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Most Cited

  • Review
  • Open Access
19 Citations
1,230 Views
11 Pages

Epidemiology of Pseudomonas aeruginosa in Diabetic Foot Infections: A Global Systematic Review and Meta-Analysis

  • Mitra Garousi,
  • Sina MonazamiTabar,
  • Hosein Mirazi,
  • Zahra Farrokhi,
  • Azad Khaledi and
  • Ali Shakerimoghaddam
Germs2023, 13(4), 362-372;https://doi.org/10.18683/germs.2023.1406 
(registering DOI)

31 December 2023

Pseudomonas aeruginosa is one of the most common causes of diabetic foot infection globally. This study aimed to determine the global distribution of P. aeruginosa isolated from diabetic foot ulcer infection. PRISMA procedure was used to perform the...

  • Review
  • Open Access
17 Citations
292 Views
10 Pages

Bacterial Species Associated with Peri-Implant Disease—A Literature Review

  • Mihai Săndulescu,
  • Valentin Daniel Sîrbu and
  • Ion Alexandru Popovici

31 December 2023

Peri-implantitis is a pathological condition in dental medicine that manifests as an inflammatory process affecting the tissues surrounding dental implants. Peri-implantitis occurs when the soft and hard tissues surrounding these implants become infl...

  • Review
  • Open Access
14 Citations
498 Views
8 Pages

Implications of Using Artificial Intelligence in the Diagnosis of Sepsis/Sepsis Shock

  • Gabriel-Petre Gorecki,
  • Dana-Rodica Tomescu,
  • Liana Pleș,
  • Anca-Maria Panaitescu,
  • Șerban Dragosloveanu,
  • Cristian Scheau,
  • Romina-Marina Sima,
  • Ionuț-Simion Coman,
  • Valentin-Titus Grigorean and
  • Daniel Cochior

31 March 2024

Introduction: Sepsis and septic shock represent severe pathological states, characterized by the systemic response to infection, which can lead to organ dysfunction and high mortality. Early diagnosis and rapid intervention are crucial for improving...

  • Communication
  • Open Access
11 Citations
480 Views
4 Pages

Clinical Challenge of Co-Infection of SARS-CoV-2 with Influenza During the Influenza Circulation Season: Suggestions for Prevention

  • Shabnam Dehghan Tarzjani,
  • Sara Kamalzadeh,
  • Majid Taati Moghadam and
  • Mohammad Taghi Ashoobi

30 June 2023

The scenario of millions of deaths due to the COVID-19 pandemic since its emergence was horrifying, the bitter truth that a virus suddenly overwhelmed the entire world, and humanity was incapable of dealing with it for a long time [...]

  • Article
  • Open Access
10 Citations
945 Views
7 Pages

30 June 2023

Introduction: Infectious vaginitis is prevalent in developing countries. Most of the females suffer from vaginal infections at least once per lifetime. Due to limited resources, many infections are misdiagnosed or undiagnosed. Good diagnosis of these...

  • Article
  • Open Access
8 Citations
301 Views
10 Pages

Enterobacteriaceae Isolates from Clinical and Household Tap Water Samples: Antibiotic Resistance, Screening for Extended-Spectrum, Metallo- and AmpC-Beta-Lactamases, and Detection of blaTEM, blaSHV and blaCTX-M in Uyo, Nigeria

  • Olajide J. Akinjogunla,
  • Adebowale T. Odeyemi,
  • Edinam-Abasi S. Udofia,
  • Oyetayo O. Adefiranye,
  • Clarence S. Yah,
  • Igbagbo Ehinmore and
  • Idongesit U. Etukudo

31 March 2023

Introduction: Infections caused by multidrug-resistant (MDR) bacteria, extended spectrum β-lactamase (ESBL), metallo-β-lactamase (MBL) and AmpC-β-lactamase (AmpC-βL)-producers are increasing globally. This study identified bacteria in clinical and ta...

