Journal of Infection in Developing Countries最新文献

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Contribution of rapid antimicrobial susceptibility testing from positive blood cultures to appropriate antibiotic treatment. 血培养阳性的快速抗菌药敏试验对适当抗生素治疗的贡献。
IF 1.3 4区 医学
Journal of Infection in Developing Countries Pub Date : 2026-09-30 DOI: 10.3855/jidc.21397
Furkan Arabacı, Hüseyin Güdücüoğlu, İsmail Davarcı
{"title":"Contribution of rapid antimicrobial susceptibility testing from positive blood cultures to appropriate antibiotic treatment.","authors":"Furkan Arabacı, Hüseyin Güdücüoğlu, İsmail Davarcı","doi":"10.3855/jidc.21397","DOIUrl":"https://doi.org/10.3855/jidc.21397","url":null,"abstract":"<p><strong>Introduction: </strong>This study aimed to evaluate the efficiency of antibiotic disks that are used to identify microorganisms, and compare rapid antimicrobial susceptibility testing (RAST) with routinely used automated systems in terms of time and accuracy.</p><p><strong>Methodology: </strong>Antibiotic disk zone diameter results were determined at the 4th, 6th, 8th, or 16th-20th hours in samples taken from blood culture bottles that were a positive for the presence of microorganisms, and conventional methods were used to provide the initial diagnosis at this stage.</p><p><strong>Results: </strong>The laboratory received a total of 5,049 blood culture bottles within a period of 5.5 months. During this period, 2,170 blood culture bottles were positive for the presence of microorganisms. The maximum sample reading time for bacteria was 6-8 hours for Gram-negative bacteria, 16-20 hours for Streptococcus pneumoniae, and 8 hours for other Gram-positive bacteria. The time (hours) difference between RAST and the automated identification system was as follows: Escherichia coli (20.9 hours), Klebsiella pneumoniae (20.8 hours), Acinetobacter baumannii (29.7 hours), Pseudomonas aeruginosa (19.2 hours), Staphylococcus aureus (15.3 hours), Enterococcus faecalis (10.8 hours), Enterococcus faecium (14.5 hours), S. pneumoniae (37 hours). S. pneumoniae demonstrated the greatest time advantage among the isolates tested, yielding results up to 37 hours earlier with the RAST method.</p><p><strong>Conclusions: </strong>Although all Gram-negative bacteria could be reported using the RAST method by the end of the 8th hour, a significant proportion of Gram-positive bacteria still required waiting until the 16th-20th hour.</p>","PeriodicalId":49160,"journal":{"name":"Journal of Infection in Developing Countries","volume":"20 9","pages":"1341-1350"},"PeriodicalIF":1.3,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149170924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Delayed Diagnosis of Leprosy in a Patient with Pulmonary Tuberculosis: Lessons for Clinical Practice. 肺结核患者麻风病的延迟诊断:临床实践的教训。
IF 1.3 4区 医学
Journal of Infection in Developing Countries Pub Date : 2026-09-30 DOI: 10.3855/jidc.21594
Novianti R Reza, Margaretha Nathania, Karunia R Dewi, Cita Rs Prakoeswa
{"title":"Delayed Diagnosis of Leprosy in a Patient with Pulmonary Tuberculosis: Lessons for Clinical Practice.","authors":"Novianti R Reza, Margaretha Nathania, Karunia R Dewi, Cita Rs Prakoeswa","doi":"10.3855/jidc.21594","DOIUrl":"https://doi.org/10.3855/jidc.21594","url":null,"abstract":"<p><strong>Introduction: </strong>Tuberculosis and leprosy are infections caused by the Mycobacterium sp. Both are significant health problems in Indonesia. Delayed diagnosis is still common in leprosy, causing disability.