Publications by authors named "Ben Pascoe"

Article Synopsis
  • The study focuses on the impact of persistent bacterial gastroenteritis in children, revealing that 45.5% of participants experienced at least one persistent episode during the research period.
  • Persistent infections were defined as three or more consecutive months of positive test results, with affected children showing an average of 150 days of positive symptoms.
  • While persistent infections did not significantly affect short-term weight gain, they were linked to a decrease in linear growth over nine months, indicating a serious health risk for young children.
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is a significant enteric pathogen affecting human and livestock health. Pork production is a common source of contamination, with emerging multidrug resistance (MDR) posing a global health threat. contamination and antimicrobial resistance (AMR) profiles in the pig production chain are underreported.

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Objectives: Integrating pathogen genomic surveillance with bioinformatics can enhance public health responses by identifying risk and guiding interventions. This study focusses on the two predominant Campylobacter species, which are commonly found in the gut of birds and mammals and often infect humans via contaminated food. Rising incidence and antimicrobial resistance (AMR) are a global concern, and there is an urgent need to quantify the main routes to human infection.

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Antimicrobial resistance (AMR) is a significant global health threat, with multidrug-resistant (MDR) bacterial clones becoming a major concern. Polymyxins, especially colistin, have reemerged as last-resort treatments for MDR Gram-negative infections. However, colistin use in livestock has spread mobile colistin resistance () genes, notably , impacting human health.

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Humans are radically altering global ecology, and one of the most apparent human-induced effects is urbanization, where high-density human habitats disrupt long-established ecotones. Changes to these transitional areas between organisms, especially enhanced contact among humans and wild animals, provide new opportunities for the spread of zoonotic pathogens. This poses a serious threat to global public health, but little is known about how habitat disruption impacts cross-species pathogen spread.

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Campylobacter is a leading cause of food-borne gastroenteritis worldwide, linked to the consumption of contaminated poultry meat. Targeting this pathogen at source, vaccines for poultry can provide short-term caecal reductions in Campylobacter numbers in the chicken intestine. However, this approach is unlikely to reduce Campylobacter in the food chain or human incidence.

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Recombination of short DNA fragments via horizontal gene transfer (HGT) can introduce beneficial alleles, create genomic disharmony through negative epistasis, and create adaptive gene combinations through positive epistasis. For non-core (accessory) genes, the negative epistatic cost is likely to be minimal because the incoming genes have not co-evolved with the recipient genome and are frequently observed as tightly linked cassettes with major effects. By contrast, interspecific recombination in the core genome is expected to be rare because disruptive allelic replacement is likely to introduce negative epistasis.

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Background: The Near Visual Acuity Questionnaire Presbyopia (NAVQ-P) is a patient-reported outcome (PRO) measure that was developed in a phakic presbyopia population to assess near vision function impacts. The study refined and explored the psychometric properties and score interpretability of the NAVQ-P and additional PRO items assessing near vision correction independence (NVCI), near vision satisfaction (NVS), and near vision correction preference (NVCP).

Methods: This was a psychometric validation study conducted using PRO data collected as part of a Phase IIb clinical trial (CUN8R44 A2202) consisting of 235 randomized adults with presbyopia from the US, Japan, Australia, and Canada.

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Article Synopsis
  • * While Campylobacter jejuni and Campylobacter coli are the main culprits in high-income regions, other species are more prevalent in LMICs.
  • * A new rpsKD-based qPCR assay was developed, which successfully detected 23% more cases of C. jejuni and C. coli compared to the existing cadF assay, indicating its potential for improved diagnostics in LMICs.
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Article Synopsis
  • Antimicrobial resistant (AMR) Campylobacter poses a major global health risk, with limited understanding of its genomic resistance in lower-income regions, prompting a study in Iquitos, Peru.
  • The study found key genetic mutations linked to fluoroquinolone and macrolide resistance in Campylobacter isolates, including the significant RE-cmeABC variant present in a notable percentage of the examined genomes.
  • Results indicate that RE-cmeABC and specific mutations are strongly linked to multidrug resistance, marking the first identification of this variant in Peru and highlighting its role in treatment resistance for campylobacteriosis.
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The northern region of Thailand serves as a crucial area for swine production, contributing to the Thai community food supply. Previous studies have highlighted the presence of foodborne bacterial pathogens originating from swine farms in this region, posing a threat to both human and animal health. Multiple swine bacterial pathogens have been studied at a species level, but the distribution and co-occurrence of bacterial pathogens in agricultural swine has not been well established.

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Background: Methicillin-resistant Staphylococcus aureus (MRSA) is a rapidly evolving pathogen that is frequently associated with outbreaks and sustained epidemics. This study investigated the population structure, resistome, virulome, and the correlation between antimicrobial resistance determinants with phenotypic resistance profiles of 36 representative hospital-acquired MRSA isolates recovered from hospital settings in Egypt.

Results: The community-acquired MRSA lineage, clonal complex 1 (CC1) was the most frequently detected clone, followed by three other globally disseminated clones, CC121, CC8, and CC22.

