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Resurgence of pertussis in China: Evaluating the efficacy of sulfamethoxazole-trimethoprim as an alternative treatment 百日咳在中国的死灰复燃:评价磺胺甲恶唑-甲氧苄啶作为替代治疗方法的疗效。
IF 14.3 1区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2025-01-01 DOI: 10.1016/j.jinf.2024.106373
Xinxin Zhu , Zengguo Wang
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引用次数: 0
The unusual surge and patterns of scarlet fever in China warrant close monitoring 中国猩红热的异常飙升和模式值得密切关注。
IF 14.3 1区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2025-01-01 DOI: 10.1016/j.jinf.2024.106381
Mengyang Guo , Siyu Chen , Wei Gao, Limin Dong, Kaihu Yao
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引用次数: 0
The association between rickettsial infection and hyperinflammation, diagnostic and management challenges 立克次体感染与高发炎症、诊断和管理挑战之间的关系。
IF 14.3 1区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2025-01-01 DOI: 10.1016/j.jinf.2024.106372
Sophie Skarbek , Thomas HA Samuels, , Sana Sharrack , Danielle Cohen, Jessica J. Manson, Rachel S. Tattersall, Michael Brown , James E. Meiring
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引用次数: 0
Comparison of safety and immunogenicity in the elderly after receiving either Comirnaty or Spikevax monovalent XBB1.5 COVID-19 vaccine 老年人接种Comirnaty和Spikevax单价XBB1.5 COVID-19疫苗的安全性和免疫原性比较
IF 14.3 1区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2025-01-01 DOI: 10.1016/j.jinf.2024.106374
Chris Ka Pun Mok , Yun Sang Tang , Chee Wah Tan , Ka Chun Chong , Chunke Chen , Yuanxin Sun , Karen Yiu , Kwun Cheung Ling , Ken KP Chan , David S. Hui

Background

The emergence of SARS-CoV-2 variants necessitates ongoing evaluation of vaccine performance. This study evaluates and compares the safety and immunogenicity of the Comirnaty and Spikevax monovalent XBB.1.5 COVID-19 vaccines in an elderly population.

Methods

Altogether, 129 elderly individuals were recruited between 2 January and 3 February 2024, and received a booster dose of either Comirnaty (n=59) or Spikevax (n=70) monovalent XBB.1.5 COVID-19 vaccine. Blood samples were collected at before and one month after vaccination. Immunogenicity was assessed by measuring the percentage of IFNγ+CD4+ and IFNγ+CD8+ T cells, and neutralizing antibody titers (NT50) using a surrogate virus neutralization test (sVNT). Adverse reactions were recorded and analyzed.

Findings

Both vaccines significantly increased the percentage of IFNγ+CD8+ T cells against XBB.1.5 and wild-type (WT) SARS-CoV-2 at one-month post-vaccination. Spikevax induced a significantly higher percentages of IFNγ+CD8+ and CD4+ T cells against XBB.1.5 than Comirnaty (p<0.001). The proportion of participants showing a positive T cell response to XBB1.5 after vaccination was higher in the Spikevax group (64.3% CD8, 71.4% CD4) than in the Comirnaty group (42.4% CD8, 57.6% CD4). Spikevax also elicited higher NT50 levels against XBB1.5, JN.1 and the latest variant KP.2 than Comirnaty (XBB1.5: p<0.01; KP.2: p<0.05). Fever was more common in the Spikevax group (fever: p=0.006). However, all side effects were short-term and resolved on their own.

