1.An association of the HLA-DR and DQ polymorphisms with EHF in Han Nationality at Zunyi area
Junmin LUO ; Wanbang SUN ; Xuegui HUANG ; Jihong FENG ; Yixiong ZHANG ; Minying SONG ; Xinsheng YAO
Chinese Journal of Immunology 2000;0(09):-
Objective:To explore the association between HLA-DR,DQ allele polymorphisms and onset of epidemic hemorrhagic fever(EHF)among Han Nationality in Zunyi area.Methods:Using group study,HLA-DR and DQ genotyping was conducted in 100 EHF cases and 100 controls among Han Nationality in Zunyi area with polymerase chain reaction-sequence specific primer(PCR-SSP),GF(gene frequency)and RR(relative risk)were calculated and compared.Results:The frequency of HLA-DRB1 16 in patients with EHF was higher than in the control group(RR=3.58,?2=4.916,P=0.0266
2.Tigecycline for complicated intra abdominal infections in surgical intensive care units
Zhiyi JIANG ; Minying CHEN ; Ning LIU ; Song GUO ; Juan CHEN ; Bin OUYANG ; Xiangdong GUAN
Chinese Journal of General Surgery 2015;30(10):785-788
Objective To analyze clinical effectiveness of tigecycline for complicated intra abdominal infections (cIAIs) in surgical intensive care units.Methods The clinical data of patients diagnosed as cIAIs from Nov 2011 to Aug 2014 were retrospectively collected.Data of sex, age, severity of disease, bacterial strains and drug resistance, prior antibiotics, dosage of tigecycline were included.Results 1 862 patients were admitted into surgical intensive care unit from Nov 2011 to Aug 2014.54 patients were finally treated by tigecycline among 304 patients diagnosed as cIAIs.Acinetobacter baumannii (23.1%), Klebiella pneumonia (18.5%), Escherichia coli (16.9%) were the top three pathogenic bacteria.41/50 were of multiple bacterial infection.Previously adopted antibiotics were miscellaneous, the number of used antibiotics was up to 13 for one patient.Coverage of tigecycline averaged at 8.9 days.Tigecycline effective rate was 62%, 38% (19/50) cIAIs were completely controlled and cured,24% (12/50) patients showed effectiveness of tigercycline that procalcitonin decreased 50% within 72 h.Logistic regression analysis showed that severity of disease and tigecycline dose contribute to the effectiveness within 72 h.Conclusions Tigecycline is effective alterative for patients diagnosed as complicated intra abdominal infections in surgical intensive care units.