Publications by authors named "Longhua Hu"

BACKGROUND This retrospective study was designed to assess risk factors for increased 30-day mortality from bacteremia caused by Escherichia coli or Klebsiella pneumoniae and to calculate the optimal point of time for patients to move from inappropriate empirical antimicrobial therapy to appropriate treatment. MATERIAL AND METHODS This retrospective study analyzed data from 610 patients with a diagnosis of E. coli- and K.

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Indole, a crucial bacterial signaling molecule, plays a fundamental role in regulating various physiological processes within bacteria, including growth, acid tolerance, biofilm development, motility, and other cellular functions. Its regulatory influence extends beyond indole-producing bacteria, significantly impacting the physiological activities in non-indole-producing species. In this study, we demonstrate that indole enhances the pathogenicity and viability of using the infection model and serum killing assay.

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This research aimed to analyze the volatile compounds emitted during the proliferation of Klebsiella pneumoniae (K. pneumoniae) in the laboratory setting using gas chromatography-ion mobility spectrometry (GC-IMS) and to investigate the potential of volatile metabolomics for detecting carbapenemase-producing strains of K. pneumoniae.

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Objective: This study aims to present a case of persistent mycetoma caused by Scedosporium boydii and undertake a systematic literature overview to elucidate the clinical characteristics and antifungal treatment exhibited by such patients.

Methods: We report the case of a 24-year-old female who sustained a Scedosporium boydii infection in her right foot over a decade ago following a nail puncture. Concurrently, a comprehensive literature overview was conducted on PubMed, focusing on documented cases of Scedosporium boydii infections with the intent of extracting relevant clinical data.

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Article Synopsis
  • - The study compares the effectiveness of three blood culture media (BACT/ALERT FA/FN Plus from France, DL from China, and REDOX from the USA) in recovering microorganisms from blood samples containing antimicrobials, revealing that BACT/ALERT significantly outperformed the other two in both aerobic and anaerobic conditions.
  • - Recovery rates for the media showed BACT/ALERT with 87.5% and 91.4% recovery in aerobic and anaerobic conditions, respectively, while DL and REDOX showed much lower rates, especially under anaerobic conditions (2.9% for DL and 14.3% for REDOX).
  • - The study highlights the need for improved neutralization
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Nosocomial infections caused by () may pose serious risks to patients, and early identification of pathogenic bacteria and drug sensitivity results can improve patient prognosis. In this study, we clarified the composition and relative content of volatile organic compounds (VOCs) generated by in tryptic soy broth (TSB) using gas chromatography-ion mobility spectrometry (GC-IMS). We explored whether imipenem (IPM) could be utilized to differentiate between carbapenem-sensitive (CSEC) and carbapenem-resistant (CREC).

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BACKGROUND This study aimed to detect the volatile organic compound (VOC), 3-hydroxy-2-butanone (acetoin) using gas chromatography-ion mobility spectrometry (GC-IMS) in antimicrobial-resistant Klebsiella pneumoniae (K. pneumoniae) carbapenemase (KPC)-producing bacteria. MATERIAL AND METHODS Using stromal fluid of blood culture bottles (BacT/ALERT® SA) as the medium, 3-hydroxy-2-butanone (acetoin) released by K.

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Although concerns have been raised regarding potential infection and morbidity in women undergoing ablation treatment for cervical precancer in low- and middle-income countries (LMIC), there is extremely limited data to substantiate this claim. This is a secondary analysis of a randomized non-inferiority trial (id: NCT03084081) that compares the efficacy and safety of three ablation treatments for biopsy-confirmed cervical intraepithelial neoplasia grade 2 or higher (CIN2+): CO2 gas-based cryotherapy, non-gas cryotherapy, and thermal ablation (TA). Here, we present findings regarding the incidence of sexually transmitted infections (STI) and vaginitis post-treatment.

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Objective: This research aimed to analyze the clinical characteristics, prognosis, and antimicrobial treatment of bloodstream infections (BSI) caused by complex (ECC).

Methods: The clinical data of patients with bloodstream infections caused by complex from April 2017 to June 2023 were collected retrospectively. These data were then analyzed in subgroups based on the detection results of extended-spectrum β-lactamase (ESBL), 30-day mortality, and the type of antimicrobial agent used (β-lactam/β-lactamase inhibitor combinations (BLICs) or carbapenems).

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Article Synopsis
  • This study focused on identifying carbapenem-resistant Klebsiella pneumoniae (CRKP) by analyzing volatile organic compounds (VOCs) in simulated blood cultures using gas chromatography-ion mobility spectrometry (GC-IMS).
  • A total of 54 VOCs were detected, with notable differences between CRKP and carbapenem-susceptible strains, especially after the addition of imipenem and carbapenemase inhibitors.
  • The results suggest that analyzing VOC changes can be an effective method for early identification of CRKP infections, though further research is required to confirm these findings.
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  • The study aimed to compare the outcomes of patients with bacteremic pneumonia caused by different pathogens over a period from 2016 to 2019.
  • A total of 162 patients were analyzed, revealing a 30-day mortality rate of 43.75% for the KP-BP group compared to 21.95% for the -BP group, indicating significant differences in prognosis.
  • The research found that KP-BP patients faced higher mortality risks under certain conditions like being in intensive care or having resistant infections, whereas the Pitt bacteremia score was a key predictor of mortality for patients in the -BP group.
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Objective: and are prevalent Gram-negative microorganisms responsible for pneumonia, as well as the primary pathogens causing bacteremic pneumonia. The objective of this research is to analyze the risk factors associated with bacteremic pneumonia caused by these pathogens and develop a predictive model.

