Canadian Journal of Infectious Diseases & Medical Microbiology最新文献

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Sulbactam-Durlobactam: A Novel Antibiotic Combination for the Treatment of Acinetobacter baumannii-Calcoaceticus Complex (ABC) Hospital-Acquired Bacterial Pneumonia and Ventilator-Associated Bacterial Pneumonia. 舒巴坦-杜氯巴坦:一种治疗鲍曼不动杆菌-钙酸钙复合体(ABC)医院获得性细菌性肺炎和呼吸机相关细菌性肺炎的新型联合抗生素。
IF 2.6 4区 医学
Canadian Journal of Infectious Diseases & Medical Microbiology Pub Date : 2025-01-29 eCollection Date: 2025-01-01 DOI: 10.1155/cjid/2001136
Wissam K Kabbara, Elina Sadek, Hanine Mansour
{"title":"Sulbactam-Durlobactam: A Novel Antibiotic Combination for the Treatment of <i>Acinetobacter baumannii</i>-Calcoaceticus Complex (ABC) Hospital-Acquired Bacterial Pneumonia and Ventilator-Associated Bacterial Pneumonia.","authors":"Wissam K Kabbara, Elina Sadek, Hanine Mansour","doi":"10.1155/cjid/2001136","DOIUrl":"10.1155/cjid/2001136","url":null,"abstract":"<p><p><b>Purpose:</b> To evaluate the pharmacology, pharmacokinetics, pharmacodynamics, antimicrobial activity, efficacy, safety, and the regulatory status of sulbactam-durlobactam. <b>Summary:</b> Sulbactam-durlobactam is a recently approved antimicrobial combination of two <i>β</i>-lactamase inhibitors for the treatment of hospital-acquired bacterial pneumonia (HABP) and ventilator-associated bacterial pneumonia (VABP) associated with <i>Acinetobacter baumannii</i>-calcoaceticus complex (ABC) in patients 18 years and older. Sulbactam is a direct antibacterial activity with high susceptibility to <i>A. baumannii</i> species. Durlobactam, diazabicyclooctane <i>β</i>-lactamase inhibitors possesses a broad-spectrum activity against Ambler class A, C, and D serine <i>β</i>-lactamases. This combination has been studied to overcome resistance to ABC species. Data were obtained from in vitro and preclinical studies as well as phase I, II, and III clinical studies published in English between 200t0 and January 2023. A phase II trial showed similar tolerability and pharmacokinetics parameters of sulbactam-durlobactam in patients with urinary tract infections to placebo. However, no ABC infections were included in the trial. ATTACK, a phase III clinical trial of sulbactam-durlobactam, studied the safety and efficacy of sulbactam-durlobactam in patients with ABC HABP/VABP and showed its noninferiority to colistin. Reported adverse events include anemia, elevated liver enzymes, hyperkalemia, headache, diarrhea, nausea, urticaria, and vascular pain. Sulbactam-durlobactam is a new <i>β</i>-lactamase inhibitors combination active against MDR Gram-negative bacteria including ABC. It is currently approved for the treatment of HABP/VABP caused by susceptible ABC strains.</p>","PeriodicalId":50715,"journal":{"name":"Canadian Journal of Infectious Diseases & Medical Microbiology","volume":"2025 ","pages":"2001136"},"PeriodicalIF":2.6,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11824839/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415844","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}
引用次数: 0
Mpox Virus as a Global Public Health Emergency: A Scoping Review. m痘病毒作为全球突发公共卫生事件:范围审查
IF 2.6 4区 医学
Canadian Journal of Infectious Diseases & Medical Microbiology Pub Date : 2025-01-22 eCollection Date: 2025-01-01 DOI: 10.1155/cjid/6683501
Sathish Sankar, Pachamuthu Balakrishnan, Yean K Yong, Sivadoss Raju, Vijayakumar Velu, Esaki M Shankar, Marie Larsson
