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Symptom evolution in individuals with ongoing symptomatic COVID-19 and post-COVID-19 syndrome after SARS-CoV-2 vaccination versus influenza vaccination SARS-CoV-2疫苗接种与流感疫苗接种后持续症状性COVID-19和COVID-19后综合征个体的症状演变
IF 14.3 1区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2025-02-01 DOI: 10.1016/j.jinf.2024.106406
Khaled Rjoob , Michela Antonelli , Benjamin Murray , Erika Molteni , Nathan Cheetham , Liane S. Canas , Marc Modat , Joan Capdevila Pujol , Christina Hu , Vicky Bowyer , Jonathan Wolf , Tim D. Spector , Sébastien Ourselin , Alexander Hammers , Emma L. Duncan , Claire J. Steves , Carole H. Sudre

Background

COVID-19 symptoms may persist beyond acute SARS-CoV-2 infection, as ongoing symptomatic COVID-19 [OSC] (symptom duration 4–12 weeks) and post-COVID syndrome [PCS] (symptom duration ≥12 weeks). Vaccination against SARS-CoV-2 decreases OSC/PCS in individuals subsequently infected with SARS-CoV-2 post-vaccination. Whether vaccination against SARS-CoV-2, or any other vaccinations (such as against influenza) affects symptoms in individuals already experiencing OSC/PCS, more than natural symptom evolution, is unknown.

Method

Using data from the ZOE COVID Symptom Study app, two comparative analyses were carried out, both in prospectively-reporting individuals with OSC/PCS: A) symptoms in individuals receiving first vaccination against SARS-CoV-2, compared with unvaccinated individuals, matched for age, sex, BMI and week of test (n=1679 in each group); B) symptoms in individuals receiving vaccination against influenza, compared with unvaccinated individuals, matched for age, sex, BMI, week of test and number of SARS-CoV-2 vaccinations (n=692 in each group). In both analyses, vaccination date (or equivalent time from start of symptoms in the unvaccinated group) was considered as the index time, and symptom evolution was measured by comparing symptoms during the second week before and second week after vaccination. Symptoms were considered by prevalence and burden over the considered periods; all results were adjusted for multiple comparisons.

Results

After first vaccination against SARS-CoV-2, many symptoms in individuals with OSC/PCS improved more rapidly than natural history resolution, including the commonly reported symptoms of fatigue (p<0.0001, β=-−0.9 [95% CI: −1.86; −0.67]) and myalgia (p<0.001, β=−0.3 [95% CI: −0.50; −0.12]). No symptom worsened after vaccination. In contrast, there was no improvement in OSC/PCS symptoms beyond natural history resolution after vaccination against influenza.

Conclusion

In individuals with OSC/PCS, symptom resolution improved after vaccination against SARS-CoV-2 ; this was not observed, however, after other vaccinations.
背景:COVID-19症状可能在急性SARS-CoV-2感染后持续存在,如持续症状性COVID-19 [OSC](症状持续时间4-12周)和后covid综合征[PCS](症状持续时间≥12周)。接种SARS-CoV-2疫苗可降低接种后感染SARS-CoV-2的个体的OSC/PCS。目前尚不清楚,接种SARS-CoV-2疫苗或任何其他疫苗(如流感疫苗)是否会影响已经出现OSC/PCS的个体的症状,而不仅仅是自然症状演变。方法:使用ZOE COVID症状研究应用程序的数据,对前瞻性报告的OSC/PCS个体进行了两项比较分析:A)首次接种SARS-CoV-2疫苗的个体与未接种疫苗的个体的症状,与年龄、性别、BMI和测试周相匹配(每组n=1679);B)与未接种疫苗的个体相比,接种流感疫苗的个体的症状,年龄、性别、BMI、检测周数和SARS-CoV-2疫苗接种次数相匹配(每组n=692)。在这两项分析中,均将接种疫苗日期(或未接种疫苗组出现症状的等效时间)视为指标时间,并通过比较接种前和接种后第二周的症状来测量症状演变。症状是根据所考虑的时间段内的患病率和负担来考虑的;所有结果都经过多次比较调整。结果:首次接种SARS-CoV-2疫苗后,OSC/PCS患者的许多症状改善速度快于自然病史消退,包括常见的疲劳症状(p结论:在OSC/PCS患者中,接种SARS-CoV-2疫苗可改善症状消退;然而,在其他疫苗接种后没有观察到这种效果。
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引用次数: 0
Toscana virus: A comprehensive review of 1381 cases showing an emerging threat in the Mediterranean regions 托斯卡纳病毒:对1381例病例的全面审查,显示地中海区域出现的新威胁。
IF 14.3 1区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2025-02-01 DOI: 10.1016/j.jinf.2025.106415
Nazli Ayhan , Carole Eldin , Remi Charrel

Background

Toscana virus (TOSV) is a sand fly-borne phlebovirus causing central nervous system (CNS) infection in Mediterranean countries, during summer season. However, clinical aspects of the disease caused by this virus are poorly known by clinicians, so that its prevalence is probably underestimated due to a lack of diagnosis.

