Publications by authors named "Pedro Torres-Gonzalez"

Article Synopsis
  • Tuberculosis (TB) is increasing among people with diabetes mellitus (DM), especially in lower-resource countries.
  • A trial in Mexico City tested TB preventive treatments using isoniazid (INH) and rifampicin (RIF) in individuals with type 2 DM, involving 130 participants.
  • The study was halted due to safety concerns; while the overall adverse event rates were similar, more participants on INH faced serious liver issues, while those on RIF had severe gastrointestinal problems, suggesting that neither treatment is safe enough for routine use in this population.
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Background: Mycobacterium tuberculosis genotyping has been crucial to determining the distribution and impact of different families on disease clinical presentation. The aim of the study was to evaluate the associations among sociodemographic and clinical characteristics and M. tuberculosis lineages from patients with pulmonary tuberculosis in Orizaba, Veracruz, Mexico.

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Article Synopsis
  • - Tuberculosis (TB) is a significant health challenge globally, particularly in developing countries, and this study examines the genetic diversity of the bacteria causing TB while measuring drug resistance rates in a patient cohort from Veracruz, Mexico between 1995 and 2010.
  • - The researchers identified that 19% of the 755 Mycobacterium tuberculosis isolates were drug-resistant, with isoniazid monoresistance being the most prevalent at 10%, and they found that 81.9% of the resistant cases were primary resistance linked to transmission within clusters.
  • - The study highlights the urgent need for better public health strategies due to the high prevalence of transmission of resistant strains, especially concerning the LAM lineage, and advocates for the
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The lack of efficient and cost-effective diagnostic tools contributes to poor control of tuberculosis in endemic countries. Moreover, host biological processes influence susceptibility, and infection resolution. It is well known that comorbidities such as type 2 diabetes mellitus (DM2) affect the host immune response, making individuals more susceptible to infection.

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  • A multicenter study in Mexico aimed to evaluate the effectiveness of various tests for diagnosing progressive disseminated histoplasmosis (PDH) in individuals living with HIV.
  • The study involved 415 participants and compared the diagnostic accuracy of urine antigen tests and nested PCR methods, confirming PDH through blood, tissue cultures, or histopathology.
  • Results showed that the cHGEI IMMY test had the highest sensitivity (91.3%) among the urine tests, while nested PCR tests demonstrated varying sensitivity levels, indicating different diagnostic strengths for identifying this serious infection.
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During the initial stage of a study to recruit universal intestinal microbiota donors in Mexico City, we found multiple "healthy" subjects that colonized with MDRO (Multidrug-resistant organisms). We aimed to describe clinical and demographic characteristics of these individuals. This was a prospective observational study.

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  • There's been a growing interest in the Internet of Things (IoT), particularly in low-power wide-area networks (LPWAN) that enable long-distance communication for battery-operated devices.
  • This paper presents a LoRa-based wireless network designed to monitor soil temperature in volcanic areas, specifically on the Teide volcano in the Canary Islands, using eight thermometers.
  • Key achievements include low-power consumption, real-time temperature data collection, and reliable network performance, indicating the effectiveness of this system for volcanic surveillance.
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Tuberculosis remains a serious threat worldwide. For this reason, it is necessary to identify agents that shorten the duration of treatment, strengthen the host immune system, and/or decrease the damage caused by the infection. Statins are drugs that reduce plasma cholesterol levels and have immunomodulatory, anti-inflammatory and antimicrobial effects.

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Tuberculosis is one of the 10 leading causes of death in the world. The current treatment is based on a combination of antimicrobials administered for six months. It is essential to find therapeutic agents with which the treatment time can be shortened and strengthen the host immune response against .

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Article Synopsis
  • The study evaluates the diagnostic accuracy of the ALPHA Histoplasma urine antigen (HUAg) test for detecting progressive disseminated histoplasmosis (PDH) in HIV patients, particularly in Mexico.
  • In a sample of 288 patients suspected of having PDH, the ALPHA-HUAg showed a sensitivity of 67.1% and a high specificity of 97.5%, indicating it is fairly good at confirming PDH but may miss some cases.
  • Despite its high specificity, the low sensitivity means that ALPHA-HUAg can't be solely relied on for diagnosis, and a culture-based approach is recommended to account for potential co-infections.
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  • The study aimed to identify factors linked to Mycobacterium tuberculosis complex-positive blood cultures among patients diagnosed with tuberculosis from 2000 to 2015.
  • Out of 533 patients, 145 had blood cultures, with 21 testing positive; those with mycobacteremia often had abdominal tuberculosis, low body mass index, and lower hemoglobin and albumin levels.
  • The research highlights the lack of data on mycobacterium bacteremia in HIV-negative individuals, emphasizing the correlation between anemia, hypoalbuminemia, and low BMI with mycobacteremia.
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Background: The aim of this controlled clinical trial was to evaluate the efficacy and safety of fosfomycin trometamol (FOS) in urinary tract infection (UTI) prophylaxis during the first 6 months after renal transplant (RT).

