Journal of microbiology, immunology, and infection = Wei mian yu gan ran za zhi
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J Microbiol Immunol Infect · Dec 2014
Review Case ReportsRecurrent abdominal pain as the presentation of tumor necrosis factor receptor-associated periodic syndrome (TRAPS) in an Asian girl: a case report and review of the literature.
Tumor necrosis factor receptor-associated periodic syndrome (TRAPS) is characterized by periodic fever, cutaneous rash, conjunctivitis, lymphadenopathy, abdominal pain, myalgia, and arthralgia. It is a rare autosomal dominant disease and strongly associated with heterozygous mutations in the tumor necrosis factor (TNF) receptor super family 1A (TNFRSF1A) gene. It is believed to be more common in Western countries than in Asian countries. ⋯ However, the treatment response to TNF-α inhibitor etanercept was dramatic. She has remained symptom free under regular weekly to biweekly etanercept treatment for 2 years. We also reviewed the related literature and summarized the data of 10 Asian cases of TRAPS.
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J Microbiol Immunol Infect · Apr 2012
ReviewCombating antimicrobial resistance: antimicrobial stewardship program in Taiwan.
Multi-drug-resistant organisms are increasingly recognized as a global public health issue. Healthcare-associated infection and antimicrobial resistance are also current challenges to the treatment of infectious diseases in Taiwan. Government health policies and the health care systems play a crucial role in determining the efficacy of interventions to contain antimicrobial resistance. ⋯ Antimicrobial stewardship program in Taiwan includes establishment of national inter-sectoral antimicrobial stewardship task force, implementing antimicrobial-resistance management strategies, surveillance of HAI and antimicrobial resistance, conducting hospital infection control, enforcement of appropriate regulations and audit of antimicrobial use through hospital accreditation, inspection and national health insurance payment system. No action today, no cure tomorrow. Taiwan CDC would take a multifaceted, evidence-based approach and make every effort to combat antimicrobial resistance with stakeholders to limit the spread of multi-drug resistant strains and to reduce the generation of antibiotic resistant bacteria in Taiwan.
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J Microbiol Immunol Infect · Aug 2010
Review Case ReportsPlesiomonas shigelloides sepsis and meningoencephalitis in a surviving neonate.
In this study, we report the case of a 2.5-day-old neonate with septicemia and meningitis due to Plesiomonas shigelloides. Culture of the cerebrospinal fluid showed Gram-negative rods, although the glucose, protein and leukocyte counts were normal. The patient was treated with meropenem and survived without any sequelae, although we were not able to identify the source of the infection. In addition, ten previously reported cases of this infection are reviewed.
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J Microbiol Immunol Infect · Apr 2009
ReviewMicrobiologic spectrum and susceptibility pattern of clinical isolates from the pediatric intensive care unit in a single medical center - 6 years' experience.
Nosocomial infection contributes to the morbidity and mortality of patients in hospital. Timely microbiologic surveillance and assessment of antimicrobial resistance is important for dealing with nosocomial infections. This retrospective review was conducted to evaluate the microbiologic spectrum and susceptibility pattern in the pediatric intensive care unit from 2001 to 2006. ⋯ MRSA, carbapenem-resistant P. aeruginosa, and ESBL-producing K. pneumoniae were the major concerns in this study. Good hand hygiene and strict aseptic procedures remain the most important factors for infection control.
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Cross-species transmission of a highly pathogenic subtype of influenza A virus directly from birds to humans has raised many concerns. The radical methods of immune evasion and the possibility of human-to-human transmission as a result of gene reassortment between the human and avian viral subtypes pose an imminent threat of a global pandemic. The growing reservoir of circulating influenza among the bird population and the perpetuating human demographic factors promote the emergence of a novel viral strain. This article discusses current methods of identifying and treating the illness in individuals, and outlines principles of public health measures for preventing and containing an influenza pandemic.