Publications by authors named "Nadia GaIa"

Background: Critical illness is associated with an altered gut microbiota, yet its association with poor outcomes remains unclear. This study evaluates the early gut microbiota diversity changes in intensive care unit patients and its association with mortality. Additionally, it explores fecal pH as a potential biomarker for these changes.

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Introduction: The gut barrier, comprising gut microbiota, plays a pivotal role in chronic kidney disease (CKD) progression and nutritional status. This study aimed to explore gut barrier alterations in hemodialyzed (HD) patients, non-HD (NHD) CKD patients, and healthy volunteers.

Methods: Our cross-sectional study enrolled 22 HD patients, 11 NHD patients, and 11 healthy volunteers.

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Article Synopsis
  • Influenza A virus infection activates the NLRP3 inflammasome, leading to the release of the proinflammatory cytokine IL-1β from immune cells, which contributes to inflammation and fever.
  • The contemporary PB1-F2 protein from certain IAV strains inhibits NLRP3 activation via a specific four-amino acid motif (TQGS) that affects the binding and localization of PB1-F2.
  • Phylogenetic analysis indicates that this NLRP3 inhibitory motif is conserved across recent human-infecting IAV strains, providing insight into the molecular mechanisms of immune evasion by the virus.
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We describe the inter-regional spread of a novel ESBL-producing subclone (ST131H89) in long-term care facility residents, general population, and environmental water sources in Western Switzerland between 2017 and 2020. The study highlights the importance of molecular surveillance for tracking emerging antibiotic-resistant pathogens in healthcare and community settings.

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  • Before using metagenomic next-generation sequencing (mNGS) in labs, researchers need to tackle some challenges related to detecting and quantifying bacteria in samples with a lot of host DNA.
  • In this study, they tested different DNA extraction methods on pig muscle tissue spiked with various bacteria to see how well these methods worked.
  • They found that while unenriched samples could quantify bacteria well, they struggled with sensitivity; however, using a modified enrichment procedure significantly improved bacterial detection and provided clearer taxonomic profiles.
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We report a case of Mycoplasma genitalium endocarditis in a prosthetic heart valve of a woman who sought care in Switzerland for acute aortic valve dysfunction 3 years after valve replacement. This unusual manifestation of infection with this bacterium was diagnosed using broad-range PCR despite suspicion of a mechanical disinsertion.

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, and have been recently described in the female genital tract. We present the first case of a postpartum septic arthritis of the pubic symphysis due to these organisms, identified by next generation sequencing.

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  • Researchers analyzed the genome of a rare Neisseria meningitidis strain, named GE-156, found in a patient with bacteremia in Switzerland.
  • This strain is classified as belonging to a mixed serogroup W/Y and has a specific sequence type called 11847, which falls under clonal complex 167.
  • The identification was confirmed through standard lab tests and advanced genomic sequencing methods.
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Bone and joint infections (BJIs) are complex infections that require precise microbiological documentation to optimize antibiotic therapy. Currently, diagnosis is based on microbiological culture, sometimes complemented by amplification and sequencing of the 16S rDNA gene. Clinical metagenomics (CMg), that is, the sequencing of the entire nucleic acids in a sample, was previously shown to identify bacteria not detected by conventional methods, but its actual contribution to the diagnosis remains to be assessed, especially with regard to 16S rDNA sequencing.

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We present the case of a 72-year-old female patient with acute contained rupture of a biological composite graft, 21 months after replacement of the aortic valve and the ascending aorta due to an aortic dissection. Auramine-rhodamine staining of intraoperative biopsies showed acid-fast bacilli, but classical culture and molecular methods failed to identify any organism. Metagenomic analysis indicated infection with  , which was confirmed by target-specific qPCR.

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Background: Colon surgery has been shown to modulate the intestinal microbiota. Our objective was to characterize these changes using state-of-the-art next generation sequencing techniques.

Methods: We performed a single-centre prospective observational cohort study to evaluate the changes in the gut microbiota, i.

