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Distribution of pathogenic bacteria and antimicrobial sensitivity of eye infections in Suzhou
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作者 Li Zhang Hai-Zhang You +4 位作者 Guo-Hui Wang Wei Xu Jian-Shan Li Qing-Liang Zhao Shu Du 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2024年第4期700-706,共7页
AIM:To investigate the types of bacteria in patients with eye infections in Suzhou and their drug resistance to commonly used antibacterial drugs.METHODS:The clinical data of 155 patients were retrospectively collecte... AIM:To investigate the types of bacteria in patients with eye infections in Suzhou and their drug resistance to commonly used antibacterial drugs.METHODS:The clinical data of 155 patients were retrospectively collected in this study,and the pathogenic bacteria species and drug resistance of each pathogenic bacteria were analyzed.RESULTS:Among the 155 patients(age from 12 to 87 years old,with an average age of 57,99 males and 56 females)with eye infections(160 eyes:74 in the left eye,76 in the right eye and 5 in both eyes,all of which were exogenous),71(45.81%)strains were gram-positive bacteria,23(14.84%)strains were gram-negative bacteria and 61(39.35%)strains were fungi.Gram-positive bacteria were highly resistant to penicillin and erythromycin(78.87%and 46.48%respectively),but least resistant to vancomycin at 0.Gram-negative bacteria were highly resistant to cefoxitin and compound sulfamethoxazole(100%and 95.65%respectively),but least resistant to meropenem at 0.Comparison of the resistance of gram-positive and gram-negative bacteria to some drugs revealed statistically significant differences(P<0.05)in the resistance of both to cefoxitin,cotrimoxazole,levofloxacin,cefuroxime,ceftriaxone and ceftazidime,and both had higher rates of resistance to gram-negative bacteria than to gram-positive bacteria.The distribution of bacterial infection strains showed that Staphylococcus epidermidis was the most common strain in the conjunctiva,cornea,aqueous humor or vitreous body and other eye parts.Besides,Fusarium and Pseudomonas aeruginosa were also among the most common strains of conjunctival and corneal infections.CONCLUSION:Gram-positive bacteria are the dominant bacteria in eye infections,followed by gram-negative bacteria and fungi.Considering the resistance of gramnegative bacteria to multiple drugs,monitoring of bacteria should be strengthened in eye bacterial infections for effective prevention and control to reduce complications caused by eye infections. 展开更多
关键词 eye infection pathogenic bacteria drug resistance antimicrobial sensitivity test
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Six-year analysis of key monitoring for bacterial strain distribution and antibiotic sensitivity in a hospital
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作者 Zong-Ying Li Dong Yang Chong-Hua Hao 《World Journal of Clinical Cases》 SCIE 2023年第30期7294-7301,共8页
BACKGROUND With the widespread use of antimicrobial drugs,bacterial resistance has become a significant problem,posing a serious threat to public health.The prevalence of clinical infection strains in hospitals and th... BACKGROUND With the widespread use of antimicrobial drugs,bacterial resistance has become a significant problem,posing a serious threat to public health.The prevalence of clinical infection strains in hospitals and their drug sensitivities are key to the appropriate use of antibiotics in clinical practice.AIM To identify prevalent bacteria and their antibiotic resistance profiles in a hospital setting,thereby guiding effective antibiotic usage by clinicians.METHODS Specimens from across the institution were collected by the microbiology laboratory.The VITEK 2 compact fully automatic analyzer was used for bacterial identification and antibiotic sensitivity testing,and the WHONET5.6 software was utilized for statistical analysis.RESULTS A total of 12062 bacterial strains of key