colonization

定殖
  • 文章类型: Journal Article
    人类病原体肺炎链球菌(Spn)编码几种细胞-细胞通讯系统,特别是Rgg/SHP和Tpr/Phr家族的多个成员。直到现在,这些不同通信系统的成员被认为是独立工作的。我们的研究表明,ABC转运蛋白PptAB和跨膜酶Eep充当Rgg/SHP和TprA/PhrA系统之间的分子链接。我们证明PptAB/Eep激活Rgg/SHP系统并抑制TprA/PhrA系统。具体来说,它们在它们离开细胞之前调节各自的前体肽(SHP和PhrA)。这种双重作用模式导致这些系统的时间协调,在宿主细胞感染期间在它们各自的调节子之间产生重叠。因此,我们已经确定了针对Spn中不同细胞间通讯系统的单一分子机制。此外,这些分子成分由许多革兰氏阳性菌编码,这表明这种机制可能是广泛保守的。
    The human pathogen Streptococcus pneumoniae (Spn) encodes several cell-cell communication systems, notably multiple members of the Rgg/SHP and the Tpr/Phr families. Until now, members of these diverse communication systems were thought to work independently. Our study reveals that the ABC transporter PptAB and the transmembrane enzyme Eep act as a molecular link between Rgg/SHP and TprA/PhrA systems. We demonstrate that PptAB/Eep activates the Rgg/SHP systems and represses the TprA/PhrA system. Specifically, they regulate the respective precursor peptides (SHP and PhrA) before these leave the cell. This dual mode of action leads to temporal coordination of these systems, producing an overlap between their respective regulons during host cell infection. Thus, we have identified a single molecular mechanism that targets diverse cell-cell communication systems in Spn. Moreover, these molecular components are encoded by many gram-positive bacteria, suggesting that this mechanism may be broadly conserved.
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  • 文章类型: Journal Article
    在不断扩大的范围内殖民新地区的个人会遇到许多不可预测的压力源。暴露于陌生环境表明,殖民者的压力水平与生活在熟悉条件下的居民不同。很少有实证研究检验了这一假设,并产生了混合的结果,压力调节在定殖中的作用尚不清楚。将压力水平与定殖相关的研究主要使用地理分析,将已建立的殖民者人口与来源人口进行比较。我们使用粪便糖皮质激素代谢产物(FGM)来评估增加的午间沙鼠(Merionesmeridianus)种群中压力水平的时空动态。我们证明,在新出现的殖民地中,成年男性和女性的FGM水平较高,与来源人口相比,但在基础后的FGM动力学模式不同。在男性中,在殖民地建立后的第二年,FGM水平急剧下降。在女性中,尽管环境不可预测性下降,但女性生殖器切割水平不随时间变化,并且仍然很高。表现出个体差异。随着殖民后时间的推移,殖民者男性的压力水平增加,表明他们在应对环境不确定性的即时变化方面具有灵活性。相反,与女性殖民者的环境不确定性变化无关的高且稳定的压力水平意味着他们具有相对恒定的表型,这与有利于定殖的反应性应对策略相关。我们将定殖过程中压力调节的一致性和可塑性的性别差异与特定性别的生活史策略联系起来。
    Individuals colonizing new areas at expanding ranges encounter numerous and unpredictable stressors. Exposure to unfamiliar environments suggests that colonists would differ in stress levels from residents living in familiar conditions. Few empirical studies tested this hypothesis and produced mixed results, and the role of stress regulation in colonization remains unclear. Studies relating stress levels to colonization mainly use a geographical analysis comparing established colonist populations with source populations. We used faecal glucocorticoid metabolites (FGMs) to assess both spatial and temporal dynamics of stress levels in an expanding population of midday gerbils (Meriones meridianus). We demonstrated that adult males and females had higher FGM levels in newly emerged colonies, compared with the source population, but differed in the pattern of FGM dynamics post-foundation. In males, FGM levels sharply decreased in the second year after colony establishment. In females, FGM levels did not change with time and remained high despite the decreasing environmental unpredictability, exhibiting among-individual variation. Increased stress levels of colonist males damping with time post-colonization suggest they are flexible in responding to immediate changes in environmental uncertainty. On the contrary, high and stable over generations stress levels uncoupled from the changes in the environmental uncertainty in female colonists imply that they carry a relatively constant phenotype associated with the reactive coping strategy favouring colonization. We link sex differences in consistency and plasticity in stress regulation during colonization to the sex-specific life-history strategies.
