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Respiratory and blood samples metagenomic sequencing in diagnosing pulmonary infections in hematologic patients. 呼吸和血液样本宏基因组测序诊断血液病患者肺部感染。
IF 3 3区 医学 Q2 INFECTIOUS DISEASES Pub Date : 2026-02-05 DOI: 10.1186/s12879-026-12734-8
Chunhui Xu, Lining Zhang, Teng Liu, Guoqing Zhu, Hui Wei, Yizhou Zheng, Jun Shi, Lugui Qiu, Zhijian Xiao, Xiaofan Zhu, Jianxiang Wang, Jian Guo, Yuping Fan, Yijun Song, Erlie Jiang, Sizhou Feng
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引用次数: 0
Prevalence and determinants of hepatitis B, hepatitis C, and liver injury among people living with HIV on antiretroviral therapy in the Upper East Region of Ghana. 加纳上东部地区接受抗逆转录病毒治疗的艾滋病毒感染者中乙型肝炎、丙型肝炎和肝损伤的患病率和决定因素
IF 3 3区 医学 Q2 INFECTIOUS DISEASES Pub Date : 2026-02-05 DOI: 10.1186/s12879-026-12784-y
Francis Yennube Duut, Samuel Punignan Nfoke, Elvis Ayamga, Naja Kwayaja, Dodzi Kwaku Jnr Senoo, Godfred Agongo, James Abugri, Sylvester Donne Dassah
<p><strong>Background: </strong>Hepatitis B virus (HBV) and hepatitis C virus (HCV) co-infections remain an important public health challenge among people living with HIV (PLHIV), with their heaviest toll borne in sub-Saharan Africa. These infections accelerate liver disease progression, complicate antiretroviral therapy (ART) management, and contribute to morbidity and mortality. This study assessed the seroprevalence of HBV and HCV and liver injury among PLHIV on ART in the Upper East Region of Ghana.</p><p><strong>Methods: </strong>In a cross-sectional survey, a total of 294 PLHIV receiving ART at three treatment sites were recruited between June and August, 2024. Sociodemographic and clinical data were obtained using a structured questionnaire after informed consent. Participants were screened for HBV serological markers and anti-HCV using a lateral flow rapid immunochromatographic test, and liver injury was evaluated biochemically by measuring serum alanine aminotransferase (ALT) and aspartate aminotransferase (AST) levels. Descriptive statistics were used to summarise participant characteristics and logistics regression to assess factors associated with HBV and HCV coinfections and liver injury.</p><p><strong>Results: </strong>The overall seroprevalence of viral hepatitis was 13.3% (95% CI: 9.6-17.7), with HBV (9.2%; 95% CI: 6.1-13.1) more common than HCV (4.1%; 95% CI: 2.1-7.0). HBV infection was significantly higher in males than females (17.5% vs. 7.4%; p = 0.025) and more common among participants with tertiary education (21.4%; 95% CI: 4.7-50.8) relative to those without formal education (4.5%; 95% CI: 1.7-9.6; p = 0.022). Urban residents showed higher but not statistically significant HBV seroprevalence than rural participants (14.9% vs. 7.3%; p = 0.050). HCV seroprevalence showed no significant sociodemographic associations. The seroprevalence of liver injury was 17.7% (95% CI: 13.5-22.5). Being a male was independently associated with liver injury (adjusted odds ratio [aOR]: 4.35; 95% CI: 1.81-10.47; p = 0.001). Older age was also a predictor: compared to participants aged 20-30 years, those aged 31-40 (aOR: 13.31; 95% CI: 1.37-129.76; p = 0.026), 41-50 (aOR: 20.01; 95% CI: 1.90-210.33; p = 0.013), and > 50 years (aOR: 15.62; 95% CI: 1.41-172.51; p = 0.025) had markedly increased odds. Longer ART duration was protective: individuals on ART for > 10 years had reduced odds of liver injury compared to those on ART for 1-5 years (aOR: 0.39; 95% CI: 0.16-0.97; p = 0.042).