monitoring significance were detected.Staphylococcus aureus demonstrated widespread resistance to penicillin,but none of the strains were resistant to vancomycin or linezolid.Moreover,219 strains of methicillin-resistant coagulase-negative staphylococci and 110 strains of methicillin-resistant Staphylococcus aureus were detected.Enterococcus faecalis showed moderate resistance to the third-generation quinolones ciprofloxacin and levofloxacin,but its resistance to nitrofurantoin and tetracycline was low.Enterococcus faecium displayed significantly lower resistance to third-and fourthgeneration quinolones than Enterococcus faecalis.The resistance of two key monitoring strains,Escherichia coli and Klebsiella pneumoniae,to piperacillin/tazobactam was 5%-8%.However,none of the Escherichia coli and Klebsiella pneumoniae strains were resistant to meropenem.The resistance of Acinetobacter baumannii to piperacillin/sulbactam was nearly 90%.Nonetheless,the resistance to tigecycline was low,and Pseudomonas aeruginosa demonstrated minimal resistance in the antibiotic sensitivity test,maintaining a resistance of<10%to the cephalosporin antibiotics cefotetan and cefoperazone over the last 6 years.The resistance to amikacin remained at 0.2%over the past 3 years.CONCLUSION Our hospital’s overall antibiotic resistance rate was relatively stable from 2017 to 2022.The detection rates of key monitoring strains are reported quarterly and their resistance dynamics are monitored and communicated to the entire hospital,which can guide clinical antibiotic selection. 展开更多
关键词 Antibiotic sensitivity test Monitoring bacterial antibiotic resistance Antimicrobial drugs Antimicrobial stewardship Combination therapies Antibiotic stewardship
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Isolation and Identification of Pseudomonas solanacearum and Its Drug Sensitivity Test
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作者 Zhu Li Zhang Qiao 《Plant Diseases and Pests》 CAS 2015年第2期23-25,共3页
Ten pathogenic strains were isolated fi-om gingers infected by blast, and were identified by substrate utilization test and biochemical test. The identifica- tion results showed that these ten strains accorded with th... Ten pathogenic strains were isolated fi-om gingers infected by blast, and were identified by substrate utilization test and biochemical test. The identifica- tion results showed that these ten strains accorded with the basic characteristics of Pseudomonas solanacearum. Drug sensitivity test of ten strains was carried out, and prevention agents were screened to provide an experimental basis for the control of ginger blast. 展开更多
关键词 Pseudomonas solanacearum Ginger blast Substrate utilization test drug sensitivity test
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Comparative studies of serum-free media and detection techniques for <i>in vitro</i>drug sensitivity assessment of <i>Plasmodium falciparum</i>
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作者 Bethel Kwansa-Bentum Shinji Izumiyama +3 位作者 Kei Kitamura Kazushige Obata-Ninomiya Nobuo Ohta Hiroko Asahi 《Open Journal of Clinical Diagnostics》 2013年第3期115-121,共7页
Malaria continues to be a devastating disease. In a previous study, we formulated a chemically defined culture medium that is able to sustain the complete intraerythrocytic growth of Plasmodium falciparum. We tested t... Malaria continues to be a devastating disease. In a previous study, we formulated a chemically defined culture medium that is able to sustain the complete intraerythrocytic growth of Plasmodium falciparum. We tested the feasibility of using the medium (CDRPMI) as well as human serum-free media enriched with commercially available human-serum substitutes (GFSRPMI and ALBRPMI) to assess the drug sensitivity of P. falciparum, using chloroquine diphosphate (CQ) and dihydroartemisinin (DHART) as conventional antimalarial drugs. Growth inhibition was measured by four different methods: flow cytometry with SYBR