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Acinetobacter towneri harbouring blaNDM-1 and blaOXA-58: genomic characterization of the first human isolate from Brazil 含有blaNDM-1和blaOXA-58的towneri不动杆菌:巴西首个人类分离物的基因组特征
IF 5.4 Q2 INFECTIOUS DISEASES Pub Date : 2025-10-13 DOI: 10.1016/j.nmni.2025.101652
Daiana Cristina Silva Rodrigues , Bruna Ribeiro Sued-Karam , Melise Chaves Silveira , Orlando Carlos da Conceição-Neto , Bruno Rocha Pribul , Ana Paula D'Alincourt Carvalho-Assef , Cláudio Marcos Rocha-de-Souza
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引用次数: 0
Hospital wastewater microbiome & resistome: An overlooked one health crisis driving superbugs in low- and middle-income countries (LMICs) 医院废水微生物组和抵抗组:一个被忽视的健康危机驱动超级细菌在中低收入国家(LMICs)
IF 5.4 Q2 INFECTIOUS DISEASES Pub Date : 2025-10-12 DOI: 10.1016/j.nmni.2025.101653
Hemayet Hossain , Shihab Ahmed
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引用次数: 0
Evolution and the potential for human-to-human transmission of severe fever with thrombocytopenia syndrome virus in low transmission settings in China 中国低传播环境中重症发热伴血小板减少综合征病毒的演变和人际传播的可能性
IF 5.4 Q2 INFECTIOUS DISEASES Pub Date : 2025-10-11 DOI: 10.1016/j.nmni.2025.101650
Yin Wang , Yao Huang , Jie Liang , Qiumei Li , Liguo Zhu , Shuyi Liang , Zhifeng Li , Chaojie Xu , Jianli Hu , Yun Gu , Yuyang Ge , Xiuling Zhang , Zhengya Wei , Luojing Zhou , Guangyu Lu

Objective

Severe fever with thrombocytopenia syndrome (SFTS), an emerging infectious disease with substantial mortality, was first reported in China in 2009 and subsequently became endemic to South Korea, Japan, Vietnam, and the United Arab Emirates. Despite growing concerns about its transmission dynamics, the potential for human-to-human transmission through close physical contact remains inadequately explored in the literature.

Methods

We conducted comprehensive epidemiological investigations of the initial cases of SFTS. In these investigations, real-time fluorescent reverse transcription polymerase chain reaction (RT-PCR) was used to analyze blood samples, followed by whole-genome sequencing (WGS) for phylogenetic tree construction.

Results

Our analyses identified one potential index case (Case A) and one confirmed case (Case B), both of which tested positive for SFTS virus (SFTSV) nucleic acid. Notably, we observed an 8.65 % positive rate for SFTSV nucleic acid in Haemaphysalis longicornis ticks near Case A's residence. Additionally, the only potential exposure route for Case B appeared to be close physical contact with Case A. Genetic sequencing indicated high nucleotide homology (ranging from 99.63 % to 99.91 %) between the SFTSV strains isolated from both cases.

