Publications by authors named "L Mela"

Objectives: Genomic surveillance of Klebsiella pneumoniae carbapenemase-producing Klebsiella pneumoniae (KPC-Kp) is crucial for virulence, drug-resistance monitoring, and outbreak containment.

Methods: Genomic analysis on 87 KPC-Kp strains isolated from 3 Northern Italy hospitals in 2019-2021 was performed by whole genome sequencing (WGS), to characterize resistome, virulome, and mobilome, and to assess potential associations with phenotype resistance and clinical presentation. Maximum Likelihood and Minimum Spanning Trees were used to determine strain correlations and identify potential transmission clusters.

View Article and Find Full Text PDF
Article Synopsis
  • The study focuses on the use of intravenous fosfomycin (IVFOF) for severe infections and potential adverse events (AEs) impacting its use.
  • Of the 224 patients analyzed, 42.4% experienced at least one AE, with hypernatremia being the most common, occurring in 23.7% of patients, especially among those in ICU with low respiratory infections and septic shock.
  • Therapeutic drug monitoring (TDM) showed some promise in predicting AEs, particularly hypernatremia, indicating that regular monitoring could improve patient safety during IVFOF treatment.
View Article and Find Full Text PDF

Aim: To evaluate the indication of the endodontic treatment for vital intact teeth with the root apex involved in large radicular cystic lesions of endodontic origin.

Methodology: This prospective cohort study enrolled healthy participants with radicular cysts of endodontic origin and with the root apex of vital intact teeth involved in the bone defect, as determined by cone beam computed tomography (CBCT). Thirty-two sound vital teeth were analysed by thermal (TPT) and electric pulp tests (EPT) before surgery (T0) and 1 week (T1), 2 weeks (T2), 3 months (T3) and 6 months (T4) post-surgery.

View Article and Find Full Text PDF

Long noncoding RNAs (lncRNAs) are linked to cancer via pathogenic changes in their expression levels. Yet, it remains unclear whether lncRNAs can also impact tumour cell fitness via function-altering somatic "driver" mutations. To search for such driver-lncRNAs, we here perform a genome-wide analysis of fitness-altering single nucleotide variants (SNVs) across a cohort of 2583 primary and 3527 metastatic tumours.

View Article and Find Full Text PDF