scholarly journals Mycobacterium chimaera from Cardio Surgery Heating-Cooling Units and from Clinical Samples in Israel are Genetically Unrelated

2021 ◽  
Author(s):  
Mor Rubinstein ◽  
Rona Grossman ◽  
Israel Nissan ◽  
Mitchell Schwaber ◽  
Yehuda Carmeli ◽  
...  
Keyword(s):  
Thoracic Surgery ◽  
Lung Disease ◽  
The Elderly ◽  
Clinical Samples ◽  
Opportunistic Pathogens ◽  
Outbreak Strain ◽  
Single Strain ◽  
Mixed Samples

Non-tuberculous mycobacteria (NTM) are opportunistic pathogens that cause illness primarily in the elderly, in the immunocompromised or in patients with underlying lung disease. Mycobacterium chimaera is a NTM species belonging to the M. avium Complex (MAC) group of species. Since 2013, a global outbreak of M. chimaera infection related to heater-cooler units (HCU) used in cardio-thoracic surgery has been identified. This outbreak was caused by a single strain of M. chimaera. In order to estimate the prevalence of this outbreak strain in Israel, we sampled M. chimaera from several HCU machines in Israel, as well as from patients, sequenced their genomes and compared them to the outbreak strain. The presence of mixed mycobacteria species in the samples complicated the analysis of obtained sequences. By applying a metagenomic binning strategy, we were able to obtain genomes of single strains from the mixed samples, and characterized them. M. chimaera strains were compared to each other and to previously reported genomes from other countries. The strain causing the outbreak related to the HCU machines was identified in several such machines in Israel but not in any of the clinical samples.

scholarly journals Mycobacterium intracellulare subsp. chimaera from Cardio Surgery Heating-Cooling Units and from Clinical Samples in Israel Are Genetically Unrelated

Pathogens ◽  
2021 ◽  
Vol 10 (11) ◽  
pp. 1392
Author(s):  
Mor Rubinstein ◽  
Rona Grossman ◽  
Israel Nissan ◽  
Mitchell J. Schwaber ◽  
Yehuda Carmeli ◽  
...  
Keyword(s):  
Thoracic Surgery ◽  
Lung Disease ◽  
Clinical Sample ◽  
The Elderly ◽  
Clinical Samples ◽  
Opportunistic Pathogens ◽  
Outbreak Strain ◽  
Single Strain ◽  
Mycobacterium Intracellulare ◽  
Mixed Samples

Non-tuberculous mycobacteria (NTM) are opportunistic pathogens that cause illness primarily in the elderly, in the immunocompromised or in patients with underlying lung disease. Since 2013, a global outbreak of NTM infection related to heater-cooler units (HCU) used in cardio-thoracic surgery has been identified. This outbreak was caused by a single strain of Mycobacterium intracellulare subsp. chimaera. In order to estimate the prevalence of this outbreak strain in Israel, we sampled Mycobacterium intracellulare subsp. chimaera from several HCU machines in Israel, as well as from patients, sequenced their genomes and compared them to the outbreak strain. The presence of mixed mycobacteria species in the samples complicated the analysis of obtained sequences. By applying a metagenomic binning strategy, we were able to obtain, and characterize, genomes of single strains from the mixed samples. Mycobacterium intracellulare subsp. chimaera strains were compared to each other and to previously reported genomes from other countries. The strain causing the outbreak related to the HCU machines was identified in several such machines in Israel but not in any clinical sample.

scholarly journals Is Staphylococcus lugdunensis Significant in Clinical Samples?

2017 ◽  
Vol 55 (11) ◽  
pp. 3167-3174 ◽  
Author(s):  
Xavier Argemi ◽  
Yves Hansmann ◽  
Philippe Riegel ◽  
Gilles Prévost
Keyword(s):  
Pathogenic Bacteria ◽  
Clinical Manifestations ◽  
Clinical Samples ◽  
Opportunistic Pathogens ◽  
Coagulase Negative Staphylococci ◽  
Staphylococcus Lugdunensis ◽  
Content Type ◽  
Severe Infections ◽  
Microbiological Data

ABSTRACTThe implication of coagulase-negative staphylococci in human diseases is a major issue, particularly in hospital settings wherein these species often act as opportunistic pathogens. In addition, some coagulase-negative staphylococci such asS. lugdunensishave emerged as pathogenic bacteria, implicated in severe infections, particularly, osteoarticular infections, foreign-body-associated infections, bacteremia, and endocarditis.In vitrostudies have shown the presence of several putative virulence factors such as adhesion factors, biofilm production, and proteolytic factors that might explain clinical manifestations. Taken together, the clinical and microbiological data might change the way clinicians and microbiologists look atS. lugdunensisin clinical samples.

scholarly journals Mechanisms and consequences of oxidative stress in lung disease: therapeutic implications for an aging populace

2018 ◽  
Vol 314 (4) ◽  
pp. L642-L653 ◽  
Author(s):  
Louise Hecker
Keyword(s):  
Oxidative Stress ◽  
Lung Disease ◽  
Lung Diseases ◽  
The Elderly ◽  
Therapeutic Strategies ◽  
Rapid Expansion ◽  
Pulmonary Diseases ◽  
Normal Lung ◽  
Incidence And Mortality ◽  
And Oxidative Stress

