Medicina Veterinaria, Universidad Central del Ecuador 1986
MSc in Ummunobiology, Iowa State University, USA, 1989
PhD, Veterinary Microbiology, Iowa State University , 1993
RESEARCH, TEACHING, or OTHER INTERESTS
Microbiology, Ecology, Evolution, Behavior and Systematics, Microbiology (medical)
166
Scopus Publications
Scopus Publications
Environmental exposures associated with the gut microbiome and resistome of pregnant women and children in Northwest Ecuador Irmarie Cotto, Viviana Albán, Ana Durán-Viseras, Kelsey J. Jesser, Nicolette A. Zhou, Caitlin Hemlock, April M. Ballard, Christine S. Fagnant-Sperati, Gwenyth O. Lee, Janet K. Hatt, Charlotte J. Royer, Joseph N. S. Eisenberg, Gabriel Trueba, Konstantinos T. Konstantinidis, Karen Levy, Erica R. Fuhrmeister, , , Benjamin F. Arnold, William Cevallos, , Adriana Lupero, Mauricio Ayoví, Molly K. Miller-Petrie, , Jesse Contreras, Jessica Uruchima, , , Christine Fagnant-Sperati, Gabriela Vasco, Stuart Torres, , Janet Hatt, Kelsey Jesser, , , April Ballard, Bethany Caruso, Betty Corozo,, Analía Galarza Nature Communications, 2026 Inadequate water, sanitation, and hygiene (WASH) infrastructure may increase exposure to antimicrobial resistance (AMR). In addition, close human-animal interactions and unregulated antibiotic use in livestock facilitate the spread of resistant bacteria. We use metagenomic sequence data and multivariate models to assess how animal exposure and WASH conditions affect the gut resistome and microbiome in 53 pregnant women and 84 children in Ecuador. Here we show improving WASH infrastructure and managing animal exposure may be important in reducing AMR but could also reduce taxonomic diversity in the gut. Escherichia coli , Klebsiella pneumoniae , and clinically relevant antimicrobial resistance genes (ARGs) are detected across all age groups, but the highest abundance is found in children compared to mothers. In mothers, higher animal exposure trends towards a higher number of unique ARGs compared to low animal exposure and is significantly associated with greater taxonomic diversity. In addition, mothers with sewer systems or septic tanks and piped drinking water have fewer unique ARGs compared to those without, and mothers with longer duration of drinking water access have lower total ARG abundance. In contrast, few associations are observed in children, likely due to the dynamic nature of the gut microbiome during early childhood.
Antimicrobial Resistance Gene Profiles in Integron-Positive and Integron-Negative Third-Generation Cephalosporin-Resistant E. coli from Human and Animal Sources Tin Ho, Liseth Salinas, Gabriel Trueba, Heather K. Amato, Nikolina Walas, Mihir Pandya, Timothy Johnson, Jay Graham Antibiotics, 2026 Background/Objectives: Integrons are genetic platforms that allow bacteria to acquire antimicrobial resistance (AMR) genes, making them a focal point for many AMR studies and surveillance programs. This study investigated how the prevalence of integrons (intI and attI genes) in third-generation cephalosporin-resistant E. coli (3GCR-Ec) varied across three different sources (i.e., healthy children, domestic animals and urinary tract infections). The study aimed to determine how different classes of AMR genes vary among 3GCR-Ec with integrons present versus those where integrons are absent. Methods: We analyzed 3GCR-Ec isolates collected from semirural parishes of Eastern Quito, Ecuador, that included: (1) 3GCR-Ec from healthy children (n = 946), (2) 3GCR-Ec from domestic animal species (n = 673), and 3GCR-Ec from patients with urinary tract infections (UTIs) (n = 138). Genomic analyses were performed for all 1757 sequences to determine how the presence and absence of integrons was associated with AMR gene carriage. Results: Among the total sequences of 3GCR-Ec evaluated across all datasets, nearly one-third (31%) were integron-negative. 3GCR-Ec from UTI patients, however, had a higher percentage containing integrons (79%). Across all sets of 3GCR-EC, integron-positive isolates carried an average of 10.3 (±3.0 SD) AMR genes versus 4.8 (±2.5 SD) AMR genes in integron-negative isolates. This study found that between 21% to 33% of 3GCR-Ec across the three different sources lacked integrons but maintained the ability to carry diverse classes of AMR genes, including beta-lactams, aminoglycosides, tetracyclines, and multidrug resistance mechanisms (e.g., general-purpose efflux pumps). Conclusions: While integrons were associated with greater AMR genes on average, the study highlights that solely relying on integrons for tracking drug-resistant bacteria misses a substantive portion of AMR that is present in integron-negative strains.
Extreme Rainfall Modifies the Association between Piped Water Intermittency and Water Quality in Low-Resource Settings Andrea Sosa-Moreno, Gwenyth O. Lee, Rebecca S. Kann, Josefina Coloma, Gabriel Trueba, William Cevallos, Zhenke Wu, Dimitrios Gounaridis, Karen Levy, Joseph N. S. Eisenberg ACS Es and T Water, 2026 Intermittent water supply (IWS), where piped water is not continuously available, can compromise water security and quality. Extreme rainfall may exacerbate these risks by enabling microbial contaminants to enter distribution systems. We assessed the association between household piped water intermittency and Escherichia coli concentrations in drinking water samples sourced from piped systems ( n = 1098) and whether extreme rainfall events (>90th percentile) modified this relationship. Participants included 234 households from six Ecuadorian communities in the ECoMiD birth cohort. We measured intermittency as days/week, hours/day, and hours/week without water supply. Households in IWS communities had significantly more contaminated water samples than those in the city, which had a nearly continuous water supply (CWS) (OR: 10.4 [95% CI: 5.9–18.4]). Extreme rainfall modified the association between IWS and water contamination ( p for interaction = 0.014): each additional day without water was associated with 42% higher odds of contamination when an extreme rainfall event occurred within 4 days prior to sampling (1.42 [1.09–1.84]). Effect modification was also observed for rainfall lag windows of 3–7 days but not for other intermittency definitions. These findings suggest that more frequent water service interruptions per week may exacerbate household vulnerability to extreme weather events, reinforcing the need for a resilient, well-maintained water infrastructure.
