标志物,可以指导圈养和衰老大熊猫的未来健康评估和预防策略。
    UNASSIGNED: Microbial community composition is closely associated with host disease onset and progression, underscoring the importance of understanding host-microbiota dynamics in various health contexts.
    UNASSIGNED: In this study, we utilized full-length 16S rRNA gene sequencing to conduct species-level identification of the microorganisms in the oral cavity of a giant panda (Ailuropoda melanoleuca) with oral malignant fibroma.
    UNASSIGNED: We observed a significant difference between the microbial community of the tumor side and non-tumor side of the oral cavity of the giant panda, with the latter exhibiting higher microbial diversity. The tumor side was dominated by specific microorganisms, such as Fusobacterium simiae, Porphyromonas sp. feline oral taxon 110, Campylobacter sp. feline oral taxon 100, and Neisseria sp. feline oral taxon 078, that have been reported to be associated with tumorigenic processes and periodontal diseases in other organisms. According to the linear discriminant analysis effect size analysis, more than 9 distinct biomarkers were obtained between the tumor side and non-tumor side samples. Furthermore, the Kyoto Encyclopedia of Genes and Genomes analysis revealed that the oral microbiota of the giant panda was significantly associated with genetic information processing and metabolism, particularly cofactor and vitamin, amino acid, and carbohydrate metabolism. Furthermore, a significant bacterial invasion of epithelial cells was predicted in the tumor side.
    UNASSIGNED: This study provides crucial insights into the association between oral microbiota and oral tumors in giant pandas and offers potential biomarkers that may guide future health assessments and preventive strategies for captive and aging giant pandas.
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  • 文章类型: Journal Article
    细菌寡糖转移酶(OST)如空肠弯曲杆菌PglB用于糖工程的应用在糖工程和糖缀合物疫苗开发中引起了相当大的兴趣。然而,PglB对可以转移到候选蛋白的聚糖具有有限的特异性,与其他因素一起依赖于聚糖的还原端糖。在这项研究中,我们开发了一种无细胞糖基化测定法,它提供了“是”或“否”确定的速度和简单性。使用该测定法,我们测试了来自弯曲杆菌和更远相关细菌的11种PglB的活性。测试了以下具有不同还原端糖的各种聚糖的转移,包括肺炎链球菌胶囊血清型4,沙门氏菌血清O型鼠伤寒O抗原(B1),图拉氏菌O抗原,大肠杆菌O9抗原和空肠弯曲杆菌七糖。有趣的是,而来自同一属的PGLBs显示出高活性,而不同的PglB在将聚糖转移到受体蛋白方面有所不同。值得注意的是,出于糖工程的目的,肝弯曲菌和亚北极弯曲菌PglBs显示出较高的糖基化效率,肝梭菌PglB可能可用于糖缀合物疫苗的生产。这项研究证明了无细胞测定在快速评估OST以偶联聚糖/载体蛋白组合方面的多功能性,并通过将氨基酸相似性与糖基转移酶活性联系起来为将来筛选PglB奠定了基础。
    The application of bacterial oligosaccharyltransferases (OSTs) such as the Campylobacter jejuni PglB for glycoengineering has attracted considerable interest in glycoengineering and glycoconjugate vaccine development. However, PglB has limited specificity for glycans that can be transferred to candidate proteins, which along with other factors is dependent on the reducing end sugar of glycans. In this study, we developed a cell-free glycosylation assay that offers the speed and simplicity of a \'yes\' or \'no\' determination. Using the assay, we tested the activity of eleven PglBs from Campylobacter species and more distantly related bacteria. The following assorted glycans with diverse reducing end sugars were tested for transfer, including Streptococcus pneumoniae capsule serotype 4, Salmonella enterica serovar Typhimurium O antigen (B1), Francisella tularensis O antigen, Escherichia coli O9 antigen and Campylobacter jejuni heptasaccharide. Interestingly, while PglBs from the same genus showed high activity, whereas divergent PglBs differed in their transfer of glycans to an acceptor protein. Notably for glycoengineering purposes, Campylobacter hepaticus and Campylobacter subantarcticus PglBs showed high glycosylation efficiency, with C. hepaticus PglB potentially being useful for glycoconjugate vaccine production. This study demonstrates the versatility of the cell-free assay in rapidly assessing an OST to couple glycan/carrier protein combinations and lays the foundation for future screening of PglBs by linking amino acid similarity to glycosyltransferase activity.
