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某大学医院医院感染病例环境的多样性。

diversity in the environments of nosocomial infection cases at a university hospital.

作者信息

Diba Kambiz, Jangi Farzaneh, Makhdoomi Khadijeh, Moshiri Naser, Mansouri Fatemeh

机构信息

Department of Medical Mycology and Parasitology, Faculty of Medicine, Urmia University of Medical Sciences, Urmia, Iran.

Cellular and Molecular Research Center, Urmia University of Medical Sciences, Urmia, Iran.

出版信息

J Med Life. 2019 Apr-Jun;12(2):128-132. doi: 10.25122/jml-2018-0057.

Abstract

species (sp.) that causes opportunistic infections have been increasingly found in human mainly immunosuppressive patients around the world every year. The main objective was to use a rapid and cheap molecular method for monitoring infections and epidemiological approaches. In order to identity species (spp.), a number of molecular methods including restriction fragment length polymorphism (RFLP) have been employed in accordance with ribosomal RNA amplification. The focus of this study - a group of hospitalized patients with clinical and subclinical signs of infection. All of the collected clinical specimens were transported to the medical mycology lab and examined for identification. The environmental specimens were collected from air and surfaces inspected for the within the hospital sources. At first, growth characteristics and microscopic features on mycological media for the identification of sp. were performed. For the confirmation of isolates which similarly found in clinical and environmental sources, molecular method polymerase chain reaction/restriction fragment length polymorphism was carried out. From the mentioned specimens, 102 fungal isolates included spp., spp. and other fungi. (47%), (29.4%) and (23.5%) all were found as the most common clinical isolates. In addition, isolates from environmental were (43.7%), (41.7%), (14.6%). Therefore, polymerase chain reaction-restriction fragment length polymorphism with a single restriction enzyme can be very useful in the identification of spp., because of its facility in use, speed, robust, and high sensitivity of diagnosis.

摘要

每年在世界各地的人类(主要是免疫抑制患者)中越来越多地发现引起机会性感染的物种(sp.)。主要目标是使用一种快速且廉价的分子方法来监测感染情况和采用流行病学方法。为了鉴定物种(spp.),根据核糖体RNA扩增采用了包括限制性片段长度多态性(RFLP)在内的多种分子方法。本研究的重点是一组有感染临床和亚临床症状的住院患者。所有收集的临床标本都被送往医学真菌学实验室进行鉴定检查。环境标本从医院内检查的空气和表面收集。首先,在真菌学培养基上进行用于鉴定sp.的生长特性和微观特征分析。为了确认在临床和环境来源中同样发现的分离株,进行了分子方法聚合酶链反应/限制性片段长度多态性分析。从上述标本中,102株真菌分离株包括spp.、spp.和其他真菌。曲霉菌(47%)、念珠菌(29.4%)和隐球菌(23.5%)均被发现为最常见的临床分离株。此外,环境中的分离株有烟曲霉(43.7%)、黄曲霉(41.7%)、黑曲霉(14.6%)。因此,单限制酶聚合酶链反应 - 限制性片段长度多态性因其使用简便、速度快、稳健且诊断灵敏度高,在鉴定spp.方面可能非常有用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af60/6685303/bc90280337c9/JMedLife-12-128-g001.jpg

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