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The Pathogenicity of Chicken Pathogenic <i>Escherichia coli</i>Is Associated with the Numbers and Combination Patterns of Virulence-Associated Genes 被引量:2
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作者 Jingyu Wang Pan Tang +10 位作者 Dan Tan Liqin Wang Sandong Zhang Yuanhao Qiu Rui Dong Wanhua Liu Jingjing Huang Ting Chen Juanjuan Ren Cengshan Li Hung-Jen Liu 《Open Journal of Veterinary Medicine》 2015年第12期243-254,共12页
Various virulence-associated genes or pathogenicity island are responsible for determining the pathogenicity of Escherichia coli strains. However, the correlation of the number and combination patterns of virulence-as... Various virulence-associated genes or pathogenicity island are responsible for determining the pathogenicity of Escherichia coli strains. However, the correlation of the number and combination patterns of virulence-associated genes in Escherichia coli strains with their pathogenicity remains largely unknown. In this work, 581 chicken Escherichia coli strains were isolated from 1045 liver samples of dead chickens from 50 chicken farms at four provinces in China during 2007-2012. Based on the pathogenic test of SPF chickens, 320 chickens pathogenic Escherichia coli isolates were identified as highly (n = 193), intermediate (n = 98) and low pathogenic (n = 29) strains, respectively. Furthermore, the number of virulence genes in the 320 chicken pathogenic and 50 non-pathogenic Escherichia coli strains was examined. Our results reveal that thirteen virulence genes in Escherichia coli strains were detected, and all strains carried at least two or more than two virulence-associated genes. This study also suggests that highly pathogenic E. coli strains simultaneously carried at least 8 to13 virulence genes while intermediate pathogenic strains carried at least 5 to 8 virulence genes. The number of virulence-associated genes detected in highly pathogenic strains showed there were more significant differences than that in low pathogenic strains (P irp2, fyuA, and colV in high pathogenic strains was significantly higher than that in low and non-pathogenic strains (P irp2, fyuA, iucA, iucD, iutA, papC, iss, tsh, and colV were more often detected in highly and intermediate pathogenic E. coli strains. Taken together, our results provide evidences demonstrating that the pathogenicity of Escherichia coli strains is closely associated with the number and combination patterns of virulence-associated genes. 展开更多
关键词 Avian pathogenIC ESCHERICHIA coli pathogenicity Virulence-associated Genes
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Analysis of Subcellular Localization and Pathogenicity of Plum Bark Necrosis Stem-Pitting Associated Virus Protein P6
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作者 Yuanyuan Li Jinze Mu +3 位作者 Qingliang Li Huabing Liu Xuefeng Yuan Deya Wang 《Phyton-International Journal of Experimental Botany》 SCIE 2023年第7期2079-2085,共7页
Infection of plum bark necrosis stem pitting associated virus(PBNSPaV)has been reported in many Prunus species in several countries,causing significant economic losses.The very small proteins encoded by plant viruses ... Infection of plum bark necrosis stem pitting associated virus(PBNSPaV)has been reported in many Prunus species in several countries,causing significant economic losses.The very small proteins encoded by plant viruses are often overlooked due to their short sequences and uncertain significance.However,numerous studies have indicated that they might play important roles in the pathogenesis of virus infection.The role of small hydrophobic protein P6,encoded by the open reading frame 2 of PBNSPaV,has not been well explored.In this study,we amplified the P6 fragment from a PBNSPaV isolate by RT-PCR using specific primers and found that it is 174 bp long and encodes a protein of approximately 6.3 kD with a transmembrane domain.Subcellular localization analysis of P6 proteins in tobacco leaves showed that P6 localizes to the cytomembrane and nuclear membrane.To further clarify the pathogenicity of P6 proteins,we constructed a PVX-P6 expression vector by inserting the p6 fragment into a potato virus X(PVX)-based vector and transformed it into Agrobacterium tumefaciens GV3101.Infiltration of Nicotiana benthamiana(N.benthamiana)with the PVX vector-transformed A.tumefaciens led to slight mosaic symptoms at 14 days of post-inoculation.Meanwhile,infiltration with the PVX-P6 vector-transformed A.tumefaciens resulted in no significant symptoms.These results demonstrated that heterologous expression of P6 in N.benthamiana could not enhance the pathogenicity of PVX.Our study indicates that P6 may not be a potential pathogenic factor associate with the causing of symptoms,and the mode of action of PBNSPaV-P6 protein remains to be further studied. 展开更多
关键词 Plum bark necrosis stem-pitting associated virus P6 protein subcellular localization pathogenicity
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Distribution of Virulence-Associated Genes of Avian Pathogenic Escherichia coli Isolates in China 被引量:6
