Publications by authors named "M. Carmen Farinas"
Background: Coagulase-negative staphylococci (CoNS) are an increasingly common cause of infective endocarditis (IE) and lack recent data from large studies.
Objectives: Our aim was to describe the epidemiology, clinical characteristics, and outcomes of staphylococcal IE in a contemporary nationwide cohort study, while comparing coagulase-negative staphylococcal IE (CoNSIE) to IE from Staphylococcus aureus (SAIE), and among IE caused by Staphylococcus epidermidis (SE), S. lugdunensis (SL), and other CoNS.
Article Synopsis
- The study investigates the genetic factors linked to severe COVID-19, specifically focusing on hospitalized cases in admixed Americans.
- Researchers conducted the largest genome-wide association study (GWAS) for COVID-19 hospitalization in this population, identifying four significant genetic associations, including two novel loci found in Latin Americans.
- The findings highlight the importance of including diverse populations in genomic research, aiming to improve understanding of genetic risks associated with COVID-19 across different ethnic groups.
Article Synopsis
- * A working group has developed new consensus recommendations for CMV management in SOT recipients, integrating recent advancements in cell-mediated immunity monitoring.
- * These recommendations were rated for their evidence strength and quality using the GRADE system and were formally endorsed by a consensus meeting of experts.
Article Synopsis
- A study analyzed data from 5667 patients diagnosed with infective endocarditis (IE) across 46 hospitals in Spain from 2008 to 2021, finding that only 1.7% were HIV-infected.
- HIV-infected patients tended to be younger, predominantly male, and had specific features like higher rates of tricuspid location and community-acquired infections, but fewer surgical interventions.
- Despite these differences, the study concluded that HIV status did not significantly affect in-hospital or one-year mortality rates for patients with IE.
Within-host transition to GES-55 during a GES-6-producing Serratia marcescens outbreak: Emergence of ceftazidime-avibactam resistance and increased susceptibility to carbapenems.
Int J Antimicrob Agents
August 2024
Article Synopsis
- The study tracks the emergence of resistance to ceftazidime-avibactam in a type of antibiotic-resistant bacteria (GES-type carbapenemases) during an unusual outbreak of Serratia marcescens in Spain during COVID-19.* ! -
- Researchers conducted a retrospective analysis using whole genome sequencing to understand the relationships between bacterial samples from patients and their environment, discovering a genetic connection and plasmid transfer related to resistance.* ! -
- Key findings include the appearance of a mutation that facilitated the development of resistance to ceftazidime-avibactam, highlighting the urgent need for improved diagnostic tools and better antimicrobial usage strategies to combat such outbreaks.* !
Identification of hypermucoviscous Klebsiella pneumoniae K1, K2, K54 and K57 capsular serotypes by Raman spectroscopy.
Spectrochim Acta A Mol Biomol Spectrosc
October 2024
Antimicrobial resistance poses a significant challenge in modern medicine, affecting public health. Klebsiella pneumoniae infections compound this issue due to their broad range of infections and the emergence of multiple antibiotic resistance mechanisms. Efficient detection of its capsular serotypes is crucial for immediate patient treatment, epidemiological tracking and outbreak containment.
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- Isavuconazole (ISA) and voriconazole (VORI) are both recommended first-line treatments for invasive aspergillosis, but there hasn't been a direct comparison in solid organ transplant recipients.
- A study analyzed data from two cohorts of patients treated with either ISA or VORI, focusing on clinical response, mortality rates, adverse events, and treatment discontinuation after 12 weeks.
- Results showed no significant difference in clinical outcomes between ISA and VORI, but ISA had fewer adverse events and lower rates of treatment discontinuation, indicating better tolerability.
Article Synopsis
- A study of infective endocarditis (IE) in Spain revealed that 19.8% of patients also suffered from acute stroke, with most cases being ischemic strokes.* -
- Patients with stroke had higher risks of complications, surgical needs, and mortality rates compared to those without stroke, indicating more severe health impacts.* -
- Factors like the location of infection and the presence of other medical issues were found to increase the likelihood of stroke and its associated mortality in these patients.*
Background: Prosthetic valve endocarditis (PVE) is a serious infection associated with high mortality that often requires surgical treatment.
