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Book ; Online ; E-Book: Paediatric infectious diseases

Lee, Ping-Ing / Huang, Yhu-Chering / Chen, Po-Yen

a practical guide and cases

2023

Abstract: This book aims to provide readers updated information on diagnosis and management of infectious diseases in children, especially those prevailing in Asian countries. Each chapter presents with one to two typical clinical cases first and then introduces ... ...

Author's details	edited by Yhu-Chering Huang, Ping-Ing Lee, Po-Yen Chen
Abstract	This book aims to provide readers updated information on diagnosis and management of infectious diseases in children, especially those prevailing in Asian countries. Each chapter presents with one to two typical clinical cases first and then introduces the epidemiology, and the pearls of clinical skills in diagnosis and treatment of most frequent infectious pediatric diseases occurred in respiratory tract, gastrointestinal tract, central nervous system, bone/joint, skin and soft tissue. Infectious diseases in neonates, vaccine-associated adverse effects, and specific syndromes prevailing in Asian countries are also discussed with details. Written by experts in the field, this case-based book will be a useful reference for infectious disease researchers and paediatricians, as well as those who are interested in related field. .
Keywords	Communicable diseases in children
Subject code	929.605
Language	English
Size	1 online resource (239 pages)
Edition	1st ed. 2023.
Publisher	Springer
Publishing place	Singapore
Document type	Book ; Online ; E-Book
Remark	Zugriff für angemeldete ZB MED-Nutzerinnen und -Nutzer
ISBN	981-19-7276-1 ; 9789811972751 ; 978-981-19-7276-8 ; 9811972753
DOI	10.1007/978-981-19-7276-8
Database	ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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Article ; Online: USA300 (sequence type 8) has become a major clone of methicillin-resistant Staphylococcus aureus in northern Taiwan.

Huang, Yhu-Chering / Chen, Chih-Jung

International journal of antimicrobial agents

2022 Volume 59, Issue 3, Page(s) 106534

Abstract: Background: Most methicillin-resistant Staphylococcus aureus (MRSA) isolates in Taiwan are resistant to clindamycin. MRSA USA300 (sequence type 8), usually susceptible to clindamycin and prevalent in North America, was rarely identified in Taiwan until ... ...

Abstract	Background: Most methicillin-resistant Staphylococcus aureus (MRSA) isolates in Taiwan are resistant to clindamycin. MRSA USA300 (sequence type 8), usually susceptible to clindamycin and prevalent in North America, was rarely identified in Taiwan until October 2015. The increasing susceptibility of clinical MRSA isolates to clindamycin prompted the authors to investigate the changing molecular epidemiology of MRSA. Methods: Reviewing the antibiograms of clinical MRSA isolates in the study hospital from 2008 to 2018 showed a significant increase in clindamycin susceptibility (CLI-S) from 4.9% (293/5979) in 2008 to 33.2% (1058/3184) in 2018 (P Results: Molecular analysis revealed that of the 496 CLI-S MRSA isolates, 0%, 6.5%, 44.4% and 48.8% were USA300 [characterized as SCCmec type IV/ Panton-Valentine leukocidin (PVL)-gene-positive/arginine catabolic metabolic element (ACME)-positive] in 2008, 2013, 2017 and 2018, respectively, in paediatric isolates (P Conclusions: CLI-S of MRSA increased significantly from 2008 to 2018 in northern Taiwan, mainly due to the increase in USA300. Most USA300 strains circulating in Taiwan have been imported on multiple occasions.
MeSH term(s)	Child ; Clone Cells ; Humans ; Methicillin-Resistant Staphylococcus aureus ; Microbial Sensitivity Tests ; Staphylococcal Infections/epidemiology ; Taiwan/epidemiology
Language	English
Publishing date	2022-01-26
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	1093977-5
ISSN	1872-7913 ; 0924-8579
ISSN (online)	1872-7913
ISSN	0924-8579
DOI	10.1016/j.ijantimicag.2022.106534
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Article: USA300 (sequence type 8) has become a major clone of methicillin-resistant Staphylococcus aureus in northern Taiwan

Huang, Yhu-Chering / Chen, Chih-Jung

International journal of antimicrobial agents. 2022 Mar., v. 59, no. 3

2022

Abstract: Most methicillin-resistant Staphylococcus aureus (MRSA) isolates in Taiwan are resistant to clindamycin. MRSA USA300 (sequence type 8), usually susceptible to clindamycin and prevalent in North America, was rarely identified in Taiwan until October 2015. ...