Child exposure to animal feces and zoonotic pathogens in northwest Ecuador: A mixed-methods study Viviana Albán, April M. Ballard, Kelsey J. Jesser, Gwenyth O. Lee, Joseph N.S. Eisenberg, Daniel Garzon-Chavez, Gabriel Trueba, Bethany A. Caruso, Karen Levy Plos Neglected Tropical Diseases, 2026 In low- and middle-income countries (LMICs), close cohabitation with animals and limited access to water, sanitation, and hygiene (WASH) infrastructure increase the risk of zoonotic enteric pathogen transmission to young children. This mixed-methods study combined (A) microbiological analysis of 120 animal fecal samples, and (B) go-along, semi-structured interviews with 35 mothers of children under two years across urban (n = 10), intermediate (n = 15), and rural (n = 10) communities in Ecuador to investigate: (Q1) What zoonotic enteric pathogens are present in animal feces and at what concentrations? (Q2) How are children exposed to animals and their feces? and (Q3) Which animals may serve as key sources of child exposure? Microbiological analysis revealed high prevalence and concentrations of zoonotic pathogens, most commonly E. coli aEPEC (57%), Salmonella sp. (36%), and E. coli STEC (25%), with frequent co-infections (33%) and concentrations (4.97-9.29 log10 gc/g) often exceeding infectious dose thresholds. Qualitative findings showed risks from free-roaming animals, poor feces management, and frequent child–animal contact, often indirectly through caregivers and siblings. Triangulation identified chickens and dogs as the most likely potential exposure sources due to their behaviors, proximity to children, and pathogen carriage. These findings highlight the need for targeted interventions to limit animal roaming, improve animal feces management, and increase caregiver awareness, while underscoring how mixed-methods approaches can help identify context-specific exposure pathways that should be considered when designing interventions.
Fitness costs and persistence of plasmid-mediated cephalosporin resistance in Escherichia coli: an integrative review Lázaro López, Pamela Cangui, Denyss Guilcazo, Antonio Machado, Zachary D. Blount, Gabriel Trueba Frontiers in Microbiology, 2026 The global spread of resistance to third-generation cephalosporins (TGCs) in Escherichia coli limits therapeutic options and poses major challenges for human, animal, and environmental health. The spread of resistance genes, including those for extended-spectrum β-lactamases (ESBLs), AmpC-type β-lactamases, and carbapenemases, has been facilitated by horizontal gene transfer (HGT), often via conjugative plasmids. This plasmid-mediated mobilization has enabled rapid adaptation to front-line antibiotics across diverse bacterial populations and ecological niches. Here, we bring together an integrative synthesis of molecular mechanisms, genetic vehicles, and ecological dynamics of cephalosporin resistance in E. coli , alongside a PRISMA-guided quantitative synthesis of 40 studies that provide data on the fitness consequences of resistance plasmids. We have analyzed a total of 154 experimental observations to identify patterns related to plasmid host background, resistance gene family, and fitness-assay framework. Because multiple observations were frequently contributed by the same study, we accounted for hierarchical structure using mixed-effects models with Study_ID as a random intercept and evaluated key patterns in the full dataset and stratified by assay type (growth curves vs. head-to-head competition assays). Moreover, we found that fitness estimates were sensitive to assay type. For instance, head-to-head competition experiments captured a broader range of deviations from neutrality than growth curve assays, although the apparent difference in mean standardized fitness between assay types was attenuated after accounting for study-level clustering. Across the curated dataset, host-associated and resistance gene-family-associated signals were method-dependent: both were evident overall and in head-to-head competition assays, but were not retained in growth-curve-only subsets. Our analysis supports a context-dependent interpretation in which plasmid-host compatibility, resistance-gene context, ecological setting, and the measurement framework jointly shape the observed fitness consequences and dissemination potential of resistance plasmids across environments.
Microbial source tracking of human and animal fecal contamination in Ecuadorian households Kelsey J. Jesser, Viviana Alban, Aldo E. Lobos, Javier Gallard-Góngora, Gabriel Trueba, Gwenyth O. Lee, Joseph N. S. Eisenberg, Valerie J. Harwood, Karen Levy Applied and Environmental Microbiology, 2026 Exposures to both human and animal feces pose human health risks, particularly for young children in low- and middle-income country (LMIC) settings where domestic animals are common, water and sanitation infrastructure is often limited, and enteropathogen transmission is high. Microbial source tracking (MST) markers specific to feces from humans and particular animal types can be used to identify the provenance of microbial contamination, yet most MST studies explore few household environmental sample types, limiting the understanding of how marker utility varies by matrix. We validated qPCR assays for six MST markers and quantified their prevalence in 585 samples from 59 households spanning an urban–rural gradient in northwestern Ecuador. We used GenBac3 to test for general fecal contamination and HF183, Rum2Bac, Pig2Bac, DG37, and GFD to test for human, ruminant, swine, dog, and avian contamination, respectively. Approximately 10 sample types were collected per household, including the following: rinses of child and adult hands, swabs of floors and surfaces, soil, domestic and drinking water, and food. GenBac3 and HF183 were detected in 77.82% and 15.36% of samples, respectively. Animal-associated markers were detected less frequently, in 0.5%–4.1% of samples. However, when present, animal marker concentrations were comparable to HF183. Host-associated markers were most often detected in adult and child hand rinse and floor samples, and GenBac3 concentrations were highest in hand rinse samples. HF183 detection on adult caregiver hands was associated with increased odds of HF183 detection on children’s hands and floors. Together, these findings identify hands and floors as reservoirs of fecal contamination and highlight the need for integrated interventions that address both human and animal sources to address household exposures to reduce exposures to enteric pathogens. IMPORTANCE Understanding the sources and pathways of detectable household environmental fecal contamination is critical for identifying how exposures occur and for developing targeted interventions to reduce risk of enteric infection. By linking contamination on caregiver hands to that on children’s hands and floors, we highlight a likely route for pathogen transfer in the home. The inclusion of multiple host-associated markers across a wide range of sample types reveals patterns that narrower studies may miss, offering new insights into the complex ecology of fecal contamination. These findings can inform sampling strategies, guide risk assessments, and support the design of interventions aimed at reducing child exposure to enteric pathogens in similar high-risk settings.
