胆总管结石患者胆汁病原菌分布特点及耐药性分析

目的:探讨胆总管结石患者胆汁病原菌的分布特点以及耐药性的分析。方法:选择2016年6月-2017年6月期间我院收治的胆总管结石合并胆道感染患者160例为研究对象,所有患者均进行逆行内镜胰胆管造影(ERCP)并抽取胆汁标本,进行细菌培养和耐药性实验,评价分析胆汁病原菌的分布特点及耐药性情况。结果:160例患者中有117例(73.13%)检出病原菌,共培养出病原菌130株,其中有13例患者为两种病原菌同时感染。革兰阴性菌有95株(73.08%)、革兰阳性菌有31株(23.85%)、真菌有4株(3.08%)。比例由高到低的前六位病原菌依次为:大肠埃希菌、肺炎克雷伯菌、阴沟肠杆菌、屎肠球菌、铜绿假单胞菌、粪肠球菌。革兰阴性菌对亚胺培南、阿米卡星、美罗培南、他唑巴坦、头孢吡肟等三四代头孢菌素耐药率较低,对头孢曲松、环丙沙星、左氧氟沙星、哌拉西林、氨苄西林等耐药率较高。革兰阳性菌对替拉考宁、万古霉素、利奈唑胺等耐药率较低,对四环素、环丙沙星、左氧氟沙星、克林霉素、氨苄西林等耐药率较高。真菌对酮康唑、伊曲康唑、氟康唑等耐药率较低,对两性霉素B耐药率较高。结论:胆总管结石患者胆汁病原菌主要为革兰阴性菌、其次为革兰阳性菌,各病原菌对各种抗菌药物表现出不同的耐药性,因此在临床治疗时应参考药敏试验结果进行合理选择治疗药物。     

Comparative proteome analysis reveals pathogen specific outer membrane proteins of Leptospira

Proteomes of pathogenic Leptospira interrogans and L. borgpetersenii and the saprophytic L. biflexa were filtered through computational tools to identify Outer Membrane Proteins (OMPs) that satisfy the required biophysical parameters for their presence on the outer membrane. A total of 133, 130, and 144 OMPs were identified in L. interrogans, L. borgpetersenii, and L. biflexa, respectively, which forms approximately 4% of proteomes. A holistic analysis of transporting and pathogenic characteristics of OMPs together with Clusters of Orthologous Groups (COGs) among the OMPs and their distribution across 3 species was made and put forward a set of 21 candidate OMPs specific to pathogenic leptospires. It is also found that proteins homologous to the candidate OMPs were also present in other pathogenic species of leptospires. Six OMPs from L. interrogans and 2 from L. borgpetersenii observed to have similar COGs while those were not found in any intermediate or saprophytic forms. These OMPs appears to have role in infection and pathogenesis and useful for anti‐leptospiral strategies.     

Ecosystem CO2 production during winter in a Swedish subarctic region: the relative importance of climate and vegetation type

General circulation models consistently predict that regional warming will be most rapid in the Arctic, that this warming will be predominantly in the winter season, and that it will often be accompanied by increasing snowfall. Paradoxically, despite the strong cold season emphasis in these predictions, we know relatively little about the plot and landscape‐level controls on tundra biogeochemical cycling in wintertime as compared to summertime. We investigated the relative influence of vegetation type and climate on CO₂ production rates and total wintertime CO₂ release in the Scandinavian subarctic. Ecosystem respiration rates and a wide range of associated environmental and substrate pool size variables were measured in the two most common vegetation types of the region (birch understorey and heath tundra) at four paired sites along a 50 km transect through a strong snow depth gradient in northern Sweden. Both climate and vegetation type were strong interactive controls on ecosystem CO₂ production rates during winter. Of all variables tested, soil temperature explained by far the largest amount of variation in respiration rates (41–75%). Our results indicate that vegetation type only exerted an influence on respiration when snow depth was below a certain threshold (～1 m). Thus, tall vegetation that enhanced snow accumulation within that threshold resulted in more effective thermal insulation from severe air temperatures, thereby significantly increasing respiratory activity. At the end of winter, within several days of snowmelt, gross ecosystem photosynthesis rates were of a similar magnitude to ecosystem respiration, resulting in significant net carbon gain in some instances. Finally, climate and vegetation type were also strong interactive controls on total wintertime respiration, suggesting that spatial variations in maximum snowdepth may be a primary determinant of regional patterns of wintertime CO₂ release. Together, our results have important implications for predictions of how the distribution of tundra vegetation types and the carbon balances of arctic ecosystems will respond to climate change during winter because they indicate a threshold (～1 m) above which there would be little effect of increased snow accumulation on wintertime biogeochemical cycling.     

Heterogeneity of phenotypic and genotypic traits including organic-acid resistance in Escherichia coli O157 isolates

We undertook an epidemiologic study for the sensitivity of both Shiga-like toxin (Slt)-producing Escherichia coli (STEC) O157 and non-STEC O157 strains isolated from different patients with diarrhea to hydrochloric acid (HCl) and organic acids such as acetate, propionate, butyrate and lactate, and other pathogenic factors. The E. coli O157 isolates examined showed a wide variety of organic-acid susceptibility patterns. E. coli O157 isolates resistant to HCl or acetate were found more frequently than those resistant to other organic acids. These isolates also showed diverse pathogenicity patterns for the presence of the virulence genes, antibiotic susceptibility and plasmid profile.