Browsing by Author "González, Carmen Gloria"

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    Cross-species transmission and PB2 mammalian adaptations of highly pathogenic avian influenza A/H5N1 viruses in Chile
    (2023) Pardo Roa, Catalina; Nelson, Martha I.; Ariyama, Naomi; Aguayo, Carolina; Almonacid Cárdenas, Leonardo Iván; Muñoz, Gabriela; Navarro, Carlos; Ávila, Claudia; Ulloa, Mauricio; Reyes, Rodolfo; Fuentes Luppichini, Eugenia Lucía Angélica; Mathieu, Christian; Vergara, Ricardo; González, Álvaro; González, Carmen Gloria; Araya, Hugo; Fernández, Jorge; Fasce, Rodrigo; Johow, Magdalena; Medina, Rafael; Neira, Víctor
    H5N1 highly pathogenic avian influenza viruses (HPAIV) emerged in wild birds in Chile in December 2022 and spilled over into poultry, marine mammals, and one human. Between December 9, 2022 – March 14, 2023, a coordinated government/academic response detected HPAIV by real-time RT-PCR in 8.5% (412/4735) of samples from 23 avian and 3 mammal orders. Whole-genome sequences obtained from 77 birds and 8 marine mammals revealed that all Chilean H5N1 viruses belong to lineage 2.3.4.4b and cluster monophyletically with viruses from Peru, indicating a single introduction from North America into Peru/Chile. Mammalian adaptations were identified in the PB2 segment: D701N in two sea lions, one human, and one shorebird, and Q591K in the human and one sea lion. Minor variant analysis revealed that D701N was present in 52.9 – 70.9% of sequence reads, indicating the presence of both genotypes within hosts. Further surveillance of spillover events is warranted to assess the emergence and potential onward transmission of mammalian adapted H5N1 HPAIV in South America.
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    Diagnóstico de la infección por Helicobacter pylori en niños mediante la detección de antígenos en deposiciones
    (2007) González, Carmen Gloria; Serrano, Carolina; Harris, Paul R.
    Background: During infancy, preventive, diagnostic and therapeutic efforts for Helicobacter pylori infection should be made. Aim: To evaluate non-invasive diagnostic methods such as stool antigen test (HpSA) and serum anti-H pylori antibody detection (IgG e IgA), compared to endoscopy-based invasive methods (histology and urease test) for the diagnosis of Helicobacter pylori infection. Patients and Methods: Thirty nine children (aged 3 to 14 years, 20 males) referred for upper gastrointestinal endoscopy, were studied. The gold standard to diagnose Helicobacter pylori infection was defined as a positive invasive diagnostic test (histology and/or urease test). Sensitivity (S), specificity (E) and positive (PPV) and negative (NPV) predictive values were obtained for HpSA and serum antibodies. Results: Ten children (26%) were infected with H pylori. S, E, PPV and NPV for HpSA were 90, 100, 100 and 97%, respectively. The figures for serum IgG were 81, 97, 89 and 93%, respectively and for IgA, 90, 76, 36 and 96%, respectively. Conclusions: HpSA was sensitive and specific as a clinical and epidemiological tool to evaluate H pylori infection in children. Serology was not as accurate, but IgG had a better performance than IgA. © 2007 Sociedad Médica de Santiago.
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    Esofagitis eosinofílica en niños: Características clínicas y endoscópicas
    (2009) González, Carmen Gloria; Torres, Javiera; Molina, Ricardo; Harris, Paul R.