Socioecological drivers of water, sanitation, and hygiene (WASH) choices: A qualitative analysis of maternal perspectives in northwest Ecuador Molly K. Miller-Petrie, Gwenyth O. Lee, Marie L. Spiker, Adriana Lupero, Mauricio Ayovi, William Cevallos, Gabriel Trueba, Joseph N. S. Eisenberg, Karen Levy Plos Water, 2026 Household-level water, sanitation, and hygiene (WASH) interventions do not always achieve sustainable uptake. Research that considers WASH within a socioecological framework, where multi-level factors are interconnected in influencing choices, can inform more effective interventions. To understand WASH preferences and priorities under different socioeconomic and community contexts, we conducted in-depth interviews and freelisting activities with 33 mothers of children under age two participating in the ECoMiD study in northwest Ecuador. Data were inductively coded and connected thematically to the socioecological framework. Select survey data from ECoMiD were analyzed to provide additional context. Maternal WASH choices are driven by factors at each level of the framework. Climatic: seasonal flooding decreases the appeal of WASH investments like cisterns, and household wealth facilitates access in times of climatic stress. Geographic: benefits of WASH access via proximity to piped systems are complicated by quality and consistency concerns, while access from proximity to rivers is complicated by labor requirements. Community: local infrastructure dictates individual options for accessing WASH, and local conditions are dictated by national sociopolitical context and policy decisions. Household: consistent, quality piped water for drinking and chores is the most common maternal WASH preference. WASH choices respond to financial and labor constraints. Individual: mothers value time-savings associated with WASH technologies and access. Maternal decision making operates at the terminus of a chain of broader and interconnected socioecological conditions. The burden of obtaining WASH access is greatest for the poorest households with the least community infrastructure, compounded by seasonal conditions. This contextually grounded study draws attention to how socio-spatial, economic, and environmental constraints interact in the Ecuadorian context to shape lived experience. Improving community-level WASH and taking a multisectoral approach to health interventions would better address barriers to WASH access, and support mothers in making WASH-related choices that can ultimately improve child health and wellbeing.
Investigating the zoonotic origins of ESBL-producing E. coli in community-acquired urinary tract infections in Ecuador Yashan Wang, Daniel E. Park, Maliha Aziz, Liseth Salinas, Edward Sung, Søren Hallstrøm, Cindy M. Liu, Marc Stegger, Zhenke Wu, Gabriel Trueba, Joseph N. S. Eisenberg, Jay P. Graham, Lance B. Price Microbiology Spectrum, 2026 Extended-spectrum β-lactamase-producing Escherichia coli (ESBL-producing E. coli ) pose a growing global health threat. Although Latin America has been identified as a global hotspot of antimicrobial resistance, the zoonotic contribution to drug-resistant infections in the region remains poorly defined. We analyzed 137 clinical ESBL-producing E. coli isolates from urinary tract infections (UTIs) in Quito, Ecuador, applying a Bayesian latent class model informed by host-associated mobile genetic elements to estimate the fraction of infections attributable to food-animal sources. We estimated that 25.5% (35/137) of UTI isolates were putative zoonotic cases. This proportion rose to 42.5% after excluding ST131- H 30, a human-associated pandemic lineage. Putative zoonotic isolates were enriched for animal-associated β-lactamase genes (e.g., bla TEM-1B , bla CTX-M-65 ), lacked human-associated markers such as bla OXA-1 , and exhibited diverse antimicrobial resistance gene profiles resembling those observed among food-animal isolates. These isolates were also enriched for ColV-associated virulence genes typically linked to avian pathogenic E. coli . Putative zoonotic strains contributed substantially to third-generation cephalosporin-resistant UTIs in Quito, Ecuador, challenging assumptions derived from high-income settings that such infections are driven predominantly by human-to-human transmission. These findings highlight the importance of integrated One Health surveillance and mitigation, particularly in low- and middle-income countries where gaps in water, sanitation, and hygiene (WASH) may interact with antimicrobial use in food production to amplify antimicrobial resistance transmission. IMPORTANCE ESBL-producing E. coli have rapidly emerged as a major global antimicrobial resistance threat. In Latin America, cephalosporins are commonly used in food-animal production, fueling the emergence of ESBL-producing E. coli . In low- and middle-income countries, excessive antimicrobial use driven by poorly regulated over-the-counter sales, combined with inadequate water, sanitation, and hygiene (WASH) infrastructure, can facilitate antimicrobial-resistant pathogen transmission from food animals to humans. Using a novel statistical-genomic approach, we found that over one in four cephalosporin-resistant UTIs in Quito, Ecuador, may be caused by E. coli strains originating from food animals. Our findings highlight the public health risks associated with antimicrobial use in food-animal production and the role of environmental and infrastructure-related vulnerabilities. As global demand for animal protein continues rising in middle-income countries, controlling zoonotic antimicrobial resistance transmission becomes increasingly urgent for protecting human health through integrated One Health strategies.
