Publications by authors named "Romeo Hizon"

Article Synopsis
  • Clostridioides difficile infection (CDI) is a significant health issue for children, particularly in hospitals, leading to various health complications.
  • * The study focuses on the trends of CDI in both healthcare environments and the community in Canada, detailing cases in inpatient and outpatient settings.
  • * It also addresses the prevalence of recurrent CDI infections among affected children, highlighting the ongoing challenge in managing this condition.*
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Article Synopsis
  • - The COVID-19 pandemic has heavily impacted healthcare systems and resource availability.
  • - A study was conducted comparing Clostridioides difficile infection (CDI) rates before and during the pandemic in 71 Canadian hospitals.
  • - Results from the study showed a significant increase in CDI rates during the pandemic period.
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Article Synopsis
  • - The study examined over 18,000 cases of Clostridioides difficile infection (CDI) in Canadian hospitals from 2015 to 2019, finding that healthcare-associated (HA) infections accounted for 74.4% while community-associated (CA) infections made up 25.6%.
  • - During the study period, HA CDI rates dropped by 23.8% and CA rates by 18.8%, with HA CDI linked to higher 30-day mortality rates compared to CA CDI.
  • - The most prevalent ribotypes were RT027, RT106, RT014, and RT020, with RT027 showing a stronger association with CDI-related deaths; the findings emphasize the need for ongoing infection prevention
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Article Synopsis
  • Clostridium difficile is a major cause of antibiotic-associated diarrhea in healthcare settings, with metronidazole being the standard treatment, but recurrence rates can be high (15-35%).
  • A study characterized a metronidazole-resistant strain of C. difficile using whole-genome sequencing, revealing genetic changes related to core metabolic pathways that may underpin this resistance.
  • This research is significant as it provides the first stable characterization of metronidazole resistance in C. difficile, paving the way for further investigation into how this resistance develops and persists.
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Background: Staphylococcus aureus may produce superantigens that can non-specifically activate CD4(+) cells to potentially target the myelin basic protein.

Objective: This study examined the association between individuals with multiple sclerosis (MS) and colonization with S. aureus harbouring superantigens.

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Reverse transcriptase polymerase chain reaction was used to determine the amount of overexpression of the ampC gene in 52 cefoxitin-resistant Escherichia coli clinical isolates that had previously characterized mutations in their ampC promoter/attenuator regions. The results showed that mutations that create a consensus -35 box (TTGACA) are the most important factor in strengthening the ampC promoter, followed by base pair insertions that increase the distance between the -35 and -10 boxes to 17 or 18 bp. Mutations in the -10 box are of lesser importance and those in the attenuator region appear to have little effect on ampC expression.

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Enterococcus faecalis G1-0247 (vancomycin MIC, 16 microg/ml) was found to harbor a vanG operon 99% identical to the vanG operon in E. faecalis BM4518. E.

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Objectives: To characterize the mechanism of cefoxitin resistance in clinical isolate Escherichia coli N99-0001.

Methods: Plasmid analysis, PCR for beta-lactamases, and sequencing of the ampC genes was carried out. An RT-PCR method was developed to determine relative ampC expression.

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