目的:通过Meta分析研究骨髓炎患者中耐甲氧西林金黄色葡萄球菌(MRSA)的感染率。方法:检索PubMed、Web of Science、中国知网、维普、万方和中国生物医学文献数据库(CBM)关于骨髓炎患者MRSA感染率的研究,检索时限为建库至2023年8月。由2...目的:通过Meta分析研究骨髓炎患者中耐甲氧西林金黄色葡萄球菌(MRSA)的感染率。方法:检索PubMed、Web of Science、中国知网、维普、万方和中国生物医学文献数据库(CBM)关于骨髓炎患者MRSA感染率的研究,检索时限为建库至2023年8月。由2位研究人员按照纳入与排除标准对所获文献独立进行筛选、提取,采用纽卡斯尔-渥太华量表评分(NOS)进行文献质量评价。以感染率为结局指标合并数据,采用R(4.3.1)进行Meta分析,并根据骨髓炎类型、患者年龄、研究地区进行亚组分析。结果:共纳入26篇文献,共包含20860名骨髓炎患者。Meta分析结果显示,骨髓炎患者MRSA感染率为0.240(95%CI:0.183~0.297)。亚组分析结果显示,椎体骨髓炎(VO)患者、18~60岁、北美地区骨髓炎患者的MRSA感染率更高。结论:骨髓炎患者中MRSA的感染率较高,需采取有效的预防和控制措施减少MRSA的传播。展开更多
目的比较耐甲氧西林金黄色葡萄球菌(MRSA)两种基因分型方法的特点,为MRSA流行病学调查选用合适的基因分型方法提供参考。方法用聚合酶链反应(PCR)扩增MRSA基因高变区(Hypervariable region,HVR),并根据扩增片段大小进行基因分型,同时与E...目的比较耐甲氧西林金黄色葡萄球菌(MRSA)两种基因分型方法的特点,为MRSA流行病学调查选用合适的基因分型方法提供参考。方法用聚合酶链反应(PCR)扩增MRSA基因高变区(Hypervariable region,HVR),并根据扩增片段大小进行基因分型,同时与ERIC-2随机引物多态性DNA分型法进行比较,并观察不同退火温度条件下两种基因分型方法的差异。结果50株MRSA以基因高变区(HVR)分型,可分为A、B、C、D E 5种基因型,其中以B(47.3%)和D(32.1%)型多见,A(3.5%)、C(10.7%)、E(6.4%)型少见,当退火温度改变时,则不能分型;用ERIC-2随机引物对MRSA进行多态性DNA分型,在低退火温度下分为10种基因型,当退火温度明显改变时,仍能分型,但每型的扩增片断明显减少。结论随机引物多态性DNA分型和HVR基因分型两种方法均能用于MRSA感染的流行病学研究,HVR基因分型PCR反应温度控制严格,分型明确;而随机引物多态性ERIC-2的DNA分型随PCR退火温度的变化而变化,应用时需严格控制PCR退火温度等反应参数,否则重复性较差。展开更多
研究紫皮蒜和白皮蒜汁对耐甲氧西林金黄色葡萄球菌(MRSA)的生长和生物被膜形成的影响。以紫皮蒜和白皮蒜为原料制备大蒜汁;采用平板抑菌实验研究两种大蒜汁对7株MRSA食品分离菌株的抑菌效果;同时采用96孔板法研究两种大蒜汁对MRSA细菌...研究紫皮蒜和白皮蒜汁对耐甲氧西林金黄色葡萄球菌(MRSA)的生长和生物被膜形成的影响。以紫皮蒜和白皮蒜为原料制备大蒜汁;采用平板抑菌实验研究两种大蒜汁对7株MRSA食品分离菌株的抑菌效果;同时采用96孔板法研究两种大蒜汁对MRSA细菌生物被膜形成影响。结果表明:白皮蒜与紫皮蒜汁对于7株MRSA食品分离菌株均具有明显抑菌效果,抑菌圈大于19 mm,紫皮蒜汁效果优于白皮蒜汁,紫皮蒜汁的最低抑菌浓度为6.25 m L/L,白皮蒜汁的最低抑菌浓度为12.5 m L/L;两种大蒜汁在不同亚抑菌浓度下对MRSA的生物被膜形成均具有明显抑制作用。本研究结果为MRSA菌株的消除和防控措施提供参考。展开更多
Objective:This study was conducted to update the prevalence of methicillin-resistant Staphylococcus aureus(MRSA) isolates among human clinical S.aureus isolates recovered from Northern Palestine,to evaluate the possib...Objective:This study was conducted to update the prevalence of methicillin-resistant Staphylococcus aureus(MRSA) isolates among human clinical S.aureus isolates recovered from Northern Palestine,to evaluate the possible presence of vancomycin-Resistant S.aureus(VRSA) and vancomycin- intermediate resistant S.aureus strains(VISA) and to determine the antimicrobial susceptibilities of these clinical isolates.Methods:The in vitro activities of 11 antibiotics against 204 non-duplicate S.aureus isolates from clinical samples in North of Palestine were determined by the diskdiffusion method.These samples were isolated between June 2006 and December 2007.The minimum inhibitory concentration (MIC) of vancomycin for 115 methicillin resistant Staphylococcus aureus(MRSA) strains was carried out using the agar dilution method.Results:One hundred and fifteen(56.4%) of these isolates were MRSA and according to their antibiotic profile these are multidrug resistant(resistant to three or more non-p-lactam antibiotics). Ninety nine(43.6%) isolates were methicillin sensitive S.aureus(MSSA),forty four of MSSA isolates(44.4%) were multidrug resistant,while forty five(45.6%) were non multidrug resistant.Our results showed that the most common resistance(95.6%) was to penicillin.Two strains of MRSA have shown to be vancomycin- intermediate resistant,had MIC of 4μg/rnL and 8μg/mL and these vancomycin- intermediate resistant S.aureus strains(VISA) are resistant to all antibiotics tested.Conclusion:According to our information this is the first study report about VISA in Palestine.展开更多
