皮肤软组织感染病原菌分布及耐药性分析

目的 调查皮肤软组织感染病原菌的种类及耐药性,为临床合理使用抗菌药物提供科学依据.方法 利用WHONET 5.6对2009年1月至2011年12月皮肤软组织感染患者脓液或分泌物细菌培养及药敏试验结果进行回顾性分析.结果 共分离菌株444株,金黄色葡萄球菌(SAU)分离率居第1位,171株占38.5％;表皮葡萄球菌居第2位,54株占12.2％;铜绿假单胞菌第3位,43株占9.7％;头孢哌酮/舒巴坦、哌拉西林/他唑巴坦、阿米卡星、亚胺培南和美罗培南对革兰阴性杆菌有较好的抗菌活性(耐药率≤3.3％);金黄色葡萄球菌对青霉素和红霉素的耐药率为93.6％和65.0％,对呋喃妥因、利奈唑胺、利福平、莫西沙星和左旋氧氟沙星耐药率为0％、0％、1.4％、2.2％和9.3％,未检出万古霉素耐药株;耐甲氧西林金黄色葡萄球菌(MRSA)检出率25.7％ (44/171);MRSA和甲氧西林敏感金黄色葡萄球菌(MSSA)对氨苄西林/舒巴坦、利福平、莫西沙星三种药物的敏感性差异有统计学意义.结论 引起皮肤软组织感染病原菌以阳性球菌尤其是金黄色葡萄球菌为主,临床上应尽量根据药敏试验结果选用抗生素,合理用药.     

灰仓鼠多房棘球蚴腹腔动物模型的建立

目的观察多房棘球蚴(Echinococcus muhilocularis E.m)在灰仓鼠腹腔内的生长发育规律,制作E.m灰仓鼠动物模型。方法 2000个E.m原头节/只剂量腹腔接种灰仓鼠,接种后10、15、18、22、39、60、80和100 d,测量包囊重量和抗体,计算包囊重与灰仓鼠体重的包囊系数,观察多房棘球蚴在灰仓鼠体内的发育规律。分别按100个/只、500个/只和2000个/只剂量腹腔接种灰仓鼠各10只,100 d后剖检比较不同感染剂量的包囊发育情况和感染率。结果 62只灰仓鼠中有59只感染了多房棘球蚴。18 d可观察到成熟原头节,感染率达到100%,15 d出现抗体阳性,60 d时包囊系数达到15%以上;100、500和2000三种剂量的感染率100%;结论建立的灰仓鼠腹腔多房棘球蚴动物模型具有感染率高,感染周期短,包囊生长发育和抗体滴度变化易观察,感染60 d可作为E.m动物模型成模观察期。包囊系数,抗体滴度和包囊发育变化可作为造模的主要参考指标。雌性灰仓鼠造模优于雄性。     

伤寒沙门菌动物模型研究进展

目前伤寒沙门菌引起的人类伤寒仍是一种严重危害人类健康的疾病,且近年来多重耐药伤寒沙门菌株频频出现,使伤寒的治疗更加棘手.由于该菌具有严格的宿主特异性,又缺乏理想的动物模型,其致病机制的研究、疫苗及药物的研发受制约.新近研究发现,免疫系统人源化小鼠模型和诱导型一氧化氮合酶基因敲除小鼠模型可用于伤寒沙门菌的体内实验.本文就其应用现状及缺憾作一综述.     

多药耐药菌肺感染患者应用改良后呼吸机对病室环境卫生学影响

目的:探讨应用改良后的呼吸机对病室环境卫生学的影响。方法:对10例产碳青霉烯酶肺炎克雷伯菌肺感染应用呼吸机的患者和40例肺部感染耐甲氧西林金黄色葡萄球菌(MRSA)使用呼吸机的患者进行分组试验,对病室环境卫生学监测结果进行统计分析。机器改良方法是呼吸机的呼气阀处连接一条螺纹管,将带菌空气引出,消毒后排放。结果:肺部感染产碳青霉烯酶肺炎克雷伯菌应用改良后呼吸机的一组在空气、床头桌、水池、操作中人员手的阳性率分别为20%、10%、20%、10%,较未改良的对照组为80%、70%、70%、50%有明显的下降。肺部感染MRSA使用有创改良呼吸机组空气、床头桌、水池、操作中人员手的阳性率分别为10%、10%、5%、10%均低于无创改良组的20%、20%、10%、20%。结论:此种方法有效地降低了环境的污染程度,降低了医源性医院感染的风险。加强洗手和隔离等卫生预防学措施可以有效的降低MRSA的医院感染率。     

Natural occurrence of Beauveria bassiana in Hypothenemus hampei (Coleoptera: Curculionidae) populations in unsprayed coffee fields

Three unsprayed coffee farms (farm 1, 2 and 3) were studied for the natural occurrence of the insect pathogenic fungus Beauveria bassiana in Hypothenemus hampei populations throughout the rainy season of 2004 (July-November) and 2005 (July-December). B. bassiana infections were found during most sampling dates in both years, on all three farms. The B. bassiana infection levels were higher in 2005 than in 2004 with mean prevalence of 12.1% and 2.7%, respectively. No consistent significant differences in infection level between farms were found in any of the years. B. bassiana infection levels fluctuated widely throughout the season, and peaked at 13.5% on farm 3 in 2004 and at 44.0% on farm 1 in 2005. The H. hampei population was significantly higher in 2004 than in 2005, with 6.9% of the berries infested in 2004 and only 0.7% in 2005. In both years, the H. hampei infestation level was significantly higher on farm 2. No consistent significant differences in H. hampei infestation levels were found between sampling dates on any of the farms. H. hampei infestation levels fluctuated throughout both seasons, and peaked at 15.3% on farm 2 in 2004 and 2.2% on farm 2 in 2005. No consistent density dependent correlation between H. hampei infestation level and B. bassiana infection level was found. Correlations between climatic conditions and B. bassiana or H. hampei were not found.     

