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1.

001-es BibID:BIBFORM077229
Első szerző:Badale, Andrea (gyógyszerész)
Cím:Fenugreek seed and its active agent diosgenin treatment effects on different metabolic parameters in rats / Andrea Badale, Annamaria Pallag, Mariann Kozma, Csaba Hegedus, Diana Kovacs, Hajnalka Gulyas, Mihaela Zdrinca, Ioan Magyar, Felicia Marc, Sebastian Nemeth, Rita Kiss
Dátum:2019
Megjegyzések:Abstract In the present study we investigated the effects of chronic oral treatment with fenugreek seeds (Trigonella foenum-graecum, TFG) and diosgenin (DG), one of its saponins, on diet induced obese (DIO) rats. Under the six weeks long treatment period metabolic parameters such as body weight, food and water intake were daily measured. At the end of the 6 weeks we performed insulin tolerance test (ITT). After 6 weeks of high fat diet the animals developed obesity. TFG treatment worsened the effects of diet induced obesity on body weight, abdominal adiposity and energy intake, but it had no effect on insulin sensitivity. Diosgenin alone did not show significant effects on the examined parameters. We conclude that diosgenin alone did not cause any particular body weight or fat gain, but is likely to interact in a complex manner with the other ingredients of the fenugreek seeds..
Tárgyszavak:Orvostudományok Elméleti orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Megjelenés:Farmacia. - 67 : 1 (2019), p. 92-98. -
További szerzők:Pallag Annamária Bombicz Mariann (1987-) (gyógyszerész) Hegedűs Csaba (1983-) (Molekuláris biológus, Cera-Med Kft. Debrecen) Kovács Diána Klára (1985-) (Molekuláris biológus) Gulyás Hajnalka Zdrîncǎ, Mihaela Magyar, Ioan Marc, Felicia Németh Sebastian Kiss Rita (1974-) (laboratóriumi diagnosztika szakorvos)
Pályázati támogatás:EFOP-3.6.2-16-2017-00009
EFOP
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Intézményi repozitóriumban (DEA) tárolt változat
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2.

001-es BibID:BIBFORM106688
035-os BibID:(cikkazonosító)1270 (WOS)000917419600001 (Scopus)85146799549
Első szerző:Blaga Zsanett
Cím:Examination of Preferences for COVID-19 Vaccines in Hungary Based on Their Properties : Examining the Impact of Pandemic Awareness with a Hybrid Choice Approach / Zsanett Blaga, Peter Czine, Barbara Takacs, Anna Szilagyi, Reka Szekeres, Zita Wachal, Csaba Hegedus, Gyula Buchholcz, Balazs Varga, Daniel Priksz, Mariann Bombicz, Adrienn Monika Szabo, Rita Kiss, Rudolf Gesztelyi, Dana Diana Romanescu, Zoltan Szabo, Miklos Szucs, Peter Balogh, Zoltan Szilvassy, Bela Juhasz
Dátum:2023
ISSN:1661-7827 1660-4601
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
COVID-19
vaccine preferences
hybrid choice modeling
pandemic awareness
Megjelenés:International Journal of Environmental Research and Public Health. - 20 : 2 (2023), p. 1-16. -
További szerzők:Czine Péter (1994-) (közgazdász) Takács Barbara (1992-) (orvos) Szilágyi Anna Tünde (1981-) Szekeres Réka (1995-) (orvos) Wachal Zita Hegedűs Csaba (1983-) (Molekuláris biológus, Cera-Med Kft. Debrecen) Buchholcz Gyula (1961-) (aneszteziológus) Varga Balázs (1984-) (kísérletes farmakológus) Priksz Dániel (1989-) (farmakológus) Bombicz Mariann (1987-) (gyógyszerész) Szabó Adrienn Mónika (1982-) (orvos) Kiss Rita (1974-) (laboratóriumi diagnosztika szakorvos) Gesztelyi Rudolf (1969-) (kísérletes farmakológus) Romanescu, Dana Diana Szabó Zoltán (1973-) (belgyógyász, kardiológus) Szűcs Miklós (1966-) (urológus, andrológus) Balogh Péter (1970-) (agrármérnök) Szilvássy Zoltán (1957-) (belgyógyász, farmakológus, klinikai farmakológus) Juhász Béla (1978-) (kísérletes farmakológus)
Pályázati támogatás:GINOP-2.3.4-15-2016-00002
GINOP
TKP2020-NKA-04
egyéb
ÚNKP-22-3
egyéb
TKP2021-EGA-19
egyéb
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Intézményi repozitóriumban (DEA) tárolt változat
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3.