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  • 文章类型: Journal Article
    肺炎链球菌在上呼吸道的定植与肺炎球菌疾病的发展有关,主要影响幼儿和老年人。随着全球人口老龄化和合并症的增加,人们对这种感染的担忧越来越高。我们通过分析鼻粘膜中的细胞组成和基因表达,研究了老年人对肺炎球菌控制的人类感染的免疫反应。我们与来自年轻成年人的同时研究的数据的比较分析显示,在易于定殖的老年个体中,不同的基因表达模式。以中性粒细胞活化和CXCL9和CXCL10水平升高为重点。与受肺炎球菌挑战的年轻人不同,老年人在鼻腔定植后未发现单核细胞募集入鼻粘膜.然而,被保护免受定植的老年人显示CD8+T细胞脱颗粒增加,在肺炎球菌攻击之前和之后。这些发现表明年龄相关的细胞变化,特别是增强的粘膜炎症,这可能使老年人容易发生肺炎球菌定植。
    Streptococcus pneumoniae colonization in the upper respiratory tract is linked to pneumococcal disease development, predominantly affecting young children and older adults. As the global population ages and comorbidities increase, there is a heightened concern about this infection. We investigated the immunological responses of older adults to pneumococcal controlled human infection by analysing the cellular composition and gene expression in the nasal mucosa. Our comparative analysis with data from a concurrent study in younger adults revealed distinct gene expression patterns in older individuals susceptible to colonization, highlighted by neutrophil activation and elevated levels of CXCL9 and CXCL10. Unlike younger adults challenged with pneumococcus, older adults did not show recruitment of monocytes into the nasal mucosa following nasal colonization. However, older adults who were protected from colonization showed increased degranulation of CD8+ T cells, both before and after pneumococcal challenge. These findings suggest age-associated cellular changes, in particular enhanced mucosal inflammation, that may predispose older adults to pneumococcal colonization.
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  • 文章类型: Journal Article
    空肠弯曲菌是世界范围内人类细菌性胃肠道疾病的主要原因之一。这种食源性病原体定植于鸡的肠道,鸡肉和家禽产品的消费被确定为常见的传播途径。我们分析了每只小鸡用105CFU/ml空肠杆菌经口攻击后的两种空肠杆菌菌株;一种菌株是稳健的定殖因子(A74/C),另一种是较差的定殖因子(A74/O)。我们还发现了生长速率的广泛表型差异,生物膜生产,和体外粘附,入侵,细胞内存活,和胞吞作用。菌株A74/C和A74/O在全基因组比对方面的基因型相似。核心基因组,和核糖体MLST,MLST,FlaA,pora,和PFGE打字。采用超高效液相色谱-串联质谱(UHPLC-MS/MS)对两株同基因菌株的整体蛋白质组进行定量分析,并从A74/C和A74/O分离株中鉴定出618和453蛋白,分别。直系同源基团簇(COG)和京都基因和基因组百科全书(KEGG)途径分析表明,碳代谢和运动蛋白在菌株A74/C中明显过表达。强大的定殖因子还表现出独特的蛋白质组特征,其特征是与粘附相关的蛋白质的表达显着增加,入侵,趋化性,能源,蛋白质合成,热休克蛋白,铁调节,两部分监管系统,和多药外排泵。我们的研究强调了表型,基因型,和蛋白质组变异的差和强大的定殖空肠弯曲杆菌菌株,表明几个因素可能有助于介导等基因分离株的不同定殖潜力。
    Campylobacter jejuni is one of the major causes of bacterial gastrointestinal disease in humans worldwide. This foodborne pathogen colonizes the intestinal tracts of chickens, and consumption of chicken and poultry products is identified as a common route of transmission. We analyzed two C. jejuni strains after oral challenge with 105 CFU/ml of C. jejuni per chick; one strain was a robust colonizer (A74/C) and the other a poor colonizer (A74/O). We also found extensive phenotypic differences in growth rate, biofilm production, and in vitro adherence, invasion, intracellular survival, and transcytosis. Strains A74/C and A74/O were genotypically similar with respect to their whole genome alignment, core genome, and ribosomal MLST, MLST, flaA, porA, and PFGE typing. The global proteomes of the two congenic strains were quantitatively analyzed by ultra-high performance liquid chromatography-tandem mass spectrometry (UHPLC-MS/MS) and 618 and 453 proteins were identified from A74/C and A74/O isolates, respectively. Cluster of Orthologous Groups (COG) and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway analyses showed that carbon metabolism and motility proteins were distinctively overexpressed in strain A74/C. The robust colonizer also exhibited a unique proteome profile characterized by significantly increased expression of proteins linked to adhesion, invasion, chemotaxis, energy, protein synthesis, heat shock proteins, iron regulation, two-component regulatory systems, and multidrug efflux pump. Our study underlines phenotypic, genotypic, and proteomic variations of the poor and robust colonizing C. jejuni strains, suggesting that several factors may contribute to mediating the different colonization potentials of the isogenic isolates.
