Enfermedades infecciosas y microbiologia clinica最新文献

{"title":"Eficacia del tratamiento con benznidazol en la enfermedad de Chagas crónica digestiva avanzada","authors":"Marta Díaz-Menéndez, Rosa de Miguel Buckley, Fernando de la Calle-Prieto, Marta Arsuaga","doi":"10.1016/j.eimc.2024.12.014","DOIUrl":"10.1016/j.eimc.2024.12.014","url":null,"abstract":"","PeriodicalId":11608,"journal":{"name":"Enfermedades infecciosas y microbiologia clinica","volume":"43 4","pages":"Pages 236-237"},"PeriodicalIF":2.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143748393","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}

{"title":"Dermatofitosis causadas por Nannizzia gypsea: informe de 155 casos en el oeste de México","authors":"Enrique Adolfo Orozco-Yee ,&nbsp;Raquel Guadalupe Rojas-Castañeda ,&nbsp;Elizabeth Guevara-Gutiérrez ,&nbsp;Jorge Mayorga-Rodríguez ,&nbsp;Alberto Tlacuilo-Parra","doi":"10.1016/j.eimc.2024.08.011","DOIUrl":"10.1016/j.eimc.2024.08.011","url":null,"abstract":"<div><h3>Background</h3><div>Dermatophytosis caused by <em>Nannizzia gypsea</em> are considered rare. The clinical picture is indistinguishable from that produced by other dermatophytes, but, being this a geophilic fungus, it can cause more inflammatory disease.</div></div><div><h3>Methods</h3><div>Retrospective study. Patients with positive culture for <em>N.</em> <em>gypsea</em> observed at the Dermatological Institute of Jalisco «Dr. José Barba Rubio», from 2001 to 2023, were included. Frequency, sex, age, evolution, and clinical variant were investigated. We compared the findings between the pediatric versus adult population. Descriptive and inferential statistics were used.</div></div><div><h3>Results</h3><div>Over 23 years, 155 patients were diagnosed (6.7 cases per year). Female sex predominated (53.5%). The median age was 9<!--> <!-->years (minimum 1<!--> <!-->year and maximum 85<!--> <!-->years), the more affected age group was 1 to 10<!--> <!-->years (54.2%). The median time of evolution was 30<!--> <!-->days (minimum one day and maximum 3<!--> <!-->years), and 74.8% had an evolution ≤<!--> <!-->30<!--> <!-->days. Tinea capitis predominated in pediatric patients (41.0%, <em>P</em> <!-->&lt;<!--> <!-->.01) whereas tinea corporis predominated in adults (72.7%, <em>P</em> <!-->&lt;<!--> <!-->.01). Inflammatory tinea was more prevalent in the pediatric population (21.0% <em>vs</em>. 3.6%, <em>P</em> <!-->&lt;<!--> <!-->.01).</div></div><div><h3>Conclusion</h3><div>The ability of <em>N.</em> <em>gypsea</em> to cause inflammatory tinea was observed primarily in pediatric patients. Since there is no clinical data to suspect this fungus, it will always be necessary to carry out a mycological study to identify the species and to implement the appropriate treatment.</div></div>","PeriodicalId":11608,"journal":{"name":"Enfermedades infecciosas y microbiologia clinica","volume":"43 4","pages":"Pages 205-209"},"PeriodicalIF":2.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143748575","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}

