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The increasing prevalence of Japanese spotted fever in China: A dominant rickettsial threat 日本斑疹热在中国日益流行:立克次体的主要威胁。
IF 14.3 1区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2025-02-01 DOI: 10.1016/j.jinf.2024.106387
Zhongqiu Teng , Xue Zhang , Na Zhao, Lupeng Dai, Xianxian Zhang, Ling Han, Tian Qin
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引用次数: 0
Characteristics, risk factors and clinical impact of penicillin and other antibiotic allergies in adults in the UK General Practice: A population-based cohort study 英国成人青霉素和其他抗生素过敏的特点、危险因素和临床影响:一项基于人群的队列研究
IF 14.3 1区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2025-02-01 DOI: 10.1016/j.jinf.2024.106367
Yogini H Jani , Boqing Chen , Neil Powell , Philip Howard , Jonathan Sandoe , Robert West , Wallis CY Lau

Objective

To assess the characteristics, risk factors and clinical impact of penicillin and other antibiotic allergy labels in general practice in the UK.

Design

Population-based cohort study.

Setting

Primary care in the UK, 2000–2018.

Participants

Adults aged 18–100 years who were registered with their general practice for at least 12 months between 01-Jan-2000 and 31-Dec-2018 and followed until 25-Sep-2019.

Main outcome measures

The main outcomes include the annual prevalence and incidence of penicillin and other antibiotic allergy labels. Multinominal logistic regression was used to examine the characteristics associated with receiving an allergy label to different antibiotics. Cox regression modelling was used to compare the risk of resistant infections (methicillin-resistant Staphylococcus aureus [MRSA] and vancomycin-resistant enterococci) as well as Clostridioides difficile (C.difficile) infection between patients with and without allergy labels. The monthly proportion of patients who had a penicillin allergy test, either before their allergy label was recorded or within one year, was calculated to assess any impact of NICE penicillin allergy assessment recommendations (Clinical guideline [CG183]) in September 2014.

Results

Both the prevalence and incidence of penicillin allergy label showed a pattern of initial growth followed by a decline. The prevalence reached a maximum of 8.25% in 2011, and the incidence peaked at 0.46% in 2004. Older age, being female, living in less deprived areas, belonging to a larger general practice, and having co-morbidities were associated with a higher chance of receiving a penicillin or other antibiotic allergy label. Patients with antibiotic allergy labels were more likely to receive alternative broad-spectrum antibiotics and had a higher risk of MRSA and C.difficile infections. The introduction of NICE drug allergy guideline did not alter the proportion of patients undergoing penicillin allergy assessment.

Conclusion

Penicillin and other antibiotic allergy labels are common and lead to radical change in the antibiotic prescribing practices and are associated with resistant and healthcare associated infections.
目的:了解青霉素及其他抗生素过敏标签在英国的特点、危险因素及临床影响。设计:基于人群的队列研究。背景:2000-2018年英国初级保健。参与者:年龄在18-100岁之间的成年人,他们在2000年1月1日至2018年12月31日期间在全科诊所注册了至少12个月,并随访至2019年9月25日。主要结局指标:主要结局指标包括青霉素和其他抗生素过敏标签的年患病率和发病率。使用多项逻辑回归来检查与接受不同抗生素过敏标签相关的特征。采用Cox回归模型比较有和没有过敏标签的患者之间耐药感染(耐甲氧西林金黄色葡萄球菌[MRSA]和耐万古霉素肠球菌)以及艰难梭菌(C.difficile)感染的风险。计算2014年9月记录过敏标签前或一年内每月进行青霉素过敏试验的患者比例,以评估NICE青霉素过敏评估建议(临床指南[CG183])的影响。结果:青霉素过敏标签的流行率和发生率均呈先上升后下降的趋势。2011年患病率最高,为8.25%,2004年发病率最高,为0.46%。年龄较大、女性、生活在较贫困地区、属于较大的全科诊所以及有合并症与接受青霉素或其他抗生素过敏标签的可能性较高相关。有抗生素过敏标签的患者更有可能接受替代广谱抗生素,并且MRSA和艰难梭菌感染的风险更高。NICE药物过敏指南的引入并未改变接受青霉素过敏评估的患者比例。结论:青霉素和其他抗生素过敏标签是常见的,导致抗生素处方实践的根本改变,并与耐药和卫生保健相关感染有关。
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引用次数: 0
Virological characterization of Parvovirus B19 isolated during the atypical 2023-2024 outbreak in France 法国2023-2024年非典型暴发期间分离的细小病毒B19的病毒学特征
IF 14.3 1区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2025-02-01 DOI: 10.1016/j.jinf.2025.106409
Nicolas Veyrenche , Jacques Fourgeaud , Marianne Burgard , Slimane Allali , Julie Toubiana , Yaël Pinhas , Pierre Frange , Tiffany Guilleminot , Neil Derridj , Jérémie F. Cohen , Marianne Leruez-Ville

