Publications by authors named "Monique R Tiba-Casas"

Article Synopsis
  • Antimicrobial resistance is a major public health issue globally, particularly with non-typhoidal Salmonella, which the study investigates through 2,511 isolates collected from 2016 to 2023.
  • The study identified 10 common serotypes, with Heidelberg, Typhimurium, and Enteritidis being the most prevalent, and found significant antimicrobial resistance, especially among the Heidelberg and Mbandaka serotypes from nonhuman sources.
  • Resistance to several drugs was widespread, although Salmonella Typhi remained mostly susceptible, emphasizing the need for ongoing surveillance and effective public health monitoring.
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  • Public health is increasingly challenged by pathogenic microorganisms with new antimicrobial resistance, making identification difficult for emerging pathogens like NDM-1-producing strains.
  • A study documents Brazil's first case of a new ST418 strain, initially misidentified, which was accurately identified through ANI analyses and whole-genome sequencing.
  • The study found that the resistance gene was located on a 112 kb IncFIB plasmid, emphasizing the need for public health vigilance as this species may spread significant resistance genes.
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Until 2015, polymyxin resistance was primarily attributed to chromosomal mutations. However, with the first report of mobile colistin resistance () in commensal from food animals in China, the landscape has changed. To evaluate the presence of polymyxin resistance in spp.

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1,4, [5],12:i:- strains with different antimicrobial resistance profiles have been associated with foodborne disease outbreaks in several countries. In Brazil, . 1,4, [5],12:i:- was identified as one of the most prevalent serovars in São Paulo State during 2004-2020.

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  • Over the last ten years, New Delhi metallo-beta-lactamase (NDM) has spread in Brazil among various Enterobacterales species, not just Klebsiella.
  • The study involved analyzing 32 clinical isolates from 11 different species, with a focus on their antibiotic resistance profiles, revealing the presence of key resistance genes such as bla and mcr-1.
  • The findings highlight the urgent need for improved detection and control measures in hospitals to prevent the further spread of these resistant bacteria.
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Salmonella 1,4, [5],12:i:- is one of the most prevalent serovars associated with gastroenteritis in several countries, including Brazil. However, few studies have analyzed the virulence potential of this variant in this country. Therefore, this study aimed to characterize S.

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  • * The research involved various methods like antimicrobial susceptibility testing, whole genome sequencing, and conjugation assays to understand the strain's resistance mechanisms and plasmid characteristics.
  • * The findings reveal that strain 195_20 is resistant to multiple antibiotics and carries three significant plasmids related to its resistance genes, highlighting the risk of transmission of these resistant pathogens from animals to humans.
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  • Carbapenem-resistant Klebsiella pneumoniae (CRKP) is a significant global health threat due to its widespread resistance to multiple antimicrobial agents, necessitating the exploration of new treatment options.
  • In a study of 97 isolates from Brazilian hospitals, the majority were found to be extensively drug-resistant, with the most effective treatments being meropenem-vaborbactam, cefiderocol, and ceftazidime-avibactam.
  • The results highlight a critical need for proper antimicrobial stewardship to protect the effectiveness of remaining treatment options, especially since only ceftazidime-avibactam is currently available in Brazil.
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, an opportunistic pathogen causing infections in immunocompromised patients, usually shows pronounced antimicrobial resistance. In recent years, the frequency of carbapenemases in has decreased, which allows use of new beta-lactams/combinations in antimicrobial therapy. Therefore, the in vitro evaluation of these drugs in contemporary isolates is warranted.

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Foodborne infections caused by Salmonella have been linked to a variety of poultry products. The aim of this study was to compare the molecular profile of virulence genes considering different serotypes of Salmonella, isolates were from chicken breast sampled during the last two decades (1999 to 2010 and 2011 to 2018). The resistance to antimicrobials was also evaluated, establishing a comparative epidemiological parameter on the pathogenic potential on this bacterium over time.

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Article Synopsis
  • NDM-producing Enterobacterales have been found throughout Brazil since their first report in 2013, with a significant study focusing on São Paulo hospitals identifying 135 isolates over the last decade.
  • The study utilized various methods including antimicrobial susceptibility testing, pulsed-field gel electrophoresis, and whole genome sequencing to characterize these bacterial isolates, revealing a high activity of polymyxin B against 88.9% of them.
  • A wide diversity of pulsotypes and sequence types was observed, with Clonal Group 258 being the most common, indicating both clonal and non-clonal expansion of NDM-producing bacteria in Brazil linked to different plasmids.
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  • Salmonellosis is a widely reported zoonotic disease linked to foodborne outbreaks, with continuous monitoring of Salmonella serotype distribution in Sao Paulo, Brazil, since the 1950s.
  • A study analyzed 9,014 Salmonella isolates from 2004 to 2020, revealing 39.4% from humans and 60.6% from nonhuman sources, with a notable presence in animals, food, and their environments.
  • The research highlighted 104 serotypes in human samples, with Enteritidis showing a decline, while nonhuman isolates included 156 serotypes, showing both commonalities and trends, indicating various reservoirs for potential human salmonellosis.
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Emergence of resistance to classical antimicrobial agents is a public health issue, especially in countries with high antimicrobial consumption rates. Carbapenems have been employed as first-choice option for empirical treatment complicated infections. However, in the last decades, frequency of carbapenemase-producing Gram-negative bacteria has rising, demanding the use of alternative antimicrobial agents.