Study design

The data was gathered from all available case series and retrospective studies identifying TOSV as the causative viral agent. The informations of age, sex, clinical characteristics, laboratory findings, imaging results and clinical outcomes of TOSV infection were recorded and analyzed.

Results

A total of 95 articles including TOSV infections resulting in a total of 1381 cases, were analyzed. Our findings indicate that TOSV affects individuals across various age groups, with a median age of 44.45 years. A notable disparity in infection rates between genders, with men being significantly more likely to present symptoms due to TOSV than women, with a sex ratio of 2.0. The clinical presentation of TOSV infection encompasses a range of symptoms, including fever, headache, retro-orbital pain, neurological and muscular manifestations with less common reports of cutaneous and gastrointestinal symptoms. To date, six fatalities have been attributed to TOSV infections, with a median age of 76 years.
Diagnostic evaluation of TOSV infections often involves the analysis of cerebrospinal fluid, where findings may include an elevated white blood cell count.

Conclusions

These findings underscore the diverse clinical manifestations of TOSV infections including flu like symtomps. TOSV is an emerging infectious threat that warrants inclusion in the diagnostic protocols for patients presenting with CNS, particularly within the Mediterranean basin or for those with recent travel history to endemic regions during warmer months when sand flies are actively circulating.
背景:托斯卡纳病毒(Toscana virus, TOSV)是一种在夏季地中海国家引起中枢神经系统(CNS)感染的沙蝇传播的白蛉病毒。然而,临床医生对这种病毒引起的疾病的临床方面知之甚少,因此由于缺乏诊断,其患病率可能被低估。研究设计:数据来自所有可用的病例系列和回顾性研究,确定TOSV为致病病毒因子。记录并分析TOSV感染患者的年龄、性别、临床特征、实验室表现、影像学结果及临床转归等信息。结果:共分析95篇包括TOSV感染的文献,共1381例。我们的研究结果表明,TOSV影响各个年龄组的个体,中位年龄为44.45岁。两性之间的感染率存在显著差异,男性明显比女性更有可能因TOSV出现症状,性别比例为2.0。TOSV感染的临床表现包括一系列症状,包括发热、头痛、眶后疼痛、神经和肌肉表现,较少报道皮肤和胃肠道症状。迄今为止,有6人死于tov感染,中位年龄为76岁。TOSV感染的诊断评估通常涉及脑脊液分析,其结果可能包括白细胞计数升高。结论:这些发现强调了tov感染的多种临床表现,包括流感样症状。TOSV是一种新出现的传染性威胁,有必要将其纳入中枢神经系统患者的诊断方案,特别是地中海盆地内的患者,或最近在白蛉活跃传播的温暖月份前往流行地区旅行的患者。
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引用次数: 0
Immunocompromised individuals remain at risk of COVID-19: 2023 results from the observational INFORM study
IF 14.3 1区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2025-01-31 DOI: 10.1016/j.jinf.2025.106432
Jennifer K. Quint , Sabada Dube , Lucy Carty , Renata Yokota , Samira Bell , Lance Turtle , Yi Lu , Kathryn Evans , Nahila Justo , Michelle Harley , Jurgens Peters , Carla Talarico , Richard McNulty , Ana Goios , Sylvia Taylor , Rachael A. Evans

Objectives

We aimed to characterise coronavirus disease 2019 (COVID-19) severity, mortality and healthcare utilisation in immunocompromised individuals in England during 2023, using INFORM (INvestigation oF cOvid-19 Risk among iMmunocompromised populations) study data.

Methods

Retrospective cohort study (ISRCTN53375662) using pseudonymised electronic health records of individuals aged ≥12 years from a random 25% sample of England’s population. Over 1 January–31 December 2023, adjusted incidence rate ratios (aIRRs; adjusted for age, sex, non-immunocompromising comorbidities) between immunocompromised and non-immunocompromised individuals for COVID-19-related hospitalisation, death, and healthcare utilisation were estimated.

Results

Immunocompromised individuals represented 4.0% of 12,056,685 individuals studied but accounted for 21.7% and 21.9% of COVID-19 hospitalisations and deaths, respectively. Risk of severe COVID-19 was elevated for immunocompromised vs. non-immunocompromised; aIRRs: 2.04, 95% CI 1.95–2.14 (COVID-19 hospitalisation); 1.69, 95% CI 1.53–1.87 (COVID-19 death). COVID-19 vaccination was more likely in immunocompromised vs. non-immunocompromised (≥4 doses 72.6% vs. 29.8%). The aIRRs for COVID-19-related general practitioner consultations and accident and emergency/day case visits were 2.26 (95% CI 2.22−2.29) and 3.02 (95% CI 2.84−3.20), respectively, for immunocompromised vs. non-immunocompromised.

