Publications by authors named "Sam van Goethem"

Article Synopsis
  • An opportunistic pathogen caused an 18-month outbreak in a neonatal intensive care unit (NICU) in Antwerp, Belgium, affecting 61 neonates, with ten confirmed infections resulting in serious conditions, including one fatal case.
  • The risk of acquiring the infection was significantly higher in neonates nursing in incubators, highlighted by statistical analysis (OR: 2.99; p < 0.05).
  • Whole genome sequencing revealed multiple clusters and the importance of ongoing surveillance and specific infection control measures in NICUs to prevent similar outbreaks in the future.
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Background: is the main aetiological agent in bacterial pneumonia. Therefore pneumococcal PCR is often included in respiratory multiplex PCR panels, both commercial and in-house. But respiratory PCR results for are difficult to interpret due to frequent non-pathogenic colonization on the mucosal surface of the upper airways with pneumococci or to cross-reaction of the PCR target in non-pneumococcal streptococci.

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Staphylococcus aureus bacteremia (SAB) is a relevant finding which prompts a thorough diagnostic work-up. Follow-up blood cultures (BC) are essential in this work-up. We investigate the probability of detecting an ongoing bacteremia after initiation of active therapy according to the number of BC taken at key time points.

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Article Synopsis
  • - This study examined how SARS-CoV-2 spreads within households by following 276 households with a confirmed case, utilizing daily symptom tracking and self-sampling of blood and nasal swabs for testing.
  • - The findings revealed a secondary attack rate (SAR) of 45.7%, indicating that a significant number of household members caught the virus, particularly early after exposure, with asymptomatic and mild cases being less likely to transmit the virus.
  • - Results suggested that typical infection control measures didn't significantly reduce transmission, highlighting the importance of the index case's age and symptom status in influencing the spread of SARS-CoV-2 in homes.
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We identified a novel gene cluster in a clinical isolate with vancomycin minimum inhibitory concentration (MIC) of 4 µg/mL. The ligase gene, , was part of a operon cluster of 4,589 bp on a putative novel integrative conjugative element located in a ca 98 kb genomic region presumed to be acquired by horizontal gene transfer from and sp. 499.

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