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作者 JIN Wen-jie ZHENG Zhi-ming QIN Ai-jian SHAO Hong-xia LIU Yue-long WANG Jiao WANG Qian-qian 《Agricultural Sciences in China》 CAS CSCD 2008年第12期1511-1515,共5页
216 avian pathogenic Escherichia coli (APEC) isolates were obtained from poultry with colibacillosis in different areas of China. Among them, 195 were serotyped as 078, 088, and 093. Thirteen virulence-associated ge... 216 avian pathogenic Escherichia coli (APEC) isolates were obtained from poultry with colibacillosis in different areas of China. Among them, 195 were serotyped as 078, 088, and 093. Thirteen virulence-associated genes, including fimC, iucD, iss, tsh, fyuA, irp2, eaeA, hlyE, colV, papC, stx2f, vat, and astA, were submitted to PCR amplification. The fimC gene was the most prevalent with a detection rate of 93.6%, followed by iucD (70.8%), iss (58.8%), and tsh (51.4%) in APEC isolates. The detection rate of high pathogenicity islands (HPI)-associatedfyuA and irp2 genes were both 44.9%, with no LEE (the locus of enterocyte effacement) island-associated gene eaeA detected. In terms of distribution patterns of the 13 virulence-associated genes, 5 isolates harborbed 10 genes, 19 isolates contained onlyfimC gene, and only 4 isolates had no virulence-associated gene detected. Different correlations of the virulence-associated genes with O serotypes were also investigated and 50% 078 isolates had a gene distribution patterns of fimC^+iucD^+irp2^+fyuA^+iss^+colV^+tsh^+. 展开更多
关键词 avian pathogenic Escherichia coli (APEC) O serotypes PCR detection virulence-associated genes DISTRIBUTION
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Natural History, Outcomes and Antibiotic Treatment for Ventilator-Associated Tracheobronchitis in Critical Ill Patients
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作者 Yuxiu Lei Jana Hudcova +7 位作者 Jawad Rashid Akmal Sarwar Wendy Gillespie Carol Finn Marie Goggin Mohamed B. Omran Edward Boroda Donald E. Craven 《Modern Research in Inflammation》 2016年第1期1-11,共11页
We assessed incidence and outcomes of patients with ventilator-associated respiratory infections (VARI) due to tracheobronchitis (VAT) and pneumonia (VAP), including length of intensive care unit (ICU) stay and ventil... We assessed incidence and outcomes of patients with ventilator-associated respiratory infections (VARI) due to tracheobronchitis (VAT) and pneumonia (VAP), including length of intensive care unit (ICU) stay and ventilator days. We also examined pathogens, rate of progression from VAT to VAP, and impact of antibiotic therapy for VAT. Data analysis included 234 patients, 100 patients (43%) had at least moderate (+++) bacterial growth in their semi-quantitative endotracheal aspirate (SQ-ETA) cultures. VAT and VAP were each diagnosed in 34 (15%) patients. Staphylococcus aureus was the most common pathogen isolated and had the highest rate of progression from VAT to VAP. Seven (21%) of the 34 patients were diagnosed with VAT that later progressed to VAP in averaged 3 days. Patients diagnosed with VAT had significantly more ventilator days (9 vs 6, p p < 0.001) and hospital days (22 vs 17, p < 0.001). No significant difference was observed in the clinical outcomes of the 25 VAT patients with timely, appropriate antibiotics compared to the 9 VAT patients who did not receive timely appropriate antibiotics. VAT was a risk factor for increased ventilator days, longer length of ICU and hospital stay. The time window from VAT to VAP allowed physicians to identify the pathogens and sensitivity profile needed to treat VAT with appropriate antibiotics. Data from well-designed studies were needed to assess the impact of early, appropriate antibiotic therapy for VAT, the choice of antibiotics, as well as the duration and route of administration. 展开更多
关键词 Ventilator-associated Tracheobronchitis (VAT) and Pneumonia (VAP) Bacterial pathogens Semi-Quantitative Endotracheal Aspirate (SQ-ETA) Cultures Antibiotic Therapy
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PA-X蛋白对HH9N2亚型禽流感病毒致病性的影响 被引量:1
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作者 王晓泉 刘东 +1 位作者 刘晓文 刘秀梵 《中国家禽》 北大核心 2017年第24期14-17,共4页
H9N2亚型禽流感病毒(AIV)在我国家禽中循环存在,可跨种间传播感染人,对公共卫生产生重大影响。PA-X蛋白是流感病毒PA基因核糖体移码后编码的一种新蛋白,对病毒的致病性起调控作用。试验通过反向遗传技术构建并拯救了H9N2 AIV SH7株的PA-... H9N2亚型禽流感病毒(AIV)在我国家禽中循环存在,可跨种间传播感染人,对公共卫生产生重大影响。PA-X蛋白是流感病毒PA基因核糖体移码后编码的一种新蛋白,对病毒的致病性起调控作用。试验通过反向遗传技术构建并拯救了H9N2 AIV SH7株的PA-X变异病毒SH7-FS株,使PA-X的表达量下降至原来的0.2%^([1]),测定野生型SH7株和变异病毒SH7-FS株在不同来源细胞中的生长曲线,并通过小鼠感染试验测定病毒在肺中病毒载量及其对肺的病理损伤来分析其对小鼠的致病性。结果表明:SH7-FS株对小鼠的致病力比野生型SH7株低,造成的小鼠肺部炎症比SH7株轻。SH7株和SH7-FS株在小鼠体内复制能力无显著差异,但是SH7-FS株在Vero细胞和MDCK细胞上复制水平比SH7株低,推测PA-X蛋白是协助病毒更好适应环境的辅助蛋白。研究结果为H9N2 AIV PA-X蛋白的生物学功能的探索提供了理论基础,推进了人们对于流感病毒PA-X蛋白功能的认识。 展开更多
关键词 H9N2亚型禽流感病毒 pa—X 小鼠 致病性
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Linex损失下Pareto分布参数的EB估计:PA样本情形
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作者 何帮强 《安徽工程大学学报》 CAS 2011年第3期54-57,共4页
在Linex损失下,讨论了Pareto分布参数的经验Bayes(EB)估计.利用同分布PA样本下概率密度函数的核估计构造了参数的经验Bayes估计,建立了所提出经验Bayes估计的收敛速度.在一定的条件下该收敛速度可以任意接近于1.