Conclusions

Beyond three years since the start of the COVID-19 pandemic, immunocompromised individuals remain disproportionately impacted from COVID-19 despite increased vaccination. These findings highlight a persistent need for additional COVID-19 interventions for immunocompromised populations.
{"title":"Immunocompromised individuals remain at risk of COVID-19: 2023 results from the observational INFORM study","authors":"Jennifer K. Quint ,&nbsp;Sabada Dube ,&nbsp;Lucy Carty ,&nbsp;Renata Yokota ,&nbsp;Samira Bell ,&nbsp;Lance Turtle ,&nbsp;Yi Lu ,&nbsp;Kathryn Evans ,&nbsp;Nahila Justo ,&nbsp;Michelle Harley ,&nbsp;Jurgens Peters ,&nbsp;Carla Talarico ,&nbsp;Richard McNulty ,&nbsp;Ana Goios ,&nbsp;Sylvia Taylor ,&nbsp;Rachael A. Evans","doi":"10.1016/j.jinf.2025.106432","DOIUrl":"10.1016/j.jinf.2025.106432","url":null,"abstract":"<div><h3>Objectives</h3><div>We aimed to characterise coronavirus disease 2019 (COVID-19) severity, mortality and healthcare utilisation in immunocompromised individuals in England during 2023, using INFORM (INvestigation oF cOvid-19 Risk among iMmunocompromised populations) study data.</div></div><div><h3>Methods</h3><div>Retrospective cohort study (ISRCTN53375662) using pseudonymised electronic health records of individuals aged ≥12 years from a random 25% sample of England’s population. Over 1 January–31 December 2023, adjusted incidence rate ratios (aIRRs; adjusted for age, sex, non-immunocompromising comorbidities) between immunocompromised and non-immunocompromised individuals for COVID-19-related hospitalisation, death, and healthcare utilisation were estimated.</div></div><div><h3>Results</h3><div>Immunocompromised individuals represented 4.0% of 12,056,685 individuals studied but accounted for 21.7% and 21.9% of COVID-19 hospitalisations and deaths, respectively. Risk of severe COVID-19 was elevated for immunocompromised vs. non-immunocompromised; aIRRs: 2.04, 95% CI 1.95–2.14 (COVID-19 hospitalisation); 1.69, 95% CI 1.53–1.87 (COVID-19 death). COVID-19 vaccination was more likely in immunocompromised vs. non-immunocompromised (≥4 doses 72.6% vs. 29.8%). The aIRRs for COVID-19-related general practitioner consultations and accident and emergency/day case visits were 2.26 (95% CI 2.22−2.29) and 3.02 (95% CI 2.84−3.20), respectively, for immunocompromised vs. non-immunocompromised.</div></div><div><h3>Conclusions</h3><div>Beyond three years since the start of the COVID-19 pandemic, immunocompromised individuals remain disproportionately impacted from COVID-19 despite increased vaccination. These findings highlight a persistent need for additional COVID-19 interventions for immunocompromised populations.</div></div>","PeriodicalId":50180,"journal":{"name":"Journal of Infection","volume":"90 3","pages":"Article 106432"},"PeriodicalIF":14.3,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081916","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
Role of plasma and blood-cell co-metagenomic sequencing in precise diagnosis and severity evaluation of sepsis, a prospective cohort study in sepsis patients
IF 14.3 1区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2025-01-31 DOI: 10.1016/j.jinf.2025.106434
Ying Zhu , Hui Miao , Jingjia Zhang , Zhi Jiang , Xiaobing Chu , Yingchun Xu , Wenjia Tian , Haotian Gao , Yun Zhu , Lifeng Li , Qiwen Yang

Purposes

Sepsis caused great clinical burden all over the world. This study clarified the value of plasma metagenomic next-generation sequencing (p-mNGS) and blood cell mNGS (bc-mNGS) in sepsis diagnosis and evaluation.

Methods

One hundred and fourty-seven blood samples were collected from sepsis patients who met sepsis 3.0 criteria. Blood culture (BC), qPCR, p-mNGS, bc-mNGS and necessary routine assays were conducted. Taking BC and qPCR as reference, diagnosis performance of p-mNGS and bc-mNGS was analyzed. Blood transcriptome was conducted to evaluate the immunological response of patients in groups with different p/bc-mNGS results. Impact of antibiotic use on different methods was also analyzed.

Results

The p-mNGS demonstrated a sensitivity of 100% for bacteria/fungi and 97% for viruses, which was higher than bc-mNGS (88% for bacteria and fungi, 71% for viruses). However, bc-mNGS showed higher concordance with BC results, which indicated that co-mNGS (p-mNGS plus bc-mNGS) protocol increased sensitivity and was helpful to justify viable blood pathogens in sepsis patients. This study showed that p-mNGS(+) & bc-mNGS(+) samples represented more activated immunity response (low expression of interferon-induced genes and high expression of JAK-STAT pathway genes), poorer clinical laboratory indicators (higher Sequential Organ Failure Assessment, higher procalcitonin and higher C-reactive protein) and lower survival rate. This study also proved that the use of broad-spectrum antibiotics affected much less on p/bc-mNGS diagnostic ability than on BC.