Abstract	Most methicillin-resistant Staphylococcus aureus (MRSA) isolates in Taiwan are resistant to clindamycin. MRSA USA300 (sequence type 8), usually susceptible to clindamycin and prevalent in North America, was rarely identified in Taiwan until October 2015. The increasing susceptibility of clinical MRSA isolates to clindamycin prompted the authors to investigate the changing molecular epidemiology of MRSA. Reviewing the antibiograms of clinical MRSA isolates in the study hospital from 2008 to 2018 showed a significant increase in clindamycin susceptibility (CLI-S) from 4.9% (293/5979) in 2008 to 33.2% (1058/3184) in 2018 (Pₜᵣₑₙd<0.001). MRSA isolates identified from bloodstream and paediatric samples, preserved systematically in 2008, 2013, 2017 and 2018, were selected for characterization. Molecular analysis revealed that of the 496 CLI-S MRSA isolates, 0%, 6.5%, 44.4% and 48.8% were USA300 [characterized as SCCmec type IV/ Panton–Valentine leukocidin (PVL)-gene-positive/arginine catabolic metabolic element (ACME)-positive] in 2008, 2013, 2017 and 2018, respectively, in paediatric isolates (Pₜᵣₑₙd<0.001); and 0%, 7.1%, 47.1% and 50.6% were USA300 (characterized as SCCmec type IV/PVL-gene-positive/ACME-positive) in 2008, 2013, 2017 and 2018, respectively, in bloodstream isolates (Pₜᵣₑₙd<0.001). Whole-genome sequencing revealed that 80% of 74 domestic USA300 isolates were clustered into three clades, and all but one isolate belonged to a global clone that diverged in 1994, which further diverged in Taiwan between 2003 and 2006. CLI-S of MRSA increased significantly from 2008 to 2018 in northern Taiwan, mainly due to the increase in USA300. Most USA300 strains circulating in Taiwan have been imported on multiple occasions.
Keywords	blood flow ; clindamycin ; hospitals ; methicillin-resistant Staphylococcus aureus ; molecular epidemiology ; North America ; Taiwan
Language	English
Dates of publication	2022-03
Publishing place	Elsevier Ltd
Document type	Article
ZDB-ID	1093977-5
ISSN	1872-7913 ; 0924-8579
ISSN (online)	1872-7913
ISSN	0924-8579
DOI	10.1016/j.ijantimicag.2022.106534
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Article ; Online: Detection, spread and phylogeny of meticillin-resistant

Huang, Yhu-Chering / Chen, Chih-Jung / Lauderdale, Tsai-Ling Yang

Microbial genomics

2021 Volume 7, Issue 4

Abstract: Meticillin- ... ...

Abstract	Meticillin-resistant
MeSH term(s)	Bacterial Proteins/genetics ; Humans ; Methicillin-Resistant Staphylococcus aureus/classification ; Methicillin-Resistant Staphylococcus aureus/genetics ; Methicillin-Resistant Staphylococcus aureus/isolation & purification ; Phylogeny ; Staphylococcal Infections/microbiology ; Staphylococcal Infections/transmission ; Taiwan ; Whole Genome Sequencing
Chemical Substances	Bacterial Proteins
Language	English
Publishing date	2021-03-25
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2835258-0
ISSN	2057-5858 ; 2057-5858
ISSN (online)	2057-5858
ISSN	2057-5858
DOI	10.1099/mgen.0.000555
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Article ; Online: Detection and phylogeny of Staphylococcus aureus sequence type 398 in Taiwan.