001-es BibID:BIBFORM086205
035-os BibID:(WoS)000553858800078 (Scopus)85085910076
Első szerző:Hegedűs Csaba (Molekuláris biológus, Cera-Med Kft. Debrecen)
Cím:SIRT1 Activation by Equisetum Arvense L. (Horsetail) Modulates Insulin Sensitivity in Streptozotocin Induced Diabetic Rats / Csaba Hegedűs, Mariana Muresan, Andrea Badale, Mariann Bombicz, Balázs Varga, Anna Szilágyi, Dávid Sinka, Ildikó Bácskay, Mihaela Popoviciu, Ioan Magyar, Mária Magdolna Szarvas, Erzsébet Szőllősi, József Németh, Zoltán Szilvássy, Annamária Pallag, Rita Kiss
Dátum:2020
ISSN:1420-3049
Megjegyzések:Equisetum arvense L., commonly known as field horsetail is a perennial fern of which extracts are rich sources of phenolic compounds, flavonoids, and phenolic acids. Activation of SIRT1 that was shown to be involved in well-known signal pathways of diabetic cardiomyopathy has a protective effect against oxidative stress, inflammatory processes, and apoptosis that are the basis of diseases such as obesity, diabetes mellitus, or cardiovascular diseases. The aim of our study was to evaluate the antidiabetic and cardioprotective effects of horsetail extract in streptozotocin induced diabetic rats. METHODS: Diabetes was induced by a single intraperitoneal injection of 45 mg/kg streptozotocin. In the control groups (healthy and diabetic), rats were administered with vehicle, whilst in the treated groups, animals were administered with 50, 100, or 200 mg/kg horsetail extract, respectively, for six weeks. Blood glucose levels, glucose tolerance, and insulin sensitivity were determined, and SIRT1 levels were measured from the cardiac muscle. RESULTS: The horsetail extract showed moderate beneficial changes in blood glucose levels and exhibited a tendency to elevate SIRT1 levels in cardiomyocytes, furthermore a 100 mg/kg dose also improved insulin sensitivity. CONCLUSIONS: Altogether our results suggest that horsetail extract might have potential in ameliorating manifested cardiomyopathy acting on SIRT1.
Tárgyszavak:Orvostudományok Gyógyszerészeti tudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Megjelenés:Molecules. - 25 : 11 (2020), p. 2541-2561. -
További szerzők:Muresan, Mariana Badale, Andrea (1986-) (gyógyszerész) Bombicz Mariann (1987-) (gyógyszerész) Varga Balázs (1984-) (kísérletes farmakológus) Szilágyi Anna Tünde (1981-) Sinka Dávid Zsolt (1991-) (gyógyszerész) Bácskay Ildikó (1969-) (gyógyszerész, gyógyszertechnológus) Popoviciu, Mihaela Magyar, Ioan Szarvas Mária Magdolna (1989-) (élelmiszeripari mérnök) Szőllősi Erzsébet (1983-) (biológus) Németh József (1954-) (vegyész, analitikus) Szilvássy Zoltán (1957-) (belgyógyász, farmakológus, klinikai farmakológus) Pallag Annamária Kiss Rita (1974-) (laboratóriumi diagnosztika szakorvos)
Pályázati támogatás:NKFIH1150-6/2019
Egyéb
GINOP-2.3.2-15-2016-00043
GINOP
EFOP-3.6.2-16-2017-00009
EFOP
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Intézményi repozitóriumban (DEA) tárolt változat
Borító:

4.