{"title":"Surveillance of MRSA, ESBL-producing Klebsiella pneumoniae, carbapenem-resistant Enterobacteriaceae, and Clostridioides difficile in Catalan Hospitals: Findings from the VINCat Program","authors":"Nieves Sopena ,&nbsp;Nieves Larrosa ,&nbsp;Laia Castella ,&nbsp;Emma Padilla ,&nbsp;Alex Smithson ,&nbsp;Maria Lopez ,&nbsp;Alexander Almendral ,&nbsp;Enric Limón ,&nbsp;Miquel Pujol ,&nbsp;on behalf of VINCat Programme","doi":"10.1016/j.eimc.2025.02.005","DOIUrl":"10.1016/j.eimc.2025.02.005","url":null,"abstract":"<div><h3>Introduction</h3><div>This study aimed to describe the epidemiological trends of methicillin-resistant <em>Staphylococcus aureus</em> (MRSA), extended-spectrum beta-lactamase (ESBL)-producing <em>Klebsiella pneumoniae</em>, carbapenem-resistant Enterobacteriaceae (CRE), and <em>Clostridioides difficile</em> in Catalonia, Spain.</div></div><div><h3>Methods</h3><div>We analyzed data from hospitals participating in the VINCat Program from 2008 to 2022. The study analyzed antimicrobial susceptibility data from isolates collected in acute care hospital settings. Key metrics: annual MRSA rate, incidence density of new MRSA cases, MRSA bacteremia, and hospital-acquired MRSA cases. We assessed the rate of ESBL-producing <em>K. pneumoniae</em> and carbapenemase-resistant (CR)-<em>K. pneumoniae</em>, CR-<em>Enterobacter cloacae</em>, and CR-<em>Escherichia coli</em>. For <em>C. difficile</em> infections (CDI), the incidence density was determined.</div></div><div><h3>Results</h3><div>While MRSA rate slightly decreased over the study period, the incidence of MRSA bacteremia increased. Global hospital-acquired MRSA incidence decreased but increased in small hospitals. Among patients with bacteremia, the rate of ESBL-producing <em>K. pneumoniae</em> remained stable; in contrast, the rate of CR-<em>K. pneumoniae</em> rose in large centers as well as did the rates of CR-<em>E. cloacae</em> and CR-<em>E. coli</em>. CDI incidence rose substantially over the study period.</div></div><div><h3>Conclusion</h3><div>VINCat's hospital surveillance system has provided valuable insights into the evolving incidence of key multidrug-resistant organisms and CDI. These findings highlight the need for targeted interventions, particularly for MRSA in smaller hospitals and for CR-Enterobacteriaceae and CDI across all hospital sizes.</div></div>","PeriodicalId":11608,"journal":{"name":"Enfermedades infecciosas y microbiologia clinica","volume":"43 ","pages":"Pages S60-S68"},"PeriodicalIF":2.6,"publicationDate":"2025-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143852161","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}

{"title":"VINCat program: Impact of a surveillance program on alcohol-based hand rub consumption in acute care facilities in Catalonia, Spain","authors":"Esther Moreno ,&nbsp;Montse Blasco ,&nbsp;Charo Porrón ,&nbsp;Gemina Santana ,&nbsp;Maria Sardà ,&nbsp;Ana Felisa López ,&nbsp;Alexander Almendral ,&nbsp;Enric Limón ,&nbsp;Miquel Pujol","doi":"10.1016/j.eimc.2025.02.001","DOIUrl":"10.1016/j.eimc.2025.02.001","url":null,"abstract":"<div><h3>Aim</h3><div>Hand hygiene is regarded as the cornerstone for preventing healthcare-associated infections. This study assesses trends in alcohol-based hand rub (ABHR) consumption for hand hygiene and availability of dispensers at the point of care (POC) in acute care hospitals in Catalonia, as part of the VINCat program.</div></div><div><h3>Methods</h3><div>Data were collected from 2014 to 2022 in 69 hospitals, categorized by size and type, including large, medium, small, and specialized facilities. ABHR consumption was measured in liters per 1000 patient-days, with data segmented into intensive care units (ICUs) and non-ICU wards. Hospital infection control personnel determined the availability of ABHR solutions at the POC through yearly point prevalence surveys.</div></div><div><h3>Results</h3><div>The study found a significant increase in ABHR consumption over time, with usage rising from 22.8<!--> <!-->L/1000 patient-days in the 2014–2017 period to 39.9<!--> <!-->L in 2018–2022, representing a 75% increase. The most significant growth was observed in ICUs, where ABHR use nearly doubled. ABHR consumption also spiked during the COVID-19 pandemic in 2020, with large hospitals showing the highest levels of usage. Additionally, the availability of ABHR dispensers at the POC increased, particularly in non-ICU wards and small hospitals.</div></div><div><h3>Conclusions</h3><div>The findings underscore the role of sustained hand hygiene efforts, including increased ABHR availability at the POC, as essential components of infection prevention. These efforts are especially crucial in high-risk units such as ICUs and in smaller hospitals, where resources and compliance may be limited.</div></div>","PeriodicalId":11608,"journal":{"name":"Enfermedades infecciosas y microbiologia clinica","volume":"43 ","pages":"Pages S98-S105"},"PeriodicalIF":2.6,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143852157","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}