Huang, Yhu-Chering / Chen, Chih-Jung

Journal of biomedical science

2020 Volume 27, Issue 1, Page(s) 15

Abstract: Background: Methicillin-resistant Staphylococcus aureus (MRSA) ST398 is a livestock associated-bacterium that is most prevalent in Europe. Human-adapted MRSA ST398 was recently reported from China, but there is no data available yet for Taiwan.: ... ...

Abstract	Background: Methicillin-resistant Staphylococcus aureus (MRSA) ST398 is a livestock associated-bacterium that is most prevalent in Europe. Human-adapted MRSA ST398 was recently reported from China, but there is no data available yet for Taiwan. Methods: To identify S. aureus ST398 isolates, we examined 6413 S. aureus isolates (5632 MRSA and 781 susceptible strains) that were collected in Taiwan between 1995 and 2017. If isolates could not be typed by pulsed-field gel electrophoresis upon Sma I digestion, we performed further characterization and complete genome sequencing. Results: We identified 18 ST398 S. aureus isolates from 16 subjects (0.28%), including 6 sensitive and 12 resistant strains. Of these, 14 were colonizing isolates, 3 were clinical (infecting) isolates and one isolate was from a pork specimen. All 3 infecting isolates were MSSA strains identified in 2015 from two children with recurrent otitis media or sinusitis. The other 3 MSSA isolates were identified from workers handling pork (2) or pork meat (1) in 2015. The first 5 MRSA colonizing isolates were identified from residents in two nursing homes in 2012. Six MRSA isolates were identified from residents and foreign employees at a nursing home in 2016 and one MRSA from a foreign worker in 2017. Phylogenetic analysis of genome sequences indicated that all 12 local ST398 MRSA strains cluster together, human-adapted and phylogenetically related to a human MRSA strain identified in China in 2002. Two local MSSA isolates could be linked to isolates from livestock. The toxin profiles were similar for the MRSA and MSSA isolates. Conclusions: Our results demonstrate that S. aureus ST398 was present in Taiwan in 2012 and potentially earlier. Although some isolates could be linked to livestock, most ST398 S. aureus isolates identified in Taiwan, particularly MRSA, represent human-adapted strains. Local transmission of human-adapted MRSA ST398 strains has occurred in nursing homes in Taiwan, possibly after import from China. Further surveillance is needed.
MeSH term(s)	China/epidemiology ; Electrophoresis, Gel, Pulsed-Field ; Europe/epidemiology ; Genome, Bacterial/genetics ; Genotype ; Humans ; Methicillin-Resistant Staphylococcus aureus/classification ; Methicillin-Resistant Staphylococcus aureus/genetics ; Methicillin-Resistant Staphylococcus aureus/pathogenicity ; Microbial Sensitivity Tests ; Molecular Sequence Annotation ; Phylogeny ; Staphylococcal Infections/epidemiology ; Staphylococcal Infections/genetics ; Staphylococcal Infections/microbiology ; Taiwan/epidemiology ; Whole Genome Sequencing
Language	English
Publishing date	2020-01-03
Publishing country	England
Document type	Journal Article
ZDB-ID	1193378-1
ISSN	1423-0127 ; 1021-7770
ISSN (online)	1423-0127
ISSN	1021-7770
DOI	10.1186/s12929-019-0608-8
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Article: Evolution and Population Structures of Prevalent Methicillin-Resistant

Chen, Chih-Jung / Yang Lauderdale, Tsai-Ling / Huang, Yhu-Chering

Frontiers in microbiology

2021 Volume 12, Page(s) 725340

Abstract: Global methicillin- ... ...

Abstract	Global methicillin-resistant
Language	English
Publishing date	2021-09-14
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2587354-4
ISSN	1664-302X
ISSN	1664-302X
DOI	10.3389/fmicb.2021.725340
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Article: Evolution of Multi-Resistance to Vancomycin, Daptomycin, and Linezolid in Methicillin-Resistant

Chen, Chih-Jung / Huang, Yhu-Chering / Shie, Shian-Sen

Frontiers in microbiology

2020 Volume 11, Page(s) 1414

Abstract: The genomic ... ...