Background

A Parvovirus B19 (B19V) outbreak has been reported in Europe in 2023–2024. The aims of this study were 1) to describe the incidence of primary cases from 2012 to 2024 in one French hospital 2) to analyze the genome of 2023 strains 3) to identify virological profiles according to the clinical presentations of B19V infection.

Methods

The incidence of B19V primary cases was studied through an interrupted time-series analysis. Genomes of 2023 strains were sequenced in the NS1-VP1u region. Blood viral loads, IgG and IgM levels were analyzed in 158 cases according to clinical manifestations with Kruskal-Wallis test and a machine learning approach based on k-nearest neighbors.

Results

During the 2023–2024 B19V outbreak, there was an 8-time increase in the incidence of B19V infections compared with pre-pandemic levels (8.25 (95%CI: 5.79–11.76)). The 2023 strains belonged to genotype 1a and were closely related to pre-2019 strains. Blood viral loads were significantly different between clinical presentations (p<0.0001). Machine learning allowed us to classify 68.8% (95% CI: 60.9–75.9) patients into the correct clinical group.

Conclusions

The 2023–24 epidemic is probably due to the reemergence of the pre-2019 strain. The virological profiles highlighted in this study could assist in accurately interpreting virology results.
背景:据报道,欧洲在2023-2024年爆发了细小病毒B19 (B19V)。本研究的目的是:1)描述法国某医院2012 - 2024年B19V的发病情况;2)分析2023株B19V的基因组;3)根据B19V感染的临床表现确定病毒学特征。方法:采用中断时间序列分析方法对B19V原发病例的发生率进行研究。在NS1-VP1u区对2023株进行了基因组测序。采用Kruskal-Wallis试验和基于k近邻的机器学习方法,根据临床表现分析158例患者的血液病毒载量、IgG和IgM水平。结果:在2023-2024年B19V暴发期间,B19V感染发生率比大流行前增加了8倍(8.25 (95%CI: 5.79 ~ 11.76))。2023株属于1a基因型,与2019年前的菌株密切相关。结论:2023-24年的流行可能是由于2019年前的毒株再次出现所致。本研究强调的病毒学特征有助于准确解释病毒学结果。
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引用次数: 0
Immune checkpoint blockade in experimental bacterial infections 实验性细菌感染的免疫检查点阻断。
IF 14.3 1区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2025-02-01 DOI: 10.1016/j.jinf.2024.106391
Nicole L. Henriksen , Peter Ø. Jensen , Louise K. Jensen
Immune checkpoint inhibitors designed to reinvigorate immune responses suppressed by cancer cells have revolutionized cancer therapy. Similarities in immune dysregulation between cancer and infectious diseases have prompted investigations into the role of immune checkpoints in infectious diseases, including the therapeutic potential of immune checkpoint blockade and drug repurposing. While most research has centered around viral infections, data for bacterial infections are emerging. This systematic review reports on the in vivo effect of immune checkpoint blockade on bacterial burden and selected immune responses in preclinical studies of bacterial infection, aiming to assess if there could be a rationale for using immunotherapy for bacterial infections. Of the 42 analyzed studies, immune checkpoint blockade reduced the bacterial burden in 60% of studies, had no effect in 28% and increased the bacterial burden in 12%. Findings suggest that the effect of immune checkpoint blockade on bacterial burden is context-dependent and in part relates to the pathogen. Further preclinical research is required to understand how the therapeutic effect of immune checkpoint blockade is mediated in different bacterial infections, and if immune checkpoint blockade can be used as an adjuvant to conventional infection management strategies.
