RESUMO
Objective@#To illuminate the epidemic characteristics of Yersiniosis among children in the central city of Beijing and the accuracy of current clinical diagnosis towards Yersiniosis.@*Methods@#Etiological surveillance of diarrheal patients, a total of 3 493 cases, was performed in a children hospital in central area of Beijing from 2011 to 2018 continuously. Collected the epidemiological and clinical information of the cases, analyzed the clinical and etiological diagnosis for Yersiniosis and bacterial dysentery and compared the distribution of Yersiniosis cases with the different symptoms.@*Results@#A total of 3 493 acute diarrhea cases distributed from the age of 6 months to 13 years old, M (P25, P75) was 1.50 (0.75, 3.17) years old. The 28 cases were isolated Yersinia enterocolitica (isolation rate of 0.80%) and they could be diagnosed as Yersiniosis by etiology. The isolation peaked in May and February. A total of 85.71% (24/28) of Yersiniosis cases were under 5-year old. The children of 3-4 age group had the highest isolation rate (1.52%) while the rate (0.18%) of 0-1 age group was the lowest (P=0.025). The Yersinia enteroclitica isolation rates of diarrheal patients with the symptoms including mucus feces, fever, white blood cell (WBC) and red blood cell (RBC) in feces were higher than the patients without these symptoms (P>0.05). The 9 of 28 Yersiniosis cases by etiology diagnosis were clinical diagnosed as bacillary dysentery.@*Conclusion@#The infants and young children under 5-year old were the main population of Yersiniosis adolescent patients under 14-year old. The typical symptoms characterized with mucus stool, fever, WBC and RBC by routine microscopic examination. The preliminary clinical diagnosis of Yersiniosis is easily confused with bacterial dysentery.
RESUMO
Objective@#To analyze the etiological characteristics of infectious diarrhea among people under 5 years old in Dongcheng District, Beijing.@*Methods@#The age, time of infection, clinical symptoms and laboratory test results of the cases who didn't used antibiotics within 3 days in the second maternal and child health care hospital were collected from 2012 to 2015, through the information management system of infectious disease monitoring technology platform. To compare the detection rate of virus and bacteria in children with different sex, time and age,and the difference of clinical characteristics between virus detection group and bacteria detection group by chi square test.@*Results@#1 977 cases of infectious diarrhea were collected, the median of the month age (P25, P75) was 14.19 (8.31, 23.15) months. The virus detection rate was 34.3% (679 cases); the bacterial detection rate was 14.6% (288 cases). The difference of virus detection rate in children with different months was statistically significant (χ2=72.38, P<0.001), the virus detection rate of 24-60 months (40.9% (188/460)) was the hightest, and the detection rate of 0-5 months (15.3% (48/314)) was the lowest. The difference of bacteria detection rate was also statistically significant (χ2=32.67, P<0.001), and the detection rate of 12-17 months (19.0% (81/426)) was the highest, the detection rate of 0-5 months (6.7% (21/314)) was the lowest. The proportion of vomit and water sample in the virus detection group was 22.2% (136 cases) and 73.3% (449 cases), respectively, which were higher than those in bacteria detection group (8.1% (18 cases) and 57.2% (127 cases)), the difference was statistically significant (χ2 values were 125.92 and 19.60; P values were both<0.001); the proportion of mucus stool and fever was 0.8% (5 cases) and 14.0% (86 cases), respectively, which were lower than those in bacterial detection group (4.1% (9 cases) and 18.5% (41 cases)), and the difference was statistically significant (χ2 values were 8.50 and 23.01; P values were 0.004 and <0.001).@*Conclusion@#The virus detection rate of infantile infective diarrhea is higher than that of bacteria in Dongcheng district of Beijing, and the clinical characteristics are significantly different.
RESUMO
Objective@#To analyze the VP1 genetic sequences of Enterovirus A group 71 (EV-A71) strains and Coxsackievirus A group 16 (CV-A16) strains from suspected hand, foot, and mouth disease(HFMD) cases in Dongcheng District, Beijing in 2017, in order to provide basic data for the prevention and control of HFMD.@*Methods@#By RT-PCR, the VP1 sequences of EV-A71 and CV-A16 VP1 were amplified, and those sequences were compared and analyzed with DNAstar 5.0, while the phylogenetic tree was constructed with MEGA 6.0 software.@*Results@#Totally 95 throat swabs of suspected HFMD cases were detected in Dongcheng District, 2017. Forty-six (48.42%) specimens were positive for enterovirus, 4 (4.21%) specimens were positive for EV-A71 and 4 (4.21%) specimens were positive for CV-A16, 38 (40.00%) specimens were positive for non-EV-A71, non-CV-A16 enterovirus. The nucleotide and amino acid sequence homology of the four EV-A71 strains were respectively 92.89%-99.15% and 97.32%-98.66%. The nucleotide and amino acid sequence homology of the three CV-A16 strains were respectively 93.90%-98.76% and 98.32%-100.00%. The phylogenetic tree indicated that EV-A71 strains belonged to C4a subtype and CV-A16 strains belonged to B1b subtype.@*Conclusions@#The main pathogens causing HFMD were non-EV-A71 and non-CV-A16 enteroviruses in Dongcheng District of Beijing in 2017, but EV-A71 and CV-A16 still account for a certain proportion. The EV-A71 strains belong to C4a genetic subtype; the CV-A16 strains belong to B1b genetic subtype. The subtypes of gene matched with the dominant strains in most areas of China in recent years and no new subtypes were detected.
RESUMO
Herpes simplex virus type 1 (HSV-1) is a commonly occurring human pathogen worldwide. There is an urgent need to discover and develop new alternative agents for the management of HSV-1 infection. Tripterygium hypoglaucum (level) Hutch (Celastraceae) is a traditional Chinese medicine plant with many pharmacological activities such as anti-inflammation, anti-tumor and antifertility. The usual medicinal part is the roots which contain about a 1% yield of alkaloids. A crude total alkaloids extract was prepared from the roots of T. hypoglaucum amd its antiviral activity against HSV-1 in Vero cells was evaluated by cytopathic effect (CPE) assay, plaque reduction assay and by RT-PCR analysis. The alkaloids extract presented low cytotoxicity (CC_(50) = 46.6 μg/mL) and potent CPE inhibition activity, the 50% inhibitory concentration (IC_(50)) was 6.5 μg/mL, noticeably lower than that of Acyclovir (15.4 μg /mL). Plaque formation was significantly reduced by the alkaloids extract at concentrations of 6.25 μg/mL to 12.5 μg/mL, the plaque reduction ratio reached 55% to 75% which was 35% higher than that of Acyclovir at the same concentration. RT-PCR analysis showed that, the transcription of two important delayed early genes UL30 and UL39, and a late gene US6 of HSV-1 genome all were suppressed by the alkaloids extract, the expression inhibiting efficacy compared to the control was 74.6% (UL30), 70.9% (UL39) and 62.6% (US6) respectively at the working concentration of 12.5μg/mL. The above results suggest a potent anti-HSV-1 activity of the alkaloids extract in vitro.