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  • This pilot study explored the relationship between gut microbiota, weight loss, and immune responses in pancreatic cancer patients by transplanting feces from these patients and healthy volunteers into germ-free mice.
  • Results showed that while body weight gain and food intake were similar for both groups, mice that received feces from PC patients had lower visceral fat compared to those receiving feces from healthy individuals.
  • Microbiota analysis indicated distinct differences between the feces of PC patients and healthy volunteers, suggesting that the gut microbes of PC patients could influence metabolic parameters and fat distribution.
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Background: Escherichia coli sequence type (ST) 131 H30 is an emerging multidrug resistant subclone, known to spread and cause outbreaks in long-term care facilities (LTCFs).

Objectives And Methods: From 2010 through 2020, we performed 11 yearly surveillance studies for determining the prevalence of digestive carriage of ESBL-producing E. coli (ESBL-EC) among residents in a university-affiliated LCTF.

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Reactive oxygen species (ROS) play a crucial role in the cellular defense against , as evidenced by the importance of this pathogen in patients lacking the ROS-generating phagocyte NADPH oxidase NOX2. ROS concentrations required to kill are much higher than those found in the phagosome. We therefore hypothesized that sublethal ROS concentrations may play a role in gene dysregulation and investigated the transcriptomic response of to sublethal concentrations of hydrogen peroxide (HO).

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Background: We have previously shown that glycine increases fat-free mass in chronic haemodialysis patients with features of malnutrition as compared with branched-chain amino acids (BCAAs). This multicentre randomized double-blind crossover study evaluates the impact of these amino acids on the gut barrier and microbiota.

Methods: Haemodialysis patients were included if they had plasma albumin <38 g/L or weight loss >5% of dry body weight, and daily dietary intakes <30 kcal/kg and <1 g protein/kg.

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and spp. are responsible for opportunistic infections in transplant patients, sometimes causing a life-threatening hyperammonemia syndrome. Both pathogens are not identified with standard microbiology techniques, resulting in missed or delayed diagnosis.

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Background: Oral microbiota has largely escaped attention in Parkinson's disease (PD), despite its pivotal role in maintaining oral and systemic health.

Objective: The aim of our study was to examine the composition of the oral microbiota and the degree of oral inflammation in PD.

Methods: Twenty PD patients were compared to 20 healthy controls.

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Nonalcoholic fatty liver disease (NAFLD) is the most common hepatic disorder related to type 2 diabetes (T2D). The disease can evolve toward nonalcoholic steatohepatitis (NASH), a state of hepatic inflammation and fibrosis. There is presently no drug that effectively improves and/or prevents NAFLD/NASH/fibrosis.

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Article Synopsis
  • The R-GNOSIS WP3 study was a landmark trial exploring the use of fecal microbiota transplantation (FMT) to eliminate harmful bacteria resistant to antibiotics in patients carrying ESBL-E or CPE.
  • The study analyzed fecal samples from 16 patients undergoing treatment, highlighting shifts in gut microbiota biodiversity and the impact of antibiotics on bacterial resistance genes during the process of FMT.
  • Results showed that while antibiotic treatment reduced bacterial diversity and increased resistance genes, FMT helped restore beneficial gut bacteria, potentially reducing the presence of harmful bacteria, although this wasn't statistically significant.
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Invasive meningococcal disease (IMD), caused by Neisseria meningitidis (Nm) strains, is a life-threatening but vaccine-preventable condition. Bexsero is a four-component vaccine that offers broad protection against Nm of serogroup B (NmB), particularly common in Europe. In Switzerland, Bexsero has not yet been licensed and no information is available concerning the predicted vaccine coverage on isolates of circulating Nm.

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Capnocytophaga canis is an uncommon cause of septic shock. Only three cases have been previously reported in the literature. In this article, we describe the case of a 70-year-old male admitted to the intensive care unit for septic shock of unknown origin.

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Fecal microbiota transplantation (FMT) is recommended as safe and effective treatment for recurrent infections. Freezing the FMT preparation simplifies the process, allowing a single stool sample to be used for multiple receivers and over an extended period of time. We aimed to assess the effect of long-term frozen storage on bacterial taxonomic profiles of a stool suspension prepared for FMT.

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Primary and revision arthroplasties are increasing worldwide, as are periprosthetic joint infections (PJI). The management of PJI requires surgery, the strategy of which is dictated by the acute or chronic nature of the infection, with an exchange of the implant in the event of a chronic PJI or in the case of recurrence with the same pathogen. We report the case of a 63-year-old man with two episodes of subsp.

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