Conclusions

This research highlighted the potential value of plasma and blood-cell co-metagenomic sequencing in precise diagnosis and severity evaluation of sepsis patients, which will benefit the management of sepsis patients.
{"title":"Role of plasma and blood-cell co-metagenomic sequencing in precise diagnosis and severity evaluation of sepsis, a prospective cohort study in sepsis patients","authors":"Ying Zhu ,&nbsp;Hui Miao ,&nbsp;Jingjia Zhang ,&nbsp;Zhi Jiang ,&nbsp;Xiaobing Chu ,&nbsp;Yingchun Xu ,&nbsp;Wenjia Tian ,&nbsp;Haotian Gao ,&nbsp;Yun Zhu ,&nbsp;Lifeng Li ,&nbsp;Qiwen Yang","doi":"10.1016/j.jinf.2025.106434","DOIUrl":"10.1016/j.jinf.2025.106434","url":null,"abstract":"<div><h3>Purposes</h3><div>Sepsis caused great clinical burden all over the world. This study clarified the value of plasma metagenomic next-generation sequencing (p-mNGS) and blood cell mNGS (bc-mNGS) in sepsis diagnosis and evaluation.</div></div><div><h3>Methods</h3><div>One hundred and fourty-seven blood samples were collected from sepsis patients who met sepsis 3.0 criteria. Blood culture (BC), qPCR, p-mNGS, bc-mNGS and necessary routine assays were conducted. Taking BC and qPCR as reference, diagnosis performance of p-mNGS and bc-mNGS was analyzed. Blood transcriptome was conducted to evaluate the immunological response of patients in groups with different p/bc-mNGS results. Impact of antibiotic use on different methods was also analyzed.</div></div><div><h3>Results</h3><div>The p-mNGS demonstrated a sensitivity of 100% for bacteria/fungi and 97% for viruses, which was higher than bc-mNGS (88% for bacteria and fungi, 71% for viruses). However, bc-mNGS showed higher concordance with BC results, which indicated that co-mNGS (p-mNGS plus bc-mNGS) protocol increased sensitivity and was helpful to justify viable blood pathogens in sepsis patients. This study showed that p-mNGS(+) &amp; bc-mNGS(+) samples represented more activated immunity response (low expression of interferon-induced genes and high expression of JAK-STAT pathway genes), poorer clinical laboratory indicators (higher Sequential Organ Failure Assessment, higher procalcitonin and higher C-reactive protein) and lower survival rate. This study also proved that the use of broad-spectrum antibiotics affected much less on p/bc-mNGS diagnostic ability than on BC.</div></div><div><h3>Conclusions</h3><div>This research highlighted the potential value of plasma and blood-cell co-metagenomic sequencing in precise diagnosis and severity evaluation of sepsis patients, which will benefit the management of sepsis patients.</div></div>","PeriodicalId":50180,"journal":{"name":"Journal of Infection","volume":"90 3","pages":"Article 106434"},"PeriodicalIF":14.3,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081919","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
Global impact of 10- and 13-valent pneumococcal conjugate vaccines on pneumococcal meningitis in all ages: The PSERENADE project
IF 14.3 1区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2025-01-27 DOI: 10.1016/j.jinf.2025.106426
Yangyupei Yang , Maria Deloria Knoll , Carly Herbert , Julia C. Bennett , Daniel R. Feikin , Maria Garcia Quesada , Marissa K. Hetrich , Scott L. Zeger , Eunice W. Kagucia , Melody Xiao , Adam L. Cohen , Mark van der Linden , Mignon du Plessis , Inci Yildirim , Brita A. Winje , Emmanuelle Varon , Maria Teresa Valenzuela , Palle Valentiner-Branth , Anneke Steens , J. Anthony Scott , Kyla Hayford

Background

Pneumococcal conjugate vaccines (PCVs) introduced in childhood national immunization programs lowered vaccine-type invasive pneumococcal disease (IPD), but replacement with non-vaccine-types persisted throughout the PCV10/13 follow-up period. We assessed PCV10/13 impact on pneumococcal meningitis incidence globally.

Methods

The number of cases with serotyped pneumococci detected in cerebrospinal fluid and population denominators were obtained from surveillance sites globally. Site-specific meningitis incidence rate ratios (IRRs) comparing pre-PCV incidence to each year post-PCV10/13 were estimated by age (<5, 5–17 and ≥18 years) using Bayesian multi-level mixed effects Poisson regression, accounting for pre-PCV trends. All-site weighted average IRRs were estimated using linear mixed-effects regression stratified by age, product (PCV10 or PCV13) and prior PCV7 impact (none, moderate, or substantial). Changes in pneumococcal meningitis incidence were estimated overall and for product-specific vaccine-types and non-PCV13-types.