The rapid expansion of the elderly population has led to the recent epidemic of age-related diseases, including increased incidence and mortality of chronic and acute lung diseases. Numerous studies have implicated aging and oxidative stress in the pathogenesis of various pulmonary diseases; however, despite recent advances in these fields, the specific contributions of aging and oxidative stress remain elusive. This review will discuss the consequences of aging on lung morphology and physiology, and how redox imbalance with aging contributes to lung disease susceptibility. Here, we focus on three lung diseases for which aging is a significant risk factor: acute respiratory distress syndrome (ARDS), chronic obstructive pulmonary disease (COPD), and idiopathic pulmonary fibrosis (IPF). Preclinical and clinical development for redox- and senescence-altering therapeutic strategies are discussed, as well as scientific advancements that may direct current and future therapeutic development. A deeper understanding of how aging impacts normal lung function, redox balance, and injury-repair processes will inspire the development of new therapies to prevent and/or reverse age-associated pulmonary diseases, and ultimately increase health span and longevity. This review is intended to encourage basic, clinical, and translational research that will bridge knowledge gaps at the intersection of aging, oxidative stress, and lung disease to fuel the development of more effective therapeutic strategies for lung diseases that disproportionately afflict the elderly.

scholarly journals Outbreaks of monophasic Salmonella enterica serovar 4,[5],12:i:- in Luxembourg, 2006

2007 ◽  
Vol 12 (6) ◽  
pp. 11-12 ◽  
Author(s):  
J Mossong ◽  
P Marques ◽  
C Ragimbeau ◽  
P Huberty-Krau ◽  
S Losch ◽  
...  
Keyword(s):  
Antibiotic Resistance ◽  
Gel Electrophoresis ◽  
Salmonella Enterica ◽  
Phage Type ◽  
The Elderly ◽  
Pulsed Field Gel Electrophoresis ◽  
Pork Meat ◽  
Outbreak Strain ◽  
Day Care Centers ◽  
Antibiotic Resistance Profile

A monophasic Salmonella enterica serovar 4,[5],12:i:- phage type DT193 emerged as the dominant serovar in Luxembourg in 2006, when it caused two major outbreaks involving 133 laboratory-confirmed human cases, 24 hospitalisations, and one death. The outbreak strain had an uncommon pulsed-field gel electrophoresis pattern STYMXB.0031 and antibiotic resistance profile ASSuT. A high proportion of cases were clustered in institutions for the elderly and in day-care centers. Strains identical to the outbreak strain were recovered from two control meals, a nappy changing table, retail sausages and caecal porcine samples at an abattoir. Locally produced pork meat is strongly suspected to have been the vehicle for the outbreaks, although the precise mechanisms remain unclear.

Thoracic Surgery in the Elderly

2011 ◽  
pp. 367-376
Author(s):  
Maria D. Castillo ◽  
Jeffrey Port ◽  
Paul M. Heerdt
Keyword(s):  
Thoracic Surgery ◽  
The Elderly ◽  
Surgery In The Elderly

Thoracic Surgery in the Elderly

2019 ◽  
pp. 535-544
Author(s):  
Maria D. Castillo ◽  
Jeffrey Port ◽  
Paul M. Heerdt
Keyword(s):  
Thoracic Surgery ◽  
The Elderly ◽  
Surgery In The Elderly

scholarly journals Human Sapovirus among Outpatients with Acute Gastroenteritis in Spain: A One-Year Study

Viruses ◽  
2019 ◽  
Vol 11 (2) ◽  
pp. 144 ◽  
Author(s):  
Miguel F Varela ◽  
Enrique Rivadulla ◽  
Alberto Lema ◽  
Jesús L Romalde
Keyword(s):  
Acute Gastroenteritis ◽  
Age Groups ◽  
The Elderly ◽  
Mean Value ◽  
Early Spring ◽  
Clinical Samples ◽  
Late Winter ◽  
Viral Pathogen ◽  
One Year ◽  
Different Strains

Viral agents of human gastroenteritis affect people of all ages across the globe. As a mainly self-limiting disease, it is difficult to evaluate the real prevalence of etiological agents circulating in each region. Many of the analyzed outbreaks are caused by viruses of the family Caliciviridae, especially the genus Norovirus (NoV). Most studies have focused on other enteric viruses, leaving sapovirus (SaV) underestimated as an important emerging human threat. This one-year study analyzed clinical samples from hospital outpatients with acute gastroenteritis in Spain, with the aim of revealing the importance of human SaV as an emerging viral pathogen. A total of 2667 stools were tested using reverse transcription (RT)-qPCR to detect and quantify SaV. Sapovirus was detected in all age groups, especially in infants, children, and the elderly. The prevalence was 15.64% (417/2667), and was slightly higher in 0–2- and 3–5-year-olds (19.53% and 17.95%, respectively) and much lower in 13–18-year-olds (9.86%). Positive samples were detected throughout the year, with peaks of detection during autumn and the late winter to early spring months. The mean value for the quantified samples was 6.5 × 105 genome copies per gram of stool (GC/g) (range 2.4 × 103–6.6 × 1011 GC/g). RT-nested PCR and sequencing were used for further genotyping. Genetic characterization showed a predominance of genogroup I (GI), followed by GII and GIV. The detection of multiple genotypes suggests the circulation of different strains without any clear tendency. The results obtained suggest SaV as the second major gastroenteritis agent after NoV in the region.

Comorbidities of Lung Disease in the Elderly

2017 ◽  
Vol 33 (4) ◽  
pp. 597-603 ◽  
Author(s):  
Nicola Scichilone
Keyword(s):  
Lung Disease ◽  
The Elderly
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