José Mário Nunes da Silva, Fredi Alexander Diaz-Quijano
{"title":"The yield of tuberculosis contact investigation in São Paulo, Brazil: a community-based cross-sectional study.","authors":"José Mário Nunes da Silva, Fredi Alexander Diaz-Quijano","doi":"10.1017/S0950268824001675","DOIUrl":"10.1017/S0950268824001675","url":null,"abstract":"<p><p>The strategy of tuberculosis (TB) contact investigation is essential for enhancing disease detection. We conducted a cross-sectional study to evaluate the yield of contact investigation for new TB cases, estimate the prevalence of TB, and identify characteristics of index cases associated with infection among contacts of new cases notified between 2010 and 2020 in São Paulo, Brazil. Out of 186466 index TB cases, 131055 (70.3%) underwent contact investigation. A total of 652286 contacts were screened, of which 451704 (69.2%) were examined. Of these, 12243 were diagnosed with active TB (yield of 1.9%), resulting in a number needed to screen of 53 and a number needed to test of 37 to identify one new TB case. The weighted prevalence for the total contacts screened was 2.8% (95% confidence interval [CI]: 2.7%-2.9%), suggesting underreporting of 6021 (95% CI: 5269-6673) cases. The likelihood of TB diagnosis was higher among contacts of cases identified through active case-finding, abnormal chest X-ray, pulmonary TB, or drug resistance, as well as among children, adults, women, individuals in socially vulnerable situations, and those with underlying clinical conditions. The study highlights significant TB underreporting among contacts, recommending strengthened contact investigation to promptly identify and treat new cases.</p>","PeriodicalId":11721,"journal":{"name":"Epidemiology and Infection","volume":"153 ","pages":"e20"},"PeriodicalIF":2.5,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11795444/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143064573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Joshua Hayes, Seung Soo Lee, Jason Carnevale, Daniel Shamir, Marc Bohbot, Andrew G Kirk, Miltiadis Paliouras, Mark A Trifiro
{"title":"Performance and functional assessment of the Kimera P-IV point-of-care plasmonic qPCR prototype for ultra rapid pathogen detection of <i>chlamydia trachomatis</i>.","authors":"Joshua Hayes, Seung Soo Lee, Jason Carnevale, Daniel Shamir, Marc Bohbot, Andrew G Kirk, Miltiadis Paliouras, Mark A Trifiro","doi":"10.1017/S0950268825000081","DOIUrl":"10.1017/S0950268825000081","url":null,"abstract":"<p><p>Current standard microbiological techniques are generally very time consuming, usually requiring 24-72 h to establish a diagnosis. Consequentially, contemporary clinical practices implement broad-spectrum antibiotic administration prior to pathogen detection, prompting the emergence of extremely dangerous antibiotic-resistant bacteria. Additionally, lengthy test-to-result turnover times can greatly exacerbate the rate of disease spread. Rapid point-of-care (POC) diagnostics has quickly gained importance since the SARS-CoV-2 pandemic; accordingly, we have developed a rapid four-channel POC plasmonic quantitative polymerase chain reaction (qPCR) machine (Kimera P-IV) to respond to the deficiencies in infection control. Utilizing gold nanorods (GNRs) as nano-heaters and integrating vertical cavity surface emitting lasers (VCSEL) to replace traditional Peltier blocks, the Kimera P-IV has also incorporated quantitative real-time fluorescent monitoring. Using <i>Chlamydia trachomatis</i> genetic material to evaluate the rapid thermocycling performance of the platform, we have generated positive amplicons in less than 13 min; however, to achieve these results, several biological reagent considerations needed to be taken into account, specifically primer design. The device can achieve a limit of detection (LoD) of <10<sup>1</sup> DNA copies, a PCR efficiency of 88.3%, and can differentiate positive from negative results with 100% accuracy. Moreover, it can also analyze <i>C. trachomatis</i> DNA spiked urine samples via a simple dilution, suggesting that a separate nucleic acid step may not be needed for diagnosing infections. In conclusion, the operation of the Kimera P-IV prototype places it in a unique position of POC devices to revolutionize infectious disease diagnosis.</p>","PeriodicalId":11721,"journal":{"name":"Epidemiology and Infection","volume":" ","pages":"e27"},"PeriodicalIF":2.5,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11869076/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143064571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Prospective study of peripartum group B streptococcus colonization in Japanese mothers and neonates - ERRATUM.","authors":"Emiko Yoshida, Jun Takeda, Yojiro Maruyama, Naoko Suga, Satoru Takeda, Hajime Arai, Atsuo Itakura, Shintaro Makino","doi":"10.1017/S0950268825000020","DOIUrl":"10.1017/S0950268825000020","url":null,"abstract":"","PeriodicalId":11721,"journal":{"name":"Epidemiology and Infection","volume":"153 ","pages":"e19"},"PeriodicalIF":2.5,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11795436/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143046010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nea Koskela, Julia Butt, Birgitta E Michels, Kari Syrjänen, Seija Grenman, Tim Waterboer, Stina Syrjänen, Karolina Louvanto
