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近期中国江西北京家族的传播和流行特征。

Recent Transmission and Prevalent Characterization of the Beijing Family in Jiangxi, China.

机构信息

Department of Clinical Laboratory, The First Affiliated Hospital of Nanchang University, Nanchang, China.

Queen Mary College, Jiangxi Medical College, Nanchang University, Nanchang, China.

出版信息

Pol J Microbiol. 2022 Sep 24;71(3):371-380. doi: 10.33073/pjm-2022-033. eCollection 2022 Sep 1.

Abstract

The Beijing genotype is the most common type of tuberculosis in Jiangxi Province, China. The association of population characteristics and their prevalence in the development of recent transmission is still unclear. 1,433 isolates were subjected to drug-resistant tests and MIRU-VNTR analysis. We compared differences in demographic characteristics and drug resistance patterns between the Beijing and non-Beijing family strains. We also explored the association of the clustering rate with the Beijing genotype of . The Beijing genotype was dominant (78.16%). The results of MIRU-VNTR showed that 775 of 1,433 strains have unique patterns, and the remaining gather into 103 clusters. A recent transmission rate was 31.54% (452/1,433). The Beijing genotype strains were more likely to spread among the recurrent population ( = 0.004), people less than 50 years of age ( = 0.02 or 0.003), and the personnel in the northern regions ( = 0.03). Drug resistance patterns did not show significant differences between Beijing and non-Beijing genotype isolates. Furthermore, we found that HIV-positive cases had a lower clustering rate ( = 0.001). Our results indicated that the recurrent population and people under 50 years of age were more likely to be infected with the Beijing genotype of . The strains from the Beijing family were easier to cluster compared to strains isolated from the non-Beijing family. Social activity and AIDS substantially impacted the clustering rate of the Beijing genotype of . Multidrug resistant affected Beijing genotype transmission.

摘要

北京基因型是中国江西省最常见的结核分枝杆菌类型。人群特征及其在近期传播中的流行与发展之间的关系尚不清楚。对 1433 株分离株进行了耐药性检测和 MIRU-VNTR 分析。我们比较了北京和非北京家族菌株在人口统计学特征和耐药模式方面的差异。我们还探讨了聚类率与北京基因型的关系。北京基因型占主导地位(78.16%)。MIRU-VNTR 的结果显示,1433 株中有 775 株具有独特的模式,其余的聚集为 103 个群。近期传播率为 31.54%(452/1433)。北京基因型菌株更容易在复发性人群中传播(=0.004),年龄小于 50 岁的人群(=0.02 或 0.003)和北方地区的人员(=0.03)。北京和非北京基因型分离株的耐药模式没有显著差异。此外,我们发现 HIV 阳性病例的聚类率较低(=0.001)。我们的结果表明,复发性人群和年龄小于 50 岁的人群更容易感染北京基因型。与非北京家族分离株相比,来自北京家族的菌株更容易聚集。社会活动和艾滋病对北京基因型的聚类率有显著影响。耐多药结核分枝杆菌影响了北京基因型的传播。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70d8/9608159/ac3f85119c39/pjm-71-371-g001.jpg

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