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在糖尿病中研究真菌的流行:多微生物生物膜的一个未被认可的贡献者
Jontana Allkja1,2, Ahmed Bakri2, Bryn Short1
1Safeguarding Health Through Infection Prevention (SHIP) Research Group, Research Centre for Health, School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, UK.
概括
在糖尿病足 (DFU) 中存在,qPCR比标准培养更频繁地检测到它们. 虽然没有影响本研究的结果,但它们在DFU感染中的作用需要进一步调查.
科学领域:
- 菌类学 菌类学是指菌类学.
- 糖尿病医学 糖尿病医学
- 传染性疾病 传染性疾病
背景情况:
- 糖尿病足 (DFU) 经常因多微生物感染而复杂化.
- 在DFU中越来越多地发现真菌感染,但其患病率和影响尚未完全理解.
- 大多数DFU的研究重点是细菌,往往忽视了真菌的贡献.
研究的目的:
- 为了确定在糖尿病足中真菌存在的流行率.
- 为了比较不同诊断方法在DFU中检测真菌的有效性.
- 探索真菌在DFU持久性和伤口愈合中的潜在作用.
主要方法:
- 从128名患者中收集了349个DFU拭子.
- 使用常规培养,增强培养和实时定量PCR (qPCR) 评估真菌存在.
- 将实验室发现与常规临床微生物学结果进行比较.
主要成果:
- 常规和增强培养在~9%的样本中检测到真菌.
- 实时qPCR在31%的样本中确定了真菌的存在.
- 坎迪达 (Candida parapsilosis) 是主要的酵母菌,在缺血和穿透骨的伤口中发现.
结论:
- 证实了DFU中的真菌存在,qPCR提供比标准培养更高的检测率.
- 常规诊断足以进行检测,但增强的方法可以改善识别.
- 菌的存在没有显著影响该队列患者的结果,但它们在DFU微生物组中的作用需要进一步研究.
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