Phebe De Heus

Dr. Phebe De Heus


Research Focus & Metrics

Academic Career Length

16Years (2011-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

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23 November 2011 in PLOS ONE
Verified
Journal Article
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LLLaura M. Laarhoven
Laura M. Laarhoven
PHPhebe De Heus
Phebe De Heus
JLJeanine van Luijn
Jeanine van Luijn
BDBirgitta Duim
Birgitta Duim
JWJaap A. Wagenaar
Jaap A. Wagenaar
EDEngeline van Duijkeren
Engeline van Duijkeren
Methicillin-resistant Staphylococcus pseudintermedius (MRSP) is an emerging pathogen in dogs and has been found in Europe, Asia and North America. To date most studies are one-point prevalence studies and therefore little is known about the dynamics of MRSP in dogs and their surrounding. In this longitudinal study MRSP colonization in dogs and the transmission of MRSP to humans, contact animals and the environment was investigated. Sixteen dogs with a recent clinical MRSP infection were included. The index dogs, contact animals, owners and environments were sampled once a month for six months. Samples taken from the nose, perineum and infection site (if present) of the index cases and contact animals, and the nares of the owners were cultured using pre-enrichment. Index cases were found positive for prolonged periods of time, in two cases during all six samplings. In five of the 12 households that were sampled during six months, the index case was intermittently found MRSP-positive. Contact animals and the environment were also found MRSP-positive, most often in combination with a MRSP-positive index dog. In four households positive environmental samples were found while no animals or humans were MRSP-positive, indicating survival of MRSP in the environment for prolonged periods of time. Genotyping revealed that generally similar or indistinguishable MRSP isolates were found in patients, contact animals and environmental samples within the same household. Within two households, however, genetically distinct MRSP isolates were found. These results show that veterinarians should stay alert with (former) MRSP patients, even after repeated MRSP-negative cultures or after the disappearance of the clinical infection. There is a considerable risk of transmission of MRSP to animals in close contact with MRSP patients. Humans were rarely MRSP-positive and never tested MRSP-positive more than once suggesting occasional contamination or rapid elimination of colonization of the owners.

1 February 2016 in Journal of Clinical Microbiology
Verified
Journal Article
Closed access
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BDBirgitta Duim
Birgitta Duim
KVKoen M. Verstappen
Koen M. Verstappen
EBEls M. Broens
Els M. Broens
LLLaura M. Laarhoven
Laura M. Laarhoven
EDEngeline van Duijkeren
Engeline van Duijkeren
JWJaap A. Wagenaar
Jaap A. Wagenaar
Methicillin-resistant Staphylococcus pseudintermedius (MRSP), often multi-drug resistant (MDR), has recently emerged as a threat to canine health worldwide. Knowledge of the temporal distribution of specific MRSP lineages, their antimicrobial resistance phenotypes and association with clinical conditions may help understand the emergence and spread of MRSP in dogs. The aim of this study was to determine the yearly proportions of MRSP lineages and their antimicrobial resistant phenotypes in the Netherlands, and to examine possible associations with clinical conditions. MRSP was first isolated from a canine specimen submitted for diagnostics to the Faculty of Veterinary Medicine of Utrecht University in 2004. The annual cumulative incidence of MRSP among S. pseudintermedius increased from 0.9% in 2004 to 7% in 2013. MRSP was significantly associated with pyoderma and, to a lesser extent, with wound infections and otitis externa. Multi Locus Sequence Typing (MLST) of 478 MRSP isolates yielded 39 sequence types (ST) belonging to 4 clonal complexes (CC), and 15 singletons. CC71 was the dominant lineage, which emerged since 2004, and CC258, CC45 and several unlinked isolates became more frequent during the years. All but two strains conferred a MDR phenotype but strains belonging to CC258 or singletons were less resistant. In conclusion, our study showed that MDR CC71 emerged as dominant lineage from 2004 onwards and that less-resistant lineages were partly replacing CC71.

14 March 2018 in Emerging Microbes & Infections
Verified
Journal Article
Open access
JKJolanta Kolodziejek
Jolanta Kolodziejek
CJChristof Jungbauer
Christof Jungbauer
SAStephan W. Aberle
Stephan W. Aberle
FAFranz Allerberger
Franz Allerberger
ZBZoltán Tibor Bagó
Zoltán Tibor Bagó
Norbert NowotnyNorbert Nowotny
Norbert Nowotny
The results of integrated human and veterinary surveillance for West Nile virus (WNV) infections in Austria during the transmission seasons 2015 and 2016 are shown. Altogether WNV nucleic acid was ...

