Publications by authors named "Evelyn Espinoza"

Recent evidence suggests that , a bacterium that has the ability to cause deadly infections in hospitalized patients, could originate in the patient's own flora. We employed the Oxford Nanopore platform to obtain whole genome sequences (WGS) from clinical and rectal screen strains belonging to 15 patients from two hospitals. Our study found evidence that clinical and rectal isolates were clonal, with some evidence suggesting that the infecting strain was present in the patient's intestine at the time of admission, ruling out hospital acquisition.

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The prevalence of vaping has overtaken conventional cigarettes as the most frequent form of nicotine consumption among 15-24-year olds. There are currently a large number of both legitimate and illegitimate products and suppliers offering more than 8000 different flavors of vape on the market, whose additives are not tested, studied or regulated and whose safety and toxicity profile remains unknown. In vitro studies have demonstrated a dose-dependent decrease in the viability of normal human bronchial epithelial cells after exposure to vapor from electronic vape devices.

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Introduction-The dynamics of SARS-CoV-2 shedding and replication in humans remain incompletely understood. Methods-We analyzed SARS-CoV-2 shedding from multiple sites in individuals with an acute COVID-19 infection by weekly sampling for five weeks in 98 immunocompetent and 25 immunosuppressed individuals. Samples and culture supernatants were tested via RT-PCR for SARS-CoV-2 to determine viral clearance rates and in vitro replication.

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  • - This study explores the relationship between multidrug-resistant bacteria and their virulence traits using zebrafish as a model, analyzing 46 strains from Brazilian hospitals that were resistant to colistin and contained specific resistance genes (bla).
  • - Ten different sequence types (STs) were identified, with the majority falling under CC258, and certain virulence factors like fimbriae and efflux-pumps were frequently present; however, only ST16 strains showed a significant increase in mortality in zebrafish embryos (52% vs. 29%).
  • - The findings suggest that while several virulence factors exist, ST16 is uniquely linked to heightened virulence in the zebrafish model, indicating the need for additional studies to better
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COVID-19 disease is spread worldwide and diagnostic techniques have been studied in order to contain the pandemic. Immunochromatographic (IC) assays are feasible and a low-cost alternative especially in low and middle-income countries, which lack structure to perform certain diagnostic techniques. Here we evaluate the sensitivity and specificity of eleven different IC tests in 145 serum samples from confirmed cases of COVID-19 using RT-PCR and 100 negative serum samples from blood donors collected in February 2019.

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  • * A cross-sectional study in a COVID-19 ICU included an educational campaign on virus transmission and proper MP disinfection, and involved swabbing 51 MPs for SARS-CoV-2 testing.
  • * Results indicated that while most HCWs practiced better hand hygiene and disinfected their MPs during the pandemic, SARS-CoV-2 RNA was detected on 4% of MPs, highlighting the need for improved infection control guidelines for electronic devices in healthcare settings.
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Ventilator associated pneumonia(VAP) is a severe complication that can lead to high mortality when not early identified or when therapy is delayed. The aim of this study was to evaluate procalcitonin(PCT) as a biomarker for VAP development. In total, 73 hospitalized patients with COVID-19 were analyzed.

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Objectives: The coronavirus disease 2019 pandemic increased global demand for personal protective equipment (PPE) and resulted in shortages. The study evaluated the re-use of surgical masks and respirators by analysing their performance and safety before and after reprocessing using the following methods: oven, thermal drying, autoclave, and hydrogen peroxide plasma vapour.

Methods: In total, 45 surgical masks and 69 respirators were decontaminated.

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This study assessed the disinfection using 70% ethanol; HO-quaternary ammonium salt mixture; 0.1% sodium hypochlorite and autoclaving of four 3D-printed face shields with different designs, visor materials; and visor thickness (0.5-0.

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  • A study evaluated the effectiveness of a rapid chromatographic immunoassay and ELISA for diagnosing COVID-19 among 122 individuals at two hospitals in Brazil, including both RT-PCR-positive and symptomatic RT-PCR-negative patients.
  • The rapid test showed an overall sensitivity of 85.8%, which increased to 94.9% after 14 days of symptom onset, with a specificity of 100%.
  • The common symptoms in patients included fever, cough, and dyspnea, and the main thoracic CT findings were ground glass changes, with a significant number of RT-PCR-negative patients also testing positive with the rapid test.
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  • Multidrug-resistant Gram-negative bacteria, including Enterobacterales, pose a global health threat as treatment options decrease, leading to this study focusing on 50 resistant isolates and their susceptibility to less-used antibiotics.
  • The study examined various strains, revealing that many carried resistance genes, with a high prevalence of antimicrobial resistance and variable susceptibility to older drugs like tigecycline, minocycline, and ceftazidime/avibactam.
  • Results indicated that while tigecycline exhibited promising effectiveness against most Gram-negative strains, other antibiotics like chloramphenicol showed poor performance, highlighting the need for continued research on alternative treatments.
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  • The study evaluates two alternative methods (disk approximation and MIC:MIC ratio) for testing antibiotic combinations against multidrug-resistant bacteria, compared to the gold standard, the time-kill assay.
  • Results showed varying levels of agreement between the methods, with the disk approximation method showing a range of 20-93% agreement with time-kill assays.
  • The findings suggest that these simpler methods could be useful for clinical microbiology laboratories in assessing antibiotic synergy, particularly for certain resistant strains.
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  • - Guatemala faces significant disparities in reproductive health, especially between indigenous and ladina women, with indigenous women experiencing lower rates of prenatal and delivery services, as well as modern contraceptive use.
  • - Logistic regression analyses indicate that language barriers, particularly not speaking Spanish, are major factors hindering indigenous women's access to health services, with socioeconomic status and education playing lesser roles.
  • - Integrating prenatal care, delivery, and contraceptive services, along with hiring staff who can speak indigenous languages, may improve access and usage among the indigenous population.
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