Otiniano Trujillo, Miguel Angel
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Item type:Publicación, Detection of SARS-CoV-2 variants in hospital wastewater in Peru, 2022(2024-06-21); ; ; ;Galarza- Pérez, MarcoEspinoza-Culupu, AbrahamOBJECTIVE.: To identify the presence of the SARS-CoV-2 virus in wastewater from hospitals in Peru. MATERIALS AND METHODS.: Water samples were collected from the effluents of nine hospitals in Peru during March and September 2022. SARS-CoV-2 was identified by using Illumina sequencing. Variant, lineage and clade assignments were carried out using the Illumina and Nextclado tools. We verified whether the SARS-CoV-2 variants obtained from wastewater were similar to those reported by the National Institute of Health of Peru from patients during the same period and region. RESULTS.: Eighteen of the 20 hospital wastewater samples (90%) provided sequences of sufficient quality to be classified as the Omicron variant according to the WHO classification. Among them, six (30%) were assigned by Nextclade to clades 21K lineage BA.1.1 (n=1), 21L lineage BA.2 (n=2), and 22B lineages BA.5.1 (n=2) and BA .5.5 (n=1). CONCLUSIONS.: SARS-CoV-2 variants were found in hospital wastewater samples and were similar to those reported by the surveillance system in patients during the same weeks and geographic areas. Wastewater monitoring could provide information on the environmental and temporal variation of viruses such as SARS-CoV-2. Motivation for the study. To contribute to the surveillance of environmental samples from hospital effluents in order to achieve early warning of possible infectious disease outbreaks. Main findings. The Omicron variant of the COVID-19 virus was detected in wastewater from hospitals in Puno, Cuzco and Cajamarca; these results are similar to the reports by the Peruvian National Institute of Health based on nasopharyngeal swab samples. Implications. The presence of the Omicron variant in hospital wastewater during the third wave of the pandemic should raise awareness of the treatment system before wastewater is discharged into the public sewer system.Citas (OpenAlex): 1metric-badges.view 7 - Algunas métricas están bloqueadas por suconfiguración de consentimiento
Item type:Publicación, Comparación de los perfiles de resistencia antimicrobiana de Escherichia coli uropatógena e incidencia de la producción de betalactamasas de espectro extendido en tres establecimientos privados de salud de Perú(2020-05-01); ;Galarza-Pérez, Marco; ; Soto-Pastrana, JavierIntroduction: The appearance of multidrug-resistant and beta-lactamase producing enterobacteria in outpatient care facilities represent a public health problem in Perú. Objective: To compare the resistance profiles of uropathogenic Escherichia coli and to identify extended-spectrum beta-lactamase-producing phenotypes in three private health facilities located in the Peruvian coast, Andean and jungle regions. Materials and methods: We conducted a descriptive study on 98 urine samples from Lima (coast), Juliaca (Andean region) and Iquitos (jungle region) during 2016. We determined the antimicrobial susceptibility in 35 samples from Lima, 38 from Juliaca and 25 from Iquitos using eight antibiotic disks in samples from patients diagnosed with urinary infection. We also evaluated the production of extended-spectrum beta-lactamases with cefotaxime and ceftazidime disks and a combination of both with clavulanic acid on Mueller-Hinton agar. Results: We identified 18 resistance profiles ranging from those sensitive to others simultaneously resistant to seven antibiotics: 18.4% resistant to one and 54.0% to multiple antibiotics. We detected beta-lactamase production in 28.6% of the strains from the Puno region. Likewise, we observed a greater number of cases with resistance to ceftazidime, ceftriaxone, gentamicin, and trimethoprim-sulfamethoxazole in Puno’s health facility in patients within the 31 to 45 year age range. Conclusion: Resistance profiles varied according to the geographical location of the health facilities under study. Resistance to antibiotics was higher in the Andean region with 28.6% of strains producing extended-spectrum beta-lactamases.Citas (OpenAlex): 17metric-badges.view 3 - Algunas métricas están bloqueadas por suconfiguración de consentimiento