16 December 2019 in Transboundary and Emerging Diseases
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Journal Article
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PHPhebe De Heus
Phebe De Heus
JKJolanta Kolodziejek
Jolanta Kolodziejek
JCJeremy V. Camp
Jeremy V. Camp
KDKatharina Dimmel
Katharina Dimmel
ZBZoltán Tibor Bagó
Zoltán Tibor Bagó
Norbert NowotnyNorbert Nowotny
Norbert Nowotny
We report details of the first seven equine cases of confirmed West Nile neuroinvasive disease in Austria. The cases presented during summer and autumn of 2016 (n = 2), 2017 (n = 3) and 2018 (n = 2). All horses showed gait abnormalities and 6 of 7 horses exhibited fasciculations and/or tremors, and we provide video recordings of these. Three horses also showed cranial nerve involvement. Following rapid improvement, three horses were discharged. Four horses were euthanised due to the severity of clinical signs and subjected to neuropathological examination. West Nile virus (WNV) lineage 2 nucleic acid was detected in 5 of 7 horses, and WNV‐specific neutralising antibodies in all 7 horses. In addition, serologic evidence of WNV infection was found in two out of fourteen in‐contact horses. Horses may be considered a sentinel species for human WNV infections, integrating human and veterinary medicine and thus contributing to the one health concept.

19 September 2021 in Viruses
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Journal Article
Open access
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PHPhebe De Heus
Phebe De Heus
JKJolanta Kolodziejek
Jolanta Kolodziejek
ZHZdenek Hubalek
Zdenek Hubalek
KDKatharina Dimmel
Katharina Dimmel
VRVictoria Racher
Victoria Racher
JCJessika-M. Cavalleri
Jessika-M. Cavalleri
The emergence of West Nile virus (WNV) and Usutu virus (USUV) in addition to the autochthonous tick-borne encephalitis virus (TBEV) in Europe causes rising concern for public and animal health. The first equine case of West Nile neuroinvasive disease in Austria was diagnosed in 2016. As a consequence, a cross-sectional seroprevalence study was conducted in 2017, including 348 equids from eastern Austria. Serum samples reactive by ELISA for either flavivirus immunoglobulin G or M were further analyzed with the plaque reduction neutralization test (PRNT-80) to identify the specific etiologic agent. Neutralizing antibody prevalences excluding vaccinated equids were found to be 5.3% for WNV, 15.5% for TBEV, 0% for USUV, and 1.2% for WNV from autochthonous origin. Additionally, reverse transcription quantitative polymerase chain reaction (RT-qPCR) was performed to detect WNV nucleic acid in horse sera and was found to be negative in all cases. Risk factor analysis did not identify any factors significantly associated with seropositivity.

1 November 2019 in Viruses
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Journal Article
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MBMarcha Badenhorst
Marcha Badenhorst
PHPhebe De Heus
Phebe De Heus
AAAngelika Auer
Angelika Auer
TRTill Rümenapf
Till Rümenapf
BRBirthe Reinecke
Birthe Reinecke
JCJessika-M. Cavalleri
Jessika-M. Cavalleri
Prevalence studies have demonstrated a global distribution of equine hepacivirus (EqHV), a member of the family Flaviviridae. However, apart from a single case of vertical transmission, natural routes of EqHV transmission remain elusive. Many known flaviviruses are horizontally transmitted between hematophagous arthropods and vertebrate hosts. This study represents the first investigation of potential EqHV transmission by mosquitoes. More than 5000 mosquitoes were collected across Austria and analyzed for EqHV ribonucleic acid (RNA) by reverse transcription quantitative polymerase chain reaction (RT-qPCR). Concurrently, 386 serum samples from horses in eastern Austria were analyzed for EqHV-specific antibodies by luciferase immunoprecipitation system (LIPS) and for EqHV RNA by RT-qPCR. Additionally, liver-specific biochemistry parameters were compared between EqHV RNA-positive horses and EqHV RNA-negative horses. Phylogenetic analysis was conducted in comparison to previously published sequences from various origins. No EqHV RNA was detected in mosquito pools. Serum samples yielded an EqHV antibody prevalence of 45.9% (177/386) and RNA prevalence of 4.15% (16/386). EqHV RNA-positive horses had significantly higher glutamate dehydrogenase (GLDH) levels (p = 0.013) than control horses. Phylogenetic analysis showed high similarity between nucleotide sequences of EqHV in Austrian horses and EqHV circulating in other regions. Despite frequently detected evidence of EqHV infection in Austrian horses, no viral RNA was found in mosquitoes. It is therefore unlikely that mosquitoes are vectors of this flavivirus.