{"title":"Risk factors associated with IgG seropersistence to <i>Chlamydia trachomatis</i> and <i>Mycoplasma genitalium</i>.","authors":"Nea Koskela, Julia Butt, Birgitta E Michels, Kari Syrjänen, Seija Grenman, Tim Waterboer, Stina Syrjänen, Karolina Louvanto","doi":"10.1017/S095026882500007X","DOIUrl":"10.1017/S095026882500007X","url":null,"abstract":"<p><p>Sexually transmitted infections caused by <i>Chlamydia trachomatis (Ct)</i> and <i>Mycoplasma genitalium (Mg)</i> have significant implications both at the individual and societal levels. Our study evaluated various co-factors associated with persistent serum IgG-antibodies to <i>Ct</i> and <i>Mg.</i> Three hundred and twenty nine pregnant women and 135 men from the Finnish Family HPV study were analyzed for serum IgG-antibodies of pGP3 for <i>Ct</i> and MgPa and rMgPa for <i>Mg</i> using multiplex serology. Seropersistence to both <i>Ct</i> and <i>Mg</i> was more common in women (30.4% and 13.3%) than in men (17.4% and 5.3%). The number of lifetime sexual partners above 10, the practice of anal sex, and a history of diagnosed <i>Ct</i> were associated with seropersistence to <i>Ct</i> in women, adjusted ORs 5.6 (95%CI 1.39-22.29), 15.3 (95%CI 1.18-197.12) and 18.0 (95%CI 5.59-57.92), respectively. The increasing number of partners before the age of 20 was the main risk factor for seropersistence among women with <i>Mg</i>, adjusted OR range from 5.0 to 12.3 (95%CI range 1.17-100.90) and in men only with 6-10 partners for <i>Ct</i>, adjusted OR 12.6 (95%CI 1.55-102.49). To conclude, persistent <i>Ct</i> antibodies were associated with various sexual activities, and <i>Mg</i> seropositivity was mainly associated with increased sexual activity in early adulthood.</p>","PeriodicalId":11721,"journal":{"name":"Epidemiology and Infection","volume":" ","pages":"e104"},"PeriodicalIF":2.2,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12455505/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143028222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
L Hannah Gould, Emily Colby, Andreas Pilz, Gordon Brestrich, Kate Halsby, Patrick H Kelly, Jennifer C Moisi, James H Stark
{"title":"Lyme borreliosis awareness and risk perception: a survey in 20 European countries.","authors":"L Hannah Gould, Emily Colby, Andreas Pilz, Gordon Brestrich, Kate Halsby, Patrick H Kelly, Jennifer C Moisi, James H Stark","doi":"10.1017/S0950268825000068","DOIUrl":"10.1017/S0950268825000068","url":null,"abstract":"<p><p>An estimated 129000 cases of Lyme borreliosis (LB) are reported annually in Europe. In 2022, we conducted a representative web-based survey of 28034 persons aged 18-65 years old in 20 European countries to describe tick and LB risk exposures and perceptions. Nearly all respondents (95.0%) were aware of ticks (range, 90.4% in the UK to 98.8% in Estonia). Among those aware of ticks, most (85.1%) were also aware of LB (range, 70.3% in Switzerland to 97.0% in Lithuania). Overall, 8.3% of respondents reported a past LB diagnosis (range, 3.0% in Romania to 13.8% in Sweden). Respondents spent a weekly median of 7 (interquartile range [IQR] 3-14) hours in green spaces at home and 9 (IQR 4-16) hours away from home during April-November. The most common tick prevention measures always or often used were checking for ticks (44.8%) and wearing protective clothing (40.2%). This large multicountry survey provided needed data that can be used to design targeted LB prevention programmes in Europe.</p>","PeriodicalId":11721,"journal":{"name":"Epidemiology and Infection","volume":" ","pages":"e29"},"PeriodicalIF":2.5,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11869079/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143022863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sophie L Campman, Anders Boyd, Janke Schinkel, Liza Coyer, Charles Agyemang, Henrike Galenkamp, Anitra D M Koopman, Felix P Chilunga, Jelle Koopsen, Aeilko H Zwinderman, Suzanne Jurriaans, Karien Stronks, Maria Prins