{"title":"Mpox Virus as a Global Public Health Emergency: A Scoping Review.","authors":"Sathish Sankar, Pachamuthu Balakrishnan, Yean K Yong, Sivadoss Raju, Vijayakumar Velu, Esaki M Shankar, Marie Larsson","doi":"10.1155/cjid/6683501","DOIUrl":"10.1155/cjid/6683501","url":null,"abstract":"<p><p>The monkeypox (Mpox) virus has emerged as a global public health emergency of international concern recently. The virus that was endemic in West and Central Africa has now been reported with chains of global transmission to several countries. A scoping review was carried out from the relevant literature available from PubMed, Scopus and Web of Science. This comprehensive analysis describes the virus epidemiology, pathogenesis, clinical manifestations, complications including secondary bacterial infections, diagnosis, treatment and vaccination. The article underscores the significance of key viral and immune mediators of infection and discusses updated recommendations on therapeutic strategies and vaccination.</p>","PeriodicalId":50715,"journal":{"name":"Canadian Journal of Infectious Diseases & Medical Microbiology","volume":"2025 ","pages":"6683501"},"PeriodicalIF":2.6,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11779990/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068726","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}
引用次数: 0
Coxiellosis in Dogs-A Hitherto Masked Zoonosis in India: An Insight From Seromolecular Investigation and Risk Factor Analysis. 犬coxiel病-印度迄今为止被掩盖的人畜共患病:来自血清分子调查和风险因素分析的见解。
IF 2.6 4区 医学
Canadian Journal of Infectious Diseases & Medical Microbiology Pub Date : 2025-01-20 eCollection Date: 2025-01-01 DOI: 10.1155/cjid/8642619
Valil Kunjukunju Vinod, Satyaveer Singh Malik, M S Sivaprasad, Chinmay Malik, Neha Parmar, Karikalan Mathesh, Brijesh Kumar, Ujjwal Kumar De, E S Sanjumon, Jess Vergis, Sukhadeo Baliram Barbuddhe, Deepak Bhiwa Rawool
{"title":"Coxiellosis in Dogs-A Hitherto Masked Zoonosis in India: An Insight From Seromolecular Investigation and Risk Factor Analysis.","authors":"Valil Kunjukunju Vinod, Satyaveer Singh Malik, M S Sivaprasad, Chinmay Malik, Neha Parmar, Karikalan Mathesh, Brijesh Kumar, Ujjwal Kumar De, E S Sanjumon, Jess Vergis, Sukhadeo Baliram Barbuddhe, Deepak Bhiwa Rawool","doi":"10.1155/cjid/8642619","DOIUrl":"10.1155/cjid/8642619","url":null,"abstract":"<p><p><i>Coxiellaburnetii</i> is an airborne bacterial zoonotic pathogen that causes Q fever/coxiellosis in humans and animals. Although dogs are suspected of transmitting Q fever to humans in past outbreaks, the prevalence of <i>C. burnetii</i> in the Indian dog population and risk factors for infection remain unknown. In this study, 452 dogs from pet clinics in three Indian states were screened for coxiellosis using molecular (Trans-PCR, Com 1-PCR) and serological (IFAT) tests. <i>C. burnetii</i> DNA was detected in 0.44% of blood samples using Trans-PCR, and pathogen-specific antibodies were found in 4.20% of sera using IFAT. Contact with stray dogs and ownership by farmers were identified as risk factors for canine coxiellosis. This study appears to be the first systematic assessment of coxiellosis and associated risk factors among dogs in India. A large-scale assessment of canine coxiellosis and its risk factors is warranted among pets and high-risk occupational groups in India.</p>","PeriodicalId":50715,"journal":{"name":"Canadian Journal of Infectious Diseases & Medical Microbiology","volume":"2025 ","pages":"8642619"},"PeriodicalIF":2.6,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11772063/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054240","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}
引用次数: 0
The Role of Ursodeoxycholic Acid Administration During the COVID-19 Pandemic: A Questionnaire Survey. 熊去氧胆酸在COVID-19大流行中的作用:一项问卷调查
IF 2.6 4区 医学
Canadian Journal of Infectious Diseases & Medical Microbiology Pub Date : 2025-01-13 eCollection Date: 2025-01-01 DOI: 10.1155/cjid/4601882
Cheng Zhou, Ran Jia, Jinqiu Yang, Tong Liu, Xiaoyan Liu, Lin Yang, Wenxia Zhao