  • Review
  • Open Access
8 Citations
944 Views
8 Pages

Dental Pathologies of Endodontic Origin and Subsequent Bacterial Involvement—A Literature Review

  • Alexandru Gliga,
  • Mihai Săndulescu,
  • Oana Amza,
  • Ruxandra Stănescu and
  • Marina Imre

31 December 2023

Dental pathologies of endodontic origin are varied in nature, and include infectious and non-infectious causes. Through this review, we aim to provide a deeper understanding of the role of bacterial involvement and in the pathogenesis of endodontic p...

  • Article
  • Open Access
7 Citations
170 Views
9 Pages

Clinical, Biochemical and Pulmonary CT Imaging Features for Hepatobiliary Involvement in COVID-19

  • Eduard Dumea,
  • Ecaterina Constanţa Barbu,
  • Cristina Emilia Chiţu,
  • Mihai Lazăr and
  • Daniela Adriana Ion

30 June 2023

Introduction: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection is a viral disease with primary pulmonary involvement and systemic impact. This article aims to assess the importance of clinical, biological, demographic and radioi...

  • Article
  • Open Access
5 Citations
240 Views
16 Pages

Microbiome Analysis of Bile Samples in Patients with Choledocholithiasis and Hepatobiliary Disorders

  • Masoumeh Azimirad,
  • Amir Sadeghi,
  • Nazanin Hosseinkhan,
  • Seyedeh Zohre Mirbagheri and
  • Masoud Alebouyeh

30 September 2023

Introduction: The involvement of bacteria in the pathogenesis of biliary tract disease is largely unknown. In this study, we investigated the microbiota of the biliary tissue among adult patients with choledocholithiasis during endoscopic retrograde...

  • Article
  • Open Access
5 Citations
270 Views
13 Pages

Segmenting Attitudes Toward Vaccination—Behavioral Insights into Influenza Vaccination Refusal in Romania

  • Gheorghe Gindrovel Dumitra,
  • Sandra Adalgiza Alexiu,
  • Dorica Sănduţu,
  • Cosmina Berbecel,
  • Monica Curelea,
  • Cristina Vasilica Barbu,
  • Anca Deleanu,
  • Adrian Grom,
  • Maria Lup and
  • Adina Turcu-Stiolica
  • + 4 authors

31 December 2024

Introduction: Vaccine hesitancy remains a significant public health challenge, particularly in rural populations where geographic and socioeconomic barriers exacerbate the issue. This study aimed to examine the factors influencing vaccine hesitancy,...

  • Article
  • Open Access
5 Citations
232 Views
9 Pages

31 March 2024

Introduction: Integrons are genetic systems that may confer antibiotic resistance to Pseudomonas aeruginosa. Biofilm formation can facilitate gene exchange and can accelerate the development of antibiotic resistance. The aim of this work was to asses...

  • Case Report
  • Open Access
4 Citations
250 Views
8 Pages

Brevundimonas spp. Infection in Immunocompromised Children: Two Case Reports

  • Andreé Altamirano-Beltrán,
  • Christian Chiara-Chilet,
  • José W. López,
  • Maria J. Pons and
  • Julio Maquera-Afaray

31 March 2023

Introduction: Brevundimonas spp. are rare and opportunistic pathogens which may cause infections in patients who are immunocompromised or have underlying disease. Case report: Two cases with a microbiological diagnosis of Brevundimonas aurantiaca and...

  • Article
  • Open Access
4 Citations
190 Views
13 Pages

30 June 2023

Introduction: Bloodstream infections in the intensive care unit have always been a global healthcare challenge. The present study was conducted with the aim to evaluate the yearly trend of antibiotic resistance in non-fermenting Gram-negative bacilli...

  • Case Report
  • Open Access
4 Citations
250 Views
5 Pages

Disseminated Bacillus Calmette-Guérin (BCG) Infection Presenting as Severe Respiratory Failure and Septic Shock

  • Diamantina Marouli,
  • Charalampos Pappas,
  • Maria Raissaki,
  • Athanasia Proklou,
  • Eleftherios Papadakis and
  • Eumorfia Kondili

30 September 2023

Introduction: Intravesical Bacillus Calmette-Guérin (BCG) instillation is the most effective adjuvant therapy for superficial urinary bladder carcinoma, prolonging disease-free survival. Although it is usually well tolerated, moderate to severe local...