Global health at crossroads: uniting together to overcome challenges, restore trust and advance priorities for a sustainable future Massimo Sartelli, Elías Mossialos, Federico Coccolini, Ib Jammer, Francesco M. Labricciosa, et al. World Journal of Emergency Surgery, 2025 The world is currently facing an unprecedented convergence of crises that threaten the core pillars of public health, scientific integrity, and social stability. These challenges are profoundly interconnected and have the potential to exacerbate global inequalities, jeopardize health security, and undermine the progress achieved through decades of international collaboration. Our viewpoint declaration, developed by 366 healthcare workers and scientists from 119 countries across six continents, highlights the urgent need for global solidarity and collective action to address these interconnected global health challenges. As healthcare workers and scientists, we must prioritize the protection of scientific integrity, combat political interference, and restore public trust in the scientific process. This will require a commitment to transparency, ethical responsibility, and evidence-based decision-making that can stand strong in the face of political and social adversity. The COVID-19 pandemic has underscored the critical importance of resilient healthcare systems, emphasizing that preparedness, capacity building and coherent leadership and coordination are essential for future global health crises. In addition, our call for a One Health approach, acknowledging the intricate relationship between human, animal, and environmental health, has never been more pressing, especially as zoonotic diseases and antimicrobial resistance spread across borders. As we confront ongoing wars, environmental destruction, and global persistent health inequalities, it is only through unity, solidarity, collaboration, and innovation that we hope to build a healthier, more equitable world. Together, we must ensure that science and medicine remain a force for good, capable of addressing both the immediate and long-term needs and challenges facing our shared future.
Ten golden rules for optimal antibiotic use in hospital settings: the WARNING call to action Worldwide Antimicrobial Resistance National/International Network Group (WARNING) Collaborators, Massimo Sartelli, Philip S. Barie, Federico Coccolini, Mohamed Abbas, Lilian M. Abbo, Gulnora K. Abdukhalilova, Yishak Abraham, Salisu Abubakar, Fikri M. Abu-Zidan, Yusuff Adebayo Adebisi, Harissou Adamou, Gulara Afandiyeva, Ervis Agastra, Wadha A. Alfouzan, Majdi N. Al-Hasan, Sajjad Ali, Syed Muhammad Ali, Fatima Allaw, Gbemisola Allwell-Brown, Afreenish Amir, Obed Kwabena Offe Amponsah, Abdelkarim Al Omari, Luca Ansaloni, Shamshul Ansari, Ana Belen Arauz, Goran Augustin, Bih Awazi, Mohammad Azfar, Mamadou Saliou Bailo Bah, Miklosh Bala, Anura S. K. Banagala, Suman Baral, Matteo Bassetti, Luis Bavestrello, Gregory Beilman, Kebebe Bekele, Moussa Benboubker, Bojana Beović, Maria Daniela Bergamasco, Silvia Bertagnolio, Walter L. Biffl, Stijn Blot, Marja A. Boermeester, Robert A. Bonomo, Adrian Brink, Silvio Brusaferro, Jonathan Butemba, Miguel A. Caínzos, Adrian Camacho-Ortiz, Rafael Canton, Antonio Cascio, Alessandro Cassini, Enrique Cástro-Sanchez, Marco Catarci, Rodolfo Catena, Leili Chamani-Tabriz, Sujith J. Chandy, Esmita Charani, William G. Cheadle, Diana Chebet, Ibrahim Chikowe, Francesca Chiara, Vincent Chi-Chung Cheng, Anna Chioti, Maria Elena Cocuz, Raul Coimbra, Francesco Cortese, Yunfeng Cui, Jacek Czepiel, Mira Dasic, Nataliya de Francisco Serpa, Stijn W. de Jonge, Samir Delibegovic, E. Patchen Dellinger, Zaza Demetrashvili, Alessandra De Palma, Danushka De Silva, Belinda De Simone, Jan De Waele, Sameer Dhingra, Jose J. Diaz, Claudia Dima, Natalia Dirani, Cornelius C. Dodoo, Gereltuya Dorj, Therese M. Duane, Christian Eckmann, Beverly Egyir, Mutasim M. Elmangory, Mushira A. Enani, Onder Ergonul, Juan Pablo Escalera-Antezana, Kevin Escandon, Abdul-Wahab Omo-ope Ettu, Joseph O. Fadare, Massimo Fantoni, Mohammad Farahbakhsh, Mario Paulo Faro, Alberto Ferreres, Gianina Flocco, Esteban Foianini, Donald E. Fry, Alberto Federico Garcia, Chiara Gerardi, Wagih Ghannam, Helen Giamarellou, Natalya Glushkova, George Gkiokas, Debra A. Goff, Harumi Gomi, Magnus Gottfredsson, Ewen A. Griffiths, Rosio Isabel Guerra Gronerth, Xavier Guirao, Yogesh