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

Caso confirmado de sarampión en vacunada: papel de la determinación de avidez de IgG específica 接种过疫苗的妇女确诊麻疹病例：特异性 IgG 反应试验的作用

IF 2.6 4区医学

Enfermedades infecciosas y microbiologia clinica Pub Date : 2024-11-01 DOI: 10.1016/j.eimc.2024.05.005

Marta Pérez-Abeledo , Fernando Martín , Susana Jiménez , Juan Carlos Sanz

引用次数: 0

Are these lesions contagious? 这些病变会传染吗？

IF 2.6 4区医学

Enfermedades infecciosas y microbiologia clinica Pub Date : 2024-11-01 DOI: 10.1016/j.eimc.2024.01.004

引用次数: 0

Análisis de los motivos de solicitud de serología del virus de la inmunodeficiencia humana (VIH) en urgencias diferentes a los definidos en la estrategia de detección dirigida del programa «Urgències VIHgila» y su potencial inclusión en un futuro documento de consenso 分析急诊科要求进行人体免疫缺陷病毒（HIV）血清学检查的原因（"Urgències VIHgila "计划的目标筛查策略中定义的原因除外），以及将其纳入未来共识文件的可能性。

IF 2.6 4区医学

Enfermedades infecciosas y microbiologia clinica Pub Date : 2024-11-01 DOI: 10.1016/j.eimc.2023.12.012

{"title":"Análisis de los motivos de solicitud de serología del virus de la inmunodeficiencia humana (VIH) en urgencias diferentes a los definidos en la estrategia de detección dirigida del programa «Urgències VIHgila» y su potencial inclusión en un futuro documento de consenso","authors":"","doi":"10.1016/j.eimc.2023.12.012","DOIUrl":"10.1016/j.eimc.2023.12.012","url":null,"abstract":"<div><h3>Objective</h3><div>To describe other reasons for requesting HIV serology in emergency departments (ED) other than the six defined in the SEMES-GESIDA consensus document (DC-SEMES-GESIDA) and to analyze whether it would be efficient to include any of them in the future.</div></div><div><h3>Method</h3><div>Review of all HIV serologies performed during 2 years in 20 Catalan EDs. Serologies requested for reasons not defined by the DC-SEMES-GESIDA were grouped by common conditions, the prevalence (95% <span>C</span>I) of seropositivity for each condition was calculated, and those whose 95% confidence lower limit was > 0.1% were considered efficient. Sensitivity analysis considered that serology would have been performed on 20% of cases attended and the remaining 80% would have been seronegative.</div></div><div><h3>Results</h3><div>There were 8044 serologies performed for 248 conditions not recommended by DC-SEMES-GESIDA, in 17 there were seropositive, and in 12 the performance of HIV serology would be efficient. The highest prevalence of detection corresponded to patients from countries with high HIV prevalence (7.41%, 0.91–24.3), lymphopenia (4.76%, 0.12–23.8), plateletopenia (4.37%, 1.20–10.9), adenopathy (3.45%, 0.42–11.9), meningoencephalitis (3.12%, 0.38–10.8) and drug use (2.50%, 0.68–6.28). Sensitivity analysis confirmed efficiency in 6 of them: country with high HIV prevalence origin, plateletopenia, drug abuse, toxic syndrome, behavioral-confusional disorder-agitation and fever of unknown origin.</div></div><div><h3>Conclusion</h3><div>The DC-SEMES-GESIDA targeted HIV screening strategy in the ED could efficiently include other circumstances not previously considered; the most cost-effective would be origin from a country with high HIV prevalence, plateletopenia, drug abuse, toxic syndrome, behavioral-confusional-agitation disorder and fever of unknown origin.</div></div>","PeriodicalId":11608,"journal":{"name":"Enfermedades infecciosas y microbiologia clinica","volume":"42 9","pages":"Pages 492-500"},"PeriodicalIF":2.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139561772","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

Bacteriemia por Desulfovibrio porci. Nuevo patógeno anaerobio asociado a enterocolitis infecciosa 孔氏脱硫弧菌菌血症。与传染性小肠结肠炎有关的新型厌氧病原体。

IF 2.6 4区医学

Enfermedades infecciosas y microbiologia clinica Pub Date : 2024-11-01 DOI: 10.1016/j.eimc.2024.05.004

José María Saavedra Martín , María José Medina Pascual , Sylvia Valdezate Ramos , Francisco Franco Álvarez de Luna