001-es BibID:BIBFORM061364
035-os BibID:(WOS)000365744800007 (Scopus)84948683402
Első szerző:Hegedűs Csaba (Molekuláris biológus, Cera-Med Kft. Debrecen)
Cím:Effect of long-term olanzapine treatment on meal-induced insulin sensitization and on gastrointestinal peptides in female Sprague-Dawley rats / Csaba Hegedűs, Diána Kovács, Rita Kiss, Réka Sári, József Németh, Zoltán Szilvássy, Barna Peitl
Dátum:2015
ISSN:0269-8811
Megjegyzések:Meal-induced insulin sensitization (MIS), an endogenous adaptive mechanism is activated post-prandially. Reduced MIS leads to diabetes, but itsactivation improves insulin sensitivity. MIS is preserved to single olanzapine administration, therefore we aimed to investigate the chronic effect ofolanzapine on fasted-state insulin sensitivity and on MIS in female Sprague?Dawley rats. Daily food and water intake, stool and urine production andbody weight were determined. The MIS was characterized by a rapid insulin sensitivity test. Fasting hepatic and peripheral insulin sensitivity weredetermined by a hyperinsulinaemic euglycaemic glucose clamping supplemented with radiotracer technique. Fasted and post-prandial blood sampleswere obtained for plasma insulin, leptin, ghrelin, amylin, GLP-1, GIP, PYY and PP determination. Adiposity was characterized by weighing intraabdominaland inguinal fat pads. Olanzapine caused hepatic insulin resistance and a reduced metabolic clearance rate of insulin, but the MIS retainedits function. Body weight and adiposity were enhanced, but olanzapine failed to increase food intake. Fasting insulin and leptin were elevated and thepost-prandial reduction in ghrelin level was inhibited by olanzapine.The MIS remained functionally intact after long-term olanzapine treatment. Altered insulin, leptin and ghrelin levels indicate olanzapine-inducedmetabolic derangements. Pharmacological activation of MIS could potentially be exploited to treat or prevent olanzapine-induced insulin resistance.
Tárgyszavak:Orvostudományok Gyógyszerészeti tudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
olanzapine
insulin resistance
obesity
ghrelin
leptin
Megjelenés:Journal Of Psychopharmacology. - 29 : 12 (2015), p. 1271-1279. -
További szerzők:Kovács Diána Klára (1985-) (Molekuláris biológus) Kiss Rita (1974-) (laboratóriumi diagnosztika szakorvos) Sári Réka (farmakológus) Németh József (1954-) (vegyész, analitikus) Szilvássy Zoltán (1957-) (belgyógyász, farmakológus, klinikai farmakológus) Peitl Barna (1972-) (orvos, farmakológus)
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Intézményi repozitóriumban (DEA) tárolt változat
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5.