</p><p><strong>Conclusion: </strong>The findings show that HBV and HCV are prevalent among PLHIV on ART in the Upper East Region of Ghana. Liver injury affects nearly one in five PLHIV in this setting. These findings highlight the need for targeted viral hepatitis B and C and liver enzymes monitoring and integration of hepatitis management into HIV care, particularly among older men and patients in the early years of ART in this population.</p><p><strong>Clinical trial n
背景:乙型肝炎病毒(HBV)和丙型肝炎病毒(HCV)合并感染仍然是艾滋病毒感染者(PLHIV)面临的一个重要公共卫生挑战,其中撒哈拉以南非洲地区的感染人数最多。这些感染加速了肝脏疾病的进展,使抗逆转录病毒治疗(ART)管理复杂化,并导致发病率和死亡率。本研究评估了加纳上东部地区接受抗逆转录病毒治疗的hiv患者中HBV和HCV的血清患病率和肝损伤情况。方法:采用横断面调查方法,于2024年6月至8月在三个治疗点共招募294例接受抗逆转录病毒治疗的PLHIV患者。在知情同意后,使用结构化问卷获得社会人口学和临床数据。使用侧流快速免疫层析测试筛选参与者的HBV血清学标志物和抗hcv,并通过测量血清丙氨酸转氨酶(ALT)和天冬氨酸转氨酶(AST)水平来生化评估肝损伤。描述性统计用于总结参与者特征和logistic回归,以评估与HBV和HCV合并感染和肝损伤相关的因素。结果:病毒性肝炎的总体血清阳性率为13.3% (95% CI: 9.6-17.7),其中HBV (9.2%; 95% CI: 6.1-13.1)比HCV (4.1%; 95% CI: 2.1-7.0)更常见。HBV感染男性明显高于女性(17.5% vs. 7.4%, p = 0.025),受过高等教育的参与者(21.4%,95% CI: 4.7-50.8)比没有受过正规教育的参与者(4.5%,95% CI: 1.7-9.6, p = 0.022)更常见。城市居民HBV血清阳性率高于农村参与者(14.9% vs. 7.3%; p = 0.050),但无统计学意义。HCV血清患病率无显著的社会人口学相关性。肝损伤的血清患病率为17.7% (95% CI: 13.5-22.5)。男性与肝损伤独立相关(校正优势比[aOR]: 4.35; 95% CI: 1.81-10.47; p = 0.001)。年龄较大也是一个预测因素:与20-30岁的参与者相比,31-40岁(aOR: 13.31; 95% CI: 1.37-129.76; p = 0.026)、41-50岁(aOR: 20.01; 95% CI: 1.90-210.33; p = 0.013)和50岁以下(aOR: 15.62; 95% CI: 1.41-172.51; p = 0.025)的参与者的几率显著增加。较长的抗逆转录病毒治疗持续时间具有保护作用:与接受抗逆转录病毒治疗1-5年的患者相比,接受抗逆转录病毒治疗100 - 10年的患者肝损伤的几率降低(aOR: 0.39; 95% CI: 0.16-0.97; p = 0.042)。结论:研究结果表明,HBV和HCV在加纳上东部地区抗逆转录病毒治疗的艾滋病毒感染者中普遍存在。在这种情况下,肝损伤影响了近五分之一的PLHIV。这些发现强调需要进行针对性的病毒性乙型肝炎和丙型肝炎以及肝酶监测,并将肝炎管理纳入艾滋病毒护理,特别是在这一人群中的老年男性和抗逆转录病毒治疗早期患者中。临床试验号:不适用。
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引用次数: 0
Rifampicin-resistant tuberculosis in Nangarhar, Afghanistan: prevalence and risk factors. 阿富汗楠格哈尔省耐利福平结核病:流行情况和危险因素。
IF 3 3区 医学 Q2 INFECTIOUS DISEASES Pub Date : 2026-02-05 DOI: 10.1186/s12879-026-12795-9
Shah Agha Salehi, Sant Muangnoicharoen, Natthida Sriboonvorakul, Janjira Thaipadungpanit, Jittima Dhitavat, Udomsak Silachamroon, Wiwat Chancharoenthana
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引用次数: 0
Endocan as a marker of plasma leakage in dengue patients: a diagnostic study. 内啡肽作为登革热患者血浆渗漏的标志物:一项诊断研究。
IF 3 3区 医学 Q2 INFECTIOUS DISEASES Pub Date : 2026-02-05 DOI: 10.1186/s12879-026-12781-1
Leonard Nainggolan, Fatih Anfasa, Arif Mansjoer, Beti E Dewi
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引用次数: 0
MARVpred: machine learning prediction of inhibitors targeting Marburg virus Gene 4 Small ORF protein. MARVpred:马尔堡病毒基因4小ORF蛋白抑制剂的机器学习预测。
IF 3 3区 医学 Q2 INFECTIOUS DISEASES Pub Date : 2026-02-05 DOI: 10.1186/s12879-026-12751-7
Eugene Lamptey, Gabriel Anyaele, Harry Arthur, Thaddeus Adjadeh, Dorothy Sagoe, George Hanson, Endalkachew Girma, Olaitan I Awe

