Publications by authors named "Jiaosheng Zhang"

Objectives: To investigate the clinical characteristics of carbapenem-resistant (CRPA) infection in children and the risk factors for such infection.

Methods: A retrospective analysis was conducted among 60 children with CRPA infection (CRPA group) who were hospitalized in Shenzhen Children's Hospital, China Medical University, from January 2018 to September 2023, and 82 children with carbapenem-sensitive infection during the same period were randomly selected as the control group. A multivariate logistic regression analysis was used to investigate the risk factors for CRPA infection.

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Article Synopsis
  • - The study evaluated antibiotic prescription patterns for neonates in China, referencing the WHO's AWaRe framework and MAC Guidelines, and was conducted through point-prevalence surveys from 2017 to 2019.
  • - Data from 2674 neonatal patients showed that 1520 received antibiotics, with meropenem being the most prescribed, and pneumonia being the primary reason for prescriptions (44.2%).
  • - Findings suggest that there is an overuse of broad-spectrum antibiotics categorized in the Watch and Special groups, with a significant number of prescriptions falling under the Restricted category according to the MAC Guidelines.
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Objectives: Use of Broad-spectrum antibiotics is related closely to increasing antimicrobial resistance. Reports on antibiotic prescriptions for Chinese children were rare. We described the prescribing patterns of antibiotic prescriptions for Chinese children from 2017 to 2019 based on the Anatomical Therapeutic Chemical Classification (ATC classification); the Access, Watch, and Reserve (AWaRe) classification from the World Health Organization (WHO), and the Management of Antibiotic Classification in China.

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Objectives: The reports on evaluating the classification of antibiotic agents prescribed for Chinese children by combining WHO's and China's administrative categories were rare. This study aimed to investigate the pattern of antimicrobial agents prescribing for Chinese children in 2016.

Settings: 18 tertiary centres from nine provinces located in northern, southern, eastern and western China.

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Background: The resurgence of infections leading to whooping cough is a concern in many parts of the world. The number of pertussis cases in China has increased significantly since 2013.

Research Design And Methods: In this study, whole-genome sequencing analysis was performed for 388 strains isolated in China from the 1970s to 2018, combining 594 published strains from around the world.

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Kawasaki disease (KD) is an acute systemic vasculitis and activation of monocytes plays a central role in the pathogenesis of it. B10 cells, a B cell subset with negative regulatory properties, are functionally identified by their ability to express cytoplasmic IL-10 after ex vivo stimulation. Here, we aimed to explore the functional role of B10 cells during monocyte-mediated inflammatory responses in KD, as well as elucidate the underlying microRNA (miRNA)-mediated regulatory mechanisms.

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Article Synopsis
  • Increasing pertussis cases have been reported in Shenzhen, accounting for a significant portion of China's total, prompting a study to analyze the clinical features and antibiotic resistance of Bordetella pertussis strains among hospitalized children.
  • Data from August 2015 to April 2017 revealed 469 hospitalized cases with genetic analysis showing two main virulence profiles, with a considerable percentage of strains resistant to macrolide antibiotics.
  • The study concluded that leukocytosis is not a reliable indicator of pertussis severity, and specific gene profiles of circulating strains were identified, indicating regional differences in antibiotic resistance patterns compared to other areas in China.
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Article Synopsis
  • The study examines high antibiotic prescribing rates among hospitalized children and neonates in China, suggesting a potential for increased bacterial resistance due to inappropriate use of antimicrobials.
  • A 24-hour survey was conducted across 18 hospitals to gather data on antibiotic use, analyzing a total of 1,439 patients, with significant findings on the prevalence of prescriptions among different age groups.
  • Results showed that 67.76% of patients received at least one antibiotic, with third-generation cephalosporins being the most commonly prescribed for both neonates and children, highlighting patterns that could guide future interventions to improve antibiotic prescribing practices.
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Adenovirus is a leading cause of respiratory infection in children. Salivirus/klassevirus was first identified as an etiologic agent of gastroenteritis and was never reported in respiratory infection cases. The case being discussed here caught our attention because, although it is a common respiratory infection, it was fatal, while similar cases were mild.

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Objective: In this study, we aim to investigate the distribution and antibiotic susceptibility of Group B Streptococcus (GBS) in infants younger than 90 days in Shenzhen, China.

Methods: A retrospective study was conducted to evaluate GBS infection over an 4-year period. Starting from January 2010, we evaluated the laboratory data, clinical manifestations, treatment and outcomes of patients admitted to our hospital with invasive GBS infection.

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Objective: To analyze the clinical characteristics of severely and critically ill children with 2009 influenza A (H1N1) infection.

Method: Clinical data of 150 cases with 2009 influenza A (H1N1) virus infection confirmed with the use of a real-time polymerase-chain-reaction assay on nasopharyngeal swab specimens were analyzed.

Result: Among 150 severely and critically ill children with 2009 influenza A (H1N1) virus infection, 103 were male, 47 were female; the median age was 5 years, 81(55%) were 5 years of age or older; 21 (14%) had underlying chronic diseases.

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