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  • 文章类型: Journal Article
    种群的两个重要特征是灭绝(重新)定植动力学和亚群之间的基因流动。这些过程可能导致全基因组等位基因频率的强烈变化,这在“经典”中通常没有观察到(大,稳定,panmictic)种群。由一个或几个人建立的亚群,所谓的传播模型,最初预计在多态性位点显示中间等位基因频率,直到自然选择和遗传漂移驱动等位基因频率朝向突变-选择-漂移平衡,其特征在于位点频谱(SFS)的负指数样分布。我们使用五年来从已知年龄的亚种群占据的118个池塘中收集的两年一次的池seq样本,跟踪了周期性孤雌生殖池塘居住的微甲壳动物大型水蚤的自然种群中SFS分布的变化。正如在传播模型下所预期的那样,随着种群年龄的增长,新成立的亚群中的SFS倾向于中等等位基因频率,并向右偏斜分布移动。移民和随后的混合动力改变了这种动态。我们表明,对SFS动力学的分析是了解种群进化的有力方法。它使我们能够解开自然种群中发生的进化过程,许多亚群并行进化。因此,像创始人和移民事件这样的随机过程导致了亚群差异的模式,而遗传漂移,导致持续亚群中SFS分布趋同。繁殖模型很好地解释了观察到的过程,并强调了种群的进化与经典种群不同。
    Two important characteristics of metapopulations are extinction-(re)colonization dynamics and gene flow between subpopulations. These processes can cause strong shifts in genome-wide allele frequencies that are generally not observed in \"classical\" (large, stable, panmictic) populations. Subpopulations founded by one or a few individuals, the so-called propagule model, are initially expected to show intermediate allele frequencies at polymorphic sites until natural selection and genetic drift drive allele frequencies toward a mutation-selection-drift equilibrium characterized by a negative exponential-like distribution of the site frequency spectrum (SFS). We followed changes in SFS distribution in a natural metapopulation of the cyclically parthenogenetic pond-dwelling microcrustacean Daphnia magna using biannual pool-seq samples collected over a five-year period from 118 ponds occupied by subpopulations of known age. As expected under the propagule model, SFSs in newly founded subpopulations trended toward intermediate allele frequencies and shifted toward right skewed distributions as the populations aged. Immigration and subsequent hybrid vigor altered this dynamic. We show that the analysis of SFS dynamics is a powerful approach to understand evolution in metapopulations. It allowed us to disentangle evolutionary processes occurring in a natural metapopulation, where many subpopulations evolve in parallel. Thereby, stochastic processes like founder and immigration events lead to a pattern of subpopulation divergence, while genetic drift, leads to converging SFS distributions in the persisting subpopulations. The observed processes are well explained by the propagule model and highlight that metapopulations evolve differently from classical populations.
