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  • 1
    ISSN: 1433-044X
    Schlagwort(e): Schlüsselwörter Methicillin-Resistenz ; Staphylococcus aureus ; Lysotypie ; Pulsfeldgelelektrophorese ; Keywords Methicillin-Resistance ; Staphylococcus aureus ; Bacteriophage typing ; Pulsed-field gel electrophoresis
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Beschreibung / Inhaltsverzeichnis: Abstract Methicillin resistant Staphylococcus aureus-strains, isolated from 1994 to 1997 from patients of the traumatic surgery hospital Tübingen, were compared using lysotyping and pulsed-field gel electrophoresis. Both typing methods detected two clones causing an outbreak 1994 in 6 patients and a third endemic clone of MRSA, which was isolated from 5 patients (1995), 4 patients (1996), and 6 patients (1997). Additionally other MRSA-types were found in 6 cases of which transmissions occurred in up to three patients. An epidemiological connection to MRSA isolated from patients of the university hospital of Tübingen was made. Possible consequences for patient management and antibiotic strategies in MRSA-infections were discussed.
    Notizen: Zusammenfassung Methicillin-resistente Staphylococcus-aureus-Isolate (MRSA) der Berufsgenossenschaftlichen Unfallklinik Tübingen (BGU) aus den Jahren 1994–1997 wurden mit Hilfe der Lysotypie und der Pulsfeldgelelektrophorese verglichen. Beide Typisierungsmethoden zeigten, daß 1994 ein Ausbruch von 6 Infektionen auf 2 verschiedene Klone zurückzuführen war. Sie wiesen weiterhin das Auftreten eines in der BGU endemischen Klones bei 5 (1995), 4 (1996) und 6 (1997) Patienten nach. Übertragungen von anderen MRSA-Typen fanden in 6 Fällen statt, bei denen die MRSA auf bis zu 3 Patienten transferiert wurden. Ein epidemiologischer Zusammenhang zu MRSA-Isolaten von Patienten des örtlichen Universitätsklinkums wurde hergestellt; mögliche Konsequenzen für das Patientenmanagement und die Chemotherapie von MRSA-Infektionen wurden diskutiert.
    Materialart: Digitale Medien
    Bibliothek Standort Signatur Band/Heft/Jahr Verfügbarkeit
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  • 2
    ISSN: 1432-1831
    Schlagwort(e): Borrelia burgdorferi, afzelii, garinii ; Outer surface protein A ; ospA genes ; ospA sequence analysis ; Outer surface protein A serotypes
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract The genes coding for the outer surface protein A (OspA) of 19 different Borrelia burgdorferi strains belonging to the seven OspA-serotypes 1–7, previously described [Wilske et al. (1993) J Clin Microbiol, 31: 340–350], have been investigated. B. burgdorferi sensu lato strains were chosen from various biological sources (ticks, human skin and cerebrospinal fluid) as well as different geographical origins (Germany, Slovenia, Austria, United States). The open reading frames of all ospA genes consist of 819–825 nucleotides corresponding to proteins of approximately 30 kDa. The ospA sequences obtained in this study and previous published studies were compared with the results from OspA serotyping with monoclonal antibodies. The classification into the seven OspA serotypes could be confirmed on a genetic basis (ospA genotypes 1–7) for all strains analyzed so far (n=29). In addition, one strain without OspA expression could be assigned to ospA genotype 2. Genetic stability could be proven for the ospA gene of B. burgdorferi strain PWudI after inocculation and reisolation from a gerbil. However, we found evidence for intragenic recombination by cluster analysis of ospA sequence data. Accordance of ospA genotype 1 strains with B. burgdorferi sensu stricto and ospA genotype 2 strains with B. afzelii, as well as the ospA genotype strains 3–7 with B. garinii was confirmed by pulsed-field gel electrophoresis of MluI-digested genomic DNA. B. garinii is not only more heterogenous in respect to the OspA-encoding genes, but shows moreover major subgroups formed by genotypes 4, 5 and 6 and genotypes 3 and 7, respectively. The latter group has not been described previously and is specifically recognized by an OspA-specific monoclonal antibody L32 1F7.
    Materialart: Digitale Medien
    Bibliothek Standort Signatur Band/Heft/Jahr Verfügbarkeit
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