The Marburg virus (MARV), responsible for severe hemorrhagic fevers with mortality rates as high as 90%, remains a significant public health threat. This study employs machine learning to identify inhibitors targeting the MARV Gene 4 Small ORF protein, crucial for the virus's replication and immune evasion. The Gene 4 Small ORF protein is pivotal in taking over the host's cellular mechanisms, facilitating unchecked viral replication and significant immune system disruption. Effective targeting of this protein holds promise for mitigating the viral lifecycle and entry, potentially curbing the severity of the disease outbreaks. A dataset from PubChem, including 301,745 compounds, was utilized to train models like Random Forest (RF), Gradient Boosting Machines (GBM), CatBoost (CB), AdaBoost (AB), and Logistic Regression (LR). The activity outcomes were classified with integers active as 1 and inactive as 0, followed by molecular descriptor generation using RDKit and PaDEL. The models were trained on an 80:20 split and validated on a novel dataset to ensure robustness, with performance metrics such as accuracy and AUC-ROC guiding evaluation. Morgan fingerprints outperformed PubChem fingerprints, achieving higher accuracy (76%), precision (80%), and ROC-AUC (84%). Among the machine learning models evaluated, RF and GBM were the best performers, with RF achieving the highest specificity (83%) and ROC-AUC (0.84). Validation on new datasets further confirmed the effectiveness of these models, with RF and GBM demonstrating strong predictive reliability for identifying potential inhibitors of the Marburg virus. A Web Application known as MARVpred was developed to predict the activity of compounds with anti-MARV properties from the ChEMBL database. MARVpred is freely accessible online (https://igmr.org/software/marvpred). This study signifies a critical step forward in the computational prediction of viral inhibitors, offering a valuable tool for accelerating the development of Marburg virus therapeutics.

马尔堡病毒(MARV)造成死亡率高达90%的严重出血热,仍然是一个重大的公共卫生威胁。本研究利用机器学习来识别针对MARV基因4小ORF蛋白的抑制剂,该蛋白对病毒的复制和免疫逃避至关重要。基因4小ORF蛋白是接管宿主细胞机制的关键,促进不受控制的病毒复制和严重的免疫系统破坏。有效靶向这种蛋白有望缓解病毒的生命周期和进入,潜在地抑制疾病爆发的严重程度。PubChem的数据集包括301,745种化合物,用于训练随机森林(RF)、梯度增强机(GBM)、CatBoost (CB)、AdaBoost (AB)和逻辑回归(LR)等模型。活性结果分为活性为1和非活性为0的整数,然后使用RDKit和PaDEL生成分子描述符。模型在80:20分割上进行训练,并在新的数据集上进行验证,以确保鲁棒性,并使用准确性和AUC-ROC指导评估等性能指标。摩根指纹优于PubChem指纹,实现了更高的准确度(76%)、精确度(80%)和ROC-AUC(84%)。在评估的机器学习模型中,RF和GBM表现最佳,RF达到最高的特异性(83%)和ROC-AUC(0.84)。对新数据集的验证进一步证实了这些模型的有效性,RF和GBM在确定马尔堡病毒的潜在抑制剂方面显示出很强的预测可靠性。开发了一个名为MARVpred的Web应用程序,用于从ChEMBL数据库中预测具有抗marv特性的化合物的活性。MARVpred可以在网上免费访问(https://igmr.org/software/marvpred)。这项研究标志着病毒抑制剂的计算预测向前迈出了关键的一步,为加速马尔堡病毒疗法的发展提供了有价值的工具。
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引用次数: 0
The effectiveness of preventive tuberculosis treatment in children. 儿童结核病预防治疗的有效性。
IF 3 3区 医学 Q2 INFECTIOUS DISEASES Pub Date : 2026-02-05 DOI: 10.1186/s12879-026-12726-8
Dione Benjumea-Bedoya, Claudia Beltrán-Arroyave, Andrea Restrepo Gouzy, Luis Fernando Barrera, Lina Marcela Cadavid, Guillermo Vélez-Parra, Beatriz Molinares, Diana Marín, Fernando Montes, Henry Pulido, Mauricio Suarez, Jaime Robledo, María Patricia Arbeláez-Montoya
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引用次数: 0
Biofilm formation on venovenous ECMO cannulas can lead to re-introduction of pathogens during the decannulation process - a small-scale study reveals new insights when combining cultures and molecular results. 静脉-静脉ECMO套管上的生物膜形成可导致在脱管过程中病原体的重新引入-一项小规模研究在结合培养和分子结果时揭示了新的见解。
