阿拉伯埃及共和国伊斯梅利亚接受过皮质类固醇治疗和未接受过皮质类固醇治疗的患者中十二指肠贾第虫群的分子特征和风险分析。

IF 4.3 3区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY
Shahira Abdelaziz Ali Ahmed, Amira Bakr Mokhtar, Samar Farag Mohamed, Marwa Ibrahim Saad El-Din, Catherine O'Dowd Phanis, Stefani Kazamia, Chad Schou, Paweł Gładysz, Anna Lass, Annalisa Quattrocchi, Panagiotis Karanis, Samer Eid Mohamed Gad
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引用次数: 0

摘要

背景:十二指肠贾第虫(Giardia duodenalis)是一种寄生于人类和动物肠道的原生动物寄生虫。本研究调查并比较了接受皮质类固醇治疗(POCT)的患者和未接受皮质类固醇治疗(CONT)的对照患者中十二指肠梭菌感染的粪便样本的组合,并区分了其组合和/或亚组合与相关危险因素的关系。方法:采用多位点序列分型(MLST)技术,对3个位点靶向三磷酸异构酶(tpi)、ꞵ-栀子苷(bg)和谷氨酸脱氢酶(gdh)-G进行分型。对POCT和CONT分离的十二指肠进行分析。调查了与贾第鞭毛虫感染及其组合有关的危险因素。结果:共纳入52例G.十二指肠感染患者,其中POCT 21例,CONT 31例,平均年龄12.3岁,男性居多(59.6%),农村占73.1%。POCT组并发寄生虫感染的可能性是CONT组的36倍。约73%(38/52)的贾第鞭毛虫样本至少在三个位点中的一个进行了基因分型和/或亚基因分型。MLST鉴定16株(42.0%)为组合B, 10株(26.3%)为组合A, 12株(31.6%)为A + B和B + E混合感染。POCT组的大部分个体感染的是十二指肠螺旋体组合A, CONT组的大部分个体感染的是组合b。通过系统发育分析,两组的分离株均鉴定出亚组合AII。结论:本研究促进了阿拉伯埃及共和国(ARE)贾第鞭毛虫病流行病学的发展,反映了皮质类固醇治疗患者与未治疗患者贾第鞭毛虫聚集模式的差异及其对伴发感染的易感性。总体而言,该研究人群中的贾第虫组合模式反映了人传和人畜共患传播,强调了公共卫生政策和贾第虫病预防疾病传播的重要性,特别是在ARE中接受皮质类固醇治疗的人群中。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Molecular characterization and risk analysis of Giardia duodenalis assemblages in corticosteroid-treated and non-treated patients in Ismailia, Arab Republic of Egypt.

Background: Giardia duodenalis (G. duodenalis) is an intestinal protozoan parasite of human and animal hosts. The present study investigated and compared the assemblages of G. duodenalis-infected faecal samples in patients on corticosteroid therapy (POCT) and control patients-not on corticosteroid therapy (CONT) and differentiated its assemblages and/or sub-assemblages' relationship with associated risk factors.

Methods: Utilizing multi-locus sequence typing (MLST) with three loci targeted-triosephosphate isomerase (tpi), ꞵ-giardin (bg), and glutamate dehydrogenase (gdh)-G. duodenalis isolated from POCT and CONT were analyzed. Risk factors linked with Giardia infection and its assemblages were investigated.

Results: In total, 52 G. duodenalis-infected patients were enrolled: 21 POCT and 31 CONT. The mean age was 12.3 years, the majority were male (59.6%), and 73.1% lived in rural areas. The POCT group was 36 times more likely than the CONT group to have a concurrent parasitic infection. About 73% (38/52) of Giardia samples were genotyped and/or sub-genotyped in at least one of the three loci. MLST identified sixteen isolates (42.0%) as assemblage B, ten isolates (26.3%) as assemblage A, and twelve isolates (31.6%) as a mixed infection of A + B and B + E. Most individuals of the POCT group were infected with G. duodenalis assemblage A while most of the CONT group were infected with assemblage B. Sub-assemblage AII was identified by phylogenetic analysis in the isolates of both groups under investigation.

Conclusion: This research advances giardiasis epidemiology in Arab Republic of Egypt (ARE) and reflects how corticosteroid-treated patients differ from those non-treated in Giardia assemblage pattern and their susceptibility to concomitant infection. Overall, Giardia assemblage patterns in this research populations reflect anthroponotic and zoonotic transmission, emphasizing the importance of public health policy and giardiasis prevention of illness transmission, particularly among those on corticosteroid therapy in ARE.

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来源期刊
Gut Pathogens
Gut Pathogens GASTROENTEROLOGY & HEPATOLOGY-MICROBIOLOGY
CiteScore
7.70
自引率
2.40%
发文量
43
期刊介绍: Gut Pathogens is a fast publishing, inclusive and prominent international journal which recognizes the need for a publishing platform uniquely tailored to reflect the full breadth of research in the biology and medicine of pathogens, commensals and functional microbiota of the gut. The journal publishes basic, clinical and cutting-edge research on all aspects of the above mentioned organisms including probiotic bacteria and yeasts and their products. The scope also covers the related ecology, molecular genetics, physiology and epidemiology of these microbes. The journal actively invites timely reports on the novel aspects of genomics, metagenomics, microbiota profiling and systems biology. Gut Pathogens will also consider, at the discretion of the editors, descriptive studies identifying a new genome sequence of a gut microbe or a series of related microbes (such as those obtained from new hosts, niches, settings, outbreaks and epidemics) and those obtained from single or multiple hosts at one or different time points (chronological evolution).
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