Serological and molecular investigation of B (A) blood group and its transfusion strategy: A case report / 中国输血杂志

【Objective】 To study the serological and genetic characteristics of a case of B(A) blood group. 【Methods】 Serological and genetic ABO blood group typing were used to analyze the ABO subtype and family inheritance of the probands and her 8 family members. The B(A) blood type sample was used as the blood recipient, and the B-type and O-type donors were selected for cross-matching using microcolumn gel anti-human globulin method to evaluate the blood transfusion strategy. 【Results】 5 out of 9 family blood samples were B(A) phenotype, carrying B(A)04 allele. Among them, 1 was B(A)04/O1 type, and 4 were B(A)04/B type. The primary blood matching of B(A) blood type samples with type B and O recipients were all negative. 【Conclusion】 A total of 5 cases of B(A)04 blood type were found in this family investigation, and there were differences in serological manifestations. Washed RBCs with B and O type can be used for B(A) blood type transfusion, and type B suspended RBCs can be considered in case of emergency.

Carriage frequency, phenotypic and genotypic characteristics of Staphylococcus aureus isolated from dialysis and kidney tranplant patients at a hosptial in northern Paraná

The objective of the present study was to determine the frequency of Staphylococcus aureus nasal carriage among dialysis and kidney transplant patients, to identify the antimicrobial resistance profile of these strains and to verify their genetic profiles with the RW3A primer. The study included 159 individuals, comprising 111 dialysis and 48 kidney transplant patients. Of the 48 transplant patients, 75% were positive for S. aureus, whereas 49% of the 111 dialysis patients were carriers. Two samples yielded conflicting results for oxacillin sensitivity between the disk diffusion and minimum inhibitory concentration (MIC) assays: both were sensitive by the disk diffusion assay and resistant by MIC (4 μg/ml). In the antibiogram by disk diffusion, ten samples were resistant to cefoxitin, among which eight were also resistant to oxacillin. The resistance of the ten samples to cefoxitin by the disk diffusion assay was confirmed by MIC. Of the ten oxacillin-resistant samples, eight harbored the mecA gene. All samples were sensitive to vancomycin, and most were resistant to penicillin and demonstrated high rates of resistance to the other antimicrobials tested. The samples from dialysis patients exhibited a more homogenous genetic profile. Among the samples with a high percent similarity, no correlation with sensitivity or resistance to oxacillin was observed. According to the results of this study, the implementation of prevention and control measures, such as increased restrictions on prescriptions for antimicrobial drugs and nasal decontamination prior to high-risk procedures, is recommended.

Clostridium perfringens isolate typing by multiplex PCR

Clostridium perfringens is an important pathogen that provokes numerous different diseases. This bacterium is classified into five different types, each of which capable of causing a different disease. There are various methods for the bacterial identification, many are labor-intensive, time-consuming, expensive and also present low sensitivity and specificity. The aim of this research was to identify the different types of C. perfringens using PCR molecular method. In this study, 130 sheep-dung samples were randomly collected from areas around the city of Kerman, southeastern Iran. After processing and culturing of samples, the produced colonies were morphologically studied, gram stain test was also carried out and the genera of these bacteria were identified through biochemical tests. DNA extracted from isolated bacteria for genotyping was tested by multiplex PCR with specific primers. Based on length of synthesized fragments by PCR, toxin types and bacterial strains were detected. C. perfringens isolated types were divided as follows: 17.39 percent type A, 21.74 percent type B, 34.78 percent type C and 26.09 percent type D. It should be emphasized that, up to the present moment, C. perfringens type A has not been reported in Iran.(AU)

Genetic typing of Trypanosoma cruzi isolates from different hosts and geographical areas of western Venezuela / Tipaje genético de aislados de Trypanosoma cruzi de diferentes hospedadores y áreas geográficas del occidente de Venezuela

A total of 72 Trypanosoma cruzi isolates from different hosts and geographical regions of western Venezuela, where Chagas disease is endemic, were typed using ribosomal and mini-exon gene markers. The isolates were obtained from wild, peridomestic and domestic sources including triatomine-bugs, human acute chagasic patients and other mammals. Results showed that T. cruzi two major phylogenetic lineages, T. cruzi I and T. cruzi II were present. However, a remarkable predominance of T. cruzi I (96%) over T. cruzi II (4%) was observed. The present results suggest that in western Venezuela circulation of both T. cruzi I and T. cruzi II isolates is independent from the source of isolation and the geographical area where they occur, with predominance of T. cruzi I. The epidemiological significance of the present results is discussed