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  • 文章类型: Journal Article
    弯曲杆菌病对低收入国家五岁以下儿童的影响不成比例。然而,缺乏儿童-动物界面的流行病学和抗菌素耐药性(AMR)信息。我们假设弯曲杆菌是埃塞俄比亚儿童肠炎的主要原因,与动物接触是潜在的传播源。该研究的目的是确定5岁以下腹泻儿童中弯曲杆菌的发生及其AMR,后院农场动物,和伴侣宠物。对303名儿童的粪便和711只动物的粪便进行了采样。在微氧孵育下,通过在改良的木炭头孢哌酮脱氧胆酸琼脂平板上的膜过滤分离弯曲杆菌,并且该技术被证明在缺乏有组织的实验室的地区使用是可行的。用MALDI-TOFMS和多重PCR表征典型分离株。在303个孩子中,20%(n=59)被感染,在6至11个月年龄组中比例较高。弯曲杆菌在64%(n=14)的狗和44%(n=112)的家禽中发生。空肠弯曲杆菌在149个弯曲杆菌阳性家庭中的15%(n=23)的儿童和动物物种中均存在空肠弯曲杆菌。使用128种分离物的梯度条带扩散测试的MIC对环丙沙星的耐药率为20%,对多西环素的耐药率为11%。环丙沙星和多西环素的MIC在大肠杆菌和空肠杆菌之间不同,在大肠杆菌和家禽分离物中具有较高的耐药性。儿童弯曲杆菌感染及其从后院家禽和狗中普遍排泄是一个未被研究的问题。空肠弯曲杆菌在动物和儿童中的同时出现表明家庭水平的传播,因为观察到对环丙沙星和强力霉素的抗性,严重弯曲杆菌病的治疗应考虑药敏试验.这项研究的结果可以支持基于证据的诊断,抗菌治疗,以及对知情的OneHealth干预措施的AMR机制传播的进一步调查。
    Campylobacteriosis disproportionately affects children under five in low-income countries. However, epidemiological and antimicrobial resistance (AMR) information at the children-animal interface is lacking. We hypothesized that Campylobacter is a major cause of enteritis in children in Ethiopia, and contact with animals is a potential source of transmission. The objective of the study was to determine Campylobacter occurrence and its AMR in children under five with diarrhea, backyard farm animals, and companion pets. Stool from 303 children and feces from 711 animals were sampled. Campylobacter was isolated through membrane filtration on modified charcoal cefoperazone deoxycholate agar plates under microaerobic incubation, and the technique showed to be feasible for use in regions lacking organized laboratories. Typical isolates were characterized with MALDI-TOF MS and multiplex PCR. Of 303 children, 20% (n = 59) were infected, with a higher proportion in the 6 to 11-month age group. Campylobacter occurred in 64% (n = 14) of dogs and 44% (n = 112) of poultry. Campylobacter jejuni was present in both a child and animal species in 15% (n = 23) of 149 households positive for Campylobacter. MICs using the gradient strip diffusion test of 128 isolates displayed resistance rates of 20% to ciprofloxacin and 11% to doxycycline. MICs of ciprofloxacin and doxycycline varied between C. coli and C. jejuni, with higher resistance in C. coli and poultry isolates. Campylobacter infection in children and its prevalent excretion from backyard poultry and dogs is a understudied concern. The co-occurrence of C. jejuni in animals and children suggest household-level transmission As resistance to ciprofloxacin and doxycycline was observed, therapy of severe campylobacteriosis should consider susceptibility testing. Findings from this study can support evidence-based diagnosis, antimicrobial treatment, and further investigations on the spread of AMR mechanisms for informed One Health intervention.