</p><p><strong>Case presentation: </strong>A 51-year-old with low socioeconomic status complained of cough, weight loss, and decreased appetite for more than a month. Anamnesis, physical examination, sputum, and Chest X-ray were consistent with pulmonary tuberculosis. The 10-month-old skin lesions became more inflamed one week after antituberculosis treatment. Dermatological examination revealed hyperesthetic lesions, enlargement of peripheral nerves, and negative Acid-Fast bacilli (AFB) results. He was diagnosed with multibacillary leprosy, type 1 reaction, grade 2 disability, and pulmonary tuberculosis. Treatment includes antituberculosis therapy, Multidrug Therapy, Multibasilar and corticosteroids.</p><p><strong>Discussion: </strong>A complex relationship existed between socioeconomic factors, environment, nutritional status, access to health services, and the intricate host immune system in co-infection with Mycobacterium leprae and M. tuberculosis, which affected the occurrence of delays in our case. The host immune response to TB treatment likely triggered recognition of leprosy through an immune-modulatory mechanism, manifesting as a type 1 reaction. This complexity also presented a challenge in the diagnosis and treatment process, especially in developing countries.</p><p><strong>Conclusions: </strong>This case illustrated the complexity of tuberculosis and leprosy infections, particularly in terms of risk factors, immune system interactions, and therapeutic interactions. Comprehensive management is important to prevent delays in diagnosis prevent complications such as disability, and reduce the risk of transmission of both diseases in the community.</p>","PeriodicalId":49160,"journal":{"name":"Journal of Infection in Developing Countries","volume":"20 9","pages":"1415-1419"},"PeriodicalIF":1.3,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149171712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Trend analysis in hand hygiene from the early COVID pandemic to the post-COVID periods at a Tunisian University Hospital. 突尼斯大学医院从COVID大流行早期到COVID后时期的手部卫生趋势分析
IF 1.3 4区 医学
Journal of Infection in Developing Countries Pub Date : 2026-09-30 DOI: 10.3855/jidc.21231
Imen Mlouki, Baraa Twahria, Emna Hariz, Nejla Rezg, Aida Khouildi, Rim Gharbi, Mohamed Masmoudi, Maher Saidane, Hazem Ben Ghozlane, Bahri Mahjoub, Hechmi Ben Hammouda, Faouzi Abid, Khalifa Mighri, Souheil Atrous, Sana El Mhamdi
{"title":"Trend analysis in hand hygiene from the early COVID pandemic to the post-COVID periods at a Tunisian University Hospital.","authors":"Imen Mlouki, Baraa Twahria, Emna Hariz, Nejla Rezg, Aida Khouildi, Rim Gharbi, Mohamed Masmoudi, Maher Saidane, Hazem Ben Ghozlane, Bahri Mahjoub, Hechmi Ben Hammouda, Faouzi Abid, Khalifa Mighri, Souheil Atrous, Sana El Mhamdi","doi":"10.3855/jidc.21231","DOIUrl":"https://doi.org/10.3855/jidc.21231","url":null,"abstract":"<p><strong>Introduction: </strong>The COVID-19 pandemic has further underscored the importance of Hand Hygiene (HH) adherence as an effective measure for infection prevention and control. This study aims to evaluate trends in HH practices from 2020 to 2023 and assess the impact of the COVID-19 pandemic at the University Hospital of Mahdia (Tunisia).</p><p><strong>Methodology: </strong>From June 2020 to October 2023, annual direct observations of HH were performed among health care workers (HCWs) at Mahdia hospital based on the ''HygMain Hygiene audit'' validated by the Practice Assessment Group of Hospital Hygiene in France. Data were collected through structured observations by trained doctors and hygienists. Compliance and relevance rates were analyzed for each observation period.</p><p><strong>Results: </strong>A total of 993 HH opportunities were observed across five periods from 2020 to 2023, involving 731 HCWs, predominantly paramedical staff (54.4%). Among them, 478 (65%) were female. The overall HH compliance was 22.1%, with a higher compliance rate after patient contact (28.4% vs 39%, p = 0.08). Overall, HH compliance increased significantly during the COVID-19 pandemic, peaking at 33.1% in 2022 before declining to 14.7% in 2023. Similarly, the overall HH relevance rates rose from 6.5% in 2020 to 30% in 2022, but fell to 19.4% in 2023. Compliance was higher in high-risk departments and during invasive procedures.