关键词 LINEX损失 收敛速度 pa样本 paRETO分布
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PA样本下单边截断型分布族位置参数函数的经验Bayes估计 被引量:2
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作者 范国良 袁玲 凌能祥 《合肥工业大学学报(自然科学版)》 CAS CSCD 北大核心 2006年第9期1173-1176,共4页
对单边截断型分布族在同分布正相协(PA)样本下,构造了位置参数函数的经验Bayes(E.B)估计,由分析可知,在适当的条件下,证明了位置参数θ的函数的经验Bayes(E.B)估计的收敛速度为O(n-q),其中,q=λα(δ-2)/(2α+4)δ;α>0;0<λ<... 对单边截断型分布族在同分布正相协(PA)样本下,构造了位置参数函数的经验Bayes(E.B)估计,由分析可知,在适当的条件下,证明了位置参数θ的函数的经验Bayes(E.B)估计的收敛速度为O(n-q),其中,q=λα(δ-2)/(2α+4)δ;α>0;0<λ<δ/(1+δ);δ>2。 展开更多
关键词 pa样本 E·B估计 收敛速度
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PAS家族转录因子及其下游基因在大鼠肝再生中的作用
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作者 董华明 李静 徐存拴 《河南科技学院学报》 2009年第2期27-29,38,共4页
为在基因转录水平了解PAS结构域转录因子家族基因及它们的下游基因在肝再生(liver regeneration,LR)中作用,本文用Rat Genome 230 2.0芯片检测上述基因在大鼠再生肝中表达情况,用真、假手术比较方法确定肝再生相关基因。初步证实25个基... 为在基因转录水平了解PAS结构域转录因子家族基因及它们的下游基因在肝再生(liver regeneration,LR)中作用,本文用Rat Genome 230 2.0芯片检测上述基因在大鼠再生肝中表达情况,用真、假手术比较方法确定肝再生相关基因。初步证实25个基因与肝再生相关,它们在促进再生肝细胞分化及异源物、糖、脂代谢,促进肝再生早期的免疫反应和后期的血管发生中发挥作用。 展开更多
关键词 部分肝切除 Rat GENOME 230 2.0芯片 paS结构域家族转录因子 肝再生相关基因
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PA-X基因的长度变化对H3N2犬流感病毒复制能力和致病性的影响 被引量:2
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作者 李舜 李桂珍 +5 位作者 原耀贤 李康健 马春全 李守军 黄良宗 马骏 《畜牧兽医学报》 CAS CSCD 北大核心 2023年第1期272-280,共9页
H3N2犬流感病毒(canine influenza virus,CIV)已在中国多地的犬群中流行,是禽流感跨宿主感染并形成新分支的近期案例。研究表明,PA-X基因与甲型流感病毒适应新宿主的能力相关,且其长度能够影响甲型流感病毒的复制及致病能力。为了解PA-... H3N2犬流感病毒(canine influenza virus,CIV)已在中国多地的犬群中流行,是禽流感跨宿主感染并形成新分支的近期案例。研究表明,PA-X基因与甲型流感病毒适应新宿主的能力相关,且其长度能够影响甲型流感病毒的复制及致病能力。为了解PA-X基因的长度变化对H3N2 CIV复制能力及致病力的影响,本研究利用H3N2 CIV的8质粒操作系统,拯救了三株重组H3N2 CIV毒株:PA-X基因表达大小为232个氨基酸多肽的亲本病毒CIV_PA-X_232;对PA编码区第191、192位氨基酸的密码子进行改造,PA-X基因不表达蛋白的重组病毒CIV_PA-X_Knock;对PA+1编码区第232位氨基酸进行突变,PA-X基因表达大小为252个氨基酸多肽的重组病毒CIV_PA-X_252。通过比较3株重组病毒的聚合酶活性,在MDCK细胞中的复制效率及对小鼠致病性的差异,来评价表达不同长度的PA-X基因对H3N2 CIV的影响。结果显示,CIV_PA-X_252和CIV_PA-X_Knock的聚合酶活性显著(P<0.05)高于CIV_PA-X_232,且CIV_PA-X_252的聚合酶活性显著(P<0.05)高于CIV_PA-X_Knock;CIV_PA-X_252和CIV_PA-X_Knock在MDCK细胞中的复制能力显著(P<0.05)强于CIV_PA-X_232;小鼠攻毒试验结果显示,3株重组病毒对小鼠的体重变化无明显影响,且对小鼠无致死性;仅能在感染后第1天的小鼠肺中检测出3株重组病毒的TCID50,且病毒滴度无显著差异;3株重组病毒均能对小鼠肺造成病理损伤,其中,CIV_PA-X_252对小鼠的致病性最强,CIV_PA-X_232次之,CIV_PA-X_Knock对小鼠的致病性最弱。上述结果表明,PA-X基因的延长能够提高H3N2 CIV在MDCK细胞中复制能力和对小鼠肺造成病理损伤的能力,但该变化可能对H3N2 CIV在小鼠肺内的复制能力没有影响。本试验初步探究了PA-X基因的长度变化对H3N2 CIV的影响,为后续H3N2 CIV致病机制的研究提供了初步的参考。 展开更多
关键词 犬流感 H3N2 反向遗传操作系统 pa-X 致病性
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Rapid Identification of Bacterial Species Associated with Bronchiectasis via Metagenomic Approach 被引量:5
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作者 YANG Dong Hong ZHANG Yuan Yuan +5 位作者 DU Peng Cheng XU Li WANG Hai Yin HAN Na CHEN Chen GAO Zhan Cheng 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 2014年第11期898-901,共4页