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  • 文章类型: Journal Article
    皮肤分枝杆菌在感染风险中起着重要作用,病原体传播,和重症监护环境中的个性化医疗方法。这项前瞻性多中心研究旨在增强我们对重症监护病房(ICU)念珠菌定植动力学的理解,识别可修改的风险因素,并评估其对生存风险的影响。标本取自675、203和110名患者在入院时(D1),5th(D5),住ICU的第8天(D8天),分别。收集患者的人口统计学和临床数据。通过基于常规培养的微生物学结合分子方法鉴定念珠菌分离物。总的来说,定植为184/675(27.3%),87/203(42.8%),D1、D5和D8分别为58/110(52.7%)。念珠菌定植动力学与ICU类型显著相关(比值比(OR)=2.03,95%CI1.22-3.39,p=0.007),呼吸道感染(OR=1.74,95%CI1.17-2.58,p=0.006),血液透析(OR=2.19,95%CI1.17-4.10,p=0.014),COVID-19(OR=0.37,95%CI0.14-0.99,p=0.048),3个月的结果较差(p=0.008)。皮肤念珠菌属。定殖可以成为一种预警工具,可以对流行病学产生有价值的见解,危险因素,和危重病人的生存率,并应考虑进行流行病学监测。
    The skin mycobiota plays a significant role in infection risk, pathogen transmission, and personalized medicine approaches in intensive care settings. This prospective multicenter study aimed to enhance our understanding of intensive care units\' (ICUs\') Candida colonization dynamics, identify modifiable risk factors, and assess their impact on survival risk. Specimens were taken from 675, 203, and 110 patients at the admission (D1), 5th (D5), and 8th (D8) days of ICU stay, respectively. The patient\'s demographic and clinical data were collected. Candida isolates were identified by conventional culture-based microbiology combined with molecular approaches. Overall, colonization was 184/675 (27.3%), 87/203 (42.8%), and 58/110 (52.7%) on D1, D5, and D8, respectively. Candida colonization dynamics were significantly associated with ICU type (odds ratio (OR) = 2.03, 95% CI 1.22-3.39, p = 0.007), respiratory infection (OR = 1.74, 95% CI 1.17-2.58, p = 0.006), hemodialysis (OR = 2.19, 95% CI 1.17-4.10, p = 0.014), COVID-19 (OR = 0.37, 95% CI 0.14-0.99, p = 0.048), and with a poor 3-month outcome (p = 0.008). Skin Candida spp. colonization can be an early warning tool to generate valuable insights into the epidemiology, risk factors, and survival rates of critically ill patients, and should be considered for epidemiological surveillance.
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  • 文章类型: Journal Article
    粘菌(疟原虫粘液霉菌)是与木材有关的真核生物捕食者,落叶,和森林里的土壤,它们以细菌为食,原生动物,和(在更有限的程度上)真菌。作物植物的健康至关重要,因为它们是人类的主要食物来源。然而,当粘液菌在作物植物的茎和叶上产生大量子实体时,这在本文中被称为粘菌定植,这可能会干扰植物的光合作用,通过遮挡光线和覆盖气孔来蒸腾作用和呼吸。粘菌不是病原体,但是它们在植物上的发生可能被错误地解释为某种类型的感染。然而,这种现象在很大程度上被忽视了。本文对与粘菌定植有关的生物的分类学和经济多样性进行了全面概述。此外,描述和讨论了文献中报道的各种类型的粘菌定植,提供了许多图像,并总结了文化和化学防治措施。后者应该对当地的作物生产和植物保护站具有重要意义。虽然粘液菌不是农作物的病原体,一些物种会严重影响商业种植的蘑菇。本文还描述了影响蘑菇的粘液菌的报道。
    Myxomycetes (plasmodial slime molds) are eukaryotic protist predators that are associated with wood, leaf litter, and soil in forests, where they feed on bacteria, protozoans, and (to a more limited extent) fungi. The health of crop plants is essential because they represent a primary food source for humans. However, when myxomycetes produce numerous fruiting bodies on the stems and leaves of crop plants, which is herein referred to as a myxomycete colonization, this has the potential of interfering with plant photosynthesis, transpiration and respiration by blocking out light and covering stomata. Myxomycetes are not pathogens, but their occurrence on plants can be mistakenly interpreted as some type of infection. However, this phenomenon has been largely ignored. This paper provides a comprehensive overview of the taxonomic and economic diversity of the organisms involved in myxomycete colonization. In addition, the various types of myxomycete colonization reported in the literature are described and discussed, a number of images provided, and cultural and chemical prevention and control measures are summarized. The latter should be of significant relevance for local production of crops and plant protective stations. While myxomycetes are not pathogens of crop plants, some species can seriously impact commercially grown mushrooms. Reports of myxomycetes affecting mushrooms are also described in this paper.
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  • 文章类型: Journal Article
    先前的研究得出了关于单患者房间设计对重症监护病房(ICU)医院感染影响的不同结论。我们旨在研究ICU单病房设计对感染控制的影响。
    我们对PubMed进行了全面搜索,Embase,Cochrane图书馆,WebofScience,CNKI,万方数据,和CBM数据库从开始到2023年10月,没有语言限制。我们纳入了观察性队列和准实验研究,评估了ICU中单室和多病房对感染控制的影响。测量的结果包括医院感染率,医院感染发生率密度,医院定植和感染率,多药耐药生物(MDROs)的获取率,和院内菌血症率。效应模型的选择取决于异质性。
    我们的最终分析纳入了12项研究,涉及12,719名患者。与ICU中的多病室相比,单病房在降低医院感染率方面有显著益处(比值比[OR]:0.68;95%置信区间[CI]:0.59,0.79;p<0.00001).基于医院感染发生率密度的分析显示,单患者房间的差异有统计学意义(OR:0.64;95%CI:0.44,0.92;p=0.02)。单病房与医院定植和感染率显著下降相关(OR:0.44;95%CI:0.32,0.62;p<0.00001)。此外,单病房患者的医院菌血症率(OR:0.73;95%CI:0.59,0.89;p=0.002)较低,MDRO的获取率(OR:0.41;95%CI:0.23,0.73;p=0.002)较多病房患者低.
