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在单症状性夜间遗尿症患儿的尿液中。

in urine of children with monosymptomatic nocturnal enuresis.

作者信息

Nishizaki Naoto, Oshiro Satoshi, Tohya Mari, Watanabe Shin, Okazaki Tadaharu, Takahashi Ken, Kirikae Teruo, Shimizu Toshiaki

机构信息

Department of Pediatrics, Juntendo University Urayasu Hospital, Urayasu, Chiba, Japan.

AMR Research Laboratory, Juntendo Advanced Research Institute for Health Science, Juntendo University School of Medicine, Tokyo, Japan.

出版信息

Front Cell Infect Microbiol. 2024 Nov 25;14:1377992. doi: 10.3389/fcimb.2024.1377992. eCollection 2024.

Abstract

BACKGROUND

Despite a unique microbiome in urine, the relationship between nocturnal enuresis and the urobiome remains unclear. This study aimed to compare the presence of specific bacterial species in the urine of children with and without nocturnal enuresis.

METHODS

We used 16S ribosomal RNA gene sequencing to analyze the urobiome in urine samples obtained from the two groups of children. The presence of was examined using real-time PCR in the urine of 25 children diagnosed with monosymptomatic nocturnal enuresis (MNE), and 17 children without this condition.

RESULTS

Children with MNE exhibited a significantly higher prevalence of : 16 out of 25 (64.0%) compared to 4 out of 17 (23.5%) in the control group. Among children with frequent bedwetting, there was a significantly higher prevalence of ;15 out of 16 (93.8%) compared to 2 out of 9 (22.2%) in those with infrequent bedwetting. Bacterial culture tests confirmed the anaerobic growth of isolates from urine samples of two PCR-positive patients with MNE. These isolates were found to be susceptible to ampicillin.

CONCLUSION

These findings suggest that may be associated with chronic urinary tract infections and potentially contribute to the development of MNE in children.

摘要

背景

尽管尿液中有独特的微生物群,但夜间遗尿症与泌尿微生物群之间的关系仍不清楚。本研究旨在比较有和没有夜间遗尿症的儿童尿液中特定细菌种类的存在情况。

方法

我们使用16S核糖体RNA基因测序来分析从两组儿童获得的尿液样本中的泌尿微生物群。在25名被诊断为单纯性夜间遗尿症(MNE)的儿童和17名没有这种情况的儿童的尿液中,使用实时聚合酶链反应检测[具体细菌名称]的存在情况。

结果

MNE儿童中[具体细菌名称]的患病率显著更高:25名中有16名(64.0%),而对照组17名中有4名(23.5%)。在频繁尿床的儿童中,[具体细菌名称]的患病率也显著更高;16名中有15名(93.8%),而不频繁尿床的儿童中9名中有2名(22.2%)。细菌培养测试证实了从两名PCR阳性的MNE患者尿液样本中分离出的[具体细菌名称]的厌氧生长。发现这些分离株对氨苄青霉素敏感。

结论

这些发现表明,[具体细菌名称]可能与慢性尿路感染有关,并可能导致儿童MNE的发生。

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