Methods: Study on clinical characteristics and prognosis of a large contemporary prospective cohort of prosthetic valve endocarditis (PVE) that included patients diagnosed between January 2008 and December 2020. Univariate and multivariate analysis of factors associated with in-hospital mortality was performed.
Article Synopsis
- Whole-body autopsies of 70 COVID-19 patients were conducted to explore the disease's pathophysiology and the impact of superinfections.
- The average age of the subjects was 70, with most having pre-existing health issues; 65.71% experienced infectious complications during their hospitalization, and invasive mechanical ventilation was common.
- Key autopsy findings included severe lung damage, heart conditions, and liver issues, highlighting the significant roles of comorbidities and superinfections in COVID-19 pathology.
Article Synopsis
- The study investigates the effectiveness and safety of combining beta-lactam and aminoglycoside (C-BA) treatments versus using third-generation cephalosporin alone for endocarditis caused by viridans and gallolyticus group streptococci (VGS-GGS) with penicillin intermediate susceptibility.
- A retrospective analysis of 914 endocarditis cases from 40 Spanish hospitals found that 75.3% were penicillin-susceptible and 24.7% had intermediate susceptibility, with C-BA used in 54.6% of cases.
- The results indicate that cephalosporin monotherapy is effective and associated with lower rates of nephrotoxicity, as it
We aimed to compare the efficacy of ceftazidime-avibactam (CAZ-AVI) versus the best available therapy (BAT) in solid organ transplant (SOT) recipients with bloodstream infection caused by carbapenemase-producing Klebsiella pneumoniae (CPKP-BSI). A retrospective (2016-2021) observational cohort study was performed in 14 INCREMENT-SOT centers (ClinicalTrials.gov identifier: NCT02852902; Impact of Specific Antimicrobials and MIC Values on the Outcome of Bloodstream Infections Due to ESBL- or Carbapenemase-producing Enterobacterales in Solid Organ Transplantation: an Observational Multinational Study).
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- Heart transplantation (HT) can be a last resort for patients with severe infective endocarditis (IE) and significant heart issues, as shown in a study involving 20 patients across several countries from 1991 to 2021.
- The study found that the average age of these patients was 50, with a mix of native and prosthetic valve infections primarily affecting aortic and mitral valves; patients experienced major complications like heart failure and abscesses.
- Despite a 35% mortality rate, particularly in the first month post-transplant, most patients who survived the hospital stay did well after 35.5 months of follow-up, indicating that HT can be a viable option for select individuals with persistent IE.
Automatic classification of Candida species using Raman spectroscopy and machine learning.
Spectrochim Acta A Mol Biomol Spectrosc
April 2023
One of the problems that most affect hospitals is infections by pathogenic microorganisms. Rapid identification and adequate, timely treatment can avoid fatal consequences and the development of antibiotic resistance, so it is crucial to use fast, reliable, and not too laborious techniques to obtain quick results. Raman spectroscopy has proven to be a powerful tool for molecular analysis, meeting these requirements better than traditional techniques.
View Article and Find Full Text PDFBackground: Outpatient parenteral antibiotic treatment (OPAT) programs are increasingly used to manage infective endocarditis (IE), but current criteria for indicating OPAT are markedly conservative. We aimed to investigate whether more liberal criteria for indicating OPAT in IE can be safely used.
Methods: This was a prospective multicenter nationwide cohort study (2008-2018).
Article Synopsis
- The study investigates the role of genetic polymorphisms in the innate immune system that may increase the risk of cytomegalovirus (CMV) infection in transplant patients, particularly those receiving organs from CMV-positive donors.
- A total of 116 CMV-seronegative transplant recipients were monitored for CMV infection post-surgery, with notable findings that 53% experienced some level of infection, including asymptomatic and symptomatic cases.
- A polygenic score based on specific genetic markers was developed to predict the risk of CMV disease, showing moderate effectiveness (AUC of 0.68), emphasizing the need for additional validation studies to enhance predictive models for at-risk transplant recipients.