{"title":"The Role of Ursodeoxycholic Acid Administration During the COVID-19 Pandemic: A Questionnaire Survey.","authors":"Cheng Zhou, Ran Jia, Jinqiu Yang, Tong Liu, Xiaoyan Liu, Lin Yang, Wenxia Zhao","doi":"10.1155/cjid/4601882","DOIUrl":"10.1155/cjid/4601882","url":null,"abstract":"<p><p>In December 2022, China classified COVID-19 as a category B infectious disease. This ended 2 years of close epidemiological surveillance of COVID-19. The objective of this questionnaire was to assess the infection status in the COVID-19 pandemic since December in Henan Province, China, and the prevalence of infection in people who were taking ursodeoxycholic acid (UDCA) during this period. We distributed questionnaires to patients attending the gastroenterology clinic at the First Affiliated Hospital of Henan University of Chinese Medicine. The questionnaire lasted for 3 weeks and a total of 660 were collected, of which the number of people taking UDCA was 70. This is the first investigation into the rate of infection among those taking UDCA during the time of the COVID-19 pandemic. Our results showed that the overall infection rate among those taking UDCA was 71.43% (<i>n</i> = 50), with a 10% (<i>n</i> = 7) rate of asymptomatic infections, which was significantly lower than the 85.42% (<i>n</i> = 504) and 6.27% (<i>n</i> = 37) rates among respondents who did not take. The administration of UDCA showed a trend toward reducing the rate of COVID-19 infection, but the difference was not statistically significant when compared to patients with shorter durations of medication use. While less than 30% of participants remained uninfected during the study period, indicating a potential protective effect, it is important to note that complete prevention of SARS-CoV-2 infection by UDCA was not observed.</p>","PeriodicalId":50715,"journal":{"name":"Canadian Journal of Infectious Diseases & Medical Microbiology","volume":"2025 ","pages":"4601882"},"PeriodicalIF":2.6,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11745549/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015605","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}
引用次数: 0
Efficient Detection of West Nile Virus in Urine Specimens by a Novel In-House RT-qPCR Detection Kit. 新型室内RT-qPCR检测试剂盒高效检测尿标本中的西尼罗病毒
IF 2.6 4区 医学
Canadian Journal of Infectious Diseases & Medical Microbiology Pub Date : 2025-01-07 eCollection Date: 2025-01-01 DOI: 10.1155/cjid/6513971
Gülten Tuncel, Gökçe Akan, Melis Kalaycı, Buket Baddal, Ayşegül Bostancı, Kaya Suer, Cenk Serhan Özverel, Tamer Şanlıdağ
{"title":"Efficient Detection of West Nile Virus in Urine Specimens by a Novel In-House RT-qPCR Detection Kit.","authors":"Gülten Tuncel, Gökçe Akan, Melis Kalaycı, Buket Baddal, Ayşegül Bostancı, Kaya Suer, Cenk Serhan Özverel, Tamer Şanlıdağ","doi":"10.1155/cjid/6513971","DOIUrl":"10.1155/cjid/6513971","url":null,"abstract":"<p><p>West Nile Virus (WNV) infection represents a major global public health challenge. Even though most of the patients are asymptomatic, some cases progress to critical condition which may be fatal. Diagnosis traditionally relies on serological methods, but their limitations, including cross-reactivity, highlight the need for alternative approaches. Here, we present the development and validation of a novel RT-qPCR assay for precise and rapid detection of WNV RNA in urine, emerging as a promising specimen due to its noninvasive collection and high viral load. The assay demonstrates high efficiency and sensitivity, with a detection limit comparable to commercially available kits. This study highlights the importance of in-house kit design as a diagnostic tool in regions affected by emerging tropical infections, such as WNV, exemplified Cyprus. It emphasizes the critical role of low-cost, early detection with high sensitivity and specificity in infection control and surveillance efforts.</p>","PeriodicalId":50715,"journal":{"name":"Canadian Journal of Infectious Diseases & Medical Microbiology","volume":"2025 ","pages":"6513971"},"PeriodicalIF":2.6,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11732278/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015456","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}