IF 3 3区 医学 Q2 INFECTIOUS DISEASES Pub Date : 2026-02-05 DOI: 10.1186/s12879-026-12731-x
Simone Kattner, Marcel Hochreiter, Ann-Kathrin Dörr, Andrea Engler, Hannah Möhlen, Verena Freitag, Ksenia Pawlytta, Thorsten Brenner, Folker Meyer, Ivana Kraiselburd
{"title":"Biofilm formation on venovenous ECMO cannulas can lead to re-introduction of pathogens during the decannulation process - a small-scale study reveals new insights when combining cultures and molecular results.","authors":"Simone Kattner, Marcel Hochreiter, Ann-Kathrin Dörr, Andrea Engler, Hannah Möhlen, Verena Freitag, Ksenia Pawlytta, Thorsten Brenner, Folker Meyer, Ivana Kraiselburd","doi":"10.1186/s12879-026-12731-x","DOIUrl":"10.1186/s12879-026-12731-x","url":null,"abstract":"","PeriodicalId":8981,"journal":{"name":"BMC Infectious Diseases","volume":"26 1","pages":"273"},"PeriodicalIF":3.0,"publicationDate":"2026-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12874949/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146123542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Development of in-house PCR assays and cross-sectional molecular surveillance of infectious pathogens in adverse pregnancy outcomes and neonatal sepsis in central India. 印度中部不良妊娠结局和新生儿败血症感染性病原体的内部PCR检测和横断面分子监测的发展。
IF 3 3区 医学 Q2 INFECTIOUS DISEASES Pub Date : 2026-02-05 DOI: 10.1186/s12879-026-12752-6
Kashmi Sharma, Rohan Shrivastava, Somesh Mishra, Debasis Biswas, K Pushpalatha, Ashwin A Raut, Jitendra Singh, Rupinder Kaur Kanwar, Shashank Purwar, Ankur Joshi, Shashwati Nema, Shweta Patel, Jyotsana Shrivastava, Aruna Kumar, Shabana Sultan, Manjusha Goel, Pallavi Singh, Poorva Gohiya, Ram K Nema, Megha Katare Pandey
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引用次数: 0
Development and validation of a sample-to-result real time multiplex RT-PCR test for human African trypanosomiasis and arboviral febrile illnesses in the Democratic Republic of the Congo. 在刚果民主共和国开发和验证用于非洲人类锥虫病和虫媒病毒性发热疾病的从样品到结果的实时多重RT-PCR检测方法。
IF 3 3区 医学 Q2 INFECTIOUS DISEASES Pub Date : 2026-02-05 DOI: 10.1186/s12879-026-12550-0
Anne Hauner, Saidou Milua Lusala, Stijn Rogé, Nick Van Reet, Lieselotte Cnops, Raquel Inocencio Da Luz, Marjan Van Esbroeck, Merveille Kapandji, Meris Matondo Kuamfumu, Oscar Kiabanzawoko, Delphin Mavinga Phanzu, Paul Verlé, Steve Ahuka-Mundeke, Kevin K Ariën

Background: Human African trypanosomiasis (HAT) is a fatal vector-borne disease caused by Trypanosoma brucei. Although HAT incidence has declined, meeting WHO's elimination targets remain difficult, particularly due to limited diagnostic sensitivity for low-parasite load-infections. Arboviruses such as dengue (DENV 1-4), chikungunya (CHIKV), and yellow fever (YFV) virus, present with nonspecific febrile symptoms similar to HAT and are underdiagnosed in Sub-Saharan Africa. Due to this overlap in symptoms and a suspected geographical overlap of vectors and pathogens in the Democratic Republic of the Congo (DRC) the pathogens were combined in a multiplex-PCR panel. Sample-to-result platforms (S2R) can reduce hands-on time and infrastructure requirements, making them ideal for peripheral laboratories. We developed a multiplex real-time RT-PCR assay on the ARIES® platform, for simultaneous detection of HAT, DENV, CHIKV and YFV, showing how automated, closed-cartridge PCR can simplify testing.

