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姆巴拉拉地区转诊医院妇幼保健诊所五岁以下儿童鼻咽部样本的分离及药敏试验

Isolation and Antibiotic Susceptibility Testing of from Nasopharynx of Children under Five Years Attending Maternal and Child Health Clinic in Mbarara Regional Referral Hospital.

作者信息

Omoding Daniel, Bazira Joel

机构信息

Mbarara University of Science and Technology, Mbarara, Uganda.

Infectious Diseases Research Collaborations, Mbarara, Uganda.

出版信息

Can J Infect Dis Med Microbiol. 2019 Mar 3;2019:6542919. doi: 10.1155/2019/6542919. eCollection 2019.

Abstract

remains an organism of a major public health challenge worldwide despite the availability of the Hib vaccine, particularly among children under 5 years. Information on the current carriage status and antibiotic susceptibility is key on proper health-care provision. Therefore, we conducted a study to determine carriage rate and antibiotic susceptibility testing of the isolates among the children. . This was a cross-sectional study conducted between January and May 2018, among clinically healthy children under five years attending Maternal and Child Health (MCH) Clinic in Mbarara Regional Referral Hospital (MRRH). We carried out standard microbiology methods to culture, isolate, and identify , and then, we tested for their susceptibility to commonly used antibiotics following the CLSI standards. . Of the 248 participants included in the study, 116 (46.77%) were females and 132 (53.23%) males and 78 (31.45%) were below the age of 3 months. Fifty one of the study participants had in their nasopharynx, which represents 20.56% carriage (95% CI 15.49 to 25.63). There was a general high susceptibility of the isolates to the antimicrobial agents commonly used. There was 100% susceptibility to ciprofloxacin and imipenem antibiotic agents, though 6 (11.76%) and 4 (7.84%) of the isolates showed resistance to chloramphenicol and ampicillin, respectively. . The high burden presented by and the resultant impact on child health require much attention to prevention of infections associated with the organism. A well-funded molecular study focusing on typing the isolates would determine the impact of the vaccine, given the carriage rates are still high.

摘要

尽管有Hib疫苗,但在全球范围内,它仍然是一个重大的公共卫生挑战源,尤其是在5岁以下的儿童中。了解当前的携带情况和抗生素敏感性对于提供适当的医疗保健至关重要。因此,我们开展了一项研究,以确定儿童中该菌的携带率和分离株的抗生素敏感性测试。这是一项横断面研究,于2018年1月至5月在姆巴拉拉地区转诊医院(MRRH)的妇幼保健(MCH)诊所中对5岁以下的临床健康儿童进行。我们采用标准微生物学方法进行培养、分离和鉴定,然后按照CLSI标准测试它们对常用抗生素的敏感性。在纳入研究的248名参与者中,116名(46.77%)为女性,132名(53.23%)为男性,78名(31.45%)年龄在3个月以下。51名研究参与者的鼻咽部携带该菌,携带率为20.56%(95%CI为15.49至25.63)。分离株对常用抗菌药物普遍具有较高的敏感性。对环丙沙星和亚胺培南抗菌药物的敏感性为100%,不过分别有6株(11.76%)和4株(7.84%)分离株对氯霉素和氨苄西林耐药。该菌所带来的高负担以及对儿童健康的影响需要我们高度重视预防与该菌相关的感染。鉴于携带率仍然很高,一项资金充足的聚焦于分离株分型的分子研究将有助于确定疫苗的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/10ce/6421742/673794e5d6ec/CJIDMM2019-6542919.001.jpg

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