Results

Analyses included 10,168 cases <5 y from PCV13 sites and 2849 from PCV10 sites, 3711 and 1549 for 5–17 y and 29,187 and 5653 for ≥18 y from 42 surveillance sites (30 PCV13, 12 PCV10, 2 PCV10/13) in 30 countries, primarily high-income (84%). Six years after PCV10/PCV13 introduction, pneumococcal meningitis declined 48–74% across products and PCV7 impact strata for children <5 y, 35–62% for 5–17 y and 0–36% for ≥18 y. Impact against PCV10-types at PCV10 sites, and PCV13-types at PCV13 sites was high for all age groups (<5 y: 96–100%; 5–17 y: 77–85%; ≥18 y: 73–85%). After switching from PCV7 to PCV10/13, increases in non-PCV13-types were generally low to none for all age groups.

Conclusion

Pneumococcal meningitis declined in all age groups following PCV10/PCV13 introduction. Plateaus in non-PCV13-type meningitis suggest less replacement than for all IPD. Data from meningitis belt and high-burden settings were limited.
{"title":"Global impact of 10- and 13-valent pneumococcal conjugate vaccines on pneumococcal meningitis in all ages: The PSERENADE project","authors":"Yangyupei Yang ,&nbsp;Maria Deloria Knoll ,&nbsp;Carly Herbert ,&nbsp;Julia C. Bennett ,&nbsp;Daniel R. Feikin ,&nbsp;Maria Garcia Quesada ,&nbsp;Marissa K. Hetrich ,&nbsp;Scott L. Zeger ,&nbsp;Eunice W. Kagucia ,&nbsp;Melody Xiao ,&nbsp;Adam L. Cohen ,&nbsp;Mark van der Linden ,&nbsp;Mignon du Plessis ,&nbsp;Inci Yildirim ,&nbsp;Brita A. Winje ,&nbsp;Emmanuelle Varon ,&nbsp;Maria Teresa Valenzuela ,&nbsp;Palle Valentiner-Branth ,&nbsp;Anneke Steens ,&nbsp;J. Anthony Scott ,&nbsp;Kyla Hayford","doi":"10.1016/j.jinf.2025.106426","DOIUrl":"10.1016/j.jinf.2025.106426","url":null,"abstract":"<div><h3>Background</h3><div>Pneumococcal conjugate vaccines (PCVs) introduced in childhood national immunization programs lowered vaccine-type invasive pneumococcal disease (IPD), but replacement with non-vaccine-types persisted throughout the PCV10/13 follow-up period. We assessed PCV10/13 impact on pneumococcal meningitis incidence globally.</div></div><div><h3>Methods</h3><div>The number of cases with serotyped pneumococci detected in cerebrospinal fluid and population denominators were obtained from surveillance sites globally. Site-specific meningitis incidence rate ratios (IRRs) comparing pre-PCV incidence to each year post-PCV10/13 were estimated by age (&lt;5, 5–17 and ≥18 years) using Bayesian multi-level mixed effects Poisson regression, accounting for pre-PCV trends. All-site weighted average IRRs were estimated using linear mixed-effects regression stratified by age, product (PCV10 or PCV13) and prior PCV7 impact (none, moderate, or substantial). Changes in pneumococcal meningitis incidence were estimated overall and for product-specific vaccine-types and non-PCV13-types.</div></div><div><h3>Results</h3><div>Analyses included 10,168 cases &lt;5 y from PCV13 sites and 2849 from PCV10 sites, 3711 and 1549 for 5–17 y and 29,187 and 5653 for ≥18 y from 42 surveillance sites (30 PCV13, 12 PCV10, 2 PCV10/13) in 30 countries, primarily high-income (84%). Six years after PCV10/PCV13 introduction, pneumococcal meningitis declined 48–74% across products and PCV7 impact strata for children &lt;5 y, 35–62% for 5–17 y and 0–36% for ≥18 y. Impact against PCV10-types at PCV10 sites, and PCV13-types at PCV13 sites was high for all age groups (&lt;5 y: 96–100%; 5–17 y: 77–85%; ≥18 y: 73–85%). After switching from PCV7 to PCV10/13, increases in non-PCV13-types were generally low to none for all age groups.</div></div><div><h3>Conclusion</h3><div>Pneumococcal meningitis declined in all age groups following PCV10/PCV13 introduction. Plateaus in non-PCV13-type meningitis suggest less replacement than for all IPD. Data from meningitis belt and high-burden settings were limited.</div></div>","PeriodicalId":50180,"journal":{"name":"Journal of Infection","volume":"90 3","pages":"Article 106426"},"PeriodicalIF":14.3,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048403","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
Emergence of a novel group B streptococcus CC61 clade associated with human infections in southern China
IF 14.3 1区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2025-01-25 DOI: 10.1016/j.jinf.2025.106431
Changsong Wu , Jianhao Lin , Tong Chen , Hongbo Zhou , Yan Huang , Ming Chen , Yongan Zhang

Objectives

Emerging human pathogens of animal origin have become an increasing public health concern in recent years. The aim of this study was to investigate the transmission of group B streptococcus (GBS) clonal complex (CC) 61 strains in the southern Chinese population and analyze their genetic characteristics.