Background. Infective endocarditis (IE) is a severe condition. Our aim was to describe the profile and prognosis of patients with multivalvular infective endocarditis (MIE) and compare them to single-valve IE (SIE).
View Article and Find Full Text PDFBackground: Risk factors for nontuberculous mycobacteria (NTM) infections after solid organ transplant (SOT) are not well characterized. Here we aimed to describe these factors.
Methods: Retrospective, multinational, 1:2 matched case-control study that included SOT recipients ≥12 years old diagnosed with NTM infection from 1 January 2008 to 31 December 2018.
Article Synopsis
- * Vaccines have helped reduce severity, but many patients remain vulnerable due to ineffective immune responses, highlighting the need for deeper understanding of how the immune system reacts to the virus.
- * This study identifies Neddylation, a process that modifies proteins, as a critical factor in controlling the immune response to SARS-CoV-2, showing increased neddylation levels in COVID-19 patients and suggesting potential therapeutic approaches to modulate the immune response.
Article Synopsis
- Ceftazidime/avibactam has shown potential as an effective treatment for infections caused by carbapenemase-producing Enterobacterales (CPE), particularly for patients with higher INCREMENT-CPE scores.
- In a study of 339 patients, those treated with ceftazidime/avibactam had lower mortality rates compared to those receiving the best available therapy after 30 days.
- The results suggest that ceftazidime/avibactam not only improves survival but also aids in achieving better clinical and microbiological outcomes, indicating the need for further randomized controlled trials to validate these findings.
Article Synopsis
- The study compared infective endocarditis (IE) in children and adolescents to adults, using data from 31 hospitals in Spain between 2008 and 2020.
- Among 5590 patients, only 49 were under 18, with 63.2% having congenital heart disease (CHD), which showed a preference for right-sided IE compared to adults.
- Pediatric patients with CHD experienced a lower rate of heart failure, while those without CHD had clinical profiles similar to adults, including a focus on left-sided IE.
Objectives: (1) To describe the incidence, clinical characteristics, treatment and outcome of Aspergillus Endocarditis (AE) in a nationwide multicentric cohort (GAMES). (2) To compare the AE cases of the GAMES cohort, with the AE cases reported in the literature since 2010. (3) To identify variables related to mortality.
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- This document is a collaborative effort by three Spanish medical organizations focused on addressing sternal wound infections following surgery.
- A diverse group of specialists, including surgeons, microbiologists, and internal medicine doctors, has come together to formulate this consensus.
- The aim is to create evidence-based guidelines for preventing, diagnosing, and managing post-surgical mediastinitis, ultimately improving patient care and outcomes.
A Large Multicenter Prospective Study of Community-Onset Healthcare Associated Bacteremic Urinary Tract Infections in the Era of Multidrug Resistance: Even Worse than Hospital Acquired Infections?
Infect Dis Ther
December 2021
Article Synopsis
- The study investigates healthcare-associated (HCA) bacteremic urinary tract infections (BUTI), comparing community-onset (CO-HCA) and hospital-acquired (HA) cases, particularly focusing on multidrug resistance (MDR) and outcomes.
- Conducted as a multicenter cohort study, it involved adult patients with specific inclusion and exclusion criteria, looking at factors like mortality and treatment appropriateness.
- Results showed a high prevalence of MDR (61.2%) among patients, with CO-HCA-BUTI patients generally older and sicker than those with HA-BUTI; however, mortality rates were not influenced by infection acquisition site or MDR presence.
Article Synopsis
- During the COVID-19 pandemic, researchers studied various immune system components to identify biomarkers that could predict disease severity in patients infected with SARS-CoV-2.
- The study involved 155 patients who were classified into mild or severe cases based on their need for oxygen therapy, revealing that severe cases were associated with older age and higher levels of several inflammatory markers.
- A predictive model created from factors like age, ferritin, and lymphocyte counts demonstrated an ability to predict severe disease with an accuracy of 78%, suggesting that certain immune parameters may serve as potential prognostic indicators for COVID-19.