文摘目的:通过Meta分析研究骨髓炎患者中耐甲氧西林金黄色葡萄球菌(MRSA)的感染率。方法:检索PubMed、Web of Science、中国知网、维普、万方和中国生物医学文献数据库(CBM)关于骨髓炎患者MRSA感染率的研究,检索时限为建库至2023年8月。由2位研究人员按照纳入与排除标准对所获文献独立进行筛选、提取,采用纽卡斯尔-渥太华量表评分(NOS)进行文献质量评价。以感染率为结局指标合并数据,采用R(4.3.1)进行Meta分析,并根据骨髓炎类型、患者年龄、研究地区进行亚组分析。结果:共纳入26篇文献,共包含20860名骨髓炎患者。Meta分析结果显示,骨髓炎患者MRSA感染率为0.240(95%CI:0.183~0.297)。亚组分析结果显示,椎体骨髓炎(VO)患者、18~60岁、北美地区骨髓炎患者的MRSA感染率更高。结论:骨髓炎患者中MRSA的感染率较高,需采取有效的预防和控制措施减少MRSA的传播。
文摘目的比较耐甲氧西林金黄色葡萄球菌(MRSA)两种基因分型方法的特点,为MRSA流行病学调查选用合适的基因分型方法提供参考。方法用聚合酶链反应(PCR)扩增MRSA基因高变区(Hypervariable region,HVR),并根据扩增片段大小进行基因分型,同时与ERIC-2随机引物多态性DNA分型法进行比较,并观察不同退火温度条件下两种基因分型方法的差异。结果50株MRSA以基因高变区(HVR)分型,可分为A、B、C、D E 5种基因型,其中以B(47.3%)和D(32.1%)型多见,A(3.5%)、C(10.7%)、E(6.4%)型少见,当退火温度改变时,则不能分型;用ERIC-2随机引物对MRSA进行多态性DNA分型,在低退火温度下分为10种基因型,当退火温度明显改变时,仍能分型,但每型的扩增片断明显减少。结论随机引物多态性DNA分型和HVR基因分型两种方法均能用于MRSA感染的流行病学研究,HVR基因分型PCR反应温度控制严格,分型明确;而随机引物多态性ERIC-2的DNA分型随PCR退火温度的变化而变化,应用时需严格控制PCR退火温度等反应参数,否则重复性较差。
文摘研究紫皮蒜和白皮蒜汁对耐甲氧西林金黄色葡萄球菌(MRSA)的生长和生物被膜形成的影响。以紫皮蒜和白皮蒜为原料制备大蒜汁;采用平板抑菌实验研究两种大蒜汁对7株MRSA食品分离菌株的抑菌效果;同时采用96孔板法研究两种大蒜汁对MRSA细菌生物被膜形成影响。结果表明:白皮蒜与紫皮蒜汁对于7株MRSA食品分离菌株均具有明显抑菌效果,抑菌圈大于19 mm,紫皮蒜汁效果优于白皮蒜汁,紫皮蒜汁的最低抑菌浓度为6.25 m L/L,白皮蒜汁的最低抑菌浓度为12.5 m L/L;两种大蒜汁在不同亚抑菌浓度下对MRSA的生物被膜形成均具有明显抑制作用。本研究结果为MRSA菌株的消除和防控措施提供参考。
文摘Objective:This study was conducted to update the prevalence of methicillin-resistant Staphylococcus aureus(MRSA) isolates among human clinical S.aureus isolates recovered from Northern Palestine,to evaluate the possible presence of vancomycin-Resistant S.aureus(VRSA) and vancomycin- intermediate resistant S.aureus strains(VISA) and to determine the antimicrobial susceptibilities of these clinical isolates.Methods:The in vitro activities of 11 antibiotics against 204 non-duplicate S.aureus isolates from clinical samples in North of Palestine were determined by the diskdiffusion method.These samples were isolated between June 2006 and December 2007.The minimum inhibitory concentration (MIC) of vancomycin for 115 methicillin resistant Staphylococcus aureus(MRSA) strains was carried out using the agar dilution method.Results:One hundred and fifteen(56.4%) of these isolates were MRSA and according to their antibiotic profile these are multidrug resistant(resistant to three or more non-p-lactam antibiotics). Ninety nine(43.6%) isolates were methicillin sensitive S.aureus(MSSA),forty four of MSSA isolates(44.4%) were multidrug resistant,while forty five(45.6%) were non multidrug resistant.Our results showed that the most common resistance(95.6%) was to penicillin.Two strains of MRSA have shown to be vancomycin- intermediate resistant,had MIC of 4μg/rnL and 8μg/mL and these vancomycin- intermediate resistant S.aureus strains(VISA) are resistant to all antibiotics tested.Conclusion:According to our information this is the first study report about VISA in Palestine.