Conclusions

Collectively, our study further demonstrated that close intimate contact may serve as a significant mode of SFTSV transmission among humans. This finding underscores the importance of enhancing awareness and implementing preventive measures among patients, healthcare providers, and relevant public health personnel regarding the human-to-human transmission of SFTS, contributing to more targeted public health strategies in SFTS-endemic regions, particularly in areas with low endemicity levels.
目的发热伴血小板减少综合征(SFTS)是一种死亡率很高的新兴传染病,2009年在中国首次报道,随后在韩国、日本、越南和阿拉伯联合酋长国流行。尽管人们越来越关注其传播动力学,但通过密切身体接触进行人际传播的可能性在文献中仍未得到充分探讨。方法对初发病例进行全面流行病学调查。在这些研究中,采用实时荧光反转录聚合酶链反应(RT-PCR)对血液样本进行分析,然后采用全基因组测序(WGS)构建系统发育树。结果发现1例潜在指示病例(病例A)和1例确诊病例(病例B),均为SFTS病毒核酸检测阳性。值得注意的是,我们在A病例住所附近的长角血蜱中检测到SFTSV核酸阳性率为8.65%。此外,病例B的唯一潜在暴露途径似乎是与病例a的密切身体接触。基因测序显示,从这两例病例分离的SFTSV菌株之间具有高核苷酸同源性(范围为99.63%至99.91%)。总之,我们的研究进一步表明,密切接触可能是人类之间SFTSV传播的一种重要方式。这一发现强调了提高患者、医疗保健提供者和相关公共卫生人员对SFTS人际传播的认识和实施预防措施的重要性,有助于在SFTS流行地区,特别是在低流行水平地区制定更有针对性的公共卫生战略。
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引用次数: 0
Prevalence and characterization of third-generation cephalosporin, carbapenem and colistin-resistant Enterobacterales isolated from clinical samples in Cambodia 从柬埔寨临床样本中分离出的第三代头孢菌素、碳青霉烯和粘菌素耐药肠杆菌的患病率和特征
IF 5.4 Q2 INFECTIOUS DISEASES Pub Date : 2025-10-10 DOI: 10.1016/j.nmni.2025.101649
Gauthier Delvallez , Sokleaph Cheng , Florian Girond , Sidonn Krang , Soda Meng , Puthea Nop , Seiha Heng , Samrach Han , Sokunthy Keo , Kunthea Kong , Anne-Laure Bañuls , Mallorie Hide

Objectives

Despite the threat of antimicrobial resistance (AMR) worldwide, limited studies describe the situation in human infections in Cambodia. Our study aims to evaluate the current state of AMR and describe the resistance mechanisms of the main Enterobacterales responsible for various infections in Cambodia.

Methods

Between January and April 2020, 222 clinical Enterobacterales isolates were collected from routine diagnostics at the Medical Biology Laboratory of the Institut Pasteur du Cambodge, Phnom Penh. Antimicrobial susceptibility testing and resistance phenotype analysis were performed. Beta-lactamase genes blaCTX-M, blaSHV, blaTEM and blaOXA-1 were screened in isolates resistant to third generation cephalosporin (3 GC). Carbapenem-resistant isolates were tested for carbapenemase production using a rapid immunochromatographic assay and confirmed by gene detection. Isolates harboring blaCTX-M and carbapenemase genes were further characterized by sequencing.

Results

Overall, 39.2 % of isolates were resistant to at least one 3 GC, with 30.2 % confirmed as extended-spectrum beta-lactamase (ESBL) producers. The corresponding ESBL genes pertain to the KLUB/CTX-M-1 and KLUY/CTX-M-9 classes. Carbapenemase genes blaNDM and blaOXA–48 were detected in 4.1 % of isolates. Notably, 6.5 % of ESBL-producing Escherichia coli and Klebsiella pneumoniae also exhibited colistin resistance.