Methods

Whole-genome sequencing was performed on 693 clinical isolates of GBS collected from southern China between 2016 and 2021, and the prevalence of human CC61 isolates was investigated by genomic epidemiology. Phylogenetic analysis and Bayesian analysis of population structure were used to define genetic clades by combining CC61 genomes from global sources. Unique characteristics of human CC61 isolates were analyzed by comparison with the genomes of other isolates.

Results

We identified 21 CC61 isolates from 19 patients (including four neonates), most of which belonged to sequence type (ST) 929 (n=17) and a few to ST931 (n=2) and ST61 (n=2). Phylogenetic analysis showed that the ST929 and ST931 isolates formed a novel clade associated with human infections (CC61H), which is a sister clade to the traditional bovine CC61 isolates. Population structure analysis indicated that CC61H has developed a unique population structure distinct from known lineages, representing an as-yet-unknown lineage. Comparative genomic analysis revealed that the epidemic success of CC61H in southern China was associated with the horizontal transfer of antibiotic resistance and virulence gene clusters. The insertion of a gene cluster encoding pilus island 1 may have contributed to the higher prevalence of ST929 relative to ST931. Furthermore, novel variants of the major pilin subunits BP-1 and BP-2b and the bacterial adhesin bibA were identified in CC61H, with bibA acquiring a pathogenic fragment of the homologous gene from the neonatal hypervirulent lineage CC17.

Conclusions

A novel clade of GBS CC61 associated with human infections was discovered in southern China. Given its multidrug resistance, high virulence and genomic characterization, the surveillance of CC61H strains should be more highly prioritized.
{"title":"Emergence of a novel group B streptococcus CC61 clade associated with human infections in southern China","authors":"Changsong Wu ,&nbsp;Jianhao Lin ,&nbsp;Tong Chen ,&nbsp;Hongbo Zhou ,&nbsp;Yan Huang ,&nbsp;Ming Chen ,&nbsp;Yongan Zhang","doi":"10.1016/j.jinf.2025.106431","DOIUrl":"10.1016/j.jinf.2025.106431","url":null,"abstract":"<div><h3>Objectives</h3><div>Emerging human pathogens of animal origin have become an increasing public health concern in recent years. The aim of this study was to investigate the transmission of group B streptococcus (GBS) clonal complex (CC) 61 strains in the southern Chinese population and analyze their genetic characteristics.</div></div><div><h3>Methods</h3><div>Whole-genome sequencing was performed on 693 clinical isolates of GBS collected from southern China between 2016 and 2021, and the prevalence of human CC61 isolates was investigated by genomic epidemiology. Phylogenetic analysis and Bayesian analysis of population structure were used to define genetic clades by combining CC61 genomes from global sources. Unique characteristics of human CC61 isolates were analyzed by comparison with the genomes of other isolates.</div></div><div><h3>Results</h3><div>We identified 21 CC61 isolates from 19 patients (including four neonates), most of which belonged to sequence type (ST) 929 (n=17) and a few to ST931 (n=2) and ST61 (n=2). Phylogenetic analysis showed that the ST929 and ST931 isolates formed a novel clade associated with human infections (CC61H), which is a sister clade to the traditional bovine CC61 isolates. Population structure analysis indicated that CC61H has developed a unique population structure distinct from known lineages, representing an as-yet-unknown lineage. Comparative genomic analysis revealed that the epidemic success of CC61H in southern China was associated with the horizontal transfer of antibiotic resistance and virulence gene clusters. The insertion of a gene cluster encoding pilus island 1 may have contributed to the higher prevalence of ST929 relative to ST931. Furthermore, novel variants of the major pilin subunits BP-1 and BP-2b and the bacterial adhesin <em>bibA</em> were identified in CC61H, with <em>bibA</em> acquiring a pathogenic fragment of the homologous gene from the neonatal hypervirulent lineage CC17.</div></div><div><h3>Conclusions</h3><div>A novel clade of GBS CC61 associated with human infections was discovered in southern China. Given its multidrug resistance, high virulence and genomic characterization, the surveillance of CC61H strains should be more highly prioritized.</div></div>","PeriodicalId":50180,"journal":{"name":"Journal of Infection","volume":"90 3","pages":"Article 106431"},"PeriodicalIF":14.3,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054077","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
Elevated PD-1 and PDL-1 autoantibodies and association with tuberculosis
IF 14.3 1区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2025-01-25 DOI: 10.1016/j.jinf.2025.106430
Kehong Zhang, Yuzhong Xu, Zhaodong Li, Yi Cai, Chenyan Shi, Yunlong Hu, Wenfei Wang, Qianting Yang, Damo Xu, Xinchun Chen
{"title":"Elevated PD-1 and PDL-1 autoantibodies and association with tuberculosis","authors":"Kehong Zhang,&nbsp;Yuzhong Xu,&nbsp;Zhaodong Li,&nbsp;Yi Cai,&nbsp;Chenyan Shi,&nbsp;Yunlong Hu,&nbsp;Wenfei Wang,&nbsp;Qianting Yang,&nbsp;Damo Xu,&nbsp;Xinchun Chen","doi":"10.1016/j.jinf.2025.106430","DOIUrl":"10.1016/j.jinf.2025.106430","url":null,"abstract":"","PeriodicalId":50180,"journal":{"name":"Journal of Infection","volume":"90 3","pages":"Article 106430"},"PeriodicalIF":14.3,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054076","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
An MDR Salmonella Enteritidis sublineage associated with gastroenteritis outbreaks and invasive disease in China
IF 14.3 1区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2025-01-22 DOI: 10.1016/j.jinf.2025.106421
Xiaoyi Zheng , Ying Xiang , Xiaoying Li , Xinying Du , Yule Wang , Sai Tian , Jingzhuang Xue , Ying Huang , HONGBO LIU , Qi Wang , Hongbo Liu , Hui Wang , Chao Wang , Mingjuan Yang , Huiqun Jia , Ligui Wang , Xuebin Xu , Lihua Song , Hongbin Song , Shaofu Qiu