念珠菌阴道炎及其耐药性分析

目的探索女性念珠菌阴道炎发病情况及耐药性。方法白带常规采用直接盐水涂片法;阴道分泌物培养按细菌培养常规法进行培养。结果白带常规检查中念珠菌阳性率为12．9％,滴虫阳性率为2．0％,线索细胞阳性率为10．3％,清洁度（Ⅲ～Ⅳ）为13．0％。阴道分泌物培养情况如下：念珠菌阳性率为26％,细菌感染阳性率为45％．今珠菌培养阳性的标本中：白色念珠菌占90％,光滑念珠菌占7．8％,热带念珠菌占2．2％。念珠菌药敏结果分析：制霉素敏感度大于80％,是治疗念珠菌阴道炎最理想的药物。结论念珠菌阴道炎处于逐年上升的趋势：医生应根据药敏结果合理选择抗真菌药物,以免抗生素的滥用。     

CD4+CD25+调节性T细胞与人类获得性免疫缺陷病毒感染

CD4 CD25 是调节性T细胞中功能最重要的一类.它是一类具有特殊免疫调节功能的T细胞亚群.它能够抑制自身免疫病的发生和发展,参与肿瘤免疫的调节,同时在感染和移植免疫中也发挥着极其重要的作用.T细胞的这一亚群具有免疫调节和免疫抑制的特性,新近发现它亦与爱滋病的发生、发展关系密切.HIV进入人体后,CD4 CD25 调节性T细胞抑制了机体的免疫效应但它也同时被感染,最终由于细胞毒的作用而死亡.由于调节性T细胞数量的减少不能有效的发挥其抑制作用,HIV持续的过度活化使得T细胞逐渐耗竭说明在HIV发生、发展的不同阶段Treg细胞可能都发挥了免疫抑制作用,但是却对HIV感染与爱滋病发病的进程产生了不同的效应.此外,CD4 CD25 调节性T细胞还与HIV病毒的持续存在密切相关.本文就CD4 CD25 调节性T细胞与人类获得性免疫缺陷病毒(HIV)感染之间关系进行初步的探讨.     

Lipolytic enzymes in Mycobacterium tuberculosis

Mycobacterium tuberculosis is a bacterial pathogen that can persist for decades in an infected patient without causing a disease. In vivo, the tubercle bacillus present in the lungs store triacylglycerols in inclusion bodies. The same process can be observed in vitro when the bacteria infect adipose tissues. Indeed, before entering in the dormant state, bacteria accumulate lipids originating from the host cell membrane degradation and from de novo synthesis. During the reactivation phase, these lipids are hydrolysed and the infection process occurs. The degradation of both extra and intracellular lipids can be directly related to the presence of lipolytic enzymes in mycobacteria, which have been ignored during a long period particularly due to the difficulties to obtain a high expression level of these enzymes in M. tuberculosis. The completion of the M. tuberculosis genome offered new opportunity to this kind of study. The aim of this review is to focus on the recent results obtained in the field of mycobacterium lipolytic enzymes and although no experimental proof has been shown in vivo, it is tempting to speculate that these enzymes could be involved in the virulence and pathogenicity processes.     

Strategies of attack and defense in plant–oomycete interactions, accentuated for Phytophthora parasitica Dastur (syn. P. Nicotianae Breda de Haan)

Oomycetes from the genus Phytophthora are fungus-like plant pathogens that are devastating for agriculture and natural ecosystems. Due to their particular physiological characteristics, no efficient treatments against diseases caused by these microorganisms are presently available. To develop such treatments, it appears essential to dissect the molecular mechanisms that determine the interaction between Phytophthora species and host plants. Available data are scarce, and genomic approaches were mainly developed for the two species, Phytophthora infestans and Phytophthora sojae. However, these two species are exceptions from, rather than representative species for, the genus. P. infestans is a foliar pathogen, and P. sojae infects a narrow range of host plants, while the majority of Phytophthora species are quite unselective, root-infecting pathogens. To represent this majority, Phytophthora parasitica emerges as a model for the genus, and genomic resources for analyzing its interaction with plants are developing. The aim of this review is to assemble current knowledge on cytological and molecular processes that are underlying plant–pathogen interactions involving Phytophthora species and in particular P. parasitica, and to place them into the context of a hypothetical scheme of co-evolution between the pathogen and the host.     

病毒感染蛋白质组学研究进展

病毒的侵入会导致宿主细胞蛋白表达模式的改变,这种改变将影响宿主细胞的正常生理功能并决定病毒的致病进程和结果.因此,病毒感染蛋白质组学研究有助于揭示病毒与宿主的相互作用机制和病毒的分子致病机制,以及寻找病毒早期感染的分子标记、建立早期诊断方法、评价治疗效果和预后.本文介绍了病毒感染蛋白质组学研究技术、病毒诱导宿主细胞蛋白质组改变和病毒感染宿主血清差异蛋白质组等方面的研究进展.