Conclusion

The prevalence and molecular characterization of 3 GC-resistant and ESBL-producing Enterobacterales in our study is consistent with recent reports. Our findings further confirm the high rate of carbapenemase producing Enterobacterales (NDM and OXA-48), including in community-acquired infections. Additionally, we report notable colistin resistance among ESBL producing E. coli and K. pneumoniae isolates. These results highlight the urgent need for AMR strengthened surveillance and antimicrobial stewardship programs in Cambodia.
尽管抗菌素耐药性(AMR)在世界范围内受到威胁,但有限的研究描述了柬埔寨人类感染的情况。我们的研究旨在评估抗生素耐药性的现状,并描述导致柬埔寨各种感染的主要肠杆菌的耐药机制。方法在2020年1月至4月期间,从金边巴斯德研究所柬埔寨医学生物学实验室的常规诊断中收集222株临床肠杆菌。进行药敏试验和耐药表型分析。从第三代头孢菌素耐药菌株中筛选β -内酰胺酶基因blaCTX-M、blaSHV、blaTEM和blaOXA-1。采用快速免疫层析法对碳青霉烯耐药菌株进行碳青霉烯酶产酶检测,并进行基因检测。分离的blaCTX-M和碳青霉烯酶基因通过测序进一步鉴定。结果39.2%的分离菌对至少一种3gc耐药,其中30.2%为广谱β -内酰胺酶(ESBL)产生菌。相应的ESBL基因属于KLUB/CTX-M-1和KLUY/CTX-M-9类。碳青霉烯酶基因blaNDM和blaOXA-48检出率为4.1%。值得注意的是,6.5%的产esbl的大肠杆菌和肺炎克雷伯菌也表现出粘菌素耐药性。结论本研究中3种耐gc和产esbl肠杆菌的患病率和分子特征与近期报道一致。我们的研究结果进一步证实了产碳青霉烯酶肠杆菌(NDM和OXA-48)的高发率,包括社区获得性感染。此外,我们报告了在产生ESBL的大肠杆菌和肺炎克雷伯菌分离株中显著的粘菌素耐药性。这些结果突出了柬埔寨迫切需要加强抗生素耐药性监测和抗微生物药物管理规划。
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引用次数: 0
Association between positive preadmission screening and COVID-19 community transmission: A retrospective observational study during an emergent novel infectious disease pandemic 入院前阳性筛查与COVID-19社区传播之间的关系:一项突发新型传染病大流行期间的回顾性观察研究
IF 5.4 Q2 INFECTIOUS DISEASES Pub Date : 2025-10-10 DOI: 10.1016/j.nmni.2025.101647
Shingo Mitsushima , Yasushi Ohkusa , Kiyosu Taniguchi , Yasuharu Tokuda , Kenji Shibuya

Background

After COVID-19 emerged, hospitals adopted preadmission screening to detect asymptomatic cases and avert nosocomial outbreaks; whether such clinical screening should be routine policy remains debated and has not been quantified in Japan.

Objective

To evaluate preadmission clinical screening as a component of pandemic preparedness.

Methods

The primary outcome was positivity on preadmission screening. We modeled COVID-19 positivity among asymptomatic preadmission patients using regression and a Tobit specification to accommodate excess zeros, then developed a predictive model. Analyses used hospital data linked to prefecture-level indicators of community transmission, including newly confirmed cases and influenza-like-illness (ILI) sentinel activity.

Results

In this single-center retrospective study, 5897 newly confirmed COVID-19 cases were analyzed at the hospital. During the same period, Mie Prefecture reported 355,879 cases overall, including 45,551 visits to ILI sentinel sites. In 2022, screening positivity among asymptomatic preadmission patients correlated strongly with the number of newly confirmed cases in the prefecture. The model predicted non-zero screening positivity when newly confirmed prefectural cases exceeded ∼10,000, regardless of assumed ILI positivity. When prefectural cases were <2,000, predicted screening positivity was ∼0 even if assumed ILI positivity was ∼40 %.