Bronchiectasis is a chronic lung disorder and a number of bacterial pathogens are involved.However,30%-40% of sputum and purulent samples in good quality failed to grow any pathogenic bacteria,making it difficult to c... Bronchiectasis is a chronic lung disorder and a number of bacterial pathogens are involved.However,30%-40% of sputum and purulent samples in good quality failed to grow any pathogenic bacteria,making it difficult to confirm the pathogen.In this study,we collected bronchoalveolar lavage fluid from a bronchiectasis patient undergoing acute exacerbation,and sent for 16 S rDNA pyrosequencing by a 454 GS Junior machine.Metagenomic analysis showed the composition of bacterial community in sample was complex.More than a half of reads(51.3%) were from Pseudomonas aeruginosa.This result was corresponding with the culture result but came out 2 d earlier,which is meaningful for early diagnosis and treatment.The detection with 16 S rDNA pyrosequencing technology is more sensitive and rapid than routine culture,and can detect the co-infection or symbiosis in airway,giving us a novel and convenient approach to perform rapid diagnosis. 展开更多
关键词 pathogenic exacerbation meaningful earlier Junior giving airway routine Species associated
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Development of early gastric cancer 4 and 5 years after complete remission of Helicobacter pyloriassociated gastric low-grade marginal zone B-cell lymphoma of MALT type 被引量:28
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作者 Andrea Morgner Stephan Miehlke +8 位作者 Manfred Stolte Andreas Neubauer Birgit Alpen Christian Thiede Hermann Klann Franz-Xaver Hierlmeier Christian Ell Gerhard Ehninger Ekkehard Bayerdorffer 《World Journal of Gastroenterology》 SCIE CAS CSCD 2001年第2期248-253,共6页
AIM: To report 3 of 120 patients on the German MALT lymphoma trial with H. pylori associated gastric MALT lymphoma who developed early gastric cancer 4 and 5 years, after complete lymphoma remission following cure of ... AIM: To report 3 of 120 patients on the German MALT lymphoma trial with H. pylori associated gastric MALT lymphoma who developed early gastric cancer 4 and 5 years, after complete lymphoma remission following cure of H. pylori infection. PATIENTS AND RESULTS: Three patients (two men, 74 and 70 years; one women, 77 years) with H. pylori-associated low-grade MALT lymphoma achieved complete lymphoma remission after being cured. Surveillance endoscopies were performed twice a year in accordance to the protocol. Four years after complete lymphoma remission in two patients, and after 5 years in the other, early gastric adenocarcinoma of the mucosa-type, type IIa and type IIc, respectively, was detected, which were completely removed by endoscopic mucosa resection. In one patient, the gastric cancer was diagnosed at the same location as the previous MALT lymphoma, in the other patients it was detected at different sites of the stomach distant from location of the previous MALT lymphoma. The patients were H. pylori negative during the whole follow-up time. CONCLUSION: These findings strengthen the importance of regular Long-term follow-up endoscopies in patients with complete remission of gastric MALT lymphoma after cure of H. pylori infection. Furthermore, gastric adenocarcinoma may develop despite eradication of H. pylori. 展开更多
