Publications by authors named "Sarah W Sheldon"

Bacterial zoonoses are established causes of severe febrile illness in East Africa. Within a fever etiology study, we applied a high-throughput 16S rRNA metagenomic assay validated for detecting bacterial zoonotic pathogens. We enrolled febrile patients admitted to 2 referral hospitals in Moshi, Tanzania, during September 2007-April 2009.

View Article and Find Full Text PDF
Article Synopsis
  • Researchers found the DNA of a bacteria similar to Anaplasma bovis in blood samples from 4 patients in the US suspected of having tickborne illnesses.
  • The new agent shows a molecular link to A. bovis-like bacteria found in Dermacentor variabilis ticks from various states.
  • This suggests a possible connection between these patients’ illnesses and ticks carrying this specific bacterium.
View Article and Find Full Text PDF

This study reports on the validation of a real-time polymerase chain reaction test targeting the vomp region of Bartonella quintana. The assay displayed 100% sensitivity and specificity for the 52 bloods and 159 cultures tested. Molecular diagnosis of Bartonella quintana can aid clinical treatment during acute infection.

View Article and Find Full Text PDF
Article Synopsis
  • A January-April 2021 study analyzed surface samples from 124 households with confirmed SARS-CoV-2 infections, finding 27.8% of the samples were positive for the virus using RT-PCR testing.
  • Nightstands and pillows were the surfaces most frequently contaminated with the virus.
  • Despite the presence of SARS-CoV-2 on various surfaces, viable virus was detected in only 0.2% of samples, indicating that the risk of transmission via surfaces in households is low.
View Article and Find Full Text PDF
Article Synopsis
  • COVID-19 vaccination provides reduced infection and transmission rates, particularly in high-transmission environments like households during outbreaks of the B.1.1.7 (Alpha) variant.
  • A study in San Diego and Denver during early 2021 examined 493 individuals from households with confirmed SARS-CoV-2 infections, revealing that vaccinated individuals had significantly lower infection risks compared to their unvaccinated counterparts.
  • Results showed that unvaccinated household contacts had a 49% infection rate, while vaccinated contacts had only a 23% infection rate, demonstrating the effectiveness of vaccination in preventing household transmission.
View Article and Find Full Text PDF
Article Synopsis
  • A study was conducted to assess the accuracy of home antigen tests for detecting SARS-CoV-2 during a patient's infection in comparison to RT-PCR tests and viral cultures.
  • Researchers evaluated 225 participants with confirmed infections from January to May 2021, focusing on daily test performance over a 15-day period.
  • Results showed that antigen tests had a sensitivity of 50% during the infectious period, peaking at 77% four days after illness onset, indicating they are less reliable than RT-PCR but still useful in certain timeframes.
View Article and Find Full Text PDF

Bacterial vector-borne diseases, including species, present a significant diagnostic, clinical, and public health challenge due to their overlapping symptoms and the breadth of causative agents and arthropod vectors. The relapsing fever (RF) borreliae encompass both established and emerging pathogens and are transmitted to humans by soft ticks, hard ticks, or lice. We developed a real-time semimultiplex PCR assay that detects multiple RF borreliae causing human illness and classifies them into one of three groups.

View Article and Find Full Text PDF

The incidence and geographic range of tick-borne illness associated with Ixodes scapularis and Ixodes pacificus have dramatically increased in recent decades. Anaplasmosis, babesiosis, and Borrelia spirochete infections, including Lyme borreliosis, account for tens of thousands of reported cases of tick-borne disease every year. Assays that reliably detect pathogens in ticks allow investigators and public health agencies to estimate the geographic distribution of human pathogens, assess geographic variation in their prevalence, and evaluate the effectiveness of prevention strategies.

View Article and Find Full Text PDF

The American dog tick, Dermacentor variabilis (Say) (Acari: Ixodidae), has been implicated as a potential bridging vector to humans of Francisella tularensis, the etiological agent of tularemia. Since the initial studies evaluating vector competency of D. variabilis were conducted, F.

View Article and Find Full Text PDF

In the United States, the American dog tick, Dermacentor variabilis (Say) is considered an important biological vector of Francisella tularensis, the etiologic agent of tularemia. In this study, we evaluated the vector efficiency of nymphal D. variabilis infected as larvae with differing clades and subspecies (A1b, A2, and type B) of F.

View Article and Find Full Text PDF

Francisella tularensis subspecies tularensis (type A) and holarctica (type B) are of clinical importance in causing tularemia. Molecular typing methods have further separated type A strains into three genetically distinct clades, A1a, A1b and A2. Epidemiological analyses of human infections in the United States suggest that A1b infections are associated with a significantly higher mortality rate as compared to infections caused by A1a, A2 and type B.

View Article and Find Full Text PDF