</p><p><strong>Conclusions: </strong>The study highlights the positive impact of the COVID-19 pandemic on HH, though the post-pandemic adherence rate has declined. Continuous monitoring and institutional support are essential to enhance and maintain compliance levels, ensuring long-term improvements in infection control practices.</p>","PeriodicalId":49160,"journal":{"name":"Journal of Infection in Developing Countries","volume":"20 9","pages":"1298-1307"},"PeriodicalIF":1.3,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149168883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Genetic Association of IFITM3 rs12252 Variant with Severe COVID-19 Outcomes in Syrian Patients. IFITM3 rs12252变异与叙利亚患者严重COVID-19结局的遗传关联
IF 1.3 4区 医学
Journal of Infection in Developing Countries Pub Date : 2026-09-30 DOI: 10.3855/jidc.22682
Rahaf Zaatari, Fawza Monem
{"title":"Genetic Association of IFITM3 rs12252 Variant with Severe COVID-19 Outcomes in Syrian Patients.","authors":"Rahaf Zaatari, Fawza Monem","doi":"10.3855/jidc.22682","DOIUrl":"https://doi.org/10.3855/jidc.22682","url":null,"abstract":"<p><strong>Introduction: </strong>Following the COVID-19 pandemic, increasing attention has been directed toward host genetic factors that influence disease severity. The interferon-induced transmembrane protein 3 (IFITM3) plays a key role in restricting viral entry, and its rs12252 polymorphism has been linked to impaired antiviral defense and adverse clinical outcomes. Investigating rs12252 in the Syrian population may help clarify genetic determinants of COVID-19 progression.</p><p><strong>Methodology: </strong>A cohort study was conducted in Syria, including 82 COVID-19 patients, who were clinically classified into two groups: severe (n = 41) and moderate (n = 41). Genomic DNA was extracted from peripheral blood samples, and genotyping of the IFITM3 rs12252 polymorphism was performed using MscI restriction enzyme digestion. Genotype distributions were analyzed to evaluate potential associations with disease severity.</p><p><strong>Results: </strong>The frequency of the IFITM3 rs12252 C allele was higher in patients with severe COVID-19 (37.8%) compared to patients with moderate disease (29.3%). A statistically significant association was observed between the TC genotype (compared with TT and CC genotypes) and ICU admission (OR = 6.94; 95% CI: 1.48-32.54; p = 0.0033). After adjusting for age, the association remained significant (OR = 4.83; 95% CI: 0.93-25.09; p = 0.037).</p><p><strong>Conclusions: </strong>These findings suggest that the IFITM3 rs12252 C allele is associated with severe COVID-19 outcomes in the Syrian cohort. Screening for this variant may assist in early risk stratification and support personalized management strategies, particularly in resource-limited settings.</p>","PeriodicalId":49160,"journal":{"name":"Journal of Infection in Developing Countries","volume":"20 9","pages":"1260-1268"},"PeriodicalIF":1.3,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149170352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A retrospective study of respiratory infections in children following the COVID-19 pandemic in Wuhan, China. 中国武汉COVID-19大流行后儿童呼吸道感染的回顾性研究
IF 1.3 4区 医学
Journal of Infection in Developing Countries Pub Date : 2026-09-30 DOI: 10.3855/jidc.21858
Ran Li, Hui Zhang, Chenkun Tan, Aihong Qi, Yuduan Xie, Feng Tang
