Publications by authors named "Ziyong Sun"

Background: Peptoniphilus vaginalis, a Gram-positive anaerobic coccus, is a recently characterized species within the Peptoniphilus genus. No studies have detailed its features. This report documents the first case of P.

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Background: Distinguishing between active tuberculosis disease (TBD) and latent tuberculosis infection (TBI) is crucial for TB control but remains challenging.

Methods: Single-cell RNA sequencing was conducted on purified Mycobacterium tuberculosis (MTB)-specific CD154CD4 T cells.

Results: We observe a superior role of CD154 in detecting MTB infection, whereas its ability in distinguishing TBD from TBI is still limited due to patient heterogeneity.

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Background: Screening of malignant hematological diseases is of great importance for their diagnosis and subsequent treatment. This study constructed an optimal screening model for malignant hematological diseases based on routine blood cell parameters.

Methods: The venous blood samples of 1751 patients collected from 10 tertiary hospitals in China were divided into a training set (1223 cases) and a validation set (528 cases).

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Background: The challenge of dealing with isolated reactive treponemal chemiluminescence immunoassay (CIA) results in clinical practice has prompted the development of a more efficient algorithm for distinguishing true infection from false reactivity in isolated CIA sera.

Methods: A prospective cohort study was conducted at Wuhan Tongji Hospital, involving 119,002 individuals screened for syphilis using CIA from January 1, 2015, to January 6, 2017. Samples with reactive CIA results underwent simultaneous testing with the T.

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Objective: To determine the epidemiological cut-off (ECOFF) values of etimicin against Escherichia coli, Klebsiella pneumoniae, Proteus mirabilis, Pseudomonas aeruginosa, Acinetobacter baumannii and Staphylococcus aureus.

Methods: We selected 1500 isolates from five hospitals throughout five cities in China spanning from January 2018 to December 2021 in the study. Minimal inhibit concentrations (MICs) of etimicin were determined using the broth microdilution method.

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Article Synopsis
  • A multicenter study across 65 hospitals in China analyzed the effectiveness of contezolid against various strains of Staphylococcus and Enterococcus, focusing on its susceptibility and resistance patterns.
  • The research found that all strains were susceptible to contezolid, with low resistance rates to other antibiotics, notably finding higher linezolid resistance in Enterococcus faecalis than in Enterococcus faecium.
  • Results showed contezolid had a lower MIC50 compared to linezolid, indicating it may be a more effective option against resistant bacterial strains, particularly methicillin-resistant Staphylococcus and linezolid-resistant E. faecalis.
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Aims: Adequately and accurately identifying carbapenemase-producing Enterobacterales (CPE) is vital for selecting appropriate antimicrobial therapy and implementing effective infection control measures. This study aims to optimize the phenotypic detection method of carbapenemase for routine diagnostics in clinical microbiology laboratories.

Methods And Results: Carbapenemase genes in 2665 non-duplicate CRE clinical strains collected from various regions of China were confirmed through whole-genome sequencing (WGS).

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Article Synopsis
  • The study evaluates the accuracy of platelet count estimation using artificial intelligence on the MC-80 digital morphology analyzer, comparing it with traditional methods.
  • The methodology involved analyzing 977 samples with various platelet counts and comparing results from the digital analyzer to those from a hematology analyzer and flow cytometry.
  • Results showed that the digital analyzer’s estimates were strongly correlated with flow cytometry results, especially in interfering conditions, leading to conclusions that the new technology improves accuracy for platelet transfusion decisions, particularly in low platelet count scenarios.
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Background: The dysregulated immune response to sepsis still remains unclear. Stratification of sepsis patients into endotypes based on immune indicators is important for the future development of personalized therapies. We aimed to evaluate the immune landscape of sepsis and the use of immune clusters for identifying sepsis endotypes.

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Background: This study investigated the performance of the MC-100i, a pre-commercial digital morphology analyzer utilizing a convolutional neural network algorithm, in a multicentric setting involving up to 11 tertiary hospitals in China.

Methods: Blood smears were analyzed by MC-100i, verified by morphologists, and manually differentiated. The classification performance on WBCs and RBCs was evaluated by comparing the classification results using different methods.

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Background: The differential diagnosis between active tuberculosis (ATB) and latent tuberculosis infection (LTBI) is still a challenge worldwide.