关键词 Helicobacter pylori ADENOCARCINOMA Aged Disease Susceptibility FEMALE Helicobacter Infections Humans Lymphoma Mucosa-associated Lymphoid Tissue Male Remission Induction Stomach Neoplasms
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Mitochondrial DNA from hepatocytes as a ligand for TLR9: Drivers of nonalcoholic steatohepatitis? 被引量:3
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作者 Priya Handa Akhila Vemulakonda +2 位作者 Kris V Kowdley Misael Uribe Nahum Méndez-Sánchez 《World Journal of Gastroenterology》 SCIE CAS 2016年第31期6965-6971,共7页
Nonalcoholic fatty liver disease(NAFLD) is the most common liver disease worldwide, affecting approximately one third of the Western world. It consists of a wide spectrum of liver disorders, ranging from fatty liver t... Nonalcoholic fatty liver disease(NAFLD) is the most common liver disease worldwide, affecting approximately one third of the Western world. It consists of a wide spectrum of liver disorders, ranging from fatty liver to nonalcoholic steatohepatitis(NASH), which consists of steatosis, ballooning injury and inflammation. Despite an alarming growth in the statistics surrounding NAFLD, there are as yet no effective therapies for its treatment. Innate immune signaling has been thought to play a significant role in initiating and augmenting hepatic inflammation, contributing to the transition from nonalcoholic fatty liver to NASH. An immune response is triggered by countless signals called damage-associated molecular patterns(DAMPs) elicited by lipid-laden and damaged hepatocytes, which are recognized by pattern recognition receptors(PRRs) on hepatic immune cells to initiate inflammatory signaling. In this editorial, in addition to summarizing innate immune signaling in NAFLD and discussing potential therapies that target innate immune pathways, we have described a recent study that demonstrated that mitochondrial DNA serves as a DAMP activating a hepatic PRR, TLR9, in mice and in the plasma of NASH patients. In addition to identifying a new ligand for TLR9 during NASH progression, the study shows that blocking TLR9 reverses NASH, paving the way for the development of future NASH therapy. 展开更多
关键词 TLR9 Damage-associated molecular patterns Products of microbial metabolism produced by pathogens Mitochondrial DNA HEpaTOCYTES NONALCOHOLIC STEATOHEpaTITIS NONALCOHOLIC fatty liver disease Inflammation INNATE immune signaling KUPFFER cells Therapy
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Preliminary investigation and detection based on loop-mediated isothermal amplification(LAMP)of phytoplasmas associated with diseases in B.napus L.
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作者 Yancheng Wen Shufen Zhang +8 位作者 Junping He Dongfang Cai Jiacheng Zhu Jianping Wang Jinhua Cao Kun Hu Lei Zhao Dongguo Wang Yizi Liu 《Oil Crop Science》 CSCD 2022年第4期219-224,共6页