{"title":"A retrospective study of respiratory infections in children following the COVID-19 pandemic in Wuhan, China.","authors":"Ran Li, Hui Zhang, Chenkun Tan, Aihong Qi, Yuduan Xie, Feng Tang","doi":"10.3855/jidc.21858","DOIUrl":"https://doi.org/10.3855/jidc.21858","url":null,"abstract":"<p><strong>Introduction: </strong>Acute respiratory infections cause over 4 million deaths annually worldwide, half of which occur in children under 5 years, primarily in developing countries. This study investigated the impact of the coronavirus disease 2019 (COVID-19) pandemic on the epidemiological and clinical characteristics of pediatric patients with respiratory infections.</p><p><strong>Methodology: </strong>This study retrospectively analyzed 8,815 pediatric cases (0-18 years) with laboratory-confirmed respiratory infections at Wuhan Children's Hospital in pre-pandemic (November 2019-February 2020) and post-pandemic (November 2020-February 2021) periods. Included cases were symptomatic and tested positive for at least one pathogen: influenza A (FluA), influenza B (FluB), respiratory syncytial virus (RSV), Chlamydia pneumoniae (CP), Mycoplasma pneumoniae (MP), adenovirus (ADV), or coxsackievirus (CV). The pathogen distribution spectrum between periods was compared. Routine blood parameters - platelet count, white blood cell count, red blood cell count, lymphocyte percentage, neutrophil percentage, monocyte percentage, C-reactive protein, and hemoglobin - were also compared across groups and periods.</p><p><strong>Results: </strong>The post-pandemic pathogen spectrum shifted significantly. MP detection increased across all age groups (28 days-2 years, 2-8 years, 8-18 years), while other pathogens (RSV, ADV, CV, CP) decreased, with patterns varying by age. Post-pandemic platelet count and lymphocyte percentage increased, while neutrophil percentage decreased in the CP group.</p><p><strong>Conclusions: </strong>COVID-19 control measures were temporally associated with marked changes in respiratory pathogen detection; notably a rise in MP. However, changes in healthcare-seeking behavior and testing intensity are important confounders. The observed shift in pathogen spectrum requires careful interpretation within this complex context.</p>","PeriodicalId":49160,"journal":{"name":"Journal of Infection in Developing Countries","volume":"20 9","pages":"1269-1280"},"PeriodicalIF":1.3,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149166666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Fifteen-year surveillance of non-typhoidal Salmonella bloodstream infections in a tertiary care hospital in southern Türkiye. <s:1> kiye南部三级医院非伤寒沙门氏菌血液感染的15年监测。
IF 1.3 4区 医学
Journal of Infection in Developing Countries Pub Date : 2026-09-30 DOI: 10.3855/jidc.23032
Merve Yıldız Ergin, Latife Mamıkoğlu, Hatice Yazısız, Özlem Koyuncu Özyurt, Tuncer Karpuz, Gözde Öngüt, Betil Özhak, Belkıs Levent, Meral Dilara Öğünç
{"title":"Fifteen-year surveillance of non-typhoidal Salmonella bloodstream infections in a tertiary care hospital in southern Türkiye.","authors":"Merve Yıldız Ergin, Latife Mamıkoğlu, Hatice Yazısız, Özlem Koyuncu Özyurt, Tuncer Karpuz, Gözde Öngüt, Betil Özhak, Belkıs Levent, Meral Dilara Öğünç","doi":"10.3855/jidc.23032","DOIUrl":"https://doi.org/10.3855/jidc.23032","url":null,"abstract":"<p><strong>Introduction: </strong>Nontyphoidal Salmonella (NTS) is an important cause of bloodstream infections (BSIs), particularly among individuals with comorbidities or immunosuppression. Long-term data on invasive NTS infections remain limited in many regions. This retrospective study aimed to describe the clinical characteristics, serotype distribution, antimicrobial resistance (AMR) patterns, and outcomes of NTS-BSIs in a tertiary care hospital in Antalya, Türkiye, between 2005 and 2019.