Objectives

Salmonella enterica serovar Enteritidis (S. Enteritidis) is a commonly reported pathogen which adapts to multiple hosts and causes critical disease burden at a global level. Here, we investigated a recently derived epidemic sublineage with multidrug resistance (MDR), which have caused extended time-period and cross-regional gastroenteritis outbreaks and even invasive nontyphoidal Salmonella disease (iNTS) in China.

Methods

Whole-genome sequencing and antimicrobial resistance (AMR) testing were applied to 729 Chinese S. Enteritidis isolates in relation to gastroenteritis outbreaks, gastrointestinal-sporadic and iNTS infections, spanning 28 years (1994–2021) in China. Phylogenomic analysis was performed to explore the population structure and evolutionary history of the Chinese isolates within a global context. Molecular investigations of AMR genes, virulence factors, mobile genetic elements and pan-genomes were also performed.

Results

The Chinese S. Enteritidis collections exhibited a high level of multidrug resistance (MDR), including high resistance to nalidixic acid (97.67%). Notably, the multidrug resistance rate of iNTS strains has significantly increased over the past decade. Phylogenomic analysis showed that the majority of the Chinese isolates (98.63%) were distributed in the global pandemic lineage L1, while the other lineages were highly continent-specific. Particularly, the Chinese isolates were predominantly distributed in sublineages L1.2 (37.45%) and L1.3 (59.26%), forming two main Chinese clades (MCC1&2). The most recent common ancestor of MCC1&2 dated back to 1944 and 2004, respectively. The lineage L1, especially MCC1&2, harbored the most amount of AMR determinants and virulence genes, which was mainly due to the presence of a hybrid virulence-resistance plasmid and coexistence of different types of AMR plasmids in S. Enteritidis.

