102 research outputs found

    The Sudden Dominance of blaCTX–M Harbouring Plasmids in Shigella spp. Circulating in Southern Vietnam

    Get PDF
    Shigellosis is a disease caused by bacteria belonging to Shigella spp. and is a leading cause of bacterial gastrointestinal infections in infants in unindustrialized countries. The Shigellae are dynamic and capable of rapid change when placed under selective pressure in a human population. Extended spectrum beta lactamases (ESBLs) are enzymes capable of degrading cephalosporins (a group of antimicrobial agents) and the genes that encode them are common in pathogenic E. coli and other related organisms in industrialized countries. In southern Vietnam, we have isolated multiple cephalosporin-resistant Shigella that express ESBLs. Furthermore, over two years these strains have replaced strains isolated from patients with shigellosis that cannot express ESBLs. Our work describes the genes responsible for this characteristic and we investigate one of the elements carrying one of these genes. These finding have implications for treatment of shigellosis and support the growing necessity for vaccine development. Our findings also may be pertinent for other countries undergoing a similar economic transition to Vietnam's and the corresponding effect on bacterial populations

    A Multi-Center Randomized Trial to Assess the Efficacy of Gatifloxacin versus Ciprofloxacin for the Treatment of Shigellosis in Vietnamese Children

    Get PDF
    The bacterial genus Shigella is the most common cause of dysentery (diarrhea containing blood and/or mucus) and the disease is common in developing countries with limitations in sanitation. Children are most at risk of infection and frequently require hospitalization and antimicrobial therapy. The WHO currently recommends the fluoroquinolone, ciprofloxacin, for the treatment of childhood Shigella infections. In recent years there has been a sharp increase in the number of organisms that exhibit resistance to nalidixic acid (an antimicrobial related to ciprofloxacin), corresponding with reduced susceptibility to ciprofloxacin. We hypothesized that infections with Shigella strains that demonstrate resistance to nalidixic acid may prevent effective treatment with ciprofloxacin. We performed a randomized controlled trial to compare 3 day ciprofloxacin therapy with 3 days of gatifloxacin, a newer generation fluoroquinolone with greater activity than ciprofloxacin. We measured treatment failure and time to the cessation of individual disease symptoms in 249 children with dysentery treated with gatifloxacin and 245 treated with ciprofloxacin. We could identify no significant differences in treatment failure between the two groups or in time to the cessation of individual symptoms. We conclude that, in Vietnam, ciprofloxacin and gatifloxacin are similarly effective for the treatment of acute dysentery

    Prevalence and Risk Factors for Tuberculosis Infection among Hospital Workers in Hanoi, Viet Nam

    Get PDF
    BACKGROUND: Transmission of tuberculosis (TB) to health care workers (HCWs) is a global issue. Although effective infection control measures are expected to reduce nosocomial TB, HCWs' infection has not been assessed enough in TB high burden countries. We conducted a cross-sectional study to determine the prevalence of TB infection and its risk factors among HCWs in Hanoi, Viet Nam. METHODOLOGY/PRINCIPAL FINDINGS: A total of 300 HCWs including all staff members in a municipal TB referral hospital received an interferon-gamma release assay (IGRA), QuantiFERON-TB Gold In-Tube(TM), followed by one- and two-step tuberculin skin test (TST) and a questionnaire-based interview. Agreement between the tests was evaluated by kappa statistics. Risk factors for TB infection were analyzed using a logistic regression model. Among the participants aged from 20 to 58 years (median = 40), prevalence of TB infection estimated by IGRA, one- and two-step TST was 47.3%, 61.1% and 66.3% respectively. Although the levels of overall agreement between IGRA and TST were moderate, the degree of agreement was low in the group with BCG history (kappa = 0.29). Working in TB hospital was associated with twofold increase in odds of TB infection estimated by IGRA. Increased age, low educational level and the high body mass index also demonstrated high odds ratios of IGRA positivity. CONCLUSIONS/SIGNIFICANCE: Prevalence of TB infection estimated by either IGRA or TST is high among HCWs in the hospital environment for TB care in Viet Nam and an infection control program should be reinforced. In communities with heterogeneous history of BCG vaccination, IGRA seems to estimate TB infection more accurately than any other criteria using TST