{"title":"Lung cancer screening in people with HIV: A missed opportunity for better outcomes?","authors":"Mar Masiá ,&nbsp;Félix Gutiérrez","doi":"10.1016/j.eimc.2024.12.005","DOIUrl":"10.1016/j.eimc.2024.12.005","url":null,"abstract":"","PeriodicalId":11608,"journal":{"name":"Enfermedades infecciosas y microbiologia clinica","volume":"43 3","pages":"Pages 123-124"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143527184","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}

{"title":"Uncommon lip lesions in an HIV individual","authors":"Diego Ulises Vázquez Omaña ,&nbsp;Roxana Claudia Iquize Condori ,&nbsp;Ariel García Torralba ,&nbsp;Miguel Ángel Martínez Rojas ,&nbsp;Pamela Monserrat Vidales Higuera ,&nbsp;Alvaro López Iñiguez","doi":"10.1016/j.eimc.2024.06.017","DOIUrl":"10.1016/j.eimc.2024.06.017","url":null,"abstract":"","PeriodicalId":11608,"journal":{"name":"Enfermedades infecciosas y microbiologia clinica","volume":"43 3","pages":"Pages 172-174"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143527089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Endocarditis infecciosa por Achromobacter xylosoxidans después de implante de válvula aórtica percutánea: a propósito de un caso","authors":"Amparo Buforn Pascual ,&nbsp;José Albors Martín ,&nbsp;Coral Llopis Ruiz ,&nbsp;Adriana Hernández Belmonte","doi":"10.1016/j.eimc.2024.11.004","DOIUrl":"10.1016/j.eimc.2024.11.004","url":null,"abstract":"","PeriodicalId":11608,"journal":{"name":"Enfermedades infecciosas y microbiologia clinica","volume":"43 3","pages":"Pages 181-183"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143526692","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}

