Current Status and Future Prospect of Brucella Blood Culture in Iran: A Review of the Recent Findings

M. Hajia
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引用次数: 1

Abstract

The prevalence of brucellosis has increased in recent years in some regions in Iran, particularly in the western, northeastern, and some central areas. Undoubtedly, the main causes of brucellosis are the lack of vaccination coverage in livestock and distribution of dairy products. In addition, attention must be paid to the diagnostic difficulties associated with slow growth specificity and use of inefficient methods, which lead to the delayed diagnosis of the disease. All the available diagnostic procedures are currently used for the diagnosis of brucellosis, including isolation on culture media, serological procedures, and molecular techniques. Among these methods, isolation on culture media has shown the minimum efficiency, especially in blood specimens, which are the most commonly requested specimens in disease diagnosis. The influential factors could be the use of unapproved commercial kits, applying outdated diagnostic procedures, and using unqualified specimens in hospitalized patients. The present study aimed to enhance the current status of the isolation method, especially in the endemic areas for brucellosis. Several parameters were assessed in this regard, including the role of laboratory conditions, sampling quality, type of culture media, and various isolation methods, in order to review the studies aiming to increase the efficiency of this method.
伊朗布鲁氏菌血培养的现状和未来展望:最近研究结果的回顾
近年来,在伊朗的一些地区,特别是在西部、东北部和一些中部地区,布鲁氏菌病的流行有所增加。毫无疑问,布鲁氏菌病的主要原因是牲畜缺乏疫苗接种覆盖率和乳制品的分布。此外,必须注意与生长特异性缓慢和使用低效方法相关的诊断困难,这导致疾病的诊断延迟。目前用于布鲁氏菌病诊断的所有可用诊断程序,包括培养基分离、血清学程序和分子技术。在这些方法中,培养基分离的效率最低,特别是在疾病诊断中最常需要的血液标本中。影响因素可能是使用未经批准的商业试剂盒,采用过时的诊断程序,以及在住院患者中使用不合格的标本。本研究旨在提高布鲁氏菌病分离方法的现状,特别是在布鲁氏菌病流行地区。在这方面评估了几个参数,包括实验室条件,采样质量,培养基类型和各种分离方法的作用,以便回顾旨在提高该方法效率的研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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