  • Case Report
  • Open Access
4 Citations
134 Views
6 Pages

Finding of Anaerococcus hydrogenalis in Blood Using Cell-Free DNA Technique in a Patient with Infective Endocarditis

  • Tulika Chatterjee,
  • Moni Roy,
  • Yeshaswini Panathur Sreenivasa Reddy and
  • Sharjeel Ahmad

30 September 2023

Introduction: The annual incidence of infective endocarditis (IE) is 3–9 cases per 100,000 in developed countries and most cases are due to staphylococci and streptococci. IE due to Gram-positive anaerobic cocci (GPAC) is very rare. Case report: We p...

  • Review
  • Open Access
4 Citations
447 Views
13 Pages

Infective Endocarditis by Carbapenem-Resistant Gram-Negative Bacteria—A Systematic Review

  • Konstantinos Pitsikakis,
  • Michail Skandalakis,
  • Konstantinos Fragkiadakis,
  • Stella Baliou and
  • Petros Ioannou
Germs2024, 14(2), 149-161;https://doi.org/10.18683/germs.2024.1427 
(registering DOI)

30 June 2024

Introduction: Infective endocarditis (IE) is a disease that may frequently lead to significant morbidity and is associated with high mortality rates. Even though IE is classically caused by Gram-positive bacteria, Gram-negative bacteria may seldom ca...

  • Review
  • Open Access
4 Citations
827 Views
17 Pages

Continuous Versus Intermittent Infusion of Beta-Lactam Antibiotics: Where Do We Stand Today? A Narrative Review

  • Basil Alawyia,
  • Sarah Fathima,
  • Nikolaos Spernovasilis and
  • Danny Alon-Ellenbogen

30 June 2024

Introduction: Antimicrobial resistance (AMR) is among the greatest threats to global healthcare. The World Health Organization (WHO) estimates that by 2050 ten million deaths will be attributed to AMR annually. In response, the WHO has implemented an...

  • Communication
  • Open Access
4 Citations
691 Views
5 Pages

30 September 2024

High quality research is critical for evidence-based decision making in public health and fundamental to maintain progress and trust in immunization programs in Europe. In 2024 the European Centre for Disease Prevention and Control (ECDC) conducted a...

  • Article
  • Open Access
4 Citations
351 Views
22 Pages

The Infectious Disease Burden Among War Related Internally Displaced People in the Lviv Region of Ukraine

  • Marta Vasylyev,
  • Hanne Lamberink,
  • Ivanna Svyst,
  • Oksana Khlypnyach,
  • Oleksandra Sluzhynska,
  • Maryana Sluzhynska,
  • Iryna Shtoiko,
  • Oleksandra Hrushynska,
  • Dmytro Demianenko and
  • Casper Rokx

31 December 2024

Introduction: Armed conflicts exacerbate the spread of infectious diseases. We assessed the impact of the 2022 armed conflict in Ukraine on common sexually, bloodborne, and respiratory-transmitted infectious diseases in internally displaced people (I...

  • Review
  • Open Access
4 Citations
2,150 Views
12 Pages

Comparison of Microbial Preservation Methods: A Narrative Review

  • Wijesundara Mudiyanselage Thilini Nimansala Senaratne and
  • Jayaweera Arachchige Asela Sampath Jayaweera

31 December 2024

Many microorganisms are used to produce antibiotics, vaccines, and medicines for various diseases, and preserving these microorganisms and viruses can ensure that the development process is streamlined. We have reviewed the short-term and long-term m...

  • Article
  • Open Access
4 Citations
340 Views
7 Pages

Occurrence of Acute Otitis and Sinusitis in Patients Hospitalized for Influenza

  • Vlad Ștefan Pleșca,
  • Adrian Gabriel Marinescu,
  • Cătălina Voiosu,
  • Anca Cristina Drăgănescu,
  • Anca Streinu-Cercel,
  • Alexandra Vilaia,
  • Răzvan Hainăroșie,
  • Doina Anca Pleșca and
  • Oana Săndulescu

31 March 2024

Introduction: Acute otitis and sinusitis are common complications in patients with influenza and are responsible for increased hospitalization rates. Methods: A five-year retrospective study (2018–2023) was conducted including all patients hospitaliz...