{"title":"SARS-CoV-2 infection and vaccination status in six ethnic groups in Amsterdam, The Netherlands, May to November 2022.","authors":"Sophie L Campman, Anders Boyd, Janke Schinkel, Liza Coyer, Charles Agyemang, Henrike Galenkamp, Anitra D M Koopman, Felix P Chilunga, Jelle Koopsen, Aeilko H Zwinderman, Suzanne Jurriaans, Karien Stronks, Maria Prins","doi":"10.1017/S0950268825000056","DOIUrl":"10.1017/S0950268825000056","url":null,"abstract":"<p><p>We studied severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and vaccination status among six ethnic groups in Amsterdam, the Netherlands. We analysed participants of the Healthy Life in an Urban Setting cohort who were tested for SARS-CoV-2 spike protein antibodies between 17 May and 21 November 2022. We categorized participants with antibodies as only infected, only vaccinated (≥1 dose), or both infected and vaccinated, based on self-reported prior infection and vaccination status and previous seroprevalence data. We compared infection and vaccination status between ethnic groups using multivariable, multinomial logistic regression. Of the 1,482 included participants, 98.5% had SARS-CoV-2 antibodies (<i>P</i> between ethnic groups = 0.899). Being previously infected and vaccinated ranged from 41.5% (95% confidence interval (CI) = 35.0-47.9%) in the African Surinamese to 67.1% (95% CI = 59.1-75.0%) in the Turkish group. Compared to participants of Dutch origin, participants of South-Asian Surinamese (adjusted odds ratio (aOR) = 3.31, 95% CI = 1.50-7.31)), African Surinamese (aOR = 10.41, 95% CI = 5.17-20.94), Turkish (aOR = 3.74, 95% CI = 1.52-9.20), or Moroccan (aOR = 15.24, 95% CI = 6.70-34.65) origin were more likely to be only infected than infected and vaccinated, after adjusting for age, sex, household size, trust in the government's response to the pandemic, and month of study visit. SARS-CoV-2 infection and vaccination status varied across ethnic groups, particularly regarding non-vaccination. As hybrid immunity is most protective against coronavirus disease 2019, future vaccination campaigns should encourage vaccination uptake in specific demographic groups with only infection.</p>","PeriodicalId":11721,"journal":{"name":"Epidemiology and Infection","volume":" ","pages":"e23"},"PeriodicalIF":2.5,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11822580/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143022864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ellen Heinsbroek, Eleanor Blakey, Alex Simpson, Neville Q Verlander, David R Greig, Frieda Jorgensen, Andrew Nelson, Amy Douglas, Sooria Balasegaram, Claire Jenkins, Richard Elson
{"title":"An outbreak of Shiga toxin-producing <i>Escherichia coli</i> serotype O103:H2 associated with unpasteurized soft cheese, England and Wales, 2022.","authors":"Ellen Heinsbroek, Eleanor Blakey, Alex Simpson, Neville Q Verlander, David R Greig, Frieda Jorgensen, Andrew Nelson, Amy Douglas, Sooria Balasegaram, Claire Jenkins, Richard Elson","doi":"10.1017/S0950268824001523","DOIUrl":"10.1017/S0950268824001523","url":null,"abstract":"<p><p>In July 2022, a genetically linked and geographically dispersed cluster of 12 cases of Shiga toxin-producing <i>Escherichia coli</i> (STEC) O103:H2 was detected by the UK Health Security Agency using whole genome sequencing. Review of food history questionnaires identified cheese (particularly an unpasteurized brie-style cheese) and mixed salad leaves as potential vehicles. A case-control study was conducted to investigate exposure to these products. Case food history information was collected by telephone. Controls were recruited using a market research panel and self-completed an online questionnaire. Univariable and multivariable analyses were undertaken using Firth Logistic Regression. Eleven cases and 24 controls were included in the analysis. Consumption of the brie-style cheese of interest was associated with illness (OR 57.5, 95% confidence interval: 3.10-1,060). Concurrently, the production of the brie-style cheese was investigated. Microbiological sample results for the cheese products and implicated dairy herd did not identify the outbreak strain, but did identify the presence of <i>stx</i> genes and STEC, respectively. Together, epidemiological, microbiological, and environmental investigations provided evidence that the brie-style cheese was the vehicle for this outbreak. Production of unpasteurized dairy products was suspended by the business operator, and a review of practices was performed.</p>","PeriodicalId":11721,"journal":{"name":"Epidemiology and Infection","volume":"152 ","pages":"e172"},"PeriodicalIF":2.5,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11822579/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143002314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lordrick Alinaitwe, Martin Wainaina, Salome Dürr, Clovice Kankya, Velma Kivali, James Bugeza, Christopher Joshua Aturinda, Ashiraf Lubega, Anne Mayer-Scholl, Jolly Justine Hoona, Peter Bahn, Jens Andre Hammerl, Kristina Roesel, Elizabeth Anne Jessie Cook, Martin H Richter