Discussion and conclusions

Findings suggest conditions for conducting preadmission clinical screening during the COVID-19 pandemic, which can support healthcare infrastructure preparedness against pandemics of novel infectious diseases.
新冠肺炎疫情发生后,医院采取入院前筛查,发现无症状病例,避免院内疫情;这种临床筛查是否应该成为常规政策仍存在争议,在日本尚未量化。目的评价入院前临床筛查作为大流行防范的组成部分。方法主要预后指标为入院前筛查阳性。我们使用回归和Tobit规范对无症状入院前患者的COVID-19阳性进行建模,以适应多余的零,然后建立预测模型。分析使用了与地级社区传播指标相关的医院数据,包括新确诊病例和流感样疾病(ILI)哨点活动。结果本研究对5897例新确诊病例进行了单中心回顾性分析。在同一时期,三重县共报告了355,879例病例,其中包括对ILI哨点的45,551次访问。2022年,全县无症状入院前患者筛查阳性与新确诊病例数密切相关。该模型预测,当新确诊的县病例超过1万例时,无论假设ILI阳性与否,筛查阳性均为非零。当县病例为2000例时,即使假定ILI阳性为40%,预测筛查阳性也为0。讨论与结论研究结果提示了在2019冠状病毒病大流行期间开展入院前临床筛查的条件,可为卫生保健基础设施防范新型传染病大流行提供支持。
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引用次数: 0
Trends and relationship between antibiotic consumption and carbapenem-resistant Gram-negative bacteria at a tertiary hospital in shaanxi, China from 2011 to 2023 陕西省某三级医院2011 - 2023年抗生素使用趋势及与耐碳青霉烯革兰氏阴性菌的关系
IF 5.4 Q2 INFECTIOUS DISEASES Pub Date : 2025-10-10 DOI: 10.1016/j.nmni.2025.101648
Hai yue Bai , Jing Wang , Chen Ma , An ni Yu , Yin Wu , Di Zhang

Background

Carbapenem-resistant infections are increasing, posing a serious public health threat. This study investigates the relationship between carbapenem-resistant Gram-negative (CRGN) organisms and antimicrobial consumption in a tertiary hospital from 2011 to 2023, particularly focusing on carbapenem consumption.

Methods

A retrospective analysis was conducted on quarterly data from 2011 to 2023 at the First Affiliated Hospital of Xi'an Jiaotong University (FAHXJU), covering antibiotic consumption and the incidence rates of carbapenem-resistant Klebsiella pneumoniae (CRKP), carbapenem-resistant Enterobacter coli (CREC), carbapenem-resistant Acinetobacter baumannii (CRAB), and carbapenem-resistant Pseudomonas aeruginosa (CRPA). Antibiotics consumption was expressed as the number of defined daily doses/1000 patient-days (DDDs/1000 PDs). Trends and correlations assessed by regression and Spearman tests.

Results

First, the total antibiotics consumption remained stable (β = 0.039, P ≥ 0.05). However, the consumption of carbapenems significantly increased (P < 0.05), from the lowest 7.91 to the highest 57.96 DDDs/1000 PDs. Second, the resistance rates of CRKP (β = 0.364) and CREC (β = 0.035) showed an upward trend (P < 0.05). While the resistance rates of CRAB (β = −0.096, P ≥ 0.05) and CRPA (β = −0.078, P ≥ 0.05) remained stable, a positive correlation was found between carbapenem use and resistance rates of CRKP and CREC (P < 0.05).

