We conducted the detection the Francisella spp.nucle acid from Hyalomma asiaticum asiaticum that main distribution is on railway line area from China-Kazakhstan border.The free-living ticks were collected and then identified by morphological and molecular methods.After species identification,they were detected by PCR targeting 16S rRNA and sdhA of Francisella spp.The amplified products were sequenced and the sequences was analyzed by using the Blast.A phylogenetic tree was constructed using MEGA 6 software.A total of 243 fleas were identified as H.asiaticum asiaticum.Only 35 samples were detected for Francisella spp.positive and the positive rate was 14.4％.Sequence analysis showed that two different sequences (seql and seq2) and all belong to Francisella-like endosymbionts (FLEs).Phylogenetic analyses showed that two FLEs were belong to the same cladd.This is first detection of FLEs nucleic acid from H.asiaticum Railway line area of China-Kazakhstan border.

We explored the feature and therapeutic methods of cerebral cysticercosis.The effect of different surgical treatment was analyzed on 6 patients with cerebral cysticercosis who had undergone surgery at Fujian Provincial Hospital.Results showed that 2 of 6 cases underwent an excision of ventricle or cisternalcysticercus.Three cases were performed an excision of brain parenchyma cysticercus.The decompressivecraniectomy under bilateral temporalis was performed on 1 patient with cerebral cysticercosis.One case underwent ventriculo-peritoneal shunt because of hydrocephalus after a year of follow-up.The operations of 6 cases were all successfully performed.All patients recovered well after the operation.No newly neurobiological injuries were observed.Timely and accurate neurosurgery contributes to reduce the incidence of complications and cut down disability rate of cerebral cysticercosis,and buy time and fight for an opportunity for drug therapy of cerebral cysticercosis as well.It significantly improves the safety and therapeutic effect of anti-cysticercosis drugs.

Enterobacter cloacae is a facultative anaerobic Gram-negative bacteria,and it mainly causes pulmonary infection.It was one of the most common conditioned pathogens in recent years,and its treatment and drug resistances have attracted more and more attention.Meanwhile,there were many further studies about antimicrobial susceptibility and drug-resistance mechanisms of E.cloacae.E.cloacae shows multi-drug resistance to antibiotics through complex resistant mechanisms.The study gives a brief review on the infection treatments and drug-resistance mechanisms of Enterobacter cloacae.

Using the theory and method of health economics,we analyzed CER and ICER in early elimination stage (2005-2009),the late elimination stage (2015-2010) and the post elimination phase (2016-).Results showed that annual total cost of investment was as following:64 235 144.8 Yuan in early elimination stage,11 250 248 Yuan in the late elimination stage,and 11 075 228.8 Yuan the post elimination phase.Effect analysis showed that the difference of the three-stage monitoring measures was statistically significant (P＜0.01).Number of cases within 3 days of onset (rate) prompt monitoring measures had the best effect in the late elimination stage,number of blood tests (rates),number of cases reported (rates) and number of cases within 1 days of onset (rate).Prompt monitoring measures had the best effect in the post elimination phase.CER and IC-ER showed that taking the number of blood test as the effect index,the monitoring measures in the late elimination stage were more cost effective.The number of cases reported,number of cases within 3 days of onset and number of cases within 1 day of onset were as the effect index,the monitoring measures in the post elimination phase were more cost effective.The elimination effect for monitoring measures after stage was optimal,cost the least,and might be the most effective.The study provides basic data for Fujian Province to strengthen the monitoring of imported cases of malaria on the construction of the management mechanism,and scientific and effective evaluation of monitoring measures,which has very important practical value and significance.

Pyrazinamide (PZA) is an important anti-tuberculosis drug especially for treating multidrug-resistant tuberculo sis (MDR-TB).In recent years,the incidence of Mycobacterium tuberculosis' resistance to pyrazinamide has increased.At present,the mechanism of drug resistance has not been clearly elucidated.In this review,the association between gene mutation and pyrazinamide resistance in Mycobacterium tuberculosis will be summarized.