Green I (FCM), microscopy (Giemsa method), enzymatic estimation of parasite lactate dehydrogenase (pLDH), and histidine-rich protein 2 (HRPII) determination. In drug sensitivity tests on asynchronous parasites cultured for 96 h in the presence of drugs, the dose-response curves were similar and differences in the 50% growth inhibition concentrations for the drugs, which were estimated by the four methods, were not statistically significant for the three culture media. The effect of the drugs on the growth of synchronous parasites at the ring stage was also assessed in micro-volume tests by three different methods of FCM: tracking fluorescent erythrocytes, schizont test, and merozoite test. Dose-response curves for the drugs were similar, and differences in the 50% growth inhibition concentrations were not statistically significant for CDRPMI and GFSRPMI. Thus CDRPMI as well as GFSRPMI and ALBRPMI can be similarly useful media for drug sensitivity testing of P. falciparum. The FCM, pLDH and HRPII estimations were fast and reliable detection methods, with FCM allowing schizont and merozoite tests to be performed with shorter periods of culture. 展开更多
关键词 PLASMODIUM FALCIPARUM Chemically Defined Medium drug sensitivity test Flow CYTOMETRY
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Drug Sensitivity Test and Regression Verification of Escherichia coli from Rex Rabbit
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作者 Guo Shijin Wang Yanping +4 位作者 Xu Qianqian Zhang Ying Zhang Zhimei Dong Lin Shen Zhiqiang 《Animal Husbandry and Feed Science》 CAS 2017年第2期91-92,107,共3页
[ Objectives] The paper aimed to select drugs reasonably for treatment of rex rabbit colibacillosis, and to isolate the pathogenicity of Escherichia coll. [ Methods ] Pathogen isolation, drug sensitivity test and path... [ Objectives] The paper aimed to select drugs reasonably for treatment of rex rabbit colibacillosis, and to isolate the pathogenicity of Escherichia coll. [ Methods ] Pathogen isolation, drug sensitivity test and pathogen regression test were performed with rex rabbits killed by E. coli in clinic. [ Results] The isolate was E. coli 0-23, susceptible to amikacin and cefotaxime sodium; when the challenge dose was 1.0 mL/rabbit (about one billion E. coli), the test animal would discharge mucous feces. [ Conclusions] The results provided model support for clinical medicine selection against rex rabbit colibacillosis. 展开更多
关键词 COLIBACILLOSIS drug sensitivity test Regression verification
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Isolation, Identification and Drug Sensitivity Test of a Pathogenic Escherichia coli Strain from Minks with Diarrhea
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作者 Lirong XIAO Qiaoling LI +3 位作者 Qinghui JIA Guisheng GAO Zhaoxing ZHANG Qiumei SHI 《Agricultural Biotechnology》 CAS 2018年第3期81-83,共3页
[Objectives] The study aimed to identify the pathogen that causes diarrhea in minks. [Methods] Liver tissues were aseptically collected from dead minks with diarrhea. By bacterial isolation and culture,morphological o... [Objectives] The study aimed to identify the pathogen that causes diarrhea in minks. [Methods] Liver tissues were aseptically collected from dead minks with diarrhea. By bacterial isolation and culture,morphological observation,biochemical test and pathogenicity test,the isolated strain was identified as pathogenic E. coli. [Results]The pathogen causing diarrhea in minks was confirmed as a pathogenic E. coli strain. Drug sensitivity test indicated that the isolated pathogenic E. coli strain was highly sensitive to ceftazidime,cefotaxime,enrofloxacin,florfenicol and cephradine,moderately sensitive to ampicillin,ciprofloxacin,amikacin,doxycycline,lincomycin and gentamycin,and resistant to amoxycillin,neomycin,spectinomycin,polymyxin and penicillin. [Conclusions] This study provided reference for the prevention and control of abortion in female minks in Qinhuangdao region. 展开更多