Interpretation

Both vaccines induce neutralizing antibody to XBB1.5, JN.1 and KP.2. Specifically, Spikevax induces higher cellular and humoral immune responses than Comirnaty in the elderly, but it is also associated with a higher incidence of fever. These findings can guide public health strategies for vaccinating the elderly population.
背景:SARS-CoV-2变体的出现需要对疫苗性能进行持续评估。本研究评估和比较Comirnaty和Spikevax单价XBB.1.5 COVID-19疫苗在老年人群中的安全性和免疫原性。方法:在2024年1月2日至2月3日期间共招募129名老年人,接受Comirnaty (n=59)或Spikevax (n=70)单价XBB.1.5 COVID-19疫苗的加强剂。分别于接种前和接种后1个月采集血样。免疫原性通过测量IFNγ+CD4+和IFNγ+CD8+ T细胞的百分比和使用替代病毒中和试验(sVNT)的中和抗体滴度(NT50)来评估。记录并分析不良反应。结果:两种疫苗在接种后1个月显著提高了IFNγ+CD8+ T细胞抗XBB.1.5和野生型(WT) SARS-CoV-2的百分比。Spikevax对XBB1.5的IFNγ+CD8+和CD4+ T细胞的诱导率明显高于Comirnaty(解释:两种疫苗均诱导XBB1.5、JN.1和KP.2的中和抗体)。具体来说,Spikevax在老年人中比Comirnaty诱导更高的细胞和体液免疫反应,但它也与更高的发烧发生率有关。这些发现可以指导老年人接种疫苗的公共卫生策略。
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引用次数: 0
Risk of invasive pneumococcal disease during pregnancy and postpartum and association with adverse maternal and foetal outcomes: A prospective cohort study, England, 2014-19 孕期和产后感染侵袭性肺炎球菌疾病的风险以及与孕产妇和胎儿不良结局的关联:前瞻性队列研究,英格兰,2014-19 年。
IF 14.3 1区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2025-01-01 DOI: 10.1016/j.jinf.2024.106363
Zahin Amin-Chowdhury , Marta Bertran , Fariyo Abdullahi , Carmen L. Sheppard , Seyi D. Eletu , David J. Litt , Norman K. Fry , Shamez N. Ladhani

Background

Pneumococcal infections are associated with significant morbidity and mortality, especially at the extremes of age and in those with underlying conditions. Little is known about the risks, presentations or outcomes of invasive pneumococcal disease (IPD) during pregnancy or the postpartum period.

Methods

The UK Health Security Agency conducts enhanced national surveillance of IPD in England. We used national surveillance data to calculate IPD risk and outcomes in pregnant, postpartum and non-pregnant women of childbearing age with IPD over a five-year period in England.

Findings

There were 1701 IPD cases in women aged 15–44 years between 1 July 2014 and 30 June 2019, including 123 (7.2%) pregnant, 38 (2.2%) postpartum and 1540 (90.5%) non-pregnant women. IPD incidence in pregnant women (0.048/1000 woman-years) was not significantly different compared to non-pregnant women (0.041/1000 woman-years; Incidence Rate Ratio [IRR]: 1.17; 95%CI 0.96–1.40; p=0.11). When stratified by trimester, however, women in their third trimester had a 2.27-fold (95%CI 1.80–2.85, p<0.001) increased risk of IPD, compared to non-pregnant women (IRR 2.27, 95%CI 1.78–2.85, p<0.001), while those in the first (IRR 0.49, 95%CI 0.28–0.80) and second trimester (IRR 0.71, 95%CI 0.47–1.04) had a lower risk, albeit only statistically significant for the first trimester. Postpartum women (0.144 per 1000 woman-years), on the other hand, had a 3.49-fold (95%CI 2.46–4.81, p<0.001) higher IPD risk than non-pregnant women.
Most pregnant women developed IPD during their third trimester (80/123, 65.0%), with all but one pregnancy resulting in a live birth. IPD in the second trimester was associated with live birth in 77.8% of cases (21/27), while 22.2% experienced a miscarriage (5/27, 18.5%) or stillbirth (1/27, 3.7%). IPD in the first trimester was associated with live birth in 41.7% of cases (5/12), miscarriages in 41.7% (5/12), and termination in 16.7% (2/12) cases. Only three neonates (3/142) had confirmed IPD. There were no deaths in pregnant women with IPD compared to 5.5% (85/1540) in non-pregnant women.