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Non-human primates share recent common ancestry with humans and exhibit comparable disease symptoms. Here, we explored the transmission potential of enteric bacterial pathogens in monkeys exhibiting symptoms of recurrent diarrhoea in a biomedical research facility in China. The common zoonotic bacterium was isolated from macaques ( and ) and compared to isolates from humans and agricultural animals in Asia.

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is an opportunistic food-borne bacterium that is capable of infecting humans with high rates of hospitalization and mortality. Natural populations are genotypically and phenotypically variable, with some lineages being responsible for most human infections. The success of is linked to its capacity to persist on food and in the environment.

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Article Synopsis
  • The study focused on collecting saliva and stool samples from community adults at different stages: baseline, during a respiratory tract infection (RTI), and post-RTI, to understand microbial influences on respiratory health.
  • A total of 40 adults participated, with 19 developing RTIs while 21 stayed healthy, revealing differences in oral-gut microbes between the two groups, particularly in terms of certain microbial families and their abundance.
  • The research successfully demonstrated the feasibility of participant recruitment for microbial profiling, paving the way for future studies on non-invasive diagnostic tools that could identify individuals vulnerable to respiratory infections.
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is an important enteric pathogen that poses a threat to human and livestock animal health, with emerging multidrug resistance (MDR) a major public health issue globally. We investigated the prevalence of in healthy and diseased pigs from Thai pig farms and determined their phenotypic and genotypic antimicrobial resistance profiles. A total of 150 fecal samples were collected from pigs housed in pens from four separate pig farms in southern Thailand and tested for the presence of .

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Helicobacter pylori lives in the human stomach and has a population structure resembling that of its host. However, H. pylori from Europe and the Middle East trace substantially more ancestry from modern African populations than the humans that carry them.

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Article Synopsis
  • The study focuses on a major cause of bacterial meningitis in Southeast Asia, linked to close contact with pigs, highlighting significant economic losses within the swine industry.
  • Researchers sampled and analyzed isolates from healthy pigs in Northern Thailand, discovering high genetic diversity and a concerning prevalence of antimicrobial resistance (AMR) among these isolates.
  • The findings revealed that many isolates were resistant to multiple antibiotic classes, with a mobile gene pool facilitating the spread of AMR genes, raising fears about their potential transfer to more invasive strains affecting humans.
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is a prevalent zoonotic foodborne pathogen. Swine and pork are implicated as important sources of salmonellosis in humans. In Chiang Mai and Lamphun Provinces in northern Thailand, there has been a high prevalence of persistence for over a decade.

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With increasing emergence of antimicrobial resistant bacteria (ARB) and the risk this poses to public health, there are growing concerns regarding water pollution contributing to the spread of antimicrobial resistance (AMR) through inadequate amenities and the rapid rate of urbanization. In this study, the impact of different anthropogenic factors on the prevalence of AMR in the urban water cycle in Stellenbosch, South Africa (SA) was examined. Carbapenem, colistin, gentamicin and sulfamethoxazole resistant Gram-negative bacteria were recovered by selectively culturing aqueous, biofilm and sediment samples from sites impacted to varying degrees by informal settlements, residential, industrial, and agricultural activities, as well as a municipal wastewater treatment works (WWTW).

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is the most common cause of bacterial gastroenteritis worldwide, and diarrhoeal disease is a major cause of child morbidity, growth faltering and mortality in low- and middle-income countries. Despite evidence of high incidence and differences in disease epidemiology, there is limited genomic data from studies in developing countries. In this study, we aimed to quantify the extent of gene sharing in local and global populations.

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Bacterial clades are often ecologically distinct, despite extensive horizontal gene transfer (HGT). How selection works on different parts of bacterial pan-genomes to drive and maintain the emergence of clades is unclear. Focusing on the three largest clades in the diverse and well-studied Bacillus cereus sensu lato group, we identified clade-specific core genes (present in all clade members) and then used clade-specific allelic diversity to identify genes under purifying and diversifying selection.

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Wastewater treatment plants have been highlighted as a potential hotspot for the development and spread of antibiotic resistance. Although antibiotic resistant bacteria in wastewater present a public health threat, it is also possible that these bacteria play an important role in the bioremediation through the metabolism of antibiotics before they reach the wider environment. Here we address this possibility with a particular emphasis on stereochemistry using a combination of microbiology and analytical chemistry tools including the use of supercritical-fluid chromatography coupled with mass spectrometry for chiral analysis and high-resolution mass spectrometry to investigate metabolites.

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Article Synopsis
  • Horizontal gene transfer (HGT) enables the transfer of adaptive traits between bacterial species, potentially leading to rapid developments such as zoonotic disease transmission and antibiotic resistance.
  • The physical separation of species in different ecological niches creates barriers to HGT, but when species cohabitate, such as in the same host, the rate of gene transfer increases significantly.
  • Research on 30 bacterial species reveals that being in the same environment can boost HGT by six times, contributing to a significant portion of genetic variation and highlighting the role of ecological factors in bacterial evolution.
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