  • Article
  • Open Access
3 Citations
441 Views
10 Pages

Associated Factors for Bacterial Colonization in Patients Admitted to the Intensive Care Unit of the Clinical Hospital of Infectious Diseases

  • Nicoleta-Dorina Vlad,
  • Septimiu Voidăzan,
  • Andreea Căpâlnă,
  • Roxana-Carmen Cernat,
  • Sorina-Dalia Carp,
  • Romelia Mitan,
  • Andrei Dumitru,
  • Sorin Rugină,
  • Codruţa Nemet and
  • Irina Magdalena Dumitru

31 March 2023

Introduction: This study aimed to identify isolates from colonization and assess the risk factors for bacterial colonization and the risk of death in patients admitted to the intensive care unit (ICU) of the Constanţa County Infectious Diseases Hospi...

  • Article
  • Open Access
3 Citations
133 Views
12 Pages

31 March 2023

Introduction: The severity and spread of tuberculosis, a major burden, can be prevented by more rapid and accurate laboratory diagnosis. The purpose of this study is to systematically explore candidate serum proteins in patients with Mycobacterium tu...

  • Case Report
  • Open Access
3 Citations
472 Views
5 Pages

Facial Nerve Palsy: An Early Sign of COVID-19

  • Michael Somero,
  • Elisa Akagi and
  • Ashish Bhargava

31 March 2023

Introduction: Bell’s palsy is a peripheral lower motor neuron (LMN) facial nerve palsy, characterized by the acute onset (72 hours or less) of unilateral peripheral facial paresis without other neurologic signs. Bell’s palsy has been described at thr...

  • Case Report
  • Open Access
3 Citations
238 Views
4 Pages

Adult Tetanus Is Not Gone Yet, but Could Be Ready to Leave: A Case-Series from Central India

  • Mahadev Meena,
  • Vaibhav Yadav,
  • Manish M Yadav,
  • Rajnish Joshi,
  • Prachi Singh,
  • Rajesh Panda and
  • Saurabh Saigal

31 March 2023

Introduction: Adult tetanus is a neurotoxin mediated infectious disease, that continues to be seen despite availability of a highly efficacious vaccine. In India population-based burden estimates for adult tetanus are not available. Elimination of ne...

  • Article
  • Open Access
3 Citations
351 Views
7 Pages

30 June 2023

Introduction: The aim of this study was to assess the incidence of Corynebacterium striatum prosthetic joint infections (PJI) to determine if an increase has occurred recently. Moreover, susceptibility testing was conducted on C. striatum preserved i...

  • Case Report
  • Open Access
3 Citations
205 Views
7 Pages

Acquired Thrombotic Thrombocytopenic Purpura as a Clinical Manifestation of Pulmonary Tuberculosis: A Case Report

  • Kateir Contreras,
  • Oscar Miguel Contreras Amorocho and
  • Julian Serrano Giraldo

30 September 2023

Introduction: Thrombotic thrombocytopenic purpura (TTP) is a thrombotic microangiopathy associated with severe ADAMTS13 deficiency that can be potentially fatal if not treated in a timely manner. Case report: A 49-year-old previously healthy woman wa...

  • Case Report
  • Open Access
3 Citations
403 Views
4 Pages

30 September 2023

Introduction: Salivary gland lithiasis is one of the most frequent causes of sialadenitis. We report the case of a patient who presented multiple episodes of subangulomandibular tumefaction, until salivary lithiasis was finally identified as the unde...

  • Communication
  • Open Access
3 Citations
213 Views
4 Pages

Acinetobacter baumannii: A Known Pathogen, a New Problem

  • Ricardo Campos Monteiro,
  • Rogerio Caldeira Rodrigues Malta,
  • Geovana Lacerda Rodrigues,
  • Gustavo Luis de Paiva Anciens Ramos and
  • Janaína dos Santos Nascimento

31 December 2023

Acinetobacter baumannii causes a series of infections in healthcare settings and the community, the main ones highlighted in Figure 1 [...]