Abstract	The genomic evolution
Language	English
Publishing date	2020-07-07
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2587354-4
ISSN	1664-302X
ISSN	1664-302X
DOI	10.3389/fmicb.2020.01414
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Article ; Online: Novel intertypic recombination of Echovirus 11 in the Enterovirus species B.

Gong, Yu-Nong / Yang, Shu-Li / Chen, Yi-Ching / Liu, Yi-Chun / Huang, Yhu-Chering / Tsao, Kuo-Chien

Journal of medical virology

2024 Volume 96, Issue 1, Page(s) e29323

Abstract: Enteroviruses (EVs), single-stranded, positive-sense RNA viruses, can be classified into four species (A-D), which have previously been linked to a diverse range of disease manifestations and infections affecting the central nervous system. In the ... ...

Abstract	Enteroviruses (EVs), single-stranded, positive-sense RNA viruses, can be classified into four species (A-D), which have previously been linked to a diverse range of disease manifestations and infections affecting the central nervous system. In the Enterovirus species B (EV-B), Echovirus type 11 (E11) has been observed to occasionally circulate in Taiwan, which was responsible for an epidemic of enterovirus infections in 2018. Here, 48 clinical specimens isolated in 2003, 2004, 2009, and 2018 were collected for the high-throughput sequencing. Notably, we identified 2018 Taiwanese strains having potential recombinations in the 3D gene, as well as one 2003 strain having a double recombination with E6 and Coxsackievirus B5 in the P2 and P3 regions, respectively. Additionally, one amino acid signature mutated from the Histidine (H) in throat swab specimens to the Tyrosine (Y) in cerebral spinal fluid specimens was detected at position 1496 (or 57) of the genomic coordinate (or 3A gene) to further demonstrate intra-host evolution in different organs. In conclusion, this study identifies potential intertypic recombination events and an intra-host signature mutation in E11 strains, isolated during a 2018 neurological disease outbreak in Taiwan, contributing to our understanding of its evolution and pathogenesis.
MeSH term(s)	Humans ; Phylogeny ; Enterovirus B, Human/genetics ; Enterovirus/genetics ; Enterovirus Infections/epidemiology ; Recombination, Genetic
Language	English
Publishing date	2024-01-10
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	752392-0
ISSN	1096-9071 ; 0146-6615
ISSN (online)	1096-9071
ISSN	0146-6615
DOI	10.1002/jmv.29323
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Article ; Online: Cost-effectiveness analysis of cell-based versus egg-based quadrivalent influenza vaccines in the pediatric population in Taiwan.

Chi, Chia-Yu / Cheng, Ming-Fang / Ko, Karam / Mould, Joaquin F / Chen, Chih-Jung / Huang, Yhu-Chering / Lee, Ping-Ing

Journal of medical virology

2024 Volume 96, Issue 1, Page(s) e29279

Abstract: Cell-based influenza vaccines avoid egg-adaptive mutations, potentially improving vaccine effectiveness. We assessed the one-season cost-effectiveness of cell-based quadrivalent influenza vaccine (QIVc) against that of egg-derived quadrivalent influenza ... ...