Conclusion

Despite stable overall antibiotic use, carbapenem consumption has increased substantially and is significantly correlated with the rising resistance of CRKP and CREC. Targeted antimicrobial stewardship and empirical therapy optimization are urgently needed, with future multicenter studies are required to validate these findings.
碳青霉烯耐药感染正在增加,构成严重的公共卫生威胁。本研究调查了2011 - 2023年某三级医院碳青霉烯耐药革兰氏阴性菌(CRGN)与抗菌药物消费的关系,特别关注碳青霉烯的消费。方法回顾性分析西安交通大学第一附属医院2011 - 2023年季度数据,包括耐碳青霉烯肺炎克雷伯菌(CRKP)、耐碳青霉烯大肠杆菌(CREC)、耐碳青霉烯鲍曼不动杆菌(CRAB)、耐碳青霉烯铜绿假单胞菌(CRPA)的抗生素用量及发病率。抗生素用量表示为限定日剂量/1000患者日(DDDs/1000 pd)。用回归和斯皮尔曼检验评估趋势和相关性。结果1 .抗菌药物总消费量基本稳定(β = 0.039, P≥0.05);而碳青霉烯类的消耗量则显著增加(P < 0.05),从最低的7.91 DDDs增加到最高的57.96 DDDs/1000 pdds。其次,CRKP (β = 0.364)和CREC (β = 0.035)的耐药率呈上升趋势(P < 0.05)。螃蟹的耐药率(β = - 0.096, P≥0.05)和CRPA的耐药率(β = - 0.078, P≥0.05)保持稳定,而碳青霉烯类药物的使用与CRKP和CREC的耐药率呈正相关(P < 0.05)。结论在抗生素总体使用稳定的情况下,碳青霉烯类药物的消费量大幅增加,且与CRKP和CREC耐药性的上升显著相关。迫切需要有针对性的抗菌药物管理和经验治疗优化,需要未来的多中心研究来验证这些发现。
{"title":"Trends and relationship between antibiotic consumption and carbapenem-resistant Gram-negative bacteria at a tertiary hospital in shaanxi, China from 2011 to 2023","authors":"Hai yue Bai ,&nbsp;Jing Wang ,&nbsp;Chen Ma ,&nbsp;An ni Yu ,&nbsp;Yin Wu ,&nbsp;Di Zhang","doi":"10.1016/j.nmni.2025.101648","DOIUrl":"10.1016/j.nmni.2025.101648","url":null,"abstract":"<div><h3>Background</h3><div>Carbapenem-resistant infections are increasing, posing a serious public health threat. This study investigates the relationship between carbapenem-resistant Gram-negative (CRGN) organisms and antimicrobial consumption in a tertiary hospital from 2011 to 2023, particularly focusing on carbapenem consumption.</div></div><div><h3>Methods</h3><div>A retrospective analysis was conducted on quarterly data from 2011 to 2023 at the First Affiliated Hospital of Xi'an Jiaotong University (FAHXJU), covering antibiotic consumption and the incidence rates of carbapenem-resistant <em>Klebsiella pneumoniae</em> (CRKP), carbapenem-resistant <em>Enterobacter coli</em> (CREC), carbapenem-resistant <em>Acinetobacter baumannii</em> (CRAB), and carbapenem-resistant <em>Pseudomonas aeruginosa</em> (CRPA). Antibiotics consumption was expressed as the number of defined daily doses/1000 patient-days (DDDs/1000 PDs). Trends and correlations assessed by regression and Spearman tests.</div></div><div><h3>Results</h3><div>First, the total antibiotics consumption remained stable (β = 0.039, <em>P</em> ≥ 0.05). However, the consumption of carbapenems significantly increased (<em>P</em> &lt; 0.05), from the lowest 7.91 to the highest 57.96 DDDs/1000 PDs. Second, the resistance rates of CRKP (β = 0.364) and CREC (β = 0.035) showed an upward trend (<em>P</em> &lt; 0.05). While the resistance rates of CRAB (β = −0.096, <em>P</em> ≥ 0.05) and CRPA (β = −0.078, <em>P</em> ≥ 0.05) remained stable, a positive correlation was found between carbapenem use and resistance rates of CRKP and CREC (<em>P</em> &lt; 0.05).</div></div><div><h3>Conclusion</h3><div>Despite stable overall antibiotic use, carbapenem consumption has increased substantially and is significantly correlated with the rising resistance of CRKP and CREC. Targeted antimicrobial stewardship and empirical therapy optimization are urgently needed, with future multicenter studies are required to validate these findings.</div></div>","PeriodicalId":38074,"journal":{"name":"New Microbes and New Infections","volume":"68 ","pages":"Article 101648"},"PeriodicalIF":5.4,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145321047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Langya henipavirus (LayV) as an emerging zoonotic disease: a mini-review 狼牙亨尼帕病毒(LayV)作为一种新兴的人畜共患疾病:综述