免疫检查点抑制剂旨在重新激活被癌细胞抑制的免疫反应,已经彻底改变了癌症治疗。癌症和传染病之间免疫失调的相似性促使人们研究免疫检查点在传染病中的作用,包括免疫检查点阻断和药物再利用的治疗潜力。虽然大多数研究都集中在病毒感染上,但细菌感染的数据正在出现。本系统综述报道了在细菌感染的临床前研究中,免疫检查点阻断对细菌负荷的体内影响和选择的免疫反应,旨在评估是否有可能使用免疫疗法治疗细菌感染的理由。在42项分析的研究中,免疫检查点阻断减少了60%的研究中的细菌负担,28%的研究没有影响,12%的研究增加了细菌负担。研究结果表明,免疫检查点阻断对细菌负担的影响是依赖于环境的,部分与病原体有关。需要进一步的临床前研究来了解免疫检查点阻断在不同细菌感染中的治疗效果是如何介导的,以及免疫检查点阻断是否可以作为传统感染管理策略的辅助手段。
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引用次数: 0
Microbial landscape in cerebrospinal fluid of suspected intracranial infections based on clinical metagenomics, a multicentre retrospective study
IF 14.3 1区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2025-02-01 DOI: 10.1016/j.jinf.2024.106385
Huili Zhou , Xindie Ren , Yujing Li , Caihong Ji , Xin Wei , Xiaohan Huang , Qianqian Wang, Xuan Zhang, Yongpo Jiang, Mingqiang Wang, Hongyu Wang, Nan Wang, Kang Wang, Chao Jiang, Lingtong Huang, Qi Xia
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引用次数: 0
Clinical management of human herpesvirus-8-related illnesses in solid organ transplant recipients 实体器官移植受者人类疱疹病毒-8相关疾病的临床处理
IF 14.3 1区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2025-02-01 DOI: 10.1016/j.jinf.2024.106366
Alessia Dalla Pria , Ines Ushiro-Lumb , Mark Bower
In solid organ transplant recipients (SOTRs), the oncogenic virus human herpesvirus-8 (HHV-8) also named Kaposi sarcoma herpesvirus (KSHV) causes four clinical diseases: Kaposi Sarcoma, Primary Effusion Lymphoma, Multicentric Castleman Disease (MCD), and KSHV inflammatory cytokine syndrome (KICS). This review outlines these clinical scenarios and discusses their management. Although HHV8-related disease in SOTR was first described more than three decades ago, there is a lack of data on treatment so much of the guidance is based on evidence in other immunodeficient patients, particularly people living with HIV. Whilst reduction of immunosuppression and switch from calcineurin inhibitors to mTOR inhibitors may be sufficient in early-stage post-transplant KS, systemic chemotherapy is necessary for advanced-stage KS and in KSHV-related lymphomas. For MCD and KICS, which usually follow primary HHV-8 infection, rituximab-based immunochemotherapy regimens are the cornerstone of treatment for these potentially lethal diseases. Although HHV-8 infection in SOTR is well recognized, it remains under-reported and greater awareness of the different clinical presentations of HHV-8 in this context is fundamental to improve outcomes.
在实体器官移植受者(SOTRs)中,致癌病毒人疱疹病毒-8 (HHV-8)也被称为卡波西肉瘤疱疹病毒(KSHV)导致四种临床疾病:卡波西肉瘤、原发性分泌性淋巴瘤、多中心Castleman病(MCD)和KSHV炎症细胞因子综合征(KICS)。这篇综述概述了这些临床情况,并讨论了他们的管理。尽管SOTR中HHV8相关疾病在30多年前首次被描述,但缺乏治疗数据,因此许多指导是基于其他免疫缺陷患者,特别是艾滋病毒感染者的证据。虽然减少免疫抑制和从钙调磷酸酶抑制剂切换到mTOR抑制剂可能足以治疗移植后早期KS,但对于晚期KS和KSHV相关淋巴瘤,全身性化疗是必要的。MCD和KICS通常发生在原发性HHV-8感染之后,基于利妥昔单抗的免疫化疗方案是治疗这些潜在致命疾病的基础。虽然SOTR中的HHV-8感染得到了很好的认识,但它仍未得到报道,在这种情况下,更多地认识到HHV-8的不同临床表现对改善结果至关重要。