{"title":"Molecular detection and typing of pathogenic <i>Leptospira</i> species from livestock and small mammals in Uganda.","authors":"Lordrick Alinaitwe, Martin Wainaina, Salome Dürr, Clovice Kankya, Velma Kivali, James Bugeza, Christopher Joshua Aturinda, Ashiraf Lubega, Anne Mayer-Scholl, Jolly Justine Hoona, Peter Bahn, Jens Andre Hammerl, Kristina Roesel, Elizabeth Anne Jessie Cook, Martin H Richter","doi":"10.1017/S0950268825000044","DOIUrl":"10.1017/S0950268825000044","url":null,"abstract":"<p><p><i>Leptospira</i> are bacteria that cause leptospirosis in both humans and animals. Human <i>Leptospira</i> infections in Uganda are suspected to arise from animal-human interactions. From a nationwide survey to determine <i>Leptospira</i> prevalence and circulating sequence types in Uganda, we tested 2030 livestock kidney samples, and 117 small mammals (rodents and shrews) using real-time PCR targeting the <i>lipL</i>32 gene. Pathogenic <i>Leptospira</i> species were detected in 45 livestock samples but not in the small mammals. The prevalence was 6.12% in sheep, 4.25% in cattle, 2.08% in goats, and 0.46% in pigs. Sequence typing revealed that <i>Leptospira borgpetersenii</i>, <i>Leptospira kirschneri</i>, and <i>Leptospira interrogans</i> are widespread across Uganda, with 13 novel sequence types identified. These findings enhance the East African MLST database and support the hypothesis that domesticated animals may be a source of human leptospirosis in Uganda, highlighting the need for increased awareness among those in close contact with livestock.</p>","PeriodicalId":11721,"journal":{"name":"Epidemiology and Infection","volume":" ","pages":"e50"},"PeriodicalIF":2.5,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12001145/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143002302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Epidemiological and osteoarticular involvement sites' characteristics of multiple osteoarticular tuberculosis: a scoping review.","authors":"Jian Zhou, Xuanjie Yang, Yong Hu, Shijun Li","doi":"10.1017/S095026882400150X","DOIUrl":"10.1017/S095026882400150X","url":null,"abstract":"<p><p>Multiple osteoarticular tuberculosis (MOT) represents an uncommon yet severe form of tuberculosis, characterized by a lack of systematic analysis and comprehension. Our objective was to delineate MOT's epidemiological characteristics and establish a scientific foundation for prevention and treatment. We conducted searches across eight databases to identify relevant articles. Pearson's chi-square test (Fisher's exact test) and Bonferroni method were employed to assess osteoarticular involvement among patients of varying age and gender (α = 0.05). The study comprised 98 articles, encompassing 151 cases from 22 countries, with China and India collectively contributing 67.55% of cases. MOT predominantly affected individuals aged 0-30 years (58.94%). Pulmonary tuberculosis was evident in 16.55% of cases, with spinal involvement prevalent (57.62%). Significant differences were noted in trunk, spine, thoracic, and lumbar vertebrae involvement, as well as type I lesions across age groups, increasing with age. Moreover, significant differences were observed in upper limb bone involvement and type II lesions across age groups, decreasing with age. Gender differences were not significant. MOT primarily manifests in China and India, predominantly among younger individuals, indicating age-related variations in osteoarticular involvement. Enhanced clinical awareness is crucial for accurate MOT diagnosis, mitigating missed diagnoses and misdiagnoses.</p>","PeriodicalId":11721,"journal":{"name":"Epidemiology and Infection","volume":" ","pages":"e26"},"PeriodicalIF":2.5,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11869084/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143002300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Angus Misan, Stephen B Lambert, Hai Phung, Megan K Young
{"title":"Evaluation of the Queensland JEV vaccine program response to the 2022 Australian outbreak - CORRIGENDUM.","authors":"Angus Misan, Stephen B Lambert, Hai Phung, Megan K Young","doi":"10.1017/S0950268825000019","DOIUrl":"10.1017/S0950268825000019","url":null,"abstract":"","PeriodicalId":11721,"journal":{"name":"Epidemiology and Infection","volume":"153 ","pages":"e14"},"PeriodicalIF":2.5,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11748007/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143002307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}