Patients And Methods: This retrospective investigation encompassed a cohort of 252 patients diagnosed with or -induced bacteremic pneumonia between 2018 and 2022.

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Staphylococcus aureus is a common pathogen capable of infecting both humans and animals and causing various severe diseases. Here, we aimed to determine the biological features and pathogenicity of S. aureus strain Sa9, of the incomplete hemolysis phenotype, isolated from bovine milk.

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Objective: This research aimed to investigate the variations in clinical features and prognosis of HABP caused by and . We also aimed to evaluate the risk variables related to 30-day death in the investigated groups.

Methods: A single-center retrospective cohort research lasting four years was performed.

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BACKGROUND Lactate/albumin (LA/ALB) and procalcitonin/albumin (PCT/ALB) ratios have been implicated in predicting mortality in sepsis patients. However, their prognostic value and relationship to sepsis severity require further investigation. This retrospective study aimed to assess the prognostic value of lactate/albumin (LA/ALB) and procalcitonin/albumin (PCT/ALB) ratios in septic patients admitted to the Intensive Care Unit (ICU).

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Article Synopsis
  • The study looked at two types of treatments for people with a serious infection caused by superbugs at a Chinese hospital.
  • It found that patients treated with newer medications (CPT) were in worse overall health but had better recovery rates compared to those receiving traditional treatments (CT).
  • Additionally, cold weather was linked to higher chances of dying within 30 days, while the infection was more common in hot weather, suggesting more research is needed.
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  • The study aimed to identify clinical features, risk factors, and effective treatments for Carbapenem-resistant Acinetobacter baumannii (CRAB) bloodstream infections (BSI) based on data from a Chinese hospital.
  • Among 276 patients, 157 had CRAB BSI, with key risk factors including ICU stays, immunocompromised status, and certain antibiotic use.
  • The 30-day mortality rate for CRAB BSI was nearly 50%, with cefoperazone/sulbactam treatment showing a significant reduction in mortality compared to other antibiotic strategies.
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Background: Carbapenemase-producing is an unprecedented threat to public health, and its detection remains challenging. Analysis of microbial volatile organic compounds (VOCs) may offer a rapid way to determine bacterial antibiotic susceptibility.

Purpose: The aim of this study was to explore the VOCs released by carbapenemase-producing carbapenem-resistant (CRKP) using headspace solid-phase microextraction/gas chromatography-mass spectrometry (HS-SPME/GC-MS).

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Article Synopsis
  • * Whole-genome sequencing revealed distinct genetic profiles, identifying 20 types of MRSA, with ST59 being the most prevalent, while ST188 and ST7 were predominant in MSSA.
  • * The findings indicate that MSSA carries a variety of virulence factors, highlighting the need for increased focus on MSSA infections, and future research should explore the co-evolution of both strains to better understand their interactions.
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The aim of this study was to investigate the genomic epidemiology of MRSA in China to identify predominant lineages and their associated genomic and phenotypic characteristics. In this study, we conducted whole-genome sequencing on 565 MRSA isolates from 7 provinces and municipalities of China between 2014 and 2020. MRSA isolates were subjected to MLST, typing, SCC typing, analysis of virulence determinants and antimicrobial susceptibility testing.

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Methicillin-resistant (MRSA) ST8 strains have spread worldwide, causing outbreaks in various regions. However, this clone has only been sporadically reported in China. Consequently, detailed information regarding the phylogeny and potential virulence of ST8 strains in China remains unknown.

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Article Synopsis
  • Over the past 20 years, colistin resistance has increased among clinical isolates of Klebsiella pneumoniae, particularly limiting treatment options and worsening patient outcomes.
  • Researchers confirmed that 4.5% of clinical isolates were colistin-resistant, with a small percentage carrying mobile resistance genes, indicating a concerning spread in hospital settings.
  • Genetic analysis of selected resistant strains revealed diverse genetic backgrounds and highlighted critical mutations that contribute to resistance, alongside the identification of several virulence factors that may increase their pathogenic potential.
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  • Extended-spectrum β-lactamase (ESBL)-producing Enterobacteriaceae, particularly ESBL-producing E. coli and Klebsiella pneumoniae, pose serious public health challenges as they cause nonurinary source bloodstream infections (BSIs).
  • A study of 180 hospitalized patients over four years compared clinical outcomes of those treated with β-lactam/β-lactamase inhibitor combinations (BLICs) versus carbapenem therapies, focusing on treatment failure and mortality rates.
  • Results showed no significant difference in 14-day treatment failure and 30-day mortality rates between BLICs and carbapenem treatments, even after adjusting for patient characteristics through propensity score matching.
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