Publications by authors named "Ana Paula D'alincourt Carvalho Assef"

Pseudomonas aeruginosa, an opportunistic pathogen often found in Healthcare-associated infections (HAI), has shown increased resistance to carbapenems (imipenem, meropenem, doripenem), the primary treatment options. We've seen a rise in carbapenemase-producing P. aeruginosa in Brazil, including NDM-producers.

View Article and Find Full Text PDF
Article Synopsis
  • Enterobacter cloacae complex is a significant multidrug-resistant pathogen found in hospitals, prompting a study on its antimicrobial resistance and genetic factors in Brazil.
  • The study screened 94 clinical isolates, finding 20.2% (19 isolates) resistant to colistin, with high levels of resistance indicated by MIC values ranging from 4 to 128 µg/mL.
  • Genetic analysis revealed several carbapenemase and polymyxin resistance genes, along with diverse genetic profiles among the isolates, but no predominant clone was established.
View Article and Find Full Text PDF

Introduction: contributes significantly to the global issue of multidrug-resistant (MDR) nosocomial infections. Often, these strains demonstrate resistance to carbapenems (MDR-CRAB), the first-line treatment for infections instigated by MDR . Our study focused on the antimicrobial susceptibility and genomic sequences related to plasmids from 12 clinical isolates of that carry both the blaOXA-58 and carbapenemase genes.

View Article and Find Full Text PDF

Klebsiella pneumoniae is an opportunistic pathogen that can colonize the gastrointestinal tract (GIT) of humans. The mechanisms underlying the successful translocation of this pathogen to cause extra-intestinal infections remain unknown, although virulence and antimicrobial resistance traits likely play significant roles in the establishment of infections. We investigated K.

View Article and Find Full Text PDF
Article Synopsis
  • Carbapenemase production is a significant global health concern, and analyzing antimicrobial resistance (AMR) data is essential for effective public health policies, as showcased in this study focused on Brazil's AMR Surveillance Network.
  • The study evaluated carbapenemase detection rates in Brazilian hospitals from 2015 to 2022, finding trends such as a notable increase in blaNDM detection and a decrease in blaKPC for Enterobacterales, particularly after the onset of the COVID-19 pandemic.
  • Overall, the findings highlight the resilience of the AMR Surveillance Network and indicate a concerning shift in carbapenemase profiles, with blaNDM becoming increasingly prevalent.
View Article and Find Full Text PDF
Article Synopsis
  • Pseudomonas aeruginosa and Acinetobacter calcoaceticus-baumanii complex are dangerous pathogens in hospitals, with the ability to develop resistance to antibiotics and cause serious outbreaks.
  • This research focused on identifying Metallo-β-lactamases (MBLs) in Paraguay's hospitals and examined the coexistence of different carbapenemases.
  • The study found 70 MBL-producing strains primarily from Pseudomonas and Acinetobacter species, showing clonal spread in some cases and evidence of transmission between different bacterial strains.
View Article and Find Full Text PDF
Article Synopsis
  • Carbapenems are crucial last-resort antibiotics for treating infections from multidrug-resistant Gram-negative bacteria, but resistance through mechanisms like OprD loss and carbapenemases is a growing global concern.
  • A study in Brazil tested the effectiveness of three phenotypic tests—Carba NP, Blue Carba, and mCIM/eCIM—to detect carbapenemase-producing Pseudomonas species, using 127 clinical isolates.
  • Results showed that Carba NP had the highest sensitivity and successfully differentiated between carbapenemases types, while Blue Carba struggled with class B detection, highlighting the need for improved and more reliable resistance detection methods.
View Article and Find Full Text PDF

Background: Healthcare-associated infections due to multidrug-resistant (MDR) bacteria such as Pseudomonas aeruginosa are significant public health issues worldwide. A system biology approach can help understand bacterial behaviour and provide novel ways to identify potential therapeutic targets and develop new drugs. Gene regulatory networks (GRN) are examples of in silico representation of interaction between regulatory genes and their targets.

View Article and Find Full Text PDF

Antibacterial drugs are a widely used drug class due to the frequency of infectious diseases globally. Risks knowledge should ground these medicines' selection. Data mining in large databases is essential to identify early safety signals and to support pharmacovigilance systems.

View Article and Find Full Text PDF

Due to recent developments in NGS technologies, genome sequencing is generating large volumes of new data containing a wealth of biological information. Understanding sequenced genomes in a biologically meaningful way and delineating their functional and metabolic landscapes is a first-level challenge. Considering the global antimicrobial resistance (AMR) problem, investments to expand surveillance and improve existing genome analysis technologies are pressing.

View Article and Find Full Text PDF
Article Synopsis
  • High rates of carbapenem resistance in Brazilian Pseudomonas aeruginosa are linked to a specific clone (ST277) that produces a type of carbapenemase called SPM-1.
  • Researchers used whole genome sequencing to analyze the genetic make-up of a plasmid containing the bla gene in these resistant isolates and found a new bla-plasmid.
  • The study highlights the urgent need for public health measures to track the spread of this plasmid due to its connection with a high-risk bacterial clone.
View Article and Find Full Text PDF

is an opportunistic human pathogen that has been a constant global health problem due to its ability to cause infection at different body sites and its resistance to a broad spectrum of clinically available antibiotics. The World Health Organization classified multidrug-resistant among the top-ranked organisms that require urgent research and development of effective therapeutic options. Several approaches have been taken to achieve these goals, but they all depend on discovering potential drug targets.

