Publications by authors named "Carl D Britto"

Background: Group B Streptococcus (GBS) is a leading cause of morbidity and mortality in young infants worldwide. This study aimed to investigate candidate GBS vaccine targets, virulence factors, and antimicrobial resistance determinants.

Methods: We used whole-genome sequencing to characterize invasive GBS isolates from infants < 3 months of age obtained from a multicenter population-based study conducted from 2015 to 2021 in China.

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Objectives: To evaluate the efficacy of a cash transfer and nutrition education program on dietary diversity among children in Liberia. We hypothesized that a multi-pronged intervention would result in improved dietary diversity among children.

Methods: We conducted a three-armed, cluster-randomized study in 42 communities (12 children per community) in Grand Gedeh County, Liberia, over a 12-month period.

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Introduction: Authorship parasitism (ie, no authors affiliated with the country in which the study took place) occurs frequently in research conducted in low-income and middle-income countries, despite published recommendations defining authorship criteria. The objective was to compare characteristics of articles exhibiting authorship parasitism in sub-Saharan Africa to articles with author representation from sub-Saharan African countries.

Methods: A bibliometric review of articles indexed in PubMed published from January 2014 through December 2018 reporting research conducted in sub-Saharan Africa was performed.

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Objective: To elucidate characteristics among neonates and their mothers who were discharged against medical advice (DAMA), providers' perspectives on DAMA and the effect of an intervention to reduce DAMA in a tertiary care hospital in South India.

Methods: We conducted a mixed-methods study to identify neonates at risk of DAMA. We reviewed charts of neonates and their mothers who were DAMA and conducted logit regression analysis to calculate adjusted odds ratios (aOR) and 95% confidence intervals (CI) to determine associations with DAMA.

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Article Synopsis
  • India has a high prevalence of enteric fever, and a study at St. John's Medical College Hospital analyzed differences in clinical presentations between adult and pediatric patients over one year.
  • Out of 113 cases, young adults (16-30 years) and children (<15 years) made up the majority, with common issues like anemia and unusual symptoms including arthritis and repeat infections.
  • The findings suggest that enteric fever presents with variable clinical features due to host and environmental factors, emphasizing the need for better surveillance and monitoring of the disease to improve treatment and prevention strategies.
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Article Synopsis
  • The study conducted genomic surveillance of enteric fever pathogens in South India, a first for the region, analyzing blood culture-confirmed cases over one year.
  • Blood samples from hospitalized patients at St John's Medical College Hospital were used to identify 101 S. enterica Typhi and 14 S. Paratyphi A, with most isolates showing resistance to fluoroquinolones.
  • Findings revealed a concerning rise of a fluoroquinolone-resistant S. Typhi clone linked to treatment failures, emphasizing the urgent need for enhanced surveillance and coordinated public health strategies to combat antimicrobial resistance and improve hygiene and vaccination efforts in the region.*
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Background & Objectives: The temporal trends in the development of antimicrobial resistance (AMR) among Salmonella Typhi and Salmonella Paratyphi in India have not been systematically reported. We aimed to systematically review the temporal AMR trends (phenotypic and molecular mechanisms) in bacterial isolates from patients with enteric fever over two decades in India.

Methods: To identify trends in AMR in India, resistance patterns among 4611 individual S.

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Background: The temporal and spatial change in trends of antimicrobial resistance (AMR) in typhoid have not been systematically studied, and such information will be critical for defining intervention, as well as planning sustainable prevention strategies.

Methodology And Findings: To identify the phenotypic trends in AMR, 13,833 individual S. Typhi isolates, reported from 1973 to 2018 in 62 publications, were analysed to determine the AMR preponderance over time.

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Background: Children are substantially affected by enteric fever in most settings with a high burden of the disease, including Nepal. However pathogen population structure and transmission dynamics are poorly delineated in young children, the proposed target group for immunization programs. Here we present whole genome sequencing and antimicrobial susceptibility data on 198 S.

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Background: Skin to skin contact (SSC) at birth is the standard of care for newborns without risk factors. However, implementation of SSC at birth has been far from optimal. A qualitative study was undertaken to determine the barriers, enablers and potential solutions to implementation of SSC at birth in healthy newborn infants in a level III neonatal-care facility in Bangalore, India.

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This prospective cross-sectional study was undertaken to determine the frequency of procedural pain among 101 neonates in the first 14 days of admission to a neonatal intensive care unit (NICU) in South India and to study the perception of health-care professionals (HCP) about newborn procedural pain. The total number of painful procedures was 8.09 ± 5.

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