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  • 文章类型: Journal Article
    乳杆菌属。抑制弯曲杆菌的生长。在体外。然而,在鸡肉作物中,其中乳酸菌属。占主导地位,这种对弯曲杆菌的抑制作用尚未得到证实。在我们之前的研究中,将水稻饲喂给肉鸡增加了食物的停留时间,这可能会增强作物的杀菌活性。这里,对剩余弯曲杆菌属的杀菌活性。在肉鸡作物中进行了评估。将通过混合空肠弯曲杆菌和二氧化钛(TiO2)制备的悬浮液接种到以稻米为基础的饮食喂养的26天大肉鸡的咽部。每隔20分钟对作物内容物进行采样。接种后随着时间的延长,作物中TiO2的残留率逐渐降低,在接种后60分钟,57%的接种的TiO2保留在作物中。空肠弯曲菌在40分钟时的成活率为11%,60分钟时只有1%,并且在80分钟时检测不到。大多数接种的空肠弯曲杆菌在进入下一段之前在作物中死亡。这些数据表明细菌死亡发生在接种后30分钟至40分钟之间。计算空肠弯曲菌在作物中的平均存活时间为37.1分钟。因此,在鸡作物中停留超过40分钟的空肠杆菌死亡。
    Lactobacillus spp. inhibit the growth of Campylobacter spp. in vitro. However, in chicken crops, in which Lactobacillus spp. predominate, such inhibition of Campylobacter has not been confirmed. In our previous study, feeding paddy rice to broiler chicks increased the residence time of the food, which might enhance the bactericidal activity of the crop. Here, the bactericidal activity against the remaining Campylobacter spp. in broiler crops was evaluated. A suspension prepared by mixing Campylobacter jejuni and titanium dioxide (TiO2) was inoculated into the pharynx of 26-day-old broiler chicks fed a paddy rice-based diet. The crop contents were sampled at 20-min intervals. The TiO2 residual ratio in the crop gradually decreased with time after inoculation, with 57% of the inoculated TiO2 remaining in the crop 60 min after inoculation. The survival fraction of C. jejuni in the crops was 11% at 40 min, only 1% at 60 min, and was undetectable at 80 min. Most of the inoculated C. jejuni died in the crop before entering the next segment. These data indicated that bacterial death occurred between 30 min and 40 min after inoculation. The average survival time of C. jejuni in the crop was calculated to be 37.1 min. Thus, C. jejuni remaining in a chicken crop for more than 40 min died.
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  • 文章类型: Journal Article
    肝弯曲杆菌,该病(SLD)是无笼产蛋鸡的一种重要疾病,可导致死亡率和产量下降。肝肠杆菌是一种生长缓慢的弯曲杆菌,容易被粪便细菌过度生长。它目前只能可靠地从胆汁样品中分离出来。用于从粪便或环境中分离的选择性介质将有助于诊断和影响评估。使用马血琼脂(HBA)研究了五种澳大利亚肝肠杆菌分离株的生长,羊血琼脂(SBA),博尔顿,Preston和脑心输液(BHI)基础培养基。血液和/或胆汁被添加到博尔顿,普雷斯顿和BHI媒体。使用空肠杆菌作为阳性对照。将板在微需氧条件下在42°C下一式两份孵育10天,并在孵育的第3-5天和第7-10天进行检查。使用HBA敏感性板检查每个分离株对14种抗微生物剂的敏感性。BHI和添加的胆汁抑制了生长,而血液改善了生长。使用SBA进一步复制,HBA,Bolton和Preston培养基在具有血液的Bolton琼脂上显示出最佳生长。所有5株肝梭菌分离株对甲氧苄啶和万古霉素均耐药,而四个人也对利福平和杆菌肽耐药。基于Bolton加上补充有万古霉素和甲氧苄啶的血液的培养基可用作选择性生长肝梭菌的最合适的培养基。将胆汁添加到用于分离和生长的肝梭状芽胞杆菌的培养基中将抑制生长并且不建议。
    Campylobacter hepaticus, the causative agent of Spotty Liver Disease (SLD) is an important disease in cage-free egg producing chickens causing mortality and production drops. C. hepaticus is a slow growing Campylobacter easily overgrown by fecal bacteria. It is currently only reliably isolatable from bile samples. A selective media for isolation from feces or environment would assist diagnosis and impact assessment. Growth of five Australian C. hepaticus isolates was studied using Horse blood agar (HBA), sheep blood agar (SBA), Bolton, Preston and Brain Heart Infusion (BHI) base media. Blood and/or bile were added to Bolton, Preston and BHI medias. C. jejuni was used as a positive control. Plates were incubated in duplicate under microaerophilic conditions at 42°C for 10 days and examined at days 3-5 and 7-10 of incubation. Each isolate was examined for sensitivity to 14 antimicrobials using HBA sensitivity plates. Growth was inhibited by BHI and by added bile, while blood improved growth. Further replicates using SBA, HBA, Bolton and Preston media showed best growth on Bolton agar with blood. All five C. hepaticus isolates were resistant to trimethoprim and vancomycin, while four were also resistant to rifampicin and bacitracin. Media based upon Bolton plus blood supplemented with vancomycin and trimethoprim might be used as the most appropriate media for selective growth of C. hepaticus. The addition of bile to media for C. hepaticus isolation and growth will inhibit growth and is not advised.