001-es BibID:BIBFORM079346
035-os BibID:(cikkazonosító)7213913 (WOS)000464702500001 (Scopus)85065782402
Első szerző:Kiss Rita (laboratóriumi diagnosztika szakorvos)
Cím:Diosgenin and Its Fenugreek Based Biological Matrix Affect Insulin Resistance and Anabolic Hormones in a Rat Based Insulin Resistance Model / Kiss Rita, Pesti-Asbóth Georgina, Szarvas Mária Magdolna, Stündl László, Cziáky Zoltán, Hegedűs Csaba, Kovács Diána, Badale Andrea, Máthé Endre, Szilvássy Zoltán, Remenyik Judit
Dátum:2019
ISSN:2314-6133 2314-6141
Megjegyzések:Fenugreek is known since ancient times as a traditional herbal medicine of its multiple beneficial effects. Fenugreek's most studied and employed effect is its hypoglycemic property, but it can also be useful for the treatment of certain thyroid disorders or for the treatment of anorexia. The regulation of glucose homeostasis is a complex mechanism, dependent on the interaction of different types of hormones and neurotransmitters or other compounds. For the study of how diosgenin and fenugreek seeds modify insulin sensitivity, we used a rat insulin resistance model induced by high-fat diet. Diosgenin in three different doses (1mg/bwkg, 10mg/bwkg, and 50mg/bwkg, respectively) and fenugreek seed (0.2 g/bwkg)were administered orally for 6weeks. Insulin sensitivity was determined by hyperinsulinemic euglycemic glucose clamp method. Our research group found that although glucose infusion rate was not significantly modified in either group, the increased insulin sensitivity index and high metabolic clearance rate of insulin found in the 1 mg/kg diosgenin and the fenugreek seed treated group suggested an improved peripheral insulin sensitivity. Results from the 10 mg/kg diosgenin group, however, suggest a marked insulin resistance. Fenugreek seed therapy results on the investigated anabolic hormones support the theory that, besides insulin and gastrointestinal peptides, the hypothalamichypopituitary axis regulated hormones synchronized action with IGF-1 also play an important role in the maintaining of normal glucose levels. Both diosgenin and fenugreek seeds are capable of interacting with substrates of the above-mentioned regulatory mechanisms, inducing serious hormonal disorders. Moreover, fenugreek seeds showed the ability to reduce the thyroid hormone levels at the periphery and to modify the T4/T3 ratio. It means that in healthy people this effect could be considered a severe side effect; however, in hypothyroidism this effect represents a possibility of alternative natural therapy.
Tárgyszavak:Agrártudományok Élelmiszertudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Diosgenin
Fenugreek
Insulin Resistance
Anabolic Hormones
Rat
Megjelenés:Biomed Research International. - 2019 (2019), p. 1-13. -
További szerzők:Pesti-Asbóth Georgina (1990-) (élelmiszerbiztonsági és -minőségi mérnök) Szarvas Mária Magdolna (1989-) (élelmiszeripari mérnök) Stündl László (1970-) (agrármérnök) Cziáky Zoltán Hegedűs Csaba (1983-) (Molekuláris biológus, Cera-Med Kft. Debrecen) Kovács Diána Klára (1985-) (Molekuláris biológus) Badale, Andrea (1986-) (gyógyszerész) Máthé Endre (1964-) (genetikus, molekuláris sejtbiológus) Szilvássy Zoltán (1957-) (belgyógyász, farmakológus, klinikai farmakológus) Gálné Remenyik Judit (1965-) (kémia tanár, okleveles vegyész)
Pályázati támogatás:EFOP-3.6.2-16-2017-00009
EFOP
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Intézményi repozitóriumban (DEA) tárolt változat
Borító:

6.