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引用次数: 0
Is the pathogen spectrum of encephalitis/meningitis changing in China?
IF 14.3 1区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2025-02-01 DOI: 10.1016/j.jinf.2025.106424
Ruichen Wang, Qikai Yin, Kai Nie, Fan Li, Shihong Fu, Qianqian Cui, Han Chen, Songtao Xu, Huanyu Wang
{"title":"Is the pathogen spectrum of encephalitis/meningitis changing in China?","authors":"Ruichen Wang,&nbsp;Qikai Yin,&nbsp;Kai Nie,&nbsp;Fan Li,&nbsp;Shihong Fu,&nbsp;Qianqian Cui,&nbsp;Han Chen,&nbsp;Songtao Xu,&nbsp;Huanyu Wang","doi":"10.1016/j.jinf.2025.106424","DOIUrl":"10.1016/j.jinf.2025.106424","url":null,"abstract":"","PeriodicalId":50180,"journal":{"name":"Journal of Infection","volume":"90 2","pages":"Article 106424"},"PeriodicalIF":14.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
Characterization of the first unambiguous HIV-1 CRF07_BC/CRF08_BC circulating recombinant form (CRF160_0708) in Yunnan, China 中国云南首个明确的HIV-1 CRF07_BC/CRF08_BC循环重组形式(CRF160_0708)的鉴定
IF 14.3 1区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2025-02-01 DOI: 10.1016/j.jinf.2024.106383
Min Chen , Yanling Ma , Huichao Chen, Jie Dai, Lijuan Dong, Manhong Jia, Wenfei Ding
{"title":"Characterization of the first unambiguous HIV-1 CRF07_BC/CRF08_BC circulating recombinant form (CRF160_0708) in Yunnan, China","authors":"Min Chen ,&nbsp;Yanling Ma ,&nbsp;Huichao Chen,&nbsp;Jie Dai,&nbsp;Lijuan Dong,&nbsp;Manhong Jia,&nbsp;Wenfei Ding","doi":"10.1016/j.jinf.2024.106383","DOIUrl":"10.1016/j.jinf.2024.106383","url":null,"abstract":"","PeriodicalId":50180,"journal":{"name":"Journal of Infection","volume":"90 2","pages":"Article 106383"},"PeriodicalIF":14.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
Distributions of plasmidic genes encoding extended-spectrum and AmpC β-lactamases, and susceptibilities of global non-carbapenemase-producing meropenem-resistant Enterobacterales to ceftazidime-avibactam, meropenem-vaborbactam, and aztreonam-avibactam, 2017–2022 2017-2022年全球非碳青霉烯酶产美罗培烯耐药肠杆菌对头孢他啶-阿维巴坦、美罗培烯-瓦波巴坦和氮曲南-阿维巴坦的敏感性及增谱和AmpC β-内酰胺酶的质粒基因分布
IF 14.3 1区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2025-02-01 DOI: 10.1016/j.jinf.2024.106380
Shio-Shin Jean , Hou-Tai Chang , Chao-Lin Huang , I.-Min Liu, Po-Chuen Hsieh, Po-Ren Hsueh
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引用次数: 0
Evaluation of the diagnostic accuracy of Xpert® Mpox and STANDARD™ M10 MPX/OPX for the detection of monkeypox virus 评估Xpert®Mpox和STANDARD™M10 MPX/OPX检测猴痘病毒的诊断准确性。
IF 14.3 1区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2025-02-01 DOI: 10.1016/j.jinf.2025.106413
Alessandra Romero-Ramirez , Anushri Somasundaran , Konstantina Kontogianni , Jacob Parkes , Yusra Hussain , Susan Gould , Christopher T. Williams , Dominic Wooding , Richard Body , Hayley E. Hardwick , J. Kenneth Baillie , Jake Dunning , Malcolm G. Semple , CONDOR steering group, ISARIC 4C Investigators, Tom E. Fletcher , Thomas Edwards , Devy Emperador , Ana I. Cubas-Atienzar