K. Gupta, Gregory Halle-Ekane, Sonja Hansen, Mainul Haque, Timothy C. Hardcastle, David T. S. Hayman, Andreas Hecker, Markus Hell, Vanessa P. Ho, Adrien M. Hodonou, Arda Isik, Salequl Islam, Kamal M. F. Itani, Nadia Jaidane, Ib Jammer, David R. Jenkins, Ibrahim Franklyn Kamara, Souha S. Kanj, Desmond Jumbam, Masoud Keikha, Ashish K. Khanna, Sahil Khanna, Gaetanjali Kapoor, Garima Kapoor, Samuel Kariuki, Faryal Khamis, Vladimir Khokha, Reuben Kiggundu, Ronald Kiguba, Hong Bin Kim, Peter K. Kim, Andrew W. Kirkpatrick, Yoram Kluger, Wen-Chien Ko, Kenneth Y. Y. Kok, Vihar Kotecha, Ibrahima Kouma, Bojan Kovacevic, Jehona Krasniqi, Marcela Krutova, Igor Kryvoruchko, Ravina Kullar, Kwaku A. Labi, Francesco M. Labricciosa, Sulaiman Lakoh, Botond Lakatos, Mary Ann D. Lansang, Ramanan Laxminarayan, Young Ran Lee, Marc Leone, Ari Leppaniemi, Gabriel Levy Hara, Andrey Litvin, Varut Lohsiriwat, Gustavo M. Machain, Fawzi Mahomoodally, Ronald V. Maier, Md Anwarul Azim Majumder, Sydney Malama, Justen Manasa, Vikas Manchanda, Ramiro Manzano-Nunez, Luis Martínez-Martínez, Ignacio Martin-Loeches, Sanjay Marwah, Emilio Maseda, Maleda Mathewos, Ryan C. Maves, Deborah McNamara, Ziad Memish, Dominik Mertz, Shyam Kumar Mishra, Philippe Montravers, Maria Luisa Moro, Elias Mossialos, Fabrizio Motta, Steward Mudenda, Patrick Mugabi, Mc Juan Muco Mugisha, Eleftherios Mylonakis, Lena M. Napolitano, Dilip Nathwani, Leontine Nkamba, Emmanuel Fru Nsutebu, Donal B. O’Connor, Sade Ogunsola, Peter Østrup Jensen, Juliana Maria Ordoñez, Carlos A. Ordoñez, Pablo Ottolino, Abdoul-Salam Ouedraogo, José Artur Paiva, Miriam Palmieri, Angelo Pan, Narayan Pant, Arpád Panyko, Ciro Paolillo, Jay Patel, Federico Pea, Patrizio Petrone, Nicola Petrosillo, Tadeja Pintar, Haralds Plaudis, Mauro Podda, Alfredo Ponce-de-Leon, Susan L. Powell, Adrián Puello-Guerrero, Celine Pulcini, Kemal Rasa, Jean-Marc Regimbeau, Jordi Rello, Manuel Renato Retamozo-Palacios, Glendee Reynolds-Campbell, Julival Ribeiro, Jennifer Rickard, Nuno Rocha-Pereira, Victor D. Rosenthal, Gian Maria Rossolini, Godfrey M. Rwegerera, Megan Rwigamba, Michela Sabbatucci, Žilvinas Saladžinskas, Rasha E. Salama, Tondore Sali, Samson Sahile Salile, Ibrahima Sall, Hossein Samadi Kafil, Boris E. Sakakushev, Robert G. Sawyer, Marco Scatizzi, Jeremiah Seni, Edward J. Septimus, Gabriele Sganga, Daniel Mønsted Shabanzadeh, Vishal G. Shelat, Agumas Shibabaw, Francis Somville, Selma Souf, Stefania Stefani, Evelina Tacconelli, Buon Kim Tan, Pierre Tattevin, Carlos Rodriguez-Taveras, João Paulo Telles, Orlando Téllez-Almenares, Jeffrey Tessier, Nguyen Toan Thang, Cristian Timmermann, Jean-François Timsit, Joel Noutakdie Tochie, Matti Tolonen, Gabriel Trueba, Constantinos Tsioutis, Fabio Tumietto, Felipe Francisco Tuon, Jan Ulrych, Selman Uranues, Maarten van Dongen, Harry van Goor, George C. Velmahos, Andras Vereczkei, Bruno Viaggi, Pierluigi Viale, Jordi Vila, Andreas Voss, Jasmina Vraneš, Richard R. Watkins, Nyambura Wanjiru-Korir, Olivia Waworuntu, Agnes Wechsler-Fördös, Klara Yadgarova, Mohammed Yahaya, Ali I. Yahya, Yonghong Xiao, Andee Dzulkarnaen Zakaria, Tanya L. Zakrison, Victor Zamora Mesia, Walter Siquini, Ara Darzi, Leonardo Pagani, Fausto Catena World Journal of Emergency Surgery, 2023
Leptospirosis in Ecuador: Current Status and Future Prospects Manuel Calvopiña, Daniel Romero-Alvarez, Eduardo Vasconez, Gabriela Valverde-Muñoz, Gabriel Trueba, Miguel Angel Garcia-Bereguiain, Solon Alberto Orlando Tropical Medicine and Infectious Disease, 2023
Distribution of Escherichia coli Pathotypes along an Urban–Rural Gradient in Ecuador Lorena Montero, Shanon M. Smith, Kelsey J. Jesser, Maritza Paez, Estefanía Ortega, Angela Peña-Gonzalez, Maria Juliana Soto-Girón, Janet K. Hatt, Xavier Sánchez, Edison Puebla, Pablo Endara, William Cevallos, Konstantinos T. Konstantinidis, Gabriel Trueba, Karen Levy American Journal of Tropical Medicine and Hygiene, 2023