Interpretation

While pregnant women overall did not appear to have an increased risk of IPD compared to non-pregnant women, those infected in third trimester or postpartum appeared to have more than twice the incidence. Most pregnant and postpartum women had a live birth, and subsequent neonatal infection was rare, occurring in 2% of live births.
背景:肺炎球菌感染与严重的发病率和死亡率有关,尤其是在极端年龄段和患有基础疾病的人群中。人们对孕期或产后侵袭性肺炎球菌疾病(IPD)的风险、表现或结果知之甚少:英国卫生安全局对英格兰的 IPD 进行了强化的全国性监测。我们利用全国监测数据计算了英格兰五年内妊娠期、产后和非妊娠期育龄妇女感染 IPD 的风险和结果:2014年7月1日至2019年6月30日期间,15-44岁女性中共有1701例IPD病例,其中包括123例(7.2%)孕妇、38例(2.1%)产后妇女和1540例(90.7%)非孕妇。孕妇的 IPD 发病率(0.048/1,000 女性-年)与非孕妇(0.041/1,000 女性-年;发病率比 [IRR]:1.17; 95%CI 0.96-1.40; p=0.11)。然而,如果按孕期进行分层,怀孕三个月的妇女的发病率要高出 2.27 倍(95%CI 1.79-2.85,p解释):与非孕妇相比,孕妇患 IPD 的风险总体上似乎并没有增加,但怀孕三个月时感染 IPD 的孕妇的发病率似乎增加了三倍多。大多数孕妇和产后妇女都生下了活产婴儿,新生儿随后感染的情况很少见,仅占活产婴儿的 2%。
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引用次数: 0
Health-associated quality of life impairment in people who inject drugs (PWID) after bloodstream infection 注射吸毒者(PWID)血流感染后与健康相关的生活质量损害。
IF 14.3 1区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2025-01-01 DOI: 10.1016/j.jinf.2024.106375
A. Richards , I. Mortimer , P. Burns , E. Plevneshi , G. Barlow , N. Easom , PJ. Lillie

Background

People who inject drugs (PWID) have high rates of bloodstream infections (BSI) with Staphylococcus aureus (SA) and group A streptococcus (GAS). Little is known about health-related quality of life outcomes after BSI.

Methods

We performed a prospective pilot cohort study of patients with BSI due to SA or GAS. Health-related quality of life, anxiety, depression and cognitive function were assessed using validated tools (EQ5-5D-5L), Hospital Anxiety and Depression Score (HADS) and Montreal Cognitive Assessment (MOCA) at baseline, 28 days post-discharge and 6 months post-infection.

Findings

66 patients were recruited over a 12-month period, including 17 PWID. For the whole cohort, global health rank improved from baseline to day 28 (median 40 to 60, p=0.002), with no significant improvement from day 28 to day 168 (median 60 to 75, p=0.161). At baseline, PWID had lower overall health-related quality of life than non-PWID (median 25 vs 45, p=0.229), persisting at day 28 (non-PWID median 65, PWID median 43, p=0.036) and day 168 (non-PWID median 75, PWID median 40, p=0.035). This difference was driven by worse scores in the EQ-5D-5L mental health component and HADS, with HADS scores being significantly impaired in PWID at baseline (p=0.001) and day 28 (p=0.007).