In the last decade,some disease occurred on our experimental farms that had caused serious losses.They were not caused by fungi,bacteria or viruses.By loop-mediated isothermal amplification(LAMP)technique,the detectio... In the last decade,some disease occurred on our experimental farms that had caused serious losses.They were not caused by fungi,bacteria or viruses.By loop-mediated isothermal amplification(LAMP)technique,the detection results pointed to the possible pathogen as phytoplasma.The investigation results implied that phytoplasmas could cause more than 13 kinds of symptoms in almost all parts of plants in B.napus L.,including witches’broom,multi-stems,aggregate main inflorescences,and flat stems.The incidences of these phytoplasma-associated diseases in our experimental farms rose from 1.61%in 2010 to 6.00%in 2021.Some phytoplasma infected plants died without any growing points.These studies would be helpful for detecting phytoplasmas diseases,selecting disease resistant germplasm and improving varieties with disease resistances in B.napus L. 展开更多
关键词 B.napus L. Phytoplasma associated disease pathogen DETECTION Loop-mediated isothermal amplification (LAMP)
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2016—2020年武汉市医院感染横断面调查结果趋势研究 被引量:2
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作者 刘小丽 宋育 +1 位作者 龚林 王一梅 《中国感染控制杂志》 CAS CSCD 北大核心 2024年第2期175-181,共7页
目的 了解武汉市医疗机构医院感染和社区感染现状,分析医院感染的流行趋势与管理重点。方法 采用病历调查和床旁调查相结合的方法,按照全国医院感染监控管理培训基地制定的全国医院感染横断面调查表进行调查,分析2016、2018、2020年的... 目的 了解武汉市医疗机构医院感染和社区感染现状,分析医院感染的流行趋势与管理重点。方法 采用病历调查和床旁调查相结合的方法,按照全国医院感染监控管理培训基地制定的全国医院感染横断面调查表进行调查,分析2016、2018、2020年的调查数据。结果 2016、2018、2020年武汉市医院感染现患率分别为2.66%、2.21%、1.85%,社区感染现患率分别为17.81%、17.82%、16.29%,均呈下降趋势(均P<0.05)。医院感染现患率较高的科室为综合重症监护病房(ICU)、血液病科(组)、神经外科、胸外科、儿科新生儿组;社区感染现患率较高的科室为儿科非新生组、呼吸科(组)、感染病科(组)、综合ICU、儿科新生儿组。医院感染、社区感染感染部位均以下呼吸道为主,其中2016、2018、2020年术后下呼吸道医院感染构成比分别为12.85%、18.39%、22.09%。2016、2018、2020年手术部位医院感染现患率分别为0.99%、0.82%、0.69%。医院感染、社区感染病原体均以革兰阴性菌为主。结论 2016、2018、2020年武汉市医疗机构医院感染管理取得了较好的成效,但综合ICU、下呼吸道医院感染等问题仍需在后期工作中强化改进。 展开更多
关键词 医院感染 社区感染 现患率 病原体
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妊娠相关静脉血栓风险评估量表的编制及信效度检验 被引量:1
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作者 张莉莉 张焱 +3 位作者 王鲁娜 方璐璐 竺童炜 金爱云 《护理研究》 北大核心 2024年第11期1919-1926,共8页
目的:编制适合我国孕产妇妊娠相关静脉血栓风险的评估量表,并验证其信效度。方法:通过文献研究法和2轮专家函询形成预试量表。选取202名孕产妇进行调查,对预试量表进行项目分析和信效度检验。结果:妊娠相关静脉血栓风险评估量表包含非... 目的:编制适合我国孕产妇妊娠相关静脉血栓风险的评估量表,并验证其信效度。方法:通过文献研究法和2轮专家函询形成预试量表。选取202名孕产妇进行调查,对预试量表进行项目分析和信效度检验。结果:妊娠相关静脉血栓风险评估量表包含非手术相关因素、血液相关因素、手术相关因素、妊娠相关因素、人工辅助生殖5个维度,共16个条目,探索性因子分析共提取6个公因子,累计方差贡献率为60.832%,受试者工作特征(ROC)曲线下面积为0.836,总量表的Cronbach’s α系数为0.852,2周后重测信度为0.920。结论:编制的妊娠相关静脉血栓风险评估量表具有良好的信效度,可有效评估孕产妇妊娠相关静脉血栓的风险。 展开更多
关键词 妊娠相关静脉血栓栓塞症 风险评估 量表研制 信度 效度 德尔菲法
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<i>Mycoplasma hominis</i>Variable Adherence-Associated Antigen: A Major Adhesin and Highly Variable Surface Membrane Protein
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作者 Rebecca J. Brown Victoria J. Chalker Owen B. Spiller 《Advances in Microbiology》 2014年第11期736-746,共11页