    Measurement of the Λc+\Lambda_c^+ lifetime

    Full text link
    An absolute measurement of the Λc+\Lambda^{+}_c lifetime is reported using Λc+pKπ+\Lambda_c^+\rightarrow pK^-\pi^+ decays in events reconstructed from data collected by the Belle II experiment at the SuperKEKB asymmetric-energy electron-positron collider. The total integrated luminosity of the data sample, which was collected at center-of-mass energies at or near the Υ(4S)\Upsilon(4S) resonance, is 207.2~\mbox{fb}^{-1}. The result, τ(Λc+)=203.20±0.89(stat)±0.77(syst)\tau(\Lambda^{+}_c) = 203.20 \pm 0.89 \,\mathrm{(stat)} \pm 0.77 \,\mathrm{(syst)} fs, is the most precise measurement to date and is consistent with previous determinations.Comment: Accepted for publication in PR

    Measurements of the branching fractions for BKγB \to K^{*}\gamma decays at Belle II

    Get PDF
    This paper reports a study of BKγB \to K^{*}\gamma decays using 62.8±0.662.8\pm 0.6 fb1^{-1} of data collected during 2019--2020 by the Belle II experiment at the SuperKEKB e+ee^{+}e^{-} asymmetric-energy collider, corresponding to (68.2±0.8)×106(68.2 \pm 0.8) \times 10^6 BBB\overline{B} events. We find 454±28454 \pm 28, 50±1050 \pm 10, 169±18169 \pm 18, and 160±17160 \pm 17 signal events in the decay modes B0K0[K+π]γB^{0} \to K^{*0}[K^{+}\pi^{-}]\gamma, B0K0[KS0π0]γB^{0} \to K^{*0}[K^0_{\rm S}\pi^{0}]\gamma, B+K+[K+π0]γB^{+} \to K^{*+}[K^{+}\pi^{0}]\gamma, and B+K+[K+π0]γB^{+} \to K^{*+}[K^{+}\pi^{0}]\gamma, respectively. The uncertainties quoted for the signal yield are statistical only. We report the branching fractions of these decays: B[B0K0[K+π]γ]=(4.5±0.3±0.2)×105,\mathcal{B} [B^{0} \to K^{*0}[K^{+}\pi^{-}]\gamma] = (4.5 \pm 0.3 \pm 0.2) \times 10^{-5}, B[B0K0[KS0π0]γ]=(4.4±0.9±0.6)×105,\mathcal{B} [B^{0} \to K^{*0}[K^0_{\rm S}\pi^{0}]\gamma] = (4.4 \pm 0.9 \pm 0.6) \times 10^{-5}, B[B+K+[K+π0]γ]=(5.0±0.5±0.4)×105, and\mathcal{B} [B^{+} \to K^{*+}[K^{+}\pi^{0}]\gamma] = (5.0 \pm 0.5 \pm 0.4)\times 10^{-5},\text{ and} B[B+K+[KS0π+]γ]=(5.4±0.6±0.4)×105,\mathcal{B} [B^{+} \to K^{*+}[K^0_{\rm S}\pi^{+}]\gamma] = (5.4 \pm 0.6 \pm 0.4) \times 10^{-5}, where the first uncertainty is statistical, and the second is systematic. The results are consistent with world-average values

    Precise Measurement of the D0^{0} and D+^{+} Lifetimes at Belle II

    Get PDF
    We report a measurement of the D0^{0} and D+^{+} lifetimes using D0^{0}→K^{-}π+^{+} and D+^{+}→K^{-}π+^{+}π+^{+} decays reconstructed in e+^{+}e^{-}cc\overline{cc} data recorded by the Belle II experiment at the SuperKEKB asymmetric-energy e+^{+}e^{-} collider. The data, collected at center-of-mass energies at or near the Υ(4S) resonance, correspond to an integrated luminosity of 72 fb1^{-1}. The results, τ(D0^{0})=410.5±1.1(stat)±0.8(syst)  fs and τ(D+^{+})=1030.4±4.7(stat)±3.1(syst) fs, are the most precise to date and are consistent with previous determinations

