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从尿路感染中分离、鉴定及分子识别菌种。

Isolation, characterization, and molecular identification of species from urinary tract infections.

作者信息

Gharanfoli Amin, Mahmoudi Elaheh, Torabizadeh Roya, Katiraee Farzad, Faraji Saeid

机构信息

Student Research Committee, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran.

Department of Mycology, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran.

出版信息

Curr Med Mycol. 2019 Jun;5(2):33-36. doi: 10.18502/cmm.5.2.1159.

Abstract

BACKGROUND AND PURPOSE

species are reportedly the most common human fungal pathogens. The incidence of urinary tract infections (UTIs) caused by pathogens has increased in recent decades. However, such infections rarely occur in the absence of any predisposing factors. Regarding this, the aim of the present study was to identify the species causing UTIs and determine the predisposing factors for candiduria.

MATERIALS AND METHODS

The current study was conducted on 1,450 urine samples obtained from patients suspected of UTI. Out of this number, 19 cases were candidiasis, and 2 cases were mixed infections caused by bacteria and fungi. species were diagnosed differentially using the germ tube test, colony staining on CHROMagar medium, intracellular beta-glucosidase enzyme activity, and glucose absorption pattern. Then, the colonies with the same morphology were confirmed by the DNA sequencing of internal transcribed spacer regions.

RESULTS

According to the results, 38%, 28.6%, 14.3%, and 9.5% of the isolates were identified as and / respectively. The presence of one or more predisposing factors was proved in all patients in whom diabetes was the most prevalent predisposing factor (21.1%).

CONCLUSION

Based on the obtained results, species was the most prevalent fungal species. In addition, urinary fungal infections were less prevalent than bacterial urinary infections.

摘要

背景与目的

据报道,某些菌种是最常见的人类真菌病原体。近几十年来,由这些病原体引起的尿路感染(UTIs)发病率有所上升。然而,在没有任何易感因素的情况下,此类感染很少发生。关于这一点,本研究的目的是确定引起UTIs的菌种,并确定念珠菌尿的易感因素。

材料与方法

本研究对1450份从疑似UTI患者中获取的尿液样本进行了检测。其中,19例为念珠菌病,2例为细菌和真菌混合感染。使用芽管试验、CHROMagar培养基上的菌落染色、细胞内β-葡萄糖苷酶活性和葡萄糖吸收模式对菌种进行鉴别诊断。然后,通过内部转录间隔区的DNA测序对形态相同的菌落进行确认。

结果

根据结果,分别有38%、28.6%、14.3%和9.5%的分离株被鉴定为某菌种及其他菌种。在所有患者中均证实存在一种或多种易感因素,其中糖尿病是最常见的易感因素(21.1%)。

结论

根据所得结果,某菌种是最常见的真菌菌种。此外,泌尿系统真菌感染的发生率低于细菌性泌尿系统感染。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a00/6626715/2c931685a9a2/cmm-5-033-g001.jpg

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