Enfermedades infecciosas y microbiologia clinica最新文献_第2页

Desenlace inesperado de amigdalitis pultácea en persona joven sin comorbilidad 无并发症的年轻人患扁桃体炎的意外结果

IF 2.6 4区医学

Enfermedades infecciosas y microbiologia clinica Pub Date : 2024-08-01 DOI: 10.1016/j.eimc.2023.12.006

引用次数: 0

Tendencia en la vacunación en personas con infección por VIH participantes en la Encuesta Hospitalaria de pacientes con VIH, 2006-2021 2006-2021 年参与艾滋病医院住院病人调查的艾滋病毒感染者接种疫苗的趋势

IF 2.6 4区医学

Enfermedades infecciosas y microbiologia clinica Pub Date : 2024-08-01 DOI: 10.1016/j.eimc.2023.06.002

{"title":"Tendencia en la vacunación en personas con infección por VIH participantes en la Encuesta Hospitalaria de pacientes con VIH, 2006-2021","authors":"","doi":"10.1016/j.eimc.2023.06.002","DOIUrl":"10.1016/j.eimc.2023.06.002","url":null,"abstract":"<div><h3>Objective</h3><p>To assess the trend in hepatitis A, hepatitis B, pneumococcal, tetanus and seasonal influenza vaccination in people with HIV infection and to analyse associated factors.</p></div><div><h3>Methods</h3><p>The hospital survey of patients with HIV, an annual cross-sectional study conducted on a fixed day (2006-2021), was used. Inpatients and outpatients were included. Trends in vaccination and associated factors were analysed using logistic regression.</p></div><div><h3>Results</h3><p>A total of 8643 participants were included. Vaccination rates increased to 65.3% for hepatitis A, 83.7% for hepatitis B, 49.3% for tetanus, 68.9% for pneumococcal and 74.5% for seasonal influenza in 2021. Factors positively associated with vaccination were older age for pneumococcal and influenza vaccination; higher educational level for hepatitis A and tetanus; living in a closed institutions or prison for tetanus, pneumococcal and influenza; and having acquired HIV through sex between men for hepatitis A, hepatitis B and pneumococcal. In addition, being on antiretroviral treatment and having a high CD4 count were positively associated with vaccination for all these diseases. Factors inversely associated with vaccination were being older (hepatitis A, hepatitis B and tetanus), being an immigrant (tetanus and seasonal influenza) and being an injection drug user/ex-user for hepatitis A and hepatitis B.</p></div><div><h3>Conclusions</h3><p>Vaccination in people with HIV has increased in the study period. The results are in line with the recommendations in this population, although there is still room to reach the established vaccination indicators.</p></div>","PeriodicalId":11608,"journal":{"name":"Enfermedades infecciosas y microbiologia clinica","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128446274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Impacto de la inmunización con nirsevimab en las infecciones por VRS atendidas en urgencias pediátricas: primeros resultados en un hospital terciario de Madrid nirsevimab 免疫接种对儿科急诊室 RSV 感染的影响：马德里一家三级医院的初步结果。

IF 2.6 4区医学

Enfermedades infecciosas y microbiologia clinica Pub Date : 2024-08-01 DOI: 10.1016/j.eimc.2024.04.010

{"title":"Impacto de la inmunización con nirsevimab en las infecciones por VRS atendidas en urgencias pediátricas: primeros resultados en un hospital terciario de Madrid","authors":"","doi":"10.1016/j.eimc.2024.04.010","DOIUrl":"10.1016/j.eimc.2024.04.010","url":null,"abstract":"<div><h3>Introduction</h3><p>Human respiratory syncytial virus (RSV) is the most commonly identified virus associated with lower respiratory tract infections. The monoclonal antibody nirsevimab immunization campaign began in our country in October 2023.</p></div><div><h3>Methods</h3><p>This study was conducted in the Pediatric Emergency Department (PED) of a tertiary care center in Madrid, Spain. The aim was to compare PED visits of patients eligible for immunization with nirsevimab who attended between weeks 40 and 52 of 2022 and 2023 and who had a confirmed diagnosis of RSV infection.</p></div><div><h3>Results</h3><p>During the study period, 264 out of 765 patients with confirmed RSV infection who attended the PED were eligible for immunization with nirsevimab and were selected for our analysis. The PED attendance was 80.3% in 2022 and 19.7% in 2023. The number of RSV-positive cases increased from week 42 in both analyzed periods, with a peak of maximum incidence between weeks 46 and 48. In 2022, the morphology of the case curve in the group of children eligible for immunization was similar to the overall curve. However, in 2023, we did not observe a similar increase in cases among patients eligible for immunization.</p></div><div><h3>Conclusion</h3><p>Immunization with nirsevimab during the 2023 RSV epidemic season had a beneficial effect, reducing the number of PED consultations for RSV infection.</p></div>","PeriodicalId":11608,"journal":{"name":"Enfermedades infecciosas y microbiologia clinica","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141407589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Vaccination in adults with HIV in Spain: Where are we? 西班牙成人艾滋病毒感染者的疫苗接种：我们在哪里？