001-es BibID:BIBFORM061365
Első szerző:Kovács Diána Klára (Molekuláris biológus)
Cím:Meal-induced insulin sensitization is preserved after acute olanzapine administration in female Sprague-Dawley rats / Diána Kovács, Csaba Hegedűs, Rita Kiss, Réka Sári, József Németh, Zoltán Szilvássy, Barna Peitl
Dátum:2015
ISSN:0028-1298
Megjegyzések:Olanzapine, an atypical antipsychotic, can acutely induce fasting insulin resistance, but we do not know whether it is able to modulate the meal-induced insulin sensitization (MIS). Two main experimental groups (control and olanzapine-treated) were created with two subgroups (fasted and re-fed) within each. After oral vehicle/olanzapine administration, the first meal size and duration and the total amount of consumed food was recorded in conscious rats. Then, under anaesthesia, the carotid artery and jugular vein was prepared and cannulated to obtain samples for blood glucose and hormone determination as well as for insulin/glucose infusion, respectively. Basal insulin sensitivity and MIS was determined by homeostasis model assessment (HOMA) calculation and by rapid insulin sensitivity test, respectively. In fasted animals, olanzapine increased blood glucose and plasma insulin and reduced basal insulin sensitivity, but it failed to modify other hormone levels. Postprandial leptin and glucose-dependent insulinotropic polypeptide (GIP) levels increased, and ghrelin level decreased significantly (p?<?0.05) both in vehicle- and olanzapine-treated groups, but plasma insulin increased only in vehicle-treated animals. Furthermore, decrement in ghrelin level was attenuated in olanzapine-treated animals compared to controls. There was no significant change in the first meal size and duration or in the total amount of food consumed. Olanzapine had no effect on the MIS. We demonstrated that olanzapine can induce insulin resistance without weight gain in healthy rats. Furthermore, the MIS was preserved after acute olanzapine treatment. The blunted postprandial ghrelin and insulin response could contribute to the effect of olanzapine on feeding behaviour. Pharmacological induction of MIS may improve the olanzapine-induced insulin resistance.
Tárgyszavak:Orvostudományok Gyógyszerészeti tudományok idegen nyelvű folyóiratközlemény külföldi lapban
Olanzapine
Insulin sensitivity
Satiety
Ghrelin
Gut hormones
Megjelenés:Naunyn-Schmiedebergs Archives Of Pharmacology. - 388 : 5 (2015), p. 525-530. -
További szerzők:Hegedűs Csaba (1983-) (Molekuláris biológus, Cera-Med Kft. Debrecen) Kiss Rita (1974-) (laboratóriumi diagnosztika szakorvos) Sári Réka (farmakológus) Németh József (1954-) (vegyész, analitikus) Szilvássy Zoltán (1957-) (belgyógyász, farmakológus, klinikai farmakológus) Peitl Barna (1972-) (orvos, farmakológus)
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Intézményi repozitóriumban (DEA) tárolt változat
Borító:

7.

001-es BibID:BIBFORM080874
035-os BibID:(cikkazonosító)1966 (WoS)000487964600142 (Scopus)85071503793
Első szerző:Kun-Nemes Andrea (okleveles élelmiszermérnök)
Cím:Effect of Anthocyanin-Rich Tart Cherry Extract on Inflammatory Mediators and Adipokines Involved in Type 2 Diabetes in a High Fat Diet Induced Obesity Mouse Model / Andrea Nemes, Judit Rita Homoki, Rita Kiss, Csaba Hegedűs, Diána Kovács, Barna Peitl, Ferenc Gál, László Stündl, Zoltán Szilvássy, Judit Remenyik
Dátum:2019
ISSN:2072-6643
Megjegyzések:Male C57BL/6J mice were used to determine the possible therapeutic effects of our previously described tart cherry extract in a chronic obesity mouse model on metabolic parameters, glucose tolerance, inflammatory mediators, and antioxidant capacity. The control group received standard mouse chow, and the high fat control group was switched to a high fat diet and tap water supplemented with 5% sucrose. The high fat + anthocyanin group received the high fat and sucrose diet, but received the anthocyanin-rich tart cherry extract dissolved in their drinking water. After six weeks, an oral glucose tolerance test was performed, and the water-soluble antioxidant capacity (ACW), superoxide dismutase (SOD) activity, and the plasma levels of insulin, C-peptide, leptin, IL-6, MCP-1, adiponectin and resistin were measured. The high fat diet increased body weight, reduced glucose tolerance, and caused an elevation in leptin, IL-6, MCP-1, and resistin levels. Furthermore, antioxidant capacity was decreased with a significant elevation of SOD activity. Anthocyanin treatment failed to reverse the effects of the high fat diet on body weight and glucose tolerance, but significantly reduced the leptin and IL-6 levels. The tart cherry extract also made a significant enhancement in antioxidant capacity and SOD activity. Our results show that chronic anthocyanin intake has a potential to enhance redox status and alleviate inflammation associated with obesity.
Tárgyszavak:Természettudományok Biológiai tudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
sour cherry
anthocyanins
inflammatory mediators
adipokines
obesity
type 2 diabetes
mouse
Megjelenés:Nutrients. - 11 : 9 (2019), p. 1-17. -
További szerzők:Homoki Judit (1978-) (biológus) Kiss Rita (1974-) (laboratóriumi diagnosztika szakorvos) Hegedűs Csaba (1983-) (Molekuláris biológus, Cera-Med Kft. Debrecen) Kovács Diána Klára (1985-) (Molekuláris biológus) Peitl Barna (1972-) (orvos, farmakológus) Gál Ferenc (1964-) (élelmiszertechnológia) Stündl László (1970-) (agrármérnök) Szilvássy Zoltán (1957-) (belgyógyász, farmakológus, klinikai farmakológus) Gálné Remenyik Judit (1965-) (kémia tanár, okleveles vegyész)
Pályázati támogatás:EFOP-3.6.2-16-2017-00009
EFOP
ÚNKP 20428-3/2018/FEKUTSTRAT
egyéb
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Intézményi repozitóriumban (DEA) tárolt változat
Borító:

8.

001-es BibID:BIBFORM085888
035-os BibID:(cikkazonosító)2124 (scopus)85082286798 (wos)000529890200220
Első szerző:Wachal Zita
Cím:Retinoprotection by BGP-15, a Hydroximic Acid Derivative, in a Type II Diabetic Rat Model Compared to Glibenclamide, Metformin, and Pioglitazone / Wachal Zita, Bombicz Mariann, Priksz Dániel, Hegedűs Csaba, Kovács Diána, Szabó Adrienn Mónika, Kiss Rita, Németh József, Juhász Béla, Szilvássy Zoltán, Varga Balázs
Dátum:2020
ISSN:1661-6596 1422-0067
Megjegyzések:High blood glucose and the consequential ischemia-reperfusion (I/R) injury damage vessels of the retina, deteriorating its function, which can be clearly visualized by electroretinography (ERG). The aim of the present study was to evaluate the possible retinoprotective effects of systemic BGP-15, an emerging drug candidate, in an insulin resistant animal model, the Goto-Kakizaki rat, and compare these results with well-known anti-diabetics such as glibenclamide, metformin, and pioglitazone, which even led to some novel conclusions about these well-known agents. Experiments were carried out on diseased animal model (Goto-Kakizaki rats). The used methods include weight measurement, glucose-related measurements?like fasting blood sugar analysis, oral glucose tolerance test, hyperinsulinemic euglycemic glucose clamp (HEGC), and calculations of different indices from HEGC results?electroretinography and Western Blot. Beside its apparent insulin sensitization, BGP-15 was also able to counteract the retina-damaging effect of Type II diabetes comparable to the aforementioned anti-diabetics. The mechanism of retinoprotective action may include sirtuin 1 (SIRT1) and matrix metalloproteinase 9 (MMP9) enzymes, as BGP-15 was able to elevate SIRT1 and decrease MMP9 expression in the eye. Based on our results, this emerging hydroximic acid derivative might be a future target of pharmacological developments as a potential drug against the harmful consequences of diabetes, such as diabetic retinopathy.
Tárgyszavak:Orvostudományok Elméleti orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
electroretinography (ERG)
Goto-Kakizaki rat
pioglitazone
metformin
glibenclamide
BGP
diabetic retinopathy
Megjelenés:International Journal Of Molecular Sciences. - 21 : 6 (2020), p. 1-19. -
További szerzők:Bombicz Mariann (1987-) (gyógyszerész) Priksz Dániel (1989-) (farmakológus) Hegedűs Csaba (1983-) (Molekuláris biológus, Cera-Med Kft. Debrecen) Kovács Diána Klára (1985-) (Molekuláris biológus) Szabó Adrienn Mónika (1982-) (orvos) Kiss Rita (1974-) (laboratóriumi diagnosztika szakorvos) Németh József (1954-) (vegyész, analitikus) Juhász Béla (1978-) (kísérletes farmakológus) Szilvássy Zoltán (1957-) (belgyógyász, farmakológus, klinikai farmakológus) Varga Balázs (1984-) (kísérletes farmakológus)
Pályázati támogatás:GINOP-2.3.2-15-2016-00043
GINOP
EFOP-3.6.3-VEKOP-16-2017-00009
EFOP
NKFIH-1150-6/2019
NKFIH
Internet cím:Szerző által megadott URL
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Intézményi repozitóriumban (DEA) tárolt változat
Borító:

9.

001-es BibID:BIBFORM081263
035-os BibID:(cikkazonosító)2510875 (WOS)000492956900004 (Scopus)85068695791
Első szerző:Zaha, Dana Carmen
Cím:Recent Advances in Investigation, Prevention, and Management of Healthcare-Associated Infections (HAIs) : resistant Multidrug Strain Colonization and Its Risk Factors in an Intensive Care Unit of a University Hospital / Dana Carmen Zaha, Rita Kiss, Csaba Hegedűs, Rudolf Gesztelyi, Mariann Bombicz, Mariana Muresan, Annamaria Pallag, Miklos Zrinyi, Denes Pall, Cosmin Mihai Vesa, Otilia Micle
Dátum:2019
ISSN:2314-6133 2314-6141
Megjegyzések:Active screening for resistant multidrug strain carriers remains an important component of infection control policy in any healthcare setting indifferent of financial and logistical costs.The objective of our study was to determine the spectrum of bacterial colonization individually among intensive care unit patients. A retrospective observational study was performed in the Intensive CareUnit of Emergency Clinical CountyHospital of Oradea during 2017.Medical records of the patients were used for evaluation of source of ICU admission, previous antibiotic therapy, comorbidities, and length of hospital stay. Nasal and groin swabs for MRSA detection and rectal swabs for ESBL, VRE, and CRE detection were collected upon ICU admission of all patients in the first 24 hours and after 7 days. Swab samples were processed for isolation and identification of these resistant multidrug strains. Bacterial colonization on admission was detected in a quarter of patients included in the study. Carbapenemase-producing bacteria were the most common colonizers (21.16%). On admission, 12.06% of patients have been colonized by ESBL-producing members of the family Enterobacterales. Risk factors for colonization on admission to the ICU were chronic liver diseases and chronic renal failure for ESBL infection and chronic liver disease for CRE in male patients. Evaluation of Carmeli's score for male patients showed association only with CRE colonization. Chronic renal failure was found as risk factor for ESBL colonization in female patients. The prevalence of MRSA was 5.23% and less than 1% for VRE.There was no association between any risk factors studied and the presence of S. aureus or VRE upon admission. The 7-day ICU stay also proved to be an increased risk for ESBL and CRE infection.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Intensive Care Unit
Healthcare-Associated Infections
Megjelenés:Biomed Research International. - 2019 (2019), p. 1-9. -
További szerzők:Kiss Rita (1974-) (laboratóriumi diagnosztika szakorvos) Hegedűs Csaba (1983-) (Molekuláris biológus, Cera-Med Kft. Debrecen) Gesztelyi Rudolf (1969-) (kísérletes farmakológus) Bombicz Mariann (1987-) (gyógyszerész) Muresan, Mariana Pallag Annamária Zrínyi Miklós (kémikus) Páll Dénes (1967-) (belgyógyász, kardiológus) Vesa, Cosmin Mihai Micle, Otilia
Pályázati támogatás:EFOP-3.6.2-16-2017-00009
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