  • Case Report
  • Open Access
3 Citations
356 Views
6 Pages

Aggregatibacter actinomycetemcomitans Endocarditis in an Adult Patient with Patent Ductus Arteriosus

  • Alina Maria Borcan,
  • Mihaela Cristina Olariu,
  • Elena Liliana Costea,
  • Georgiana Radu and
  • Mădălina Simoiu

30 June 2024

Introduction: Aggregatibacter (Actinobacillus) actinomycetemcomitans is a commensal bacterial pathogen in the human oral cavity. It can, however, represent the source of local or systemic infections with serious evolution, in particular infective end...

  • Article
  • Open Access
3 Citations
154 Views
14 Pages

Vitamin D and COVID-19: Comparative Analysis with Other Respiratory Infections and impact of Comorbidities

  • Laura Constantin,
  • Anca Ungurianu,
  • Isabela Ţârcomnicu,
  • Ema Bălulescu and
  • Denisa Margină

30 September 2024

Introduction: The COVID-19 pandemic has promoted an intensive investigation into the pathophysiological mechanisms of SARS-CoV-2 infection, risk factors, and its impact on disease severity. Vitamin D has generated significant attention for its potent...

  • Article
  • Open Access
3 Citations
216 Views
10 Pages

Qualitative Assessment of the Removable Denture Microbiome

  • Laura Iosif,
  • Ana Maria Cristina Țâncu,
  • Oana Elena Amza,
  • Bogdan Dimitriu,
  • Ana Ispas,
  • Mihaela Pantea and
  • Marina Imre

31 March 2024

Introduction: Assessment of the denture plaque can provide a valuable report regarding the oral health of geriatric patients and the oral hygiene habits in this population group. Focusing on the current research gap on this topic in Romania, our rese...

  • Review
  • Open Access
3 Citations
261 Views
10 Pages
Germs2024, 14(1), 85-94;https://doi.org/10.18683/germs.2024.1420 
(registering DOI)

31 March 2024

Introduction: We aimed to conduct a systematic review of the epidemiology of Escherichia coli in bloodstream infections (BSI) of hematopoietic stem cell transplantation patients. Methods: For a comprehensive search of studies that reported the preval...

  • Article
  • Open Access
2 Citations
775 Views
8 Pages

Assessment of Adherence to Guidelines for Testing and Treatment of Pharyngitis Among Children in Palestine: A Retrospective Review Study

  • Shahenaz Najjar,
  • Haya O Sultan,
  • Hiba H Falana,
  • Razan O Ata,
  • Maryam A Manasrah,
  • Mutaz Dreidi,
  • Abdallah D. Abukhalil and
  • Hani Naseef

31 March 2023

Introduction: One of the most common reasons for pediatric outpatient visits is acute pharyngitis, an upper respiratory tract infection. Bacterial pharyngitis is caused by Group A beta-hemolytic Streptococcus (GABHS), also known as Streptococcus pyog...

  • Case Report
  • Open Access
2 Citations
187 Views
7 Pages

Facial Palsy at the Onset of SARS-CoV-2 Infection. A Case Report

  • Victoria Bîrluţiu,
  • Rareş Mircea Bîrluţiu,
  • Alin Iulian Feiereisz and
  • Elena Simona Dobriţoiu

31 March 2023

Introduction: SARS-CoV-2 infection has been associated with an increased number of deaths, due to severe respiratory damage, cardiovascular impairment, acute renal failure, and also neurological injury, including stroke, which is most commonly respon...

  • Case Report
  • Open Access
2 Citations
707 Views
6 Pages

31 March 2023

Introduction: Epstein-Barr virus infection with mononucleosis is the most common presentation in young adults. Most infections are self-limited, although in a few cases complications can include serious conditions such as lymphoproliferative disorder...