</p><p><strong>Methodology: </strong>Demographic and clinical data were obtained from hospital records. The isolates were identified using matrix-assisted laser desorption/ionization-time of flight (MALDI-TOF) mass spectrometry and serotyped at the National Public Health Laboratory. Antimicrobial susceptibility was determined by gradient diffusion. The results were interpreted according to the European Committee on Antimicrobial Susceptibility Testing clinical breakpoints.</p><p><strong>Results: </strong>Of the 58 included patients (62.1% male; median age 42.8 years), 96.4% had at least one comorbidity; most commonly solid organ malignancies (21.4%). Salmonella Enteritidis was the predominant serotype (82.8%), followed by S. Infantis (3.4%). The cases were most frequent in autumn (41.4%). The rates of resistance were 29.3% for ampicillin, 13.7% for ciprofloxacin, and 1.8% for trimethoprim-sulfamethoxazole. All the isolates were susceptible to ceftriaxone and azithromycin, while 12.0% exhibited multidrug resistance. The overall mortality was 25% (14/56), with ampicillin resistance detected in 6 fatal cases.</p><p><strong>Conclusions: </strong>This long-term single-center study demonstrates that S. Enteritidis is the leading cause of NTS BSIs in Antalya and is associated with seasonal clustering and notable AMR. The substantial burden of comorbidities and mortality underscores the importance of continued regional AMR surveillance and appropriate empirical treatment strategies.</p>","PeriodicalId":49160,"journal":{"name":"Journal of Infection in Developing Countries","volume":"20 9","pages":"1315-1321"},"PeriodicalIF":1.3,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149172036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Impact of COVID-19 Pandemic on carbapenem-resistant Enterobacteriaceae bloodstream infection: a single-center study in China. COVID-19大流行对碳青霉烯类耐药肠杆菌科血液感染的影响:中国单中心研究
IF 1.3 4区 医学
Journal of Infection in Developing Countries Pub Date : 2026-09-30 DOI: 10.3855/jidc.21495
Lian Xu, Changcheng Shi, Shelan Liu, Shuying Wang
{"title":"Impact of COVID-19 Pandemic on carbapenem-resistant Enterobacteriaceae bloodstream infection: a single-center study in China.","authors":"Lian Xu, Changcheng Shi, Shelan Liu, Shuying Wang","doi":"10.3855/jidc.21495","DOIUrl":"https://doi.org/10.3855/jidc.21495","url":null,"abstract":"<p><strong>Introduction: </strong>The problem of carbapenem resistance in Enterobacteriaceae is becoming increasingly serious, and Carbapenem-Resistant Enterobacteriaceae (CRE) has become a major problem in clinical infection, especially in intensive care units (ICU). The purpose of the study is to explore the impact of the occurrence of COVID-19 on the bloodstream infection of CRE (CRE-BSI) and carbapenem resistance.</p><p><strong>Methodology: </strong>In this study, adult patients with CRE-BSI from January 2019 to January 2023 were collected to perform a single-center cross-sectional study, who were divided into pre-COVID-19, COVID-19 until \"New Ten\" (only accept non-COVID-19 patients), and post-\"New Ten\" group (accept COVID-19 and non-COVID-19 patients), according to the epidemic prevention and control policy.</p><p><strong>Results: </strong>Among 184 CRE-BSI cases confirmed during pre-COVID-19, COVID-19 until \"New Ten\" and post-\"New Ten\" periods, the CRE-BSI rates were 7.81, 8.13, and 9.63 cases per 100,000 hospitalization days. Correspondingly, the carbapenem resistance rates in Enterobacteriaceae were 18.6%,16.4%, and 19.0%, respectively, although no significant statistical differences were noted between the examined periods. The intensity of antimicrobial use increased significantly (p < 0.001) after the outbreak of the epidemic, and even increased to 1.5 times after the implementation of the \"New Ten\" compared to the pre-COVID-19 period. Notably, the utilization of third- and fourth-generation cephalosporins experienced a significant increase in CRE-BSI patients during the COVID-19 epidemic (p = 0.013).</p><p><strong>Conclusions: </strong>During the epidemic, an increased broad-spectrum antimicrobial use happened in CRE-BSI patients.</p>","PeriodicalId":49160,"journal":{"name":"Journal of Infection in Developing Countries","volume":"20 9","pages":"1290-1297"},"PeriodicalIF":1.3,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149170441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Utility of nano-impregnated surface coating to achieve continuous active disinfection in ICU of a tertiary trauma center. 纳米浸渍表面涂层在三级创伤中心ICU实现持续主动消毒中的应用。