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  • 文章类型: Journal Article
    在过去的几年中,生态系统日益城市化对野生动植物产生了重大影响。在城市地区找到无限食物和住所的物种在人类的存在下蓬勃发展。野生鸟类已被确定为全球弯曲杆菌的放大宿主和水库,但是关于其传播和流行病学的信息仍然有限。这项研究评估了野生动物救援中心收治的137只城市鸟类中弯曲杆菌的流行情况,18.8%的人表现为阳性。空肠弯曲杆菌是最常见的物种(82.6%),其次是C.coli和C.lari(各4.3%)。与Columbiformes(0%)和Ciconiformes(17.6%)相比,Passeriformes(33.3%)显示出明显更高的弯曲杆菌存在,以及在夏季收集的样本(31.9%),来自杂食性物种(36.8%)和年轻个体(26.8%)。全球范围内,弯曲杆菌对环丙沙星有明显的耐药性(70.6%),四环素(64.7%),和萘啶酸(52.9%)。相比之下,对链霉素的耐药性较低(5.8%),所有分离株均对红霉素和庆大霉素敏感。结果强调了城市鸟类作为嗜热抗菌性弯曲杆菌的水库的重要性,并有助于增强其在城市和城市周围生态系统中分布的知识。
    The increasing urbanization of ecosystems has had a significant impact on wildlife over the last few years. Species that find an unlimited supply of food and shelter in urban areas have thrived under human presence. Wild birds have been identified as amplifying hosts and reservoirs of Campylobacter worldwide, but the information about its transmission and epidemiology is still limited. This study assessed the prevalence of Campylobacter in 137 urban birds admitted at a wildlife rescue center, with 18.8% of individuals showing positive. C. jejuni was the most frequent species (82.6%), followed by C. coli and C. lari (4.3% each). The order Passeriformes (33.3%) showed significant higher presence of Campylobacter when compared to orders Columbiformes (0%) and Ciconiiformes (17.6%), as well as in samples collected during the summer season (31.9%), from omnivorous species (36.8%) and young individuals (26.8%). Globally, Campylobacter displayed a remarkable resistance to ciprofloxacin (70.6%), tetracycline (64.7%), and nalidixic acid (52.9%). In contrast, resistance to streptomycin was low (5.8%), and all the isolates showed susceptibility to erythromycin and gentamycin. The results underline the importance of urban birds as reservoirs of thermophilic antimicrobial-resistant Campylobacter and contribute to enhancing the knowledge of its distribution in urban and peri-urban ecosystems.
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  • 文章类型: Journal Article
    食品辐照可以减少食源性疾病,但在美国很少使用。我们确定爆发是否与弯曲杆菌有关,沙门氏菌,大肠杆菌,和单核细胞增生李斯特菌与符合辐照条件的食物有关。在482次疫情中,155(32.2%)与符合辐照条件的食物有关,其中没有一个是已知的辐射。
    Food irradiation can reduce foodborne illnesses but is rarely used in the United States. We determined whether outbreaks related to Campylobacter, Salmonella, Escherichia coli, and Listeria monocytogenes were linked to irradiation-eligible foods. Of 482 outbreaks, 155 (32.2%) were linked to an irradiation-eligible food, none of which were known to be irradiated.