We explored the effect of therapy with bacteriophages for pandrug resistant Acinetobacter baumannii infections.Kunming mice (Specific Pathogen Free) were divided into two groups:experimental group (severe infection caused by pandrug resistant Acinetobacter baumannii) and the control group.The mice of experimental group were treated with Phages AB46 while the mice of control group were treated with broth.The survival rate was compared with statistical method and the spleen bacteria count was analyzed.Results showed that there were statistical difference between the experimental group and control group of Pandrug resistant Acinetobacter baumannii groups of 1 ∶ 10 dilution,P=0.020＜0.05.There were no statistical difference between each two groups of 1 ∶ 2 (P=0.650) and 1 ∶ 5 (P=0.170) dilution,both were＞0.05.There were no dead mice in groups of 1 ∶ 50 dilution with statistical difference of spleen bacteria count,P=0.026.Therapy with phages was an ef fective method to control infection caused by Pandrug resistant Acinetobacter baumannii which could increase the survival rate and decrease spleen bacteria count of the mice with light infection.

To investigate the distribution of the resistance genes of Acinetobacter baumannii to aminoglycoside,48 strains of extensively drug resistant Acinetobacter baumannii were collected from the First Affiliated Hospital of Bengbu Medical College from January to December,2015.The drug sensitivity test and identification were performed by VITEK 2 compact automatic microorganism instrument.Twelve aminoglycosides modifying enzymes,three 16SrRNA methylase genes and efflux pump abeB gene were detected from these isolates by PCR.Results showed that among these experimental 16 genes,aac(6')-Ⅰb gene was detected from 19 of 48 isolates (39.6％),both armA and adeB genes were 43 (89.6％),ant(3")-Ⅰa gene was from 5 (10.4％),while the other genes were not found.And more than two gene types were amplified from 39 of 48 strains (81.3％).In conclusion,the aac(6')-Ⅰb,armA gene and efflux pump adeB may play a key role in drug resistance to aminoglycosides antibiot ics of Acinetobacter Baumanni in our hospital.

Due to adverse economic impact and social panic influences,live poultry market closure(LPM) as an effective control strategy of H7N9 influenza has become the focus of public repeatedly.So this paper reviewed transmission characteris tics of H7N9 influenza,impact of LMP on human H7N9 infection,and the effect of LMP on H7N9 influenza control.

Brucellosis is the most common zoonotic infectious disease in the world.The main host is animals,and human being is the second main host.Sheep are the main source of infection in China.Brucella can invade all systems of human body,its clinical manifestations are varied,and the invasion of the nervous system is "neurological brucellosis (NB)".It is relatively rare,and complicated which can be meningitis,meningoencephalitis,acute cerebrovascular disease,epilepsy and so on.Be cause of this,the clinical diagnosis become difficult,also,it is easy to misdiagnose.Although the fatality rate of NB is low,misdiagnosis or treatment is not timely,it will lead to lifelong disability.In order to promote the understanding and attention of the clinicians in neurobrucellosis,the pathogenesis,epidemiology,clinical features,auxiliary examination,diagnosis,treatment and prevention prognosis are summed and some suggestions will be given in this review about the diagnosis and treatment of neuronal brucellosis aiming to solve the problems exist in China.

We typed Yersinia pestis isolated from plague foci of Shaanxi Province using different region (DFR) and analyzed epidemiological characteristics.Twenty-three DFRs primers and PMT1 (plasmid) primer were used to verify the DFR genomovars and 48 Yersinia pestis were involved to analyze DFR profiles and epidemiological characteristics.In the same year,the genotypes of Yersinia pestis isolated from different infected vector and animals were basically the same.Three genomovars named Genomovar 11,17,and 20 were verified in 48 Yersinia pestis strains in Shaanxi Province.The main genotypes were different in different epidemic years.In 1987-1988 and 2000-2001 years,genomovar 17 was major genomovar and genomovar 20 in 2006 year.In conclusion,the dominant genotypes were different in different epidemic years.As time goes on,DFR genomovars of Yersinia pestis undergone the evolution of gene deletion,which changes genomovar 17 into genomovar 20.