Publications by authors named "Pedro Fleitas"

Article Synopsis
  • Trichuris trichiura is a parasitic worm causing intestinal issues, and the typical treatment is albendazole, which works better when combined with ivermectin.
  • This article focuses on developing pharmacokinetic models and understanding how this drug combination works based on data from clinical trials involving healthy adults and infected children and adolescents.
  • Findings showed both drugs had similar absorption characteristics, and the chosen dosages in the trial were deemed suitable for future testing in larger studies.
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Soil-transmitted helminth (STH) infections account for a significant global health burden, necessitating mass drug administration with benzimidazole-class anthelmintics, such as albendazole (ALB), for morbidity control. However, ALB efficacy shows substantial variability, presenting challenges for achieving consistent treatment outcomes. We have explored the potential impact of the baseline gut microbiota on ALB efficacy in hookworm-infected individuals through microbiota profiling and machine learning (ML) techniques.

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Article Synopsis
  • - Soil-transmitted helminths (STH) are a major health issue in poor tropical and subtropical communities, necessitating improved diagnostic methods beyond traditional techniques.
  • - A study conducted from 2010 to 2019 in northern Salta, Argentina, analyzed 944 stool samples to evaluate the sensitivity of various diagnostic methods for detecting STH, revealing that sedimentation/concentration was the most effective.
  • - The findings support the use of combined parasitological methods in clinical and public health labs and recommend incorporating these improved diagnostic strategies into World Health Organization control plans for STH.
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Article Synopsis
  • The study investigates the effectiveness of a modified severe malaria classification for patients in non-endemic areas, as the current WHO definition may misclassify cases.
  • Among 506 malaria patients, 34.8% were classified with severe malaria, with only 7.3% developing life-threatening conditions, primarily in the very severe malaria group.
  • The findings suggest that existing severity criteria need reevaluation in non-endemic settings, as less severe malaria cases show a low risk of severe outcomes.
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Introduction: We examined the gut microbiota of travellers returning from tropical areas with and without traveller's diarrhoea (TD) and its association with faecal lipocalin-2 (LCN2) levels.

Methods: Participants were recruited at the Hospital Clinic of Barcelona, Spain, and a single stool sample was collected from each individual to perform the diagnostic of the etiological agent causing gastrointestinal symptoms as well as to measure levels of faecal LCN2 as a biomarker of gut inflammation. We also characterised the composition of the gut microbiota by sequencing the region V3-V4 from the 16S rRNA gene, and assessed its relation with the clinical presentation of TD and LCN2 levels using a combination of conventional statistical tests and unsupervised machine learning approaches.

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Background: Early diagnosis is key to reducing the morbi-mortality associated with P. falciparum malaria among international travellers. However, access to microbiological tests can be challenging for some healthcare settings.

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Background: Pre-travel consultation and chemoprophylaxis measures for malaria are a key component in the prevention of imported malaria in travelers. In this study we report a predictive tool for assessing personalized malaria risk in travelers based on the analysis of electronic medical records from travel consultations. The tool aims to guide physicians in the recommendation of appropriate prophylaxis prior to their trip.

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Soil-transmitted helminths (STH) are targeted for control through mass drug-administration campaigns to prevent morbidity affecting at-risk groups in endemic regions. Although broadly successful, the use of albendazole and mebendazole achieved variable progress, with deficiencies against and a predictable low efficacy against . Novel drug combinations offer a potential solution, providing they can be delivered safely and maintain efficacy against all STH species.

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Background: The WHO has established a control strategy for Strongyloides stercoralis in school-aged children as well as targets and to maintain control programs for Ascaris lumbricoides, Trichuris trichiura and hookworms. For an efficient development of control programs, it is necessary to know the target countries around the world, as well as the areas within each country where efforts should be focused. Therefore, maps that provide information on the areas at risk for soil-transmitted helminth (STH) infections on a national and sub-national scale would allow for a better allocation of resources.

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Background: In the absence of antiviral alternatives, interventions under research for COVID-19 might be offered following guidelines from WHO for monitored emergency use of unregistered and experimental interventions (MEURI). Ivermectin is among several drugs explored for its role against SARS-CoV-2, with a well-known safety profile but conflicting data regarding clinical utility for COVID-19. The aim of this report is to inform on the results of a MEURI Program of high-dose ivermectin in COVID-19 carried out by the Ministry of Health of the Province of La Pampa, Argentina.

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Background: Strongyloidiasis and Chagas disease are endemic in northern Argentina. In this study we evaluate the association between S. stercoralis and T.

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A stool sample of a five-year-old boy with suspected STH infection arrived at the Laboratory of the Instituto de Investigaciones de Enfermedades Tropicales (IIET), National University of Salta in Oran, province of Salta, Argentina in 2017. Three Harada Mori were prepared, of which only one showed the presence of . In the other two, the presence of an unknown larva was observed, which was later identified as an insect larva of the Diptera order.

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Objectives: Describe the diagnostic characteristics of a conventional multiplex PCR for the diagnosis of S. stercoralis, N. americanus and Ancylostomas spp.

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Introduction: The objective of this cross-sectional study was to describe the main symptoms associated with COVID-19, and their diagnostic characteristics, to aid in the clinical diagnosis.

Methods: An analysis of all patients diagnosed by RT-PCR for SARS-CoV-2 between April and May 2020 in Argentina was conducted. The data includes clinical and demographic information from all subjects at the time of presentation (n=67318, where 12% were positive for SARS-CoV-2).

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Background: There are limited antiviral options for the treatment of patients with COVID-19. Ivermectin (IVM), a macrocyclic lactone with a wide anti-parasitary spectrum, has shown potent activity against SARS-CoV-2 . This study aimed at assessing the antiviral effect of IVM on viral load of respiratory secretions and its relationship with drug concentrations in plasma.

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Background: Soil-transmitted helminths (STH) are common in low and middle income countries where there is lack of access to clean water and sanitation. Effective diagnosis and treatment are essential for the control of STH infections. However, among STH parasites, Strongyloides stercoralis is the most neglected species, both in diagnostics and control strategies.

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Article Synopsis
  • * A study conducted in Argentina and Bolivia from 2010-2016 analyzed over 2,800 human serum samples, revealing a 19.6% overall infection rate, with prevalence increasing with age.
  • * Prevalence varied significantly by location, with rates ranging from 7.75% to 44.55%, highlighting the need for further surveys and the implementation of control measures in these regions.
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Cutaneous leishmaniasis is endemic in Salta province, which belongs to the northwest of Argentina. spp. DNA from Giemsa-stained slides of up to 12 years in storage of patients from Salta was characterized through polymerase chain reaction (PCR) restriction fragment length polymorphism (RFLP).

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For epidemiological work with soil transmitted helminths the recommended diagnostic approaches are to examine fecal samples for microscopic evidence of the parasite. In addition to several logistical and processing issues, traditional diagnostic approaches have been shown to lack the sensitivity required to reliably identify patients harboring low-level infections such as those associated with effective mass drug intervention programs. In this context, there is a need to rethink the approaches used for helminth diagnostics.

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Aim: The development of vaccines against Trypanosoma cruzi remains in an exploratory stage. Despite several antigen candidates have been evaluated, a comparison among the performance of the immunogens cannot be carried out because the available reports differ in formulations and infection model. In this work, we compared the protective capacity of seven T.

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