Characterization of the Immune Resistance of Severe Acute Respiratory Syndrome Coronavirus 2 Mu Variant and the Robust Immunity Induced by Mu Infection Keiya Uriu, Paúl Cárdenas, Erika Muñoz, Veronica Barragan, Yusuke Kosugi, Kotaro Shirakawa, Akifumi Takaori-Kondo, Ecuador-COVID19 Consortium, The Genotype to Phenotype Japan (G2P-Japan) Consortium, Jumpei Ito, Daichi Yamasoba, Izumi Kimura, Mai Suganami, Akiko Oide, Miyabishara Yokoyama, Mika Chiba, So Nakagawa, Jiaqi Wu, Miyoko Takahashi, Yasuhiro Kazuma, Ryosuke Nomura, Yoshihito Horisawa, Kayoko Nagata, Yohei Yanagida, Yugo Kawai, Yusuke Tashiro, Atsushi Kaneda, Taka-aki Nakada, Motoaki Seki, Ryoji Fujiki, Tadanaga Shimada, Kiyoshi Hirahara, Koutaro Yokote, Toshinori Nakayama, Takashi Irie, Ryoko Kawabata, Nanami Morizako, Takasuke Fukuhara, Kenta Shimizu, Kana Tsushima, Haruko Kubo, Terumasa Ikeda, Chihiro Motozono, Hesham Nasser, Ryo Shimizu, Yue Yuan, Kazuko Kitazato, Haruyo Hasebe, Takamasa Ueno, Akatsuki Saito, Erika P Butlertanaka, Yuri L Tanaka, Kenzo Tokunaga, Seiya Ozono, Kenji Sadamasu, Hiroyuki Asakura, Isao Yoshida, Mami Nagashima, Kazuhisa Yoshimura, Sully Márquez, Belén Prado-Vivar, Mónica Becerra-Wong, Mateo Carvajal, Gabriel Trueba, Patricio Rojas-Silva, Michelle Grunauer, Bernardo Gutierrez, Juan José Guadalupe, Juan Carlos Fernández-Cadena, Derly Andrade-Molina, Manuel Baldeon, Andrea Pinos, Kei Sato Journal of Infectious Diseases, 2022
Occurrence of SARS-CoV-2 reinfections at regular intervals in Ecuador Rommel Guevara, Belén Prado-Vivar, Sully Márquez, Erika B. Muñoz, Mateo Carvajal, Juan José Guadalupe, Mónica Becerra-Wong, Stefanie Proaño, Rosa Bayas-Rea, Josefina Coloma, Michelle Grunauer, Gabriel Trueba, Patricio Rojas-Silva, Verónica Barragán, Paúl Cárdenas Frontiers in Cellular and Infection Microbiology, 2022
First case of within-host co-infection of different SARS-CoV-2 variants in Ecuador J.C. Fernandez-Cadena, M. Carvajal, E. Muñoz, B. Prado-Vivar, S. Marquez, S. Proaño, R. Bayas, J.J. Guadalupe, M. Becerra-Wong, B. Gutierrez, G. Morey-Leon, G. Trueba, M. Grunauer, V. Barragán, P. Rojas-Silva, D. Andrade-Molina, P. Cárdenas New Microbes and New Infections, 2022
Omicron Sub-Lineages (BA.1.1.529 + BA.*) Current Status in Ecuador Andrés Carrazco-Montalvo, Andrés Herrera-Yela, Damaris Alarcón-Vallejo, Diana Gutiérrez-Pallo, Isaac Armendáriz-Castillo, Derly Andrade-Molina, Karen Muñoz-Mawyin, Juan Carlos Fernández-Cadena, Gabriel Morey-León, USFQ-COVID-19 Consortium, CRN Influenza y OVR—INSPI, Leandro Patiño Viruses, 2022
Altered TMPRSS2 usage by SARS-CoV-2 Omicron impacts infectivity and fusogenicity Bo Meng, Adam Abdullahi, Isabella A. T. M. Ferreira, Niluka Goonawardane, Akatsuki Saito, Izumi Kimura, Daichi Yamasoba, Pehuén Pereyra Gerber, Saman Fatihi, Surabhi Rathore, Samantha K. Zepeda, Guido Papa, Steven A. Kemp, Terumasa Ikeda, Mako Toyoda, Toong Seng Tan, Jin Kuramochi, Shigeki Mitsunaga, Takamasa Ueno, Kotaro Shirakawa, Akifumi Takaori-Kondo, Teresa Brevini, Donna L. Mallery, Oscar J. Charles, The CITIID-NIHR BioResource COVID-19 Collaboration, Stephen Baker, Gordon Dougan, Christoph Hess, Nathalie Kingston, Paul J. Lehner, Paul A. Lyons, Nicholas J. Matheson, Willem H. Ouwehand, Caroline Saunders, Charlotte Summers, James E. D. Thaventhiran, Mark Toshner, Michael P. Weekes, Patrick Maxwell, Ashley Shaw, Ashlea Bucke, Jo Calder, Laura Canna, Jason Domingo, Anne Elmer, Stewart Fuller, Julie Harris, Sarah Hewitt, Jane Kennet, Sherly Jose, Jenny Kourampa, Anne Meadows, Criona O’Brien, Jane Price, Cherry Publico, Rebecca Rastall, Carla Ribeiro, Jane Rowlands, Valentina Ruffolo, Hugo Tordesillas, Ben Bullman, Benjamin J. Dunmore, Stefan Gräf, Josh Hodgson, Christopher Huang, Kelvin Hunter, Emma Jones, Ekaterina Legchenko, Cecilia Matara, Jennifer Martin, Federica Mescia, Ciara O’Donnell, Linda Pointon, Joy Shih, Rachel Sutcliffe, Tobias Tilly, Carmen Treacy, Zhen Tong, Jennifer Wood, Marta Wylot, Ariana Betancourt, Georgie Bower, Chiara Cossetti, Aloka De Sa, Madeline Epping, Stuart Fawke, Nick Gleadall, Richard Grenfell, Andrew Hinch, Sarah Jackson, Isobel Jarvis, Ben Krishna, Francesca Nice, Ommar Omarjee, Marianne Perera, Martin Potts, Nathan Richoz, Veronika Romashova, Luca Stefanucci, Mateusz Strezlecki, Lori Turner, Eckart M. D. D. De Bie, Katherine Bunclark, Masa Josipovic, Michael Mackay, Helen Butcher, Daniela Caputo, Matt Chandler, Patrick Chinnery, Debbie Clapham-Riley, Eleanor Dewhurst, Christian Fernandez, Anita Furlong, Barbara Graves, Jennifer Gray, Sabine Hein, Tasmin Ivers, Emma Le Gresley, Rachel Linger, Mary Kasanicki, Rebecca King, Nathalie Kingston, Sarah Meloy, Alexei Moulton, Francesca Muldoon, Nigel Ovington, Sofia Papadia, Christopher J. Penkett, Isabel Phelan, Venkatesh Ranganath, Roxana Paraschiv, Abigail Sage, Jennifer Sambrook, Ingrid Scholtes, Katherine Schon, Hannah Stark, Kathleen