IF 2.6 4区医学

Enfermedades infecciosas y microbiologia clinica Pub Date : 2024-08-01 DOI: 10.1016/j.eimc.2024.06.001

引用次数: 0

Sobre las limitaciones del diagnóstico de meningitis tuberculosa 结核性脑膜炎诊断的局限性

IF 2.6 4区医学

Enfermedades infecciosas y microbiologia clinica Pub Date : 2024-08-01 DOI: 10.1016/j.eimc.2024.03.009

引用次数: 0

Consideraciones sobre la aplicación del plan formativo de Microbiología y Parasitología clínica en los hospitales de España: una encuesta nacional 西班牙医院实施临床微生物学和寄生虫学培训计划的考虑因素：全国调查

IF 2.6 4区医学

Enfermedades infecciosas y microbiologia clinica Pub Date : 2024-08-01 DOI: 10.1016/j.eimc.2023.06.006

{"title":"Consideraciones sobre la aplicación del plan formativo de Microbiología y Parasitología clínica en los hospitales de España: una encuesta nacional","authors":"","doi":"10.1016/j.eimc.2023.06.006","DOIUrl":"10.1016/j.eimc.2023.06.006","url":null,"abstract":"<div><h3>Introduction</h3><p>The specialty of Microbiology and Parasitology is a four-year multidisciplinary training with a central role in the diagnosis and epidemiological surveillance of infectious diseases.</p><p>The aim of this study is to analyze the degree of implementation of the official program and the degree of satisfaction of residents with their training.</p></div><div><h3>Methods</h3><p>We conducted an online survey distributed in eight sections to which active residents of the Specialty of Clinical Microbiology and Parasitology had access.</p></div><div><h3>Results</h3><p>A total of 69 responses were received, with a predominance of residents from the regions of Madrid (43.5%) and of FIR admission route (55%).</p><p>The areas in which the residents feel best prepared correspond to systematic bacteriology, antimicrobials and clinical aspects of microbiology. The areas with the worst preparation, on the other hand, are mycology, parasitology and microbiological emergencies.</p><p>There are significant differences between the clinical rotation time for residents with MIR access pathway with respect to residents with other degrees.</p><p>Respondents perceive a high degree of responsibility and a medium agreement with the quality of teaching. Attendance at clinical sessions and external rotations is frequent.</p><p>Research activity is perceived as complicated, both at the level of doctoral studies and with respect to entering research lines and the publication of scientific results.</p></div><div><h3>Conclusion</h3><p>Some points of improvement of the training itinerary have been identified that need to be reinforced. Likewise, it would be interesting to seek a better balance between care, teaching and research activities.</p></div>","PeriodicalId":11608,"journal":{"name":"Enfermedades infecciosas y microbiologia clinica","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121166813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pediatric mucormycosis associated with COVID-19: A systematic review of clinical cases 与COVID-19相关的小儿粘孢子菌病：临床病例的系统回顾

IF 2.5 4区医学

Enfermedades infecciosas y microbiologia clinica Pub Date : 2024-06-01 DOI: 10.1016/j.eimc.2023.11.002

Laura Batista Amaral , Fabianne Carlesse , Luana Rossato

引用次数: 0

Evaluación de FebriDx® para el manejo de niños con infección respiratoria aguda febril 对FebriDx®治疗发热性急性呼吸道感染患儿的评估

IF 2.5 4区医学

Enfermedades infecciosas y microbiologia clinica Pub Date : 2024-06-01 DOI: 10.1016/j.eimc.2024.01.009

Paula de la Matta Farrando , Maria Teresa Suay Torres , Anna Sabater Sabaté , Victoria Trenchs Sainz de la Maza , Carles Luaces Cubells , Susanna Hernández Bou