    Measurement of the branching fraction and CP\it CP asymmetry of B0π0π0B^{0} \rightarrow \pi^{0} \pi^{0} decays using 198×106198 \times 10^6 BBB\overline{B} pairs in Belle II data

    Full text link
    We report measurements of the branching fraction and CP\it CP asymmetry in B0π0π0B^{0} \to \pi^{0} \pi^{0} decays reconstructed at Belle II in an electron-positron collision sample containing 198×106198 \times 10^{6} BBB\overline{B} pairs. We measure a branching fraction \mathcal{B}(\Bpipi) = (1.38 \pm 0.27 \pm 0.22) \times 10^{-6} and a CP\it CP asymmetry \Acp(\Bpipi) = 0.14 \pm 0.46 \pm 0.07, where the first uncertainty is statistical and the second is systematic

    Search for a τ+τ\tau^+\tau^- resonance in e+eμ+μτ+τe^{+}e^{-}\rightarrow \mu^{+}\mu^{-} \tau^+\tau^- events with the Belle II experiment

    Full text link
    We report the first search for a non-standard-model resonance decaying into τ\tau pairs in e+eμ+μτ+τe^{+}e^{-}\rightarrow \mu^{+}\mu^{-} \tau^+\tau^- events in the 3.6-10 GeV/c2c^{2} mass range. We use a 62.8 fb1^{-1} sample of e+ee^+e^- collisions collected at a center-of-mass energy of 10.58 GeV by the Belle II experiment at the SuperKEKB collider. The analysis probes three different models predicting a spin-1 particle coupling only to the heavier lepton families, a Higgs-like spin-0 particle that couples preferentially to charged leptons (leptophilic scalar), and an axion-like particle, respectively. We observe no evidence for a signal and set exclusion limits at 90% confidence level on the product of cross section and branching fraction into τ\tau pairs, ranging from 0.7 fb to 24 fb, and on the couplings of these processes. We obtain world-leading constraints on the couplings for the leptophilic scalar model for masses above 6.5 GeV/c2c^2 and for the axion-like particle model over the entire mass range

    Determination of Vub|V_{ub}| from untagged B0π+νB^0\to\pi^- \ell^+ \nu_{\ell} decays using 2019-2021 Belle II data

    Full text link
    We present an analysis of the charmless semileptonic decay B0π+νB^0\to\pi^- \ell^+ \nu_{\ell}, where =e,μ\ell = e, \mu, from 198.0 million pairs of BBˉB\bar{B} mesons recorded by the Belle II detector at the SuperKEKB electron-positron collider. The decay is reconstructed without identifying the partner BB meson. The partial branching fractions are measured independently for B0πe+νeB^0\to\pi^- e^+ \nu_{e} and B0πμ+νμB^0\to\pi^- \mu^+ \nu_{\mu} as functions of q2q^{2} (momentum transfer squared), using 3896 B0πe+νeB^0\to\pi^- e^+ \nu_{e} and 5466 B0πμ+νμB^0\to\pi^- \mu^+ \nu_{\mu} decays. The total branching fraction is found to be (1.426±0.056±0.125)×104(1.426 \pm 0.056 \pm 0.125) \times 10^{-4} for B0π+νB^0\to\pi^- \ell^+ \nu_{\ell} decays, where the uncertainties are statistical and systematic, respectively. By fitting the measured partial branching fractions as functions of q2q^{2}, together with constraints on the nonperturbative hadronic contribution from lattice QCD calculations, the magnitude of the Cabibbo-Kobayashi-Maskawa matrix element VubV_{ub}, (3.55±0.12±0.13±0.17)×103(3.55 \pm 0.12 \pm 0.13 \pm 0.17) \times 10^{-3}, is extracted. Here, the first uncertainty is statistical, the second is systematic and the third is theoretical
    corecore