Publications by authors named "C Chezzi"

Matrix-Assisted Desorption/Ionization-Time of Flight Mass Spectrometry (MALDI-TOF MS) in the last decade has revealed itself as a valid support in the workflow in the clinical microbiology laboratory for the identification of bacteria and fungi, demonstrating high reliability and effectiveness in this application. Its use has reduced, by 24 h, the time to obtain a microbiological diagnosis compared to conventional biochemical automatic systems. MALDI-TOF MS application to the detection of pathogens directly in clinical samples was proposed but requires a deeper investigation, whereas its application to positive blood cultures for the identification of microorganisms and the detection of antimicrobial resistance are now the most useful applications.

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Even if malaria is rare in Europe, it is a medical emergency and programs for its control should ensure both an early diagnosis and a prompt treatment within 24-48 h from the onset of the symptoms. The increasing number of imported malaria cases as well as the risk of the reintroduction of autochthonous cases encouraged laboratories in non-endemic countries to adopt diagnostic methods/algorithms. Microscopy remains the gold standard, but with limitations.

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Respiratory tract infections (RTIs) are the focus of developments in public health, given their widespread distribution and the high morbidity and mortality rates reported worldwide. The clinical spectrum ranges from asymptomatic or mild infection to severe or fatal disease. Rapidity is required in diagnostics to provide adequate and prompt management of patients.

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Article Synopsis
  • The study investigates a Clostridioides difficile infection (CDI) outbreak in a Long-term Care Unit from February to March 2022, highlighting the emergence of clinically significant C. difficile strains.
  • A total of 143 fecal samples were analyzed, revealing C. difficile DNA in 51 samples from 46 patients, with 29 isolates identified, including three distinct clusters via a specialized typing method called T-MALDI.
  • The prevalent epidemic strain was characterized by susceptibility to vancomycin and metronidazole but resistance to moxifloxacin, producing specific toxins, marking the first documented outbreak of this unique toxin profile.
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We report the first Italian case of SARS-CoV-2 and influenza A virus super-infection. Laboratory diagnosis revealed the presence of both agents' RNA specific sequences by molecular methods and infectious influenza A virus by cell culture methods.

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