Publications by authors named "Rayo Morfin Otero"

Recently, global dissemination of NDM-producing in hospital settings and natural environments has been described. This study described the whole-genome sequencing of multidrug-resistant phenotype and NDM-producing clinical isolates.

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  • - The study examined Clostridioides difficile infection (CDI) trends and outcomes in 16 healthcare facilities in Mexico from 2016 to 2022, focusing on patient demographics and clinical data.
  • - Out of 2,356 CDI cases identified, 90% were healthcare-associated, with common comorbidities including hypertension and diabetes; the 30-day mortality rate was 16%.
  • - The findings highlight the need for improved surveillance and standardized CDI classification in Mexico, noting stable rates but differences in incidence between public and private hospitals.
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  • Hospital-acquired severe infections are linked to genetic factors related to antibiotic resistance, specifically in strains that may carry genes for carbapenem and tigecycline resistance.
  • A study analyzed 384 genomes from clinical and non-clinical sources globally, revealing significant variability in genetic content, with antibiotic resistance genes largely found in the accessory genome.
  • The research indicates that while core genomes of environmental and hospital isolates are similar, the hospital strains acquire antibiotic resistance genes due to high selective pressure, with no geographical bias in their distribution.
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  • A comprehensive analysis of 356 Klebsiella pneumoniae species complex isolates revealed three main types: classical (cl), presumptive hypervirulent (p-hv), and hypermucoviscous-like (hmv-like), with the majority being classical at 82.3%.
  • Most classical isolates produced extended-spectrum-β-lactamases (ESBLs), and a small percentage showed colistin resistance, while all p-hv strains were antibiotic-susceptible.
  • The study found significant differences in capsule production between the different types, which affected virulence, and highlighted the emergence of atypical hypervirulent strains in the population, emphasizing the importance of tracking these pathogens in Mexican healthcare settings.
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Providencia rettgeri, belonging to the genus Providencia, had gained significant interest due to its increasing prevalence as a common pathogen responsible for healthcare-associated infections in hospitals. P. rettgeri isolates producing carbapenemases have been reported to reduce the efficiency of carbapenems in clinical antimicrobial therapy.

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Background: Multidrug-resistant is a common hospital-acquired pathogen. The increase in antibiotic resistance is commonly due to the acquisition of mobile genetic elements carrying antibiotic resistance genes. To comprehend this, we analyzed the resistome and virulome of Mexican multidrug-resistant isolates.

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  • A study was conducted on a specific strain of Klebsiella michiganensis (9273) that exhibits a hypermucoviscous-like phenotype, which is linked to higher virulence.
  • Researchers sequenced the genome of this clinical isolate from a urinary tract infection, revealing important genetic features including resistance genes and characteristics associated with increased virulence.
  • The findings suggest that this hypermucoviscous phenotype could lead to worse patient outcomes compared to other susceptible or multidrug-resistant strains, although the exact clinical implications are not yet fully understood.
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The transcriptomic profile in a biofilm model of ribotypes (RT) 001 and 027 associated with recurrent Clostridioides difficile infection (R-CDI) and not associated with recurrent (NR)-CDI was analyzed to identify genes that may favor the recurrence. Twenty strains were selected, 10 RT001 and 10 RT027. From each ribotype, 5 were R-CDI and 5 NR-CDI.

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The aim of this study was to analyze the risk factors and predictors of mortality in a retrospective cohort of patients with coronavirus disease (COVID-19) who presented central nervous system (CNS) manifestations and complications when admitted to hospital. Patients hospitalized from 2020 to 2022 were selected. Demographic variables; history of neurological, cardiological and pulmonary manifestations; comorbidities; prognostic severity scales; and laboratory tests were included.

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Monkeypox (Mpox) is a zoonotic viral infection endemic to Africa, which has caused a global outbreak since April 2022. The global Mpox outbreak is related to Clade IIb. The disease has primarily affected men who have sex with men.

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Background: Antimicrobial resistance is a global concern. Analysis of sterile fluids is essential because microorganisms are defined as significant in most cases. Blood, cerebrospinal, and pleural fluids are frequently received in the microbiology lab because they are associated with considerable rates of morbi-mortality.

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In this study, we report the carbapenemase-encoding genes and colistin resistance in , , , and in the second year of the COVID-19 pandemic. Clinical isolates included carbapenem-resistant , carbapenem-resistant , carbapenem-resistant , and carbapenem-resistant . Carbapenemase-encoding genes were detected by PCR.

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Burkholderia cepacia complex (Bcc) species are opportunistic pathogens widely distributed in the environment and often infect people with cystic fibrosis (CF). This study aims to determine which genomovars of the Bcc can cause infections in non-CF patients from a tertiary care hospital in Mexico and if they carry virulence factors that could increase their pathogenicity. We identified 23 clinical isolates that carry the recA gene.

