Molecular methods which can identify extensive mutations associated with multiple anti-tuberculous drugs are in urgent need so that the research on drug resistant mutations should be extended.
According to the updates in the review, it can be concluded artemisinin resistance does not disseminate to India and African countries within short period whereas regular tracking of these mutants is necessary.
This study revealed that V.cholerae in Sabah were genetically diverse and were atypical El Tor strains. Fingerprint patterns of these isolates will be useful in tracing the origin of this pathogen in the future.
The incidence of pulmonary tuberculosis (PTB) can be reduced by preventing transmission with rapid and precise case detection and early treatment. The Gene-Xpert MTB/RIF assay is a useful tool for detecting Mycobacterium tuberculosis (MTB) with rifampicin resistance within approximately two hours by using a nucleic acid amplification technique. This study was designed to reduce the underdiagnosis of smear-negative pulmonary TB and to assess the clinical and radiological characteristics of PTB patients. This cross-sectional study included 235 participants who went to the Luyang primary health care clinic from September 2016 to June 2017. The demographic data were analyzed to investigate the association of patient gender, age group, and ethnicity by chi-square test. To assess the efficacy of the diagnostic test, the sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy were calculated. The area under the curve for sputum for both AFB and gene-Xpert was analyzed to compare their accuracy in diagnosing TB. In this study, TB was more common in males than in females. The majority (50.71%) of the cases belonged to the 25–44-year-old age group and the Bajau ethnicity (57.74%). Out of 50 pulmonary TB cases (smear-positive with AFB staining), 49 samples were positive according to the Gene-Xpert MTB/RIF assay and was confirmed by MTB culture. However, out of 185 smear-negative presumptive cases, 21 cases were positive by Gene-Xpert MTB/RIF assay in that a sample showed drug resistance, and these results were confirmed by MTB culture, showing resistance to isoniazid. In comparison to sputum for AFB, Gene-Xpert showed more sensitivity and specificity with almost complete accuracy. The additional 21 PTB cases detection from the presumptive cases by GeneXpert had significant impact compared to initial observation by the routine tests which overcame the diagnostic challenges and ambiguities.
Toxigenic strains of Vibrio cholerae serogroup O1 and O139 are causative agents of deadly diarrheal disease named cholera. Vibrio cholerae O1 is traditionally divided into two biotypes, classical and El Tor, which are different in phenotypic as well as genotypic traits. Since 1961, classical strains of Vibrio cholerae O1 serogroup has become obsolete as the cause of epidemic and pandemic cholera and replaced by El Tor strains. Since 2002, atypical O1 El Tor strains possessing the traits of classical strains have been increasingly recognized as the cause of cholera in many countries across the world. This article focuses on the genetic traits of O1 classical and El Tor strains. Furthermore, an overview of emergence of atypical O1 El Tor strains and their genetic traits is presented
Objectives: Rotavirus is one of the major causes of gastroenteritis in children under 5 years of age and is responsible for over 200,000 deaths annually. Rotavirus can evolve by reassortment, in which gene segments are exchanged between strains of different origins. Rotavirus strains with the P[9] genotype is an example of reassortment, in which the P[9] genotype is from feline species. A number of outbreaks associated with P[9] strains have been documented in several countries. However, details regarding the epidemiological relationships between the strains remains largely unknown. Therefore, in the present study, genetic characterization and evolutionary analyses were performed to gain insight into P[9] strains circulating in different parts of the world. Results: The VP4 gene of the P[9] strains could be divided into six lineages, and P[9] strains characterized in this study share a common ancestor that circulated in circa 1864. In each lineage, the strains were not only from different countries, but also from different continents. These findings suggest that none of the lineages has a specific region of distribution, and although humans have had interactions with cats for thousands of years, the common ancestor of the VP4 gene of the current P[9] strains is relatively recent.
Objectives: Rotavirus is one of the major causes of gastroenteritis in children under 5 years of age and is responsible for over 200,000 deaths annually. Rotavirus can evolve by reassortment, in which gene segments are exchanged between strains of different origins. Rotavirus strains with the P[9] genotype is an example of reassortment, in which the P[9] genotype is from feline species. A number of outbreaks by P[9] strains have been documented in several countries. However, details regarding the epidemiological relationships between the strains remains largly unknown. Therefore, in the present study, genetic characterization and evolutionary analyses were perforemd to gain insight into P[9] strains circulating in different parts of the world. Results: The P[9] strains could be divided into five lineages, and that the common ancestor of currently circulating P[9] strains is around 168 years old. In each lineage, the strains were not only from different countries, but also from different continents. These findings suggest that none of the lineages has a specific region of distribution, and although humans have had interactions with cats for thousands of years, the ancestor of the current P[9] strain is relatively recent.
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