Conclusion

PWID have impaired health-related quality of life after SA and GAS BSI that persists for up to 6 months. Poor mental health is the major component of this, and further studies could clarify if this is a target for intervention.
背景:注射吸毒者(PWID)的金黄色葡萄球菌(SA)和A群链球菌(GAS)血流感染(BSI)发生率较高。BSI后与健康相关的生活质量结果知之甚少。方法:我们对SA或GAS引起的BSI患者进行了前瞻性先导队列研究。在基线、出院后28天和感染后6个月,使用经过验证的工具(EQ5-5D-5L、医院焦虑和抑郁评分(HADS)和蒙特利尔认知评估(MOCA)评估健康相关的生活质量、焦虑、抑郁和认知功能。结果:在12个月的时间内招募了66名患者,其中包括17名PWID患者。对于整个队列,全球健康排名从基线到第28天有所改善(中位数为40至60,p=0.002),从第28天到第168天无显著改善(中位数为60至75,p=0.161)。在基线时,PWID患者的总体健康相关生活质量低于非PWID患者(中位数25 vs中位数45,p=0.229),持续到第28天(非PWID患者中位数65,PWID患者中位数43,p=0.036)和第168天(非PWID患者中位数75,PWID患者中位数40,p=0.035)。这一差异是由EQ-5D-5L心理健康成分和HADS评分较差造成的,PWID患者在基线时(p=0.001)和第28天(p=0.007)的HADS评分显著下降。结论:PWID在SA和GAS BSI后持续长达6个月的健康相关生活质量受损。心理健康状况不佳是其中的主要因素,进一步的研究可以澄清这是否是干预的目标。
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引用次数: 0
A novel HIV-1 circulating recombinant form (CRF168_0107) identified from men who have sex with men in Beijing, China 一种新的HIV-1循环重组形式(CRF168_0107)从中国北京的男男性行为者中鉴定出来。
IF 14.3 1区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2025-01-01 DOI: 10.1016/j.jinf.2024.106368
Mingfeng Xiao , Jing Tang , Jia Li, Yun Lan, Xiyao Li, Li Li, Huihuang Huang, Shufang He, Hongyan Lu, Xiaoxin He, An Liu, Ruolei Xin
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引用次数: 0
Predicting herpes zoster incidence using a combined seasonal autoregressive integrated moving average and back propagation neural network model: A time series analysis 使用季节性自回归综合移动平均和反向传播神经网络模型预测带状疱疹发病率:时间序列分析。
IF 14.3 1区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2025-01-01 DOI: 10.1016/j.jinf.2024.106378
Chenlu Fan , Kangjun Xu , Zhexin Xu, Chuanxi Fu
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引用次数: 0
The impact of urbanization in China on influenza incidence across neighboring cities 中国城市化对邻近城市流感发病的影响
IF 14.3 1区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2025-01-01 DOI: 10.1016/j.jinf.2024.106370
Hao Luo , Yongbiao Cui , Wenhao Yu , Guoao Li , Qi Zhao , Mengjie Geng , Haitao Wang , Wei Ma

Objectives

Although the relationship between urbanization and influenza has received increasing attention, previous studies have often examined this relationship based on single indicators, neglecting the multi-dimensions of urban development and their integrated impact on influenza incidence in neighboring cities.

Methods

A multidimensional urbanization evaluation framework was developed based on social, economic, and ecological dimensions to comprehensively assess urbanization. Then, we analyzed the impact of urbanization development on influenza incidence within and across cities using Bayesian spatiotemporal models and spatial Durbin models. Regional heterogeneity analysis was performed to investigate the impact of urbanization on influenza incidence within cities.

Results

From 2014 to 2019, there were 5,062,254 influenza cases in 283 prefecture-level cities in China. Each standard deviation increment in comprehensive, social, and economic indexes of urbanization was associated with a 14.9% (95% CI: 6.1%, 24.3%), 9.9% (95% CI: 3.5%, 16.3%), and 13.4% (95% CI: 4.5%, 23.7%) increase in influenza incidence, respectively. The effects of urban development on influenza incidence varied significantly across regions, with the greatest impact found in southern China. Additionally, a significant positive spatial spillover effect of urbanization was observed on influenza incidence in surrounding cities.