引用次数: 0
Predictive Application Value of Metagenomic Next-Generation Sequencing in the Resistance of Carbapenem-Resistant Enterobacteriaceae. 新一代宏基因组测序在耐碳青霉烯肠杆菌科细菌耐药性中的预测应用价值。
IF 2.6 4区 医学
Canadian Journal of Infectious Diseases & Medical Microbiology Pub Date : 2025-01-06 eCollection Date: 2025-01-01 DOI: 10.1155/cjid/6619016
Jiacheng Tian, Chengtan Wang, Pingping Song, Zhiqing You, Xiuqin Jia, Xuan Li, Feng Pang
{"title":"Predictive Application Value of Metagenomic Next-Generation Sequencing in the Resistance of Carbapenem-Resistant Enterobacteriaceae.","authors":"Jiacheng Tian, Chengtan Wang, Pingping Song, Zhiqing You, Xiuqin Jia, Xuan Li, Feng Pang","doi":"10.1155/cjid/6619016","DOIUrl":"10.1155/cjid/6619016","url":null,"abstract":"<p><p><b>Objective:</b> Although metagenomic next-generation sequencing (mNGS) technology has achieved notable outcomes in pathogen detection, there remains a gap in the research regarding its application in predicting the antibiotic resistance of pathogenic bacteria. This study aims to analyze the clinical application value of mNGS in predicting the resistance of carbapenem-resistant Enterobacteriaceae (CRE), as well as the relevant influencing factors, thereby providing valuable insights for clinical antimicrobial therapy. <b>Methods:</b> Nonduplicate isolates of <i>Enterobacterales</i> bacteria collected from Liaocheng People's Hospital from April 2023 to June 2024 were selected, and CRE bacteria were screened. mNGS was used to detect resistance genes, and the results were compared with those of polymerase chain reaction (PCR) to evaluate the specificity and sensitivity of gene detection. Furthermore, the performance of mNGS in identifying pathogenic microorganisms and predicting antibiotic resistance was assessed by comparing the sequencing results with those of antimicrobial susceptibility testing (AST). <b>Results:</b> A total of 46 isolates were confirmed as CRE through traditional AST and were further identified using the Vitek MS and Vitek 2 systems. The results indicated 27 isolates of <i>Klebsiella pneumoniae</i>, 14 isolates of <i>Escherichia coli</i>, 2 isolates of <i>Enterobacter hormaechei</i>, 2 isolates of <i>Enterobacter cloacae</i>, and 1 isolate of <i>Citrobacter freundii</i>. These isolates were subjected to both mNGS and PCR for detection. The calculation of the area under the receiver operating characteristic (ROC) curve demonstrated the reliability of mNGS in detecting resistance genes. <b>Conclusion:</b> mNGS demonstrated high sensitivity in predicting the presence of carbapenemase resistance genes in CRE, showing potential in early indication of isolate resistance information, thereby facilitating timely guidance for clinical treatment strategies.</p>","PeriodicalId":50715,"journal":{"name":"Canadian Journal of Infectious Diseases & Medical Microbiology","volume":"2025 ","pages":"6619016"},"PeriodicalIF":2.6,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11729505/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015577","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}
引用次数: 0
Comprehensive Analysis of Virulence Genes, Antibiotic Resistance, Biofilm Formation, and Sequence Types in Clinical Isolates of Klebsiella pneumoniae. 肺炎克雷伯菌临床分离株毒力基因、抗生素耐药性、生物膜形成和序列类型的综合分析。
IF 2.6 4区 医学
Canadian Journal of Infectious Diseases & Medical Microbiology Pub Date : 2024-12-19 eCollection Date: 2024-01-01 DOI: 10.1155/cjid/1403019
Mohsen Nazari, Jaber Hemmati, Babak Asghari