Item type:Publicación, Gut microbiota characterization in vegetarian adults from the adventist population living in coastal, highland, and jungle regions of Peru(2025-11-27); ; ; ; Chambi Quispe, Mario SalomónAbstract Introduction The gut microbiota plays a crucial role in various physiological processes, and its composition can be influenced by factors such as diet, genetics, age, and health status. Among these, diet is one of the most significant determinants of microbial balance. A well-balanced diet promotes the growth of beneficial bacteria, reducing intestinal inflammation and the risk of chronic diseases. Vegetarian diets have been proposed to confer beneficial effects on gut health; however, many questions remain regarding microbial profiles, their variability, and the potential influence of geographic and cultural factors—particularly within Latin American contexts. This study aims to address this gap by presenting the first characterization of the gut microbiota in vegetarian adults from the Adventist population living in three distinct regions of Peru. Methods Stool samples were used as a proxy to analyze gut microbiota composition through 16S rRNA gene sequencing. Standard descriptive analyses were performed to assess bacterial composition, including diversity and relative abundance across samples. Results The gut microbial communities of Peruvian vegetarians revealed three distinct enterotypes, with distribution varying by region. Enterotype 1 (ET1), predominant in coastal and highland regions, exhibited the highest bacterial richness and diversity. Enterotype 2 (ET2), observed in highland and jungle areas, was characterized by higher levels of Prevotella . Enterotype 3 (ET3), more frequent in the jungle region, showed a greater abundance of Bacteroides and Faecalibacterium . Conclusions Despite all participants adhering to a vegetarian diet, notable diversity in gut microbiota profiles was observed within this population. While three distinct enterotypes were identified, consistent with findings in other populations, the specific profiles differed from those previously reported. This study highlights the importance of incorporating variables that enable greater resolution in future research, allowing better control of within-population variability, such as that observed in Peruvian vegetarians, and ultimately enhancing the accuracy of microbiome-related conclusions.Citas (OpenAlex): 0metric-badges.view 5 - Algunas métricas están bloqueadas por suconfiguración de consentimiento
Item type:Publicación, Diversity and functionality of the gut microbiota in hypertensive patients from different regions of Peru(2025-12-15); ;Villegas Suarez, Milagros Nicole ;Rafael ccama, Vasty Vanessa; Introduction Arterial hypertension affects around 19.4% of Peruvians over 15 years old, constituting a major public health issue. Recent evidence highlights the gut microbiome’s role in regulating blood pressure through bioactive metabolites that influence inflammation and metabolism. This study aims to characterize the gut microbiota of hypertensive adults from three Peruvian regions, contributing to the understanding of microbial influences on hypertension. Objective To analyze the composition and functionality of the gut microbiota in hypertensive and normotensive adults from different Peruvian regions, considering age, body mass index (BMI), and geographical location. Methods An observational, cross-sectional, and analytical study was conducted with 84 adults (46 hypertensive and 38 normotensive) from nine regions of Peru. Fecal samples underwent metagenomic sequencing of the 16S rRNA gene (V3–V4 region). Alpha and beta diversity were evaluated using the Shannon index, UniFrac distances, and multivariate analyses. Microbial functional pathways were examined to identify potential metabolic differences between groups. Results The dominant phyla in all groups were Bacillota and Bacteroidota. At the genus level, Streptococcus was associated with hypertensive patients with BMI ≥25, while Alistipes appeared only in normotensive individuals with BMI <25. Alpha diversity was greater in hypertensive participants under 50 years and with BMI <25, while lower diversity was seen in normotensive adults over 50 and with BMI ≥25. Beta diversity showed partial clustering by hypertension and age, with regional overlap. Functional profiles were similar among groups, mainly involving carbohydrate, amino acid, and lipid metabolism, though BMI and age modulated these patterns. Conclusions Gut microbiota composition and diversity in Peruvian adults are influenced by hypertension, age, BMI, and region. Despite comparable functional profiles, environmental and nutritional factors may have a stronger impact than hypertension alone, offering insight for region-specific prevention and treatment strategies.Citas (OpenAlex): 0metric-badges.view 20