    实施单病房是减少ICU医院感染的有效策略。
    https://www.crd.约克。AC.英国/PROSPERO/)。
    UNASSIGNED: Previous studies have yielded varying conclusions regarding the impact of single-patient room design on nosocomial infection in the intensive care unit (ICU). We aimed to examine the impact of ICU single-patient room design on infection control.
    UNASSIGNED: We conducted a comprehensive search of PubMed, Embase, the Cochrane Library, Web of Science, CNKI, WanFang Data, and CBM databases from inception to October 2023, without language restrictions. We included observational cohort and quasi-experimental studies assessing the effect of single- versus multi-patient rooms on infection control in the ICU. Outcomes measured included the nosocomial infection rate, incidence density of nosocomial infection, nosocomial colonization and infection rate, acquisition rate of multidrug-resistant organisms (MDROs), and nosocomial bacteremia rate. The choice of effect model was determined by heterogeneity.
    UNASSIGNED: Our final analysis incorporated 12 studies involving 12,719 patients. Compared with multi-patient rooms in the ICU, single-patient rooms demonstrated a significant benefit in reducing the nosocomial infection rate (odds ratio [OR]: 0.68; 95% confidence interval [CI]: 0.59, 0.79; p < 0.00001). Analysis based on nosocomial infection incidence density revealed a statistically significant reduction in single-patient rooms (OR: 0.64; 95% CI: 0.44, 0.92; p = 0.02). Single-patient rooms were associated with a marked decrease in nosocomial colonization and infection rate (OR: 0.44; 95% CI: 0.32, 0.62; p < 0.00001). Furthermore, patients in single-patient rooms experienced lower nosocomial bacteremia rate (OR: 0.73; 95% CI: 0.59, 0.89; p = 0.002) and lower acquisition rate of MDROs (OR: 0.41; 95% CI: 0.23, 0.73; p = 0.002) than those in multi-patient rooms.
    UNASSIGNED: Implementation of single-patient rooms represents an effective strategy for reducing nosocomial infections in the ICU.
    UNASSIGNED: https://www.crd.york.ac.uk/PROSPERO/).
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  • 文章类型: Journal Article
    背景:弯曲杆菌(C.)空肠是世界范围内最重要的细菌性食源性病原体之一。益生菌如乳杆菌或芽孢杆菌属物种被认为是降低家禽定植率和数量的一种选择。最常见的人类感染源。由于缺乏合适的禽类体外模型,如鸡肠细胞系,尤其是那些来源于盲肠的,大多数关于空肠弯曲杆菌宿主相互作用的体外研究已经与人肠细胞系进行。在这项研究中,我们比较了原代鸡盲肠细胞和人肠道细胞系Caco-2之间的空肠弯曲杆菌细胞相互作用,并调查了选定的益生菌候选物可能的干扰作用。
    结果:我们检测到两种测试的肠道细胞类型之间以及不同的空肠弯曲杆菌菌株之间的粘附和侵袭差异。益生菌对空肠弯曲杆菌粘附和侵袭人和禽肠细胞的抑制作用受宿主细胞类型的影响,研究了空肠杆菌菌株和益生菌治疗的时间点。此外,我们的结果表明空肠弯曲杆菌侵袭与检测到的IL-6mRNA表达增加之间可能存在相关性.
    结论:我们的结果表明禽类和人肠道细胞在与空肠弯曲杆菌相互作用方面存在明显差异。因此,在一个宿主物种中获得的关于空肠弯曲杆菌与宿主相互作用的数据可能不容易转移到另一个。应进一步研究影响益生菌干预鸡源细胞和人源细胞的可变功效的因素。
    BACKGROUND: Campylobacter (C.) jejuni is one of the most important bacterial foodborne pathogens worldwide. Probiotics such as Lactobacillus or Bacillus species are considered one option for reducing the colonization rate and magnitude in poultry, the most frequent source of human infections. Due to the lack of suitable avian in vitro models such as chicken intestinal cell lines, especially those derived from the cecum, most in vitro studies on C. jejuni host interaction have been conducted with human intestinal cell lines. In this study, we compared C. jejuni-cell interactions between primary chicken cecal cells and the human intestinal cell line Caco-2, which is derived from colorectal adenocarcinoma, and investigated possible interfering effects of selected probiotic candidates.