IF 1.3 4区 医学
Journal of Infection in Developing Countries Pub Date : 2026-09-30 DOI: 10.3855/jidc.21290
Sharin Varma, Nirupam Madaan, Purva Mathur, Aparna Ningombam, Rajesh Malhotra, Ganga Prasad
{"title":"Utility of nano-impregnated surface coating to achieve continuous active disinfection in ICU of a tertiary trauma center.","authors":"Sharin Varma, Nirupam Madaan, Purva Mathur, Aparna Ningombam, Rajesh Malhotra, Ganga Prasad","doi":"10.3855/jidc.21290","DOIUrl":"https://doi.org/10.3855/jidc.21290","url":null,"abstract":"<p><strong>Introduction: </strong>Implementing continuous active disinfection presents challenges as conventional cleaning methods may not fully mitigate risks. Hence, evaluating innovative technologies becomes imperative. This study assessed a nanoparticle-based surface coating containing titanium dioxide engineered into nano-molecules that is activated by normal light and provides ongoing disinfection.</p><p><strong>Methodology: </strong>The research took place in two intensive care units (ICUs): ICU A (coated) and ICU B (control). Data on healthcare-associated infections (HAIs) and environmental factors were collected pre- and post-coating application to gauge its impact. The change in percentage of positive swabs/HAI cases in ICU A was compared to ICU B and statistically analyzed using a 2-sample test for equality of proportions.</p><p><strong>Results: </strong>ICU A witnessed a 26.5% decrease in positive environment swabs post-coating, while ICU B saw a 160.9% increase. This disparity was statistically significant (p = 0.000). Both ICUs experienced decreased ventilator associated pneumonia (VAP) cases, though central line associated-blood steam infection (CLA-BSI) and catheter associated urinary tract infection (CAUTI) cases increased in ICU A post application. Following coating, positive environmental swabs and VAP decreased by 71.8%, and 72.5%, while CLA-BSI and CAUTI increased by 198% and 43.5%.</p><p><strong>Conclusions: </strong>The evaluation showed that the coating may serve to supplement traditional cleaning and disinfection methods. Further research into the efficacy and cost-effectiveness of such antimicrobial coating is needed for overall improvement in patient care.</p>","PeriodicalId":49160,"journal":{"name":"Journal of Infection in Developing Countries","volume":"20 9","pages":"1361-1367"},"PeriodicalIF":1.3,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149165465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prevalence of MRSA and associated factors among wound patients at Werabe Comprehensive Specialized Hospital, Ethiopia. 埃塞俄比亚Werabe综合专科医院伤口患者MRSA患病率及相关因素
IF 1.3 4区 医学
Journal of Infection in Developing Countries Pub Date : 2026-09-30 DOI: 10.3855/jidc.21801
Nejato O Kerala, Habtamu B Kebede, Behre D Mosa, Yasin A Wabe, Musa J Negash, Hassen M Halil, Alem A Kalayu