Conclusions

S. Enteritidis has evolved unique clonal clusters, MCC1&2, with critical MDR in China, which phylogenetically constitute an extension of the globally epidemic lineage and were characterized by distinct genetic traits. These clades have induced extensive outbreaks of gastroenteritis and serious cases of iNTS in China, underscoring the pressing nature and severity of this public health crisis. Implementing the One-Health strategy, longstanding routine surveillance and further genomic epidemiological studies are urgently required to capture epidemics, monitor changes in bacterial populations and determine the consequent risk to global public health.
{"title":"An MDR Salmonella Enteritidis sublineage associated with gastroenteritis outbreaks and invasive disease in China","authors":"Xiaoyi Zheng ,&nbsp;Ying Xiang ,&nbsp;Xiaoying Li ,&nbsp;Xinying Du ,&nbsp;Yule Wang ,&nbsp;Sai Tian ,&nbsp;Jingzhuang Xue ,&nbsp;Ying Huang ,&nbsp;HONGBO LIU ,&nbsp;Qi Wang ,&nbsp;Hongbo Liu ,&nbsp;Hui Wang ,&nbsp;Chao Wang ,&nbsp;Mingjuan Yang ,&nbsp;Huiqun Jia ,&nbsp;Ligui Wang ,&nbsp;Xuebin Xu ,&nbsp;Lihua Song ,&nbsp;Hongbin Song ,&nbsp;Shaofu Qiu","doi":"10.1016/j.jinf.2025.106421","DOIUrl":"10.1016/j.jinf.2025.106421","url":null,"abstract":"<div><h3>Objectives</h3><div><em>Salmonella enterica</em> serovar Enteritidis (<em>S.</em> Enteritidis) is a commonly reported pathogen which adapts to multiple hosts and causes critical disease burden at a global level. Here, we investigated a recently derived epidemic sublineage with multidrug resistance (MDR), which have caused extended time-period and cross-regional gastroenteritis outbreaks and even invasive nontyphoidal <em>Salmonella</em> disease (iNTS) in China.</div></div><div><h3>Methods</h3><div>Whole-genome sequencing and antimicrobial resistance (AMR) testing were applied to 729 Chinese <em>S.</em> Enteritidis isolates in relation to gastroenteritis outbreaks, gastrointestinal-sporadic and iNTS infections, spanning 28 years (1994–2021) in China. Phylogenomic analysis was performed to explore the population structure and evolutionary history of the Chinese isolates within a global context. Molecular investigations of AMR genes, virulence factors, mobile genetic elements and pan-genomes were also performed.</div></div><div><h3>Results</h3><div>The Chinese <em>S.</em> Enteritidis collections exhibited a high level of multidrug resistance (MDR), including high resistance to nalidixic acid (97.67%). Notably, the multidrug resistance rate of iNTS strains has significantly increased over the past decade. Phylogenomic analysis showed that the majority of the Chinese isolates (98.63%) were distributed in the global pandemic lineage L1, while the other lineages were highly continent-specific. Particularly, the Chinese isolates were predominantly distributed in sublineages L1.2 (37.45%) and L1.3 (59.26%), forming two main Chinese clades (MCC1&amp;2). The most recent common ancestor of MCC1&amp;2 dated back to 1944 and 2004, respectively. The lineage L1, especially MCC1&amp;2, harbored the most amount of AMR determinants and virulence genes, which was mainly due to the presence of a hybrid virulence-resistance plasmid and coexistence of different types of AMR plasmids in <em>S.</em> Enteritidis.</div></div><div><h3>Conclusions</h3><div><em>S.</em> Enteritidis has evolved unique clonal clusters, MCC1&amp;2, with critical MDR in China, which phylogenetically constitute an extension of the globally epidemic lineage and were characterized by distinct genetic traits. These clades have induced extensive outbreaks of gastroenteritis and serious cases of iNTS in China, underscoring the pressing nature and severity of this public health crisis. Implementing the One-Health strategy, longstanding routine surveillance and further genomic epidemiological studies are urgently required to capture epidemics, monitor changes in bacterial populations and determine the consequent risk to global public health.</div></div>","PeriodicalId":50180,"journal":{"name":"Journal of Infection","volume":"90 3","pages":"Article 106421"},"PeriodicalIF":14.3,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043227","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
A comprehensive pan-cancer analysis of SARS-CoV-2-related cancer malignancy: COVID-19 infection shapes a dynamic immune microenvironment and affects the prognosis sars - cov -2相关恶性肿瘤的综合泛癌分析:COVID-19感染形成动态免疫微环境并影响预后
IF 14.3 1区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2025-01-01 DOI: 10.1016/j.jinf.2024.106364
Yinghui Peng, Hong Shen, Yan Zhang, Shan Zeng, Changjing Cai
{"title":"A comprehensive pan-cancer analysis of SARS-CoV-2-related cancer malignancy: COVID-19 infection shapes a dynamic immune microenvironment and affects the prognosis","authors":"Yinghui Peng,&nbsp;Hong Shen,&nbsp;Yan Zhang,&nbsp;Shan Zeng,&nbsp;Changjing Cai","doi":"10.1016/j.jinf.2024.106364","DOIUrl":"10.1016/j.jinf.2024.106364","url":null,"abstract":"","PeriodicalId":50180,"journal":{"name":"Journal of Infection","volume":"90 1","pages":"Article 106364"},"PeriodicalIF":14.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773957","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
Surge in scarlet fever cases in China: An atypical epidemiological pattern in Beijing 中国猩红热病例激增:北京的非典型流行病学模式。
IF 14.3 1区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2025-01-01 DOI: 10.1016/j.jinf.2024.106371
Mengyang Guo , Yunhua Yao , Huan Liu, Limin Dong, Kaihu Yao
{"title":"Surge in scarlet fever cases in China: An atypical epidemiological pattern in Beijing","authors":"Mengyang Guo ,&nbsp;Yunhua Yao ,&nbsp;Huan Liu,&nbsp;Limin Dong,&nbsp;Kaihu Yao","doi":"10.1016/j.jinf.2024.106371","DOIUrl":"10.1016/j.jinf.2024.106371","url":null,"abstract":"","PeriodicalId":50180,"journal":{"name":"Journal of Infection","volume":"90 1","pages":"Article 106371"},"PeriodicalIF":14.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792121","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
期刊
Journal of Infection
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