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Alarcon, G.

Publications and source records attributed to Alarcon, G..

3 recordsLinked to original sources

Characterizing the response of Acinetobacter baumannii ATCC 17978 to azithromycin in multiple in vitro growth conditions

Multi-drug resistant (MDR) Acinetobacter baumannii is one of the most concerning pathogens in hospital infections. A. baumannii is categorized as an "Urgent Threat" by the U.S. Centers for Disease Control and the highest priority pathogen by the World Health Organization due to its propensity for broad antibiotic resistance and its associated high mortality rates. New treatment options are urgently needed for MDR A. baumannii infections. Our prior studies have demonstrated an unappreciated utility of the macrolide azithromycin (AZM) against MDR A. baumannii in tissue-culture medium. This finding is all the more surprising since AZM has no appreciable activity against A. baumannii in standard bacteriological media. The basis for this media-dependent activity of AZM against A. baumannii is not fully defined. In this study, we utilize a variety of techniques (growth dynamics, bacterial cytological profiling, RNA sequencing, and LC/MS) to profile the response of MDR A. baumannii to AZM in both standard bacteriological and more physiological relevant mammalian tissue-culture medium. [Table 1]

microbiology↗

Profiling the effect of nafcillin on HA-MRSA D592 using bacteriological and physiological media

Staphylococcus aureus is a leading human pathogen associated with both hospital-acquired and community-acquired infections. The bacterium has steadily gained resistance to {beta}-lactams and other important first-line antibiotics culminating in its categorization as an urgent threat by the U.S. Centers for Disease Control and Prevention. Observations of a varying response to antimicrobial exposure as a function of media type has revealed that clinical susceptibility testing performed in standard bacteriological media might not adequately represent pharmacological responses in the patient. Such observations have encouraged research designed to identify media types that more closely mimic the in vivo environment. In this study, we examine the response of a hospital-acquired USA100 lineage methicillin-resistant, vancomycin-intermediate S. aureus (MRSA/VISA) strain (D592) to nafcillin in a bacteriological compared to a more physiological tissue culture-based medium. We performed multi-dimensional analysis including growth and bacterial cytological profiling, RNA sequencing, and exo-metabolomics measurements (both HPLC and LC/MS) to shed light on the media-dependent activity of the commonly prescribed {beta}-lactam antibiotic nafcillin. O_TBL View this table: org.highwire.dtl.DTLVardef@85b95borg.highwire.dtl.DTLVardef@14c1504org.highwire.dtl.DTLVardef@1f7e976org.highwire.dtl.DTLVardef@100598dorg.highwire.dtl.DTLVardef@1f770e9_HPS_FORMAT_FIGEXP M_TBL C_TBL

microbiology↗

Intracranial interictal functional networks predict the effect of subacute cortical stimulation in focal epilepsy

BackgroundElectric neurostimulation is being developed as an alternative treatment for drug-resistant epilepsy patients. A major challenge is to identify, among all possible combinations of stimulation parameters, the most effective stimulation protocol to achieve seizure control for each patient.\n\nObjectiveTo estimate the value of interictal intracranial EEG recordings in identifying the most effective stimulation protocol in order to decrease number of seizures during intracranial subacute cortical stimulation (SCS).\n\nMethodsFive patients undergoing SCS were included in this retrospective study. Bivariate correlation measures were applied to baseline interictal intracranial EEG recordings to infer functional correlation networks. The node strength of these networks was calculated for each recording electrode (indicating the overall correlation between activity from one electrode with the activity from all other electrodes). The relationship between node strength and the change in seizure rate associated with SCS was studied for the electrodes used for stimulation.\n\nResultsAcross all five patients, node strength was negatively correlated with seizure rate ratio (ratio of seizure rate during SCS relative to during baseline) for all frequency bands tested (delta, theta, alpha, beta, gamma, and high gamma), and both the common reference and the common average montage.\n\nConclusionInterictal functional correlation networks contain information that correlates with the effect of SCS on the rate of epileptic seizures, suggesting that stimulation of those regions with higher node strength (derived from correlation networks) is more effective in reducing number of seizures.\n\nHIGHLIGHTSO_LIIn focal epilepsy, effective brain stimulation targets are lacking\nC_LIO_LIWe use baseline interictal functional networks to outline stimulation targets\nC_LIO_LIStimulation of regions with higher node strength is most effective in our study\nC_LI

neuroscience↗