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  • The study focuses on Salmonella Dublin, a cattle-related bacteria that occasionally causes illness in humans, particularly analyzing strains from Brazil and other countries.
  • Whole genome sequencing (WGS) of 112 Brazilian strains and 87 international strains identified three clades, with Brazilian strains divided into two clades (A and C) and displaying unique genetic features.
  • Brazilian strains exhibited specific antimicrobial resistance genes and plasmids, highlighting the bacterial strains' varied virulence and genetic makeup, which underscores the potential zoonotic risk associated with S. Dublin circulating in Brazil for over 30 years.
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Salmonella enterica causes Salmonellosis, an important infection in humans and other animals. The number of multidrug-resistant (MDR) phenotypes associated with Salmonella spp. isolates is increasing worldwide, causing public health concern.

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  • Carbapenem-resistant Acinetobacter baumannii (CRAB) is a major cause of hospital infections, especially driven by resistant clones, with a notable outbreak of the uncommon International Clone 2 (IC-2) occurring in Brazil during the COVID-19 pandemic.
  • From May 2020 to May 2021, a study identified 224 patients in a Brazilian hospital with CRAB, 92% of whom were also infected with SARS-CoV-2, highlighting the simultaneous infection risks during this period.
  • The outbreak was characterized by a dominant OXA-23-producing CRAB IC-2 strain that showed high resistance to many antibiotics but was still susceptible to polymyxin B, indicating a concerning trend in antibiotic
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Article Synopsis
  • - A patient in Brazil was found to have a multi-drug resistant Salmonella Infantis that produces CTX-M-65.
  • - Whole genome sequencing revealed that the antibiotic resistance gene (bla) is located on a pESI-like megaplasmid in this particular strain (ST32).
  • - Phylogenetic analysis showed that this Brazilian isolate is closely related to similar IncFIB Salmonella Infantis strains found in food and poultry in the USA.
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We report the isolation and genomic characterization of a VIM-2 producing Pseudomonas chlororaphis causing bloodstream infection in a newborn in Brazil. A new integron, In2088 (intI1-bla-aacA7-aacA27-gcu241), was identified and the first P. chlororaphis genome from a clinical isolate was deposited in public databases.

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Background: Uropathogenic Escherichia coli (UPEC) are frequent pathogens worldwide, impacting on the morbidity and economic costs associated with antimicrobial treatment.

Objectives: We report two novel mutations associated with polymyxin-B resistance in an UPEC isolate collected in 2019.

Methods: Isolate was submitted to antimicrobial susceptibility testing including broth microdilution for polymyxin B.

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Objectives: To analyze the relationship of ribosomal protein mutations and clonality of high-risk clones Acinetobacter baumannii.

Methods: Seventy-nine carbapenem-resistant A. baumannii were subjected to whole-genome sequencing (Illumina NextSeq), and codifying sequences of ribosomal proteins were extracted and screened for mutations.

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After the sudden death of captive marmosets in São Paulo, Brazil, we conducted a histologic and microbiologic study. We found hyperacute septicemia caused by hypermucoviscous sequence type 86 K2 Klebsiella pneumoniae. We implemented prophylactic antimicrobial therapy, selected dedicated staff for marmoset interactions, and sanitized the animals' fruit to successfully control this outbreak.

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Article Synopsis
  • The study investigates the spread of carbapenem-resistant Acinetobacter baumannii (CRAB) in Brazilian hospitals, focusing on specific clonal lineages.
  • High rates of CRAB were identified, with predominant clonal complexes including CC1, CC15, CC79, and CC25, and a majority of the isolates exhibiting extensive drug resistance (XDR).
  • The research highlights that specific resistance genes are prevalent in these clonal complexes, suggesting that their spread is influenced by antimicrobial resistance mechanisms under selective pressure in healthcare settings.
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spp. is a foodborne pathogen present in the pork production chain, leading to potential contamination of end products and causing salmonellosis cases and outbreaks worldwide. The emergence of multidrug-resistant (MDR) spp.

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This study evaluated 250 animals from 25 different processing lots, processed in four slaughterhouses in São Paulo state, Brazil for the presence of Salmonella in the mesenteric lymph nodes (10 g sample of each animal) and characterized the antibiotics resistance profile, the Pulsed Field Gel Electrophoresis - PFGE and Multi Locus Sequence Typing - MLST profiles of selected strains. The pathogen was present in 36.4% (n = 91, CL 95% 30.

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