引用次数: 0

Caracterización de las infecciones de herida entre pacientes procedentes de la guerra ruso-ucraniana en un hospital Role 4 一家医院的俄乌战争伤员伤口感染特征 Role 4

IF 2.6 4区医学

Enfermedades infecciosas y microbiologia clinica Pub Date : 2024-11-01 DOI: 10.1016/j.eimc.2024.04.004

{"title":"Caracterización de las infecciones de herida entre pacientes procedentes de la guerra ruso-ucraniana en un hospital Role 4","authors":"","doi":"10.1016/j.eimc.2024.04.004","DOIUrl":"10.1016/j.eimc.2024.04.004","url":null,"abstract":"<div><h3>Introduction</h3><div>The management of infections in war wounds is a problem aggravated by the presence of multiresistant bacteria and requires a combined approach with surgery. Literature has identified the risks and patterns of antibiotic resistance in previous armed conflicts, but the Russian-Ukrainian conflict has required the study of specific bacterial resistance patterns.</div></div><div><h3>Methods</h3><div>We included war-injured patients from the Russian-Ukrainian conflict transferred for treatment to the General Defense Hospital of Zaragoza from May 2022 to October 2023. Epidemiological data, factors related to the injury, presence of infection and microbiological results were collected. These data were subsequently analyzed statistically.</div></div><div><h3>Results</h3><div>Fifty-three patients were included in the study, with a mean age of 35.6years; 83% were injured by an explosive mechanism and all received antibiotic therapy prior to transfer. Seventeen patients had skin, soft tissue or joint infection. Correlation was demonstrated with the presence of bone lesion (<em>P</em>  =.000) and presence of foreign bodies (<em>P</em>  <!-->.006). Nine patients had monomicrobial cultures, and the most frequently isolated microorganisms were Gram negative bacilli (GNB) and <em>Staphylococcus aureus</em>. Virtually all GNB presented some resistance mechanism.</div></div><div><h3>Conclusion</h3><div>Our work shows the correlation of war wound infection with the presence of foreign bodies and affected tissues. Likewise, the presence of polymicrobial wounds is emphasized, with a predominance of GNB and multidrug-resistant <em>S.</em> <em>aureus</em>.</div></div>","PeriodicalId":11608,"journal":{"name":"Enfermedades infecciosas y microbiologia clinica","volume":"42 9","pages":"Pages 501-506"},"PeriodicalIF":2.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141029478","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

Intolerancia a vía oral: nuevo escenario para la terapia antirretroviral parenteral 口服不耐受：肠外抗逆转录病毒疗法的新情况

IF 2.6 4区医学

Enfermedades infecciosas y microbiologia clinica Pub Date : 2024-11-01 DOI: 10.1016/j.eimc.2024.06.005

Sergio Ferra Murcia , Ana Belén Lozano Serrano , Marta Segura Díaz , Antonio Ramón Collado Romacho

引用次数: 0

Prevalencia y características clínico-epidemiológicas de la hepatitis crónica por el virus de la hepatitis delta en la isla de Gran Canaria 大加那利岛慢性乙型肝炎病毒性肝炎的发病率和临床流行病学特征。

IF 2.6 4区医学

Enfermedades infecciosas y microbiologia clinica Pub Date : 2024-11-01 DOI: 10.1016/j.eimc.2024.06.008

Goretti Redondo Betancor , Melisa Hernández Febles , Raquel Zaragozá González , Rafael Granados Monzón , Ildefonso Quiñones Morales , Adolfo de Salazar , Federico García García , María José Pena López