E. Stirrups, Paul Townsend, Neil Walker, Jennifer Webster, The Genotype to Phenotype Japan (G2P-Japan) Consortium, Erika P. Butlertanaka, Yuri L. Tanaka, Jumpei Ito, Keiya Uriu, Yusuke Kosugi, Mai Suganami, Akiko Oide, Miyabishara Yokoyama, Mika Chiba, Chihiro Motozono, Hesham Nasser, Ryo Shimizu, Kazuko Kitazato, Haruyo Hasebe, Takashi Irie, So Nakagawa, Jiaqi Wu, Miyoko Takahashi, Takasuke Fukuhara, Kenta Shimizu, Kana Tsushima, Haruko Kubo, Yasuhiro Kazuma, Ryosuke Nomura, Yoshihito Horisawa, Kayoko Nagata, Yugo Kawai, Yohei Yanagida, Yusuke Tashiro, Kenzo Tokunaga, Seiya Ozono, Ryoko Kawabata, Nanami Morizako, Kenji Sadamasu, Hiroyuki Asakura, Mami Nagashima, Kazuhisa Yoshimura, Ecuador-COVID19 Consortium, Paúl Cárdenas, Erika Muñoz, Veronica Barragan, Sully Márquez, Belén Prado-Vivar, Mónica Becerra-Wong, Mateo Caravajal, Gabriel Trueba, Patricio Rojas-Silva, Michelle Grunauer, Bernardo Gutierrez, Juan José Guadalupe, Juan Carlos Fernández-Cadena, Derly Andrade-Molina, Manuel Baldeon, Andrea Pinos, John E. Bowen, Anshu Joshi, Alexandra C. Walls, Laurelle Jackson, Darren Martin, Kenneth G. C. Smith, John Bradley, John A. G. Briggs, Jinwook Choi, Elo Madissoon, Kerstin B. Meyer, Petra Mlcochova, Lourdes Ceron-Gutierrez, Rainer Doffinger, Sarah A. Teichmann, Andrew J. Fisher, Matteo S. Pizzuto, Anna de Marco, Davide Corti, Myra Hosmillo, Joo Hyeon Lee, Leo C. James, Lipi Thukral, David Veesler, Alex Sigal, Fotios Sampaziotis, Ian G. Goodfellow, Nicholas J. Matheson, Kei Sato, Ravindra K. Gupta Nature, 2022
First detection of SARS-CoV-2 variant B.1.1.529 (Omicron) in Ecuador A. Carrazco-Montalvo, I. Armendáriz-Castillo, C.L. Tello, D. Morales, R. Armas-Gonzalez, D. Guizado-Herrera, A. León-Sosa, D. Ramos-Sarmiento, B. Fuertes, P. Cárdenas, S. Márquez, B. Prado-Vivar, J.J. Guadalupe, B. Gutiérrez, M.B. Wong, M. Grunauer, G. Trueba, P. Rojas-Silva, V. Barragán, L. Patino New Microbes and New Infections, 2022
Leptospira in river and soil in a highly endemic area of Ecuador Erin Miller, Veronica Barragan, Jorge Chiriboga, Chad Weddell, Ligia Luna, Dulce J. Jiménez, John Aleman, Joseph R. Mihaljevic, Sonora Olivas, Jane Marks, Ricardo Izurieta, Nathan Nieto, Paul Keim, Gabriel Trueba, J. Gregory Caporaso, Talima Pearson BMC Microbiology, 2021
Adapting Rapid Diagnostic Tests to Detect Historical Dengue Virus Infections Fernando Echegaray, Peter Laing, Samantha Hernandez, Sully Marquez, Amanda Harris, Ian Laing, Adam Chambers, Neil McLennan, Victor A. Sugiharto, Hua-Wei Chen, Sandra Vivero Villagran, Abigail Collingwood, Magelda Montoya, Fausto Bustos Carrillo, Mark P. Simons, Philip J. Cooper, Andrea Lopez, Gabriel Trueba, Joseph Eisenberg, Shuenn-Jue Wu, William Messer, Eva Harris, Josefina Coloma, Leah C. Katzelnick Frontiers in Immunology, 2021
A case of SARS-CoV-2 reinfection in Ecuador Belén Prado-Vivar, Mónica Becerra-Wong, Juan José Guadalupe, Sully Márquez, Bernardo Gutierrez, Patricio Rojas-Silva, Michelle Grunauer, Gabriel Trueba, Verónica Barragán, Paúl Cárdenas Lancet Infectious Diseases, 2021
Genomic epidemiology of SARS-CoV-2 transmission lineages in Ecuador Bernardo Gutierrez, Sully Márquez, Belén Prado-Vivar, Mónica Becerra-Wong, Juan José Guadalupe, Darlan Da Silva Candido, Juan Carlos Fernandez-Cadena, Gabriel Morey-Leon, Rubén Armas-Gonzalez, Derly Madeleiny Andrade-Molina, Alfredo Bruno, Domenica De Mora, Maritza Olmedo, Denisse Portugal, Manuel Gonzalez, Alberto Orlando, Jan Felix Drexler, Andres Moreira-Soto, Anna-Lena Sander, Sebastian Brünink, Arne Kühne, Leandro Patiño, Andrés Carrazco-Montalvo, Orson Mestanza, Jeannete Zurita, Gabriela Sevillano, Louis Du Plessis, John T McCrone, Josefina Coloma, Gabriel Trueba, Verónica Barragán, Patricio Rojas-Silva, Michelle Grunauer, Moritz U G Kraemer, Nuno R Faria, Marina Escalera-Zamudio, Oliver G Pybus, Paúl Cárdenas Virus Evolution, 2021
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Isolation of oropouche virus from febrile patient, Ecuador Emma L. Wise, Steven T. Pullan, Sully Márquez, Verónica Paz, Juan D. Mosquera, Sonia Zapata, Simon K. Jackson, Gyorgy Fejer, Gabriel Trueba, Christopher H. Logue Emerging Infectious Diseases, 2018
Potential zoonotic transmission of Giardia duodenalis in semi-rural communities near Quito, Ecuador International Journal of Applied Research in Veterinary Medicine, 2018