IF 5.4 Q2 INFECTIOUS DISEASES Pub Date : 2025-10-08 DOI: 10.1016/j.nmni.2025.101643
Maryam Shafaati , Milad Zandi
Henipavirus is one of the genera in the Orthoparamyxovirinae subfamily, which includes several emerging viruses that pose a major public health threat. The predominant members of the virus genus, Hendra and Nipah viruses, are extremely virulent zoonotic viruses that cause neurological and respiratory infections and outbreaks in humans. The recently discovered Langya henipavirus, a new henipavirus phylogenetically related to Mojiang henipavirus (MojV), has been associated with febrile illness in patients from China who are mainly agricultural workers. Active surveillance must be conducted worldwide in an open and collaborative manner to reduce the likelihood of this new virus causing a health crisis. More research is needed to address the remaining difficulties.
亨尼帕病毒是正粘病毒亚科中的一个属,该亚科包括几种对公共卫生构成重大威胁的新出现病毒。该病毒属的主要成员亨德拉病毒和尼帕病毒是极具毒性的人畜共患病毒,可引起神经和呼吸道感染并在人类中暴发。最近发现的狼牙亨尼帕病毒是一种与漠江亨尼帕病毒(MojV)在系统发育上相关的新型亨尼帕病毒,与中国主要农业工人的发热性疾病有关。必须在世界范围内以开放和协作的方式进行主动监测,以减少这种新病毒造成健康危机的可能性。需要更多的研究来解决剩下的困难。
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引用次数: 0
Malaria vaccines: Current developments and immunological insights 疟疾疫苗:当前发展和免疫学见解
IF 5.4 Q2 INFECTIOUS DISEASES Pub Date : 2025-10-03 DOI: 10.1016/j.nmni.2025.101646
Akanksha Verma , Ritesh Ranjha , Kuldeep Singh , Vinod Yadav , Ashima Bhaskar , Ved Prakash Dwivedi , Mradul Mohan
Malaria is a parasitic disease of public health concern affecting nearly 263 million people globally. Majorly, poor and developing countries are prone to malaria. Children under 5 years are most susceptible to malaria morbidity and mortality. The emergence of drug-resistant parasites is posing a threat to the malaria control and elimination goals. There is a need of the hour to develop new anti-malarials along with novel malaria vaccines. The genetic complexity of the parasite and multiple life stages make it challenging to develop malaria vaccines. So far, the WHO has approved only two malaria vaccines. This review discusses the prospects of these two malaria vaccines and the future vaccine candidates targeting different life stages of Plasmodium. It also highlights the recent development in identifying the host's immune responses against malaria, novel vaccine candidates, and the ideal vaccine requirement.
疟疾是一种引起公共卫生关注的寄生虫病,影响全球近2.63亿人。主要是贫穷和发展中国家容易患疟疾。5岁以下儿童最容易受到疟疾发病率和死亡率的影响。耐药寄生虫的出现对疟疾控制和消除目标构成威胁。现在迫切需要开发新的抗疟疾药物以及新的疟疾疫苗。疟原虫的遗传复杂性和多个生命阶段使得开发疟疾疫苗具有挑战性。到目前为止,世界卫生组织只批准了两种疟疾疫苗。这篇综述讨论了这两种疟疾疫苗的前景以及未来针对疟原虫不同生命阶段的候选疫苗。它还强调了在确定宿主对疟疾的免疫反应、新的候选疫苗和理想疫苗需求方面的最新进展。
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引用次数: 0
Microbiological profile of sterile site organisms and culture positivity rates from a decade of paediatric admissions at a tertiary hospital in South Africa: A lower and middle-income country perspective 南非一家三级医院儿科住院十年无菌部位微生物的微生物学概况和培养阳性率:中低收入国家的视角
IF 5.4 Q2 INFECTIOUS DISEASES Pub Date : 2025-10-03 DOI: 10.1016/j.nmni.2025.101644
Prenika Jaglal , Khine Swe-Swe Han , Colin Menezes , Sithembiso Velaphi