Conclusions

Urbanization and its various dimensions were linked to increased risk of local influenza incidence, which also showed substantial positive spatial spillover effect to surrounding areas. During the rapid urbanization process in China, local governments should prioritize equity and accessibility in healthcare services and strengthen the coordinated prevention and control of influenza epidemics across cities.
虽然城市化与流感之间的关系越来越受到关注,但以往的研究往往基于单一指标来考察这种关系,而忽视了城市发展的多维度及其对邻近城市流感发病率的综合影响。方法:构建基于社会、经济、生态三个维度的多维城镇化评价框架,对城镇化进行综合评价。在此基础上,采用贝叶斯时空模型和空间Durbin模型分析城市化发展对城市内和城市间流感发病率的影响。通过区域异质性分析探讨城市化对城市流感发病率的影响。结果:2014 - 2019年,全国283个地级市共发生流感病例5062254例。城市化综合、社会和经济指标的每一个标准差增量分别与流感发病率增加14.9% (95% CI: 6.1%, 24.3%)、9.9% (95% CI: 3.5%, 16.3%)和13.4% (95% CI: 4.5%, 23.7%)相关。城市发展对流感发病率的影响在不同地区差异显著,华南地区的影响最大。此外,城市化对周边城市流感发病具有显著的正向空间溢出效应。结论:城市化及其各维度与当地流感发病风险增加有关,并对周边地区表现出显著的正空间溢出效应。在中国快速城市化进程中,地方政府应优先考虑卫生服务的公平性和可及性,加强城市间流感疫情的协同防控。
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引用次数: 0
The association between prenatal antibiotic exposure and adverse long-term health outcomes in children: A systematic review and meta-analysis 产前接触抗生素与儿童长期不良健康后果之间的关系:系统回顾和荟萃分析。
IF 14.3 1区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2025-01-01 DOI: 10.1016/j.jinf.2024.106377
Quynh A. Duong , Nigel Curtis , Petra Zimmermann

Background

Antibiotics are the most commonly prescribed drugs during pregnancy. The long-term health risks to children associated with prenatal antibiotic exposure are uncertain.

Objective

To identify the association between prenatal antibiotics and adverse long-term health outcomes in children.

Methods

A systematic search was done to identify original studies investigating the association between prenatal antibiotic exposure and adverse long-term health outcomes in children. Studies were excluded if: (i) antibiotics were only given during delivery or (ii) the outcome was present before antibiotic exposure.

Results

We included 158 studies, reporting 23 outcomes in 21,943,763 children, in our analysis. For the following adverse health outcomes, there was a significant association with antibiotic exposure found in two or more studies: atopic dermatitis (OR 1.27, 95% CI 1.06–1.52, p=0.01), food allergies (OR 1.25, 95% CI 1.09–1.44, p<0.01), allergic rhinoconjunctivitis (OR 1.16, 95% CI 1.15–1.17, p<0.01), wheezing (OR 1.39, 95% CI 1.14–1.69, p<0.01), asthma (OR 1.36, 95% CI 1.24–1.50, p<0.01), obesity (OR 1.36, 95% CI 1.12–1.64, p<0.01), cerebral palsy (OR 1.25, 95% CI 1.10–1.43, p<0.01), epilepsy or febrile seizure (OR 1.16, 95% CI 1.08–1.24, p<0.01), and cancer (OR 1.13, 95% CI 1.01–1.26, p=0.04).

Conclusion

Although causality cannot be implied, these findings support antibiotic stewardship efforts to ensure judicious use of antibiotics during pregnancy to avoid potential long-term health risks.
背景:抗生素是孕期最常用的处方药。产前抗生素暴露对儿童的长期健康风险尚不清楚。目的:确定产前抗生素与儿童不良长期健康结局之间的关系。方法:进行了系统搜索,以确定调查产前抗生素暴露与儿童不良长期健康结果之间关系的原始研究。排除标准为:(i)仅在分娩期间给予抗生素或(ii)结果在抗生素暴露之前就存在。结果:我们纳入了158项研究,报告了21,943,763名儿童的23个结果。抗生素暴露与几种不良的长期健康结果相关:特应性皮炎(OR 1.27, 95% CI 1.06-1.52, p=0.01),食物过敏(OR 1.25, 95% CI 1.09-1.44, p)。结论:虽然不能暗示因果关系,但这些发现强调了抗生素管理的必要性,以确保在怀孕期间明智地使用抗生素,以避免潜在的长期健康风险。
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引用次数: 0
期刊
Journal of Infection
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