Methods: A technical validation and retrospective sample testing (n = 242) were performed at the Institute of Tropical Medicine (ITM). Field validation took place in the DRC with retrospective samples from a CHIKV outbreak (n = 121) in Institut National pour la Recherche Biomédicale (INRB) Kinshasa and 52 prospective whole blood samples from acute febrile patients in Centre de Recherche en Santé de Kimpese (CRSK) in Kimpese.

Results: The assay showed a slight loss of sensitivity, evidenced in the technical validation, and the non-detection of some T.b.gambiense and retrospective arboviral samples at ITM with low pathogen loads. CHIKV samples tested in Kinshasa showed a sensitivity of 89.4%. Although all samples tested in Kimpese were negative for the pathogens, it demonstrated how just a few days of training and the simplified workflows of a S2R-platform can enable robust diagnostics under challenging conditions.

Conclusion: Ensuring rapid, sensitive molecular diagnostics in resource-limited settings is critical for eliminating HAT and strengthening surveillance of emerging arboviruses. Despite the recent discontinuation of ARIES®, our findings confirm the feasibility and reliability of detecting diverse pathogens with minimal laboratory resources. The assay aligns with WHO and FIND target-product profiles, highlighting its relevance for neglected diseases in low-resource settings. These results emphasize the ongoing need for open, flexible S2R platforms to support disease surveillance and outbreak preparedness.

Clinical trial: Clinicaltrials.gov NCT04760678, registered on February 17th, 2021.

背景:非洲人类锥虫病(HAT)是一种由布鲁氏锥虫引起的致命病媒传播疾病。尽管HAT发病率有所下降,但实现世卫组织的消除目标仍然很困难,特别是由于对低寄生虫载量感染的诊断敏感性有限。虫媒病毒,如登革热(DENV 1-4)、基孔肯雅(CHIKV)和黄热病(YFV)病毒,表现出与HAT类似的非特异性发热症状,在撒哈拉以南非洲未得到充分诊断。由于在症状上存在重叠,而且在刚果民主共和国,病媒和病原体疑似在地理上存在重叠,因此将病原体合并为多重聚合酶链反应小组。样品到结果平台(S2R)可以减少动手时间和基础设施要求,使其成为外围实验室的理想选择。我们在ARIES®平台上开发了一种多重实时RT-PCR检测方法,用于同时检测HAT, DENV, CHIKV和YFV,显示了自动化,封闭试剂盒PCR如何简化测试。方法:在热带医学研究所进行技术验证和回顾性样本检验(n = 242)。在刚果民主共和国进行了现场验证,使用了金沙萨国家生物化学研究所(INRB)一次CHIKV暴发的回顾性样本(n = 121)和金普塞圣研究中心(CRSK)急性发热患者的52份前瞻性全血样本。结果:在技术验证中,该检测显示灵敏度略有下降,并且在低病原体负荷的ITM中未检测到一些冈比亚锥虫和回顾性虫媒病毒样本。在金沙萨检测的CHIKV样本灵敏度为89.4%。虽然在金普塞检测的所有样本均未检测出病原体,但它表明,只需几天的培训和s2r平台的简化工作流程就可以在具有挑战性的条件下进行强有力的诊断。结论:在资源有限的情况下确保快速、灵敏的分子诊断对于消除HAT和加强新出现的虫媒病毒监测至关重要。尽管ARIES®最近停止使用,但我们的研究结果证实了用最少的实验室资源检测多种病原体的可行性和可靠性。该检测方法符合世卫组织和FIND的目标产品概况,突出了其与低资源环境中被忽视疾病的相关性。这些结果强调了对开放、灵活的S2R平台的持续需求,以支持疾病监测和疫情防范。临床试验:Clinicaltrials.gov NCT04760678,注册于2021年2月17日。
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引用次数: 0
Comparative effectiveness of tenofovir versus entecavir combined with peginterferon Alfa-2b for functional cure in HBeAg-negative chronic hepatitis B: a propensity score-matched analysis. 替诺福韦与恩替卡韦联合聚乙二醇干扰素α -2b对hbeag阴性慢性乙型肝炎功能性治愈的比较疗效:倾向评分匹配分析
IF 3 3区 医学 Q2 INFECTIOUS DISEASES Pub Date : 2026-02-05 DOI: 10.1186/s12879-026-12603-4
Pei-Pei Wang, Hai-Shi Wu, Wen-Jian Deng, Yi Wu, Ying Zhang, Zhi-Liang Gao, Zhi-Shuo Mo
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引用次数: 0
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BMC Infectious Diseases
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