Methods: Immune indicators involved in innate, humoral, and cellular immune cells, as well as antigen-specific cells were simultaneously assessed in patients with ATB and LTBI.

Results: Of 54 immune indicators, no indicator could distinguish ATB from LTBI, likely due to an obvious heterogeneity of immune indicators noticed in ATB patients.

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Carbapenem-resistant has recently aroused increasing attention. In this study, a total of four sequence type 36 subsp. serovar Typhimurium ( Typhimurium) isolates were consecutively isolated from an 11-month-old female patient with a gastrointestinal infection, of which one was sensitive to carbapenems and three were resistant to carbapenems.

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Karst mountainous areas in Southwest China, the world's largest bare karst area, are faced with growing water shortages. Rainwater harvesting plays an important role in alleviating water shortage. However, there remains a substantial gap in the research regarding the water quality of tanks.

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Objective: The study aimed to comprehensively describe and evaluate the pathogenic and clinical characteristics of severe fever with thrombocytopenia syndrome (SFTS) patients with co-infections.

Methods: We retrospectively collected clinical data and laboratory indicators of the SFTS patients at Tongji Hospital from October 2021 to July 2023.

Results: A total of 157 patients with SFTS virus (SFTSV) infection were involved in the analysis, including 43 co-infection and 114 non-co-infection patients.

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Invasive diseases caused by the globally distributed commensal yeast Candida tropicalis are associated with mortality rates of greater than 50%. Notable increases of azole resistance have been observed in this species, particularly within Asia-Pacific regions. Here, we carried out a genetic population study on 1571 global C.

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Background: Secondary hemophagocytic lymphohistiocytosis (sHLH) is a rare but fatal clinical syndrome, characterized by severe immune dysfunction and overwhelming inflammatory response. However, the host immune signature and also its role in predicting the clinical outcome are not fully described.

Objective: The present study aims to investigate the host immune status of sHLH patients in the early stage of the disease, including lymphocyte subsets, phenotypes and cytokines, and also to explore its clinical value in prognosis.

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Background: Rapid and accurate identification of carbapenemase-producing organism (CPO) intestinal carriers is essential for infection prevention and control. Molecular diagnostic methods can produce results in as little as 1 h, but require special instrumentation and are expensive. Therefore, it is urgent to find an alternative method.

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Objectives: The study aims to investigate the potential of convolutional neural network (CNN) based on spot image of T-SPOT assay for distinguishing active tuberculosis (ATB) from latent tuberculosis infection (LTBI).

Methods: CNN was applied to recognize and classify T-SPOT spot image. Logistic regression was used to establish prediction model based on CNN.

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Article Synopsis
  • Candida albicans is the leading cause of invasive candidiasis, and a study examined the genetic structure of 551 strains globally, testing antifungal susceptibilities of 370 of them.
  • Among the resistant strains, 66.6% were part of Clade 1, and further analysis identified two nested subclades, Clade 1-R and Clade 1-R-α, with high rates of azole resistance (75.0% and 100% respectively).
  • The findings highlight an alarming trend of antifungal resistance linked to specific genetic lineages, emphasizing the need for ongoing monitoring of these resistant strains' spread in clinical settings.
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Background: Bloodstream infections (BSIs), especially hospital-acquired BSIs, are a major cause of morbidity and mortality. However, the details about the pathogens and antimicrobial resistance profile of BSIs across China are still lacking.

Methods: An investigation was conducted in 10 large teaching hospitals from seven geographic regions across China in 2016 based on China Antimicrobial Surveillance Network (CHINET) to profile the clinical and etiological features of BSIs.

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Background: The discrimination between active tuberculosis (ATB) and latent tuberculosis infection (LTBI) remains challenging. The present study aims to investigate the value of diagnostic models established by machine learning based on multiple laboratory data for distinguishing Mycobacterium tuberculosis (Mtb) infection status.

Methods: T-SPOT, lymphocyte characteristic detection, and routine laboratory tests were performed on participants.

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Heavy metal(loid)s (HMs) have been consistently entering the food chain, imposing great harm on environment and public health. However, previous studies on the spatial dynamics and transport mechanism of HMs have been profoundly limited by the field sampling issues, such as the uneven observations of individual carriers and their spatial mismatch, especially over large-scale catchments with complex environment. In this study, a novel methodological framework for mapping HMs at catchment scale was proposed and applied, combining a species distribution model (SDM) with physical environment and human variables.

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