关键词 MINK DIARRHEA Pathogenic Escherichia coli drug sensitivity test
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The Changes of Baroreflex Sensitivity During Head-up Tilt Test and Its Clinical Significance in the Patients with Vasovagal Syncope
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作者 胡兆霆 吕艳青 杨钧国 《South China Journal of Cardiology》 CAS 2001年第2期65-68,共4页
Objective To study thechanges of baroreflex sensitivity (BRS) during head - up tilt test (HUT) in patients with vasovagal syncope (VS), and to examine the relationship between baroreflex sensitivity and neurohormonal ... Objective To study thechanges of baroreflex sensitivity (BRS) during head - up tilt test (HUT) in patients with vasovagal syncope (VS), and to examine the relationship between baroreflex sensitivity and neurohormonal factors. Furthermore, to investigate the effects of the changes of BRS on VS. Methods Forty - two patients with unexplained syncope (Among the 42 patients, there were 22 patients with positive HUT and 20 patients with negative HUT respectively) and 20 healthy volunteers (with negative HUT) underwent passive head - up tilt testing, Ante-cubital vein blood samples were taken before and after HUT, or at syncope. The fasting plasma endothelin , serum nitric oxide (NO), serum NE were measured, the BRS was assessed on the basis of the linear regression slope the RR interval versus systolic arterial blood pressure during the increment in blood pressure after intravenous administration of phenylephrine. Results (1) During the syncope, the BRS significantly reduced in HUT(+) group than baseline. At the end of tilt, the level of plasma ET, serum NO in patients with positive HUT significantly increased compared with baseline or normal controls, and the plasma concentration of NE also had the trend of increase. (2) By multiple regression analysis, a significant negative correlation was found between baroreceptor sensitivity and the plasma ET, NO at the end of HUT in patients with positive HUT, but there was no relationship between BRS and NE. Conclusions During the syncope occure, the BRS in patients with VS decreased significantly compared with normal controls. The abnormal plasma ET, NO concen-tration might contribute to the mechanism of VS. 展开更多
关键词 Vasovagal syncope Head - up tilt test Endothelin Nitric oxide Baroreflex sensitivity
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2018-2021年北京市某区腹泻病例粪便中肺炎克雷伯菌的病原学和分子特征分析
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作者 张爽 赵娟 +11 位作者 刘畅 王海瑞 杨茜 王会波 王园园 李辉 张建涛 张振东 陈楠 李颖 张茂俊 田睿 《中国人兽共患病学报》 CAS CSCD 北大核心 2024年第8期745-749,757,共6页
目的了解北京市某区腹泻病例粪便中肺炎克雷伯菌(Klebsiella pneumoniae,KP)的病原学和分子特征。方法收集2018-2021年北京市某区门诊腹泻病例的粪便样本,进行KP分离培养鉴定,对KP分离株进行耐药表型检测和全基因组测序,测序结果进行多... 目的了解北京市某区腹泻病例粪便中肺炎克雷伯菌(Klebsiella pneumoniae,KP)的病原学和分子特征。方法收集2018-2021年北京市某区门诊腹泻病例的粪便样本,进行KP分离培养鉴定,对KP分离株进行耐药表型检测和全基因组测序,测序结果进行多位点序列分析(Multilocus sequence typing,MLST)并建立全基因组系统进化树,同时分析病例的流行病学和临床特征。结果2018-2021年共检测粪便样本1103份,KP总检出率10.43%(115/1103),与其他致泻病原的混合感染率为42.61%(49/115)。女性阳性检出率稍高,为12.47%(61/489),16~45岁的青壮年检出最多,在1月、4~5月和8~9月3个时间段分别出现阳性小高峰。病例消化道症状以恶心为主,多为水样便。115株KP菌株耐药率前3位为氨苄西林、四环素和磺胺异噁唑,共有29株菌株对3类以上抗生素耐药。菌株共分为72种序列型(Sequence type,ST),其中ST23型最多,系统进化树显示菌株可分为4个主要分支,其中有14株ST23型菌株与高毒力NTUH-K2044参考株亲缘关系非常接近。结论北京市某区腹泻病例粪便样本中持续存在KP感染,女性、青壮年易感。本地区KP耐药情况严峻,ST型多样,且存在与高毒力菌株亲缘关系非常接近的ST23型致病菌株。 展开更多
关键词 肺炎克雷伯菌 药敏 全基因组测序
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MALDI-TOF-MS在耐碳青霉烯肠杆菌多黏菌素B快速药敏试验中的应用
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作者 王林 刘赛 王维 《山西医科大学学报》 CAS 2024年第8期1050-1054,共5页
目的构建一种耐碳青霉烯类肠杆菌科细菌(CRE)多黏菌素B的快速药敏试验方法,为临床抗生素的选择和精准调整提供依据。方法采用WHONET 5.6软件对分离自西安市第一医院2023年3月至2024年3月的108株CRE菌株信息进行筛选,以肉汤稀释法为参比... 目的构建一种耐碳青霉烯类肠杆菌科细菌(CRE)多黏菌素B的快速药敏试验方法,为临床抗生素的选择和精准调整提供依据。方法采用WHONET 5.6软件对分离自西安市第一医院2023年3月至2024年3月的108株CRE菌株信息进行筛选,以肉汤稀释法为参比方法,采用基质辅助激光解吸/电离飞行时间质谱仪(MALDI-TOF-MS)进行多黏菌素B快速药敏测定。结果108株CRE分离株以肺炎克雷伯菌为主(48.14%),其次是产气肠杆菌和奇异变形杆菌(各占13.89%)。标本来源以痰液为主(65.74%),其次尿液(18.52%)和血液(8.33%)。临床科室分布以神经外科为主(48.15%),其次为重症医学科(18.52%)和呼吸内科(14.81%)。CRE分离株对大部分药物呈现高度耐药,对常见β内酰胺类、喹诺酮类、氨基糖苷类、β内酰胺复合药物耐药率分别超过70%,80%,50%和75%。与肉汤稀释法相比,MALDI-TOF-MS法测定CRE对多黏菌素B药敏结果的分类一致率(CA)为98.1%,重大误差(ME)为1.85%,未出现非常重大误差(VME),均在可允许范围之内。结论本院分离的CRE对多种抗菌药物广泛耐药,基于MALDI-TOF-MS的快速药敏试验方法准确可靠,可用来评价CRE对多黏菌素B的敏感性,便于临床及时调整泛耐药细菌治疗方案。 展开更多