View Article and Find Full Text PDF
Article Synopsis
  • * Researchers examined various resistance genes, finding high prevalence rates of KPC (88.9%), SHV (73.5%), TEM (72.2%), and CTX-M (43.9%), and discovered new sequence types that had not been previously identified in the country.
  • * The study also revealed that the same bacterial clone is present across different hospitals in the same region, indicating the spread of multidrug-resistant infections.
View Article and Find Full Text PDF
Article Synopsis
  • Multidrug-resistant gram-negative bacilli (GNB) are a significant global health issue, especially when linked to bloodstream infections (BSI), which worsen patient outcomes.
  • Whole-genome sequencing was used to study these pathogens in Brazil, revealing high-risk clones like CC258, ST79, and ST233, along with their resistance mechanisms.
  • Key findings included associations between specific gene variants and clones, the identification of new MDR clone ST3079, and a novel clonal profile ST848, which could inform future strategies for managing BSI and other hospital-acquired infections.
View Article and Find Full Text PDF

Acinetobacter baumannii is an important nosocomial pathogen. BamA is a protein that belongs to a complex responsible for organizing the proteins on the bacterial outer membrane. In this work, we aimed to evaluate murine immune responses to BamA recombinant protein (rAbBamA) from A.

View Article and Find Full Text PDF
Article Synopsis
  • - Emergence of colistin-resistant bacteria with mobile resistance genes is a growing threat to both animals and humans involved in food production.
  • - The article focuses on identifying a specific plasmid that carries colistin resistance genes in poultry, highlighting its role as a new reservoir for these genes.
  • - Three closely related bacterial strains were isolated from cloacal swabs, and their genomes included a significant plasmid that potentially facilitates the spread of colistin resistance.
View Article and Find Full Text PDF

Pseudomonas aeruginosa is one of the most common pathogens related to healthcare-associated infections. The Brazilian isolate, named CCBH4851, is a multidrug-resistant clone belonging to the sequence type 277. The antimicrobial resistance mechanisms of the CCBH4851 strain are associated with the presence of the bla[Formula: see text] gene, encoding a metallo-beta-lactamase, in combination with other exogenously acquired genes.

View Article and Find Full Text PDF
Article Synopsis
  • The Brazilian clone of Pseudomonas aeruginosa, ST277, shows significant antibiotic resistance, particularly due to the SPM-1 carbapenemase gene, and is mainly found in Brazil.
  • A phylogenetic analysis revealed that Brazilian ST277 strains have unique genetic markers and a typical set of resistance and virulence features, as well as a high frequency of the CRISPR-Cas system type I-C.
  • The study concludes that distinct genetic components in Brazilian P. aeruginosa ST277 strains contribute to their resistance and pathogenic traits, differentiating them from strains in other regions like Asia, Europe, and North America.
View Article and Find Full Text PDF
Article Synopsis
  • Nosocomial infections from carbapenem-resistant Klebsiella pneumoniae (CRKP) lead to high mortality rates, particularly in neurosurgery patients, with limited literature on CRKP-related meningitis.
  • This study reports two cases of CRKP meningitis following neurosurgery, highlighting multidrug-resistant strains identified using the Vitek Compact System and genetic typing revealing two novel clones (ST1298 and ST2687).
  • Treatment involved intrathecal polymyxin, and the authors recommend this approach for managing meningitis caused by multidrug-resistant K. pneumoniae.
View Article and Find Full Text PDF
Article Synopsis
  • KPC-producing bacteria have emerged as a significant public health concern, particularly as previous colonization is a key risk factor for developing infections.
  • A study analyzed 102 KPC- isolates from human rectal swabs across Brazil to understand their genetic and antimicrobial resistance profiles between 2009-2013.
  • Results showed these isolates were largely resistant to various antibiotics but susceptible to a few, with many belonging to a specific genetic lineage (clonal complex 258), indicating a strong link between colonization and infection in patients.
View Article and Find Full Text PDF

Here, we report the draft genome sequence of strain 20, isolated from a chicken carcass originated from indoor broiler farming and identified using matrix-assisted laser desorption ionization-time of flight (MALDI-TOF) mass spectrometry followed by sequencing of the 16S rRNA gene.

View Article and Find Full Text PDF

Background: Healthcare-associated infections caused by bacteria such as Pseudomonas aeruginosa are a major public health problem worldwide. Gene regulatory networks (GRN) computationally represent interactions among regulatory genes and their targets. They are an important approach to help understand bacterial behaviour and to provide novel ways of overcoming scientific challenges, including the identification of potential therapeutic targets and the development of new drugs.

View Article and Find Full Text PDF
Article Synopsis
  • * A study in Rio de Janeiro analyzed 88 P. aeruginosa isolates from 1995 to 2015, revealing a shift from earlier MDR strains to more resistant extensive drug-resistant (XDR) strains in recent years, particularly with increased resistance to critical antibiotics.
  • * Key resistance mechanisms identified included mutations in specific genes and the presence of carbapenemase genes, indicating a growing threat from high-risk clones of P. aeruginosa in the region.
View Article and Find Full Text PDF
Article Synopsis
  • Polymyxins are used as a last-resort treatment for infections caused by resistant Gram-negative bacteria, specifically targeting Klebsiella pneumoniae in this study.
  • The study analyzed 97 strains of K. pneumoniae for resistance mechanisms, identifying key β-lactamase genes and mutations in the pmrB gene associated with polymyxin resistance.
  • Findings show high prevalence of specific resistance genes and confirm that mutations in pmrB, particularly T157P, are significant in developing resistance among the K. pneumoniae strains in Brazilian public hospitals.
View Article and Find Full Text PDF

Because of the high prevalence of CTX-M-15-producing Escherichia coli isolates causing urinary tract infections in Rio de Janeiro, we have investigated bla-CTX-M-15 gene presence, as well as CTX-M-15 production, in 32 E. coli isolates recovered from the urine of outpatients assisted at a public hospital located in the west zone of Rio. Molecular epidemiology was assessed by PFGE and phylo-typing methods.

View Article and Find Full Text PDF