Browsing by Author "Oliveira, Ricardo Jorge Dinis"
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- An overview of the recent advances in antimicrobial resistancePublication . Oliveira, Manuela; Antunes, Wilson; Mota, Salete; Carvalho, Áurea Madureira; Oliveira, Ricardo Jorge Dinis; Silva,Diana Dias daAntimicrobial resistance (AMR), frequently considered a major global public health threat, requires a comprehensive understanding of its emergence, mechanisms, advances, and implications. AMR’s epidemiological landscape is characterized by its widespread prevalence and constantly evolving patterns, with multidrug-resistant organisms (MDROs) creating new challenges every day. The most common mechanisms underlying AMR (i.e., genetic mutations, horizontal gene transfer, and selective pressure) contribute to the emergence and dissemination of new resistant strains. Therefore, mitigation strategies (e.g., antibiotic stewardship programs—ASPs—and infection prevention and control strategies—IPCs) emphasize the importance of responsible antimicrobial use and surveillance. A One Health approach (i.e., the interconnectedness of human, animal, and environmental health) highlights the necessity for interdisciplinary collaboration and holistic strategies in combating AMR. Advancements in novel therapeutics (e.g., alternative antimicrobial agents and vaccines) offer promising avenues in addressing AMR challenges. Policy interventions at the international and national levels also promote ASPs aiming to regulate antimicrobial use. Despite all of the observed progress, AMR remains a pressing concern, demanding sustained efforts to address emerging threats and promote antimicrobial sustainability. Future research must prioritize innovative approaches and address the complex socioecological dynamics underlying AMR. This manuscript is a comprehensive resource for researchers, policymakers, and healthcare professionals seeking to navigate the complex AMR landscape and develop effective strategies for its mitigation.
- Mapping of key bacterial species for Postmorteminterval calculationPublication . Ferreira, Ana Cláudia; Barbosa, Daniel J.; Campos, Carla; Oliveira, Ricardo Jorge Dinis; Freitas, Ana R.Estimation of the PostmortemInterval (PMI), the time elapsed since death, is one of the most challenging issues in forensic sciences. Most studies focus on extensive bacterial sequencing, but culture-based experiments for higher taxonomic resolution remain scarce. We aimed to analyze total bacterial counts and map Enterococcus faecalis, Staphylococcus aureusand Escherichia coliin different organs and timepoints. Male C57BL/6J SPF mice underwent three independent assays during 11 postmortemtimepoints. Feces and organs (n=10: intestine/stomach/skeletical muscle/liver/spleen/kidney/bladder/lungs/ brain/heart) were collected and resuspended in buffered peptone water, then plated onto enriched nonselective and selective culture media (n=4). Following routine aerobic incubation, Colony Forming Units (CFU) per gram/tissue or per mL/sample were quantified for total/individual bacterial loads. Species were identified by MALDI-TOF MS and statistics were done in GraphPad-Prism v.10.0.1. Species (n=44) from 13 families and 3 phyla were identified, with notable consistency in the presence of Staphylococcus xylosus, E. faecalis, and E. coliacross all experiments. Particular families were consistently identified across all organs, including Enterococcaceae and Enterobacteriaceae mostly in the later stages of decomposition, and Bacillaceae resisting often until the last timepoint, whereas Staphylococcaceae was variably detected. The early and substantial contamination observed in skeletal muscle, stomach, and intestine, makes them unsuitable for PMI calculations. E. faecalisappeared promising as a potential biomarker for kidney, liver, and, possibly, brain invasion at later timepoints, whereas E. faecalisand E. coliin the bladder, and E. coliin the spleen and heart, warrant further investigation for similar biomarker potential. This is one of the first quantitative cultural studies assessing how time elapsing postmortem affects the growth/evolution of key bacterial species, with E. faecalisand E.coliemerging as promising traceable biomarkers in real postmortem contexts. While recognizing the limitations of not considering the complex microbiota network, our pilot study brings an easy species-specific approach and offers a baseline for future human-oriented investigations.