关键词 MALDI-TOF-MS 耐碳青霉烯类肠杆菌科细菌 细菌感染 多黏菌素B 药敏试验 肉汤稀释法
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猪场环境源大肠杆菌的耐药性调查及携带mcr-1和tet(X4)菌株的传播特征
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作者 马胜男 王倩倩 +6 位作者 申家兴 丁鹏云 冯一鸣 苑丽 潘玉善 胡功政 贺丹丹 《中国兽医杂志》 CAS 北大核心 2024年第11期1-10,共10页
养殖场中抗菌药的长期使用促使耐药菌株快速出现和传播,并可以通过粪肥和污水向环境排放,给公共卫生带来巨大威胁。为了调查猪场环境源大肠杆菌的耐药情况,评估耐药基因的传播风险,本试验采集163份猪场粪便、污水和土壤样本,通过平板划... 养殖场中抗菌药的长期使用促使耐药菌株快速出现和传播,并可以通过粪肥和污水向环境排放,给公共卫生带来巨大威胁。为了调查猪场环境源大肠杆菌的耐药情况,评估耐药基因的传播风险,本试验采集163份猪场粪便、污水和土壤样本,通过平板划线分离培养法分离大肠杆菌,通过药敏试验检测分离菌株对14种抗菌药物的耐药情况,聚合酶链式反应(PCR)检测临床重要耐药基因,脉冲场凝胶电泳(PFGE)检测菌株间的亲缘关系,接合试验和质粒复制子分型检测接合子的质粒类型。结果显示,共分离获得150株大肠杆菌,其中粪便源大肠杆菌耐药情况最严重,污水源大肠杆菌次之,土壤源大肠杆菌最低;污水源大肠杆菌耐药基因检出种类最多,粪便源大肠杆菌次之,土壤源大肠杆菌最少。10株携带黏菌素耐药基因mcr-1大肠杆菌和18株携带替加环素耐药基因tet(X4)大肠杆菌分离自粪便和污水样本,且多重耐药情况较为严重。10株携带mcr-1大肠杆菌经PFGE分为9种脉冲场图谱,其中9株与大肠杆菌C600接合成功,接合子中有IncFIA、IncW、IncFIB、IncI2和IncP五种质粒类型;18株携带tet(X4)大肠杆菌经PFGE分为15种脉冲场图谱,其中16株与大肠杆菌C600接合成功,接合子中有IncFIB、IncFrepB和IncHI1三种质粒类型。结果表明,必需持续监测猪场环境中的临床重要耐药基因,特别需要关注mcr-1和tet(X4)基因的流行情况,并且在养殖中合理使用黏菌素和四环素类抗生素。 展开更多
关键词 猪场环境 大肠杆菌 药敏试验 耐药基因 mcr-1 tet(X4)
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携带bla_(VIM-2)耐药基因的恶臭假单胞菌致皮肤感染一例并文献复习
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作者 李永慧 张志强 +1 位作者 孔庆山 赵飞 《中国麻风皮肤病杂志》 2024年第11期765-768,共4页
恶臭假单胞菌能够引起多种鱼类的败血性感染,但对人的致病性一直被忽视。本研究从一例63岁男性患者左下肢皮肤伤口中分离到一株优势细菌,经生化鉴定和16S RNA测序分析确认为恶臭假单胞菌。进一步对其进行药敏试验,发现该菌株对氨苄西林... 恶臭假单胞菌能够引起多种鱼类的败血性感染,但对人的致病性一直被忽视。本研究从一例63岁男性患者左下肢皮肤伤口中分离到一株优势细菌,经生化鉴定和16S RNA测序分析确认为恶臭假单胞菌。进一步对其进行药敏试验,发现该菌株对氨苄西林、多种头孢类抗生素、碳青霉烯类抗生素、复方新诺明耐药,耐药基因检测发现该分离株携带抗碳青霉烯类bla_(VIM-2)耐药基因。根据药敏试验结果选用头孢他啶注射液2 g,每日两次,疗程14天,外用夫西地酸乳膏,每日2次,2个月后患者皮损完全愈合。 展开更多
关键词 恶臭假单胞菌 组织病理 细菌分离鉴定 药敏实验 耐药基因
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奶牛乳房炎病原微生物20联核酸检测试剂盒(PCR-荧光探针法)的临床应用评估
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作者 胡秀花 王子华 +5 位作者 黄鹏成 刘园园 毛君杰 王桂琴 马翀 王少林 《中国兽医杂志》 CAS 北大核心 2024年第11期61-69,共9页
为了评估商品化的奶牛乳房炎病原微生物20联核酸检测试剂盒(PCR-荧光探针法)(后文简称为“检测试剂盒”)在临床应用中的适用性,本试验采用传统细菌分离培养、检测试剂盒、16S rRNA基因扩增子测序和药物敏感性试验对宁夏回族自治区9个牧... 为了评估商品化的奶牛乳房炎病原微生物20联核酸检测试剂盒(PCR-荧光探针法)(后文简称为“检测试剂盒”)在临床应用中的适用性,本试验采用传统细菌分离培养、检测试剂盒、16S rRNA基因扩增子测序和药物敏感性试验对宁夏回族自治区9个牧场155份奶牛乳房炎奶样分别进行菌株鉴定和耐药性检测,并将检测试剂盒与其他3种检测结果进行比较和分析。结果显示,检测试剂盒与传统细菌分离培养在病原菌检出情况上基本保持一致,均主要检出了大肠杆菌、芽孢杆菌属和凝固酶阴性葡萄球菌(CNS)等;检测试剂盒与16S rRNA基因扩增子测序结果在菌属组成上一致性较高,均主要检出了假单胞菌属、链球菌属和葡萄球菌属等;药物敏感性试验结果显示,检出率较高的66株病原菌分离株对β-内酰胺类抗菌药物的耐药率普遍偏高;奶样中β-内酰胺酶耐药基因blaZ的检测试剂盒检出结果与同一奶样中分离菌株的药物敏感性试验结果一致率达58%(7/12)。综上所述,该检测试剂盒具有较高的准确度和病原覆盖率,可为牧场奶牛乳房炎主要病原的快速诊断和耐药基因(blaZ)监测提供有效的技术支持,从而降低抗菌药物的使用量,以减少牧场经济损失。 展开更多
关键词 奶牛乳房炎病原微生物20联核酸检测试剂盒(PCR-荧光探针法) 细菌分离培养 16S rRNA基因扩增子测序 药物敏感性试验
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Pathologic complete response to conversion therapy in hepatocellular carcinoma using patient-derived organoids:A case report
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作者 Yong-Gang He Zheng Wang +4 位作者 Jing Li Wang Xi Chong-Yu Zhao Xiao-Bing Huang Lu Zheng 《World Journal of Gastrointestinal Oncology》 SCIE 2024年第11期4506-4513,共8页
BACKGROUND For primary liver cancer,the key to conversion therapy depends on the effectiveness of drug treatment.Patient-derived tumor organoids have been demonstrated to improve the efficacy of conversion therapy by ... BACKGROUND For primary liver cancer,the key to conversion therapy depends on the effectiveness of drug treatment.Patient-derived tumor organoids have been demonstrated to improve the efficacy of conversion therapy by identifying individualtargeted effective drugs,but their clinical effects in liver cancer remain unknown.CASE SUMMARY We described a patient with hepatocellular carcinoma(HCC)who achieved pathologic complete response(pCR)to conversion therapy guided by the patientderived organoid(PDO)drug sensitivity testing.Despite insufficiency of the remaining liver volume after hepatectomy,the patient obtained tumor reduction after treatment with the PDO-sensitive drugs and successfully underwent radical surgical resection.Postoperatively,pCR was observed.CONCLUSION PDOs contributes to screening sensitive drugs for HCC patients to realize the personalized treatment and improve the conversion therapy efficacy. 展开更多