Abstract	Cell-based influenza vaccines avoid egg-adaptive mutations, potentially improving vaccine effectiveness. We assessed the one-season cost-effectiveness of cell-based quadrivalent influenza vaccine (QIVc) against that of egg-derived quadrivalent influenza vaccines (QIVe) in children (6 months to 17 years of age) from payer and societal perspectives in Taiwan using an age-stratified static model. Base case and high egg adaptation scenarios were assessed. Deterministic and probabilistic sensitivity analyses were performed. The incremental cost-effectiveness ratio (ICER) threshold in Taiwan was assumed to be USD 99 177/quality-adjusted life year (QALY). Compared to QIVe, QIVc would prevent 15 665 influenza cases, 2244 complicated cases, and 259 hospitalizations per year. The base case ICER was USD 68 298/QALY and USD 40 085/QALY from the payer and societal perspective, respectively. In the high egg adaptation scenario, the ICER was USD 45 782/QALY from the payer's perspective and USD 17 489/QALY from the societal perspective. Deterministic sensitivity analyses indicated that infection incidence rate, vaccination coverage, and prevalence of the A/H3N2 strain were the main drivers of ICER. In conclusion, switching the immunization strategy from QIVe to QIVc is predicted to reduce the influenza-associated disease burden and be cost-effective for the pediatric population in Taiwan. The potential benefits of QIVc would be even higher during influenza seasons with high levels of egg adaptation.
MeSH term(s)	Child ; Humans ; Influenza Vaccines ; Influenza, Human/epidemiology ; Influenza, Human/prevention & control ; Cost-Effectiveness Analysis ; Taiwan/epidemiology ; Influenza A Virus, H3N2 Subtype ; Vaccines, Combined
Chemical Substances	Influenza Vaccines ; Vaccines, Combined
Language	English
Publishing date	2024-01-09
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	752392-0
ISSN	1096-9071 ; 0146-6615
ISSN (online)	1096-9071
ISSN	0146-6615
DOI	10.1002/jmv.29279
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Article ; Online: Molecular characteristics and clinical features of Staphylococcus epidermidis healthcare-associated late-onset bacteremia among infants hospitalized in neonatal intensive care units.

Huang, Yi-Hsuan / Yeh, Yu-Rou / Lien, Rey-In / Chiang, Ming-Chou / Huang, Yhu-Chering

Journal of microbiology, immunology, and infection = Wei mian yu gan ran za zhi

2023 Volume 56, Issue 6, Page(s) 1214–1225

Abstract: Background: Though Staphylococcus epidermidis was the most common pathogen of late-onset sepsis (LOS) in neonatal intensive care units (NICUs), there haves been scanty reports on molecular epidemiology of S. epidermidis isolates from infants stayed in ... ...

Abstract	Background: Though Staphylococcus epidermidis was the most common pathogen of late-onset sepsis (LOS) in neonatal intensive care units (NICUs), there haves been scanty reports on molecular epidemiology of S. epidermidis isolates from infants stayed in NICU and on correlation of molecular characteristics with clinical features in these infants. Methods: We collected and characterized S. epidermidis bloodstream isolates from infants hospitalized in NICU of a medical center in Taiwan between 2018 and 2020. Medical records of these infants were retrospectively reviewed. Results: A total of 107 isolates identified from 78 episodes of bacteremia in 75 infants were included for analysis. Of the 78 isolates (episodes), 24 pulsotypes, 11 sequence types (STs), and 5 types of staphylococcal chromosomal cassette (type I-V) were identified. ST59 and its single locus variant ST1124 (37.2%) comprised the most common strain, followed by ST35 (14.1%), ST2 (11.5%), and ST89 (10.3%). All but 5 isolates (73/78, 93.6%) belonged to clonal complex (CC) 2. Comparing infants infected with genetically different strains, the patients with underlying immune disease were significantly associated with ST2 infection (P = 0.021), while no statistically significant differences were found in terms of clinical and laboratory characteristics. Only 3.8% of the isolates were susceptible to oxacillin. Conclusions: More than 90% of S. epidermidis bloodstream isolates from infants in NICU in Taiwan were resistant to oxacillin. Though diverse, more than 90% of the isolates (episodes) belonged to CC2. No statistically significant differences were found in terms of clinical characteristics among the infants infected with genetically different strains.
MeSH term(s)	Infant, Newborn ; Infant ; Humans ; Staphylococcus epidermidis/genetics ; Intensive Care Units, Neonatal ; Staphylococcal Infections/epidemiology ; Retrospective Studies ; Interleukin-1 Receptor-Like 1 Protein ; Bacteremia/epidemiology ; Oxacillin
Chemical Substances	Interleukin-1 Receptor-Like 1 Protein ; Oxacillin (UH95VD7V76)
Language	English
Publishing date	2023-09-01
Publishing country	England
Document type	Journal Article
ZDB-ID	1497590-7
ISSN	1995-9133 ; 1684-1182 ; 0253-2662
ISSN (online)	1995-9133
ISSN	1684-1182 ; 0253-2662
DOI	10.1016/j.jmii.2023.08.005
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