  • Article
  • Open Access
2 Citations
197 Views
14 Pages

Clinical and Bacteriological Profiles of Neonatal Sepsis in a Tertiary Hospital, South-Western Nigeria

  • Temitope O. Obadare,
  • Ebunoluwa A. Adejuyigbe,
  • Adeyemi T. Adeyemo,
  • Adewale A. Amupitan,
  • Osagie J. Ugowe,
  • Chinemere H. Anyabolu and
  • Aaron O. Aboderin

30 June 2023

Introduction: Antibiotic-resistant bacteria complicate treatment options in neonatal sepsis, especially in developing countries. This study determined the epidemiology and bacteriological characteristics of neonatal sepsis at a tertiary hospital, in...

  • Review
  • Open Access
2 Citations
755 Views
10 Pages

Challenges in the Implementation of Mother-to-Child HIV/AIDS Prevention Programs in Indonesia

  • Iin Khoiriyah Ulfah,
  • Renaldy Raditya Indrawan,
  • Novi Anggraeni,
  • Afif Nurul Hidayati,
  • Nasronudin and
  • Siti Qamariyah Khairunisa

30 June 2023

Introduction: The HIV/AIDS prevention program among pregnant mothers aims to reduce the risk of HIV transmission from mother to baby. It also aims to reduce stigma and discrimination, as well as deaths due to HIV/AIDS. This paper aimed to find out ob...

  • Case Report
  • Open Access
2 Citations
177 Views
4 Pages

Malignant Syphilis: An Early Feature of Underlying HIV Infection in an MSM Patient

  • Alessandro Alfieri,
  • Yulia Eka Irmawati and
  • Satiti Retno Pudjiati

30 June 2023

Introduction: Co-infection of human immunodeficiency virus (HIV) with syphilis is common and has significant clinical consequences. HIV infection can change the course and clinical manifestations of syphilis, resulting in atypical syphilis. A rare fe...

  • Article
  • Open Access
2 Citations
170 Views
11 Pages

30 September 2023

Introduction: Febrile urinary tract infections (UTIs) in children are among the most serious bacterial infections. Inadequate treatment can lead to kidney scarring and permanent kidney damage. Eight to ten percent of children with UTIs could have con...

  • Article
  • Open Access
2 Citations
314 Views
8 Pages

30 September 2023

Introduction: Carbapenem-resistant Enterobacteriaceae (CRE) infections are associated with poor outcomes, particularly among hematology-oncology patients. Appropriate use (selection and de-escalation) of antibiotics is a key component of management o...

  • Article
  • Open Access
2 Citations
172 Views
9 Pages

The Emergence of Multidrug-Resistant Gram-Positive Bloodstream Infections in India—A Single Center Prospective Cohort Study

  • Nakka Vihari,
  • Gopal Krishana Bohra,
  • Ram Ratan Yadev,
  • Deepak Kumar,
  • Durga Shankar Meena,
  • Vibhor Tak,
  • Ankur Sharma,
  • Vijaylaxmi Nag and
  • Mahendra Kumar Garg

30 September 2023

Introduction: Gram-positive bloodstream infections (BSIs) are an emerging health concern, especially in resource-limited settings. There is a paucity of data regarding the antimicrobial resistance (AMR) pattern of Gram-positive BSIs. The rise in mult...

  • Article
  • Open Access
2 Citations
155 Views
11 Pages

31 December 2023

Introduction: This study aimed to examine the effect of commonly used non-antibiotic drugs (dexamethasone and tenoxicam), on treatment of Pseudomonas aeruginosa infections, antibiotic resistance and virulence in this pathogen. Methods: Four antibioti...

  • Case Report
  • Open Access
2 Citations
336 Views
6 Pages

Hydropneumothorax as a Complication of Necrotizing Pneumonia

  • Andria Papazachariou,
  • Eleni Papadokostaki,
  • Despoina Kypraiou,
  • Vironas Malikides,
  • Ioanna Papakitsou,
  • Theodosios D Filippatos,
  • Petros Ioannou and
  • Diamantis P Kofteridis

31 December 2023

Introduction: Hydropneumothorax with a bronchopleural fistula is an infrequent but severe complication of necrotizing pneumonia associated with high morbidity and mortality. Few cases in the adult population have been reported. Case report: This is a...

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Germs - ISSN 2248-2997