Objectives

Evaluation of diagnostic accuracy of two point-of-care (POC) molecular diagnostic tests for the detection of monkeypox virus (MPXV): Xpert® Mpox (Cepheid, Inc., USA) and STANDARD™ M10 MPX/OPX (SD Biosensor, Inc., Korea).

Methods

Diagnostic accuracy of both POC platforms was evaluated using 53 upper-respiratory swabs (URS) and 32 skin lesions swabs (SS) collected from mpox and COVID-19 patients in the UK against the Sansure (Sansure Biotech Inc.) and CDC reference qPCR tests. The analytical sensitivity of both platforms was assessed using a viral isolate from II, B.1 lineage.

Results

The overall sensitivity and specificity of the Xpert® Mpox was 97.67% [95% CI 87.71–99.94%] and 88.57% [95% CI 73.26–96.80%] and 97.44% [95% CI 86.52–99.94%] and 74.42% [95% CI 58.83–86.48%] comparing the Sansure and CDC qPCR, respectively and for the M10 MPX/OPX was 87.80% [95% CI 73.80–95.92%] and 76.60% [95% CI 61.97–87.70%] and 94.29% [95% CI 80.84–99.30%] and 86.67% [95% CI 73.21–94.95%] with the Sansure and CDC qPCR.

Conclusion

The Xpert® Mpox had good diagnostic accuracy for both sample types while the M10 MPX/OPX clinical accuracy was deficient with URS. Our data supports the use of URS during the first 3 days of symptoms onset for mpox diagnosis.
目的:评价两种即时护理(POC)分子诊断检测猴痘病毒(MPXV)的诊断准确性:Xpert®Mpox (Cepheid, Inc.,美国)和STANDARD™M10 MPX/OPX (SD Biosensor, Inc.,韩国)。方法:使用从英国mpox和COVID-19患者中采集的53份上呼吸道拭子(URS)和32份皮肤病变拭子(SS),对照Sansure (Sansure Biotech Inc.)和CDC参考qPCR检测,对两种POC平台的诊断准确性进行评估。使用来自II、B.1谱系的病毒分离物评估两种平台的分析敏感性。结果:与Sansure和CDC qPCR相比,Xpert®Mpox的总体敏感性和特异性分别为97.67% [95% CI 87.71-99.94%]和88.57% [95% CI 73.26-96.80%]和97.44% [95% CI 86.52-99.94%]和74.42% [95% CI 58.83-86.48%], M10 MPX/OPX与Sansure和CDC qPCR相比,总体敏感性和特异性分别为87.80% [95% CI 73.80-95.92%]和76.60% [95% CI 61.97-87.70%]和94.29% [95% CI 80.84-99.30%]和86.67% [95% CI 73.21-94.95%]。结论:Xpert®Mpox对两种样品类型均具有良好的诊断准确性,而M10 MPX/OPX对URS的临床准确性不足。我们的数据支持在出现症状的前3天使用尿路检查进行痘诊断。
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引用次数: 0
期刊
Journal of Infection
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