墨西哥新莱昂州肺结核的地理位置和基因分型分析

IF 3.9 2区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES
José Luis Zacarías-Hernández, Amador Flores-Aréchiga, Reyes S Tamez-Guerra, Lydia Guadalupe Rivera-Morales, Jorge Castro-Garza, Pola Becerril-Montes, Cecilia Gabriela Vázquez-Cortés, Manuel de la O-Cavazos, José Manuel Vázquez-Guillén, Cristina Rodríguez-Padilla
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引用次数: 0

摘要

由结核分枝杆菌引起的结核病是一个重大的全球卫生问题。在墨西哥,新莱昂州是结核病发病率最高的十个州之一。关于新莱昂州结核病传播模式和病例聚集的信息有限。采用分枝杆菌生长指示管荧光法对151例新诊断肺结核患者分离株的spoligotypes进行分析,并对链霉素、异烟肼、利福平、乙胺丁醇、吡嗪酰胺进行表型药敏分析。利用地理信息系统对分离株的地理数据进行制图。鉴定出19个结核分枝杆菌亚系。最常见的谱系是:T1占35% (n = 53), X1占19.2% (n = 29), LAM占10.2% (n = 15)。此外,我们还鉴定出北京系(3.3%,n = 5)和孤儿株(9.9%,n = 15)。耐药菌株分别为DR-TB 25株(16.55%)、MDR/RR-TB 15株(9.93%)和Hr-TB 6株(3.97%)。在结核合并症中,糖尿病II型占21.85%,hiv阳性4例(2.65%)。尽管蒙特雷有大量结核病病例,但没有发现与群集和合并症的明确相关性。然而,我们的研究结果表明,蒙特雷大都市区是T1谱系潜在的结核病传播热点。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Geographical location and genotyping analysis of pulmonary tuberculosis in the state of Nuevo Leon, Mexico.

Geographical location and genotyping analysis of pulmonary tuberculosis in the state of Nuevo Leon, Mexico.

Geographical location and genotyping analysis of pulmonary tuberculosis in the state of Nuevo Leon, Mexico.

Geographical location and genotyping analysis of pulmonary tuberculosis in the state of Nuevo Leon, Mexico.

Tuberculosis, caused by Mycobacterium tuberculosis, is a major global health problem. In Mexico, the State of Nuevo Leon is among the top ten in tuberculosis morbidity. Information about transmission patterns and case clustering for tuberculosis in Nuevo Leon is limited. The spoligotypes of 151 isolates from newly diagnosed pulmonary tuberculosis patients were obtained and its phenotypic drug susceptibility pattern for streptomycin, isoniazid, rifampin, ethambutol, and pyrazinamide was determined by using the Mycobacteria Growth Indicator Tube fluorometric method. Geographical data of isolates were mapped using geographic information systems. Nineteen M. tuberculosis sublineages were identified. The most frequent lineages were: T1 at 35% (n = 53), X1 at 19.2% (n = 29), and LAM at 10.2% (n = 15). Additionally, we identified the Beijing lineage (3.3%, n = 5) and orphan strains (9.9%, n = 15). Drug resistant strains were 25 (16.55%) DR-TB, 15 (9.93%) MDR/RR-TB and 6 (3.97%) Hr-TB. Regarding TB comorbidities, diabetes mellitus II affected 21.85% of patients, while four patients were HIV-positive (2.65%). Despite the large number of tuberculosis cases in Monterrey, no definitive correlation with clusters and comorbidities was found. However, our results suggest a potential TB transmission hotspot for the T1 lineage within the Monterrey metropolitan area.

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来源期刊
Scientific Reports
Scientific Reports Natural Science Disciplines-
CiteScore
7.50
自引率
4.30%
发文量
19567
审稿时长
3.9 months
期刊介绍: We publish original research from all areas of the natural sciences, psychology, medicine and engineering. You can learn more about what we publish by browsing our specific scientific subject areas below or explore Scientific Reports by browsing all articles and collections. Scientific Reports has a 2-year impact factor: 4.380 (2021), and is the 6th most-cited journal in the world, with more than 540,000 citations in 2020 (Clarivate Analytics, 2021). •Engineering Engineering covers all aspects of engineering, technology, and applied science. It plays a crucial role in the development of technologies to address some of the world''s biggest challenges, helping to save lives and improve the way we live. •Physical sciences Physical sciences are those academic disciplines that aim to uncover the underlying laws of nature — often written in the language of mathematics. It is a collective term for areas of study including astronomy, chemistry, materials science and physics. •Earth and environmental sciences Earth and environmental sciences cover all aspects of Earth and planetary science and broadly encompass solid Earth processes, surface and atmospheric dynamics, Earth system history, climate and climate change, marine and freshwater systems, and ecology. It also considers the interactions between humans and these systems. •Biological sciences Biological sciences encompass all the divisions of natural sciences examining various aspects of vital processes. The concept includes anatomy, physiology, cell biology, biochemistry and biophysics, and covers all organisms from microorganisms, animals to plants. •Health sciences The health sciences study health, disease and healthcare. This field of study aims to develop knowledge, interventions and technology for use in healthcare to improve the treatment of patients.
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