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在一群叙利亚移民中发现了不寻常的微生物和抗微生物耐药性:来自意大利一个寻求庇护者中心的哨点监测数据。

Unusual microorganisms and antimicrobial resistances in a group of Syrian migrants: Sentinel surveillance data from an asylum seekers centre in Italy.

机构信息

Clinical Pathology and Microbiology Laboratory, University Hospital Campus Bio-Medico of Rome, Italy.

Department of Public Health and Infectious Diseases. University of Rome, "Sapienza," Policlinico Umberto I", Rome, Italy; Migrant Health Research Organisation (Mi-HeRO) - Centro di Ricerca sulla Salute delle Popolazioni Mobili e Globale, Italy.

出版信息

Travel Med Infect Dis. 2016 Mar-Apr;14(2):115-22. doi: 10.1016/j.tmaid.2016.03.005. Epub 2016 Mar 15.

Abstract

BACKGROUND

Three years of civil war in Syria have caused death and increase of communicable diseases. The suffering population has been forced to migrate creating a fertile condition for epidemic spread of infection within the refugee camps.

METHODS

Forty-eight Syrian migrants, upon their arrival in Italy, were accommodated at the asylum seekers centre of Castelnuovo di Porto. They received a physical examination and were subjected to microbiological surveillance by blood, rectal, pharyngeal and nasal swabs collection and delivering to the Clinical Pathology and Microbiology Laboratory of the University Campus Bio-Medico of Rome.

RESULTS

All refugees resulted negative for HBV, HCV and HIV infections. In swabs a large number of unusual gram-negative bacteria species were isolated, such as Pseudomonas putida, Pseudomonas monteilii, Pseudomonas fulva, Pseudomonas moselii, Aeromonas veronii, Aeromonas caviae, Aeromonas hydrophila, Acinteobacter guilloviae, Acinteobacter lowffii; Acinetobacter johnsonii; Acinteobacter tjernbergae; Pantoea agglomerans; Pantoea calida. Among isolates, strains resistant to carbapenems, ESBL producers and methicillin resistant were found.

CONCLUSIONS

The microbiological surveillance performed represents a useful action to understand refugees health status and to trace unusual microorganisms movement even carriers of antimicrobial resistance during migrants traveling.

摘要

背景

叙利亚三年内战导致大量人员死亡和传染病的增加。受灾民众被迫迁移,为感染在难民营内的传播创造了有利条件。

方法

48 名叙利亚移民抵达意大利后,被安置在 Castelnuovo di Porto 的避难中心。他们接受了体检,并接受了微生物监测,采集了血液、直肠、咽和鼻拭子,并送到罗马大学生物医学校区的临床病理和微生物学实验室。

结果

所有难民的 HBV、HCV 和 HIV 感染均呈阴性。在拭子中分离出大量不常见的革兰氏阴性菌,如恶臭假单胞菌、蒙氏假单胞菌、黄褐假单胞菌、莫氏假单胞菌、维罗纳气单胞菌、豚鼠气单胞菌、嗜水气单胞菌、吉尔沃氏不动杆菌、洛菲不动杆菌、约翰逊氏不动杆菌、特恩贝格氏不动杆菌、成团泛菌、暖温泛菌。在分离株中发现了对碳青霉烯类、ESBL 产生菌和耐甲氧西林的菌株。

结论

进行的微生物监测是了解难民健康状况和追踪迁徙中不常见微生物甚至携带抗生素耐药性的微生物的一种有用手段。

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