关键词 Tumor organoids Hepatocellular carcinoma drug sensitivity testing Conversion therapy Pathological response Case report
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Improving treatment plan and mental health in children with abdominal infection for broad-spectrum bacterial infections
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作者 Gui-Bo Wang Xue-Feng Zhang +2 位作者 Bing Liang Jie Lei Jun Xue 《World Journal of Psychiatry》 SCIE 2024年第9期1319-1325,共7页
BACKGROUND Pediatric abdominal infection is a common but serious disease that requires timely and effective treatment.In surgical treatment,accurate diagnosis and rational application of antibiotics are the keys to im... BACKGROUND Pediatric abdominal infection is a common but serious disease that requires timely and effective treatment.In surgical treatment,accurate diagnosis and rational application of antibiotics are the keys to improving treatment effects.AIM To investigate the effect of broad-spectrum bacterial detection on postoperative antibiotic therapy.METHODS A total of 100 children with abdominal infection who received surgical treatment in our hospital from September 2020 to July 2021 were grouped.The observation group collected blood samples upon admission and sent them for broad-spectrum bacterial infection nucleic acid testing,and collected pus or exudate during the operation for bacterial culture and drug sensitivity testing;the control group only sent bacterial culture and drug sensitivity testing during the operation.RESULTS White blood cell count,C-reactive protein,procalcitonin,3 days after surgery,showed better postoperative index than the control group(P<0.05).The hospital stay in the observation group was significantly shorter than that in the control group.The hospitalization cost in the observation group was significantly lower than that in the control group,and the difference between the two groups was statistically significant(P<0.05).CONCLUSION Early detection of broad-spectrum bacterial infection nucleic acids in pediatric abdominal infections can help identify pathogens sooner and guide the appropriate use of antibiotics,improving treatment outcomes and reducing medical costs to some extent. 展开更多
关键词 Pediatric abdominal infection Nucleic acid detection of broad-spectrum bacterial infection Bacterial culture drug sensitivity testing Treatment effect COST Mental health
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ASSAY OF SENSITIVITY OF CANCER CELL TO ANTICANCER DRUG IN GLASS CAPILLARIES
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作者 贺智敏 魏立勇 彭祥鄂 《Chinese Journal of Cancer Research》 SCIE CAS CSCD 1992年第4期43-48,共6页
A newly established human tumor clonogenecity assay - the glass capillary tube culture technique (CAP assay) to described. With this method, we observed the in vitro anticancer efficiency of several antineoplastics on... A newly established human tumor clonogenecity assay - the glass capillary tube culture technique (CAP assay) to described. With this method, we observed the in vitro anticancer efficiency of several antineoplastics on human solid tumors and acute non-lymphatic leukemia (ANLL) specimen. Comparing with the conventional two-layer agar culture assay (2-LAC assay). The CAP-assay had a higher culture success rate, higher plating efficiency (PE) and shorter experimental period. The preliminary data suggesting and that the CAP assay has the potential to replace the conventional 2- LAC assay for in vitro drug- sensitivity testing and may be applied clinically. 展开更多
关键词 glass capillary cell culture drug-sensitivity test.