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  • 文章类型: Journal Article
    目的:腹泻是免疫功能低下患者的常见疾病,可能与更高的发病率甚至死亡率有关。因此,本研究旨在确定气单胞菌属的患病率。,弯曲杆菌属。,免疫功能低下儿童中的艰难梭菌。
    方法:这项研究是对免疫系统缺陷的腹泻患者的130份粪便样本进行的,这些样本被转诊到库姆的HazratMasoumeh儿童医院。人口统计信息,临床症状,免疫状态,并记录每位患儿的化疗持续时间.从粪便中提取DNA,然后通过特异性引物进行直接PCR检测气单胞菌。,弯曲杆菌属。,和产毒艰难梭菌,包括tcdA/B和cdtA/B基因。还评估了患者的共感染。
    结果:男女分别占60.8%和39.2%,分别,m±SD年龄为56.72±40.49个月。大多数免疫功能低下的病例与急性淋巴细胞白血病(77.7%)和非霍奇金淋巴瘤(14.6%)有关。93.1%的患者在研究期间接受化疗。在患者中,大多数临床症状与血性腹泻(98.5%)和发烧(92.3%)有关。基于PCR,14.6、9.2和1.5%的气单胞菌属阳性。,C.艰难,还有空肠杆菌,分别。在艰难梭菌阳性病例中,仅在一名患者中检测到tcdA基因。总的来说,确定了三个共同感染,其中包括气单胞菌属。/C.difficile(tcdA+),C.空肠/C.difficile,和空肠球菌/气单胞菌属。
    结论:这是伊朗首次调查免疫功能低下儿童腹泻中某些病原体同时流行的研究。因为气单胞菌属。,弯曲杆菌属。,和艰难梭菌在一些实验室中不常规检测,由它们引起的感染在临床中被低估。我们的结果显示,这些病原体存在于我们地区,可引起儿童胃肠炎,尤其是那些有潜在疾病的人。因此,提高一些地区的卫生水平和控制细菌性腹泻病应该得到卫生官员的更多关注。
    OBJECTIVE: Diarrhea is a common disease in immunocompromised patients and can be associated with greater morbidity and even mortality. Therefore, the present study was designed to determine the prevalence of Aeromonas spp., Campylobacter spp., and C. difficile among immunocompromised children.
    METHODS: This study was conducted on 130 stool samples from patients with diarrhea who had defects in the immune system and were referred to Hazrat Masoumeh Children\'s Hospital in Qom. Demographic information, clinical symptoms, immune status, and duration of chemotherapy were also recorded for each child. DNAs were extracted from the stool, and then direct PCR assays were done by specific primers for the detection of Aeromonas spp., Campylobacter spp., and toxigenic C. difficile, including tcdA/B and cdtA/B genes. Co-infection in patients was also evaluated.
    RESULTS: 60.8% and 39.2% were male and female, respectively, with a m ± SD age of 56.72 ± 40.49 months. Most cases of immunocompromised states were related to Acute Lymphocytic Leukemia (77.7%) and Non-Hodgkin Lymphoma (14.6%). 93.1% of patients were undergoing chemotherapy during the study. Among patients, most clinical symptoms were related to bloody diarrhea (98.5%) and fever (92.3%). Based on PCR, 14.6, 9.2, and 1.5% were positive for Aeromonas spp., C. difficile, and C. jejuni, respectively. Among the C. difficile-positive cases, the tcdA gene was only detected in one patient. In total, three co-infections were identified, which included Aeromonas spp./C. difficile (tcdA+), C. jejuni/C. difficile, and C. jejuni/Aeromonas spp.
    CONCLUSIONS: This is the first study in Iran to investigate the simultaneous prevalence of some pathogens in immunocompromised children with diarrhea. Because Aeromonas spp., Campylobacter spp., and C. difficile are not routinely detected in some laboratories, infections caused by them are underappreciated in the clinic. Our results showed that these pathogens are present in our region and can cause gastroenteritis in children, especially those with underlying diseases. Therefore, increasing the level of hygiene in some areas and controlling bacterial diarrheal diseases should be given more attention by health officials.
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