    RESULTS: We detected differences in adhesion and invasion between the two tested gut cell types and between different C. jejuni strains. The probiotic inhibition of C. jejuni adhesion and invasion of human and avian gut cells was affected by host cell type, investigated C. jejuni strain and time points of probiotic treatment. Additionally, our results suggest a possible correlation between C. jejuni invasion and the detected increase in IL-6 mRNA expression.
    CONCLUSIONS: Our results indicate distinct differences between avian and human gut cells in their interaction with C. jejuni. Therefore, data obtained in one host species on C. jejuni-host interaction may not easily be transferrable to another one. The factors influencing the variable efficacy of probiotic intervention in chicken and human derived cells should be investigated further.
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  • 文章类型: Journal Article
    耳念珠菌是一种多药耐药的真菌病原体,倾向于在人类中定居并持续存在于环境表面。金黄色葡萄球菌侵袭性真菌病在急性和长期护理环境中越来越多地被发现。我们已经开发了一种基于原型盒的C.auris监视测定(CaurisSurV盒;“仅研究使用”),其中包括集成的样品处理和核酸扩增,以检测GeneXpert仪器中监视皮肤拭子中的C.auris,并且设计用于即时护理使用。对于非聚集性(AR0388)和聚集性(AR0382)菌株,皮肤拭子基质中的检测限(LoD)为10.5和14.8CFU/mL。分别。在LoD的2-3-5×(31.5-52.5CFU/mL)下检测到所有五个已知的C.auris进化枝。使用在两个不同机构(加州大学洛杉矶分校,CA和Wadsworth中心,NY).与文化相比,UCLA和Wadsworth队列的敏感性分别为96.8%(30/31)和100%(10/10),分别,提供97.5%(40/41)的综合灵敏度,与PCR相比,联合敏感度为92%(46/50)。两种临床特异性均为100%(C.极负矩阵,N=31)和分析(非C.耳菌株,N=32)样品。另一项来自Wadsworth中心的N=60个样本的盲法研究,NY产生97%(29/30)的灵敏度和100%(28/28)的特异性。我们开发了一个完全集成的,敏感,具体,和58分钟的原型测试,这可用于C.auris的常规监测,可能有助于预防急性和慢性医疗机构中的定植和暴发。
    目的:这项研究有可能为医院和长期护理机构的医疗保健提供者提供更好的解决方案,使他们能够有效和及时地控制耳念珠菌感染,从而更快地应对任何潜在的未来爆发。
    Candida auris is a multidrug-resistant fungal pathogen with a propensity to colonize humans and persist on environmental surfaces. C. auris invasive fungal disease is being increasingly identified in acute and long-term care settings. We have developed a prototype cartridge-based C. auris surveillance assay (CaurisSurV cartridge; \"research use only\") that includes integrated sample processing and nucleic acid amplification to detect C. auris from surveillance skin swabs in the GeneXpert instrument and is designed for point-of-care use. The assay limit of detection (LoD) in the skin swab matrix was 10.5 and 14.8 CFU/mL for non-aggregative (AR0388) and aggregative (AR0382) strains of C. auris, respectively. All five known clades of C. auris were detected at 2-3-5× (31.5-52.5 CFU/mL) the LoD. The assay was validated using a total of 85 clinical swab samples banked at two different institutions (University of California Los Angeles, CA and Wadsworth Center, NY). Compared to culture, sensitivity was 96.8% (30/31) and 100% (10/10) in the UCLA and Wadsworth cohorts, respectively, providing a combined sensitivity of 97.5% (40/41), and compared to PCR, the combined sensitivity was 92% (46/50). Specificity was 100% with both clinical (C. auris negative matrix, N = 31) and analytical (non-C. auris strains, N = 32) samples. An additional blinded study with N = 60 samples from Wadsworth Center, NY yielded 97% (29/30) sensitivity and 100% (28/28) specificity. We have developed a completely integrated, sensitive, specific, and 58-min prototype test, which can be used for routine surveillance of C. auris and might help prevent colonization and outbreaks in acute and chronic healthcare settings.
    OBJECTIVE: This study has the potential to offer a better solution to healthcare providers at hospitals and long-term care facilities in their ongoing efforts for effective and timely control of Candida auris infection and hence quicker response for any potential future outbreaks.
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