{"title":"Prevalencia y características clínico-epidemiológicas de la hepatitis crónica por el virus de la hepatitis delta en la isla de Gran Canaria","authors":"Goretti Redondo Betancor , Melisa Hernández Febles , Raquel Zaragozá González , Rafael Granados Monzón , Ildefonso Quiñones Morales , Adolfo de Salazar , Federico García García , María José Pena López","doi":"10.1016/j.eimc.2024.06.008","DOIUrl":"10.1016/j.eimc.2024.06.008","url":null,"abstract":"<div><h3>Objective</h3><div>The objective of this study was to know the prevalence and clinical-epidemiological characteristics of patients with chronic infection due to hepatitis D virus (HDV).</div></div><div><h3>Patients and methods</h3><div>A retrospective descriptive study was carried out on patients with HDV infection under follow-up in a hospital in 2023. All patients carrying HBsAg were tested for antibodies against HDV. HDV RNA detection was performed in all antibody-positive samples. The medical records were reviewed.</div></div><div><h3>Results</h3><div>Of the 340 patients carrying HBsAg, 24 (7.1%) had anti-HDV antibodies, and 6 (25%) had detectable HDV RNA (chronic infection). The prevalence of chronic hepatitis in HBsAg carriers was 1.8%. All patients had a genotype 1 infection. Half of the patients were of African origin and 29.2% were Spanish. Of the 6 patients with chronic infection, 5 (83.3%) had cirrhosis and 2 (33.3%) had hepatocellular carcinoma. Half of the patients had some exacerbation of the disease during follow-up. Of the 18 patients without viremia, 2 (11.1%) presented cirrhosis (one recently diagnosed). The mean follow-up time of patients without viremia was 13.5 years.</div></div><div><h3>Conclusions</h3><div>The prevalence of chronic HDV hepatitis in our area is low and in all cases it presents as an advanced disease, with exacerbations during follow-up. Patients without viremia have probably resolved the infection, as viremia was not detected in any moment.</div></div>","PeriodicalId":11608,"journal":{"name":"Enfermedades infecciosas y microbiologia clinica","volume":"42 9","pages":"Pages 507-511"},"PeriodicalIF":2.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141842376","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

Resultados de la encuesta nacional de REIV-TOXO sobre el cribado gestacional de la toxoplasmosis en España 西班牙 REIV-TOXO 全国妊娠弓形虫病筛查调查结果

IF 2.6 4区医学

Enfermedades infecciosas y microbiologia clinica Pub Date : 2024-11-01 DOI: 10.1016/j.eimc.2023.08.004

{"title":"Resultados de la encuesta nacional de REIV-TOXO sobre el cribado gestacional de la toxoplasmosis en España","authors":"","doi":"10.1016/j.eimc.2023.08.004","DOIUrl":"10.1016/j.eimc.2023.08.004","url":null,"abstract":"<div><h3>Introduction</h3><div>Currently, the status of serological screening for toxoplasmosis in pregnant women in Spain is unknown, and there is no official recommendation. The objective of this study is to show the current practice of gestational screening for toxoplasmosis in hospitals belonging to the Spanish Network for Research on Congenital Toxoplasmosis (REIV-TOXO).</div></div><div><h3>Methods</h3><div>An electronic survey was sent between April 2021 and September 2021 to investigators from 118 hospitals of REIV-TOXO, representing all Spanish regions. Nine items related to gestational screening for toxoplasmosis were collected. This information was compared with cases of congenital toxoplasmosis (CT) identified in REIV-TOXO to determine if these were diagnosed in the presence of gestational screening.</div></div><div><h3>Results</h3><div>During the study period, serological screening was performed in 53.3% (63/118) hospitals, with variations between regions and even among hospitals within the same region. Testing performed in each trimester was the most common practice (57.7%), followed by a single determination (24.4%). 89.4% of CT cases between January 2015 and September 2021 were diagnosed due to gestational screening.</div></div><div><h3>Conclusion</h3><div>The decision to perform gestational screening for toxoplasmosis in Spain is highly heterogeneous, with significant local and regional differences. Despite this, screening still allows the diagnosis of most CT cases. It is urgent to have current epidemiological data to inform decision-making in public health.</div></div>","PeriodicalId":11608,"journal":{"name":"Enfermedades infecciosas y microbiologia clinica","volume":"42 9","pages":"Pages 478-483"},"PeriodicalIF":2.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135615278","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

Acute and recent hepatitis C virus (HCV) infections in men having sex with men (MSM): Is the test&treat strategy fundamental to reduce the incidence in this population? 男男性行为者 (MSM) 中的急性和近期丙型肝炎病毒 (HCV) 感染：检测和治疗策略是降低这一人群发病率的根本吗？

IF 2.6 4区医学

Enfermedades infecciosas y microbiologia clinica Pub Date : 2024-10-01 DOI: 10.1016/j.eimc.2024.08.003

Cristina Gómez Ayerbe

引用次数: 0

Patología infecciosa importada desde el hemisferio norte 从北半球传入的传染病学

IF 2.6 4区医学

Enfermedades infecciosas y microbiologia clinica Pub Date : 2024-10-01 DOI: 10.1016/j.eimc.2023.12.009

引用次数: 0