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Parasites dominate hyperdiverse soil protist communities in Neotropical rainforests Frédéric Mahé, Colomban de Vargas, David Bass, Lucas Czech, Alexandros Stamatakis, Enrique Lara, David Singer, Jordan Mayor, John Bunge, Sarah Sernaker, Tobias Siemensmeyer, Isabelle Trautmann, Sarah Romac, Cédric Berney, Alexey Kozlov, Edward A. D. Mitchell, Christophe V. W. Seppey, Elianne Egge, Guillaume Lentendu, Rainer Wirth, Gabriel Trueba, Micah Dunthorn Nature Ecology and Evolution, 2017
Antimicrobials: A global alliance for optimizing their rational use in intra-abdominal infections (AGORA) Massimo Sartelli, Dieter G. Weber, Etienne Ruppé, Matteo Bassetti, Brian J. Wright, Luca Ansaloni, Fausto Catena, Federico Coccolini, Fikri M. Abu-Zidan, Raul Coimbra, Ernest E. Moore, Frederick A. Moore, Ronald V. Maier, Jan J. De Waele, Andrew W. Kirkpatrick, Ewen A. Griffiths, Christian Eckmann, Adrian J. Brink, John E. Mazuski, Addison K. May, Rob G. Sawyer, Dominik Mertz, Philippe Montravers, Anand Kumar, Jason A. Roberts, Jean-Louis Vincent, Richard R. Watkins, Warren Lowman, Brad Spellberg, Iain J. Abbott, Abdulrashid Kayode Adesunkanmi, Sara Al-Dahir, Majdi N. Al-Hasan, Ferdinando Agresta, Asma A. Althani, Shamshul Ansari, Rashid Ansumana, Goran Augustin, Miklosh Bala, Zsolt J. Balogh, Oussama Baraket, Aneel Bhangu, Marcelo A. Beltrán, Michael Bernhard, Walter L. Biffl, Marja A. Boermeester, Stephen M. Brecher, Jill R. Cherry-Bukowiec, Otmar R. Buyne, Miguel A. Cainzos, Kelly A. Cairns, Adrian Camacho-Ortiz, Sujith J. Chandy, Asri Che Jusoh, Alain Chichom-Mefire, Caroline Colijn, Francesco Corcione, Yunfeng Cui, Daniel Curcio, Samir Delibegovic, Zaza Demetrashvili, Belinda De Simone, Sameer Dhingra, José J. Diaz, Isidoro Di Carlo, Angel Dillip, Salomone Di Saverio, Michael P. Doyle, Gereltuya Dorj, Agron Dogjani, Hervé Dupont, Soumitra R. Eachempati, Mushira Abdulaziz Enani, Valery N. Egiev, Mutasim M. Elmangory, Paula Ferrada, Joseph R. Fitchett, Gustavo P. Fraga, Nathalie Guessennd, Helen Giamarellou, Wagih Ghnnam, George Gkiokas, Staphanie R. Goldberg, Carlos Augusto Gomes, Harumi Gomi, Manuel Guzmán-Blanco, Mainul Haque, Sonja Hansen, Andreas Hecker, Wolfgang R. Heizmann, Torsten Herzog, Adrien Montcho Hodonou, Suk-Kyung Hong, Reinhold Kafka-Ritsch, Lewis J. Kaplan, Garima Kapoor, Aleksandar Karamarkovic, Martin G. Kees, Jakub Kenig, Ronald Kiguba, Peter K. Kim, Yoram Kluger, Vladimir Khokha, Kaoru Koike, Kenneth Y. Y. Kok, Victory Kong, Matthew C. Knox, Kenji Inaba, Arda Isik, Katia Iskandar, Rao R. Ivatury, Maurizio Labbate, Francesco M. Labricciosa, Pierre-François Laterre, Rifat Latifi, Jae Gil Lee, Young Ran Lee, Marc Leone, Ari Leppaniemi, Yousheng Li, Stephen Y. Liang, Tonny Loho, Marc Maegele, Sydney Malama, Hany E. Marei, Ignacio Martin-Loeches, Sanjay Marwah, Amos Massele, Michael McFarlane, Renato Bessa Melo, Ionut Negoi, David P. Nicolau, Carl Erik Nord, Richard Ofori-Asenso, AbdelKarim H. Omari, Carlos A. Ordonez, Mouaqit Ouadii, Gerson Alves Pereira Júnior, Diego Piazza, Guntars Pupelis, Timothy Miles Rawson, Miran Rems, Sandro Rizoli, Claudio Rocha, Boris Sakakhushev, Miguel Sanchez-Garcia, Norio Sato, Helmut A. Segovia Lohse, Gabriele Sganga, Boonying Siribumrungwong, Vishal G. Shelat, Kjetil Soreide, Rodolfo Soto, Peep Talving, Jonathan V. Tilsed, Jean-Francois Timsit, Gabriel Trueba, Ngo Tat Trung, Jan Ulrych, Harry van Goor, Andras Vereczkei, Ravinder S. Vohra, Imtiaz Wani, Waldemar Uhl, Yonghong Xiao, Kuo-Ching Yuan, Sanoop K. Zachariah, Jean-Ralph Zahar, Tanya L. Zakrison, Antonio Corcione, Rita M. Melotti, Claudio Viscoli, Perluigi Viale World Journal of Emergency Surgery, 2016
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Detection and characterization of infectious laryngotracheitis virus from an outbreak of respiratory disease in ecuador International Journal of Applied Research in Veterinary Medicine, 2014
Brucellosis in dairy cattle and goats in northern Ecuador Keith P. Poulsen, Frank T. Hutchins, Chase M. McNulty, Marlène Tremblay, Carmen Zabala, Veronica Barragan, Luis Lopez, Gabriel Trueba, Jeffrey W. Bethel American Journal of Tropical Medicine and Hygiene, 2014
Rapid changes in rotaviral genotypes in Ecuador Maria Eloisa Hasing, Gabriel Trueba, Maria Ines Baquero, Karina Ponce, William Cevallos, Owen D. Solberg, Joseph N.S. Eisenberg Journal of Medical Virology, 2009
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