{"title":"Comprehensive Analysis of Virulence Genes, Antibiotic Resistance, Biofilm Formation, and Sequence Types in Clinical Isolates of <i>Klebsiella pneumoniae</i>.","authors":"Mohsen Nazari, Jaber Hemmati, Babak Asghari","doi":"10.1155/cjid/1403019","DOIUrl":"10.1155/cjid/1403019","url":null,"abstract":"&lt;p&gt;&lt;p&gt;&lt;b&gt;Background:&lt;/b&gt; The rise in multidrug-resistant pathogens poses a formidable challenge in treating hospital-acquired infections, particularly those caused by &lt;i&gt;Klebsiella pneumoniae&lt;/i&gt;. Biofilm formation is a critical factor contributing to antibiotic resistance, enhancing bacterial adherence and persistence. &lt;i&gt;K. pneumoniae&lt;/i&gt; strains vary in virulence factors, influencing their pathogenicity and resistance profiles. This study aimed to comprehensively analyze virulence factors, antibiotic resistance patterns, and biofilm formation in clinical isolates of &lt;i&gt;K. pneumoniae&lt;/i&gt; from Hamadan hospitals. Moreover, the study explored the molecular epidemiological relationships among isolates using multilocus sequence typing (MLST) to uncover the genetic diversity associated with resistance and virulence. &lt;b&gt;Materials and Methods:&lt;/b&gt; Between December 2022 and April 2024, 402 &lt;i&gt;K. pneumoniae&lt;/i&gt; isolates were collected from clinical samples, including urine, tracheal aspirates, blood, wounds, and abscesses, in teaching hospitals in Hamadan. Initial culturing was performed on blood agar and MacConkey agar, and isolates were identified using biochemical tests. Antimicrobial susceptibility testing followed CLSI, employing the Kirby-Bauer disk diffusion method with 10 antibiotics. Biofilm formation was assessed using the microtiter plate method, and virulence genes were detected by PCR. MLST analysis was conducted on 10 selected isolates based on their virulence gene profiles and resistance patterns. &lt;b&gt;Result:&lt;/b&gt; Of the 456 clinical isolates analyzed, 402 (88.15%) were identified as &lt;i&gt;K. pneumoniae&lt;/i&gt;, predominantly isolated from tracheal samples (251/402, 62.44%), followed by urine (105/402, 26.12%), blood (30/402, 7.46%), wounds (15/402, 3.73%), and abscesses (1/402, 0.25%). Antibiotic resistance rates revealed high resistance to cefepime (356/402, 88.55%), imipenem (345/402, 85.82%), and ceftazidime (305/402, 75.87%), while resistance to amikacin (165/402, 41.04%) and piperacillin-tazobactam (75/402, 18.65%) was comparatively lower. Biofilm formation varied among the isolates, with 17/402 (4.22%) forming strong biofilms, 104/402 (25.87%) moderate biofilms, 180/402 (44.78%) weak biofilms, and 101/402 (25.12%) showing no biofilm production. Virulence gene analysis indicated high prevalence rates for &lt;i&gt;mrkD&lt;/i&gt; (396/402, 98.50%), &lt;i&gt;fimH1&lt;/i&gt; (351/402, 87.31%), and &lt;i&gt;entB&lt;/i&gt; (402/402, 100%), while genes like &lt;i&gt;irp-1&lt;/i&gt; (151/402, 37.56%) and &lt;i&gt;irp-2&lt;/i&gt; (136/402, 33.83%) were less common, and &lt;i&gt;hylA&lt;/i&gt; and &lt;i&gt;cnf-1&lt;/i&gt; were absent. MLST analysis of 10 selected isolates identified sequence types ST147 (5/10, 50%), ST11 (3/10, 30%), and ST15 (2/10, 20%). &lt;b&gt;Conclusion:&lt;/b&gt; &lt;i&gt;K. pneumoniae&lt;/i&gt; demonstrates notable biofilm-associated antibiotic resistance, supported by a significant association with XDR strains, along with a diverse array of virulence gene profiles. The study underscores the importance of understanding molecular epide","PeriodicalId":50715,"journal":{"name":"Canadian Journal of Infectious Diseases & Medical Microbiology","volume":"2024 ","pages":"1403019"},"PeriodicalIF":2.6,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11671628/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142903943","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}
引用次数: 0