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酮康唑-甲基-β-环糊精包合物的表征及抑菌活性研究
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作者 徐淑凤 张志远 +2 位作者 马艳芝 聂结华 廖洁丹 《养殖与饲料》 2024年第5期17-22,共6页
[目的]为了提高低水溶性抗真菌药物酮康唑(ketoconazole,KCZ)的水溶性及抑菌活性,减少临床应用限制。[方法]采用饱和溶液法制备酮康唑-甲基-β-环糊精包合物,高效液相色谱法(HPLC)检测其溶解度,通过傅里叶变换红外光谱(IR)法对其结构进... [目的]为了提高低水溶性抗真菌药物酮康唑(ketoconazole,KCZ)的水溶性及抑菌活性,减少临床应用限制。[方法]采用饱和溶液法制备酮康唑-甲基-β-环糊精包合物,高效液相色谱法(HPLC)检测其溶解度,通过傅里叶变换红外光谱(IR)法对其结构进行表征,用纸片扩散法(K-B法)和最小抑菌浓度(MIC)方法对比检验酮康唑原药与酮康唑-甲基-β-环糊精包合物对白色假丝酵母菌的体外抗菌活性。[结果]通过甲基-β-环糊精包合,酮康唑在包合物中的水溶性比单一酮康唑增加了约2 941倍,通过傅里叶变换红外光谱(IR)法证实了有新物相形成。酮康唑原药的抑菌圈为(22.00±1.63) mm,酮康唑-甲基-β-环糊精包合物的抑菌圈则提升至(28.00±1.63) mm。最低抑菌浓度结果显示,酮康唑原药的最低抑菌浓度为(0.125±0.029)μg/mL,酮康唑-甲基-β-环糊精包合物的最低抑菌浓度为(0.062 5±0.015 0)μg/mL。[结论]酮康唑-甲基-β-环糊精包合物不仅没有破坏酮康唑原药对白色假丝酵母菌原有的抑菌能力,还提高了其抑菌效果。 展开更多
关键词 酮康唑 包合物 傅里叶变换红外光谱 药敏试验 最小抑菌浓度
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2016-2020年吉林市中心医院大肠埃希菌耐药与抗菌药物预警研究 被引量:1
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作者 刘洋 刁书腾 《中国现代医生》 2023年第8期82-86,共5页
目的探究2016-2020年吉林市中心医院大肠埃希菌耐药与抗菌药物临床应用预警情况,为临床合理用药提供技术支持。方法获取2016-2020年吉林市中心医院检验科样本中大肠埃希菌所有样本(3855株),回顾性分析医院大肠埃希菌的药敏试验结果。结... 目的探究2016-2020年吉林市中心医院大肠埃希菌耐药与抗菌药物临床应用预警情况,为临床合理用药提供技术支持。方法获取2016-2020年吉林市中心医院检验科样本中大肠埃希菌所有样本(3855株),回顾性分析医院大肠埃希菌的药敏试验结果。结果在吉林市中心医院细菌耐药性检验中,大肠埃希菌排第一位,检出率为15%~21%,并且呈逐年增加的趋势。特殊类使用级别的氨曲南和美罗培南、亚胺培南西司他丁,采用会诊审批和用药监管等措施促进合理用药,氨苄西林对大肠埃希菌5年内的耐药率高于75%,对于由大肠埃希菌引起的感染性疾病,临床需要暂停使用。复方磺胺甲噁唑、环丙沙星、左氧氟沙星、哌拉西林对大肠埃希菌的耐药率高达50%~75%,需要参照药敏试验结果选用。结论特殊类使用级别抗菌药物和喹诺酮类的广泛使用,增加了大肠埃希菌的耐药率。建议临床限制喹诺酮类和特殊类使用级别抗菌药物的使用,以减缓大肠埃希菌耐药的趋势。 展开更多
关键词 大肠埃希菌 耐药 抗菌药 药敏试验
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乳鸽副黏病毒(PPMV-1)与大肠杆菌混合感染的诊断与防治 被引量:1
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作者 李婷婷 陆冰洋 +3 位作者 丁树荣 唐娟 王彩先 刘华栋 《山西农业科学》 2023年第4期443-449,共7页
为了对太原市某肉鸽场乳鸽突发的PPMV-1和大肠杆菌病混合感染病例进行诊断,通过对发病乳鸽进行临床诊断和病理剖检,并采集病鸽的组织病料,进行RT-PCR检测、SPF鸡胚传代分离病毒和细菌分离培养、生化鉴定、药敏试验和动物回归试验,旨在... 为了对太原市某肉鸽场乳鸽突发的PPMV-1和大肠杆菌病混合感染病例进行诊断,通过对发病乳鸽进行临床诊断和病理剖检,并采集病鸽的组织病料,进行RT-PCR检测、SPF鸡胚传代分离病毒和细菌分离培养、生化鉴定、药敏试验和动物回归试验,旨在制定出综合防治措施,对PPMV-1和大肠杆菌病混合感染疾病的预防和治疗提供指导意义。结果显示,该鸽场鸽群感染病毒为鸽源Ⅰ型副黏病毒(PPMV-1),分离菌为大肠杆菌。药敏试验表明,分离菌对氨基糖苷类药物部分高敏。根据诊断结果,紧急使用新城疫IV系疫苗免疫,同时联合使用丁胺卡那霉素,病情迅速得到控制。抗体检测发现,该鸽场种鸽新城疫抗体效价参差不齐,是诱发乳鸽感染PPMV-1的主要原因。动物回归试验进一步确定了PPMV-1分离株和大肠杆菌的致病性,乳鸽感染PPMV-1后发病率为100%,死亡率达80%;而雏鸡感染病毒后无明显临床症状,表明PPMV-1分离株对乳鸽和雏鸡的致病力存在差异,且混合感染比病毒和大肠杆菌单独感染死亡率高,在乳鸽养殖中要重视综合防控,防止PPMV-1和大肠杆菌混合感染的发生。 展开更多
