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伊朗伊拉姆地区住院患者念珠菌尿症及通过形态学和分子方法鉴定分离出的念珠菌种类

Candiduria in Hospitalized Patients and Identification of Isolated Candida Species by Morphological and Molecular Methods in Ilam, Iran.

作者信息

Fazeli Afagh, Kordbacheh Parivash, Nazari Ali, Daie Ghazvini Roshanak, Mirhendi Hossein, Safara Mahin, Bakhshi Heidar, Yaghoubi Razieh

机构信息

Department of Parasitology and Medical Mycology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.

Department of Infectious Diseases, School of Medicine, Ilam University of Medical Sciences, Ilam, Iran.

出版信息

Iran J Public Health. 2019 Jan;48(1):156-161.

PMID:30847324
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6401579/
Abstract

BACKGROUND

Candiduria in hospitalized patients may represent contamination, colonization, or urinary tract infections. On the other hand, candidemia and upper urinary tract infection could be the complications of candiduria. The aim of this study was to determine candiduria in hospitalized patients and identify isolated species by conventional and molecular methods.

METHODS

This cross-sectional study was conducted on hospitalized patients in Imam Khomeini and Mostafa Khomeini hospitals in Ilam, western Iran from Jan to Dec 2016. Urine samples of hospitalized patients were collected during a period of 4 months for diagnosis of candiduria. Primary identification was done by conventional methods. PCR profile was carried out using phenol-chloroform method and confirmed using restriction fragment length polymorphism (PCR-RFLP) technique by restriction enzyme.

RESULTS

Candiduria was diagnosed in 18 (9.2%) cases from a total of 195 patients. Isolated yeasts were identified as (n: 13), (n: 5), and (n: 1) in the one case both and were isolated from a urine sample.

CONCLUSION

urinary tract infection is becoming increasingly common in hospitalized patients but, differentiation fungal colonization from infection and identification of etiologic agents for optimal treatment is necessary.

摘要

背景

住院患者的念珠菌尿可能代表污染、定植或尿路感染。另一方面，念珠菌血症和上尿路感染可能是念珠菌尿的并发症。本研究的目的是确定住院患者中的念珠菌尿，并通过传统方法和分子方法鉴定分离出的菌种。

方法

本横断面研究于2016年1月至12月在伊朗西部伊拉姆的伊玛目·霍梅尼医院和穆斯塔法·霍梅尼医院对住院患者进行。在4个月的时间内收集住院患者的尿液样本以诊断念珠菌尿。初步鉴定采用传统方法。采用酚氯仿法进行PCR分析，并使用限制性内切酶通过限制性片段长度多态性（PCR-RFLP）技术进行确认。

结果

在总共195例患者中，18例（9.2%）被诊断为念珠菌尿。分离出的酵母分别为（n: 13）、（n: 5），1例同时分离出 和 。

结论

尿路感染在住院患者中越来越常见，但区分真菌定植与感染以及鉴定病原体以进行最佳治疗是必要的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e78d/6401579/f0c3517ca9c1/IJPH-48-156-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e78d/6401579/b8f5e30ffccd/IJPH-48-156-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e78d/6401579/124e5db1dcbd/IJPH-48-156-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e78d/6401579/e38665645d18/IJPH-48-156-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e78d/6401579/a7fbc7585b37/IJPH-48-156-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e78d/6401579/5844352ebf04/IJPH-48-156-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e78d/6401579/f0c3517ca9c1/IJPH-48-156-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e78d/6401579/b8f5e30ffccd/IJPH-48-156-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e78d/6401579/124e5db1dcbd/IJPH-48-156-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e78d/6401579/e38665645d18/IJPH-48-156-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e78d/6401579/a7fbc7585b37/IJPH-48-156-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e78d/6401579/5844352ebf04/IJPH-48-156-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e78d/6401579/f0c3517ca9c1/IJPH-48-156-g006.jpg

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