Mycoplasma hominis is a member of the genus mycoplasma and has only been isolated from humans. It is most frequently isolated from the urogenital tract in the absence of symptoms, but has been isolated from wounds, br... Mycoplasma hominis is a member of the genus mycoplasma and has only been isolated from humans. It is most frequently isolated from the urogenital tract in the absence of symptoms, but has been isolated from wounds, brain abscess, inflamed joints, blood and placenta from pregnancy with adverse outcomes (especially preterm birth and occasionally term stillbirth). Controversy surrounds whether this organism is a commensal or a pathogen;however, Mycoplasma hominis has been shown to induce preterm birth and foetal lung injury in an experimental primate model as a sole pathogen. These bacteria are known to exist as a parasitic infection, due to a number of missing synthetic and metabolism pathway enzymes from their minimal genome;therefore, the ability to adhere to host cells is important. Here we provide a review that clarifies the different nomenclature (variable adherence-associated antigen and P50) that has been used to investigate the major surface adhesin for this organism, as well as reported mechanisms responsible for turning off its expression. Variation in the structure of this protein can be used to separate strains into six categories, a method that we were able to use to distinguish and characterise 12 UK strains isolated from between 1983 and 2012. We propose that the Vaa should be used in further investigations to determine if commensal populations and those that are associated with disease utilise different forms of this adhesin, as this is under-studied and identification of pathogenic determinants is overdue for this organism. 展开更多
关键词 Mycoplasma hominis Variable-Adherence associated Antigen HOST-pathogen Interaction SURFACE Expressed Proteins
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2020-2022年云南地区住院患者医院感染现患率调查
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作者 范丽 张丽娟 张慧 《中国感染控制杂志》 CAS CSCD 北大核心 2024年第9期1142-1149,共8页
目的了解2020-2022年云南地区住院患者医院感染现状,为优化相应的防控措施提供参考资料。方法通过云南省医院感染质量控制中心监测系统收集2020-2022年云南地区医院感染现患率调查(横断面调查)上报的数据,汇总后应用SPSS 25.0软件进行... 目的了解2020-2022年云南地区住院患者医院感染现状,为优化相应的防控措施提供参考资料。方法通过云南省医院感染质量控制中心监测系统收集2020-2022年云南地区医院感染现患率调查(横断面调查)上报的数据,汇总后应用SPSS 25.0软件进行统计分析。结果2020-2022年分别调查患者117695、109691、137188例,医院感染现患率分别为1.58%、1.47%、1.29%,差异有统计学意义(χ^(2)=36.853,P<0.001);感染部位以下呼吸道(2526例次,43.60%)和泌尿道(785例次,13.55%)为主;三次现患率调查综合重症监护病房(ICU)均是医院感染现患率最高的科室(10.95%~16.47%);医院感染病原体主要以革兰阴性菌为主,其中大肠埃希菌均居首位,肺炎克雷伯菌次之,而革兰阳性菌以金黄色葡萄球菌为主;患者抗菌药物使用率为30.96%~33.91%,呈上升趋势(χ^(2)=257.586,P<0.001);抗菌药物使用目的以治疗为主(占76.46%~78.62%);抗菌药物使用以一联用药为主,三联及以上用药略有升高,从0.66%上升至0.98%;治疗性使用抗菌药物病原学送检率呈上升趋势(χ^(2)=94.823,P<0.001)。Ⅰ类切口手术患者手术部位感染率为0.77%~1.22%,三年Ⅰ类切口手术患者抗菌药物预防性使用率分别为19.40%、19.11%、20.93%,差异均有统计学意义(χ^(2)值分别为94.823、10.179,均P=0.006)。结论云南地区住院患者医院感染现患率虽有所下降,但医院感染病原体的防控和Ⅰ类切口手术患者预防性抗菌药物的合理使用将是今后工作的重点和难点。 展开更多
关键词 医院感染 现患率 病原体 抗菌药物
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腹膜透析患者发生腹膜透析相关性腹膜炎影响因素分析及病原菌分布特点
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作者 毛雨河 肖丹 +1 位作者 邓声京 薛少清 《新乡医学院学报》 CAS 2024年第3期257-261,共5页