关键词 鸽源Ⅰ型副黏病毒(PPMV-1) RT-PCR 大肠杆菌 药敏试验 抗体效价
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Isolation and Identification of Drug-resistant Escherichia coli Strains from Chickens 被引量:1
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作者 张进良 《Agricultural Science & Technology》 CAS 2012年第8期1699-1701,共3页
[Objective] This study aimed to isolate and identify the drug-resistant Es- cherichia coli strains from chickens. [Method] E. coli strains were isolated from the fecal samples collected from five chicken farms around ... [Objective] This study aimed to isolate and identify the drug-resistant Es- cherichia coli strains from chickens. [Method] E. coli strains were isolated from the fecal samples collected from five chicken farms around Shangqiu City, and verified by biochemical and pathogenic assay. [Result] Among the 35 isolated E. coli stains, 11 E. coil stains were sensitive to florfenicol, amikacin, neomycin and gentamicin; 12 E. coli stains were moderately sensitive to ciprofloxacin, doxycycline and norfloxacin; 15 E. coil stains were resistant against erythromycin, penicillin and streptomycin. [Conclusion] Strengthening biosecurity measures, rationally using vaccine and choosing effective antibiotics are the most cost-efficient methods to control E. coli. 展开更多
关键词 CHICKEN Escherichia coli drug sensitivity test drug resistance
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2017-2021年普宁地区泌尿生殖道支原体感染现状及药物敏感性分析 被引量:11
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作者 谢平霖 方炳雄 +2 位作者 庄蓓丽 余彩瑶 刘琪 《检验医学与临床》 CAS 2023年第6期743-746,752,共5页
目的了解广东省普宁地区泌尿生殖道支原体的感染情况及其对药物敏感性的变化,为临床的用药治疗提供参考依据。方法收集普宁市人民医院2017-2021年的95251例疑似泌尿生殖道感染患者的支原体检测结果及药物敏感试验结果进行回顾性分析。... 目的了解广东省普宁地区泌尿生殖道支原体的感染情况及其对药物敏感性的变化,为临床的用药治疗提供参考依据。方法收集普宁市人民医院2017-2021年的95251例疑似泌尿生殖道感染患者的支原体检测结果及药物敏感试验结果进行回顾性分析。结果在95251例标本中,检出泌尿生殖道支原体37926例,感染率为39.82%,其中单独解脲支原体(Uu)的感染率(29.50%)明显高于单独人型支原体(Mh)的感染率(1.58%)及解脲支原体和人型支原体(Uu+Mh)的混合感染率(8.73%),差异有统计学意义(P<0.05),且感染率总体呈逐年上升趋势(Z=6.52,P<0.05)。女性泌尿生殖道支原体感染率(41.41%)明显高于男性(22.60%),差异有统计学意义(P<0.05)。在药物敏感试验中,泌尿生殖道支原体对强力霉素、美满霉素和交沙霉素的敏感性较高,敏感率都≥92.23%,而对喹诺酮类药物的敏感性普遍偏低,敏感率都≤13.44%。此外2021年泌尿生殖道支原体对四环素、红霉素、交沙霉素的耐药率均明显高于2017-2020年(P<0.05)。结论普宁地区的泌尿生殖道支原体感染率呈逐年上升趋势,需加强对该地区泌尿生殖道支原体感染的监控;强力霉素、美满霉素可作为该地区泌尿生殖道支原体感染治疗的首选药物,临床要根据药物敏感性试验结果选择合适的抗菌药物或选择多种抗菌药物联合用药进行治疗,有效防治支原体感染。 展开更多
关键词 解脲支原体 人型支原体 药物敏感性试验
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