The Bacterial Biofilms: Formation, Impacts, and Possible Management Targets in the Healthcare System. 细菌生物膜:在医疗保健系统中的形成、影响和可能的管理目标。
IF 2.6 4区 医学
Canadian Journal of Infectious Diseases & Medical Microbiology Pub Date : 2024-12-16 eCollection Date: 2024-01-01 DOI: 10.1155/cjid/1542576
Eric Omori Omwenga, Silas Onyango Awuor
{"title":"The Bacterial Biofilms: Formation, Impacts, and Possible Management Targets in the Healthcare System.","authors":"Eric Omori Omwenga, Silas Onyango Awuor","doi":"10.1155/cjid/1542576","DOIUrl":"10.1155/cjid/1542576","url":null,"abstract":"<p><p><b>Introduction:</b> The persistent increase in multidrug-resistant pathogens has catalyzed the creation of novel strategies to address antivirulence and anti-infective elements. Such methodologies aim to diminish the selective pressure exerted on bacterial populations, decreasing the likelihood of resistance emergence. This review explores the role of biofilm formation as a significant virulence factor and its impact on the development of antimicrobial resistance (AMR). <b>Case Presentation:</b> The ability of bacteria to form a superstructure-biofilm-has made resistance cases in the microbial world a big concern to public health and other sectors as it is a crucial virulence factor that causes difficulties in the management of infections, hence enhancing chronic infection occurrence. Biofilm formation dates to about 3.4 billion years when prokaryotes were discovered to be forming them and since then due to evolution and growth in science, they are more understood. <b>Management and Outcome:</b> The unique microenvironments within bacterial biofilms diminish antibiotic effectiveness and help bacteria evade the host immune system. Biofilm production is a widespread capability among diverse bacterial species. Biofilm formation is enhanced by quorum sensing (QS), reduction of nutrients, or harsh environments for the bacteria. <b>Conclusion:</b> The rise of severe, treatment-resistant biofilm infections poses major challenges in medicine and agriculture, yet much about how these biofilms form remains unknown.</p>","PeriodicalId":50715,"journal":{"name":"Canadian Journal of Infectious Diseases & Medical Microbiology","volume":"2024 ","pages":"1542576"},"PeriodicalIF":2.6,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11666319/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883271","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}
引用次数: 0
Alterations of the Intestinal Mucosal Barrier and Gut Fungal Microbiome in Asymptomatic HIV-Infected Patients. 无症状hiv感染者肠黏膜屏障和肠道真菌微生物组的改变
IF 2.6 4区 医学
Canadian Journal of Infectious Diseases & Medical Microbiology Pub Date : 2024-12-09 eCollection Date: 2024-01-01 DOI: 10.1155/cjid/6995192
Wenjie Li, Yong Qing, Qiuyue Yu, Hulian Zhang, Zhen Rang, Shuangli Li, Fan Cui
{"title":"Alterations of the Intestinal Mucosal Barrier and Gut Fungal Microbiome in Asymptomatic HIV-Infected Patients.","authors":"Wenjie Li, Yong Qing, Qiuyue Yu, Hulian Zhang, Zhen Rang, Shuangli Li, Fan Cui","doi":"10.1155/cjid/6995192","DOIUrl":"10.1155/cjid/6995192","url":null,"abstract":"<p><p>Damage to the intestinal mucosal barrier and dysbiosis of the gut microbiota are critical factors in HIV progression, reciprocally influencing each other. Besides bacteria, the fungal microbiota, a significant component of the gut, plays a pivotal role in this dysregulation. This study aims to investigate changes in the gut mucosal barrier and mycobiota during the initial stages of HIV infection, focusing on the involvement of intestinal fungi and their secretions in mucosal damage. Peripheral blood, intestinal mucosa, and fecal samples were collected from 13 asymptomatic HIV-infected individuals at the non-AIDS stage and 13 healthy controls. Assessments included colonoscopy, immune function analysis, and measurement of