目的分析腹膜透析患者发生腹膜透析相关性腹膜炎(PDAP)的影响因素及病原菌分布特点。方法回顾性分析2012年1月至2022年10月于梅州市人民医院行腹膜透析(PD)治疗并规律复查的257例患者的病历资料,根据是否发生PDAP将患者分为PDAP组(n=102... 目的分析腹膜透析患者发生腹膜透析相关性腹膜炎(PDAP)的影响因素及病原菌分布特点。方法回顾性分析2012年1月至2022年10月于梅州市人民医院行腹膜透析(PD)治疗并规律复查的257例患者的病历资料,根据是否发生PDAP将患者分为PDAP组(n=102)和非PDAP组(n=155)。用无菌注射器抽取透出液5~10 mL,采用血培养法进行病原菌鉴定。收集患者的性别、年龄、原发疾病、文化程度、是否合并高血压、是否合并糖尿病、是否合并心血管疾病、豢养宠物或家禽、体质量指数(BMI)及透析龄等一般资料。于确诊次日清晨抽取空腹肘静脉血,检测血红蛋白(Hb)、白蛋白(ALB)、血钾、血磷、血钙水平,并记录肾小球滤过率估算值(eGFR)及尿素清除指数(UCI)。采用多因素logistic回归分析影响PD患者发生PDAP的危险因素。结果102例PDAP患者共发生PDAP 217例次,病原菌培养阳性124例次,培养阳性率为57.14%;共分离出127株病原菌,其中革兰阳性菌84株(66.14%),革兰阴性菌39株(30.71%),真菌4株(3.15%)。培养出的84株革兰阳性菌中,表皮葡萄球菌25株(29.76%),金黄色葡萄球菌17株(20.24%),溶血葡萄球菌12株(14.29%),沃氏葡萄球菌8株(9.52%),唾液链球菌10株(11.90%),血链球菌5株(5.95%),其他7株(8.33%);39株革兰阴性菌中,大肠埃希菌20株(51.28%),铜绿假单胞菌6株(15.38%),鲍曼不动杆菌6株(15.38%),肺炎克雷伯菌5株(12.82%),阴沟肠杆菌2株(5.13%);4株真菌中,近平滑假丝酵母菌3株(75.00%),光滑念珠菌1株(25.00%)。PDAP组与非PDAP组患者的性别、年龄、原发疾病、文化程度、BMI及合并高血压、糖尿病、心血管疾病占比比较差异无统计学意义(P>0.05)。PDAP组豢养宠物或家禽患者占比高于非PDAP组,透析龄长于非PDAP组(P<0.05)。PDAP组与非PDAP组患者的血磷、血钙、eGFR、UCI比较差异无统计学意义(P>0.05)。PDAP组患者的Hb、ALB、血钾水平显著低于非PDAP组(P<0.05)。Logistic回归分析显示,豢养宠物或家禽、透析龄长是PD患者发生PDAP的危险因素(P<0.05);高Hb、ALB水平是PD患者发生PDAP的保护因素(P<0.05);血钾与PD患者发生PDAP无相关性(P>0.05)。结论革兰阳性菌为PDAP的主要致病菌,其中以表皮葡萄球菌为主;豢养宠物或家禽、透析龄长是PD患者发生PDAP的危险因素,高Hb、ALB水平是PD患者发生PDAP的保护因素。 展开更多
关键词 腹膜透析相关性腹膜炎 病原菌 影响因素
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强制性感染管控措施对维持性血液透析患者血管导管相关感染的影响
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作者 曾艳 陈友明 +1 位作者 田洁 郑晓艳 《临床合理用药杂志》 2024年第1期22-26,30,共6页
目的 分析强制性感染管控措施对维持性血液透析患者发生血管导管相关感染(VCAI)的群体特征、感染率、病原菌及药敏的影响,为临床治疗提供指导。方法 选取2019年3月—2021年2月福建省立医院收治的维持性血液透析患者567例,其中施行强制... 目的 分析强制性感染管控措施对维持性血液透析患者发生血管导管相关感染(VCAI)的群体特征、感染率、病原菌及药敏的影响,为临床治疗提供指导。方法 选取2019年3月—2021年2月福建省立医院收治的维持性血液透析患者567例,其中施行强制性管控前(2019年3月—2020年2月)患者295例,施行强制性管控后(2020年3月—2021年2月)患者272例。收集管控前后2组患者的基本信息(包括年龄、性别、置管部位)以及病原学检查结果,对管控前后VCAI群体特征变化、感染率、病原学结果及药敏结果进行比较分析。结果 管控后感染率为10.29%(28/272),低于管控前的16.27%(48/295),差异有统计学意义(χ^(2)=4.356,P=0.037)。管控后患者平均年龄较管控前更高(Z=-6.889,P<0.01)。管控前分离出病原菌58株,以革兰阳性菌为主,占63.79%,管控后分离出病原菌33株,革兰阴性菌为主,占54.55%,管控后革兰阳性菌感染较前有明显下降(χ^(2)=3.899,P=0.048)。管控前检出多重耐药菌28株(48.28%),管控后检出多重耐药菌23株(69.70%)。革兰阳性菌对利奈唑胺、万古霉素敏感;对环丙沙星、克林霉素、红霉素、左氧氟沙星、莫西沙星、苯唑西林耐药率均>50%;青霉素、庆大霉素耐药严重,但分别对粪肠球菌及金黄色葡萄球菌效果突出。革兰阴性菌对厄他培南、亚胺培南、头孢吡肟耐药率较低;青霉素、阿莫西林、头孢唑林、头孢西丁、复方磺胺甲口恶唑耐药率>50%;替加环素对阴性、阳性菌均覆盖良好,且未发现耐药菌。结论 强制性感染管控是行之有效的VCAI防控措施,在目前已形成习惯的基础上可常态化保持。管控后感染人群年龄增大,革兰阳性致病菌检出率下降,多重耐药菌检出率上升,故应加强老年患者的管理,优选颈内静脉作为置管部位并注意抗生素的合理使用。临床推荐利奈唑胺、万古霉素、替加环素作为经验性全身用药,抗生素封管首选万古霉素、头孢吡肟,局部外用可考虑庆大霉素软膏。 展开更多
关键词 导管相关性感染 维持性血液透析 病原菌 耐药性
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小儿呼吸机相关性肺炎病原菌分布及耐药性分析
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作者 惠迎春 陈慧 庞永清 《当代医学》 2024年第4期124-127,共4页
目的分析小儿呼吸机相关性肺炎(VAP)病原菌分布情况及耐药性。方法回顾性分析2018年1月至2020年10月日照市中医医院收治的56例VAP患儿的临床资料,采集所有患儿气道分泌物进行病原菌培养及药敏试验,分析病原菌分布情况及耐药性。结果56例... 目的分析小儿呼吸机相关性肺炎(VAP)病原菌分布情况及耐药性。方法回顾性分析2018年1月至2020年10月日照市中医医院收治的56例VAP患儿的临床资料,采集所有患儿气道分泌物进行病原菌培养及药敏试验,分析病原菌分布情况及耐药性。结果56例VAP患儿以晚发型为主,占比69.64%;共检出61株病原菌,其中革兰阴性菌47株(77.05%),以鲍曼不动杆菌(29.51%)、铜绿假单胞菌(22.95%)、肺炎克雷伯菌(14.75%)为主;革兰阳性菌12株(19.67%),以金黄色葡萄球菌(8.20%)、肺炎链球菌(6.56%)为主;真菌2株(3.28%)。主要革兰阴性菌鲍曼不动杆菌、铜绿假单胞菌、肺炎克雷伯菌对头孢噻肟、头孢曲松、头孢唑林耐药性均>50.00%,对亚胺培南、美罗培南未产生耐药性。革兰阳性菌金黄色葡萄球菌、肺炎链球菌对青霉素、氨苄西林、红霉素耐药性均≥75.00%,对替考拉宁、万古霉素未产生耐药性。结论小儿VAP以晚发型为主,革兰阴性菌为主要致病菌,且整体致病菌对常规抗菌药物呈广谱耐药现象,需依据药敏结果选用针对性药物治疗,促进感染消退。 展开更多
关键词 呼吸机相关性肺炎 病原菌分布 耐药性
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