Investigation on the current situation of safety protection of medical staffs for the prevention and treatment of infectious diseases in medical institutions in Jiangsu Province / 中华劳动卫生职业病杂志

Objective: To investigate the current situation of safety protection of medical staffs in medical institutions in Jiangsu Province, and to provide scientific basis for strengthening the safety protection of infectious diseases and protecting the occupational health of medical staffs. Methods: From September to October 2020, 1274 medical staffs in 43 medical and health institutions were randomly selected as the subjects. The self-made questionnaire for infectious disease prevention and protection was used to analyze the pre-job training and exposure to occupational harmful factors of the respondents. The influencing factors of using protective equipment and occupational injury were analyzed by binary logistic regression. Results: A total of 1216 valid questionnaires were collected with effective recovery of 95.4%. There were 312 males (25.7%) and 904 females (74.3%) , with an average age of (35.8±9.2) years and average working years of (13.6±9.9) years. Among them, 1143 (94.0%) had participated in pre-job training, 535 (44.0%) thought they were exposed to occupational harmful factors of infectious disease prevention, 1082 (89.0%) used protective equipment in daily operation, and 462 (38.0%) had occupational injury. According to binary logistic regression analysis, the utilization rates of protective equipment for medical staffs in Centers for Disease Control and Prevention (OR=2.473, 95%CI: 1.327-4.607, P=0.004) , 30-39 years old (OR=1.586, 95%CI: 1.038-2.426, P=0.033) , 40-49 years old (OR=2.257, 95%CI: 1.243-4.098, P=0.007) , 50 years old and above (OR=5.879, 95% CI: 1.755-19.692, P=0.004) and pre-job training (OR=2.580, 95%CI: 1.301-5.116, P=0.007) were higher than their respective control groups. And medical staffs with graduate degree or above (OR=0.342, 95%CI: 0.167~0.699, P=0.003) had lower utilization rate of protective equipment. Female (OR=1.902, 95%CI: 1.364-2.654, P<0.001) , 30-39 years old (OR=1.589, 95%CI: 1.157-2.181, P=0.004) , bachelor degree (OR=2.070, 95%CI: 1.419-3.021, P<0.001) , exposure to occupational harmful factors (OR=2.753, 95%CI: 2.086-3.634, P<0.001) were the risk factors for occupational injury of medical staffs. Centers for Disease Control and Prevention (OR=0.129, 95%CI: 0.086-0.194, P<0.001) and wearing protective equipment according to regulations (OR=0.597, 95%CI: 0.431-0.827, P=0.002) were the protective factors for occupational injury of medical staffs. Conclusion: At present, the occupational injury rate of medical staffs in Jiangsu Province is high due to various factors in the prevention and control of infectious diseases. It is necessary to pay attention to occupational safety protection, strengthen pre-job training and actively advocate "standard prevention", so as to reduce the exposure risk of harmful factors and promote occupational health of medical staffs.

The use of a multiplex real⁃time PCR assay for rapid diagnosing acute respiratory viral infections in children / 热带医学杂志

Respiratory tract infection；Multiplex PCR；Children@#Abstract:Objective The aim of the study was to evaluate a multiplex molecular real ⁃ time assay for the diagnosis of respiratory viruses of childhood acute respiratory virus infection，and analyze the symptoms associated with the pathogens which were detected from those samples. Methods From August 2018 to August 2019，a sample of 275 swallow swabs from children with acute respiratory infections in Chengdu Children′s Specialist Hospital was collected and tested using the RespiFinder®SMART 22 test kit. The kit is based on multiplex PCR technology and can detect and distinguish 22 pathogens related to respiratory infections at one time. Results Of the 275 samples，245（89.1%）detected positive viral infections， of which 160 were single virus infections，59 were multiple viral infections，17 were positive for Mycoplasma pneumoniae， and 9 were positive for Chlamydia pneumoniae. The most common pathogens were rhinovirus 77 cases（28.0%），adenovirus 45 cases（16.4%）and respiratory syncytial virus 34 cases（12.4%）. Influenza virus was detected in 28（10.2%）samples， parainfluenza in 25 cases（9.1%），coronavirus in 15 cases（5.5%），Boca virus in 12 cases（4.4%），and human metapneumovirus in 9 cases （3.3%）. Rhinovirus （28.0%） was the most common pathogen in upper respiratory tract infections，while respiratory syncytial virus（12.4%）was the most common pathogen in lower respiratory tract infections. It has been found that multiple viral infections in children were associated with severe respiratory symptoms in clinical manifestations. Conclusion Compared with ordinary PCR detection，the multiplex PCR could detect multiple pathogens at one time in experiment，which greatly shortens the detection time and had important clinical significance for rapid diagnosis of multiple respiratory pathogens. Thus，it could be useful for detecting several viruses causing respiratory tract disorders.

Construction of the eukaryotic expression plasmid containing lvgA gene flanked with CpG motifs of Legionella pneumophila and its expression in NIH3T3 cells / 南方医科大学学报

<p><b>OBJECTIVE</b>To construct the eukaryotic expression plasmid containing lvgA gene flanked with CpG motifs of Legionella pneumophila for its expression in NIH3T3 cells.</p><p><b>METHODS</b>lvgA gene flanked with CpG motifs of Legionella pneumophila was amplified by PCR. The PCR products was inserted into the eukaryotic expression plasmid pcDNA3.1/myc-his(+) to construct the recombinant plasmid pclvgA/CpG, which was subsequently transfected into NIH3T3 cells via lipofection. Immunofluorescence analysis was carried out to detect the transient expression of the plasmid in the cells.</p><p><b>RESULTS</b>Sequence analysis showed that the recombinant plasmid pclvgA/CpG contained the lvgA/CpG fragment with a length of 657 bp, encoding a protein of 27.7 Ku. Immunofluorescence analysis identified the transient expression of the recombinant plasmid pclvgA/CpG in NIH3T3 cells.</p><p><b>CONCLUSION</b>The lvgA gene flanked with CpG motifs of Legionella pneumophila has been constructed successfully, and the transient expression of the recombinant plasmid pclvgA/CpG can be detected in NIH3T3 cells.</p>

Cloning and expression of extracellular region gene located in N-terminus of Leishmania Donovani / 生物医学工程学杂志

The objective of this study was to construct and express recombinant prokaryotic plasmid pET32a (+)- ast1 in E. coli BL21(DE3). Amastin gene was amplified from genomic DNA of Leishmania Donovani and its transmembran region was predicted by the methods of SOSUI and Tmpred; astl located in N-terminus of amastin gene was amplified and cloned into prokaryotic plasmid pET32a(+), which was named pET32a(+)-ast1, and then rAST1 was expressed in E. coli BL21(DE3). The results of SDS-PAGE and immunobloting assay showed that a fusion protein rAST1 (relative molecular mass about 27 kDa) was able to express in BL21. The recombinant prokaryotic plasmid pET32a(+)- ast1 was successfully constructed, and noted to be efficiently expressed in E. coli BL21(DE3).