{"title":"Programa de profilaxis pre-exposición de la Comunidad de Madrid: 2 años de experiencia","authors":"Nuria Fernández Piñeiro ,&nbsp;Oskar Ayerdi Aguirrebengoa ,&nbsp;Eva Orviz García ,&nbsp;Cristina González Pérez ,&nbsp;Mar Vera García ,&nbsp;Teresa Puerta López ,&nbsp;Carmen Rodríguez Martín ,&nbsp;Clara Lejarraga Cañas ,&nbsp;Jorge Perez García ,&nbsp;Begoña Baza Caraciolo ,&nbsp;Monserrat González Polo ,&nbsp;Florentina Alcudia Pérez ,&nbsp;Marta Ruiz Fernández ,&nbsp;Natividad Jerez Zamora ,&nbsp;Diego Morales Irala ,&nbsp;Beatriz López Centeno ,&nbsp;Daniele Alioto ,&nbsp;José Manuel Martínez Sesmero ,&nbsp;Vicente Estrada Pérez ,&nbsp;María Teresa Benítez Gimenez ,&nbsp;Jorge del Romero Guerrero","doi":"10.1016/j.eimc.2024.03.014","DOIUrl":"10.1016/j.eimc.2024.03.014","url":null,"abstract":"<div><h3>Introduction</h3><div>Pre-exposure prophylaxis (PrEP) against the human immunodeficiency virus (HIV) is an effective and safe preventive measure. However, it has not reached all target users who could benefit from it.</div><div>The study aimed to understand the sociodemographic, clinical and behavioral baseline characteristics of PrEP users. As a secondary objective, the use of concomitant medication and drug consumption were described.</div></div><div><h3>Methodology</h3><div>Observational, retrospective and descriptive study of the sociodemographic, clinical and behavioral characteristics of the users who were included in the PrEP program of the Community of Madrid during the first two years of experience.</div></div><div><h3>Results</h3><div>Two thousand two hundred fifty-six PrEP users were included, 99.0% men, with a mean age of 36.9 years (SD: 8.68). 33.1% presented a sexually transmitted infection (STI) on the first visit, highlighting chlamydiasis and rectal gonococci. 70.4% reported using drugs associated with sex, and 42.4% participated in chemsex sessions in the last 3 months. A high percentage of users with concomitant medication was observed (37.6%), highlighting drugs related to mental health and alopecia.</div></div><div><h3>Conclusions</h3><div>A multidisciplinary approach is required to cover all the needs of PrEP users, including mental health evaluation measures and addiction treatment with the clinical approach.</div></div>","PeriodicalId":11608,"journal":{"name":"Enfermedades infecciosas y microbiologia clinica","volume":"43 3","pages":"Pages 133-138"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141058361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and antimicrobial susceptibility profile of Corynebacterium glucuronolyticum in genitourinary tract samples","authors":"Ana Cotos Suárez,&nbsp;Fernando García-Garrote,&nbsp;Laura Sancha Domínguez,&nbsp;Ana María Blázquez de Castro,&nbsp;María del Mar Collado Llano,&nbsp;Eva María Lorenzo Iglesias","doi":"10.1016/j.eimc.2024.10.007","DOIUrl":"10.1016/j.eimc.2024.10.007","url":null,"abstract":"<div><h3>Introduction</h3><div><em>Corynebacterium glucuronolyticum</em> (<em>C. glucuronolyticum</em>) is a species recently recognized as a potential pathogen of the male genitourinary tract. The objective is to determine the prevalence of <em>C. glucuronolyticum</em> in genitourinary tract samples as well as their antimicrobial susceptibility profile.</div></div><div><h3>Methods</h3><div>A prospective study was conducted from 1st of November 2021 to the 30th of November 2022, for all genitourinary tract samples collected from male patients with suspicion of balanitis, prostatitis and urethritis. Antimicrobial susceptibility testing was performed in all <em>C. glucuronolyticum</em> isolates.</div></div><div><h3>Results</h3><div>A total of 73 <em>C. glucuronolyticum</em> isolates from 693 clinical specimens were obtained. This represents an overall <em>C. glucuronolyticum</em> prevalence of 10.5%. All strains were susceptible to vancomycin, linezolid and rifampicin, whereas 94%, 68% and 65% were resistant to clindamycin, tetracycline and ciprofloxacin, respectively.</div></div><div><h3>Conclusion</h3><div>Clinical microbiology laboratories should perform antimicrobial susceptibility testing against <em>C. glucuronolyticum</em> due to the significant rate of resistance to ciprofloxacin and tetracycline.</div></div>","PeriodicalId":11608,"journal":{"name":"Enfermedades infecciosas y microbiologia clinica","volume":"43 3","pages":"Pages 162-164"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143527087","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}

{"title":"Neumonía neonatal de mala evolución: un agente insospechado","authors":"Judith Lozano González,&nbsp;Alba de Tíscar Sánchez García","doi":"10.1016/j.eimc.2024.10.003","DOIUrl":"10.1016/j.eimc.2024.10.003","url":null,"abstract":"","PeriodicalId":11608,"journal":{"name":"Enfermedades infecciosas y microbiologia clinica","volume":"43 3","pages":"Pages 178-179"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143526682","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}