{"title":"Prevalence of MRSA and associated factors among wound patients at Werabe Comprehensive Specialized Hospital, Ethiopia.","authors":"Nejato O Kerala, Habtamu B Kebede, Behre D Mosa, Yasin A Wabe, Musa J Negash, Hassen M Halil, Alem A Kalayu","doi":"10.3855/jidc.21801","DOIUrl":"https://doi.org/10.3855/jidc.21801","url":null,"abstract":"<p><strong>Introduction: </strong>Staphylococcus aureus is a major global health threat due to its widespread distribution, ability to cause severe infections, and increasing antimicrobial resistance. It is responsible for a wide range of diseases, particularly skin and soft tissue infections, with wound infections being the most common. The emergence of methicillin-resistant S. aureus (MRSA) is of significant concern. However, local data on MRSA in wound infections remain limited. This study assessed the prevalence, antimicrobial susceptibility, and associated factors of MRSA among patients with wound infections at Werabe Comprehensive Specialized Hospital (WCSH).</p><p><strong>Methodology: </strong>A cross-sectional study was conducted from July 2023 to February 2024 involving 384 patients with wound infections. Wound swabs or pus samples were cultured on blood agar and mannitol salt agar. Identification of S. aureus was performed using standard biochemical tests, while MRSA detection used the cefoxitin disk diffusion method following CLSI guidelines. Data were collected using a semi-structured questionnaire, entered into Epi-info, and analyzed with SPSS. Logistic regression identified associations, with p < 0.05 considered significant.</p><p><strong>Results: </strong>Of 384 participants, 90 (23.4%) had S. aureus; of which 24 (26.7%) were MRSA. Most S. aureus isolates (87.8%) and all MRSA were resistant to penicillin but fully sensitive to linezolid. All MRSA and 31.1% of S. aureus isolates were multidrug resistant. Hospital stay > 72 hours was significantly associated with MRSA (AOR = 3.06, p = 0.031).</p><p><strong>Conclusions: </strong>There is a notable prevalence of MRSA with high multidrug resistance. Strengthening infection control, antimicrobial stewardship, and reducing prolonged hospital stays are recommended.</p>","PeriodicalId":49160,"journal":{"name":"Journal of Infection in Developing Countries","volume":"20 9","pages":"1331-1340"},"PeriodicalIF":1.3,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149168488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Human subcutaneous sparganosis caused by Spirometra erinaceieuropaei in Vietnam. 越南猪肺螨引起的人皮下斯巴达病。
IF 1.3 4区 医学
Journal of Infection in Developing Countries Pub Date : 2026-09-30 DOI: 10.3855/jidc.22574
Le Van Hai, Lam Van Lenh, Dang Thanh Chung, Pham Van Thinh, Nguyen Thu Hien, Tran Dinh Thiet, Cao Hong Phuc, Do Thanh Hoa, Do Ngoc Anh, Nguyen Ngoc Tuan
{"title":"Human subcutaneous sparganosis caused by Spirometra erinaceieuropaei in Vietnam.","authors":"Le Van Hai, Lam Van Lenh, Dang Thanh Chung, Pham Van Thinh, Nguyen Thu Hien, Tran Dinh Thiet, Cao Hong Phuc, Do Thanh Hoa, Do Ngoc Anh, Nguyen Ngoc Tuan","doi":"10.3855/jidc.22574","DOIUrl":"10.3855/jidc.22574","url":null,"abstract":"<p><strong>Introduction: </strong>Human sparganosis is a rare zoonotic disease caused by Spirometra spp. To our knowledge, this is the second documented case of human subcutaneous sparganosis in Vietnam, following the first case reported in 1995.</p><p><strong>Case presentation: </strong>A rare case of human subcutaneous sparganosis caused by Spirometra erinaceieuropaei was detected in Vietnam on April 27, 2023, using morphological and molecular methods. The source of the infection is presumed to be associated with the consumption of raw vegetables and frog hotpot.</p><p><strong>Conclusions: </strong>This case highlights the diagnostic value of molecular tools and suggests potential shifts in transmission patterns in urban Vietnam.</p>","PeriodicalId":49160,"journal":{"name":"Journal of Infection in Developing Countries","volume":"20 9","pages":"1403-1407"},"PeriodicalIF":1.3,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149168706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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