{"title":"Evaluación de FebriDx® para el manejo de niños con infección respiratoria aguda febril","authors":"Paula de la Matta Farrando , Maria Teresa Suay Torres , Anna Sabater Sabaté , Victoria Trenchs Sainz de la Maza , Carles Luaces Cubells , Susanna Hernández Bou","doi":"10.1016/j.eimc.2024.01.009","DOIUrl":"10.1016/j.eimc.2024.01.009","url":null,"abstract":"<div><h3>Introduction</h3><p>Acute respiratory infections (ARI) are a common cause of inappropriate antibiotic prescription (ATB) in pediatrics. FebriDx® is a rapid diagnostic test that differentiates between viral and bacterial infections. The objective is to analyse the impact of FebriDx® on ATB prescription when managing febrile ARI.</p></div><div><h3>Methods</h3><p>Prospective study carried out in patients aged 1-<18 years with febrile ARI in the emergency department. FebriDx® was performed and the impact on management was evaluated at follow-up.</p></div><div><h3>Results</h3><p>A total of 216 patients were included. Clinical assessment and FebriDx® result coincided in 174 (80.5%) cases. A modification of the initial therapeutic plan was made in 22 (52.4%) of the 42 discordant ones (10.2% of the overall patients). In pneumonia the impact was 34.5%; in all cases it involved not prescribing ATB.</p></div><div><h3>Conclusion</h3><p>FebriDx® could be a useful tool in the management of pediatric patients with febrile ARI to optimize ATB prescription.</p></div>","PeriodicalId":11608,"journal":{"name":"Enfermedades infecciosas y microbiologia clinica","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140046032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pitfalls in the interpretation of results returned by multiplex real-time PCR panels in the diagnosis of non-gonococcal male urethritis: The case of Ureaplasma urealyticum 在诊断非淋菌性男性尿道炎时解读多重实时 PCR 检测板结果的误区：尿解支原体病例

IF 2.5 4区医学

Enfermedades infecciosas y microbiologia clinica Pub Date : 2024-06-01 DOI: 10.1016/j.eimc.2024.02.004

María Jesús Castaño , María Jesús Alcaraz , Eliseo Albert , David Navarro

引用次数: 0

Brotes por Klebsiella oxytoca en unidades de cuidados intensivos neonatales: análisis de un brote en un hospital de tercer nivel y revisión sistemática 新生儿重症监护室爆发的氧合克雷伯氏菌：一家三级医院爆发疫情的分析和系统综述

IF 2.5 4区医学

Enfermedades infecciosas y microbiologia clinica Pub Date : 2024-06-01 DOI: 10.1016/j.eimc.2023.04.004

María Liébana-Rodríguez , Esther Recacha-Villamor , Carmen Díaz-Molina , Patricia Pérez-Palacios , Lina Martín-Hita , Francisca Enríquez-Maroto , José Gutiérrez-Fernández

{"title":"Brotes por Klebsiella oxytoca en unidades de cuidados intensivos neonatales: análisis de un brote en un hospital de tercer nivel y revisión sistemática","authors":"María Liébana-Rodríguez , Esther Recacha-Villamor , Carmen Díaz-Molina , Patricia Pérez-Palacios , Lina Martín-Hita , Francisca Enríquez-Maroto , José Gutiérrez-Fernández","doi":"10.1016/j.eimc.2023.04.004","DOIUrl":"10.1016/j.eimc.2023.04.004","url":null,"abstract":"<div><h3>Objectives</h3><p><em>Klebsiella oxytoca</em> can cause nosocomial infections, affecting vulnerable newborns. There are few studies describing nosocomial outbreaks in the neonatal intensive care units (NICU). In this study, a systematic review of the literature was carried out to know the main characteristics of these outbreaks and the evolution of one is described.</p></div><div><h3>Methods</h3><p>We conducted a systematic review in the Medline database up to July 2022, and present a descriptive study of an outbreak with 21 episodes in the NICU of a tertiary hospital, between September 2021 and January 2022.</p></div><div><h3>Results</h3><p>Nine articles met the inclusion criteria. The duration of outbreaks was found to be variable, of which 4 (44.4%) lasted for a year or more. Colonization (69%) was more frequent than infections (31%) and the mortality rate was 22.4%. In studies describing sources, the most frequent was the environmental origin (57.1%). In our outbreak there were 15 colonizations and 6 infections. The infections were mild conjunctivitis without sequelae. Molecular typing analysis made it possible to detect 4 different clusters.</p></div><div><h3>Conclusions</h3><p>There is an important variability in the evolution and results of the published outbreaks, highlighting a greater number of colonized, use of pulsed-field gel electrophoresis (PFGE) techniques for molecular typing and implementation of control measures. Finally, we describe an outbreak in which 21 neonates were affected with mild infections, resolved without sequelae and whose control measures were effective.</p></div>","PeriodicalId":11608,"journal":{"name":"Enfermedades infecciosas y microbiologia clinica","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134518282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0