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Fosfomycin is currently a viable option against urinary tract infections, particularly against extended-spectrum β-lactamases (ESBL)-producing , due to its unique mechanism of action and its low resistance among bacteria. The objective of this study was to investigate two of the three most common mechanisms of resistance against this antibiotic among 350 ESBL-producing strains isolated from the urine of Mexican patients. The prevalence of fosfomycin resistance in our study was 10.

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Introduction: Clostridioides difficile biofilms are believed to protect the pathogen from antibiotics, in addition to potentially contributing to recurrent infections.

Methodology: Biofilm production of 102 C. difficile isolates was determined using the crystal violet staining technique, and detachment assays were performed.

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  • - The study focuses on identifying Staphylococcus hominis, an opportunistic pathogen linked to infections from medical devices, by using MALDI-TOF MS to find protein biomarkers for rapid detection of antibiotic resistance and subspecies classification.
  • - Out of 148 clinical isolates tested, over 77% were found to produce biofilms, with more than half exhibiting multidrug resistance; key biomarker peaks for methicillin resistance were identified with high sensitivity.
  • - The findings highlight the potential of specific protein peaks to enhance routine identification of S. hominis in clinical environments, aiming to improve targeted antibiotic therapy.
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Bacterial meningitis is one of the diseases that, despite the introduction of several vaccines, remains a serious public health concern. Streptococcus pneumoniae (Spn), Neisseria meningitidis (Nm), and Haemophilus influenzae (Hi) are responsible for most cases diagnosed in children, adolescents, and adult population. Rapid, sensitive, and specific laboratory assays are critical for effective diagnosis and treatment, particularly in countries like Mexico in which culture positivity rates are very low due to the use of antibiotics prior to sample collection and to delay in transporting samples to the laboratory.

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Introduction: Infections caused by antimicrobial-resistant bacteria are a significant cause of death worldwide, and carbapenemase-producing bacteria are the principal agents. New Delhi metallo-beta-lactamase-1 producing (KP-NDM-1) is an extensively drug-resistant bacterium that has been previously reported in Mexico. Our aim was to conduct a case-control study to describe the risk factors associated with nosocomial infections caused by producing NDM-1 in a tertiary-care hospital in Mexico.

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  • Acinetobacter baumannii, especially its carbapenem-resistant strain (CRAB), is a significant concern in hospitals due to its persistence on surfaces and medical devices, leading to serious infections.
  • The presence of CRAB is linked to higher mortality rates, worse health outcomes, and extended hospital stays for affected patients.
  • This review compiles data from the past ten years on CRAB contamination sources, resistance mechanisms, and strategies to reduce its presence on healthcare surfaces.
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Infections by Gram-negative multi-drug resistant (MDR) bacterial species are difficult to treat using available antibiotics. Overuse of carbapenems has contributed to widespread resistance to these antibiotics; as a result, carbapenem-resistant Enterobacterales (CRE), (CRAB), and (CRPA) have become common causes of healthcare-associated infections. Carbapenems, tigecycline, and colistin are the last resource antibiotics currently used; however, multiple reports of resistance to these antimicrobial agents have been documented worldwide.

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Coagulase-negative Staphylococcus hominis causes bloodstream infections and often can form biofilms on medical devices. This study aimed to improve the current methodology for antimicrobial susceptibility testing (AST) in biofilm-growing S. hominis isolates.

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The novel coronavirus SARS-CoV-2, which has similarities to the 2002-2003 severe acute respiratory syndrome coronavirus known as SARS-CoV-1, causes the infectious disease designated COVID-19 by the World Health Organization (Coronavirus Disease 2019). Although the first reports indicated that activity of the virus is centered in the lungs, it was soon acknowledged that SARS-CoV-2 causes a multisystem disease. Indeed, this new pathogen causes a variety of syndromes, including asymptomatic disease; mild disease; moderate disease; a severe form that requires hospitalization, intensive care, and mechanical ventilation; multisystem inflammatory disease; and a condition called long COVID or postacute sequelae of SARS-CoV-2 infection.

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  • CDI (Clostridioides difficile infection) is a prevalent healthcare-associated infection, with symptoms that can range from mild diarrhea to severe pseudomembranous colitis.
  • Toxins A (TcdA) and B (TcdB) are primarily responsible for the damaging effects on intestinal cells, leading to the symptoms of CDI, while around 20% of strains also produce a controversial binary toxin (CDT) that may enhance these effects.
  • The text discusses the characteristics of CDT, its impact on human health, its relevance in clinical settings, its epidemiology, and potential treatments for CDI.
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