Methods: The intervention group received 3 g of FOS PO every 10 days and trimethoprim-sulfamethoxazole (TMP-SMX, 160/800 mg) three times per week (Group 1), whereas the control group received TMP-SMX (160/800 mg) daily (Group 2). The outcomes were the time until the first UTI (symptomatic infection or asymptomatic bacteriuria (>10  CFU/mL)) and the incidence of UTI during the first 6 months post RT.

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  • The study aimed to determine clinical and environmental factors linked to outbreaks of hospital-onset Clostridium difficile infection (HO-HCFA CDI) among hospitalized patients in Mexico from 2015 to 2016.
  • Researchers used a case-control design, comparing 155 patients with HO-HCFA CDI to 310 controls randomly selected from hospital discharge records.
  • Significant risk factors identified included recent use of ciprofloxacin and proton pump inhibitors, having febrile neutropenia, intra-abdominal infections, being referred from other hospitals, and a higher number of prior antibiotics used.
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To determine, among systemic lupus erythematosus patients, factors associated with active tuberculosis. We performed a case-control study, in a tertiary-care center in Mexico City. We defined cases as systemic lupus erythematosus patients with active tuberculosis and matched them 1:1 with systemic lupus erythematosus patients without tuberculosis (controls) by age, date of systemic lupus erythematosus diagnosis, and disease duration.

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Background: Genotyping and georeferencing in tuberculosis (TB) have been used to characterize the distribution of the disease and occurrence of transmission within specific groups and communities.

Objective: The objective of this study was to test the hypothesis that diabetes mellitus (DM) and pulmonary TB may occur in spatial and molecular aggregations.

Material And Methods: Retrospective cohort study of patients with pulmonary TB.

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Article Synopsis
  • The study investigates the effect of inappropriate antifungal treatment on 30-day mortality rates in patients with Candida Bloodstream Infection (CBSI), revealing a high mortality of 38%.
  • Data was gathered from two healthcare centers over six years, analyzing 149 CBSI episodes and identifying factors like severe sepsis and cirrhosis as significant predictors of mortality.
  • Findings suggest that proper antifungal treatment according to updated guidelines did not significantly affect mortality, indicating that the severity of the infection and underlying health issues are more critical factors.
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Objectives: To describe the clinical characteristics, outcomes, and factors associated with Clostridium difficile infection (CDI) due to ribotype 027 (RT027) and recurrence, including an outbreak period, with transition to endemicity.

Methods: A case-control study was performed. Clinical and demographic data were collected for patients with CDI during the period January 2008 to December 2015.

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Article Synopsis
  • The study investigates the link between diabetes mellitus (DM) and tuberculosis (TB), noting that DM patients may have a higher likelihood of poor TB outcomes.
  • A systematic review and meta-analysis were conducted to assess if patients with both DM and pulmonary TB cluster genetically more than those with TB alone.
  • Specific keyword searches resulted in the inclusion of studies that met certain criteria, focusing on molecular clustering in patient populations with confirmed pulmonary TB.
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Culture-based identification and antifungal susceptibility take 48-72hours after positivity. We analyzed the performance of Vitek2 directly from 40 yeast-positive blood-cultures; agreement of 100% was observed for the tested antifungals; identification showed the same species in 31/40. The method reduces time (13 to 18h) for preliminary results.

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Background/purpose: The study aims to describe the clinical features, microbiology, and associated factors of acute cholangitis (AC) after bilioenteric anastomosis (BEA) for biliary duct injury (BDI). Additionally, we assessed the performance of the Tokyo Guidelines 2013 (TG13) recommendations in these patients.

Methods: We conducted a case-control study of 524 adults with a history of BEA for BDI from January 2000 to January 2014.

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Background: Human tuberculosis caused by Mycobacterium bovis is believed to be frequent in developing countries. Transmission is usually through ingestion of unpasteurized dairy products, although airborne contagion is possible. Disease caused by M.

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Objective: To describe the seroprevalence and associated factors for brucellosis among dairy farm workers.

Materials And Methods: We performed a secondary analysis of a data set and sera from a previous cross-sectional study in a dairy farm. Sera were tested for Brucella spp.

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We describe the outcomes and factors associated with OXA-232 producing carbapenem-resistant Enterobacteriaceae infections. A case-control-control study was performed; each case of infection by a carbapenem-resistant/OXA-232 (OXA-232-cases, n=27) was matched by isolation site, species, and date, with 2 cases of infection by carbapenem-susceptible/third-generation cephalosporin-susceptible (TGCS-controls, n=54) and 2 cases by carbapenem-susceptible/ESBL producing Enterobacteriaceae (ESBL-controls, n=54); 66% were urinary tract and 18.5% intra-abdominal infections.

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Background: Carbapenem-resistant Enterobacteriaceae (CRE) infections have emerged as a serious threat to health worldwide. They are associated with increased morbidity and mortality and are capable of silently colonizing the gastrointestinal tract. Because of this, there is great interest to characterize the epidemiology of CRE carriage and acquisition in healthcare facilities.

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Background: Mycobacterium tuberculosis causes the majority of tuberculosis (TB) cases in humans; however, in developing countries, human TB caused by M. bovis may be frequent but undetected. Human TB caused by M.

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