mucosal damage markers (LPS, I-FABP, and D-LA) and inflammatory cytokines (IL-6 and IL-18). Additionally, Claudin-1 levels in mucosal samples and fungal profiles in fecal samples were evaluated. The study found that colonic abnormalities were significantly more prevalent in the HIV group compared to healthy controls (<i>p</i> < 0.001) and Claudin-1 levels were notably lower in the HIV group (<i>p</i> <  0.001). <i>Candida albicans</i> (<i>p</i>=0.0084), its secretion SAP1 (<i>p</i>=0.023), and the levels of IL-18 (<i>p</i>=0.0016) and IL-6 (<i>p</i> < 0.001) were all significantly higher in the HIV group. CD4+ T-cell counts were positively correlated with Claudin-1 expression (<i>p</i>=0.034, <i>r</i> = 0.417). <i>Candida albicans</i> showed negative correlations with several virulence factors, while other fungi exhibited varied correlations. Additionally, Claudin-1 levels were significantly negatively correlated with <i>Candida albicans</i> (<i>p</i>=0.013, <i>r</i> = -0.668), SAP1 (<i>p</i>=0.027, <i>r</i> = -0.609), IL-18 (<i>p</i> < 0.001, <i>r</i> = -0.922), and IL-6 (<i>p</i> < 0.001, <i>r</i> = -0.920). Overall, these findings suggest that asymptomatic HIV-infected individuals have already exhibited intestinal mucosal damage in the early stage and highlight the critical role of <i>Candida albicans</i> and its secretions in early-stage intestinal mucosal barrier damage.</p>","PeriodicalId":50715,"journal":{"name":"Canadian Journal of Infectious Diseases & Medical Microbiology","volume":"2024 ","pages":"6995192"},"PeriodicalIF":2.6,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11779998/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068725","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}
引用次数: 0
Clinical Features of Long COVID Patients Coinfected With Mycoplasma pneumoniae. 合并感染肺炎支原体的长期 COVID 患者的临床特征。
IF 2.6 4区 医学
Canadian Journal of Infectious Diseases & Medical Microbiology Pub Date : 2024-12-07 eCollection Date: 2024-01-01 DOI: 10.1155/cjid/7213129
Xiaodan Zhu, Yanhua Li, Jinghua Wang, Weifei Gao
{"title":"Clinical Features of Long COVID Patients Coinfected With <i>Mycoplasma pneumoniae</i>.","authors":"Xiaodan Zhu, Yanhua Li, Jinghua Wang, Weifei Gao","doi":"10.1155/cjid/7213129","DOIUrl":"10.1155/cjid/7213129","url":null,"abstract":"<p><p><b>Background:</b> Since the SARS-CoV-2 pandemic, many patients have suffered prolonged complications, called \"long COVID.\" <i>Mycoplasma pneumoniae</i> is a common respiratory pathogen. Reports of simultaneous long COVID and <i>M. pneumoniae</i> infections are rare in the literature. <b>Methods:</b> We analyzed the clinical data of patients with long COVID-19 who visited the Respiratory Clinic of The Affiliated Hospital of Hangzhou Normal University between January 1 and January 31, 2023, together with their laboratory and radiographic findings, with Pearson's <i>χ</i> <sup>2</sup> test. <b>Results:</b> Fifty-two patients diagnosed with both long COVID and <i>M. pneumoniae</i> infection and 77 with long COVID only were compared. The ages, clinical symptoms, and comorbidities of the two groups did not differ significantly (<i>p</i> > 0.05). However, sex and imaging findings differed between the groups. <b>Conclusions:</b> Our study showed that long COVID-<i>M. pneumoniae</i> coinfection was more commonly seen in females and patients with typical chest computed tomography (CT) images.</p>","PeriodicalId":50715,"journal":{"name":"Canadian Journal of Infectious Diseases & Medical Microbiology","volume":"2024 ","pages":"7213129"},"PeriodicalIF":2.6,"publicationDate":"2024-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11646145/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830703","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}
引用次数: 0
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