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伊朗北部拉什特市韦拉亚特教学医院住院烧伤患者念珠菌血症的微生物学、流行病学、危险因素及临床治疗

The microbiology, epidemiology, risk factors, and clinical therapy of candidemia in burn patients hospitalized in Velayat Teaching Hospital, Rasht, northern Iran.

作者信息

Rafat Zahra, Roostaei Davoud, Mobayen Mohammadreza, Salehiniya Hamid, Pournasrolah Parimah

机构信息

Department of Medical Parasitology and Mycology, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.

Department of Pharmacology, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.

出版信息

Iran J Microbiol. 2024 Dec;16(6):835-838. doi: 10.18502/ijm.v16i6.17262.

DOI:10.18502/ijm.v16i6.17262
PMID:39737350
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11682558/
Abstract

BACKGROUND AND OBJECTIVES

The study aimed to investigate the epidemiology and clinical therapy of candidemia in burn patients hospitalized in Velayat Hospital, Rasht, Iran.

MATERIALS AND METHODS

The blood samples of suspected patients were cultured and PCR-sequencing was performed. Antifungal susceptibility testing was done by the CLSI M27-A4 document.

RESULTS

Four blood samples were identified as positive. complex (3 out of 4, 75%) was the predominant leading cause of candidemia. MIC values showed that all isolates were susceptible to itraconazole, amphotericin B, and 5-flucytosine.

CONCLUSION

It seems necessary to pay attention to non- species in antifungal therapy.

摘要

背景与目的

本研究旨在调查伊朗拉什特市韦拉亚特医院住院烧伤患者念珠菌血症的流行病学及临床治疗情况。

材料与方法

对疑似患者的血样进行培养并进行PCR测序。采用CLSI M27 - A4文件进行抗真菌药敏试验。

结果

4份血样被鉴定为阳性。 复合体(4份中的3份,75%)是念珠菌血症的主要主要原因。MIC值表明所有分离株对伊曲康唑、两性霉素B和5 - 氟胞嘧啶敏感。

结论

在抗真菌治疗中似乎有必要关注非 菌种。

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J Res Med Sci. 2021 Nov 29;26:107. doi: 10.4103/jrms.jrms_156_21. eCollection 2021.
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The Prevalence, Etiological Agents, Clinical Features, Treatment, and Diagnosis of HIV-Associated Oral Candidiasis in Pediatrics Across the World: A Systematic Review and Meta-Analysis.全球儿童艾滋病相关口腔念珠菌病的患病率、病原体、临床特征、治疗及诊断:一项系统评价和荟萃分析
Front Pediatr. 2021 Dec 24;9:805527. doi: 10.3389/fped.2021.805527. eCollection 2021.
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Factors determining the mortality in cirrhosis patients with invasive candidiasis: A systematic review and meta-analysis.决定肝硬化合并侵袭性念珠菌病患者死亡率的因素:系统评价和荟萃分析。
Med Mycol. 2021 Dec 8;60(1). doi: 10.1093/mmy/myab069.
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A Mycological and Molecular Epidemiologic Study on Onychomycosis and Determination Susceptibilities of Isolated Fungal Strains to Conventional and New Antifungals.甲真菌病的真菌学和分子流行病学研究及分离真菌株对常规和新型抗真菌药物敏感性的测定。
Front Cell Infect Microbiol. 2021 Jul 15;11:693522. doi: 10.3389/fcimb.2021.693522. eCollection 2021.
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