Un total de 72 aislados de Trypanosoma cruzi obtenidos de diferentes hospedadores y regiones geográficas del occidente de Venezuela, donde la enfermedad de Chagas es endémica, fueron caracterizados genéticamente utilizando marcadores moleculares de los genes ribosomales y del mini-exón. Los aislados fueron obtenidos de fuentes silvestres y domésticas, incluyendo triatominos-vectores, pacientes chagásicos agudos y otros mamiferos. Los resultados mostraron la presencia de los dos linajes reconocidos para T. cruzi (TcI y TcII) en la mayoría de los aislados provenientes de los diferentes hospedadores estudiados. Sin embargo, fue observada una marcada predominancia de T. cruzi I (96%) sobre T. cruzi II (4%). Los presentes resultados sugieren que en el occidente de Venezuela la circulación de aislados de los linajes TcI y TcII es independiente de la fuente biológica de aislamiento y del área geográfica de procedencia, siendo predominante los aislados TcI. Se discute la significación epidemiológica de los presentes resultados

Disseminação de Salmonella Enteritidis isoladas em uma cadeia produtiva industrial avícola: determinação do perfil de resistência a antimicrobianos e caracterização genotípica / Salmonella Enteritidis in a commercial chicken production chain: phenotypic and genotypic characterization

Salmonella é um dos principais agentes de enfermidades transmitidas por alimentos em diversos países, sendo a carne de frango um dos principais veículos envolvidos em surtos. O Brasil vem se destacando como um dos maiores exportadores mundiais deste alimento. O ambiente de criação das aves é apontado como um importante foco de infecção das aves e o ambiente industrial de abate e processamento é importante na disseminação deste microrganismo. Na busca pela produção de alimentos seguros do ponto de vista microbiológico, uma das ferramentas utilizadas é a subtipagem de microrganismos isolados ao longo da cadeia de produção, que permite determinar rotas de contaminação do produto final. Os objetivos deste trabalho são: o estudo da disseminação dos subtipos de Salmonella Enteritidis nas várias etapas de uma cadeia de produção industrial de carne de frango, empregando-se diversos métodos de subtipagem e a determinação da resistência a antimicrobianos destas cepas. 108 isolados de Salmonella Enteritidis dos fagotipos PT1, PT4 e PT7a foram obtidos nos anos de 2002 e 2003, a partir de amostras ambientais e de frango relativas a sete sub-regiões de uma cadeia produtiva industrial avícola. Os perfis de resistência destes isolados foram determinados frente a antimicrobianos de uso humano e veterinário e eles foram submetidos a subtipagem por PFGE, RAPO, ribotipagem e PCR-ribotipagem. Foram detectados 21 perfis de resistência diferentes, com 6,5% das cepas sensíveis a todas as drogas, 33,3% resistentes a um ou dois antimicrobianos e 83,3% apresentando resistência intermediária a até quatro deles. Os níveis relativamente elevados de resistência são preocupantes e a diminuição da pressão seletiva deve ser um objetivo para os produtores de aves. De modo geral, a subtipagem permitiu separar as cepas em 13 genótipos, com elevada similaridade entre si. Porém, a maior parte das cepas (69,4%) pertenceu a apenas três deles, que foram encontrados ao longo de toda a cadeia produtiva...

Salmonella is one of the most important foodborne disease agents all over the world, and chicken is recognized as an important vehicle of the infection. Chicken production in Brazil has increased in the last couple of years and the country is now ranked 2nd as producer/exporter of this commodity. For this reason there is an increased concern over the safety of these goods. This study deals with the dissemination, antimicrobial resistance, and genetic characterization of S. Enteritidis strains isolated from an industrial chicken production chain. 108 isolates, phagetypes PT1, PT4 and PT7a, were obtained at different steps of the commercial production from farm to frozen cuts, and the broilers were from different producers supplying the same processing plant. Tests for susceptibility to 12 human and veterinary antimicrobial agents were performed. The strains were also typed by PFGE, RAPO, ribotyping, and PCR-ribotyping. 6.5% of the strains were susceptible to the 12 drugs tested and 33.3% were resistant to 1 or 2 of them. Intermediate resistance to up to 4 agents was observed in 83.3% of the isolates. Combining all the typing methods allowed the division of the strains in 13 genotypes with elevated degree of similarity. However, 69.4% of the strains belonged to 3 main phagetypes spread along the production chain. There was no correlation between phagetypes and genotypes, or phagetypes and resistance profiles. However, most strains from one sub-region were from 2 genotypes and showed intermediate resistance to, or were resistant to furazolidone. The high degree of similarity amongst the genotypes indicates the clonal origin of the strains. The relatively high resistance to antimicrobial agents is a cause of concern and trying to diminish the selective pressure has to be a goal for broiler producers.