Background

Sterile site (SS (blood and cerebrospinal fluid)) infections are formidable causes of childhood morbidity and fatality. This study aimed to determine aetiological organisms, antimicrobial resistance patterns and sepsis trend rates in paediatric inpatients from a low-and middle-income country.

Methods

A retrospective review of SS culture results of inpatients from the neonatal unit (NNU), general paediatric (GPW) and paediatric haematology-oncology wards (PHOW) at Chris Hani Baragwanath Academic Hospital, South Africa, from January 2013 to December 2022.

Results

A total of 58 053 SS specimens were submitted for analysis. Culture-positivity rate was 36.0 %, comprising 22.8 % and 13.2 % for pathogens and contaminants. Pathogen culture-positivity rate was higher in the NNU when compared to GPW (35.5 % vs 17.6 %; OR–5.38; 95 % CI 4.99–5.81) but lower than PHOW (35.5 % vs 46.6 %; OR-0.47; 95 % CI 0.39–0.52). Infection rates per 1000 patient-days increased from 1.74 in 2013 to 3.11 in 2022. Gram-negative bacteria (GNB) (66.0 % vs 18.7 %, OR-5.70; 95 % CI 5.23–6.19) and yeast (12.4 % vs 8.4 %, OR-7.66; 95 % CI 6.13–9.57) were more common in NNU than GPW. Multidrug-resistant (MDR) pathogen prevalence was 35.1 % with extended-spectrum beta-lactamase Enterobacterales contributing 40–50 %. Carbapenem-resistant Acinetobacter species increased from 40 % to 60 % from 2013 to 2022 (p = 0.004). MRSA prevalence decreased from 30 % to 10 % from 2013 to 2022 (p = 0.004).

Conclusion

The burden of paediatric MDR gram-negative SS infection was relatively high requiring ongoing surveillance, judicious antimicrobial use, while reinforcing infection control contact-based transmission precautions. Further studies on drivers of antimicrobial resistance such as unit specific antimicrobial consumption rates and prescriber practices, should be explored.
无菌部位(血液和脑脊液)感染是儿童发病和死亡的重要原因。本研究旨在确定来自中低收入国家的儿科住院患者的病原微生物、抗菌素耐药性模式和败血症趋势率。方法回顾性分析2013年1月至2022年12月南非Chris Hani Baragwanath学术医院新生儿病房(NNU)、普通儿科病房(GPW)和儿科血液肿瘤科病房(PHOW)住院患者的SS培养结果。结果共检出SS标本58 053份。培养阳性率36.0%,其中病原菌阳性率22.8%,污染物阳性率13.2%。NNU的病原菌培养阳性率高于GPW (35.5% vs 17.6%; OR-5.38; 95% CI 4.99 ~ 5.81),但低于GPW (35.5% vs 46.6%; OR-0.47; 95% CI 0.39 ~ 0.52)。每1000个病人日的感染率从2013年的1.74上升到2022年的3.11。革兰氏阴性菌(GNB)(66.0%比18.7%,OR-5.70; 95% CI 5.23-6.19)和酵母菌(12.4%比8.4%,OR-7.66; 95% CI 6.13-9.57)在NNU中比GPW中更常见。多药耐药(MDR)病原菌患病率为35.1%,其中广谱β -内酰胺酶肠杆菌占40 - 50%。碳青霉烯耐药不动杆菌种类从2013年的40%增加到2022年的60% (p = 0.004)。MRSA患病率从2013年的30%下降到2022年的10% (p = 0.004)。结论儿童耐多药革兰氏阴性SS感染负担较高,需要持续监测、合理使用抗菌药物,同时加强感染控制和接触传播预防。应进一步研究抗菌素耐药性的驱动因素,如单位特定抗菌素消费率和开处方者的做法。
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引用次数: 0
Sexual transmission of terbinafine-resistant Trichophyton indotineae among men who have sex with men 特比萘芬耐药indodoin毛癣菌在男男性行为者中的性传播
IF 5.4 Q2 INFECTIOUS DISEASES Pub Date : 2025-10-01 DOI: 10.1016/j.nmni.2025.101645
Liza Benzoni , Matthieu Godinot , Jean Berset de Vaufleury , Victoire Reynaud , Damien Dupont , Pauline Tirard-Collet , Jean Menotti , François Durupt
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引用次数: 0
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New Microbes and New Infections
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